Alex Brandon
The Department of Health and Human Services building is seen in the evening in Washington Sunday, April 5, 2009. At Health and Human Services, where Kathleen Sebelius will be the last member of Obama's Cabinet to win confirmation by the Senate, 19 of the top 20 slots are being filled by acting career employees and the 20th is empty. This at a time when Obama is calling for sweeping changes in the way people get health care coverage. (AP Photo/Alex Brandon)
