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WASHINGTON, DC - Nov. 07: House Speaker Nancy Pelosi, D-Calif., is greeted by Ron Pollack, executive director of FamiliesUSA, as she arrives for a news conference after the House passed most ambitious overhaul of the U.S. health care system in 40 years, allowing President Obama to win a preliminary round in what could still be a long battle for his top domestic priority. The 220-215 vote for the trillion-dollar effort to extend health coverage to millions of Americans who currently lack it capped a long debate during which a soporific tone belied the tension within the majority Democratic caucus. House Majority Leader Steny Hoyer, D-Md., is behind Pelosi. Standing to behind Hoyer is Rep. Joseph Crowley, D-N.Y. In green is Rep. Diane Watson, D-Calif.  (Photo by Scott J. Ferrell/Congressional Quarterly)

WASHINGTON, DC - Nov. 07: House Speaker Nancy Pelosi, D-Calif., is greeted by Ron Pollack, executive director of FamiliesUSA, as she arrives for a news conference after the House passed most ambitious overhaul of the U.S. health care system in 40 years, allowing President Obama to win a preliminary round in what could still be a long battle for his top domestic priority. The 220-215 vote for the trillion-dollar effort to extend health coverage to millions of Americans who currently lack it...
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