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President Donald Trump swept into office nearly four years ago as an outsider who promised to get things done quickly on behalf of the American people through sheer force of will and unrivaled knowledge about the art of the deal. Trump, as he said he would, tilted the Supreme Court further to the right with confirmation of two conservative justices and likely a third, Amy Coney Barrett, in the coming days. Trump has managed to undermine President Barack Obama’s health care law, but has fallen far short of his promise to repeal and replace the Affordable Care Act.

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