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Health Overhaul Rural_Rich(1).jpg

In this Feb. 13, 2014 photo, Bill Fales stands for a photo on his ranch near Carbondale, Colo. Fales could use a new baler and a better irrigation system on the 700-acre ranch where he raises grass-fed beef cattle, but he scrapped those plans when he saw his new health insurance premiums. (AP Photo/Leigh Vogel)

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