U.S. House Speaker Nancy Pelosi, a Democrat from California, smiles during a news conference following a meeting with Democratic leaders and economic experts at the Capitol in Washington, D.C., U.S., on Wednesday, Oct. 21, 2009. Pelosi said health-care legislation being considered by her chamber would reduce the U.S. budget deficit over the next 20 years, meeting one of President Barack Obama’s main demands for the overhaul. Photographer: Brendan Hoffman/Bloomberg