In this Oct. 19, 2016, photo, Health and Human Service (HHS) Secretary Sylvia Burwell speaks during a news conference at the HHS in Washington. The Obama administration says 6.4 million people have signed up so far this year for subsidized private insurance coverage through HealthCare.gov. Despite rising premiums, dwindling insurers, and a Republican vow to repeal Obamacare, enrollment is running ahead of last years pace. (AP Photo/Alex Brandon)
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