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GOP vice presidential candidate, Rep. Paul Ryan, R-Wis. talks to supporters at a rally in Lakewood, Colo., Tuesday, Aug. 14, 2012. (AP Photo/Jack Dempsey)

WASHINGTON (AP) — There’s another Paul Ryan plan for health care, a fundamental change in caring for the poor and disabled that would affect many more people than the Medicare overhaul the GOP vice presidential candidate is best known for.

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