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On Donald Trump’s first day as president, he signed an executive order to repeal Obamacare. His first major legislative push was an unsuccessful effort to “repeal and replace” the law, officially known as the Affordable Care Act. He would have done so by restructuring Medicaid, weakening protections for Americans with preexisting conditions, and shifting funding for private insurance away from the poorer and sicker to the healthier and wealthier.

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