See larger House Speaker Nancy Pelosi of Calif. leans over to watch President Barack Obama sign the health care bill. Tuesday, March 23, 2010, in the East Room of the White House.  (AP Photo/J. Scott Applewhite)

House Speaker Nancy Pelosi of Calif. leans over to watch President Barack Obama sign the health care bill. Tuesday, March 23, 2010, in the East Room of the White House. (AP Photo/J. Scott Applewhite)

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