Senator Ben Nelson, Democrat of Nebraska, says he is not sure he is ready to help a Democratic health care proposal clear even the most preliminary hurdle: gaining the 60 votes his party's leaders need to open debate on the measure later this week.
Two of his fellow Democrats, Senators Mary L. Landrieu of Louisiana and Blanche Lincoln of Arkansas, are proving tough sells as well, raising the prospect that one or perhaps all three of them could scuttle the bill before the fight over it even begins on the Senate floor.
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