WASHINGTON (AP) – Longtime friends and advisers of Sen. John McCain say they’re not surprised by his decision to oppose a last-ditch Republican effort to overhaul the nation’s health care law.

McCain objected to the legislation in part because Senate GOP leaders wanted a vote without holding hearings or debate. The Arizona senator has made a return to “regular order” in the Senate a priority since he came back to Congress following a cancer diagnosis.

McCain’s decision likely kills the GOP effort, and that’s disappointing to many in the party.

It’s the second time McCain has upended a Republican-led health care effort since his brain cancer diagnosis this year.

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