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[Washington, D.C., March 23. Image via Getty]

Speaker of the House Nancy Pelosi(2nd-L) holds a pen given to her by US President Barack Obama(L)after signing the healthcare insurance reform legislation during a ceremony in the East Room of the White House in Washington, DC, March 23, 2010. Looking on are Rep. Steny Hoyer(3rd-R), D-MD, Senate Majority Leader Harry Reid(2nd-R) and Rep. John Dingell, D-MI. AFP PHOTO / Saul LOEB (Photo credit should read SAUL LOEB/AFP/Getty Images)