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President Joe Biden and former President Barack Obama look at a framed photo and commemorative pen from the 2010 signing…
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President Joe Biden and former President Barack Obama look at a framed photo and commemorative pen from the 2010 signing ceremony of the Affordable Care Act, Tuesday, April 5, 2022, in the Outer Oval Office of the White House. (Official White House Photo by Adam Schultz)

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President Joe Biden and former President Barack Obama look at a framed photo and commemorative pen from the 2010 signing ceremony of the Affordable Care Act, Tuesday, April 5, 2022, in the Outer Oval Office of the White House. (Official White House Photo by Adam Schultz)

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