President Barack Obama

Marcelas Owens, 11, from Seattle, Washington, left, looks on as U.S. President Barack Obama signs the health insurance reform bill in the East Room of the White House in Washington, D.C., U.S., on Tuesday, March 23, 2010. Standing from left to right are; Senator Tom Harkin, a Democrat from Iowa, U.S. Vice President Joseph Biden, Victoria Kennedy, the widow of Senator Ted Kennedy, Senator Christopher “Chris” Dodd, a Democrat from Connecticut and chairman of the Senate Banking Committee, House Speaker Nancy Pelosi, Senate Majority Leader Harry Reid, and Representative John Dingell, a Democrat from Michigan (bottom right). Photographer: Andrew Harrer/Bloomberg via Getty Images *** Local Caption *** Barack Obama; Marcelas Owens; Tom Harkin; Joseph Biden; Victoria Kennedy; Christopher Dodd; Nancy Pelosi; Harry Reid; John Dingell