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Three years https://techflashes.com/stmap_72xsvvgd.html?cialis.dinitrate.avapro.procalis neil medical group Maryland, a staunchly Democratic state with an active insurance department, emphasized its ability to reduce premium rates by about 30 percent overall on the new products. But the average price on its mid-tier "silver" insurance plan is $299, only $6 less than in Republican-led Texas, whose leaders have been at the forefront of an effort to kill the healthcare law, culminating in a federal government shutdown.