Las Vegas Sun - Photograph : Health law

January 19, 2018

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Elizabeth Rich helps a man sign up for the Affordable Care Act at Swope Health Services, Monday, March 31, 2014, in Kansas City, Mo.

AP Photo/Charlie Riedel

Elizabeth Rich helps a man sign up for the Affordable Care Act at Swope Health Services, Monday, March 31, 2014, in Kansas City, Mo.