U.S. Speaker of the House Nancy Pelosi walks with Rep. George Miller (D-CA) to the House vote on health care reform on Capitol Hill in Washington November 7, 2009. The U.S. House of Representatives headed to a final vote on a sweeping healthcare overhaul on Saturday, with Democratic leaders confident they can secure the 218 votes needed for a narrow victory. Reuters Pictures 2 weeks ago

U.S. Speaker of the House Nancy Pelosi walks with Rep. George Miller (D-CA) to the House vote on health care reform on Capitol Hill in Washington November 7, 2009. The U.S. House of Representatives headed to a final vote on a sweeping healthcare overhaul on Saturday, with Democratic leaders confident they can secure the 218 votes needed for a narrow victory.