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APTOPIX Health Overhaul Problems-3

House Ways and Means Committee member Rep. Bill Pascrell, D-N.J., right, stands up and shouts across the room at Republican lawmakers during a heated debate about problems with the implementation of the Affordable Care Act, Tuesday, Oct. 29, 2013, on Capitol Hill in Washington. Marilyn Tavenner, the administrator of the Centers for Medicare and Medicaid Services, the senior Obama administration official overseeing the health care law's dysfunctional website, was getting tough questions from the Republican-controlled panel about whether she saw the problems coming and would things be running efficiently by the end of November as promised. Rep. Joe Crowley, D-N.Y. is at left. (AP Photo/J. Scott Applewhite)

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