1. The House health care vote late Saturday night was a classic of the genre -- shouting, cheers, boos and a VERY narrow 220-215 passage. As always in close decisions in Congress, there were a few "yeas" (and "nays") cast that could complicate the political futures of those behind the votes. Looking at the 2010 midterm elections, the five toughest votes -- all Democrats -- for the bill: Reps. Tom Perriello (Va.), Gabby Giffords (Ariz.), Harry Mitchell (Ariz.), Mary Jo Kilroy (Ohio), and Vic Snyder (Ark.). Sen. John McCain (R-Ariz.) carried four of the five seats and Kilroy's 15th district -- even though it went for President Obama by nine -- is seen by Republicans as one of their best pickup chances in the country thanks to the candidacy of state Sen. Steve Stivers. Honorable mentions: Reps. Steve Driehaus (D-Ohio,), Joseph Cao (R-La.) and Ann Kirkpatrick (D-Ariz.). 2. The five