WASHINGTON — Handing President Obama a hard-fought victory, the House narrowly approved a sweeping overhaul of the nation’s health care system on Saturday, advancing legislation that the Democrats said could be their defining social policy achievement.


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Lawmakers on Capitol Hill on Saturday before President Obama arrived to talk to Democrats.
After a daylong clash with Republicans over what has been a Democratic goal for decades, lawmakers voted 220 to 215 to approve a plan that would cost $1.1 trillion over 10 years and that Democrats said would provide relief to Americans struggling to buy or hold on to health insurance.

“This is our moment to revolutionize health care in this country,â€