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Building 877, the largest non-historic building on Governors Island, is imploded to make way for the new Governors Island park, Sunday, June 9, 2013 in New York. (AP Photo/Jason DeCrow)

The Patient Protection and Affordable Care Act of 2010 (PPACA) could turn out to be much more expensive than it looks in official federal budget analyses because some of the automatic indexing provisions in the law could turn out to be unrealistic.

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