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In this Monday, Sept. 24, 2018, file photo, a patient undergoes dialysis at a clinic in Sacramento, Calif. (AP Photo/Rich Pedroncelli, File)

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In this remotely-controlled selfie provided by DeWayne Cox, Cox, who opposes Proposition 23, undergoes kidney dialysis treatment at a clinic in Los Angeles on Sept. 9, 2020. In November, California voters will again weigh the quality of care dialysis clinics provide to about 80,000 people in the state with kidney failure. Proposition 23 would require a doctor or highly trained nurse at each of the state's 600 dialysis clinics whenever patients are being treated to improve patient care. It was placed on the ballot by unions that represent health care workers. (DeWayne Cox via AP)

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FILE - This Aug. 8, 2011, file photo, shows the entrance to the Humana building, in Louisville, Ky. Humana announced Tuesday, Dec. 19, 2017, it will buy part of Kindred Healthcare’s home health business, the latest example of a health insurer growing more involved in the delivery of health care in addition to handling the bills for it. (AP Photo/Ed Reinke, File)

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