Congressman Tom Marino (R) voted to repeal the recent health care law.

Congressman Tom Marino (R) voted to repeal the recent health care law.

On Thursday the House voted 253-175 along party lines to instruct committees to begin the work of replacing what Republicans dismiss as "Obamacare."

Marino cited “the damage the government takeover of the health-care industry would do to the economy” as his prime reason.

“ObamaCare adds trillions of dollars to our existing liabilities, drives up costs even further and puts government bureaucrats in between doctors and patients,” he said.

Democratic Party spokesman Michael Czin said the repealing the health care law will add trillions to the deficit and hurt small businesses.

“By supporting the repeal of the Affordable Care Act, Tom Marino is supporting legislation that will put insurance companies’ profits over the care of his constituents,” Czin said. “Tom Marino pledged to go to Washington to help create jobs, but in supporting repeal, Marino is voting to raise taxes on small businesses, deny coverage to children with pre-existing conditions and limit the amount of care you get — all while adding as much as a trillion dollars to the deficit.”

When passed, some immediate changes occurred, which affected millions of Americans, including children with pre-existing medical conditions, lower prescription prices for Medicare recipients with high drug costs, and extended coverage for young adults on their parents’ insurance plans.

Polls find the public divided over the law and whether it should be repealed. A recent Associated Press-GfK survey found a 43 percent plurality wants the law changed so that it does more to re-engineer the health care system. About one in four said it should be repealed completely. Fewer than one in five in the AP poll said the law should be left as it is and 10 percent want to change it to do less.

Some surveys that only give respondents two options — keeping the law as it is or repealing it completely — find an edge for repeal.

 The Associated Press contributed to this report.