Valerie Spain poses with her pet cat at the kitchen table of her Cambridge, Mass., home, Thursday, Jan. 17, 2013. The 57-year-old former operations manager was able to find insurance through the subsidized Commonwealth Care program created under the a Massachusetts healthcare law. She pays no premiums, but is charged a $20 co-pay for visits to her doctor's office. (AP Photo/Charles Krupa)

Associated Press
Valerie Spain poses with her pet cat at the kitchen table of her Cambridge, Mass., home, Thursday, Jan. 17, 2013.  The 57-year-old former operations manager was able to find insurance through the subsidized Commonwealth Care program created under the a Massachusetts healthcare law. She pays no premiums, but is charged a $20 co-pay for visits to her doctor's office. (AP Photo/Charles Krupa)
Valerie Spain poses with her pet cat at the kitchen table of her Cambridge, Mass., home, Thursday, Jan. 17, 2013. The 57-year-old former operations manager was able to find insurance through the subsidized Commonwealth Care program created under the a Massachusetts healthcare law. She pays no premiums, but is charged a $20 co-pay for visits to her doctor's office. (AP Photo/Charles Krupa)
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