Barack Obama secured a landmark victory with the US House of Representatives giving final approval to a sweeping healthcare overhaul, expanding insurance coverage to nearly all Americans. On a 219-212 vote late on Sunday, House Democrats approved the most dramatic US health policy changes in four decades. The vote sends the bill, already passed by the Senate, to Obama to sign into law. The health insurance industry has vigorously opposed the bill. The overhaul will extend health coverage to 32 million Americans, expand the government health plan for the poor, impose new taxes on the wealthy and bar insurance practices such as refusing to cover people with pre-existing medical conditions. This is a major step for a lot of middle class Americans who face bankrutcy because of unpaid health bills. The bill is going to provide health security for the first time in US.