The final vote was 220-195 and only Republican crossed sides and voted for the healthcare bill. That Republican is Rep. Joseph Cao(R-LA-2) and he is this week's Backbencher of the Week. Cao represents the heavily Democratic district in New Orleans and won his seat because the incumbent was convicted felon William "Dollar Bill" Jefferson.
Since Obama carried the district with about 75% of the vote there is to be sure a certain amount of political self-preservation. However there certainly a number of Democrats who thought the political self-preservation meant they needed to vote they other way. Besides, every vote a Congressman takes contains a bit of self preservation.
For be willing to vote against his party, and on the right side of history, we award this week's Backbencher of the Week to Joseph Cao.