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President Barack Obama and his nominee to become Health and Human Services secretary, Budget Director Sylvia Mathews Burwell, right, listen as outgoing HHS Secretary Kathleen Sebelius speaks in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where the president made the announcment. (AP Photo/Susan Walsh)
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President Barack Obama, flanked by outgoing Health and Human Services Secretary Kathleen Sebelius, left, and his nominee to replace Sebelius, current Budget director Sylvia Mathews Burwell, right, shares a laugh in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where he made the announcement. (AP Photo/Susan Walsh)
