As head of HHS, Kathleen Sebelius is expected to play an important role in heading the drive by President Obama to reform health care in the United States. It is a stated goal of the Obama administration to bring about universal health care, at a time when nearly fifty million Americans lack medical insurance. In the wake of the economic recession and growing government deficits, it will be a challenge for President Barack Obama to generate the funds for his health care agenda. Barack Obama has made it clear that health care reform remains one of his top presidential priorities.