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WASHINGTON — President Trump on Saturday indicated he will make good on a months-old threat to destabilize the health insurance market if Senate Republicans cannot repeal and replace major elements of the Affordable Care Act.

The first part of the ultimatum likely refers to cost-sharing reduction payments made by the federal government to insurers, which in turn offer plans with discounted deductibles and copays for many low- or middle-income Americans buying plans through ACA marketplaces.

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