ADVANCE FOR USE TUESDAY, FEB. 7, 2017 AND THEREAFTER-Marlene Kramer works at a sewing machine for a custom sportswear company in Prairie du Chien, Wis., Thursday, Jan. 19, 2017. Since the company doesn't provide health insurance, Kramer said she's glad that the Affordable Care Act has helped millions get insurance and saved lives. But it hasn't helped hers. She and her husband were stunned to see premiums over $1,000 per month. It's cheaper for them to pay the penalty of $2,000 and forgo health insurance, and they pray they don't get sick before Trump, she hopes, keeps his promise to replace the law with something better. (AP Photo/David Goldman)
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