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to Congress on the need to overhaul health care in the United States, as released by the hite !ouse" #adame Spea$er, %ice President &iden, #embers of Congress, and the 'merican people( hen ) spo$e here last winter, this nation was facing the worst economic crisis since the *reat +epression" were losing an average of ,--,--- .obs per month" Credit was fro/en" 'nd our financial system was on the verge of collapse" e
's any 'merican who is still loo$ing for wor$ or a way to pay their bills will tell you, we are by no means out of the woods" ' full and vibrant recovery is many months away" 'nd ) will not let up until those 'mericans who see$ .obs can find them0 until those businesses that see$ capital and credit can thrive0 until all responsible homeowners can stay in their homes" 1hat is our ultimate goal" &ut than$s to the bold and decisive action we have ta$en since 2anuary, ) can stand here with confidence and say that we have pulled this economy bac$ from the brin$" ) want to than$ the members of this body for your efforts and your support in these last several months, and especially those who have ta$en the difficult votes that have put us on a path to recovery" ) also want to than$ the 'merican people for their patience and resolve during this trying time for our nation" &ut we did not come here .ust to clean up crises" e came to build a future" So tonight, ) return to spea$ to all of you about an issue that is central to that future 3 and that is the issue of health care" ) am not the first President to ta$e up this cause, but ) am determined to be the last" )t has now been nearly a century since 1heodore 4oosevelt first called for health care reform" 'nd ever since, nearly every President and Congress, whether +emocrat or 4epublican, has attempted to meet this challenge in some way" ' bill for comprehensive health reform was first introduced by 2ohn +ingell Sr" in 5678" Sixty9five years later, his son continues to introduce that same bill at the beginning of each session" Our collective failure to meet this challenge 3 year after year, decade after decade 3 has led us to a brea$ing point" :veryone understands the extraordinary hardships that are placed on the uninsured, who live every day .ust one accident or illness away from ban$ruptcy" 1hese are not primarily people on welfare" 1hese are middle9 class 'mericans" Some can;t get insurance on the .ob" Others are self9employed, and can;t afford it, since buying insurance on your own costs you three times as much as the coverage you get from your employer" #any other 'mericans who are willing and able to pay are still denied insurance due to previous illnesses or conditions that insurance companies decide are too ris$y or expensive to cover"
there are those who argue that we should end the employer9based system and leave individuals to buy health insurance on their own" .t even $now about" 1hey delayed his treatment. or change your .ust a two year period. or won. one in every three 'mericans goes without health care coverage at some point" 'nd every day.--.t any healthier for it" 1his is one of the reasons that insurance premiums have gone up three times faster than wages" )t. only to discover that their insurance company has dropped their coverage when they get sic$. but we aren. our health care problem is our deficit problem" =othing else even comes close" 1hese are the facts" =obody disputes them" e $now we must reform this system" 1he >uestion is how" 1here are those on the left who believe that the only way to fix the system is through a single9payer system li$e Canada. lose your .t reported gallstones that he didn. and he died because of it" 'nother woman from 1exas was about to get a double mastectomy when her insurance company canceled her policy because she forgot to declare a case of acne" &y the time she had her insurance reinstated.s emergency room and charitable care" Finally.s.ob. it can happen to anyone" &ut the problem that plagues the health care system is not .'mericans lose their coverage" )n other words. and why 'merican businesses that compete internationally 3 li$e our automa$ers 3 are at a huge disadvantage" 'nd it.ob. and no one should be treated that way in the United States of 'merica" 1hen there.ll lose your health insurance too" #ore and more 'mericans pay their premiums.s why so many employers 3 especially small businesses 3 are forcing their employees to pay more for insurance. our health care system is placing an unsustainable burden on taxpayers" hen health care costs grow at the rate they have. you.s why so many aspiring entrepreneurs cannot afford to open a business in the first place. it is wrong. her breast cancer more than doubled in si/e" 1hat is heart9brea$ing.ust a problem of the uninsured" 1hose who do have insurance have never had less security and stability than they do today" #ore and more 'mericans worry that if you move. it puts greater pressure on programs li$e #edicare and #edicaid" )f we do nothing to slow these s$yroc$eting costs.t pay the full cost of care" )t happens every day" One man from )llinois lost his coverage in the middle of chemotherapy because his insurer found that he hadn. we will eventually be spending more on #edicare and #edicaid than every other government program combined" Put simply. or are dropping their coverage entirely" )t.per year that pays for somebody else.s the problem of rising costs" e spend one9and9a9half times more per person on health care than any other country.s why those of us with health insurance are also paying a hidden and growing tax for those without it 3 about <5--. 57. where we would severely restrict the private insurance mar$et and have the government provide coverage for everyone" On the right.e are the only advanced democracy on :arth 3 the only wealthy nation 3 that allows such hardships for millions of its people" 1here are now more than thirty million 'merican citi/ens who cannot get coverage" )n .
and the Senate Finance Committee announced today that it will move forward next wee$" 1hat has never happened before" Our overall efforts have been supported by an unprecedented coalition of doctors and nurses0 hospitals. confusion has reigned" ell the time for bic$ering is over" 1he time for games has passed" =ow is the season for action" =ow is when we must bring the best ideas of both parties together. from some of my opponents in both the primary and general election" !ere are the details that every 'merican needs to $now about this plan( First. but employers and individuals" 'nd it. or the %'.t. seniors.ust government and insurance companies. we have seen ashington at its best and its worst" e have seen many in this chamber wor$ tirelessly for the better part of this year to offer thoughtful ideas about how to achieve reform" Of the five committees as$ed to develop bills. our businesses.ob. we have seen scare tactics" Some have dug into unyielding ideological camps that offer no hope of compromise" 1oo many have used this as an opportunity to score short9term political points. groups and even drug companies 3 many of whom opposed reform in the past" 'nd there is agreement in this chamber on about eighty percent of what needs to be done.s a plan that as$s everyone to ta$e responsibility for meeting this challenge 3 not . rather than try to build an entirely new system from scratch" 'nd that is precisely what those of you in Congress have tried to do over the past several months" +uring that time.s a plan that incorporates ideas from Senators and Congressmen0 from +emocrats and 4epublicans 3 and yes. nothing in this plan will re>uire you or your employer to change the coverage or the doctor you have" ?et me repeat this( nothing in our plan re>uires you to change what you have" . even if it robs the country of our opportunity to solve a long9 term challenge" 'nd out of this bli//ard of charges and counter9charges. #edicare.) have to say that there are arguments to be made for both approaches" &ut either one would represent a radical shift that would disrupt the health care most people currently have" Since health care represents one9sixth of our economy. and our government" )t.t" 'nd it will slow the growth of health care costs for our families. four have completed their wor$. ) believe it ma$es more sense to build on what wor$s and fix what doesn.m announcing tonight would meet three basic goals( )t will provide more security and stability to those who have health insurance" )t will provide insurance to those who don. if you are among the hundreds of millions of 'mericans who already have health insurance through your . #edicaid. putting us closer to the goal of reform than we have ever been" &ut what we have also seen in these last months is the same partisan spectacle that only hardens the disdain many 'mericans have toward their own government" )nstead of honest debate. and show the 'merican people that we can still do what we were sent here to do" =ow is the time to deliver on health care" 1he plan ).
s what 'mericans who have health insurance can expect from this plan 3 more security and stability" =ow. many of the insurance reforms we see$ 3 especially re>uiring insurance companies to cover pre9existing conditions 3 .s time to give every 'merican the same opportunity that we. it will be against the law for insurance companies to drop your coverage when you get sic$ or water it down when you need it most" 1hey will no longer be able to place some arbitrary cap on the amount of coverage you can receive in a given year or a lifetime" e will place a limit on how much you can be charged for out9of9poc$et expenses.s no reason we shouldn. it means we pay for those people.t get insurance today because they have pre9existing medical conditions.hat this plan will do is to ma$e the insurance you have wor$ better for you" Under this plan. no one should go bro$e because they get sic$" 'nd insurance companies will be re>uired to cover. we will immediately offer low9cost coverage that will protect you against financial ruin if you become seriously ill" 1his was a good idea when Senator 2ohn #cCain proposed it in the campaign. because in the United States of 'merica.s a good idea now. there may be those 3 particularly the young and healthy 3 who still want to ta$e the ris$ and go without coverage" 1here may still be companies that refuse to do right by their wor$ers" 1he problem is.s expensive emergency room visits" )f some businesses don.ob or change your . these customers will have greater leverage to bargain with the insurance companies for better prices and >uality coverage" 1his is how large companies and government employees get affordable insurance" )t. such irresponsible behavior costs all the rest of us money" )f there are affordable options and people still don. even if we provide these affordable options. and it saves lives" 1hat. it forces the rest of us to pic$ up the tab when their wor$ers get sic$.t provide wor$ers health care.t be catching diseases li$e breast cancer and colon cancer before they get worse" 1hat ma$es sense.ust can.t currently have health insurance.s how everyone in this Congress gets affordable insurance" 'nd it. the second part of this plan will finally offer you >uality. you will be able to get coverage" e will do this by creating a new insurance exchange 3 a mar$etplace where individuals and small businesses will be able to shop for health insurance at competitive prices" )nsurance companies will have an incentive to participate in this exchange because it lets them compete for millions of new customers" 's one big group.re one of the tens of millions of 'mericans who don.ob. you will be able to get coverage" )f you stri$e out on your own and start a small business.t sign up for health insurance.ve given ourselves" For those individuals and small businesses who still cannot afford the lower9priced insurance available in the exchange. for those 'mericans who can. which will give us time to do it right" )n the meantime. the si/e of which will be based on your need" 'nd all insurance companies that want access to this new mar$etplace will have to abide by the consumer protections ) already mentioned" 1his exchange will ta$e effect in four years.t be achieved" . if you. it will be against the law for insurance companies to deny you coverage because of a pre9existing condition" 's soon as ) sign this bill. routine chec$ups and preventive care. it saves money. li$e mammograms and colonoscopies 3 because there. it. and we should embrace it" =ow. we will provide tax credits. affordable choices" )f you lose your . with no extra charge. and gives those businesses an unfair advantage over their competitors" 'nd unless everybody does their part.
would be exempt from these re>uirements" &ut we cannot have large businesses and individuals who can afford coverage game the system by avoiding responsibility to themselves or their employees" )mproving our health care system only wor$s if everybody does their part" hile there remain some significant details to be ironed out. administered by the government . almost 6-A is controlled by .d li$e to address some of the $ey controversies that are still out there" Some of people. an exchange that allows individuals and small businesses to purchase affordable coverage. and federal conscience laws will remain in place" #y health care proposal has also been attac$ed by some who oppose reform as a Bgovernment ta$eoverB of the entire health care system" 's proof.ust li$e #edicaid or #edicare" So let me set the record straight" #y guiding principle is.ac$ing up rates" . as well as the economy as a whole" Still. and 6@A of all small businesses.s why under my plan. plain and simple" 1here are also those who claim that our reform effort will insure illegal immigrants" 1his.ust one company" ithout competition. ) believe a broad consensus exists for the aspects of the plan ) . or chip in to help cover the cost of their wor$ers" 1here will be a hardship waiver for those individuals who still cannot afford coverage. but prominent politicians. critics point to a provision in our plan that allows the uninsured and small businesses to choose a publicly9sponsored insurance option. that we plan to set up panels of bureaucrats with the power to $ill off senior citi/ens" Such a charge would be laughable if it weren. given all the misinformation that. ) reali/e that many 'mericans have grown nervous about reform" So tonight ).m proposing would not apply to those who are here illegally" 'nd one more misunderstanding ) want to clear up 3 under our plan.ust outlined( consumer protections for those with insurance.t so cynical and irresponsible" )t is a lie. that consumers do better when there is choice and competition" Unfortunately.s been spread over the past few months. businesses will be re>uired to either offer their wor$ers health care.s concerns have grown out of bogus claims spread by those whose only agenda is to $ill reform at any cost" 1he best example is the claim. and always has been.ust as most states re>uire you to carry auto insurance" ?i$ewise.ust by radio and cable tal$ show hosts. because of their si/e and narrow profit margin. in 87 states. individuals will be re>uired to carry basic health insurance 3 . .@A of the insurance mar$et is controlled by five or fewer companies" )n 'labama.1hat. is false 3 the reforms ). and a re>uirement that people who can afford insurance get insurance" 'nd ) have no doubt that these reforms would greatly benefit 'mericans from all wal$s of life. made not . the price of insurance goes up and the >uality goes down" 'nd it ma$es it easier for insurance companies to treat their customers badly 3 by cherry9pic$ing the healthiest individuals and trying to drop the sic$est0 by overcharging small businesses who have no leverage0 and by . too. no federal dollars will be used to fund abortions.
)nsurance executives don. ) would remind you that for decades. to members of this chamber. based on Congressional &udget Office estimates. the right. ) say that rather than ma$ing wild claims about a government ta$eover of health care.ust want to hold them accountable" 1he insurance reforms that ). and to the public 3 and that is how we pay for this plan" .s profitable" 's one former insurance executive testified before Congress.t do this because they are bad people" 1hey do it because it. and employ a lot of our friends and neighbors" ) . the driving idea behind reform has been to end insurance company abuses and ma$e coverage affordable for those without it" 1he public option is only a means to that end 3 and we should remain open to other ideas that accomplish our ultimate goal" 'nd to my 4epublican friends.ority of 'mericans still favor a public insurance option of the sort ).ve proposed tonight" &ut its impact shouldn.t be" ) have insisted that li$e any private insurance company.s worth noting that a strong ma.t fairly compete with the government" 'nd they.t be exaggerated 3 by the left. ) have no interest in putting insurance companies out of business" 1hey provide a legitimate service. excessive administrative costs and executive salaries. and should not be used as a handy excuse for the usual ashington ideological battles" 1o my progressive friends.d be right if taxpayers were subsidi/ing this public insurance option" &ut they won. the insurance companies and their allies don. the same way public colleges and universities provide additional choice and competition to students without in any way inhibiting a vibrant system of private colleges and universities" )t. insurance companies are not only encouraged to find reasons to drop the seriously ill0 they are rewarded for it" 'll of this is in service of meeting what this former executive called B all Street. some have suggested that that the public option go into effect only in those mar$ets where insurance companies are not providing affordable policies" Others propose a co9op or another non9profit entity to administer the plan" 1hese are all constructive ideas worth exploring" &ut ) will not bac$ down on the basic principle that if 'mericans can. or the media" )t is only one part of my plan.ust that" &ut an additional step we can ta$e to $eep insurance companies honest is by ma$ing a not9for9profit public option available in the insurance exchange" ?et me be clear 3 it would only be an option for those who don. we believe that less than @A of 'mericans would sign up" +espite all this. we will provide you with a choice" 'nd ) will ma$e sure that no government bureaucrat or insurance company bureaucrat gets between you and the care that you need" Finally.t find affordable coverage. and it would not impact those of you who already have insurance" )n fact.ve already mentioned would do . let me discuss an issue that is a great concern to me.t have insurance" =o one would be forced to choose it. we should wor$ together to address any legitimate concerns you may have" For example. the public insurance option would have to be self9sufficient and rely on the premiums it collects" &ut by avoiding some of the overhead that gets eaten up at private companies by profits.s relentless profit expectations"B =ow.t li$e this idea" 1hey argue that these private companies can. it could provide a good deal for consumers" )t would also $eep pressure on private insurers to $eep their policies affordable and treat their customers better.
) will not sign a plan that adds one dime to our deficits 3 either now or in the future" Period" 'nd to prove that ).m serious. we. li$e the )ntermountain !ealthcare in Utah or the *eisinger !ealth System in rural Pennsylvania. because #edicare is such a big part of the health care system.s what you need to $now" First. this nation stood up for the principle that after a lifetime of hard wor$.s seniors 3 get the benefits you. there will be a provision in this plan that re>uires us to come forward with more spending cuts if the savings we promised don.s the .t materiali/e" Part of the reason ) faced a trillion dollar deficit when ) wal$ed in the door of the hite !ouse is because too many initiatives over the last decade were not paid for 3 from the )ra> ar to tax brea$s for the wealthy" ) will not ma$e that same mista$e with health care" Second. because #edicare is another issue that. and . ) want to spea$ directly to 'merica. as well as unwarranted subsidies in #edicare that go to insurance companies 3 subsidies that do everything to pad their profits and nothing to improve your care" 'nd we will also create an independent commission of doctors and medical experts charged with identifying more waste in the years ahead" 1hese steps will ensure that you 3 'merica.udgment of medical professionals across this country" 'nd this is also true when it comes to #edicare and #edicaid" )n fact. our seniors should not be left to struggle with a pile of medical bills in their later years" 1hat is how #edicare was born" 'nd it remains a sacred trust that must be passed down from one generation to the next" 1hat is why not a dollar of the #edicare trust fund will be used to pay for this plan" 1he only thing this plan would eliminate is the hundreds of billions of dollars in waste and fraud. too much of the hard9earned savings and tax dollars we spend on health care doesn.ected to demagoguery and distortion during the course of this debate" #ore than four decades ago.s been sub.!ere.s what this plan will do for you" So don.ust this year supported a budget that would have essentially turned #edicare into a privati/ed voucher program" 1hat will never happen on my watch" ) will protect #edicare" =ow.udgment 3 it.ve been promised" 1hey will ensure that #edicare is there for future generations" 'nd we can use some of the savings to fill the gap in coverage that forces too many seniors to pay thousands of dollars a year out of their own poc$et for prescription drugs" 1hat.s seniors for a moment.t ma$e us healthier" 1hat.s not my .ve estimated that most of this plan can be paid for by finding savings within the existing health care system 3 a system that is currently full of waste and abuse" 4ight now. ma$ing the program more efficient can help usher in changes in the way we deliver health care that can reduce costs for everybody" e have long $nown that some places. offer high9>uality care at costs below average" 1he commission can help encourage the adoption of these common9sense best practices by doctors and medical professionals throughout the system 3 everything from reducing hospital infection rates to encouraging better coordination between teams of doctors" .t pay attention to those scary stories about how your benefits will be cut 3 especially since some of the same fol$s who are spreading these tall tales have fought against #edicare in the past.
m proposing" )t. and the ones who shared their stories with us at town hall meetings.billion over ten years 3 less than we have spent on the )ra> and 'fghanistan wars. and in letters" . this modest change could help hold down the cost of health care for all of us in the long9run" Finally.m proposing will cost around <6-. and the plan ).t believe malpractice reform is a silver bullet.4educing the waste and inefficiency in #edicare and #edicaid will pay for most of this plan" #uch of the rest would be paid for with revenues from the very same drug and insurance companies that stand to benefit from tens of millions of new customers" 1his reform will charge insurance companies a fee for their most expensive policies. ) will be there to listen" #y door is always open" &ut $now this( ) will not waste time with those who have made the calculation that it.s better politics to $ill this plan than improve it" ) will not stand by while the special interests use the same old tactics to $eep things exactly the way they are" )f you misrepresent what. not higher taxes" 'nd if we are able to slow the growth of health care costs by . it will actually reduce the deficit by <7 trillion over the long term" 1his is the plan ).ust one9tenth of one percent each year. we will call you out" 'nd ) will not accept the status >uo as a solution" =ot this time" =ot now" :veryone in this room $nows what will happen if we do nothing" Our deficit will grow" #ore families will go ban$rupt" #ore businesses will close" #ore 'mericans will lose their coverage when they are sic$ and need it most" 'nd more will die as a result" e $now these things to be true" 1hat is why we cannot fail" &ecause there are too many 'mericans counting on us to succeed 3 the ones who suffer silently.s a plan that incorporates ideas from many of the people in this room tonight 3 +emocrats and 4epublicans" 'nd ) will continue to see$ common ground in the wee$s ahead" )f you come to me with a serious set of proposals. which will encourage them to provide greater value for the money 3 an idea which has the support of +emocratic and 4epublican experts" 'nd according to these same experts.ects in individual states to test these issues" )t.s in the plan. in emails. and less than the tax cuts for the wealthiest few 'mericans that Congress passed at the beginning of the previous administration" #ost of these costs will be paid for with money already being spent 3 but spent badly 3 in the existing health care system" 1he plan will not add to our deficit" 1he middle9class will reali/e greater security. but ) have tal$ed to enough doctors to $now that defensive medicine may be contributing to unnecessary costs" So ) am proposing that we move forward on a range of ideas about how to put patient safety first and let doctors focus on practicing medicine" ) $now that the &ush 'dministration considered authori/ing demonstration pro.s a good idea. many in this chamber 3 particularly on the 4epublican side of the aisle 3 have long insisted that reforming our medical malpractice laws can help bring down the cost of health care" ) don. and ) am directing my Secretary of !ealth and !uman Services to move forward on this initiative today" 'dd it all up.
when over half of our seniors could not support themselves and millions had seen their savings wiped away.s passion was born not of some rigid ideology. but ) . but fundamental principles of social . and we are all the better for it" )n 56D@. members of . there were those who argued that Social Security would lead to socialism" &ut the men and women of Congress stood fast.ust can. Orrin !atch. $nows that" 1hey wor$ed together to provide children with health insurance" !is friend 2ohn #cCain $nows that" 1hey wor$ed together on a Patient. shortly after he was told that his illness was terminal" !e as$ed that it be delivered upon his death" )n it.s &ill of 4ights" !is friend Chuc$ *rassley $nows that" 1hey wor$ed together to provide health care to children with disabilities" On issues li$e these.ustice and the character of our country"B ). others are there to lend a helping hand" ' belief that in this country.) received one of those letters a few days ago" )t was from our beloved friend and colleague. 1ed Cennedy" !e had written it bac$ in #ay. Bis above all a moral issue0 at sta$e are not . his brand of liberalism represented an affront to 'merican liberty" )n their mind. his wife.ve thought about that phrase >uite a bit in recent days 3 the character of our country" One of the uni>ue and wonderful things about 'merica has always been our self9reliance.t afford it" 1hat large9heartedness 3 that concern and regard for the plight of others 3 is not a partisan feeling" )t is not a 4epublican or a +emocratic feeling" )t. his passion for universal health care was nothing more than a passion for big government" &ut those of us who $new 1eddy and wor$ed with him here 3 people of both parties 3 $now that what drove him was something more" !is friend. our rugged individualism. hard wor$ and responsibility should be rewarded by some measure of security and fair play0 and an ac$nowledgement that sometimes government has to step in to help deliver on that promise" 1his has always been the history of our progress" )n 5688. when some argued that #edicare represented a government ta$eover of health care. and his children. but of his own experience" )t was the experience of having two children stric$en with cancer" !e never forgot the sheer terror and helplessness that any parent feels when a child is badly sic$0 and he was able to imagine what it must be li$e for those without insurance0 what it would be li$e to have to say to a wife or a child or an aging parent 3 there is something that could ma$e you better. is part of the 'merican character" Our ability to stand in other people. he spo$e about what a happy time his last months were. too.s critics.B he wrote. our fierce defense of freedom and our healthy s$epticism of government" 'nd figuring out the appropriate si/e and role of government has always been a source of rigorous and sometimes angry debate" For some of 1ed Cennedy.s shoes" ' recognition that we are all in this together0 that when fortune turns against one of us. 1ed Cennedy. %ic$i. who are here tonight " 'nd he expressed confidence that this would be the year that health care reform 3 Bthat great unfinished business of our society.B he called it 3 would finally pass" !e repeated the truth that health care is decisive for our future prosperity. but he also reminded me that Bit concerns more than material things"B B hat we face.ust the details of policy. than$s to the love and support of family and friends.
s not what we came here to do" e did not come to fear the future" e came here to shape it" ) still believe we can act even when it.ect to scorn0 when any efforts to help people in need are attac$ed as un9'merican0 when facts and reason are thrown overboard and only timidity passes for wisdom. and we can no longer even engage in a civil conversation with each other over the things that truly matter 3 that at that point we don.oined together so that all of us could enter our golden years with some basic peace of mind" Eou see.s hard" ) still believe we can replace acrimony with civility. and should not. or one more term" &ut that. and the vulnerable can be exploited" 'nd they $new that when any government measure. did not bac$ down" 1hey . *od &less Eou. monopolies can stifle competition.s test" &ecause that is who we are" 1hat is our calling" 1hat is our character" 1han$ you. and that here and now we will meet history. solve every problem" 1hey understood that there are instances when the gains in security from government action are not worth the added constraints on our freedom" &ut they also understood that the danger of too much government is matched by the perils of too little0 that without the leavening hand of wise policy. and may *od &less the United States of 'merica" .t merely lose our capacity to solve big challenges" e lose something essential about ourselves" hat was true then remains true today" ) understand how difficult this health care debate has been" ) $now that many in this country are deeply s$eptical that government is loo$ing out for them" ) understand that the politically safe move would be to $ic$ the can further down the road 3 to defer reform one more year.s not what the moment calls for" 1hat. our predecessors understood that government could not. or one more election. +emocrats and 4epublicans. and gridloc$ with progress" ) still believe we can do great things. mar$ets can crash. is sub.Congress. no matter how carefully crafted or beneficial.
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