I know some question whether we can afford to act this year. But the unmistakable truth is that it would be irresponsible to not act. We can’t keep shifting a growing burden to future generations. With each passing year, health care costs consume a larger share of our nation’s spending, and contribute to yawning deficits that we cannot control. So let me be clear: health care reform is not part of the problem when it comes to our fiscal future, it is a fundamental part of the solution.

Real reform will mean reductions in our long term budget. And I have made a firm commitment that health care reform will not add to the federal deficit over the next decade. To keep that commitment, my Administration has already identified how to pay for the historic $635 billion down payment on reform detailed in our budget. This includes over $300 billion that we will save through changes like reducing Medicare overpayments to private insurers, and rooting out waste in Medicare and Medicaid.

However, any honest accounting must prepare for the fact that health care reform will require additional costs in the short term in order to reduce spending in the long-term. So today, I am announcing an additional $313 billion in savings that will rein in unnecessary spending, and increase efficiency and the quality of care – savings that will ensure that we have nearly $950 billion set aside to offset the cost of health care reform over the next ten years.

These savings will come from common sense changes. For example – if more Americans are insured, we can cut payments that help hospitals treat patients without health insurance.  If the drug makers pay their fair share, we can cut government spending on prescription drugs. And if doctors have incentives to provide the best care instead of more care, we can help Americans avoid the unnecessary hospital stays, treatments, and tests that drive up costs. For more details about these and other savings, you can visit our website:

These savings underscore the fact that securing quality, affordable health care for the American people is tied directly to insisting upon fiscal responsibility. And these savings are rooted in the same principle that must guide our broader approach to reform: we will fix what’s broken, while building upon what works. If you like your plan and your doctor, you can keep them – the only changes that you’ll see are lower costs and better health care.

For too long, we have stood by while our health care system has frayed at the seams. While there has been excuse after excuse to delay reform, the price of care has gone up for individuals, for business, and for the government. This time must be different. This is the moment when we must reform health care so that we can build a new foundation for our economy to grow; for our people to thrive; and for our country to pursue a responsible and sustainable path. Thank you.