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FILE - In this June 4, 2013, file photo, Rep. Jim McDermott, D-Wash., speaks on Capitol Hill in Washington. A different health care issue has emerged for Democrats, in sync with the party’s pitch to workers and middle-class voters. It’s not the uninsured, but the problem of high out-of-pocket costs for consumers who already have coverage.“I think it’s going to be the next big problem,” said Rep. Jim McDermott, D-Wash., a leader on health care. (AP Photo/Charles Dharapak, File)

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