WASHINGTON (AP) – Pressing an election-year point, Republicans pushed yet another bill through the House on Wednesday to repeal the nation’s two-year-old health care law, a maneuver that forced Democrats to choose between President Barack Obama’s signature domestic achievement and a public that is persistently skeptical of its value.

The vote was 244-185, with five Democratic defectors siding with Republicans.

By Republican count, the vote marked the 33rd time in 18 months that the tea party-infused GOP majority has tried to eliminate, defund or otherwise scale back the program – opponents scornfully call it “Obamacare” – since the GOP took control of the House.