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Obama Signs Health Care Bill: VIDEO, PHOTOS

First Posted: 03-23-10 10:54 AM   |   Updated: 03-23-10 01:40 PM

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Scroll down for a photo slideshow on health care reform's journey to passage

More than a year's worth of intense political haggling, legislative maneuvering and emotional debate reached its stirring conclusion Tuesday morning as President Barack Obama officially signed health care reform legislation into law.

Speaking in the East Room of the White House, with roughly 200 lawmakers seated before him as well as Vicky Kennedy, the widow of the late Senator Ted Kennedy (D-Mass.), the president called the moment a "new season in America."

"Today, after almost a century of trying, today, after over a year of debate, today, after all the votes have been tallied, health insurance reform becomes law in the United States of America. In a few moments when I sign this bill, all of the overheated rhetoric of reform will finally confront the reality of reform."

"We are not a nation that scales back its aspirations," Obama said. "We don't fall prey to fear. We are not a nation that does what's easy. That is not who we are, that's not how we got here. We are a nation that faces its challenges and accepts its responsibilities."

Obama dedicated the signing to individuals whose stories of struggle have come to personify the need for reform. Included in that list was his mother, "who argued with insurance companies even as she battled cancer in her final days," the president said. Then he talked about his mentor in this fight, former Senator Kennedy.

"I remember seeing Ted walk through that door in the summit in this room a year ago, one of his last public appearances," Obama said. "It was hard for him to make it but he was confident we would do the right thing"

It was, undoubtedly, a moment of jubilation and relief for the president -- largely because few people in the administration anticipated how arduous the debate would be over the course of the year. Speaking just days before the House cast the deciding vote on Sunday, a senior White House official gave a hint at what kind of toll health care has taken on the administration.

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"No president in this generation has spent as long a time on a singe legislative issue," the official said, explaining that he couldn't name a single comparable policy debate in recent administrations.

Watch video:



For many in Obama's inner circle, health care reform began to eerily resemble a legislative version of the Democratic primary, with emotional ebbs and flows, dramatic breakthroughs, vitriolic rhetoric, crushing defeats and, ultimately, historic conclusions.

It started, like the primary, with a tall task. Administrations going back to Teddy Roosevelt have, in one form or another, tried to get health care reform into law, with no success on a major scale. Obama's staff took a look at the landscape and decided early on to learn from the failures of the most recent effort -- Bill Clinton's attempt to reform health care in the early '90s. Rather than take on special interests, they would accommodate them. Rather than write the legislation inside the White House, they would pay deference to Capitol Hill. Rather than browbeating opponents, the president would bargain with them.

The resulting deals were toxic for many -- the pharmaceutical and hospital lobbies lent their support, but at the cost of watering down the legislation. The process was moving forward, even if the progressive community was aghast that the president (as early as last winter) talked about bargaining away the public option if it got him Republican votes.

During the August recess, Tea Party protests became forums for angry opponents of reform. During those dog days of summer, a sense developed that the floor had fallen out from under the party. Rep. James Clyburn (D-S.C.) a civil rights hero who was tasked with whipping support for legislation in the House, offered his most direct assessment to date that the environment had become riddled with racist undertones. Hill aides, for the first time, started questioning whether the Obama White House had done the grunt work needed to get health care reform passed. But the legislation progressed.

The January election of Scott Brown in Massachusetts provided more fodder for health care fatalists. Without 60 seats in the Senate, the conventional wisdom held, there was no avenue to get legislation finalized. Sen. Al Franken (D-Minn.) offered a withering critique of the White House's hands-off approach directly to Obama's senior aide, David Axelrod. And the griping between House and Senate leadership, as well as the White House's political arm, grew intense -- each side blaming the other for the impending failure.

But when the emotions ebbed and cooler heads prevailed, the party coalesced around a broad idea -- that reform was needed and good for the Democrats -- and a particular path forward, reconciliation for the fixes to the Senate's bill. Whipping up the votes this past week, there was still uncertainty that the numbers were there. But a steady stream of "no" to "yes" votes among one-time skeptical Democrats, had aides reminiscing about the Democratic primary once again.

Did it feel like the late run of superdelegates in Obama's favor?

"Let's hope," Robert Gibbs told the Huffington Post.

On Sunday, the president finally got the votes he needed. Three year's prior he had told the audience at a progressive forum that he would judge his "first term as president based on the fact on whether we have delivered the kind of health care that every American deserves and that our system can afford." On Tuesday he did just that, putting under his belt the greatest achievement in social policy in the past forty years. It wasn't the end to the process. The Senate still needs to pass its reconciliation bill. But it was certainly a time to reflect on and savor what has been accomplished.

Speaking before Obama, Vice President Joseph Biden praised the president for "delivering on a promise," and showing the resolve to get reform done.

"Your fierce advocacy, the clarity of purpose that you showed, the perseverance, these are in fact -- it is not hyperbole to say it -- the reasons why we are assembled in this room together," Biden said. "Mr. President, you are the guy that made it happen... you have done what generations of not just ordinary, but great men and women, have attempted to do -- Republicans as well as Democrats."

Photos: The journey of health care reform:

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Obama Signs Health Care Bill
WASHINGTON -- President Barack Obama's yearlong health care overhaul drama featured dozens of speeches, contentious debate and a televised summit with lawmakers before a divided Congress passed the bi...
WASHINGTON -- President Barack Obama's yearlong health care overhaul drama featured dozens of speeches, contentious debate and a televised summit with lawmakers before a divided Congress passed the bi...
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- New maxsumus I'm a Fan of maxsumus permalink

As Jesus said: "Let the dead bury the dead." These people are in the middle of destroying our great, (or what was once great), country,and they WANT TO CELEBRATE!!!!!!!!!!! MOST OF AMERICA (INCLUDING MOST OF OUR LEADERS), ARE ASLEEP AT THE WHEEL!! WE AS CITIZENS ARE ASLEEP AT THE WHEEL!! WE WERE ASLEEP AT THE WHEEL WHEN WE PUT THESE PEOPLE IN OFFICE, AND NOW WE ARE PAYING FOR IT! Its NOT about republican or democrat. If the great John F. Kennedy was alive now, HE WOULD FAINT, THEN WAKE UP, AND WISH HE WERE DEAD! (REMEMBER WHAT HE SAID??!!: ASK NOT WHAT YOUR COUNTRY CAN DO FOR YOU, BUT ASK WHAT YOU CAN DO FOR YOUR COUNTRY!!!!!!) At some point what they are doing to OUR country, WON'T be correctable. Thank you for your time. James S. a GOD loving and fearing man.

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010
- New johnb123 I'm a Fan of johnb123 14 fans permalink
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I should actually be cheering the passing of this bill. By the time November comes, most of you will throw out the incumbents.

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010
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THIS IS JUST A POWER GRAB BY POLITICANS WHO THINK THEY KNOW BETTER THAN THE AVERAGE PERSON , THEY HAVE HEATH CARE FOR LIFE , BUT NOT THE CRAP THEY ARE SHOVING DOWN OUR THROATS , ANYONE WHO BELIEVE THESE PPL CARE ABOUT YOU OR ME IS SORELY MISTAKEN

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010
- New Realist1965 I'm a Fan of Realist1965 10 fans permalink
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Fear and doubt? Take a look at our bankrupt (both morally and fiscally) state governments. From CA to IL to NY and NJ, all of the liberal loon resting areas are under water and our answer is to take more from them while we also take more from every citizen. The Dems have controlled the majority of these for years and look at how far off the cliff they have been driven by kowtowing to every liberal special interest du jour. This is a well needed wake-up call to take our country back from those who have nothing patriotic about their thuggery and corrupt governing. They clearly did not listen to MA or VA or NJ, so now it's going to be very cold as a dim.

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010
- New BOBINMO I'm a Fan of BOBINMO 32 fans permalink

Good morning to the good guys/girls. F U trolls.

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010
- New wilsonveteran I'm a Fan of wilsonveteran 157 fans permalink
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Well with a stroke of a pen this nations starts it transformation from a nation of strong independent and responsible individuals to a nation that will have all their needs taken care by a large overgrown government.
Why after decades of inefficiency people think our government can take over the health care industry and do a better job. I know that you all think the CBO report is right and this will save us money but remember the CBO stated that in 1985 that medicare would only be 9 billion a year and it was 165 billion a year.

So for all the progressives here someone please tell me which government program has run efficiently and within the budget they projected?

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010
- New NCpatriot I'm a Fan of NCpatriot 38 fans permalink

Oh happy day!

    Reply     Favorite     Flag as abusive Posted 01:41 PM on 3/23/2010
- New whatthel I'm a Fan of whatthel 583 fans permalink
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Health care reform was a true coalition of the willing.

    Reply     Favorite     Flag as abusive Posted 01:41 PM on 3/23/2010
- New NickGranite I'm a Fan of NickGranite 40 fans permalink
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This room is full of socialist trolls. The tea party brother/sisterhood does not approve. Find your own site.

    Reply     Favorite     Flag as abusive Posted 01:41 PM on 3/23/2010
- New ktchvl I'm a Fan of ktchvl 32 fans permalink
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Demorats have infested Fox Nation. It's the same everywhere.

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010
- New MartinEden22 I'm a Fan of MartinEden22 51 fans permalink
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Let's hope the Supreme Court rules it is unconstititional to make citizens buy insurance from private companies.

The only way to legally mandate citizens buy insurance is with a single payer system.

The federal government has the right to levy and collect taxes, etc, to provide for the general welfare and common defense. A government run, single payer system is constitutional. This giant tax dollar giveaway to big insurance is not.

The federal government does not have the power to force citizens to buy a private commodity.

Our health care system is broken beyond repair. This bill is like putting a band-aid on a gushing artery. Throwing hundreds of billions of tax dollars to the big insurance companies is not the answer.

I understand a switch to single payer will be hard on our economy, insurance companies do employ a lot of people. But I'd rather pass a 3 trillion dollar package to boost the economy while it suffers from the end of insurance than give insrance companies trillions of dollars to cover low income Americans.

But in the long-run, a single payer system is the only way to control costs.

    Reply     Favorite     Flag as abusive Posted 01:41 PM on 3/23/2010
- New opama I'm a Fan of opama 5 fans permalink

It came at a high price: An Absence of Class, by Bob Herbert
http://www.nytimes.com//2010/03/23/opinion/23herbert.html

    Reply     Favorite     Flag as abusive Posted 01:41 PM on 3/23/2010
- New celere I'm a Fan of celere 197 fans permalink
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Note to Ms.Palin: that hopey-changey thing is working out pretty good for me, thanks. I can see a better America from my front door!

    Reply     Favorite     Flag as abusive Posted 01:41 PM on 3/23/2010
- New cyrano1 I'm a Fan of cyrano1 231 fans permalink
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love it!!

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010
- New CabinAgue I'm a Fan of CabinAgue 90 fans permalink
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x2 -- fanned

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010
- New Clovie I'm a Fan of Clovie 81 fans permalink
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Me also, too.

***WINKS***

    Reply     Favorite     Flag as abusive Posted 01:42 PM on 3/23/2010

With 30m new insurance customers and no increase in doctors, will there be fewer people seeking care in the ERs?
Well, at least they'll have an insurance card to read while they wait to be seen for their flu-like symptoms.

    Reply     Favorite     Flag as abusive Posted 01:41 PM on 3/23/2010
- New SanDiegoView I'm a Fan of SanDiegoView 109 fans permalink
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Apparently abrogation was not rescinded in this legislation. The health insurance companies can still sue you to recover their payout cost on your health care if you win a damages award against someone who injures you.

Wal-Mart Sues Brain Damaged Employee As Reward for Giving Her Health Insurance

http://motherjones.com/mojo/2007/11/wal-mart-sues-brain-damaged-employee-reward-giving-her-health-insurance?page=1

This particular example has turned a few pages after 2 1/2 years, but only because the public found out about it.

    Reply     Favorite     Flag as abusive Posted 01:41 PM on 3/23/2010
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Attention tax-baggers:
(Yes, this is your new name as all you seemingly support is raises in taxes). Taxes will go up, quality of healthcare will go down. If you have money, you will see less ba.ng for your buck as you are buying three other people's health insurance. The quality will be as if one doctor is seeing all three of you at once, because that's where the quality will go.

So celebrate now, but don't come crying to me for help.

    Reply     Favorite     Flag as abusive Posted 01:41 PM on 3/23/2010
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