
White House Press Secretary Jay Carney speaks his daily news briefing at the White House in Washington, Monday, April, 11, 2011. (AP Photo/Pablo Martinez Monsivais)

**FILE** David Plouffe, White House senior adviser (Associated Press)

Republican Budget Committee Chairman Paul Ryan, appearing on "Meet the Press," says the White House needs to cut back on spending. (Associated Press)

** FILE ** President Obama is introduced by White House Senior Adviser David Plouffe before the president speaks at a Democratic National Committee event in Washington on Wednesday, March 16, 2011. (AP Photo)

**FILE** President Obama speaks in the Blue Room of the White House about the budget and averted government shutdown after a deal was made between Republican and Democrat lawmakers on April 8, 2011. (Associated Press)

FILE - Health and Human Services Assistant Secretary for Health Dr. Howard Koh is shown in this July 13, 2010 file photo taken at the Eisenhower Executive Office Building across from the White House in Washington. In a first-of-its-kind report, the government is recommending steps to reduce the disparities in health care between minority populations and white Americans. The plan being released Friday April 8, 2011 runs the gamut from improving dental care for poor children to tapping "promotoras," savvy community health workers who can help guide their Spanish-speaking neighbors in seeking treatment. But it acknowledges that giving everyone an equal shot at living a healthy life depends on far more than what happens inside a doctor's office _ or steps that federal health officials can take Koh said. (AP Photo/Charles Dharapak, File)

President Obama speaks to reporters at the White House in Washington on Wednesday, April 6, 2011, after meeting with House Speaker John A. Boehner and Senate Majority Leader Harry Reid regarding the budget and the possible government shutdown. (AP Photo/Charles Dharapak)

House Speaker John A. Boehner (right), Ohio Republican, and Senate Majority Leader Harry Reid, Nevada Democrat, speak to reporters after their meeting at the White House in Washington with President Obama regarding the budget and possible government shutdown, on Wednesday, April 6, 2011. (AP Photo/Charles Dharapak)

President Obama gestures while speaking Tuesday about the possible government shutdown at the White House in Washington. (Associated Press)