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US President Donald Trump flanked by Republican lawmakers speaks about the passage of tax reform legislation on the South Lawn of the White House in Washington, DC, December 20, 2017. Trump hailed a "historic" victory Wednesday as the US Congress passed a massive Republican tax cut plan, handing the president his first major legislative achievement since taking office nearly a year ago. / AFP PHOTO / SAUL LOEB (Photo credit should read SAUL LOEB/AFP/Getty Images)

Health insurance rates are set to spike again in 2019, due largely to the repeal of the Affordable Care Act's individual mandate, which required all Americans to obtain health insurance or pay a tax penalty.

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