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The Affordable Care Act was conceived as a mix of publicly funded health care and privately purchased insurance, but Republican attacks, culminating this month in the death of a mandate that most Americans have insurance, are shifting the balance, giving the government a larger role than Democrats ever anticipated.

"Years of Attack Leave Obamacare a More Government-Focused Health Law" is from the December 26, 2017 Politics section of The New York Times. It was written by Robert Pear and narrated by Keith Sellon-Wright.

©2017 The New York Times News Service Division of The New York Times Company (P)2017 Audible, Inc.

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