HSS Pump2

President Barack Obama pumps his fists while talking with senior staff in the Outer Oval Office, July 13, 2009. From left, Nancy-Ann DeParle, director of the Office of Health Reform, Peter Orszag, director of Office of Management and Budget, Phil Schiliro, assistant to the President for Legislative Affairs, and Larry Summers, director of the National Economic Council, in the Outer Oval Office, July 13, 2009. (Official White House Photo by Pete Souza)