The World Bank Explanation/details: The International Bank for Reconstruction and Development (IBRD) is the largest institution in what is officially known as the World Bank Group. The IBRD was established by an international conference that met at Bretton Woods, New Hampshire, in 1944. The IBRD remains the largest of five development bank institutions that make up the World Bank Group. An agreement between the World Bank and the United Nations was made in 1947 that classifies the World Bank as a specialized agency of the UN, while recognizing it also as an independent international organization.
Lawmakers voted 220 to 215 to approve the change in the healthcare system.There was one Republican who voted for the bill and the rest Republicans did not support the bill. 39 Democrats opposed.The Bill has been signed by Obama and currently being implemented in the United States.