4 of 33: House Minority Leader Nancy Pelosi of Calif., smiles as she watches the breaking news from the Supreme Court which upheld the Affordable Care Act, Thursday, June 28, 2012 on Capitol Hill in Washington. Pelosi, the former speaker of the House, was instrumental in helping to pass health care reform in Congress and was at President Obama's side when he signed it into law. (AP Photo/J. Scott Applewhite) (AP Photo/ J. Scott Applewhite)

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