U.S. President Barack Obama shakes hands with U.S. Health and Human Services Secretary Kathleen Sebelius among lawmakers at a signing ceremony where $600 million was awarded to the construction and renovation of 85 community health centers and support the implementation of electronic health records, in the Eisenhower Executive Office Building near the White House in Washington December 9, 2009.
REUTERS/Jason Reed (UNITED STATES POLITICS BUSINESS)