Flanked by congressional aides, House Energy and Commerce Committee Chairman Rep. Fred Upton, R-Mich.
Flanked by congressional aides, House Energy and Commerce Committee Chairman Rep. Fred Upton, R-Mich., center, and the committee's ranking Democrat Rep. Henry Waxman, D-Calif., right, lead a hearing on Capitol Hill in Washington, Wednesday, Oct. 30, 2013, where Health and Human Services Secretary Kathleen Sebelius testified about the difficulties plaguing the implementation of the Affordable Care Act. Bellow are Rep. Brett Guthrie, R-Ky., left, and Rep. Pete Olson, R-Texas. (AP Photo/J. Scott Applewhite)
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