After spending 2009 emphasizing that a healthcare overhaul was his top domestic priority, President Obama gave it much less prominence in his State of the Union address Wednesdaythe New York Times reports. In the last week, Democrats have debated among themselves how to salvage the legislation. Speaker Nancy Pelosi suggested that the Senate would have to take the next step and make substantial changes in its bill before the House would act again. Senate aides said the changes recommended by Pelosi could add $300 billion to the cost of the legislation, the Times reports.