WASHINGTON - MARCH 23: U.S. President Barack Obama is applauded after signing the Affordable Health Care for America Act during a ceremony with fellow Democrats in the East Room of the White House March 23, 2010 in Washington, DC. The historic bill was passed by the House of Representatives Sunday after a 14-month-long political battle that left the legislation without a single Republican vote. Pictured is also Rep. Sandy Levin (D-MI), U.S. Vice President Joe Biden, U.S. Speaker of the House Rep. Nancy Pelosi (D-CA), Senate Majority Leader Harry Reid (D-NV), Rep. Henry Waxman (D-CA), Rep. Charlie Rangel (D-NY), Rep. George Miller (D-CA), House Majority Leader Steny Hoyer (D-MD), Rep. John Dingell (D-MI), House Majority Whip Rep. James Clyburn (D-SC), Marcelas Owens, Rep. Patrick Kennedy (D-RI), Sen. Ted Kennedy's widow Victoria Kennedy, Health and Human Services Secretary Kathleen Sebelius. (Photo by Win McNamee/Getty Images)
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