This is the VOA Special English Health Report, from voaspecialenglish.com President Obama has signed legislation to make the biggest changes in the health care system in forty-five years. The president said "Today, after almost a century of trying; today, after over a year of debate; today, after all the votes have been tallied, health insurance reform becomes law in the United States of America. Many parts of the plan will fully take effect in four years. But
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