US President Donald Trump has hit out at Republicans who are refusing to back the latest effort to repeal Obama-era healthcare legislation.
Speaking in Alabama, he said senators from his party who opposed the repeal lacked "the guts to vote for it."
Senator John McCain dealt the Trump administration's efforts a potentially fatal blow when he said he could not vote for it "in good conscience".
President Trump said his criticism was "unexpected" and "terrible".
"They gave me a list of 10 people that were absolute no's," he said."John McCain was not on the list so that was a totally unexpected thing, terrible, honestly terrible."
"We're going to do it eventually," he added.
Republicans need 50 votes in the 100-seat Senate, which they control 52-48, to succeed.With Democrats united in opposition, the vote is now on a knife edge.
Mr McCain's objection could doom conservatives' seven-year campaign to erase former Democratic President Barack Obama's signature legislative achievement.
It is the second time Mr McCain has thwarted his party leadership on the issue.
It was wrong, he said, to pass such far-reaching legislation without input from the Democrats, and said the bill demanded extensive hearings, debate and amendment.
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"That is the only way we might achieve bipartisan consensus on lasting reform," he wrote, "without which a policy that affects one-fifth of our economy and every single American family will be subject to reversal with every change of administration and congressional majority."
Of other Republican senators:
- Rand Paul, is also against the latest repeal bill
- Susan Collins said she was "leaning against the bill" because she was worried the legislation did not do enough to protect patients with pre-existing conditions
- Lisa Murkowski, Dan Sullivan, Rob Portman and Jerry Moran are undecided
Back to the drawing board
Analysis by Anthony Zurcher, BBC North America reporter
As several Republican senators explained - ones who were firm "yesses" - the main attraction for the plan was that it was the only plan on the table.
Now it appears Republicans will have to go back to the drawing board.
Although the end of September is the deadline for passing a bill with a simple majority in the Senate for this federal budget, there's no reason the party couldn't start the wheels turning for another vote next year - or, conceivably, simply change the rules, as Donald Trump has suggested.
None of that will alter the simple dynamic that made itself clear over the course of the past months, however.
The Republican Party, despite campaigning ferociously for Obamacare repeal for nearly seven years, could never agree on how to turn those promises into reality without sending the healthcare industry into a tailspin.
The Republican leadership had evidently hoped Senator Lindsey Graham, one of the bill's authors, might be able to persuade his close friend Mr McCain to back the measure.
Undeterred, Mr Graham vowed:"We press on."
US Vice-President Mike Pence said the so-called Graham-Cassidy bill was the "last best chance" to repeal Obamacare.
President Trump has been phoning lawmakers and state governors in a bid to tilt the scales in favour of the bill but several Republican governors this week also criticised the process as rushed.
And 16 major medical groups issued a joint statement against the Republican legislation.
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Senate Majority Leader Mitch McConnell was planning to bring the legislation to a vote next week but it is unclear now if that will go ahead.
Republicans are still reeling from the collapse in July of their efforts to secure Senate passage of previous legislation to repeal Obamacare.
A dramatic late-night "no" vote from Mr McCain - just days after he was diagnosed with an aggressive brain tumour - sank that bill, too.
The new bill would give states money in block grants to run their own healthcare programmes.
But critics say that when left to the states, the money going into the Medicaid programme for people on low incomes would diminish.
Republicans have long deplored Obamacare, known formally as the Affordable Care Act, as government overreach into the US healthcare system....
A magnitude 3.4 earthquake has been detected in North Korea.
The earthquake occurred about 50km (31 miles) from a nuclear test site, monitors say.Previous quakes were caused by weapon tests.
Chinese seismologists said it was a "suspected explosion" but South Korea says that it could be a natural quake not caused by a nuclear test.
The US Geological Survey (USGS), meanwhile, said it could not yet make a judgment as to the cause.
North Korea carried out a massive nuclear test on 3 September which was widely condemned at the UN.
The size of Saturday's tremor is smaller than that usually detected when North Korea has tested weapons.
After the last test, initial reports from the USGS put the tremor at magnitude 5.6 with a depth of 10km but this was later upgraded to magnitude 6.3 at 0km.
The USGS also said it occurred in a nuclear test area but said its seismologists assessed it as having a depth of 5km.
South Korea said it believed the quake was natural because the specific soundwaves generated by artificial earthquakes were not detected, Reuters news agency reports.
Analysts from the Comprehensive Nuclear Test Ban Treaty Organization are examining the "unusual seismic activity of a much smaller magnitude" in North Korea, executive secretary Lassina Zerbo tweeted.
He said the quake occurred "about 50km from prior tests".
- ^ Decoding Kim's nuclear Pacific threat (www.bbc.co.uk)
- ^ North Korea:Does this mean war? (www.bbc.co.uk)
- ^ Punggye-ri nuclear site (www.bbc.co.uk)
- ^ it said (earthquake.usgs.gov)
- ^ executive secretary Lassina Zerbo tweeted (twitter.com)
- ^ What did N Korea's nuclear tests achieve? (www.bbc.co.uk)
- ^ North Korea's missile programme (www.bbc.co.uk)
- ^ How advanced is Pyongyang's nuclear programme? (www.bbc.co.uk)
A section of the M3 motorway is closed in both directions after reports of "potential hazardous material" on the road, police have said.
Thousands of motorists are reported to be stranded on the motorway and surrounding roads.
Police said a bomb disposal team was at the scene of the closure between junctions nine and 11 at Winchester.
The incident was first reported at about 04:00 BST.Motorists have been advised to find alternative routes.
No-one is believed to have been hurt.Image copyright Twitter/@ROMANSE Image caption Image caption
Hampshire Constabulary said officers were working with fire crews and the Ministry of Defence's Explosive Ordnance Disposal (EOD) team to establish what the material is.
"We will endeavour to get the material cleared as soon as possible," the force added.
Highways England has warned motorists to expect long delays as the motorway is expected to remain closed for several hours.
Hampshire County Council's travel information provider Romanse said Winchester city centre and all routes in were "gridlocked".Image caption
BBC reporter Toby Wadey at the scene
It's absolute chaos on the roads.Motorists are switching off their engines and getting out of their cars.
It took me three hours to travel 10 miles.I've since abandoned a trip from Basingstoke to Bournemouth.
We were diverted off the M3 at the Winnall roundabout.
It took more than an hour just to get round the roundabout with people switching lanes and stopping in yellow junction boxes.
When I returned to an empty M3 northbound, the scene on the other side of the carriageway consisted of miles of queues, with thousands of motorists stranded.
Stranded motorists have taken to social media to express their frustration.Image caption
Hundreds of thousands of people have signed a petition started by Uber calling for Transport for London (TfL) to reverse its decision not to renew the firm's licence.
TFL said Uber was not "fit and proper" to hold a London private hire operator licence on the grounds of "public safety and security implications".
More than 500,000 names have since been added to Uber's petition.
The ride-hailing app firm says it will appeal against TfL's decision.
The petition says:"If this decision stands, it will put more than 40,000 licensed drivers out of work and deprive millions of Londoners of a convenient and affordable form of transport."
TfL's concerns include Uber's approach to carrying out background checks on drivers and reporting serious criminal offences.
Uber's licence is due to expire on 30 September.
It has 21 days to appeal against TfL's decision and can continue to operate while any appeals are ongoing.
In a message to staff, its chief executive Dara Khosrowshahi said:"It's worth examining how we got here.The truth is that there is a high cost to a bad reputation.
"It really matters what people think of us," he said.
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Petitioner Glenn Gathercole, from London, said he added his signature because:"Uber provides a much-needed alternative to minicabs and black cabs.It is more efficient, safer and economical than the alternatives."
Others have said that the ruling was within the company's control.
'London is closed'
Mayor of London Sadiq Khan has given his full support to TfL's decision.
"It would be wrong if TfL continued to license Uber if there is any way that this could pose a threat to Londoners' safety and security," he said.
But Conservative MP and minister for London Greg Hands said, while the company must address safety concerns, Mr Khan was threatening to leave users "stranded" and put thousands out of work.
Uber has said the move "would show the world that, far from being open, London is closed to innovative companies".
Analysis:From BBC technology correspondent Rory Cellan-Jones
Throughout its short, tempestuous life, Uber has clashed with regulators around the world - and more often than not it has come out on top.
Its tactic has often been to arrive in a city, break a few rules, and then apologise when it's rapped over the knuckles.Some regulators have backed down, others have run the company out of town.
In London, despite protests from angry taxi drivers, the company has had a relatively easy ride until now.
But a wave of bad publicity about its corporate culture, its lax attitude to checks on its drivers and its treatment of this freelance army seems to have spurred TfL into action.
Make no mistake, Uber will use every legal avenue to fight this ban.It will argue that consumers, in the shape of the millions of mainly young Londoners who rely on its service, will be seriously let down if it can no longer operate.
But the courts will have to balance that with the serious concerns about public safety raised by TfL.
Some 3.5 million passengers and 40,000 drivers use the Uber app in London.
Wes Streeting, chair of the All Party Parliamentary Group on Taxis, says the blame lies with Uber for not following the rules.
"You cannot have a situation where, however big the customer base or however big the driver base, an operator that's providing a service like this in a city like ours can simply flout rules and regulations and on things as serious as criminal records checks for their own drivers, and this goes to the heart of passenger safety."...
- Chief executive Travis Kalanick, who helped found the company in 2009, resigned in July following a series of scandals and criticism of his management style
- In June, 20 staff were sacked after a law firm investigated specific complaints made to the company about sexual harassment, bullying, and retaliation for reporting problems
- At the start of 2017, the firm paid £16.2m ($20m) in the US to settle allegations it gave false promises to drivers over how much they would earn
- In October 2016 Uber lost a landmark employment tribunal in the UK that ruled drivers should be classed as workers rather than being self-employed
- A few months later Uber announced it would offer English courses, financial advice and introduce an appeals panel for its UK workers after facing criticism over lack of support and rights for its drivers
- In 2014 the New Delhi government banned app-based taxi companies after an Uber driver raped a passenger in his vehicle
- Uber stopped operating in Austin, Texas, when it was told drivers would have to have fingerprint background checks, but it reinstated its services after the requirement was ended
- ^ said (twitter.com)
- ^ Owen Jones (twitter.com)
- ^ wrote on Twitter (twitter.com)
- ^ resigned in July (www.bbc.co.uk)
- ^ 20 staff were (www.bbc.co.uk)
- ^ the firm paid £16.2m ($20m) in the US to settle allegations (www.bbc.co.uk)
- ^ employment tribunal in the UK that ruled (www.bbc.co.uk)
- ^ New Delhi government banned app-based taxi companies (www.bbc.co.uk)
- ^ Uber stopped operating in Austin, Texas, (www.bbc.co.uk)
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