So this year we will make history by reforming the health care system.  And I would say to you, all of you my fellow public servants, this is another issue where the people are way ahead of the politicians.

That may not be popular with either party, but it happens to be the truth.

You know, the first lady has received now almost a million letters from people all across America and from all walks of life.  I’d like to share just one of them with you.  Richard Anderson of Reno, Nevada, lost his job and, with it, his health insurance.  Two weeks later, his wife, Judy, suffered a cerebral aneurysm.  He rushed her to the hospital, where she stayed in intensive care for 21 days.  The Anderson’s bills were over $120,000.  Although Judy recovered and Richard went back to work at $8 an hour, the bills were too much for them and they were literally forced into bankruptcy.

“Mrs. Clinton,” he wrote to Hillary, “no one in the United States of America should have to lose everything they’ve worked for all their lives because they were unfortunate enough to become ill.”  It was to help the Richard and Judy Andersons of America that the first lady and so many others have worked so hard and so long on this health care reform issue.  We owe them our thanks and our action.

I know there are people here who say there’s no health care crisis.  Tell it to Richard and Judy Anderson.  Tell it to the 58 million Americans who have no coverage at all for some time each year.  Tell it to the 81 million Americans with those preexisting conditions; those folks are paying more or they can’t get insurance at all or they can’t ever change their jobs because they or someone in their family has one of those preexisting conditions.  Tell it to the small businesses burdened by skyrocketing costs of insurance.  Most small businesses cover their employers, and they pay on average 35 percent more in premiums than big businesses or government.  Or tell it to the 76 percent of insured Americans, three out of four whose policies have lifetime limits, and that means they can find themselves without any coverage at all just when they need it the most.

So, if any of you believe there’s no crisis, you tell it to those people, because I can’t.

There are some people who literally do not understand the impact of this problem on people’s lives, but all you have to do is go out and listen to them.  Just go talk to them anywhere, in any congressional district in this country.  They’re Republicans and Democrats and independents.  It doesn’t have a lick to do with party.  They think we don’t get it, and it’s time we show that we do get it.

From the day we began, our health care initiative has been designed to strengthen what is good about our health care system—­the world’s best health care professionals, cutting edge research, and wonderful research institutions, Medicare for older Americans.  None of this—­none of it should be put at risk.  But we’re paying more and more money for less and less care.  Every year, fewer and fewer Americans even get to choose their doctors.  Every year, doctors and nurses spend more time on paperwork and less time with patients because of the absolute bureaucratic nightmare the present system has become.