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Luis Bautista, an internist at Bautista Medical Center in Fresno, Calif., on February 8, 2017. Bautista says the majority of his patients rely on Medi-cal for their health insurance. “Without Medi-cal, they are not going to get their medication…their blood work…they are going to end up in the emergency room.” (Heidi de Marco/KHN)

Luis Bautista, an internist at Bautista Medical Center in Fresno, Calif., on February 8, 2017. Bautista says the majority of his patients rely on Medi-cal for their health insurance. “Without Medi-cal, they are not going to get their medication…their blood work…they are going to end up in the emergency room.” (Heidi de Marco/KHN)

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