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Good morning and welcome back to Generate! A quick note: my colleagues on the Axios health care team are all over the latest moves on tumultuous GOP efforts to repeal and replace the Affordable Care Act. So I highly recommend signing up for Vitals, the Axios morning health care newsletter, which you can do here. Ok, let's dive in . . .

Thanks for reading! As always, your confidential tips and feedback (which has been very helpful!) is welcome at ben@axios.com.