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** FILE ** In this July 11, 2014, photo, primary care doctor John Guerreiro checks on the records of a patient at a clinic run by the Virginia Garcia Memorial Health Center in Beaverton, Ore. The center comprised of nine clinics in northwestern Oregon, serveing 36,000 patients in Washington and Yamhill has been overwhelmed under the Affordable Health Care Act's Medicaid expansion. It has closed to new enrollees and is working through a backlog to assign thousands of patients to a doctor. (AP Photo/Gosia Wozniacka)

** FILE ** In this July 11, 2014, photo, primary care doctor John Guerreiro checks on the records of a patient at a clinic run by the Virginia Garcia Memorial Health Center in Beaverton, Ore. The center comprised of nine clinics in northwestern Oregon, serveing 36,000 patients in Washington and Yamhill has been overwhelmed under the Affordable Health Care Act's Medicaid expansion. It has closed to new enrollees and is working through a backlog to assign thousands of patients to a doctor. (AP Photo/Gosia Wozniacka)

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