U.S. President Barack Obama (R), Director of the Office of Management and Budget Sylvia Mathews Burwell and outgoing U.S. Secretary of Health and Human Services Kathleen Sebelius (C) walk after Obama announced Burwell as his nominee to replace Sebelius, at the Rose Garden of the White House in Washington, April 11, 2014. REUTERS/Larry Downing (UNITED STATES - Tags: POLITICS HEALTH) - RTR3KWJU
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