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Paula Jaramillo, 26, listens to nurse practitioner Chris Ruge during an exam at El Centro Family Health Clinic in Las Vegas. Jaramillo enrolled in a program that provides her with intensive medical care after she was hospitalized in April with two minor strokes. (Eddie Moore/Albuquerque Journal)

Paula Jaramillo, 26, listens to nurse practitioner Chris Ruge during an exam at El Centro Family Health Clinic in Las Vegas. Jaramillo enrolled in a program that provides her with intensive medical care after she was hospitalized in April with two minor strokes. (Eddie Moore/Albuquerque Journal)

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