President Barack Obama and Vice President Joe Biden smile in the East Room of the White House in Washington, Tuesday, March 23, 2010, before the president signed the health care bill. (AP Photo/Charles Dharapak)

President Barack Obama and Vice President Joe Biden smile in the East Room of the White House in Washington, Tuesday, March 23, 2010, before the president signed the health care bill. (AP Photo/Charles Dharapak)

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