President Barack Obama signs the health care bill in the East Room of the White House in Washington, Tuesday, March 23, 2010. He is flanked by Marcelas
President Barack Obama signs the health care bill in the East Room of the White House in Washington, Tuesday, March 23, 2010. He is flanked by Marcelas Owens of Seattle, left, and Rep. John Dingell, D-Mich. Behind, from left are, Sen. Tom Harkin, D-Iowa., Senate Majority Whip Richard Durbin of Ill., Vice President Joe Biden, Vicki Kennedy, widow of Sen. Ted Kennedy, Sen. Christopher Dodd, D-Conn., Rep. Sander Levin, D-Mich., Ryan Smith of Turlock, Calif., Health and Human Services Secretary Kathleen Sebelius, House Speaker Nancy Pelosi of Calif., House Majority Leader Steny Hoyer of Md., Senate Majority Leader Harry Reid of Nev., Rep. Patrick Kennedy, D-R.I., House Majority Whip James Clyburn of S.C., and Rep. Henry Waxman, D-Calif. (AP Photo/J. Scott Applewhite) (J. Scott Applewhite)