US President Barack Obama (C) waves as he walks out of the Caucus Room with House Majority Whip James E. Clyburn (2nd L), US Speaker of the House Nancy Pelosi (3rd L), House Majority Leader Steny Hoyer, (3rd R) and Congressman John Larson (2nd R), and other leaders after a meeting on health care reform on Capitol Hill in Washington, DC, November 7, 2009.