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Carl Goulden, of Littlestown Pa., developed hepatitis B 10 years ago. Soon his health insurance premiums soared beyond a price he and his wife could afford. Elana Gordon/WHYY hide caption

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Elana Gordon/WHYY

U.S. Health Care Wrestles With The 'Pre-Existing Condition'

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To keep health insurance solvent, the pool of covered people needs to include the well and the sick. Gary Waters/Ikon Images/Getty Images hide caption

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Gary Waters/Ikon Images/Getty Images

One person who got a letter canceling his health insurance was Rep. Cory Gardner, R-Colo. He holds up the letter during a congressional hearing Wednesday on insurance problems. He says his family chose to buy private insurance rather than use the congressional plan. J. Scott Applewhite/AP hide caption

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J. Scott Applewhite/AP

Supporters and opponents of the health care law rallied in front of the Supreme Court Tuesday, as the court considered the constitutionality of the insurance mandate. John Rose/NPR hide caption

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John Rose/NPR

A bulletin board in New York's Jamaica Hospital offers advice for uninsured patients. Seth Wenig/AP hide caption

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Seth Wenig/AP

Sally Baptiste from Orlando, Fla., waits outside the U.S. Capitol for the vote on the health care bill on March 21, 2010. Astrid Riecken/Getty Images hide caption

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Astrid Riecken/Getty Images