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In 2008, with the historic election of President Barack Obama and Democratic majorities in both houses of Congress, Speaker Pelosi saw a huge opening for healthcare reform. She knew it would be hard-fought, but this was not Pelosi’s first battle. She had lived through other historic attempts to reform healthcare — to disastrous results. This time, she was determined to succeed. But to go big in Washington, Pelosi had to master the art of sacrifice.
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