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WASHINGTON, DC - MARCH 09: U.S. Speaker of the House Paul Ryan (R-WI) explains the Republican plan to replace the Affordable Care Act during his weekly press conference at the U.S. Capitol March 9, 2017 in Washington, DC. During his remarks, Ryan said ÒWe made a promise to repeal and replace Obamacare. Now itÕs time to do it.Ó (Photo by Win McNamee/Getty Images)