With healthcare vote in balance, McCain in 'good spirits' after surgery

WASHINGTON, July 17 (Reuters) - Senator John McCain, a critical vote in the U.S. Senate's healthcare overhaul, was described as upbeat and comfortable in Arizona on Monday but was still days away from traveling to Washington after surgery to remove a blood clot from his head.

The Arizona senator underwent surgery on Saturday to remove a clot above his left eye discovered during a physical examination, forcing Senate Majority Leader Mitch McConnell to postpone a healthcare vote and throwing the timing of the debate into uncertainty.

In the meantime, the White House continued its efforts to persuade uncommitted Republican senators to vote for the legislation, with several senators set to dine with President Donald Trump on Monday evening.

20 PHOTOS
John McCain through the years
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John McCain through the years
UNITED STATES - FEBRUARY 27: TV RATINGS--Senate Commerce Committee Chairman John McCain, R-Ariz., during hearing on the TV ratings system. (Photo by Douglas Graham/Congressional Quarterly/Getty Images)
20th August 1992: The Republican Senator from Arizona, John McCain, speaking at the Republican National Convention. A fomer prisoner of war for several years in Vietnam, he contested his party's nomination for the 2000 election. (Photo by Consolidated News Pictures/Getty Images)
HANOI, VIET NAM: U.S. Sen. John McCain, a former POW, looks 31 May 1993 at a display of personal belongings of American POWs at the joint POW/MIA archives center in the Hanoi Army Museum. McCain is with U.S. Sen. John Kerry and a delegation on a two-day visit aimed at obtaining more access to archives dealing with the fate of missing U.S. servicemen. (Photo credit should read HOANG DINH NAM/AFP/Getty Images)
UNITED STATES - MAY 18: MCCAIN'S DAY--Sen John McCain, R-Ariz., relaxes in his office at about 2:15 p.m. (Photo by Scott J. Ferrell/Congressional Quarterly/Getty Images)
UNITED STATES - JUNE 02: McCAIN BILL--John McCain,R-Ariz.,during a press conference on the McCain Bill and tobacco legislation. (Photo by Douglas Graham/Congressional Quarterly/Getty Images)
WASHINGTON, : US Senator John McCain, R-AZ, chairman of the Senate Committee on Commerce, Science and Transportation begins the start of a hearing on the investigation of the scandal surrounding the 2002 Salt Lake City Winter Olympics on Capitol Hill in Washington, DC 14 April, 1999. AFP PHOTO/Mario TAMA (Photo credit should read MARIO TAMA/AFP/Getty Images)
HANOVER, : US Senator John McCain speaks to reporters 27 October,1999 in Hanover, New Hampshire. McCain criticized sugar, oil, and corn (shown behind) subsidies and linked them to 'soft money' campaign contributions. (ELECTRONIC IMAGE) AFP PHOTO Luke FRAZZA (Photo credit should read LUKE FRAZZA/AFP/Getty Images)
MANCHESTER, : Republican president hopeful John McCain greets supporters as he arrives at a debate forum sponsored by a local television station 02 December, 1999, in Manchester, New Hampshire. McCain will debate the other Republican candidates seeking the party's presidential nomination. (DIGITAL IMAGE) AFP PHOTO/John MOTTERN (Photo credit should read JOHN MOTTERN/AFP/Getty Images)
UNITED STATES - CIRCA 2000: John McCain addresses a shadow convention at the Annenberg Center of the University of Pennsylvania. McCain was booed when he asked suppoters to back his former primary opponent, George W. Bush. The shadow convention was put on near the site of the Republican National Convention in Philadelphia to highlight issues that the organizers say the major parties are ignoring. (Photo by Harry Hamburg/NY Daily News Archive via Getty Images)
CAMDEN, UNITED STATES: GOP presidential hopeful US Senator John McCain (R-AZ) waves during an 'Old Fashion BBQ and Stump Meeting' on the front yard of a supporter's house 08 January 2000 in Camden, South Carolina. (ELECTRONIC IMAGE) AFP PHOTO/Paul J. RICHARDS (Photo credit should read PAUL J. RICHARDS/AFP/Getty Images)
PETERBOROUGH, NH - JANUARY 30: Republican presidential hopeful Sen. John McCain (L) and his wife Cindy are showered with confetti following McCain's final town meeting 30 January, 2000 in Peterborough, New Hampshire. (ELECTRONIC IMAGE) (Photo credit should read C.J. GUNTHER/AFP/Getty Images)
GREENWOOD, : Republican presidential hopeful John McCain makes a point 14 February 2000 during a town hall meeting at the American Legion Post 20 in Greenwood, South Carolina. McCain is campaigning heavily in the southern state against Texas Governor Geroge W. Bush ahead of the 19 February 2000 primary. (ELECTRONIC IMAGE) AFP PHOTO/Tim SLOAN (Photo credit should read TIM SLOAN/AFP/Getty Images)
THE TONIGHT SHOW WITH JAY LENO -- Episode 1789 -- Pictured: (l-r) Senator John McCain during an interview with host Jay Leno on March 1, 2000 -- (Photo by: Paul Drinkwater/NBC/NBCU Photo Bank via Getty Images)
UNITED STATES - APRIL 30: Sen. John McCain, R-AZ, at a Senate Commerce, Science and Transportation Committee hearing on climate change. (Photo By Tom Williams/Roll Call/Getty Images)
UNITED STATES - FEBRUARY 12: TEMPORARY GUEST WORKERS--Witness Sen. John McCain, R-Ariz., during the Senate Judiciary Immigration, Border Security and Citizenship Subcommittee hearing titled 'Evaluating a Temporary Guest Worker Proposal.' (Photo by Scott J. Ferrell/Congressional Quarterly/Getty Images)
UNITED STATES - JUNE 28: SENATE POLICY LUNCHES--Sen. John McCain, R-Ariz., talks to reporters after the Senate GOP policy luncheon. (Photo by Scott J. Ferrell/Congressional Quarterly/Getty Images)
WASHINGTON - SEPTEMBER 20: U.S. Senator John McCain (R-AZ) addresses The Northern Virginia Technology Council's Titans breakfast at the Capitol Hilton September 20, 2006 in Washington, DC. McCain spoke on a variety of subjects, including telecommunications legislation, net neutrality, research and development tax credits, immigration, and Internet taxes. He also addressed the rift that he and several other Republican senators are having with the White House over the Geneva Conventions. (Photo by Chip Somodevilla/Getty Images)
KABUL, AFGHANISTAN - JULY 04: US Senator John McCain (C) holds a press conference at ISAF HQ in Kabul, Afghanistan on July 4, 2017. US Senator John McCain visited the headquarters of NATO-led mission after his visit at Pakistan. (Photo by Haroon Sabawoon/Anadolu Agency/Getty Images)
WASHINGTON, July 13, 2017 -- U.S. Senator John McCain is swarmed by reporters as he leaves a meeting on Capitol Hill in Washington D.C. July 13, 2017. Senate Republicans of the U.S. Congress on Thursday unveiled a new healthcare bill that they hoped can fulfill their long-time goal to 'repeal and replace' the Affordable Care Act. (Xinhua/Ting Shen via Getty Images)
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McCain's support is vital for the bill, which needs the backing of at least 50 of the 52 Republicans in the 100-member Senate. Republicans Susan Collins and Rand Paul already have said they will not vote to open debate on the legislation - meaning one more "no" vote would kill it.

"Senator McCain is in good spirits and recovering comfortably at home with his family. On the advice of his doctors, Senator McCain will be recovering in Arizona this week. As available, more information on Senator McCain's progress will be made public," said McCain spokeswoman Julie Tarallo.

Senator Lindsey Graham, a close friend of the 80-year-old senator, told CNN that McCain had been growing forgetful in recent weeks.

"I'm glad they found out what I think was the cause," Graham said. "After talking to him - I talked to him Sunday - (he was) just like the old John McCain, much more engaged in conversation."

Another friend who had talked to McCain, said "he sounds great" and that he was so eager to get back into the action in Washington that he was musing about the prospect of taking a cross-country road trip.

Changes in cabin pressure associated with air travel could harm the recovery for McCain, who survived a bout of melanoma in 2000. While his office has said the recovery could take a week, medical experts told the New York Times the recovery time for such procedures is often longer.

"We hope John McCain gets better very soon. We miss him," Trump said at a White House economic event.

"He's a crusty voice in Washington, plus we need his vote."

Even with McCain, Republicans face plenty of obstacles to passage of the measure to replace the 2010 Affordable Care Act, popularly known as Obamacare. Democrats are united in opposition to the bill, and Collins estimated on Sunday that "eight to 10" Republicans still have serious doubts about it.

Other Republican senators who have expressed concerns or remain noncommittal include Rob Portman, Mike Lee, Shelley Moore Capito, Dean Heller, John Hoeven, Lisa Murkowski, Jeff Flake, Ben Sasse, Cory Gardner, Todd Young and Thom Tillis.

A Senate Republican aide said senators were reluctant to be the third "no" vote, essentially sinking the bill, so many of the undecideds will hold off until the last minute in declaring their stance.

WHITE HOUSE PUSH

Senator Orrin Hatch, chairman of the Senate Finance Committee, met with White House officials on Monday. Trump plans on holding a dinner at the White House in the evening that congressional aides said would include Senators Lamar Alexander, John Cornyn, Steve Daines and James Lankford, among others.

Cornyn was asked whether the group would discuss how to bring holdouts into the fold. "I hope so," he replied.

18 PHOTOS
Protests against the Republican health care bill
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Protests against the Republican health care bill
THE PARK IMPERIAL AT 230 WEST 56TH ST , NEW YORK, UNITED STATES - 2017/07/10: New Yorkers and healthcare advocacy groups organized a protest on July 10, 2017; outside Rep. John Faso's fundraiser as donors arrive at the Park Imperial at 230 West 56th St. in Midtown Manhattan. Faso voted for the House Trumpcare bill in May, he also coauthored the notorious Collins-Faso amendment to both the House and Senate bills that would shift New York Medicaid funding from counties budgets to the state budget. (Photo by Erik McGregor/Pacific Press/LightRocket via Getty Images)
A healthcare activist protests to stop the Republican health care bill at Russell Senate Office Building on Capitol Hill in Washington, U.S., July 17, 2017. REUTERS/Yuri Gripas
Healthcare activists protest to stop the Republican health care bill at Russell Senate Office Building on Capitol Hill in Washington, U.S., July 17, 2017. REUTERS/Yuri Gripas
Healthcare activists get a police warning during a protest to stop the Republican health care bill at Hart Senate Office Building on Capitol Hill in Washington, U.S., July 17, 2017. REUTERS/Yuri Gripas
Healthcare activists protest to stop the Republican health care bill at Hart Senate Office Building on Capitol Hill in Washington, U.S., July 17, 2017. REUTERS/Yuri Gripas
WASHINGTON, DC - JULY 10: A demonstrater from Arizona chants, 'Kill the bill or lose your job' while sitting on the floor outside the offices of Sen. Jeff Flake (R-AZ) during a protest against health care reform legislation in the Russell Senate Office Building on Capitol Hill July 10, 2017 in Washington, DC. More than 100 people from across the country were arrested during the protest that was organized by Housing Works and Center for Popular Democracy. (Photo by Chip Somodevilla/Getty Images)
NEW YORK COUNTY REPUBLICAN OFFICE, NEW YORK, UNITED STATES - 2017/07/05: The Socialist Feminists of Democratic Socialists of America (DSA) organized a protest outside of the New York County Republican Office in New York City on July 5, 2017; to tell Republicans that is it despicable and undemocratic that they are trying to ram Trumpcare through the Senate without debate or public hearings. (Photo by Erik McGregor/Pacific Press/LightRocket via Getty Images)
UNITED STATES - JULY 10: Health care protesters from Arkansas chant outside of the office of Sen. John Boozman, R-Ark., in the Hart Senate Office Building on Monday, July 10, 2017. About a dozen people loudly voiced opposition to the GOP health care bill. (Photo By Bill Clark/CQ Roll Call)
THE PARK IMPERIAL AT 230 WEST 56TH ST , NEW YORK, UNITED STATES - 2017/07/10: New Yorkers and healthcare advocacy groups organized a protest on July 10, 2017; outside Rep. John Faso's fundraiser as donors arrive at the Park Imperial at 230 West 56th St. in Midtown Manhattan. Faso voted for the House Trumpcare bill in May, he also coauthored the notorious Collins-Faso amendment to both the House and Senate bills that would shift New York Medicaid funding from counties budgets to the state budget. (Photo by Erik McGregor/Pacific Press/LightRocket via Getty Images)
NEW YORK, NY - JULY 5: A small group of activists rally against the GOP health care plan outside of the Metropolitan Republican Club, July 5, 2017 in New York City. Republicans in the Senate will resume work on the bill next week when Congress returns to Washington after a holiday recess. (Photo by Drew Angerer/Getty Images)
A small group of activists rally against the GOP health care plan outside of the Metropolitan Republican Club, July 5, 2017 in New York City. Republicans in the Senate will resume work on the bill next week when Congress returns to Washington after a holiday recess. (Photo by Zach D Roberts/NurPhoto via Getty Images)
Healthcare activists protest to stop the Republican health care bill at Russell Senate Office Building on Capitol Hill in Washington, U.S., July 10, 2017. REUTERS/Yuri Gripas
Healthcare activists are detained after a protest to stop the Republican health care bill at Hart Senate Office Building on Capitol Hill in Washington, U.S., July 17, 2017. REUTERS/Yuri Gripas
A staff members asks the media to leave the room as Healthcare activists protest in the office of Senator Jeff Flake (R-AZ) to stop the Republican health care bill at Russell Senate Office building on Capitol Hill in Washington, U.S., July 10, 2017. REUTERS/Yuri Gripas
U.S. Capitol police arrest demonstrators in wheelchairs protesting against the AHCA health care bill put forward by President Trump and Congressional Republicans as several dozen protestors are taken into custody after refusing to leave the rotunda of the U.S. Capitol in Washington, U.S., March 22, 2017. REUTERS/Jim Bourg
Demonstrators hold signs during a protest against the repeal of the Affordable Care Act outside the Capitol Building in Washington, U.S., March 22, 2017. REUTERS/Aaron P. Bernstein
Healthcare activists are detained after a protest to stop the Republican health care bill at Russell Senate Office Building on Capitol Hill in Washington, U.S., July 17, 2017. REUTERS/Yuri Gripas
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An extended delay could endanger passage, as the Senate faces an agenda packed with other legislation and critics of the measure hope to use the delay to increase opposition to it.

Top Senate Democrats sent a letter to Republicans on Monday suggesting they hold a public hearing during the delay, saying it would allow senators to hear "unfiltered and unbiased" feedback on the bill.

The letter also requested that Republicans make a commitment not to proceed on the bill without a complete score from the Congressional Budget Office, which was initially expected to release an analysis on Monday but has delayed that report.

Over the weekend, a threatening note was left at Heller's Las Vegas office. Officers who responded to a burglary alarm at the building found the note near the office door on Sunday morning, police said in a statement on Monday. The content of the note was not released.

New York state Attorney General Eric Schneiderman intends to sue the federal government if Republican lawmakers pass legislation to overhaul the U.S. healthcare system, his office said on Monday.

(Writing by John Whitesides and James Oliphant. Additional reporting by Susan Cornwell.; Editing by Mary Milliken and Jonathan Oatis)

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