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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)

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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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A gym is turned into a waiting room for patients waiting to see doctors at the Remote Area Medical facilities at Southern Virginia University early this month. (Andrew Harnik/The Washington Times)

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Bridget Morrill of Raphine, Va., and her dog Rox try to stay warm as she waits to see a doctor. The Remote Area Medical organization offers health care to people and their pets. For Obamacare, Virginia opted for using the federal marketplace. (Andrew Harnik/The Washington Times)

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WAITING: Patients at the Remote Area Medical clinic at Southern Virginia University are the kinds of people the Affordable Care Act is designed to help, but few have shopped for insurance. "Nobody knows what it's about," one person said. (Photographs by Andrew Harnik/The Washington Times)

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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)