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President Barack Obama signs the health insurance reform bill in the East Room of the White House, March 23, 2010. (Official White House Photo by Chuck Kennedy)

President Barack Obama signs the health insurance reform bill in the East Room of the White House, March 23, 2010. (Official White House Photo by Chuck Kennedy)

This official White House photograph is being made available only for publication by news organizations and/or for personal use printing by the subject(s) of the photograph. The photograph may not be manipulated in any way and may not be used in commercial or political materials, advertisements, emails, products, promotions that in any way suggests approval or endorsement of the President, the First Family, or the White House.