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In this Aug. 22, 2018 photo, April Box uses a roller to work on her hip muscles at her home in Spokane, Wash. Millions of people covered under the Affordable Care Act will see only modest premium increases next year, and some will get a price cut. That’s the conclusion from an exclusive analysis of the besieged but resilient program that still divides voters heading into this year’s midterm elections. (AP Photo/Ted S. Warren)

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