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There’s a familiar refrain accompanying the battle over health care reform: “no.” During the Obama administration it was Republicans rejecting the president’s plans but this time time, it’s the Democrats saying “no.”

After Trump’s unexpected victory in November, Republicans found themselves with the tools to fulfill their long-held objective to undo the Affordable Care Act: They control both the House and Senate and have an ally in the White House who vowed to gut it. They have moved swiftly to begin crafting a repeal bill, and Trump has signed an executive order that aims to give federal agencies the authority to waive parts of the law they deem to be too expensive.

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