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In this March 28 file photo, supporters of health care reform rally in front of the Supreme Court in Washington on the final day of arguments regarding the health care law signed by President Barack Obama. Congressional budget analysts are now estimating that nearly 6 million Americans, most of them in the middle class, will have to pay a tax penalty for not getting health insurance once Obama's health care law is fully in place. That's 2 million more than a previous estimate found, or a 50 percent increase. Starting in 2014, the new health care law requires virtually every legal resident of the U.S. to carry health insurance, or face a tax penalty.

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