President Barack Obama, right, takes a question from Debby Smith, 53, Appalachia, Va. , during a discussion on health care at Northern Virginia Community College in Annandale , Va. , Wednesday, July 1, 2009. AP Photo logo AP Photo 32 months ago

President Barack Obama, right, takes a question from Debby Smith, 53, Appalachia, Va. , during a discussion on health care at Northern Virginia Community College in Annandale , Va. , Wednesday, July 1, 2009.

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