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President Barack Obama speaks at Taylor Stratton Elementary School in Nashville, Tenn., Wednesday, July 1, 2015, about the Affordable Care Act.  The president said he wants to refocus on improving health care quality, expanding access and rooting out waste now that the Supreme Court has upheld a key element of his health care law. (AP Photo/Carolyn Kaster)

President Barack Obama speaks at Taylor Stratton Elementary School in Nashville, Tenn., Wednesday, July 1, 2015, about the Affordable Care Act. The president said he wants to refocus on improving health care quality, expanding access and rooting out waste now that the Supreme Court has upheld a key element of his health care law. (AP Photo/Carolyn Kaster)

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