US President Barack Obama speaks during a rally celebrating the passage and signing into law of the Patient Protection and Affordable Care Act health insurance reform bill, at the Interior Department in Washington, DC, on March 23, 2010. Obama signed into law his historic health care reform, enacting the most sweeping social legislation in decades which will ensure coverage for almost all Americans. AFP PHOTO/Jewel SAMAD (Photo credit should read JEWEL SAMAD/AFP/Getty Images)