Obama signs historic $938 billion health overhaul

Naples clinic will still help uninsured

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Celebrating "a new season in America" — the signature accomplishment of his White House so far and one denied to a line of presidents before him — Obama made the massive bill law with an East Room signing ceremony. He was joined by jubilant House and Senate Democrats as well as lesser-known people whose health care struggles have touched the president. Obama scheduled back-to-back events to mark the moment, with much of his White House audience, as well as hundreds of others, heading to the Interior Department immediately after the signing.

"With all the punditry, all the lobbying, all the game-playing that passes for governing here in Washington, it's been easy at times to doubt our ability to do such a big thing, such a complicated thing, to wonder if there are limits to what we as a people can still achieve," Obama said, his remarks interrupted by applause after nearly every sentence. "We are not a nation that scales back its aspirations. We are not a nation that falls prey to doubt or mistrust. We don't fall prey to fear. We are not a nation that does what's easy. That's not who we are. That's not how we got here."

Across the capital, Republicans remained firm in their universal opposition to the giant remake of the nation's health system, declaring it much too costly and unlikely to produce the results that Obama claims. The Republicans pledged to see Democrats punished in this fall's elections for approving the legislation over deep public skepticism.

With that in mind, and with many of the law's most sweeping changes not to take effect for years, Obama emphasized the overhaul's most immediate impacts, including the ability of young adults to remain on their parents' health plans and a ban on insurers denying coverage to sick children.

"We have now just enshrined the core principle that everybody should have some basic security when it comes to their health," the president said.