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if you look at the markets where you had premium spikes, very often not taking the medicaid expansion caused a problem. it is a little convenient to say premiums are going up, but not discuss why. i want to talk about this document as a doctor. you say you are a doctor. i don t understand. help me. how can you look at this bill and the cbo score and say as a doctor you feel good that people are going to have more access. you have to know that less people will have access and these premium reductions that you are trumpeting goes to those who make more money. the less money you make, the less of a premium bump you get and the less likely your premium. we are not even talking about the pre-existing condition yet. the people in the market right now are pushed out by the

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