As for our auto industry, everyone recognizes that years of bad decision-making and a global recession have pushed our automakers to the brink.Â We should not, and will not, protect them from their own bad practices.Â But we are committed to the goal of a re-tooled, re-imagined auto industry that can compete and win.Â Millions of jobs depend on it.Â Scores of communities depend on it.Â And I believe the nation that invented the automobile cannot walk away from it.
None of this will come without cost, nor will it be easy.Â But this is America.Â We don’t do what’s easy.Â We do what is necessary to move this country forward.
For that same reason, we must also address the crushing cost of health care.
This is a cost that now causes a bankruptcy in America every thirty seconds.Â By the end of the year, it could cause 1.5 million Americans to lose their homes.Â In the last eight years, premiums have grown four times faster than wages.Â And in each of these years, one million more Americans have lost their health insurance.Â It is one of the major reasons why small businesses close their doors and corporations ship jobs overseas.Â And it’s one of the largest and fastest-growing parts of our budget.
Given these facts, we can no longer afford to put health care reform on hold.
Already, we have done more to advance the cause of health care reform in the last thirty days than we have in the last decade.Â When it was days old, this Congress passed a law to provide and protect health insurance for eleven million American children whose parents work full-time.Â Our recovery plan will invest in electronic health records and new technology that will reduce errors, bring down costs, ensure privacy, and save lives.Â It will launch a new effort to conquer a disease that has touched the life of nearly every American by seeking a cure for cancer in our time.Â And it makes the largest investment ever in preventive care, because that is one of the best ways to keep our people healthy and our costs under control.
This budget builds on these reforms.Â It includes an historic commitment to comprehensive health care reform — a down-payment on the principle that we must have quality, affordable health care for every American.Â It’s a commitment that’s paid for in part by efficiencies in our system that are long overdue.Â And it’s a step we must take if we hope to bring down our deficit in the years to come.
Now, there will be many different opinions and ideas about how to achieve reform, and that is why I’m bringing together businesses and workers, doctors and health care providers, Democrats and Republicans to begin work on this issue next week.
I suffer no illusions that this will be an easy process.Â It will be hard.Â But I also know that nearly a century after Teddy Roosevelt first called for reform, the cost of our health care has weighed down