FILE - In this May 4, 2017, file photo, President Donald Trump talks to House Speaker Paul Ryan of Wis. in the Rose Garden of the White House in Washington, after the House pushed through a health care bill. Trump promised to make health care more affordable but a government report finds that out-of-pocket costs _ deductibles and copayments _ would average 61 percent higher under the House Republican bill. (AP Photo/Evan Vucci, File)
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