In this April 12, 2012 file photo, former Medicare Administrator Dr. Donald Berwick gestures during an interview with The Associated Press, in Washington. Tossing out President Barack Obama’s health care law would have major unintended consequences for Medicare’s payment systems, unseen but vital plumbing that handles 100 million monthly claims from hospitals and other service providers, the administration has quietly informed the courts. (AP Photo/J. David Ake, File)
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