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President Barack Obama speaks to reporters in the Brady Press Briefing Room at the White House in Washington after meeting with Congressional leaders regarding the fiscal cliff, Friday, Dec. 28, 2012. (AP Photo/Charles Dharapak)
President Barack Obama walks past a Marine honor guard as he steps off the Marine One helicopter and walks on the South Lawn at the White House in Washington, Thursday, Dec. 27, 2012, as he returned early from his Hawaii vacation for meetings on the fiscal cliff. (AP Photo/Charles Dharapak)
President Barack Obama looks at his notes as he arrives to make a statement on the fiscal cliff negotiations with congressional leaders in the briefing room of the White House on Friday, Dec. 28, 2012, in Washington. The negotiations are a last ditch effort to avoid across-the-board first of the year tax increases and deep spending cuts. (AP Photo/ Evan Vucci)
WASHINGTON — Confused about the federal budget struggle? So are doctors, hospital administrators and other medical professionals who serve the 100 million Americans covered by Medicare and Medicaid. Rarely has the government sent so many conflicting signals in so short a time about the bottom …
