Congress passes Barack Obama's healthcare reform bill

Flanked by his vice-president Joe Biden, Barack Obama speaks from the East Room of the White House following Congress's approval of his healthcare reform bill Photograph: Win McNamee/Getty Images Photograph: Win McNamee/guardian.co.uk The US House speaker, Nancy Pelosi, give a press conference on the healthcare reform bill Photograph: Yuri Gripas/AFP/Getty Images Photograph: Yuri Gripas/guardian.co.uk Representative Bart Stupak announces he will vote in favour of the healthcare reform bill Photograph: Alex Brandon/AP Photograph: Alex Brandon/guardian.co.uk Representative Sheila Jackson Lee holds an autographed copy of the healthcare reform following its passage through Congress Photograph: Mike Theiler/EPA Photograph: Mike Theiler/guardian.co.uk Representative Steve King talks to protesters who oppose the healthcare reform bill outside the US Capitol building Photograph: Astrid Riecken/Getty Images Photograph: Astrid Riecken/guardian.co.uk Protestors remain well into the night after a 'kill the bill' rally against Obama's healthcare legislation Photograph: Jonathan Ernst/Reuters Photograph: Jonathan Ernst/guardian.co.uk White house aides listen as Obama talks on the phone to a member of Congress Photograph: Rex Features Photograph: guardian.co.uk Supporters of the Tea Party movement hold a banner as they demonstrate in Washington against the healthcare bill Photograph: Nicholas Kamm/AFP/Getty Images Photograph: Nicholas Kamm/guardian.co.uk Protesters opposed to the healthcare bill gather outside the US Capitol building Photograph: Astrid Riecken/Getty Images Photograph: Astrid Riecken/guardian.co.uk Opponents of the healthcare bill protest outside the US Capitol building Photograph: Jason Reed/Reuters Photograph: Jason Reed/guardian.co.uk Protesters opposed to the healthcare bill gather in a Washington park Photograph: Astrid Riecken/Getty Images Photograph: Astrid Riecken/guardian.co.uk A supporter of the Tea Party movement displays a sign outside the US Capitol building Photograph: Nicholas Kamm/AFP/Getty Images Photograph: Nicholas Kamm/guardian.co.uk Supporters of the Tea Party movement demonstrate against the healthcare bill outside the US Capitol Photograph: Nicholas Kamm/AFP/Getty Images Photograph: Nicholas Kamm/guardian.co.uk A protester dressed as Abraham Lincoln takes part in a protest rally against Obama's healthcare reform bill Photograph: Michael Reynolds/EPA Photograph: Michael Reynolds/guardian.co.uk