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FILE - In this Oct. 30, 2013 file photo, Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill in Washington. Don’t make things worse. That’s the advice of former U.S. health secretaries of both parties to President Donald Trump and the GOP-led Congress, now that “Obamacare” seems here for the foreseeable future. The 2018 sign-up season for subsidized private health plans starts Nov. 1, with about 10 million people currently being served through HealthCare.gov and its state counterparts. (AP Photo/J. Scott Applewhite, File)

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