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President Barack Obama listens to a question from the audience at Taylor Stratton Elementary School in Nashville, Tenn., Wednesday, July 1, 2015, where he spoke 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/Mark Humphrey)

President Barack Obama listens to a question from the audience at Taylor Stratton Elementary School in Nashville, Tenn., Wednesday, July 1, 2015, where he spoke 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/Mark Humphrey)

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