Health and Human Services Secretary Kathleen Sebelius looks on at left as President Barack Obama speaks in the backyard of a private residence in Falls Church, Va., Wednesday, Sept. 22, 2010, to discuss the Patient's Bill of Rights and health care reform.  (AP Photo/Pablo Martinez Monsivais)

Photo by: Pablo Martinez Monsivais

Health and Human Services Secretary Kathleen Sebelius looks on at left as President Barack Obama speaks in the backyard of a private residence in Falls Church, Va., Wednesday, Sept. 22, 2010, to discuss the Patient's Bill of Rights and health care reform. (AP Photo/Pablo Martinez Monsivais)