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Associated Press
Patient Luis Gutierrez, right, talks with Dr. Javier Hiriart at Camillus Health Concern, Wednesday, June 27, 2012, in Miami. Camillus is a private, non-profit organization that provides health care to the homeless and poor in Miami-Dade County. Presidential candidates, governors of virtually every state, insurers with billions at stake, companies large and small and countless millions of Americans concerned about their own medical care and how they'll pay for it are awaiting a Supreme Court ruling expected Thursday on whether or not the Affordable Care Act passes the test of constitutionality.(AP Photo/Lynne Sladky)

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