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WASHINGTON, DC - JULY 27: House Minority Leader Nancy Pelosi, a Democrat from California, speaks during a rally opposing repeal of the Affordable Care Act outside of the Capitol Building on July 27, 2017 in Washington, DC. Senate Republicans are working to pass a stripped-down, or "skinny repeal" version of Obamacare reform, with elimination of the individual and employer mandates and the tax on medical devices being considered. (Photo by Zach Gibson/Getty Images)