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Associated Press
This photo taken March 20, 2013 shows people listening to Lindsey Tucker, Deputy Commissioner of the Department of Vermont Health Access, in Newport, Vt., as she explains Vermont's health care exchange program. Three years, two elections, and one Supreme Court decision after President Barack Obama signed the Affordable Care Act, its promise of health care for the uninsured may be delayed or undercut in much of the country because of entrenched opposition from many Republican state leaders. (AP Photo/Toby Talbot)

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