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Pulling teeth: David McCormick has his rotting teeth removed at the clinic, which provides free health, eye and dental care, among other services. Dr. Francis G. Serio, who volunteers his time, says the high-deductible dental plans offered in Appalachia are practically worthless. (Andrew Harnik/The Washington Times)

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Health and Human Services Secretary Kathleen Sebelius defends President Barack Obama’s healthcare law, the Affordable Care Act, as she answers questions from Republican members of the House Ways and Means Committee during its review of President Obama’s budget requests, Wednesday, March 12, 2014, on Capitol Hill in Washington. (AP Photo/J. Scott Applewhite)