An amendment to a healthcare bill that would create a single-payer healthcare system was defeated 57-0 Thursday in the Senate.

Several Democrats voted against the amendment, including Sens. Joe Donnelly of Indiana, Joe Manchin of West Virginia, Jon Tester of Montana and Angus King of Maine, an Independent. All 52 Republicans voted “no” and other Democrats voted “present,” meaning that they like the proposal but believe it has flaws.

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