10/19/09 HC Reform Update by Mark Sanna: As she pulls together a health care bill, Speaker Nancy Pelosi has been exceedingly direct, lawmakers say, asking them explicitly Across the Rotunda, Senator Harry Reed, the majority leader, is trying a different tack, acting like what one participant in closed-door sessions described as a coach, urging key chairmen not to get bogged down in pride of authorship and to keep their eyes on the legislative ball.