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Photo by: J. Scott Applewhite
**FILE** Karen Ignagni, president of America’s Health Insurance Plans, an association representing member companies that provide medical insurance coverage, discusses the political fight over health care reform urged by President Obama as she fends off criticism aimed at the big insurers she represents, Monday, Aug. 10, 2009, during an interview with The Associated Press in Washington. (AP Photo/J. Scott Applewhite)

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