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In this April 19, 2017, photo, Jacobo Perez-Jimenez, left, a Las Vegas cook, talks with Democratic state Sen. Mark Manendo about his increasing insulin costs at the Nevada Legislature building in Carson City, Nev. Perez-Jimenez is a member of a union that has banded together with casino owners and Democratic lawmakers in an attempt to force pharmaceutical companies to release insulin pricing information and reimburse diabetics and insurers when insulin price hikes surpass inflation. (AP Photo/Alison Noon)

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