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Paul D. Ryan

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House Speaker Paul D. Ryan, Wisconsin Republican, said the latest health care proposal "brings us closer to the final agreement that we all want to achieve."

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House Speaker Paul D. Ryan, however, said lawmakers were fulfilling a pledge to save American from a collapsing law that President Obama and Democratic majorities muscled to passage in 2010 without any Republican support.(AP Photo/J. Scott Applewhite)

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Speaker Paul D. Ryan, Wisconsin Republican, thanked House members for an easy re-election to his leadership position on Tuesday. House Republicans are more unified than they have been in years. Mr. Ryan lost the support of only one party member.

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Rep. Paul D. Ryan, House Budget Committee chairman, answers a reporter's question outside the White House in Washington on Wednesday, June 1, 2011, after House Republicans met with President Obama regarding the debt ceiling. Flanking Mr. Ryan are House Majority Leader Eric Cantor (left) and Rep. Jeb Hensarling. (AP Photo/Charles Dharapak)

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Rep. Paul D. Ryan, Wisconsin Republican, has proposed cutting $6.2 trillion in government spending over the next decade as a start to dealing with the national debt. The plan relies on repealing the year-old health care law and deep cuts in Medicaid. (AP Photo)

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** FILE ** Rep. Paul D. Ryan, Wisconsin Republican and House Budget Committee chairman. (AP Photo/J. Scott Applewhite)

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Rep. Paul D. Ryan, chairman of the House Budget Committee, touts his 2012 federal budget during a news conference on Capitol Hill in Washington on Tuesday, April 5, 2011. (AP Photo/J. Scott Applewhite)

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CRITICAL: Rep. Paul D. Ryan of Wisconsin (left) and fellow Republican Sen. Jeff Sessions of Alabama, presenting the GOP's response to Mr. Obama's budget, criticized its taxing and spending levels. (Associated Press)

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"Put simply, our fiscal problem is a health care problem," says House Budget Committee Chairman Paul D. Ryan, Wisconsin Republican. (Associated Press)

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OPPOSING VIEW: Rep. Paul D. Ryan, Wisconsin Republican, will present his party's counterpoints to the president's State of the Union address on Tuesday night. (Associated Press)

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OPPOSING VIEW: Rep. Paul D. Ryan, Wisconsin Republican, will present his party's counterpoints to the president's State of the Union address on Tuesday night. (Associated Press)