In the early hours of Friday, July 28, an effort to repeal former President Obama’s Affordable Care Act collapsed. Late Thursday, as concerned citizens across the country gradually gave up the wait and went to sleep, it looked increasingly likely that the “skinny repeal”—an unpopular measure to repeal one key component of the ACA and give the bill to the House of Representatives—would pass. However, in a stunning moment, Republican Senator John McCain voted “no” on the measure. In doing so, his vote joined expected “no” votes from Republican Senators Susan Collins and Lisa Murkowski, as well as the entire Democratic caucus, to end this latest effort to destroy a law that has helped millions of Americans gain health coverage.