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Parkland Memorial Hospital financial counselor Tiffany Ruiz, left, helps Vyncent Bosh sign up for insurance under the Affordable Care Act on Friday, Oct. 11, 2013, in Dallas. (AP Photo/The Dallas Morning News, Ron Baselice)

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**FILE** Louis Peters fills out papers on Oct. 1, 2013, at the Henry J. Austin Health Center in Trenton, N.J., to sign up for new plans through a health insurance exchange. Despite anecdotal evidence of high interest and the political stakes attached to Obama's Affordable Care Act, a nation obsessed with keeping score of winners and losers lacks the data to pass early judgment on the success of a law that will in large part define the president's legacy. (Associated Press)

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Dr. Ben Carson speaks at the Values Voter Summit in October, 2013. (Doug Wetzstein/special to The Washington Times)