The only Republican to vote for the House Democrats' health care reform bill said he voted his conscience, putting aside concerns about the cost in hopes of providing health care access to all Americans. Rep. Anh "Joseph" Cao of Louisiana said he cast "a very difficult vote" on Saturday, when the House passed the bill 220-215, just over the 218 required for passage. "But at the end of the day I have to vote on the needs of my district down here in New Orleans and vote according to my conscience," Mr. Cao said in an inte