The coming years will be challenging for all of us in family medicine. But my colleagues and I draw strength from knowing that beginning with the new year the preventive care many of our current patients have been putting off will be covered and the patients we have not yet seen will finally be able to get the care that they have long needed.<\/span><\/span><\/span><\/p><\/blockquote>\nAnd for too long, few things left working families more vulnerable to the anxieties and insecurities of today\u2019s economy than a broken health care system. So we took up the fight because we believe that, in America, nobody should have to worry about going broke just because somebody in their family or they get sick. We believe that nobody should have to choose between putting food on their kids\u2019 table or taking them to see a doctor. We believe we\u2019re a better country than a country where we allow, every day, 14,000 Americans to lose their health coverage; or where every year, tens of thousands of Americans died because they didn\u2019t have health care; or where out-of-pocket costs drove millions of citizens into poverty in the wealthiest nation on Earth. We thought we were better than that, and that\u2019s why we took this on. (Applause.)<\/p>\n
And that\u2019s what\u2019s gotten lost a little bit over the last couple of months. And our focus, rightly, had to shift towards working 24\/7 to fix the website, healthcare.gov, for the new marketplaces where people can buy affordable insurance plans. And today, the website is working well for the vast majority of users. More problems may pop up, as they always do when you\u2019re launching something new. And when they do, we\u2019ll fix those, too. But what we also know is that after just the first month, despite all the problems in the rollout, about half a million people across the country are poised to gain health care coverage through marketplaces and Medicaid beginning on January 1st — some for the very first time. We know that — half a million people. (Applause.) And that number is increasing every day and it is going to keep growing and growing and growing, because we know that there are 41 million people out there without health insurance. And we know there are a whole bunch of folks out there who are underinsured or don\u2019t have a good deal. And we know the demand is there and we know that the product on these marketplaces is good and it provides choice and competition for people that allow them, in some cases for the very first time, to have the security that health insurance can provide. <\/p>\n
The bottom line is this law is working and will work into the future. People want the financial stability of health insurance. And we\u2019re going to keep on working to fix whatever problems come up in any startup, any launch of a project this big that has an impact on one-sixth of our economy, whatever comes up we\u2019re going to just fix it because we know that the ultimate goal, the ultimate aim, is to make sure that people have basic security and the foundation for the good health that they need.<\/p>\n
Now, we may never satisfy the law\u2019s opponents. I think that\u2019s fair to say. Some of them are rooting for this law to fail — that\u2019s not my opinion, by the way, they say it pretty explicitly. (Laughter.) Some have already convinced themselves that the law has failed, regardless of the evidence. But I would advise them to check with the people who are here today and the people that they represent all across the country whose lives have been changed for the better by the Affordable Care Act.<\/p>\n
The other day I got a letter from Julia Walsh in California. Earlier this year, Julia was diagnosed with leukemia and lymphoma. \u201cI have a lot of things to worry about,\u201d she wrote. \u201cBut thanks to the [Affordable Care Act], there are lots of things I do not have to worry about, like\u2026whether there will be a lifetime cap on benefits, [or] whether my treatment will bankrupt my family\u2026I can\u2019t begin to tell you how much that peace of mind means…\u201d That\u2019s what the Affordable Care Act means to Julia. She already had insurance, by the way, but because this law banned lifetime limits on the care you or your family can receive, she\u2019s never going to have to choose between providing for her kids or getting herself well — she can do both. <\/p>\n
Sam Weir, a doctor in North Carolina, emailed me the other day. \u201cThe coming years will be challenging for all of us in family medicine,\u201d he wrote. \u201cBut my colleagues and I draw strength from knowing that beginning with the new year the preventive care many of our current patients have been putting off will be covered and the patients we have not yet seen will finally be able to get the care that they have long needed.\u201d<\/span> That\u2019s the difference that the Affordable Care Act will make for many of Dr. Weir\u2019s patients.<\/span> Because more than 100 million Americans with insurance have gained access to recommended preventive care like mammograms, or colonoscopies, or flu shots, or contraception to help them stay healthy — at no out-of-pocket cost. (Applause.)<\/p>\nAt the young age of 23, Justine Ula is battling cancer for the second time. And the other day, her mom, Joann, emailed me from Cleveland University Hospital where Justine is undergoing treatment. She told me she stopped by the pharmacy to pick up Justine\u2019s medicine. If Justine were uninsured, it would have cost her $4,500. But she is insured — because the Affordable Care Act has let her and three million other young people like Monica gain coverage by staying on their parents\u2019 plan until they\u2019re 26. (Applause.) And that means Justine\u2019s mom, all she had to cover was the $25 co-pay. <\/p>\n
Because of the Affordable Care Act, more than 7 million seniors and Americans with disabilities have saved an average of $1,200 on their prescription medicine. (Applause.) This year alone, 8.5 million families have actually gotten an average of $100 back from their insurance company — you don\u2019t hear that very often — (laughter) — because it spent too much on things like overhead, and not enough on their care. And, by the way, health care costs are rising at the slowest rate in 50 years. So we\u2019re actually bending the cost of health care overall, which benefits everybody. (Applause.)<\/p>\n
So that\u2019s what this law means to millions of Americans. And my main message today is: We\u2019re not going back. We\u2019re not going to betray Monica, or Julia, or Sam, or Justine, or Joann. (Applause.) I mean, that seems to be the only alternative that Obamacare\u2019s critics have is, well, let\u2019s just go back to the status quo — because they sure haven\u2019t presented an alternative. If you ask many of the opponents of this law what exactly they\u2019d do differently, their answer seems to be, well, let\u2019s go back to the way things used to be.<\/p>\n
Just the other day, the Republican Leader in the Senate was asked what benefits people without health care might see from this law. And he refused to answer, even though there are dozens in this room and tens of thousands in his own state who are already on track to benefit from it. He just repeated \u201crepeal\u201d over and over and over again. And obviously we\u2019ve heard that from a lot of folks on that side of the aisle.<\/p>\n
Look, I\u2019ve always said I will work with anybody to implement and improve this law effectively. If you\u2019ve got good ideas, bring them to me. Let\u2019s go. But we\u2019re not repealing it as long as I\u2019m President and I want everybody to be clear about that. (Applause.) <\/p>\n
We will make it work for all Americans. If you don\u2019t like this law — (applause) — so, if despite all the millions of people who are benefitting from it, you still think this law is a bad idea then you\u2019ve got to tell us specifically what you\u2019d do differently to cut costs, cover more people, make insurance more secure. You can\u2019t just say that the system was working with 41 million people without health insurance. You can\u2019t just say that the system is working when you\u2019ve got a whole bunch of folks who thought they had decent insurance and then when they got sick, it turned out it wasn\u2019t there for them or they were left with tens of thousands of dollars in out-of-pocket costs that were impossible for them to pay.<\/p>\n
Right now, what that law is doing — (baby talks.) Yes, you agree with me. (Laughter.) Right now, what this law is doing is helping folks and we\u2019re just getting started with the exchanges, just getting started with the marketplaces. So we\u2019re not going to walk away from it. If I\u2019ve got to fight another three years to make sure this law works, then that\u2019s what I\u2019ll do. That\u2019s what we\u2019ll do. (Applause.)<\/p>\n
But what\u2019s important for everybody to remember is not only that the law has already helped millions of people but that there are millions more who stand to be helped. And we\u2019ve got to make sure they know that. And I\u2019ve said very clearly that our poor execution in the first couple months on the website clouded the fact that there are a whole bunch of people who stand to benefit. Now that the website is working for the vast majority of people, we need to make sure that folks refocus on what\u2019s at stake here, which is the capacity for you or your families to be able to have the security of decent health insurance at a reasonable cost through choice and competition on this marketplace and tax credits that you may be eligible for that can save you hundreds of dollars in premium costs every month, potentially.<\/p>\n
So we just need people to — now that we are getting the technology fixed — we need you to go back, take a look at what\u2019s actually going on, because it can make a difference in your lives and the lives of your families. And maybe it won\u2019t make a difference right now if you\u2019re feeling healthy, but I promise you, if somebody in your family — heaven forbid — gets sick, you\u2019ll see the difference. And it will make all the difference for you and your families.<\/p>\n
So I\u2019m going to need some help in spreading the word — I\u2019m going to need some help in spreading the word. I need you to spread the word about the law, about its benefits, about its protections, about how folks can sign up. Tell your friends. Tell your family. Do not let the initial problems with the website discourage you because it\u2019s working better now and it\u2019s just going to keep on working better over time. Every day I check to make sure that it\u2019s working better. (Laughter.) And we\u2019ve learned not to make wild promises about how perfectly smooth it\u2019s going to be at all time, but if you really want health insurance through the marketplaces, you\u2019re going to be able to get on and find the information that you need for your families at healthcare.gov.<\/p>\n
So if you\u2019ve already got health insurance or you\u2019ve already taken advantage of the Affordable Care Act, you\u2019ve got to tell your friends, you\u2019ve got to tell your family. Tell your coworkers. Tell your neighbors. Let\u2019s help our fellow Americans get covered. Let\u2019s give every American a fighting chance in today\u2019s economy.<\/p>\n
Thank you so much, everybody. God bless you. God bless America. (Applause.)<\/p>\n
END<\/p>\n","protected":false},"excerpt":{"rendered":"
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