Watch the dramatic moment when John McCain killed the GOP's 'skinny repeal' health care bill

The Senate burst into audible gasps when Republican Sen. John McCain of Arizona delivered the decisive, finishing blow to the GOP's "skinny repeal" health care bill early Friday morning when he became the 51st senator to vote against it.

Republican senators were seeking to pass the bill, which would have stripped a few essential elements of the Affordable Care Act, known as Obamacare, to establish a conference with the House and create a more robust bill.

On Thursday, McCain joined Republican Sens. Lindsey Graham of South Carolina and Ron Johnson of Wisconsin in a press conference in which they demanded the House not pass the exact text they would be voting to move forward. But they received no assurances from House Speaker Paul Ryan that the bill would never become law.

McCain votes no on Obamacare 'skinny' repeal

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McCain votes no on Obamacare 'skinny' repeal
WASHINGTON, DC - JULY 27: Sen. John McCain (R-AZ) holds a news conference with fellow GOP senators to say they would not support a 'Skinny Repeal' of health care at the U.S. Capitol July 27, 2017 in Washington, DC. The Republican senators said they would not support any legislation to repeal and replace Obamacare unless it was guaranteed to go to conference with the House of Representatives. (Photo by Chip Somodevilla/Getty Images)
WASHINGTON, DC - JULY 27: (L-R) Sen. Lindsey Graham (R-SC), Sen. John McCain (R-AZ) and Sen. Ron Johnson (R-WI) hold a news conference to say they would not support a 'Skinny Repeal' of health care at the U.S. Capitol July 27, 2017 in Washington, DC. The Republican senators said they would not support any legislation to repeal and replace Obamacare unless it was guaranteed to go to conference with the House of Representatives. (Photo by Chip Somodevilla/Getty Images)
Senator John McCain (R-AZ) speaks with reporters after voting against the "skinny repeal" health care bill on Capitol Hill in Washington, U.S., July 28, 2017. REUTERS/Aaron P. Bernstein TPX IMAGES OF THE DAY
WASHINGTON, DC - JULY 27: Sen John McCain (R-AZ) leaves the Senate Chamber after a vote on a stripped-down, or 'Skinny Repeal,' version of Obamacare reform on July 28, 2017 in Washington, DC. McCain was one of three Republican Senators to vote against the measure. (Photo by Zach Gibson/Getty Images)
Senator John McCain (R-AZ) speaks during a press conference about his resistance to the so-called "Skinny Repeal" of the Affordable Care Act on Capitol Hill in Washington, U.S., July 27, 2017. REUTERS/Aaron P. Bernstein
WASHINGTON, DC - JULY 28: Sen. John McCain (R-AZ) leaves the the Senate chamber at the U.S. Capitol after voting on the GOP 'Skinny Repeal' health care bill on July 28, 2017 in Washington, DC. Three Senate Republicans voted no to block a stripped-down, or 'Skinny Repeal,' version of Obamacare reform. (Photo by Justin Sullivan/Getty Images)
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Graham and Johnson joined 47 Republican senators in voting for the bill. Republican Sens. Lisa Murkowski of Alaska and Susan Collins of Maine were against the bill from the onset. With all Democrats in opposition, that left McCain as the decisive vote. If he were to vote yes, Vice President Mike Pence would have cast the tie-breaking vote to advance the bill back to the House. If McCain voted against the legislation, it would die.

McCain, who returned to the Senate this week as he deals with brain cancer, voted against it.

Watch the moment when McCain gave his thumbs-down:

"From the beginning, I have believed that Obamacare should be repealed and replaced with a solution that increases competition, lowers costs, and improves care for the American people. The so-called 'skinny repeal' amendment the Senate voted on today would not accomplish those goals. While the amendment would have repealed some of Obamacare's most burdensome regulations, it offered no replacement to actually reform our health care system and deliver affordable, quality health care to our citizens. The Speaker's statement that the House would be 'willing' to go to conference does not ease my concern that this shell of a bill could be taken up and passed at any time."

"I've stated time and time again that one of the major failures of Obamacare was that it was rammed through Congress by Democrats on a strict-party line basis without a single Republican vote. We should not make the mistakes of the past that has led to Obamacare's collapse, including in my home state of Arizona where premiums are skyrocketing and health care providers are fleeing the marketplace. We must now return to the correct way of legislating and send the bill back to committee, hold hearings, receive input from both sides of aisle, heed the recommendations of nation's governors, and produce a bill that finally delivers affordable health care for the American people. We must do the hard work our citizens expect of us and deserve."

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