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**FILE** Health and Human Services Secretary Kathleen Sebelius, accompanied by Philadelphia Mayor Michael Nutter, speaks Feb. 20, 2013, about the federal health care overhaul during a news conference at City Hall in Philadelphia. (Associated Press)
Photo by: Matt Rourke
**FILE** Health and Human Services Secretary Kathleen Sebelius, accompanied by Philadelphia Mayor Michael Nutter, speaks Feb. 20, 2013, about the federal health care overhaul during a news conference at City Hall in Philadelphia. (Associated Press)

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