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Dr. Richard Dupee, right, takes the blood pressure of patient Stella Frabotta, of Wellesley, Mass., in Dupee's Wellesley office. (AP Photo/Steven Senne)

BOSTON (AP) — When Massachusetts adopted its landmark health care law in 2006, the goals were ambitious and the potential solutions complex.

More than 90 percent of its residents already had health insurance, but the state hoped to cover nearly everyone by plugging as many holes as possible in its system, short of a so-called single payer option.

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