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Updated 3:10 a.m. | In a dramatic early Friday morning vote, the Senate voted down the Republican effort to overhaul the U.S. health insurance system, 49-51, with GOP Sen. John McCain of Arizona’s dramatic “no” — to gasps in the chamber — providing the key vote to send the bill to defeat. Lobbying from top GOP leaders, McCain’s colleague from Arizona Jeff Flake, Vice President Mike Pence and a swath of Republicans were not enough to sway McCain. Pence himself spent more than 20 minutes trying to get McCain to change his mind.GOP Sens. Lisa Murkowski of Alaska and Susan Collins of Maine were expected to vote “no,” but Republicans were confident shortly before the vote they could get to a 50-50 tie, and bring in Pence to break it. Before he cast his “no” vote, McCain had gathered with a sizable group of jovial Democrats on the other side of the Senate chamber. He returned to the Republican side, walking right past Majority Leader Mitch McConnell of Kentucky.