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President Donald Trump talks with reporters before boarding Marine One on the South Lawn of the White House in Washington.   Trump has been dealt a second setback in a week for his administration's health care initiatives. A federal judge in Washington, D.C., on Thursday struck down a small-business health insurance plan widely touted by Trump after another judge on Wednesday blocked Medicaid work requirements for low-income people. Trump has hailed the small-business plan as a big success, but its impact is difficult to measure.  (AP Photo/Susan Walsh)

President Donald Trump talks with reporters before boarding Marine One on the South Lawn of the White House in Washington. Trump has been dealt a second setback in a week for his administration's health care initiatives. A federal judge in Washington, D.C., on Thursday struck down a small-business health insurance plan widely touted by Trump after another judge on Wednesday blocked Medicaid work requirements for low-income people. Trump has hailed the small-business plan as a big success, but its impact is difficult to measure. (AP Photo/Susan Walsh)

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