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FILE - In this March 23, 2010. file photo, President Barack Obama signs the health care bill in the East Room of the White House in Washington. When President Barack Obama signed the Affordable Care Act five years ago, he visualized a time when the political hyperbole would be silenced and ordinary people would see that the health care law improved their lives. The White House signing ceremony on Mar. 23, 2010 was an applause-filled celebration.  “When I sign this bill,” Obama said, “all of the overheated rhetoric over reform will finally confront the reality of reform.”  (AP Photo/J. Scott Applewhite, File)

FILE - In this March 23, 2010. file photo, President Barack Obama signs the health care bill in the East Room of the White House in Washington. When President Barack Obama signed the Affordable Care Act five years ago, he visualized a time when the political hyperbole would be silenced and ordinary people would see that the health care law improved their lives. The White House signing ceremony on Mar. 23, 2010 was an applause-filled celebration. “When I sign this bill,” Obama said, “all of the overheated rhetoric over reform will finally confront the reality of reform.” (AP Photo/J. Scott Applewhite, File)

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