The tally on Wednesday may be largely unchanged from the first full-repeal vote in February 2011, but the run-up to the vote is shaping up as far different. Republicans will keep fanfare to a minimum, while Democrats try to mount the attacks. Divisions are emerging over the wisdom of pulling the law out, root and branch. Some Republicans, facing re-election in swing districts, are openly suggesting that some measures should remain. Others worry that the Republican leadership has yet to detail what the party would replace the healthcare law with.