For many of these activists, stopping health care reform is the first step toward defeating Democrats in Congress in November and President Obama in 2012.

VOA: standard.2010.03.18

Speaking to reporters, Reid and others hailed the vote as a victory and a major step toward providing millions more Americans with access to health care.

VOA: standard.2009.12.25

The White House issued a statement welcoming the outcome, saying the U.S.is now one step closer to extending quality health care to those Americans who lack it.

VOA: standard.2009.11.23

The president has used appearances in St.Louis,and earlier this week in Philadelphia, to appeal for public support in advance of a hoped for vote in the House of Representatives, a crucial step in the final stage of his push for a health care bill.

VOA: standard.2010.03.10