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Health and Human Services Secretary Kathleen Sebelius pauses on Capitol Hill in Washington, Wednesday, Oct. 30, 2013, prior to testifying before the House Energy and Commerce Committee hearing on the difficulties plaguing the implementation of the Affordable Care Act. Sebelius, President Barack Obama's top health official faced tough questioning by a congressional committee Wednesday that will demand she explain how the administration stumbled so badly in its crippled online launch of the president's health care overhaul. (AP Photo/ J. Scott Applewhite)

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** FILE ** Robert Gilbert, of Waverly, Ohio, cuts a piece of molding outside a Supestorm Sandy-damaged home in Freeport, N.Y., Tuesday, Oct. 29, 2013. Gilbert is a member of Samaritan's Purse, a Christian church group that travels the country assisting after disasters. (AP Photo/Frank Eltman)

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The U.S. Military Working Dog Teams National Monument in Texas honors the noble four-footed soldiers who sniff out explosives, brave the battlefield, save lives and die in the line of duty. (U.S. AIR FORCE)

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** FILE ** Marilyn Tavenner, the administrator of the Centers for Medicare and Medicaid Services, testifies on Capitol Hill in Washington, Tuesday, Oct. 29, 2013, before the House Ways and Means Committee hearing on the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite)