Members of the staff applaud as U.S. President Barack Obama announces Director of the Office of Management and Budget Sylvia Mathews Burwell as his nominee to replace outgoing U.S. Secretary of Health... more 
Members of the staff applaud as U.S. President Barack Obama announces Director of the Office of Management and Budget Sylvia Mathews Burwell as his nominee to replace outgoing U.S. Secretary of Health and Human Services Kathleen Sebelius, during a ceremony in the Rose Garden of the White House in Washington, April 11, 2014. REUTERS/Larry Downing (UNITED STATES - Tags: POLITICS HEALTH) less 
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Reuters | Photo By LARRY DOWNING / Reuters
Fri, Apr 11, 2014 11:44 AM EDT