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WASHINGTON — Relieved Republicans muscled their health care bill through the House Thursday, taking their biggest step toward dismantling the Obama health care overhaul since Donald Trump took office. They won passage only after overcoming their own divisions that nearly sank the measure six weeks ago.

Beaten but unbowed, Democrats insisted Republicans will pay at election time for repealing major provisions of the law. They sang the pop song “Na Na Hey Hey Kiss Him Goodbye” to the GOP lawmakers as the end of the voting neared.

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