Sounds like an adventure novel title.
Normally this would be a sign that HHS Secretary Kathleen Sebelius would be out the door before Friday:
White House press secretary Jay Carney said Tuesday that President Obama still trusts Sebelius’s stewardship of his signature legislative achievement.
“The secretary does have the full confidence of the president,” Carney said during his daily press briefing.
…but as Instapundit has pointed out, Obama maybe doesn’t quite dare. Let’s just say that the President doesn’t have a problem with making a decision when it comes to a conflict between his own interests and the country’s interests, and leave it at that.