Tough road ahead in Senate for health care bill

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Reflected in a mirror Speaker Nancy Pelosi is joined by the Democratic leadership for a press conference after the passage in the house of the health care reform bill at the U.S. Capitol, Saturday, Nov. 7, 2009 in Washington. (AP Photo/J. David Ake)

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Tough road ahead... Reflected in a mirror Speaker Nancy Pelosi is joined by the Democratic leadership for a press conference after the passage in the house of the health care reform bill at the U.S. Capitol, Saturday, Nov. 7, 2009 in Washington. (AP Photo/J. David Ake)
Germany celebrat... TWO OF TWENTY ** FILE - Berliners celebrate on top of the wall as East Germans (backs to camera) flood through the dismantled Berlin Wall into West Berlin at Potsdamer Platz, in this Nov. 12, 1989 file picture. Monday, Nov. 9, 2009 marks the 20th anniversary of the fall of the Berlin Wall. (AP Photo/Lionel Cironneau)
Afghan vows to k... An Afghan army soldier gestures next to a burning fuel truck on a road outside Jalalabad, Nangarhar province, east of Kabul, Afghanistan, Sunday, Nov. 8, 2009. A supply convoy of NATO and coalition forces was attacked by militants near Jalalabad city, two of the tankers were set on fire and three others damaged. (AP Photo/Rahmat Gul)
Mickelson rallie... Phil Mickelson of the U.S. holds the trophy after winning the HSBC Champions golf tournament at Shanghai Sheshan International Golf Club Sunday, Nov. 8, 2009 in Shanghai, China. Mickelson finished at 17-under 271. (AP Photo/Eugene Hoshiko)
Queen leads Brit... Britain's Queen Elizabeth II stands in front of poppy wreaths at the annual Remembrance Sunday ceremony at the cenotaph in London, Sunday, Nov. 8, 2009. The annual remembrance service is held on the nearest Sunday to the anniversary of the end of World War I at 11 a.m. on Nov. 11, 1918, and pays tribute to all the dead in all conflicts. (AP Photo/Kirsty Wigglesworth)
Hurricane watch ... This image provided by NOAA shows Hurricane Ida taken at 12:02 a.m. EST Sunday Nov. 11, 2009. The U.S. National Hurricane Center in Miami said Ida's winds had picked up to 75 mph (120 kph), making it a Category 1 storm. Ida plowed into Nicaragua's Atlantic coast on Thursday as a Category 1 hurricane, damaging 500 homes along with bridges, power lines, roads and public buildings. The hurricane was on a path that would take it through the middle of the Yucatan Channel that separates Mexico and Cuba on Sunday. Forecasters predict Ida will enter the Gulf of Mexico, eventually weaken again to tropical storm strength and possibly brush the U.S. Gulf Coast next week. (AP Photo/NOAA)
Chinese premier ... Chinese Primer Wen Jiabao, left, and Egyptian President Hosni Mubarak chair the opening of the 4th Ministerial Conference of the Sino-African Forum in Egypt's Sharm el Sheik resort Sunday, Nov. 8, 2009. (AP Photo/Amr Nabil)
21-year-old, log... James Akenhead of London, throws away a hand at the final table of the World Series of Poker at the Rio Hotel and Casino in Las Vegas on Saturday, Nov. 7, 2009. (AP Photo/Laura Rauch)
Pakistan suicide... A Pakistani holds his baby girl, who was killed in a suicide bombing, as her grandmother mourns inside a van at a local hospital in Peshawar, Pakistan on Sunday, Nov. 8, 2009. A suicide bomber apparently targeting an anti-Taliban mayor struck a crowded market Sunday in northwest Pakistan, killing the mayor, police said. (AP Photo/Mohammad Iqbal)
Some predicted t... Osman Danquah speaks to the media about the shooting at Fort Hood Friday Nov. 6, 2009. Danquah is the liason from the Islamic Center of Greater Killeen to Fort Hood. The day after an army major shot and killed 13 people and wounded about 30, Killeen is trying to understand what happened and return to normal. (AP Photo/Austin American Statesman) NO MAGS, NO SALES, NO TV
Alabama beats LS... Alabama's Julio Jones (8) is stopped by LSU's Perry Riley (56) after a first down catch during their NCAA college football game at Bryant Denny Stadium in Tuscaloosa, Ala., Saturday, Nov. 7, 2009. (AP Photo/Dave Martin)
High court to lo... FILE - This May 4, 2007, file photo shows former U.S. Sen. Alan Simpson delivering a key-note address to Log Cabin Republicans at their annual convention in Denver. The Wyoming Republican served 18 years in the Senate, but as a teenager he pleaded guilty to setting fire to an abandoned building on federal property. For teenagers who committed crimes and received a life in prison sentence without parole Simpson said, "When they get to be 30 or 40 and they been in the clink for 20 years or 30 or 40 and they have learned how to read and how to do things, why not" release them Simpson told to the Associated Press. If a prisoner shows he is not fit to be released, "throw him back in," he said. "That's better than saying 'Sorry, we can't look at that file because you were sent here for life.'" (AP Photo/Ed Andrieski, FILE)
Holiday airfares... FILE - In this Nov. 25, 2008 file photo, passengers wait in long lines at United Airlines domestic terminal at San Francisco International Airport in San Francisco. Most carriers pushed through a $10 fare increase at the end of October, 2009. For the holidays, the big airlines added a $20 surcharge each way on popular travel days closest to Christmas and New Year's. (AP Photo/Paul Sakuma, file)
Collaros, No. 4 ... Cincinnati quarterback Zach Collaros, right, hugs long snapper Mike Windt after they kicked an extra point in the second half of an NCAA college football game against Connecticut, Saturday, Nov. 7, 2009, in Cincinnati. (AP Photo/Al Behrman)
2010 elections: ... FILE - In this Oct. 27, 2009, file photo, President Barack Obama and Virginia Democratic gubernatorial candidate Creigh Deeds wave to the crowd during a rally in Norfolk, Va. Oh, how the tables have turned. Nervous Democrats are on defense and emboldened Republicans sense opportunity heading into 2010 and the midterm elections. It was just three years ago that the GOP lost the House and Senate as well as governor's mansions in a cross-country Democratic wave. (AP Photo/Steve Helber, FILE)
Afghan ministry:... Afghan children run as a NATO helicopter takes off with a container in the outskirts of Kabul, Afghanistan, Saturday, Nov. 7, 2009. More than 25 ISAF and Afghan National Security Force personnel were killed or wounded during a joint operation that involved multiple engagements over several hours Nov. 6, 2009 in Western Afghanistan, a NATO spokesman said. (AP Photo/Anja Niedringhaus)
Zenyatta, a mare... Jockey Mike Smith, on Zenyatta, reacts after winning the Breeders' Cup Classic horse race at Santa Anita Park, Saturday, Nov. 7, 2009, in Arcadia, Calif. (AP Photo/Jae C. Hong)
Jobless: 10 perc... In this Oct. 22, 2009 photo, Vicki Adriano drops off parts at the General Motors Lordstown plant in Lordstown, Ohio. Compared with 1982, Americans have more than triple the amount of debt and less than half the savings. Their unemployment spells last 10 weeks longer, on average.(AP Photo/Tony Dejak)
No. 15 Ohio St b... Ohio State quarterback Terrelle Pryor dives into the end zone for a touchdown against Penn State during the first half of an NCAA college football game in State College, Pa., Saturday, Nov. 7, 2009. (AP Photo/Carolyn Kaster)
Army: Shooting s... This 2003 picture provided by the Uniformed Services University of the Health Sciences shows Nidal Malik Hasan in his graduation photo when he completed his M.D. degree. (AP Photo/Uniformed Services University of the Health Sciences)
Ground broken fo... Secretary of the Interior Ken Salazar, right rear, and Pennsylvania Governor Ed Rendell, left rear, lead the ground breaking for the Flight 93 National Memorial Saturday, Nov. 7, 2009 in Shanksville, Pa. From foreground left, are Campbell Peterson, and Peyton Peterson, grandsons of Flight 93 passengers Donald Peterson and Jean Hoadley Peterson, and Sarah Wainio, sister of Flight 93 passenger Honor Elizabeth Wainio. Plans are for the memorial to be dedicated on Sept. 11, 2011. (AP Photo/Gene J. Puskar)
Navy ship built ... Port Authority Sgt. Christopher Bergman, center, a 9/11 first responder who lost friends in the attack, looks on as the USS New York, a Navy amphibious assault ship containing 7.5 tons of steel salvaged from the World Trade Center, gets formally commissioned in New York Saturday Nov. 7, 2009. The $1 billion warship was built near New Orleans by workers who survived Hurricane Katrina. (AP Photo/David Goldman)
Zelaya: US-broke... Honduras' ousted President Manuel Zelaya hands to an advisor a stuffed animal that belongs to his granddaughter that sits on the couch in Brazil's embassy where he has been holed up over a month in Tegucigalpa, Friday, Nov. 6, 2009. Zelaya said Friday that a U.S.-brokered pact failed to end a four-month political crisis after a deadline for forming a unity government passed. The pact gave the two sides until midnight Thursday to install a government with supporters of Zelaya and Roberto Micheletti, who was named interim president by Congress after Zelaya was ousted by a coup on June 28. (AP Photo/Esteban Felix)
Obama signs home... Graphic shows the rate of unemployment benefit extension exhaustions, by state, per 1,000 population
Voters to pols: ... Governor elect Chris Christie answers a question as he stands with Lt. governor elect Kim Guadagno at the Robert Treat Academy charter school Wednesday, Nov. 4, 2009, in Newark, N.J., the day after he won over incumbent Jon S. Corzine. Christie said with the visit to the highly successful school, he wanted to highlight his plans to improve education. (AP Photo/Mel Evans)
Genetic tests fo... Graphic shows asylum applications received by the British government
New reality cook... FILE - In this Feb. 10, 2009 file photo, chef Gordon Ramsay signs his book "Healthy Appetite" at Borders Books in New York. (AP Photo/Charles Sykes, File)
Israel: commando... An Israeli military police officer stands next to rockets seized by Israeli authorities on a ship near Cyprus, and presented in the port of the Israeli city of Ashdod, Wednesday, Nov. 4, 2009. Israeli commandos seized a ship Wednesday that defense officials said was carrying hundreds of tons of weapons from Iran bound for Lebanon's Hezbollah guerrillas, the largest arms shipment Israel has ever commandeered. (AP Photo/Tsafrir Abayov )
Police: Pair sto... Keith Wilson King, 61, is seen in this undated photo provided by the Maricopa County Sheriff's office. King was one of two people arrested Monday, Nov. 2, 2009 and booked on counts of theft of property and possession of stolen property. Phoenix police found up to 1,000 pieces of luggage stolen from Phoenix Sky Harbor International Airport in their home northwest of Phoenix. (AP Photo/Maricopa County Sheriff's Office)
Czech court lift... Court Chief Judge Pavel Rychetsky speaks during a hearing in the city of Brno, Czech Republic on Tuesday, Nov. 3, 2009. The Czech Republic's Constitutional Court endorsed the EU reform treaty Tuesday, ruling it was in line with the country's constitution. (AP Photo/Petr David Josek)
Karadzic set to ... FILE -- In an Aug. 29, 2008 file photo, former Bosnian Serb leader Radovan Karadzic, is seen in the courtroom at the U.N. Yugoslav war crimes tribunal in the Hague, Netherlands. Marko Sladojevic, legal adviser for Radovan Karadzic, says the former Bosnian Serb leader will boycott his genocide trial Monday Nov. 2, 2009, to protest what he claims is a lack of time to prepare for the trial, but prosecutors will continue without him and are scheduled to finish their opening statement later Monday. (AP Photo/ Valerie Kuypers, file)
Health care plan... FILE - In this Oct. 29, 2009, file photo House Minority Leader John Boehner of Ohio stands behind a copy of the Democrat's version of the health care bill during a news conference on Capitol Hill in Washington. Boehner, in his Saturday Oct. 31, 2009, radio and Internet address, argues that the Democrats' proposal to overhaul health care is too complicated, too intrusive and too expensive, and Republicans are urging several steps they claim would bring down costs while not greatly expanding government. (AP Photo/Harry Hamburg)
Rodriguez, Yanke... New York Yankees' Alex Rodriguez hits a double off Philadelphia Phillies relief pitcher Brad Lidge to drive in a run in the ninth inning of Game 4 of the Major League Baseball World Series against the Philadelphia Phillies Sunday, Nov. 1, 2009, in Philadelphia. (AP Photo/Eric Gay)
Iowa's early Hal... In this photo taken Wednesday, Oct. 28, 2009, James Mattern, 13, of West Des Moines, Iowa, tries on a Scooby-Doo Halloween costume at a local theatrical shop, in West Des Moines, Iowa. In a long-standing tradition that has its roots in old European custom, trick-or-treaters in Des Moines may find they're asked to tell a joke before they get their treat. (AP Photo/Charlie Neibergall)
Haitian prime mi... Haiti's Senators Youri Latortue, center right, and Jean Baptiste Jean Willy, center left, speak before a Senate session in Port-au-Prince, Thursday, Oct. 29, 2009. Prime Minister Michele Pierre-Louis was facing a challenge Thursday from senators in the president's party who are trying to remove her, a move that could hinder international efforts to increase foreign investment in Haiti. (AP Photo/Ramon Espinosa)
Health care busi... House Minority Leader John Boehner speaks behind a copy of the Democrat's version of the health care bill during a news conference on Capitol Hill in Washington, Thursday, Oct. 29, 2009. (AP Photo/Harry Hamburg)
Iraqi security o... Relatives react over the covered body of Sahra Abdallah,at Al Sadr hospital morgue, in the Shiite enclave of Sadr city, Baghdad, Iraq, Thursday, Oct. 29, 2009. Abdallah was one of the three women who were killed after a bomb attached to a mini van exploded in Baghdad's Sadr City late Wednesday, killing three women and wounding four other people, police said.The blast came days after Sunday's deadliest attacks that targeted the Ministry of Justice and Baghdad provincial Administration in which at least 155 people were killed. (AP Photo/Karim Kadim)
Maine puts squee... Two bottles of Fentimans Victorian lemonade are seen, Croydon, south London, Thursday, Oct. 29, 2009. The century-old British lemonade has run into trouble in the U.S. because a high school student complained that the company's Victorian-style drink contains alcohol. The complaint prompted high school officials in Maine to contact the police, who are seeking a legal opinion from the Maine attorney general about whether the lemonade can be sold to minors. (AP Photo/Sang Tan)
Church of Scient... Eric Roux, legal representative of the Church of Scientology in France, speaks to reporters after a court returned a verdict of fraud against the group, at a Paris courthouse, Tuesday, Oct. 27, 2009. A Paris court on Tuesday convicted the Church of Scientology of fraud and fined it more than half a million euros, but stopped short of banning the group as requested by prosecutors. (AP Photo/Jacques Brinon)
Al-Qaida linked ... Iraqis gather at the site of a massive bomb attack at the Ministry of Justice in Baghdad, Iraq, Sunday, Oct. 25, 2009. Iraq police say that a pair of powerful explosions rocked downtown Baghdad. The blasts went off in front of the headquarters of the Baghdad provincial administration and near the Ministry of Justice building during the morning rush hour as people headed to work. (AP Photo/Karim Kadim)
Carrots and Stic... FILE In this Oct. 2, 2009, file photo, President Barack Obama pauses while speaking to members of the media in the Rose Garden of the White House in Washington. (AP Photo/Pablo Martinez Monsivais, FILE)
Yahoo profits ri... FILE - In this July 29, 2009 file photo, a worker walks into Yahoo headquarters in Sunnyvale, Calif. Yahoo Inc. is expected to report third-quarter earnings after the closing bell Tuesday, Oct. 20, 2009. (AP Photo/Paul Sakuima, file)
Europeans find 3... This artist rendering provided by the European South Observatory shows some of the 32 new planets astronomers found outside our solar system, adding evidence to the theory that the universe has many places where life could develop. (AP Photo/European South Observatory)
Thousands of Jap... Protesters hold a sign at a mass anti-U.S. base rally in Ginowan on Japan's southwestern island of Okinawa
More troops need... Army Chief of Staff General Casey addresses the media at the Fort Hood Army Post in Fort Hood
House backs anti... An anti-abortion protestor holds a sign in front of the US Supreme Court building during the March for Life in Washington
U.N.'s Goldstone... Goldstone Head of Fact Finding Mission on Gaza looks on during a news conference at the UN in Geneva
Thousands in Wes... A Palestinian boy holds a poster depicting the Palestinian President Abbas during a rally in Ramallah
House approves b... Speaker of the House Nancy Pelosi is greeted by democrats during a news conference on Capitol Hill in Washington
Market attack in... A father carries his son, who was injured in a suicide bomb attack, through the halls of the Lady Reading hospital in Peshawar
Obama wraps up A... President Barack Obama walks back to the Oval Office after stepping off Marine One on the South Lawn after returning to the White House in Washington
UK urges G20 to ... Russian Finance Minister Alexey Kudrin poses with his G20 colleagues and central bank leaders during the family photo at the G20 Finance Ministers meeting at a hotel in St. Andrews, Scotland
Obamas to attend... A U.S. flag flies at half staff on top of the White House in Washington after President Barack Obama ordered them lowered in honor of the victims of the mass shooting at Fort Hood army base in Texas
U.S. Army gunman... Handout photo showing Hasan, U.S. Army doctor identified by authorities as suspect in shooting at U.S. Army post in Fort Hood, Texas
Honduran rivals ... Supporters of Honduras ousted President Manuel Zelaya display the national flag and Zelaya's photograph in Tegucigalpa.
Lebanon's Hariri... Handout picture shows Lebanon's opposition leaders meeting with Hezbollah
Afghanistan hits... Afghan President Karzai speaks during a news conference in Kabul
Bin Laden videot... Video grab from an undated footage from the Internet shows Al Qaeda leader Osama bin Laden making statements from an unknown location
Motive probed in... Major Nidal Hasan, the U.S. Army doctor identified as a suspect in the shooting at the U.S. Army post in Fort Hood, Texas, is seen in this undated handout photo from the website of the U.S. Government Uniformed Services University of the Health Sciences
U.S. jobless rat... Stephen Battaglia (L) of West Palm Beach, Florida searches for jobs on a computer at Workforce Alliance in West Palm Beach
Laid-off Orlando... Undated police photograph of shooting suspect Rodriguez
No takers for Ab... Palestinian President Abbas delivers a speech in Ramallah
U.S. OKs two mor... Labourers upload steel pipes onto a vehicle at a steel market in Hefei
Democrat Hoyer: ... Demonstrators hold signs at a rally about healthcare on Capitol Hill in Washington
Ford Hood shooti... Major Nidal Hasan, the U.S. Army doctor identified as a suspect in the shooting at the U.S. Army post in Fort Hood, Texas, is seen in this undated handout photo from the website of the U.S. Government Uniformed Services University of the Health Sciences
SPECIAL REPORT: ... To match Special Report USA-HEALTHCARE/DOCTORS
Sparring over ev... Former Bear Stearns hedge-fund managers Ralph Cioffi arrives at court in Brooklyn
Insider trading ... An unidentified suspect charged with fraud and conspiracy for insider trading linked to the Galleon Group insider trading scandal, arrives at Manhattan Federal Court in FBI custody
Senate rejects b... Camp X-Ray detention facility in Guantanamo Bay
Abbas offers to ... Palestinian President Abbas delivers a speech in Ramallah
Aid for jobless,... Attendees arrive at a job fair in Washington
Ex-head of NY po... Former New York City Police Commissioner Bernard Kerik speaks to the media in White Plains
IAEA found nothi... IAEA Director General Mohamed ElBaradei speaks during a media conference in Tehran
Yankees revel in... New York Yankees players Jeter and Rivera hold the World Series trophy after the Yankees defeated the Philadelphia Phillies in Game 6 to win the 2009 Major League Baseball World Series in New York
H1N1 to cause mo... A man wears a protective mask as he takes the escalator in a subway in Kiev
Matsui powers Ya... New York Yankees player Jeter celebrates as he holds the World Series trophy with teammates in New YorK
U.N. pulls out f... United Nations special envoy to Afghanistan Kai Eide speaks during a news conference in Kabul
Senate approves ... People look for work at state employment department in San Francisco