President Barack Obama receives an update on Affordable Care Act in the Oval Office, April 1, 2014. With the President, from left, are: Phil Schiliro, Assistant to the President and Special Advisor; Tara McGuinness, Senior Communications Advisor; Marlon Marshall, Principal Deputy Director of Public Engagement; Jeanne Lambrew, Deputy Assistant to the President for Health Policy; Kristie Canegallo, Advisor to Chief of Staff; and Senior Advisor Valerie Jarrett. (Official White House Photo by Pete Souza) This official White House photograph is in the public domain from a copyright perspective, so while restrictions such as personality or privacy rights may apply, in general, manipulations are allowed.