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The ongoing debate over health care in the U.S. remains as contentious as ever. Since President Harry Truman’s failed attempt to establish a national health care program in 1945, every president has grappled with the government’s role in health care. This issue is especially urgent now, as millions face rising costs after Congress allowed Affordable Care Act tax credits to expire. President Donald Trump has urged Republicans to be flexible, but no alternative plan has been proposed. The ACA remains popular, and efforts to repeal it have failed. Health care costs continue to be a major concern, with bipartisan negotiations ongoing.