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Seema Verma Verma said she supports granting states flexibility on health care but indicated she would not give California the leeway it would need to spend federal money on a single-payer system. (Photo: Pete Marovich/Bloomberg)

SAN FRANCISCO — Stepping into the land of the Trump resistance, Seema Verma flatly rejected California’s pursuit of single-payer health care as unworkable and dismissed the Affordable Care Act as too flawed to ever succeed.

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