WASHINGTON — A House vote to fully repeal President Obama’s health care law was supposed to be the coup de grâce for “Obamacare,” a final sweeping away of a law that Republicans thought the Supreme Court would gut and leave for dead.

Instead, the House on Wednesday will take up the repeal measure after the Affordable Care Act’s constitutionality was upheld, and amid growing misgivings that relitigating the issue now will make Republicans seem out of touch — especially when party leaders are still without an alternative.

“Anytime Republicans are debating taxes and the economy, we’re winning,” said a veteran Republican campaign consultant who spoke on condition of anonymity to avoid publicly crossing his party’s leadership. “Anytime we’re debating health care, they’re winning.”

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