Along with the guarantee of health security, we all have to admit, too, there must be more responsibility on the part of all of us in how we use this system.  People have to take their kids to get immunized.  We should all take advantage of preventive care.  We must all work together to stop the violence that explodes our emergency rooms.  We have to practice better health habits, and we can’t abuse the system.  And those who don’t have insurance under our approach will get coverage, but they will have to pay something for it, too.  The minority of businesses that provide no insurance at all, and in so doing, shift the cost of the care of their employees to others, should contribute something.  People who smoke should pay more for a pack of cigarettes.  Everybody can contribute something if we want to solve the health care crisis.  There can’t be anymore something for nothing.  It will not be easy, but it can be done.  Now in the coming months I hope very much to work with both Democrats and Republicans to reform a health care system by using the market to bring down costs and to achieve lasting health security.  But if you look at history, we see that for 60 years this country has tried to reform health care.  President Roosevelt tried, President Truman tried, President Nixon tried, President Carter tried.  Every time the special interests were powerful enough to defeat them, but not this time.

Campaign Finance Reform

I know that facing up to these interests will require courage.  It will raise critical questions about the way we finance our campaigns and how lobbyists yield their influence.  The work of change, frankly, will never get any easier until we limit the influence of well financed interests who profit from this current system.  So I also must now call on you to finish the job both houses began last year, by passing tough and meaningful campaign finance reform and lobby reform legislation this year.

You know, my fellow Americans, this is really a test for all of us.  The American people provide those of us in government service with terrific health care benefits at reasonable costs.  We have health care that’s always there.  I think we need to give every hard working, taxpaying American the same health care security they have already given to us.

I want to make this very clear:  I am open, as I have said repeatedly, to the best ideas of concerned members of both parties.  I have no special brief for any specific approach, even in our own bill, except this:  if you send me legislation that does not guarantee every American private health insurance that can never be taken away, you will force me to take this pen, veto the legislation, and we’ll come right back here and start all over again.

But I don’t think that’s going to happen.  I think we’re ready to act now.  I believe that you’re ready to act now.  And if you’re ready to guarantee every American the same health care that you have, health care that can never be taken away—­now, not next year or the year after, now is the time to stand with the people who sent us here.  Now.