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Gail Orcutt counts her medication at the kitchen table in her home, Tuesday, Oct. 17, 2017, in Pleasant Hill, Iowa. President Donald Trump's recent announcement that he's ending health subsidies for moderate-income Americans injected further uncertainty into the future of the law championed by his predecessor, Barack Obama. But confusion over open enrollment is even more pronounced in Iowa, which is seeking federal permission for a first-in-the-nation revamp of the way it administers federally mandated health care coverage and who pays for it. (AP Photo/Charlie Neibergall)

Gail Orcutt counts her medication at the kitchen table in her home, Tuesday, Oct. 17, 2017, in Pleasant Hill, Iowa. President Donald Trump's recent announcement that he's ending health subsidies for moderate-income Americans injected further uncertainty into the future of the law championed by his predecessor, Barack Obama. But confusion over open enrollment is even more pronounced in Iowa, which is seeking federal permission for a first-in-the-nation revamp of the way it administers federally mandated health care coverage and who pays for it. (AP Photo/Charlie Neibergall)

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