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In this photo taken March 4, 2016, Gary Birch helps his wife Debbie get into their pickup truck following a monthly visit to Davita Dialysis clinic in Nampa, Idaho. The 63-year-old woman is now caught in a rift between a national dialysis company and her health insurer. No dialysis centers within driving distance of Birch’s home in Caldwell will take her insurance plan, the Bronze Choice plan sold on Idaho’s exchange. (Darin Oswald/Idaho Statesman via AP)
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