Three years after campaigning on a vow to "repeal and replace" President Barack Obama's health care law, House Republicans have yet to advance an alternative for the system they have voted more than three dozen times to abolish in whole or in part.

Officially, the effort is "in progress" — and has been since Jan. 19, 2011. That's according to GOP.gov, a leadership-run website.

But internal divisions, disagreement about political tactics and Obama's 2012 re-election add up to uncertainty over whether Republicans will vote on a plan of their own before the 2014 elections.

Or, if not by then, perhaps before the president leaves office, more than six years after the original promise.

Sixteen months before the midterm elections, some Republicans cite no need to offer an alternative.

[Associated press]

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