Washington (CNN) -- The U.S. Senate on Monday opened what is expected to be a lengthy and rancorous debate on a sweeping bill to overhaul the nation's health care system.



In statements laced with heated and conflicting rhetoric, Senate Democrats and Republicans outlined opposing positions on the 2,074-page Democratic measure that would provide health insurance to an additional 31 million people at a cost of almost $850 billion.



Democrats led by Senate Majority Leader Harry Reid of Nevada framed the debate as historic and said the bill would provide vital health insurance for almost all Americans, hold down spiraling costs that threaten the U.S. economy and instill needed reforms to ensure the long-term solvency of the government-run Medicare health program for senior citizens.



"In the greatest country on Earth, no American should die simply because they don't have health insurance," said Sen. Max Baucus of Montana, one of the bill's architects, while Reid said the bill "saves money, saves lives and saves Medicare."



Republicans countered that the bill was too big, too expensive and would cause more harm than good. Sen. John McCain of Arizona called it a "sham" and a "2,074-page monstrosity full of measures that would impair the abilities, particularly of our senior citizens, to keep the benefits they've been promised."



McCain immediately proposed sending the bill back to committee to remove all provisions intended to bring down the costs of Medicare. He cited proposed cuts to Medicare, including $118 billion in subsidies provided to private insurers for Medicare Advantage -- an enhanced benefits program for senior citizens.



"There is no math, old or new, that gets you to no change in the benefits they have under Medicare Advantage and yet cuts $120 billion," McCain said. A vote on McCain's proposal was likely on Tuesday.



The House has passed its version of a health care bill, and if the Senate passes its bill, the two measures would be merged by a congressional conference committee. Both chambers then would have to approve the revised bill before it could go to President Obama's desk.



On Monday, debate quickly bogged down in Republican procedural objections, causing Reid to lament: "This is not a good way to start this debate."



Republican Sen. Mike Enzi of Wyoming challenged a motion by Reid that he said would unfairly cut off the proposal of amendments, including McCain's planned Republican amendment to prevent cuts to Medicare. While Reid's motion failed, Enzi labeled it a stunt.



So far, Republicans unanimously oppose the health care bill. The Senate voted 60-39 to launch debate on the measure, overcoming a Republican filibuster through support from every member of the Democratic caucus. Reid also will need 60 votes to eventually close the debate, and his ability to secure that support remains uncertain.



The debate will feature amendments intended to delete or change controversial provisions, including creation of a government-run public health insurance option to compete against private insurers, tax increases and provisions intended to prevent federal tax dollars from paying for abortion except in cases of rape, incest or danger to the mother's life.



For the most part, battle lines are clearly drawn. Liberal-minded senators such as Bernie Sanders of Vermont, an independent who sits with the Democratic caucus, favor a public option as the best way to force competition on private insurers to bring down costs, while fiscally conservative Democrats such as Nebraska's Ben Nelson are concerned about the cost and scope of a government-run alternative.



Nelson has said he would join a Republican filibuster against closing debate on the bill if it retains the current public option provision, which allows states to opt out of a national plan. Another Democratic caucus member, independent Joe Lieberman of Connecticut, says he also will prevent a final vote if the bill contains any form of public option.



On the Republican side, none of the 40 senators supports a public option, but one -- moderate Olympia Snowe of Maine -- has discussed a trigger mechanism that would automatically bring a public option if thresholds for expanded coverage and lower costs go unmet. The trigger idea is considered the lone chance
Washington ( CNN ) -- The U.S. Senate on Monday opened what is expected to be a lengthy and rancorous debate on a sweeping bill to overhaul the nation 's health care system . In statements laced with heated and conflicting rhetoric , Senate Democrats and Republicans outlined opposing positions on the 2,074-page Democratic measure that would provide health insurance to an additional 31 million people at a cost of almost $ 850 billion . Democrats led by Senate Majority Leader Harry Reid of Nevada framed the debate as historic and said the bill would provide vital health insurance for almost all Americans , hold down spiraling costs that threaten the U.S. economy and instill needed reforms to ensure the long - term solvency of the government - run Medicare health program for senior citizens . " In the greatest country on Earth , no American should die simply because they do n't have health insurance , " said Sen. Max Baucus of Montana , one of the bill 's architects , while Reid said the bill " saves money , saves lives and saves Medicare . " Republicans countered that the bill was too big , too expensive and would cause more harm than good . Sen. John McCain of Arizona called it a " sham " and a " 2,074-page monstrosity full of measures that would impair the abilities , particularly of our senior citizens , to keep the benefits they 've been promised . " McCain immediately proposed sending the bill back to committee to remove all provisions intended to bring down the costs of Medicare . He cited proposed cuts to Medicare , including $ 118 billion in subsidies provided to private insurers for Medicare Advantage -- an enhanced benefits program for senior citizens . " There is no math , old or new , that gets you to no change in the benefits they have under Medicare Advantage and yet cuts $ 120 billion , " McCain said . A vote on McCain 's proposal was likely on Tuesday . The House has passed its version of a health care bill , and if the Senate passes its bill , the two measures would be merged by a congressional conference committee . Both chambers then would have to approve the revised bill before it could go to President Obama 's desk . On Monday , debate quickly bogged down in Republican procedural objections , causing Reid to lament : " This is not a good way to start this debate . " Republican Sen. Mike Enzi of Wyoming challenged a motion by Reid that he said would unfairly cut off the proposal of amendments , including McCain 's planned Republican amendment to prevent cuts to Medicare . While Reid 's motion failed , Enzi labeled it a stunt . So far , Republicans unanimously oppose the health care bill . The Senate voted 60 - 39 to launch debate on the measure , overcoming a Republican filibuster through support from every member of the Democratic caucus . Reid also will need 60 votes to eventually close the debate , and his ability to secure that support remains uncertain . The debate will feature amendments intended to delete or change controversial provisions , including creation of a government - run public health insurance option to compete against private insurers , tax increases and provisions intended to prevent federal tax dollars from paying for abortion except in cases of rape , incest or danger to the mother 's life . For the most part , battle lines are clearly drawn . Liberal - minded senators such as Bernie Sanders of Vermont , an independent who sits with the Democratic caucus , favor a public option as the best way to force competition on private insurers to bring down costs , while fiscally conservative Democrats such as Nebraska 's Ben Nelson are concerned about the cost and scope of a government - run alternative . Nelson has said he would join a Republican filibuster against closing debate on the bill if it retains the current public option provision , which allows states to opt out of a national plan . Another Democratic caucus member , independent Joe Lieberman of Connecticut , says he also will prevent a final vote if the bill contains any form of public option . On the Republican side , none of the 40 senators supports a public option , but one -- moderate Olympia Snowe of Maine -- has discussed a trigger mechanism that would automatically bring a public option if thresholds for expanded coverage and lower costs go unmet . The trigger idea is considered the lone chance
What are the objections from GOP?
What are the objections from GOP ?
too big, too expensive
too big, too expensive