SEn. Orrin Hatch Like much of the Republican Party in Congress, Hatch returned to his conservative roots after the election of President Barack Obama in 2008. (Photo: Diego M. Radzinschi/ALM)

When it comes to health policy, former Utah Republican Sen. Orrin Hatch, who died April 23 at age 88, leaves a complex legacy of major legislative achievements, changing positions, compromises, and fierce opposition. In many ways, though, Hatch's evolution and leadership on health policy during his four decades in the U.S. Senate mirror that of the Republican Party.

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