Barack Obama

“ Over half of all small businesses can no longer afford to insure 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 seven times as much health care cost as a Japanese car.
This cost crisis is trapping us in a vicious cycle. As premiums rise, more employers drop coverage, and more Americans become uninsured. ”

“ One out of every four dollars we spend on health care is swallowed up by administrative costs - on needless paperwork and antiquated record-keeping that belongs in the last century. This failure to update the way our doctors and hospitals store and share information also leads to costly errors. Each year, 100,000 Americans die due to medical errors and we lose $100 billion because of prescription drug errors alone. ”

“ We now face an opportunity - and an obligation - to turn the page on the failed politics of yesterday's health care debates. It's time to bring together businesses, the medical community, and members of both parties around a comprehensive solution to this crisis, and it's time to let the drug and insurance industries know that while they'll get a seat at the table, they don't get to buy every chair. ”

“ Right now, two out of every ten patients account for more than eighty percent of all health care costs. These are patients with serious illnesses like cancer or heart disease who require the most expensive surgeries and treatments. Insurance companies end up spending a lion's share of their expenses on these patients, and not surprisingly, they pass those expenses on to the rest of us in the form of higher premiums. ”

“ Fourth, we will reduce waste and inefficiency by moving from a 20th century health care industry based on pen and paper to a 21st century industry based on the latest information technology.
Almost every other industry in the world has saved billions on administrative costs by computerizing all of their records and information. Every transaction you make at a bank now costs less than a dollar. 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. ”

“ We have reached a point in this country where the rising cost of health care has put too many families and businesses on a collision course with financial ruin and left too many without coverage at all; a course that Democrats and Republicans, small business owners and CEOs have all come to agree is not sustainable or acceptable any longer.
We often hear the statistic that there are 45 million uninsured Americans. ”

“ We are not a country that allows major challenges to go unsolved and unaddressed while our people suffer needlessly. In the richest nation on Earth, it is simply not right that the skyrocketing profits of the drug and insurance industries are paid for by the skyrocketing premiums that come from the pockets of the American people. ”

“ But the biggest reason why they don't have insurance is the same reason why those who do have it are struggling to pay their medical bills - it's just too expensive.
Health care premiums have risen nearly 90% in the past six years. That's four times faster than wages have gone up. Like Ami and Lane's family, nearly half of all Iowans have said that they've had to cut back on food and heating expenses because of high health care costs. 11 million insured Americans spent more than a quarter of their salary on health care last year. ”

“ Since President Bush took office, the single fastest growing component of health care spending has been administrative costs and profits for insurance companies. Coming in a close second is the amount we spend on prescription drugs. In 2006, five of the biggest drug and insurance companies were among the fifty most profitable businesses in the nation. One insurance company CEO received a $125 million salary that same year, and has been given stock options worth over $1 billion. As an added perk, he and his wife get free private health care for as long as they live. ”

“ The problem is, there's currently no financial incentive for health care providers to offer services that will encourage patients to eat right or exercise or go for annual check-ups and screenings that can help detect diseases early. The real profit today is made in treating diseases, not preventing them. That's wrong, which is why in our new national health care plan and other participating plans, we will require coverage of evidence-based, preventive care services, and make sure they are paid for. ”

“ Every time those uninsured walk into an emergency room and receive care that's more expensive because they have nowhere else to turn, there is a hidden tax for the rest of us as premiums go up by an extra $922 per family. And as premiums keep rising, more families and businesses drop their coverage and become uninsured. ”

“ Everyone will be able buy into a new health insurance plan that's similar to the one that every federal employee - from a postal worker in Iowa to a Congressman in Washington - currently has for themselves. ”

“ But in the end, prevention only works if we take responsibility for our own health and make the right decisions in our own lives - if we eat the right foods, and stay active, and listen to our wives when they tell us to stop smoking. ”

“ We spend less than four cents of every health care dollar on prevention and public health even though eighty percent of the risk factors involved in the leading causes of death are behavior-related and thus preventable. ”

“ Third, we will reduce the cost of our health care by improving the quality of our health care.
It's estimated that poor quality care currently costs us up to $100 billion a year. One study found that in Pennsylvania, Medicare spent $1 billion a year just on treating infections that patients contracted while at the hospital - infections that could have easily been prevented by hospitals. This study led hospitals across the state to take action, and today some have completely eliminated infections that used to take hundreds of lives and cost hundreds of thousands of dollars every year. ”

“ We are a country that looks at the thousands of stories just like Amy and Lane's - stories we have heard and told for decades - and realizes that our American story calls on us to write them a hopeful, happier ending. ”

“ They'll push expensive products on doctors by showering them with gifts, spend more to market and advertise their drugs than to research and develop them, and when a generic drug maker comes along and wants to sell the same product for cheaper, the brand-name manufacturers will actually payoff the generic ones so they can preserve their monopolies and keep charging the rest of us high prices. ”

“ Seventeen years later, he is cancer-free, but the cost of health insurance for him, his wife and his three kids is now over $1,000 per month. Their family's premiums keep rising hundreds of dollars every year, and as hard as they look, they simply cannot find another provider that will insure them.
Amy and Lane are now paying forty percent of their annual income in health care premiums. They have no retirement plan and nothing saved. ”

“ And it's not just the drug industry that's manipulating the market. In the last ten years, there have been over four hundred health insurance mergers. Right here in Iowa, just three companies control more than three-quarters of the health insurance market. These changes were supposed to increase efficiency in the industry. ”

“ Since then, rising costs have caused many more businesses to back reform, and in states from Massachusetts to California, Democratic and Republican governors and legislatures have been way ahead of Washington in passing increasingly bolder initiatives to cover the uninsured and cut costs. ”