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Obama defends health care reforms | |
(20 minutes later) | |
President Barack Obama has defended his plans for health reform in a news conference broadcast live in the US. | President Barack Obama has defended his plans for health reform in a news conference broadcast live in the US. |
Mr Obama pledged to push through a reform package by the end of the year that would reduce health costs, increase choice and widen coverage. | |
Congress is currently debating various proposals, and lawmakers are struggling to reach agreement. | |
Mr Obama said he now saw "broad agreement" on passing a reform, but a few issues still needed working out. | Mr Obama said he now saw "broad agreement" on passing a reform, but a few issues still needed working out. |
The president has made passing a health care reform bill the top priority of his first year in the White House. | |
In the past 10 days, he has embarked on an aggressive push to promote his plans, as members of Congress argue over the details of reform. | |
The BBC's Jane O'Brien in Washington says this is the first big test of Mr Obama's political strength and a measure of how far he is prepared to bend to achieve his agenda. | The BBC's Jane O'Brien in Washington says this is the first big test of Mr Obama's political strength and a measure of how far he is prepared to bend to achieve his agenda. |
Any failure will be seen by his opponents as a major personal defeat, she says. | Any failure will be seen by his opponents as a major personal defeat, she says. |
'Not a game' | 'Not a game' |
In his opening remarks at Wednesday's press conference, the president said Americans were looking to Congress for leadership. | In his opening remarks at Wednesday's press conference, the president said Americans were looking to Congress for leadership. |
"This debate is not a game," he said. "This isn't about me - I have great health insurance and so does every member of Congress." | "This debate is not a game," he said. "This isn't about me - I have great health insurance and so does every member of Congress." |
I'm rushed because I get letters every day from families that are being clobbered by health care costs US President Barack Obama | I'm rushed because I get letters every day from families that are being clobbered by health care costs US President Barack Obama |
Rather, he said, it was about ordinary Americans who had been forced to "shoulder the burden of a problem that Washington has failed to solve for decades." | |
"We will pass reform that lowers cost, promotes choice and provides coverage that every American can count on," he said. | "We will pass reform that lowers cost, promotes choice and provides coverage that every American can count on," he said. |
"And we will do it this year." | "And we will do it this year." |
"I'm rushed because I get letters every day from families that are being clobbered by health care costs, and they ask me can you help," Mr Obama said. | "I'm rushed because I get letters every day from families that are being clobbered by health care costs, and they ask me can you help," Mr Obama said. |
The president said he would not rule out any ideas proposed in Congress, except any proposal that is "primarily funded through taxing middle class families". | |
He also said reshaping America's health care system was crucial to helping the broader economy, and that any reform would reduce rather than add to the US deficit. | |
Talking about the general economy, Mr Obama said the US had been "on the verge of a complete financial meltdown", but there was now "stabilisation". | Talking about the general economy, Mr Obama said the US had been "on the verge of a complete financial meltdown", but there was now "stabilisation". |
"We've stepped away from the brink," he said, adding that "things would be even worse" without the government's financial bailout package. | "We've stepped away from the brink," he said, adding that "things would be even worse" without the government's financial bailout package. |
Timetable risk | Timetable risk |
Five congressional committees are currently working on bills, and although there is consensus on some aspects of reform, lawmakers are divided on whether to set up a public health insurance scheme for Americans without employer-sponsored coverage. | Five congressional committees are currently working on bills, and although there is consensus on some aspects of reform, lawmakers are divided on whether to set up a public health insurance scheme for Americans without employer-sponsored coverage. |
There is also much disagreement about how to raise revenue to fund the proposed expansion of healthcare coverage. | There is also much disagreement about how to raise revenue to fund the proposed expansion of healthcare coverage. |
HEALTHCARE IN THE US 47 million uninsured, 25 million under-insuredHealthcare costs represent 16% of GDP, almost twice OECD averageReform plans would require all Americans to get insuranceSome propose public insurance option to compete with private insurers Q&A: US healthcare reform | HEALTHCARE IN THE US 47 million uninsured, 25 million under-insuredHealthcare costs represent 16% of GDP, almost twice OECD averageReform plans would require all Americans to get insuranceSome propose public insurance option to compete with private insurers Q&A: US healthcare reform |
Some 47 million Americans do not currently have health insurance, and rising healthcare costs are a major contributing factor to America's spiralling budget deficit. | Some 47 million Americans do not currently have health insurance, and rising healthcare costs are a major contributing factor to America's spiralling budget deficit. |
Mr Obama has called on both chambers of Congress to pass healthcare reform bills by the end of the first week in August, so that he will be in a position to sign a final, combined, bill in October. | Mr Obama has called on both chambers of Congress to pass healthcare reform bills by the end of the first week in August, so that he will be in a position to sign a final, combined, bill in October. |
One Senate committee has passed a bill, and three House of Representatives committees have published a joint proposal. | One Senate committee has passed a bill, and three House of Representatives committees have published a joint proposal. |
Both of these bills would require all Americans to take out health insurance, and would provided subsidies to help make coverage affordable. | Both of these bills would require all Americans to take out health insurance, and would provided subsidies to help make coverage affordable. |
They would also give Americans without employer-provided coverage the option to join a public insurance scheme. | They would also give Americans without employer-provided coverage the option to join a public insurance scheme. |
But the powerful Senate Finance Committee has yet to complete its version of the bill, amid calls from prominent moderate senators for a delay while a bipartisan compromise is reached. | But the powerful Senate Finance Committee has yet to complete its version of the bill, amid calls from prominent moderate senators for a delay while a bipartisan compromise is reached. |
The speaker of the House of Representatives, Democrat Nancy Pelosi, said on Wednesday that her party had the votes needed to pass the reform there. | The speaker of the House of Representatives, Democrat Nancy Pelosi, said on Wednesday that her party had the votes needed to pass the reform there. |
"It will take some time," she said. "But we are going to do it right." | "It will take some time," she said. "But we are going to do it right." |
But House Republican Leader John Boehner called on Mr Obama to scrap the bill and start again "in a bipartisan way". | But House Republican Leader John Boehner called on Mr Obama to scrap the bill and start again "in a bipartisan way". |
"If they try to fix our healthcare system like they've tried to rescue our economy, I think we're in really, really big trouble," he said. | "If they try to fix our healthcare system like they've tried to rescue our economy, I think we're in really, really big trouble," he said. |
Some opinion polls show that barely half of Americans now approve of the way Mr Obama is handling health care reform. | Some opinion polls show that barely half of Americans now approve of the way Mr Obama is handling health care reform. |
If the president's timetable begins to slip, correspondents say his push for healthcare reform could be in jeopardy. | If the president's timetable begins to slip, correspondents say his push for healthcare reform could be in jeopardy. |