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President Barack Obama and his nominee to become Health and Human Services secretary, Budget Director Sylvia Mathews Burwell, right, listen as outgoing HHS Secretary Kathleen Sebelius speaks in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where the president made the announcment. (AP Photo/Susan Walsh)
Photo by: Susan Walsh
President Barack Obama and his nominee to become Health and Human Services secretary, Budget Director Sylvia Mathews Burwell, right, listen as outgoing HHS Secretary Kathleen Sebelius speaks in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where the president made the announcment. (AP Photo/Susan Walsh)

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