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H EALTH CARE S EPTEMBER 9, 2009
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So tonight, I return to speak to all of you about an issue that is central to that future and that is the issue of health care. I am not the first President to take up this cause, but I am determined to be the last. [Applause.] It has now been nearly a century since Theodore Roosevelt first called for health care reform. And ever since, nearly every President and Congress, whether Democrat or Republican, has attempted to meet this challenge in some way. A bill for comprehensive health reform was first introduced by John Dingell Sr. in 1943. Sixty-five years later, his son continues to introduce that same bill at the beginning of each session. [Applause.] Our collective failure to meet this challenge year after year, decade after decade has led us to the breaking point. Everyone understands the extraordinary hardships that are placed on the uninsured, who live every day just one accident or illness away from bankruptcy. These are not primarily people on welfare. These are middle-class Americans. Some can t get insurance on the job. Others are self-
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employed and can t afford it, since buying insurance on your own costs you three times as much as the coverage you get from your employer. Many other Americans who are willing and able to pay are still denied insurance due to previous illnesses or conditions that insurance companies decide are too risky or too expensive to cover. We are the only democracy the only advanced democracy on Earth the only wealthy nation that allows such hardship for millions of its people. There are now more than 30 million American citizens who cannot get coverage. In just a two-year period, one in every three Americans goes without health care coverage at some point. And every day, 14,000 Americans lose their coverage. In other words, it can happen to anyone. But the problem that plagues the health care system is not just a problem for the uninsured. Those who do have insurance have never had less security and stability than they do today. More and more Americans worry that if you move, lose your job, or change your job, you ll lose your health insurance too. More and more Americans pay their premiums, only to discover that their insurance company has dropped their coverage when they get sick, or won t pay the full cost of care. It happens every day. One man from Illinois lost his coverage in the middle of chemotherapy because his insurer found that he hadn t reported gallstones that he didn t even know about. They delayed his treatment, and he died because of it. Another woman from Texas was about to get a double mastectomy when her insurance company canceled her policy because she forgot to declare a case of acne. By the time she had
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THE SPEECHES THAT MADE HISTORY
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her insurance reinstated, her breast cancer had more than doubled in size. That is heart-breaking, it is wrong, and no one should be treated that way in the United States of America. [Applause.] Then there s the problem of rising cost. We spend one and a half times more per person on health care than any other country, but we aren t any healthier for it. This is one of the reasons that insurance premiums have gone up three times faster than wages. It s why so many employers especially small businesses are forcing their employees to pay more for insurance, or are dropping their coverage entirely. It s why so many aspiring entrepreneurs cannot afford to open a business in the first place, and why American businesses that compete internationally like our automakers are at a huge disadvantage. And it s why those of us with health insurance are also paying a hidden and growing tax for those without it about $1,000 per year that pays for somebody else s emergency room and charitable care. Finally, our health care system is placing an unsustainable burden on taxpayers. When health care costs grow at the rate they have, it puts greater pressure on programs like Medicare and Medicaid. If we do nothing to slow these skyrocketing costs, we will eventually be spending more on Medicare and Medicaid than every other government program combined. Put simply, our health care problem is our deficit problem. Nothing else even comes close. Nothing else. [Applause.] Now, these are the facts. Nobody disputes them. We know we must reform this system. The question is how.
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There are those on the left who believe that the only way to fix the system is through a single-payer system like Canada s [applause] where we would severely restrict the private insurance market and have the government provide coverage for everybody. On the right, there are those who argue that we should end employer-based systems and leave individuals to buy health insurance on their own. I ve said I have to say that there are arguments to be made for both these approaches. But either one would represent a radical shift that would disrupt the health care most people currently have. Since health care represents one-sixth of our economy, I believe it makes more sense to build on what works and fix what doesn t, rather than try to build an entirely new system from scratch. [Applause.] And that is precisely what those of you in Congress have tried to do over the past several months. During that time, we ve seen Washington at its best and at its worst. We ve seen many in this chamber work tirelessly for the better part of this year to offer thoughtful ideas about how to achieve reform. Of the five committees asked to develop bills, four have completed their work, and the Senate Finance Committee announced today that it will move forward next week. That has never happened before. Our overall efforts have been supported by an unprecedented coalition of doctors and nurses; hospitals, seniors groups, and even drug companies many of whom opposed reform in the past. And there is agreement in this chamber on about 80 percent of what needs to be done, putting us closer to the goal of reform than we have ever been.
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