THE WHITE HOUSE Office of the Press Secretary _______________________________________________________________________________________ FOR IMMEDIATE RELEASE
September 9, 2009
Below is the text of the letter from Senator Edward M. Kennedy referenced by the President in tonight's address to a Joint Session of Congress.
May 12, 2009
Dear Mr. President,
I wanted to write a few final words to you to express my gratitude for your repeated personal kindnesses to me - and one last time, to salute your leadership in giving our country back its future and its truth. On a personal level, you and Michelle reached out to Vicki, to our family and me in so many different ways. You helped to make these difficult months a happy time in my life. You also made it a time of hope for me and for our country.
When I thought of all the years, all the battles, and all the memories of my long public life, I felt confident in these closing days that while I will not be there when it happens, you will be the President who at long last signs into law the health care reform that is the great unfinished business of our society.
For me, this cause stretched across decades; it has been disappointed, but never finally defeated. It was the cause of my life. And in the past year, the prospect of victory sustained me-and the work of achieving it summoned my energy and determination. There will be struggles - there always have been - and they are already underway again.
But as we moved forward in these months, I learned that you will not yield to calls to retreat - that you will stay with the cause until it is won. I saw your conviction that the time is now and witnessed your unwavering commitment and understanding that health care is a decisive issue for our future prosperity. But you have also reminded all of us that it concerns more than material things; that what we face is above all a moral issue; that at stake are not just the details of policy, but fundamental principles of social justice and the character of our country.
And so because of your vision and resolve, I came to believe that soon, very soon, affordable health coverage will be available to all, in an America where the state of a family's health will never again depend on the amount of a family's wealth. And while I will not see the victory, I was able to look forward and know that we will - yes, we will - fulfill the promise of health care in America as a right and not a privilege.
In closing, let me say again how proud I was to be part of your campaign- and proud as well to play a part in the early months of a new era of high purpose and achievement. I entered public life with a young President who inspired a generation and the world. It gives me great hope that as I leave, another young President inspires another generation and once more on America's behalf inspires the entire world.
So, I wrote this to thank you one last time as a friend- and to stand with you one last time for change and the America we can become. At the Denver Convention where you were nominated, I said the dream lives on. And I finished this letter with unshakable faith that the dream will be fulfilled for this generation, and preserved and enlarged for generations to come.
With deep respect and abiding affection,
Ted
THE WHITE HOUSE
Office of the Press Secretary ___________________________________________________________________________ For Immediate Release September 8, 2009
REMARKS BY THE PRESIDENT IN A NATIONAL ADDRESS TO AMERICA'S SCHOOLCHILDREN
Wakefield High School Arlington, Virginia
12:06 P.M. EDT
THE PRESIDENT: Hello, everybody! Thank you. Thank you. Thank you, everybody. All right, everybody go ahead and have a seat. How is everybody doing today? (Applause.) How about Tim Spicer? (Applause.) I am here with students at Wakefield High School in Arlington, Virginia. And we've got students tuning in from all across America, from kindergarten through 12th grade. And I am just so glad that all could join us today. And I want to thank Wakefield for being such an outstanding host. Give yourselves a big round of applause. (Applause.)
I know that for many of you, today is the first day of school. And for those of you in kindergarten, or starting middle or high school, it's your first day in a new school, so it's understandable if you're a little nervous. I imagine there are some seniors out there who are feeling pretty good right now -- (applause) -- with just one more year to go. And no matter what grade you're in, some of you are probably wishing it were still summer and you could've stayed in bed just a little bit longer this morning.
I know that feeling. When I was young, my family lived overseas. I lived in Indonesia for a few years. And my mother, she didn't have the money to send me where all the American kids went to school, but she thought it was important for me to keep up with an American education. So she decided to teach me extra lessons herself, Monday through Friday. But because she had to go to work, the only time she could do it was at 4:30 in the morning.
Now, as you might imagine, I wasn't too happy about getting up that early. And a lot of times, I'd fall asleep right there at the kitchen table. But whenever I'd complain, my mother would just give me one of those looks and she'd say, "This is no picnic for me either, buster." (Laughter.)
So I know that some of you are still adjusting to being back at school. But I'm here today because I have something important to discuss with you. I'm here because I want to talk with you about your education and what's expected of all of you in this new school year.
Now, I've given a lot of speeches about education. And I've talked about responsibility a lot.
I've talked about teachers' responsibility for inspiring students and pushing you to learn.
I've talked about your parents' responsibility for making sure you stay on track, and you get your homework done, and don't spend every waking hour in front of the TV or with the Xbox.
I've talked a lot about your government's responsibility for setting high standards, and supporting teachers and principals, and turning around schools that aren't working, where students aren't getting the opportunities that they deserve.
But at the end of the day, we can have the most dedicated teachers, the most supportive parents, the best schools in the world -- and none of it will make a difference, none of it will matter unless all of you fulfill your responsibilities, unless you show up to those schools, unless you pay attention to those teachers, unless you listen to your parents and grandparents and other adults and put in the hard work it takes to succeed. That's what I want to focus on today: the responsibility each of you has for your education.
I want to start with the responsibility you have to yourself. Every single one of you has something that you're good at. Every single one of you has something to offer. And you have a responsibility to yourself to discover what that is. That's the opportunity an education can provide.
Maybe you could be a great writer -- maybe even good enough to write a book or articles in a newspaper -- but you might not know it until you write that English paper -- that English class paper that's assigned to you. Maybe you could be an innovator or an inventor -- maybe even good enough to come up with the next iPhone or the new medicine or vaccine -- but you might not know it until you do your project for your science class. Maybe you could be a mayor or a senator or a Supreme Court justice -- but you might not know that until you join student government or the debate team.
And no matter what you want to do with your life, I guarantee that you'll need an education to do it. You want to be a doctor, or a teacher, or a police officer? You want to be a nurse or an architect, a lawyer or a member of our military? You're going to need a good education for every single one of those careers. You cannot drop out of school and just drop into a good job. You've got to train for it and work for it and learn for it.
And this isn't just important for your own life and your own future. What you make of your education will decide nothing less than the future of this country. The future of America depends on you. What you're learning in school today will determine whether we as a nation can meet our greatest challenges in the future.
You'll need the knowledge and problem-solving skills you learn in science and math to cure diseases like cancer and AIDS, and to develop new energy technologies and protect our environment. You'll need the insights and critical-thinking skills you gain in history and social studies to fight poverty and homelessness, crime and discrimination, and make our nation more fair and more free. You'll need the creativity and ingenuity you develop in all your classes to build new companies that will create new jobs and boost our economy.
We need every single one of you to develop your talents and your skills and your intellect so you can help us old folks solve our most difficult problems. If you don't do that -- if you quit on school -- you're not just quitting on yourself, you're quitting on your country.
Now, I know it's not always easy to do well in school. I know a lot of you have challenges in your lives right now that can make it hard to focus on your schoolwork.
I get it. I know what it's like. My father left my family when I was two years old, and I was raised by a single mom who had to work and who struggled at times to pay the bills and wasn't always able to give us the things that other kids had. There were times when I missed having a father in my life. There were times when I was lonely and I felt like I didn't fit in.
So I wasn't always as focused as I should have been on school, and I did some things I'm not proud of, and I got in more trouble than I should have. And my life could have easily taken a turn for the worse.
But I was -- I was lucky. I got a lot of second chances, and I had the opportunity to go to college and law school and follow my dreams. My wife, our First Lady Michelle Obama, she has a similar story. Neither of her parents had gone to college, and they didn't have a lot of money. But they worked hard, and she worked hard, so that she could go to the best schools in this country.
Some of you might not have those advantages. Maybe you don't have adults in your life who give you the support that you need. Maybe someone in your family has lost their job and there's not enough money to go around. Maybe you live in a neighborhood where you don't feel safe, or have friends who are pressuring you to do things you know aren't right.
But at the end of the day, the circumstances of your life -- what you look like, where you come from, how much money you have, what you've got going on at home -- none of that is an excuse for neglecting your homework or having a bad attitude in school. That's no excuse for talking back to your teacher, or cutting class, or dropping out of school. There is no excuse for not trying.
Where you are right now doesn't have to determine where you'll end up. No one's written your destiny for you, because here in America, you write your own destiny. You make your own future.
That's what young people like you are doing every day, all across America.
Young people like Jazmin Perez, from Roma, Texas. Jazmin didn't speak English when she first started school. Neither of her parents had gone to college. But she worked hard, earned good grades, and got a scholarship to Brown University -- is now in graduate school, studying public health, on her way to becoming Dr. Jazmin Perez.
I'm thinking about Andoni Schultz, from Los Altos, California, who's fought brain cancer since he was three. He's had to endure all sorts of treatments and surgeries, one of which affected his memory, so it took him much longer -- hundreds of extra hours -- to do his schoolwork. But he never fell behind. He's headed to college this fall.
And then there's Shantell Steve, from my hometown of Chicago, Illinois. Even when bouncing from foster home to foster home in the toughest neighborhoods in the city, she managed to get a job at a local health care center, start a program to keep young people out of gangs, and she's on track to graduate high school with honors and go on to college.
And Jazmin, Andoni, and Shantell aren't any different from any of you. They face challenges in their lives just like you do. In some cases they've got it a lot worse off than many of you. But they refused to give up. They chose to take responsibility for their lives, for their education, and set goals for themselves. And I expect all of you to do the same.
That's why today I'm calling on each of you to set your own goals for your education -- and do everything you can to meet them. Your goal can be something as simple as doing all your homework, paying attention in class, or spending some time each day reading a book. Maybe you'll decide to get involved in an extracurricular activity, or volunteer in your community. Maybe you'll decide to stand up for kids who are being teased or bullied because of who they are or how they look, because you believe, like I do, that all young people deserve a safe environment to study and learn. Maybe you'll decide to take better care of yourself so you can be more ready to learn. And along those lines, by the way, I hope all of you are washing your hands a lot, and that you stay home from school when you don't feel well, so we can keep people from getting the flu this fall and winter.
But whatever you resolve to do, I want you to commit to it. I want you to really work at it.
I know that sometimes you get that sense from TV that you can be rich and successful without any hard work -- that your ticket to success is through rapping or basketball or being a reality TV star. Chances are you're not going to be any of those things.
The truth is, being successful is hard. You won't love every subject that you study. You won't click with every teacher that you have. Not every homework assignment will seem completely relevant to your life right at this minute. And you won't necessarily succeed at everything the first time you try.
That's okay. Some of the most successful people in the world are the ones who've had the most failures. J.K. Rowling's -- who wrote Harry Potter -- her first Harry Potter book was rejected 12 times before it was finally published. Michael Jordan was cut from his high school basketball team. He lost hundreds of games and missed thousands of shots during his career. But he once said, "I have failed over and over and over again in my life. And that's why I succeed."
These people succeeded because they understood that you can't let your failures define you -- you have to let your failures teach you. You have to let them show you what to do differently the next time. So if you get into trouble, that doesn't mean you're a troublemaker, it means you need to try harder to act right. If you get a bad grade, that doesn't mean you're stupid, it just means you need to spend more time studying.
No one's born being good at all things. You become good at things through hard work. You're not a varsity athlete the first time you play a new sport. You don't hit every note the first time you sing a song. You've got to practice. The same principle applies to your schoolwork. You might have to do a math problem a few times before you get it right. You might have to read something a few times before you understand it. You definitely have to do a few drafts of a paper before it's good enough to hand in.
Don't be afraid to ask questions. Don't be afraid to ask for help when you need it. I do that every day. Asking for help isn't a sign of weakness, it's a sign of strength because it shows you have the courage to admit when you don't know something, and that then allows you to learn something new. So find an adult that you trust -- a parent, a grandparent or teacher, a coach or a counselor -- and ask them to help you stay on track to meet your goals.
And even when you're struggling, even when you're discouraged, and you feel like other people have given up on you, don't ever give up on yourself, because when you give up on yourself, you give up on your country.
The story of America isn't about people who quit when things got tough. It's about people who kept going, who tried harder, who loved their country too much to do anything less than their best.
It's the story of students who sat where you sit 250 years ago, and went on to wage a revolution and they founded this nation. Young people. Students who sat where you sit 75 years ago who overcame a Depression and won a world war; who fought for civil rights and put a man on the moon. Students who sat where you sit 20 years ago who founded Google and Twitter and Facebook and changed the way we communicate with each other.
So today, I want to ask all of you, what's your contribution going to be? What problems are you going to solve? What discoveries will you make? What will a President who comes here in 20 or 50 or 100 years say about what all of you did for this country?
Now, your families, your teachers, and I are doing everything we can to make sure you have the education you need to answer these questions. I'm working hard to fix up your classrooms and get you the books and the equipment and the computers you need to learn. But you've got to do your part, too. So I expect all of you to get serious this year. I expect you to put your best effort into everything you do. I expect great things from each of you. So don't let us down. Don't let your family down or your country down. Most of all, don't let yourself down. Make us all proud.
Thank you very much, everybody. God bless you. God bless America. Thank you. (Applause.)
END 12:22 P.M. EDT
March For Healthcare - Global
Organize a march on September 13th across the USA.
Every city in the country needs you to come out on that day and March For Healthcare.
If there are a million of you out there then we can make our voices heard.
Let's March!!!
Contact Info Email:
Website: http://www.marchforhealthcare.com
Let's go change the world...
It's time for Health Insurance Reform!
WEDNESDAY, JULY 29TH, 2009 AT 5:59 PM
The President Highlights Health Insurance Consumer Protections
Posted by Katherine Brandon
Speaking to North Carolinians at a town hall in Raleigh, the President made clear why health reform will benefit all American: "if you’ve got health insurance, then the reform we’re proposing will also help you because it will provide you more stability and more security. Because the truth is we have a system today that works well for the insurance industry, but it doesn’t work well for you." We all know the horror stories, which is why the health insurance consumer protections that are part of reform are so important.
At the town hall, the President outlined these core principles: Let me be specific. We will stop insurance companies from denying you coverage because of your medical history. (Applause.) I've told this story before -- I will never forget watching my own mother, as she fought cancer in her final days, worrying about whether her insurer would claim her illness was a preexisting condition so they could wiggle out of paying for her coverage. How many of you have worried about the same thing? (Applause.) A lot of people have gone through this. Many of you have been denied insurance or heard of someone who was denied insurance because they got -- had a preexisting condition. That will no longer be allowed with reform. (Applause.) We won't allow that. (Applause.) We won't allow that.
With reform, insurance companies will have to abide by a yearly cap on how much you can be charged for your out-of-pocket expenses. No one in America should go broke because of an illness. (Applause.) We will require insurance companies to cover routine checkups and preventive care, like mammograms and colonoscopies -- (applause) -- eye and foot exams for diabetics, so we can avoid chronic illnesses that cost not only lives, but money. (Applause.) No longer will insurance companies be allowed to drop or water down coverage for someone who's become seriously ill. That's not right, it's not fair. (Applause.)
We will stop insurance companies from placing arbitrary caps on the coverage you can receive in a given year or in a lifetime. (Applause.) So my point is, whether or not you have health insurance right now, the reforms we seek will bring stability and security that you don't have today -- reforms that will become more urgent and more urgent with each passing year. So, in the end, the debate about reform boils down to a choice between two approaches. The first is projected to double your health care costs over the next decade, make millions more Americans uninsured, bankrupt state and federal governments, and allow insurance companies to run roughshod over consumers. That's one option. That's called the status quo. That's what we have right now. I want everybody to understand this. If we do nothing, I can almost guarantee you your premiums will double over the next 10 years because that's what they did over the last 10 years. It will go up three times faster than your wages, so a bigger and bigger chunk of your paycheck will be going into health insurance. It will eat into the possibility of you getting a raise on your job because your employer is going to be looking and saying, I can't afford to give you a raise because my health care costs just went up 10, 20, 30 percent. And Medicare, which seniors rely on, is going to become more and more vulnerable. On current projections, Medicare will be in the red in less than 10 years. So that's the status quo. When everybody goes around saying, why is Obama taking on health care -- that's the answer. That's one option. I don't like that option. You shouldn't either. (Applause.) That plan doesn't sound too good. That's the health care system we have right now. You can read more about the President’s eight health insurance consumer protections here, and figure out how reform will directly affect you and your family.
download .mp4 (89.5 MB) | read the transcript
This afternoon the President continued his conversation on health reform with a roundtable at the Children's National Medical Center, a conversation that has taken him to every region of the country and encompassed every imaginable perspective on health care reform. It has been a conversation that has brought more people and more stakeholders into the fold supporting strong reform than ever before, and taken us further down that road than ever before. And so it is no surprise, perhaps, that those who feel they would profit financially or politically have come out swinging furiously to try to kill reform.
Surrounded by those who heroically do everything they can to help the young and the ill, today the President made clear that whereas those special interests and their voices in Congress have stopped change in the past, they would not win this time: And over the past decade, premiums have doubled in America; out-of-pocket costs have shot up by a third; deductibles have continued to climb. And yet, even as America's families have been battered by spiraling health care costs, health insurance companies and their executives have reaped windfall profits from a broken system. Now, we've talked this problem to death, year after year. But unless we act -- and act now -- none of this will change.
Just a quick statistic I heard about this hospital: Just a few years ago, there were approximately 50,000 people coming into the emergency room. Now they've got 85,000. There's been almost a doubling of emergency room care in a relatively short span of time, which is putting enormous strains on the system as a whole. That's the status quo, and it's only going to get worse.
If we do nothing, then families will spend more and more of their income for less and less care. The number of people who lose their insurance because they've lost or changed jobs will continue to grow. More children will be denied coverage on account of asthma or a heart condition. Jobs will be lost, take-home pay will be lower, businesses will shutter, and we will continue to waste hundreds of billions of dollars on insurance company boondoggles and inefficiencies that add to our financial burdens without making us any healthier. So the need for reform is urgent and it is indisputable. No one denies that we're on an unsustainable path. We all know there are more efficient ways of doing it. We just -- I spoke to the chief information officer here at the hospital and he talked about some wonderful ways in which we could potentially gather up electronic medical records and information for every child not just that comes to this hospital but in the entire region, and how much money could be saved and how the health of these kids could be improved. But it requires an investment.
Now, there are some in this town who are content to perpetuate the status quo, are in fact fighting reform on behalf of powerful special interests. There are others who recognize the problem, but believe -- or perhaps, hope -- that we can put off the hard work of insurance reform for another day, another year, another decade. Just the other day, one Republican senator said -- and I'm quoting him now -- "If we're able to stop Obama on this, it will be his Waterloo. It will break him."
Think about that. This isn't about me. This isn't about politics. This is about a health care system that is breaking America's families, breaking America's businesses, and breaking America's economy. And we can't afford the politics of delay and defeat when it comes to health care. Not this time. Not now. There are too many lives and livelihoods at stake. There are too many families who will be crushed if insurance premiums continue to rise three times as fast as wages. There are too many businesses that will be forced to shed workers, scale back benefits, or drop coverage unless we get spiraling health care costs under control. (President Barack Obama roundtable with health care providers at Children's Hospital, July 20, 2009. Official White House Photograph by Pete Souza)
TUESDAY, JULY 14TH, 2009 AT 5:52 PM
Investing in Education: The American Graduation Initiative Posted by Katherine Brandon
As part of his effort to build a stronger foundation that will allow us to lead in the global economy, the President announced today a historic initiative to strengthen our nation’s community colleges, and called for five million additional graduates by 2020. Speaking at Macomb Community College in Michigan, the President stressed the importance of education to America’s prosperity: But we also have to ensure that we're educating and preparing our people for the new jobs of the 21st century. We've got to prepare our people with the skills they need to compete in this global economy. (Applause.) Time and again, when we placed our bet for the future on education, we have prospered as a result -- by tapping the incredible innovative and generative potential of a skilled American workforce. That's what happened when President Lincoln signed into law legislation creating the land grant colleges, which not only transformed higher education, but also our entire economy. That's what took place when President Roosevelt signed the GI Bill which helped educate a generation, and ushered in an era of unprecedented prosperity. That was the foundation for the American middle class. (President Barack Obama greets the crowd at Macomb Community College in Warren, Mich., Tuesday, July 14, 2009. Official White House Photo by Lawrence Jackson) Yesterday, we told you about the Council of Economic Advisers’ report about the future of the U.S. labor market. The report described a shift towards jobs that require greater analytical and interactive skills, and the benefits of higher education. It is expected that jobs requiring at least an associate degree will grow twice as fast as jobs requiring only a high school education. The President understands that education is fundamental to reviving our economy and strengthening our workforce, which is why he is committed to increasing graduation rates, and has asked every American to commit to at least one year of higher education: But today I'm announcing the most significant down payment yet on reaching the goal of having the highest college graduation rate of any nation in the world. We're going to achieve this in the next 10 years. (Applause.) And it's called the American Graduation Initiative. It will reform and strengthen community colleges like this one from coast to coast so they get the resources that students and schools need -- and the results workers and businesses demand. Through this plan, we seek to help an additional 5 million Americans earn degrees and certificates in the next decade -- 5 million. (Applause.) You may remember Dr. Biden recently spoke about the critical role of community colleges in our higher education system. Community colleges are rapidly growing, and are needed now more than ever to keep America competitive. The American Graduation Initiative will build on the strengths of community colleges and launch new initiatives and reforms that will increase their effectiveness and impact by figuring out what works and what doesn't, modernize facilities, increase graduation rates, and expand and create new online learning opportunities.
« What Obama just said and meant about Iran and democratic protests | Main
The journey of fatherhood provides unique and lasting joys. Cradling a baby in his arms, a father experiences the miracle of life and an unbreakable bond. Fathers imagine a world of possibilities awaiting their children and contemplate the privilege of helping them reach that expanse of opportunity.
As kids grow and mature, they look to their dad for a special kind of love and support. Providing these necessities can bring great happiness.
Fatherhood also brings great responsibilities. Fathers have an obligation to help rear the children they bring into the world. Children deserve this care, and families need each father's active participation.Fathers must help teach right from wrong and instill in their kids the values that sustain them for a lifetime.
As they encounter new and challenging experiences, children need guidance and counsel. Fathers need to talk with their kids to help them through difficult times. Parents must also help their children make the right choices by serving as strong role models. Honest and hard-working fathers are an irreplaceable influence upon their children.
Communities must do more to counsel fathers. Family and friends, and faith-based and community organizations, can speak directly with men about the sacrifices and rewards of having a child. These groups can support men as they take on the great challenges of child-rearing.
Through honest and open dialogue, more men can choose to become model parents and know the wonders of fatherhood.
On Father's Day, we pay tribute to the loving and caring fathers who are strengthening their families and country.
We also honor those surrogate fathers who raise, mentor, or care for someone else's child. Thousands of young children benefit from the influence of great men, and we salute their willingness to give and continue giving.
We also express special gratitude to fathers who serve in the United States Armed Forces for the sacrifices they and their families make every day.
All of these individuals are making great contributions, and children across the country are better off for their care.NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, in accordance with a joint resolution of the Congress approved April 24, 1972, as amended (36 U.S.C. 109), do hereby proclaim June 21, 2009, as Father's Day.
I direct the appropriate officials of the Government to display the flag of the United States on all Government buildings on this day. I urge all Americans to express their love, respect, and admiration to their fathers, and I call upon all citizens to observe this day with appropriate programs, ceremonies, and activities.
IN WITNESS WHEREOF, I have hereunto set my hand this eighteenth day of June, in the year of our Lord two thousand nine, and of the Independence of the United States of America the two hundred and thirty-third.
/s/ BARACK OBAMA
Remembering What Makes a Good Father
Words from Barack Obama
Father's Day 2007:
"Let's admit to ourselves that there are a lot of men out there that need to stop acting like boys;
who need to realize that responsibility does not end at conception;
who need to know that what makes you a man is not the ability to have a child but the courage to raise a child."
Father's Day 2008:
"Any fool can have a child. That doesn't make you a father.
It's the courage to raise a child that makes you a father."
Father's Day 2009:
"We need to step out of our own heads and tune in.
We need to turn off the television and start talking with our kids, and listening to them, and understanding what's going on in their lives."
THE BRIEFING ROOM • THE BLOG SUBSCRIBE MONDAY, JUNE 15TH, 2009 AT 4:19 PM
Why Reform, Why Now Posted by Jesse Lee
This afternoon the President gave a landmark, sweeping speech on health care reform to the American Medical Association in Chicago. More so than at any time before, he explained his vision for comprehensive reform that addresses every weak point in our health care system. It is a vision that implements best practices that have allowed some towns and companies to cut costs by as much as half compared to others. It is a vision that makes sure everybody has access to quality, affordable coverage, whether your family hits a rough patch or you have a pre-existing condition. It is a vision in which patients’ and doctors’ interests are aligned. And it is a vision where Americans’ choices of doctors and coverage are maintained, and they also have a choice of a public option that can help keep private insurers honest. It is a vision that focuses on prevention, making sure Americans stay healthy throughout their lives. It is well worth the while to read through the entire speech, but here are a few key excerpts, including some key points you may not have heard before:
On the costs of inaction: If we fail to act -- (applause) -- if we fail to act -- and you know this because you see it in your own individual practices -- if we fail to act, premiums will climb higher, benefits will erode further, the rolls of the uninsured will swell to include millions more Americans -- all of which will affect your practice.
If we fail to act, one out of every five dollars we earn will be spent on health care within a decade. And in 30 years, it will be about one out of every three -- a trend that will mean lost jobs, lower take-home pay, shuttered businesses, and a lower standard of living for all Americans. And if we fail to act, federal spending on Medicaid and Medicare will grow over the coming decades by an amount almost equal to the amount our government currently spends on our nation's defense. It will, in fact, eventually grow larger than what our government spends on anything else today. It's a scenario that will swamp our federal and state budgets, and impose a vicious choice of either unprecedented tax hikes, or overwhelming deficits, or drastic cuts in our federal and state budgets. So to say it as plainly as I can, health care is the single most important thing we can do for America's long-term fiscal health. That is a fact. That's a fact. (Applause.)
On incentives for doctors: There are two main reasons for this. The first is a system of incentives where the more tests and services are provided, the more money we pay. And a lot of people in this room know what I'm talking about. It's a model that rewards the quantity of care rather than the quality of care; that pushes you, the doctor, to see more and more patients even if you can't spend much time with each, and gives you every incentive to order that extra MRI or EKG, even if it's not necessary. It's a model that has taken the pursuit of medicine from a profession -- a calling -- to a business. That's not why you became doctors. That's not why you put in all those hours in the Anatomy Suite or the O.R. That's not what brings you back to a patient's bedside to check in, or makes you call a loved one of a patient to say it will be fine. You didn't enter this profession to be bean-counters and paper-pushers. You entered this profession to be healers. (Applause.) And that's what our health care system should let you be. That's what this health care system should let you be. (Applause.) Now, that starts with reforming the way we compensate our providers -- doctors and hospitals. We need to bundle payments so you aren't paid for every single treatment you offer a patient with a chronic condition like diabetes, but instead paid well for how you treat the overall disease. We need to create incentives for physicians to team up, because we know that when that happens, it results in a healthier patient. We need to give doctors bonuses for good health outcomes, so we're not promoting just more treatment, but better care.
On making sure doctors and patients have all the right information: A recent study, for example, found that only half of all cardiac guidelines are based on scientific evidence -- half. That means doctors may be doing a bypass operation when placing a stent is equally effective; or placing a stent when adjusting a patient's drug and medical management is equally effective -- all of which drives up costs without improving a patient's health. So one thing we need to do is to figure out what works, and encourage rapid implementation of what works into your practices. That's why we're making a major investment in research to identify the best treatments for a variety of ailments and conditions. (Applause.)
On America’s relationship with doctors: But my signature on a bill is not enough. I need your help, doctors, because to most Americans you are the health care system. The fact is Americans -- and I include myself and Michelle and our kids in this -- we just do what you tell us to do. (Laughter.) That's what we do. We listen to you, we trust you. And that's why I will listen to you and work with you to pursue reform that works for you. (Applause.) Together, if we take all these steps, I am convinced we can bring spending down, bring quality up; we can save hundreds of billions of dollars on health care costs while making our health care system work better for patients and doctors alike. And when we align the interests of patients and doctors, then we're going to be in a good place.
On the Health Insurance Exchange and a public option: Now, if you don't like your health care coverage or you don't have any insurance at all, you'll have a chance, under what we've proposed, to take part in what we're calling a Health Insurance Exchange. This exchange will allow you to one-stop shop for a health care plan, compare benefits and prices, and choose a plan that's best for you and your family -- the same way, by the way, that federal employees can do, from a postal worker to a member of Congress. (Applause.) You will have your choice of a number of plans that offer a few different packages, but every plan would offer an affordable, basic package. Again, this is for people who aren't happy with their current plan. If you like what you're getting, keep it. Nobody is forcing you to shift. But if you're not, this gives you some new options. And I believe one of these options needs to be a public option that will give people a broader range of choices -- (applause) -- and inject competition into the health care market so that force -- so that we can force waste out of the system and keep the insurance companies honest. (Applause.)
Now, I know that there's some concern about a public option. Even within this organization there's healthy debate about it. In particular, I understand that you're concerned that today's Medicare rates, which many of you already feel are too low, will be applied broadly in a way that means our cost savings are coming off your backs. And these are legitimate concerns, but they're ones, I believe, that can be overcome. As I stated earlier, the reforms we propose to reimbursement are to reward best practices, focus on patient care, not on the current piecework reimbursements. What we seek is more stability and a health care system that's on a sounder financial footing. And the fact is these reforms need to take place regardless of whether there's a public option or not. With reform, we will ensure that you are being reimbursed in a thoughtful way that's tied to patient outcomes, instead of relying on yearly negotiations about the Sustainable Growth Rate formula that's based on politics and the immediate state of the federal budget in any given year. (Applause.)
And I just want to point out the alternative to such reform is a world where health care costs grow at an unsustainable rate. And if you don't think that's going to threaten your reimbursements and the stability of our health care system, you haven't been paying attention. So the public option is not your enemy; it is your friend, I believe. Perhaps the most rousing moment of the speech came about half way through, as he stated the underlying moral basis for health reform: We are not a nation that accepts nearly 46 million uninsured men, women and children. (Applause.) We are not a nation that lets hardworking families go without coverage, or turns its back on those in need. We're a nation that cares for its citizens. We look out for one another. That's what makes us the United States of America. We need to get this done. (Applause.)
Doctors are on the front lines of the country’s health care crisis and see firsthand every day why Americans are demanding reform. That’s why on Wednesday, White House Director of Health Reform Nancy-Ann DeParle hosted the latest in a series of White House Stakeholder Discussions with doctors from around the country.
President Obama's Saturday address to the American people caps a week which saw major health care players, from providers to payers, meet face-to-face at the White House to work out ways to cut more than $2 trillion from the nation's health care costs.
The current health care system does not work for women. On Wednesday, Secretary Sebelius met with women small-business owners at a knitting shop in Washington D.C. to discuss health reform.
A Discussion with President Obama: The President held a meeting in the Roosevelt Room on May 12, 2009 with employers to discuss innovative workplace practices to improve the health of workers and reduce the rising rate of health care spending.
Many Americans are struggling to make ends meet as the cost of care goes up while others face losing insurance as businesses struggle to cover employees.
Dear Friend,
Last week was National Small Business week, and I would like to talk about a top concern of those Americans that run and work in these companies: health care. Read more
President Obama is committed to enacting comprehensive health reform this year that lowers costs, guarantees choice of doctors and plans, and assures quality affordable health care for all Americans.
Read more about recent events supporting this commitment.
View Report | Printable PDF | Watch Secretary Sebelius Discuss the Report
View Hard Times in the Heartland Report | View Bottom Line Report | View Costs of Inaction
Weekly Video Posted May 29
Archived Weekly Updates |
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We want to hear what you think about health reform. Send us your story, proposals and ideas.
The recommendations from more than 3,200 Health Care Community Discussions were systematically analyzed to compile the report, Americans Speak on Health Reform.
View Report
Printable PDF
Read a Sample Report From Your State
The Innovations Gallery celebrates the innovators and innovations who are championing the President’s vision of more effective and open government. HealthReform.gov was recognized by www.WhiteHouse.gov for allowing Americans to take part personally in the health reform process.
Watch Video
President Obama brought together leaders with diverse views at the White House Forum on Health Reform. The White House issued a report highlighting the productive discussions from the event.
Read the White House Forum on Health Reform Report (PDF)
Read Director of the White House Office of Health Reform Nancy-Ann DeParle’s blog post
The President’s 2010 Budget lays the groundwork for reform of the American health care system, most notably by setting aside a deficit-neutral reserve fund of $635 billion over 10 years to help finance reform of our health care system to bring down costs, expand coverage, and improve quality.
Read more about the President’s 2010 Budget and health reform
Over the past ten years, which has increased faster: the average cost of a home, or spending on health insurance premiums?
Check Out The Answer
Thursday, May 28, 2009
“Health Bill Would Fix What’s Broken”
Today, Senator Ted Kennedy wrote an Op-Ed in the Boston Globe, underscoring the need for health reform this year. In the piece, Senator Kennedy shares how his recent battle with cancer has given him extra incentive to ‘fix what’s broken’ in the health care system. Senator Kennedy outlines some of the key principles of what he and President Obama seek in a health reform bill.
Read Excerpt
Tuesday, May 26, 2009
More Small Firms Drop Health Care
Rising health care premiums and sharp declines in revenue from the recession are forcing some small businesses to choose between dropping health insurance or laying off workers – or staying in business at all. A recent Wall Street Journal article highlights the struggles small business owners face from rising health care costs.
“Time is Now to Fix Health Care”
On Sunday, the Dubuque Telegraph-Herald published an editorial, urging Congress to pass health reform this year. The Herald-Telegraph pointed at the increasing percentage of uninsured Americans and the increasing price of prescription drugs as two of the most pressing reasons to reform health care.
Thursday, May 21, 2009
America cannot afford to wait
Americans across the country realize that the health care status quo is unsustainable. However, nurses are on the frontlines of health care. Today, Margaret Drugay, a nurse from Arizona writes an opinion piece in the Arizona Daily Star, appropriately stating that “America cannot afford to wait.”
Read more
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Obama for America Post from Obama for America:
President Obama's Call from Air Force One By Christopher Hass - May 30th, 2009 at 7:46 am EDTOn Thursday, President Obama took time to speak by phone with thousands of Organizing for America volunteers about the urgent need to organize for health care reform.
“If we don’t get it done this year, we’re not going to get it done,” the President said.
He stressed that health care reform will only become a reality if grassroots supporters mobilize support for it in every community in America. The fight over health care reform, he noted, offers a "big chance to prove that the movement that started during the campaign isn’t over.”
Also speaking on the call was David Plouffe, OFA Director Mitch Stewart, OFA Deputy Director Jeremy Bird, OFA New Media Director Natalie Foster and OFA volunteer Diane Robertson, who offered her advice on how to organize support in your community.
The fight over health care reform begins in your neighborhood June 6th. Sign up to host or attend a kickoff event in your area.
Thursday, April 23, 2009
Recovery.gov
US Secretary of Labor Hilda L. Solis testifies before Senate HELP Committee on green job skills training Accountability and Transparency -
This is your money. You have a right to know where it's going and how it's being spent.
Learn what steps we're taking to conduct oversight of funds distributed under this law in order to prevent fraud, waste and abuse.
Share your Story - Tell us how the Recovery Act is affecting you. What's working? What isn't? We want to hear from you.
State Progress and Resources -
Curious about the recovery progress in your state?
Learn more about statewide recovery efforts here.
Agency Progress and Resources - We're bringing transparency and accountability to all areas of government. Learn about Recovery investments and grant programs at government agencies and departments.
US Secretary of Labor Hilda L. Solis testifies before Senate HELP Committee on green job skills training Tuesday, April 21, 2009
Secretary Solis testified before the U.S. Senate Committee on Health, Education, Labor and Pensions regarding green jobs skills training for workers.
Solis stated the promise of green jobs is not only to help re-start the economy and put Americans back to work, but also to help make America more energy independent.
DOL is developing plans for use of Recovery Act funding for research, labor exchange and job training projects that prepare workers for careers in energy efficiency and renewable energy industries, and will soon issue solicitations for grant applications to be administered by ETA. The department has encouraged states to expand existing training programs that have the potential to prepare workers for careers in the renewable energy sectors and for other green jobs.
Read More @Recovery.gov
President Obama at The White House Easter Egg Roll
Stephen Crowley/The New York Times President Obama during the annual White House Easter Egg Roll on the South Lawn of the White House.
THE BRIEFING ROOM • THE BLOG Monday, April 13th, 2009 at 12:27 pm Egg Roll! If you have not been watching, be sure to check in on our coverage of the White House Easter Egg Roll. You can watch some of the best artists, story-tellers, chefs, and egg-rollers around on four separate live-streams, carrying on and expanding on the tradition established by President Bush. President Obama and the First Lady spoke to the happy crowd this morning: var params = { allowscriptaccess: "always", allowfullscreen: "true", wmode:"transparent"}; swfobject.embedSWF("http://www.youtube-nocookie.com/v/jxz0c8C8BI8&hl=en&fs=1&showinfo=0&showsearch=0", "flashcontent", "480", "295", "8", null, {}, params);
download .mp4 (24.8 Mb) | also available here
President Obama, joined by Congressional leaders and middle school students from the Washington, DC area, is currently calling to congratulate the astronauts on the International Space Station and the Space Shuttle Discovery on their successful ongoing mission. WhiteHouse.gov/live. UPDATE: The call has concluded.
TUE, MARCH 24, 8:58 AM EST
“A Time for Global Action”
With the G20 meeting approaching on April 2nd, this morning the President published a rare "simultaneous op-ed" in thirty papers around the world, calling for a collective effort to address the economic peril found in all corners of the globe. "The United States is ready to lead, and we call upon our partners to join us with a sense of urgency and common purpose," he writes. His op-ed appeared in the following publications: Al Watan (Gulf States), Arab Times (Gulf States), Asharq Al Awsat (Arab-wide paper in Arabic), The Australian (Australia), Bangkok Post (Thailand), Chicago Tribune (United States), Clarin (Argentina), Corriere della Sera (Italy), Die Welt (Germany), El Pais (Madrid), El Mercurio (Chile), Eleftyropiea (Greece), Estado de Sao Paulo (Brazil), Gulf News (Gulf States), The Hindustan Times/ The Hindu (India), International Herald Tribune (London), Kristeligt Dagblad (Denmark), Le Monde (Paris), Lidove Noviny (Czech), Los Angeles Times (United States), The News (Pakistan), NRC Handelsblad (Netherlands), Saudi Gazette (Saudi Arabia), South China Morning Post (Hong Kong), Straits Times (Singapore), Sunday Times (South Africa), Svenska Dagbladet (Sweden), Syndey Morning Herald (Australia), WProst (Poland), Yomiuri Shimbun (Japan) The President calls for a coordinated approach to three central issues, namely the need to "stimulate growth" (pointing to the Recovery Act as an example); the need to "restore the credit that businesses and consumers depend upon" including an "honest assessment of the balance sheets of our major banks" (pointing to the plans laid out yesterday); and extending "a hand to countries and people who face the greatest risk" to help emerging economies remain stable and avoid plunging the global economy into deeper trouble. The President closes with a broader vision: While these actions can help get us out of crisis, we cannot settle for a return to the status quo. We must put an end to the reckless speculation and spending beyond our means; to the bad credit, over-leveraged banks and absence of oversight that condemns us to bubbles that inevitably bust. Only coordinated international action can prevent the irresponsible risk-taking that caused this crisis. That is why I am committed to seizing this opportunity to advance comprehensive reforms of our regulatory and supervisory framework. All of our financial institutions -- on Wall Street and around the globe -- need strong oversight and common sense rules of the road. All markets should have standards for stability and a mechanism for disclosure. A strong framework of capital requirements should protect against future crises. We must crack down on offshore tax havens and money laundering. Rigorous transparency and accountability must check abuse, and the days of out-of-control compensation must end. Instead of patchwork efforts that enable a race to the bottom, we must provide the clear incentives for good behavior that foster a race to the top. I know that America bears our share of responsibility for the mess that we all face. But I also know that we need not choose between a chaotic and unforgiving capitalism and an oppressive government-run economy. That is a false choice that will not serve our people or any people.
THE BRIEFING ROOM • THE BLOG Friday, March 6th, 2009 at 8:13 pm
The First Lady at Miriam’s Kitchen
Yesterday Mrs. Obama served food at Miriam’s Kitchen, a local non-profit organization that provides healthy, nutritious meals to the homeless in Washington, D.C. Mrs. Obama discussed the need to support food banks and soup kitchens around the country given that things will get worse before they get better. (View full size) She said Miriam’s Kitchen "is an example of what we can do, as a country and as a community, to help folks when they’re down. We’re all going to need one another in these times. We’re going to need to keep lifting each other up, in prayer and in hope."
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HOPE
Hope is the thing with feathersThat perches in the soul,And sings the tune without the words,And never stops at all.- Emily Dickinson
