WASHINGTON - JANUARY 06:  U.S. Speaker of the House Rep. Nancy Pelosi (D-CA) speaks to the media as Rep. Charles Rangel (D-NY) (L) and Rep. George Miller (D-CA) (R) listen after a meeting with President Barack Obama at the White House January 6, 2010 in Washington, DC. The House Democratic Leaders met with the President to discuss the Health Care Reform Bill. Photo: Alex Wong, Getty Images