Speaker of the House Nancy Pelosi (D-CA) (C), holding the gavel that was used to pass Medicare, Rep. John Larson (D-CT) (R), Rep. John Lewis (D-GA) (2nd-L) and House Majority Leader Steny Hoyer (D-MD) walk to the U.S. Capitol to begin debate on the Heath Care Reform Bill in Washington on March 21, 2010. UPI/Kevin Dietsch