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11 June 2015 -- SEDALIA, Mo. -- Lonnie Lee Smith, 52, a disabled truck driver from Sedalia, Mo., poses for a photograph at his kitchen table Thursday, June 11, 2015. Missouri is one of 22 states that has refused to expand Medicaid eligibility as planned under the Affordable Care Act, leaving thousands of low-income Missourians either without insurance or purchasing private coverage. Photo © copyright 2015 Sid Hastings.

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11 June 2015 -- SEDALIA, Mo. -- Lonnie Lee Smith, 52, a disabled truck driver from Sedalia, Mo., poses for a photograph at his kitchen table Thursday, June 11, 2015. Missouri is one of 22 states that has refused to expand Medicaid eligibility as planned under the Affordable Care Act, leaving thousands of low-income Missourians either without insurance or purchasing private coverage. Photo © copyright 2015 Sid Hastings.
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