Thank you Ron Pollack and thank you Families USA for inviting me to speak here this morning.

On this January morning of two thousand and seven, more than sixty years after President Truman first issued the call for national health insurance, we find ourselves in the midst of an historic moment on health care. From Maine to California, from business to labor, from Democrats to Republicans, the emergence of new and bold proposals from across the spectrum has effectively ended the debate over whether or not we should have universal health care in this country.

Plans that tinker and halfway measures now belong to yesterday. The President's latest proposal that does little to bring down cost or guarantee coverage falls into this category. There will be many others offered in the coming campaign, and I am working with experts to develop my own plan as we speak, but let's make one thing clear right here, right now:

In the 2008 campaign, affordable, universal health care for every single American must not be a question of whether, it must be a question of how. We have the ideas, we have the resources, and we must find the will to pass a plan by the end of the next president's first term.

I know there's a cynicism out there about whether this can happen, and there's reason for it. Every four years, health care plans are offered up in campaigns with great fanfare and promise. But once those campaigns end, the plans collapse under the weight of Washington politics, leaving the rest of America to struggle with skyrocketing costs.

For too long, this debate has been stunted by what I call the smallness of our politics - the idea that there isn't much we can agree on or do about the major challenges facing our country. And when some try to propose something bold, the interests groups and the partisans treat it like a sporting event, with each side keeping score of who's up and who's down, using fear and divisiveness and other cheap tricks to win their argument, even if we lose our solution in the process.

Well we can't afford another disappointing charade in 2008. It's not only tiresome, it's wrong. Wrong when businesses have to layoff one employee because they can't afford the health care of another. Wrong when a parent cannot take a sick child to the doctor because they cannot afford the bill that comes with it. Wrong when 46 million Americans have no health care at all. In a country that spends more on health care than any other nation on Earth, it's just wrong.

And yet, in recent years, what's caught the attention of those who haven't always been in favor of reform is the realization that this crisis isn't just morally offensive, it's economically untenable. For years, the can't-do crowd has scared the American people into believing that universal health care would mean socialized medicine and burdensome taxes - that we should just stay out of the way and tinker at the margins.

You know the statistics. Family premiums are up by nearly 87% over the last five years, growing five times faster than workers' wages. Deductibles are up 50%. Co-payments for care and prescriptions are through the roof.

Nearly 11 million Americans who are already insured spent more than a quarter of their salary on health care last year. And over half of all family bankruptcies today are caused by medical bills.

But they say it's too costly to act.

Almost half of all small businesses no longer offer health care to their workers, and so many others have responded to rising costs by laying off workers or shutting their doors for good. Some of the biggest corporations in America, giants of industry like GM and Ford, are watching foreign competitors based in countries with universal health care run circles around them, with a GM car containing twice as much health care cost as a Japanese car.

But they say it's too risky to act.

They tell us it's too expensive to cover the uninsured, but they don't mention that every time an American without health insurance walks into an emergency room, we pay even more. Our family's premiums are $922 higher because of the cost of care for the uninsured.

We pay $15 billion more in taxes because of the cost of care for the uninsured. And it's trapped us in a vicious cycle. As the uninsured cause premiums to rise, more employers drop coverage. As more employers drop coverage, more people become uninsured, and premiums rise even further.

But the skeptics tell us that reform is too costly, too risky, too impossible for America.

Well the skeptics must be living somewhere else. Because when you see what the health care crisis is doing to our families, to our economy, to our country, you realize that caution is what's costly. Inaction is what's risky. Doing nothing is what's impossible when it comes to health care in America.

It's time to act. This isn't a problem of money, this is a problem of will. A failure of leadership. We already spend $2.2 trillion a year on health care in this country. My colleague, Senator Ron Wyden, who's recently developed a bold new health care plan of his own, tells it this way:

For the money Americans spent on health care last year, we could have hired a group of skilled physicians, paid each one of them $200,000 to care for just seven families, and guaranteed every single American quality, affordable health care.

So where's all that money going? We know that a quarter of it - one out of every four health care dollars - is spent on non-medical costs; mostly bills and paperwork. And we also know that this is completely unnecessary. Almost every other industry in the world has saved billions on these administrative costs by doing it all online. Every transaction you make at a bank now costs them less than a penny. Even at the Veterans Administration, where it used to cost nine dollars to pull up your medical record, new technology means you can call up the same record on the internet for next to nothing.

But because we haven't updated technology in the rest of the health care industry, a single transaction still costs up to twenty-five dollars - not one dime of which goes toward improving the quality of our health care.

This is simply inexcusable, and if we brought our entire health care system online, something everyone from Ted Kennedy to Newt Gingrich believes we should do, we'd already be saving over $600 million a year on health care costs.

The federal government should be leading the way here. If you do business with the federal employee health benefits program, you should move to an electronic claims system. If you are a provider who works with Medicare, you should have to report your patient's health outcomes, so that we can figure out, on a national level, how to improve health care quality. These are all things experts tell us must be done but aren't being done. And the federal government should lead.

Another, more controversial area we need to look at is how much of our health care spending is going toward the record-breaking profits earned by the drug and health care industry. It's perfectly understandable for a corporation to try and make a profit, but when those profits are soaring higher and higher each year while millions lose their coverage and premiums skyrocket, we have a responsibility to ask why.

At a time when businesses are facing increased competition and workers rarely stay with one company throughout their lives, we also have to ask if the employer-based system of health care itself is still the best for providing insurance to all Americans. We have to ask what we can do to provide more Americans with preventative care, which would mean fewer doctor's visits and less cost down the road. We should make sure that every single child who's eligible is signed up for the children's health insurance program, and the federal government should make sure that our states have the money to make that happen. And we have to start looking at some of the interesting ideas on comprehensive reform that are coming out of states like Maine and Illinois and California, to see what we can replicate on a national scale and what will move us toward that goal of universal coverage for all.

But regardless of what combination of policies and proposals get us to this goal, we must reach it. We must act. And we must act boldly. As one health care advocate recently said, "The most expensive course is to do nothing." But it wasn't a liberal Democrat or union leader who said this.

It was the president of the very health industry association that funded the "Harry and Louise" ads designed to kill the Clinton health care plan in the early nineties.

The debate in this country over health care has shifted. The support for comprehensive reform that organizations like Families USA have worked so hard to build is now widespread, and the diverse group of business and health industry interests that are part of your Health Care Coverage Coalition is a testament to that success. And so Washington no longer has an excuse for caution. Leaders no longer have a reason to be timid. And America can no longer afford inaction. That's not who we are - and that's not the story of our nation's improbable progress.

Half a century ago, America found itself in the midst of another health care crisis. For millions of elderly Americans, the single greatest cause of poverty and hardship was the crippling cost of health care and the lack of affordable insurance. Two out of every three elderly Americans had annual incomes of less than $1,000, and only one in eight had health insurance.

As health care and hospital costs continued to rise, more and more private insurers simply refused to insure our elderly, believing they were too great of a risk to care for.

The resistance to action was fierce. Proponents of health care reform were opposed by well-financed, well-connected interest groups who spared no expense in telling the American people that these efforts were "dangerous" and "un-American," "revolutionary" and even "deadly."

And yet the reformers marched on. They testified before Congress and they took their case to the country and they introduced dozens of different proposals but always, always they stood firm on their goal to provide health care for every American senior. And finally, after years of advocacy and negotiation and plenty of setbacks, President Lyndon Johnson signed the Medicare bill into law on July 30th of 1965.

The signing ceremony was held in Missouri, in a town called Independence, with the first man who was bold enough to issue the call for universal health care - President Harry Truman.

And as he stood with Truman by his side and signed what would become the most successful government program in history - a program that had seemed impossible for so long - President Johnson looked out at the crowd and said, "History shapes men, but it is a necessary faith of leadership that men can help shape history."

Never forget that we have it within our power to shape history in this country. It is not in our character to sit idly by as victims of fate or circumstance, for we are a people of action and innovation, forever pushing the boundaries of what's possible.

Now is the time to push those boundaries once more. We have come so far in the debate on health care in this country, but now we must finally answer the call first issued by Truman, advanced by Johnson, and fought for by so many leaders and Americans throughout the last century. The time has come for universal health care in America. And I look forward to working with all of you to meet this challenge in the weeks and months to come. Thank you. 098-Floor-Statement-on-Iraq-War-Deescalation-Act-of-2007-Obama-Speech.htm

Floor Statement on Iraq War De-escalation Act of 2007- Complete Text

TOPIC: Iraq



Tuesday, January 30, 2007

Floor Statement on Iraq War De-escalation Act of 2007

Complete Text



Mr. President, today in Iraq, we sadly find ourselves at the very point I feared most when I opposed giving the President the open-ended authority to wage this war in 2002 - an occupation of undetermined length, at undetermined cost, with undetermined consequences in the midst of a country torn by civil war.

The American people have waited and the American people have been patient. We have given chance after chance for a resolution that has not come, and, more importantly, watched with horror and grief the tragic loss of thousands of brave young American soldiers.

The time for waiting in Iraq is over. The days of our open-ended commitment must come to a close. And the need to bring this war to an end is here.

That is why today, I'm introducing the Iraq War De-escalation Act of 2007.

This plan would not only place a cap on the number of troops in Iraq and stop the escalation, more importantly, it would begin a phased redeployment of U.S. forces with the goal of removing of all U.S. combat forces from Iraq by March 31st, 2008 - consistent with the expectations of the bipartisan Iraq study group that the President has so assiduously ignored.

The redeployment of troops to the United States, Afghanistan, and elsewhere in the region would begin no later than May 1st of this year, toward the end of the timeframe I first proposed in a speech more than two months ago. In a civil war where no military solution exists, this redeployment remains our best leverage to pressure the Iraqi government to achieve the political settlement between its warring factions that can slow the bloodshed and promote stability.

My plan allows for a limited number of U.S. troops to remain as basic force protection, to engage in counter-terrorism, and to continue the training of Iraqi security forces.

And if the Iraqis are successful in meeting the thirteen benchmarks for progress laid out by the Bush Administration itself, this plan also allows for the temporary suspension of the redeployment, provided Congress agrees that the benchmarks have actually been met and that the suspension is in the national security interest of the United States.

The U.S. military has performed valiantly and brilliantly in Iraq. Our troops have done all that we have asked them to do and more. But no amount of American soldiers can solve the political differences at the heart of somebody else's civil war, nor settle the grievances in the hearts of the combatants.

It is my firm belief that the responsible course of action - for the United States, for Iraq, and for our troops - is to oppose this reckless escalation and to pursue a new policy. This policy that I've laid out is consistent with what I have advocated for well over a year, with many of the recommendations of the bipartisan Iraq Study Group, and with what the American people demanded in the November election.

When it comes to the war in Iraq, the time for promises and assurances, for waiting and patience, is over. Too many lives have been lost and too many billions have been spent for us to trust the President on another tried and failed policy opposed by generals and experts, Democrats and Republicans, Americans and many of the Iraqis themselves.

It is time for us to fundamentally change our policy.

It is time to give Iraqis their country back.

And it is time to refocus America's efforts on the challenges we face at home and the wider struggle against terror yet to be won.



