Job seekers attend at a career fair in Miami Lakes, Fla., in August. At the end of the year, 1.3 million Americans will lose their extended unemployment benefits. Alan Diaz/AP hide caption

itoggle caption Alan Diaz/AP

Health and Human Services Secretary Kathleen Sebelius' shadow appeared behind the lectern as she spoke about the implementation of the federal health law in Detroit in November. Paul Sancya/AP hide caption

itoggle caption Paul Sancya/AP