Sen. Benjamin L. Cardin, Maryland Democrat, and his allies in Congress say they are determined to make the Affordable Care Act work no matter what stands in their way. The GOP, however, is not relenting. (Associated Press)

Sen. Benjamin L. Cardin, Maryland Democrat, and his allies in Congress say they are determined to make the Affordable Care Act work no matter what stands in their way. The GOP, however, is not relenting. (Associated Press)