31 OCTOBER 2019 - DES MOINES, IOWA: People protest against changes to the Affordable Care Act in the Neil Smith Federal Building in Des Moines. A small crowd of people came to the federal building, where US Senators Chuck Grassley's (R-IA) and Joni Ernst's (R-IA) offices are, to deliver a petition protesting the Senate's vote that critics say would allow "spooky junk health insurance plans" with limited coverage and would allow insurance companies to deny coverage to people with pre-existing conditions. PHOTO BY JACK KURTZ
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