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Julie Pinkham, executive director of the Massachusetts Nurses Association, speaks to the media Wednesday, Oct. 3, 2018, in Boston, to dispute findings by state agency that states passage of ballot Question 1 in November would significantly impact health care spending in the state. The agency's analysis estimated that health care costs could rise by nearly $1 billion annually if voters approved the measure. (AP Photo/Bob Salsberg)

Julie Pinkham, executive director of the Massachusetts Nurses Association, speaks to the media Wednesday, Oct. 3, 2018, in Boston, to dispute findings by state agency that states passage of ballot Question 1 in November would significantly impact health care spending in the state. The agency's analysis estimated that health care costs could rise by nearly $1 billion annually if voters approved the measure. (AP Photo/Bob Salsberg)

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