U.S. Speaker of the House Nancy Pelosi walks on Capitol Hill in Washington before the House vote on health care reform November 7, 2009. The U.S. House of Representatives approved a sweeping healthcare reform bill on Saturday, backing the biggest health policy changes in four decades and handing President Barack Obama a crucial victory. Reuters Pictures 1 week ago

U.S. Speaker of the House Nancy Pelosi walks on Capitol Hill in Washington before the House vote on health care reform November 7, 2009. The U.S. House of Representatives approved a sweeping healthcare reform bill on Saturday, backing the biggest health policy changes in four decades and handing President Barack Obama a crucial victory.