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First, the official name for it is the "Patient Protection and Affordable Care Act (PPACA)." Its opponents often refer to it as "Obamacare," when they are trying to blame the president for an act with which they disagree. This act was passed by congress in March 2010. As for who was behind it, it was a priority for Democrats and for the president; they were trying to reform health care in the United States.

The PPACA passed the Senate with all Democrats voting for it, and all Republicans voting against it. It should be noted that while Democrats voted for it, some felt it did not go far enough: they would have preferred a "Single Payer" system. But Democrats ultimately agreed to pass the act because they believed it made a good start in eliminating some of the problems with the health care system. Their Republican opponents disagreed and promised that if a Republican was elected, the PPACA (or "Obamacare") would be repealed.

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