The White House

Office of the Press Secretary

Press Briefing by Press Secretary Josh Earnest, 1/30/2015

James S. Brady Press Briefing Room

12:55 P.M. EST

MR. EARNEST:  Good afternoon, everybody.  TGIF.  It’s nice to see all of you.  I don’t actually have any announcements at the beginning, so we can go ahead and go straight to questions.

Q    Okay, I’d like to start by asking a couple questions about the Islamic State hostage situation.  First of all, do you have any update on the fate of the Japanese journalist or the Jordanian pilot?

MR. EARNEST:  I don’t have any updates, Nedra, but I would encourage you to check with either the Jordanian government or the Japanese government who could give you an update on their efforts to secure the release of their citizens.

Q    Because some people in Jordan have been expressing the opinion that this pilot is paying the price for a war that they shouldn’t be involved in.  Is the President at all concerned that this could reduce public opinion within the Arab world or the U.S.-Arab coalition?

MR. EARNEST:  Well, Nedra, I think the reason that we have had tremendous success in building a coalition of more than 60 nations to take the fight to ISIL and execute the President’s strategy of degrading and ultimately destroying ISIL, is that nations around the world reflect the risk that ISIL poses to nations in the region.  And particularly, a nation like Jordan understands the risk that they face from extremists.  And there are ambitions that have been articulated by ISIL to expand their footprint.  And that is why it was so important for countries from around the world to come together to face down this threat.

And as the President was building this coalition, there was some doubt expressed about how much success he would have in enlisting the support of other Arab nations in this fight.  And we are pleased that nations like Jordan, like Saudi Arabia, like the UAE aren’t just ready to stand with the United States in this endeavor to counteract, degrade, and ultimately destroy ISIL, they’re actually joining the fight.  And we do see members of the military -- from Jordan, the UAE, and Saudi Arabia and others -- who are flying alongside American pilots, carrying out strikes against ISIL.  And that, I do think, sends a clear signal to our enemies and to the world that the world is united to face down this threat.

Q    On another topic -- did the President have any reaction to his former opponent Mitt Romney’s decision not to seek the presidency again?

MR. EARNEST:  I did not have an opportunity to speak to the President since Governor Romney made his announcement.  But certainly Governor Romney is a man of great faith and a man who has tremendous loyalty and commitment to his country, and that is something that is worthy of our respect.  I confident that the announcement that he made today was a difficult one; I think he acknowledged as much.  But it’s also an intensely personal decision that candidates and their families make.

The other thing that I’ll say is he did say in recent days that he hoped that we could have more robust debate in this country about what we could do to put in place policies that benefit middle-class families; that he was articulating a concern that he had that we’ve seen those at the top benefit quite a bit from our economic recovery, but not as much benefit being directed to middle-class families.  And that obviously is a sentiment that the President himself has shared. 

So I’m confident that Governor Romney will be someone whose endorsement will be sought by other Republican candidates.  And I’m hopeful that Governor Romney will use that influence to try to elevate the debate and have more attention and focus on policies that actually benefit middle-class families.  And surely we’re going to have disagreements about the best way to do that.  But if that can be at least be our starting point, I think we would feel like we’ve made some progress. 

Q    In his remarks last night, the President seemed to relish a debate over poverty in the United States with Romney.  Is that the case?  Or do you think maybe he’d be disappointed not to be able to have that debate now?

MR. EARNEST:  No, I don’t think the President is disappointed.  Thank you, Nedra.
Jeff.

Q    Following up on that, he seemed, the President, last night to be tweaking the Governor a little bit without naming him by name.  Was that his intention?

MR. EARNEST:  No.  Again, I think that his intent was to note that we are seeing more rhetoric from Republicans indicating what was a previously unstated concern for people who aren’t at the top.  And the President certainly welcomes their interest in these issues.  And as I mentioned, I think Governor Romney is genuine when he’s articulating that concern.  The problem is -- and this is something that we’ve seen too often from the Republican side -- that they’ve essentially used the middle class as a talking point and not actually put forward policies that benefit the middle class.

So again, to the extent that Governor Romney can use his influence to try to change the fundamentals of this debate in a way that will actually focus on what we can do to benefit the middle class, and those who aren’t in the top 1 percent -- which is where so many of the Republican policies seem to be aimed -- then that would be a really good thing.  And it certainly would be a way for Governor Romney -- although he has indicated that he’s not going to be a candidate -- a way that he could substantially contribute to this debate.

Q    And on a couple of other topics.  Russia’s Central Bank cut its interest rate today in reaction to the possibility of a recession in the country.  You’ve talked a lot about the effectiveness of sanctions.  Do you have any reaction to that?  And can you give us any update on potentially more sanctions coming down the road?

MR. EARNEST:  Well, Jeff, I won’t comment extensively on the actions that were taken by another central bank.  But I can say as a general matter that I also noticed that, within the last week or so, the Central Bank had actually raised interest rates dramatically to try to protect the value of their own currency.

I think what this illustrates is, it illustrates that there is an element of chaos in the Russian economy, and some of that is a result of the international sanctions regime that this President has led the implementation of.  And that is an indication that there are specific and clear economic costs associated with President Putin’s expedition into eastern Ukraine; that continuing to violate the territorial integrity of one of their neighbors is having an economic impact -- a negative one -- on Russia. 

And as the days go by, and as Russia continues to refuse to live up to previous commitments that they have made to deescalate this conflict, those costs are only going to intensify.  And we’re hopeful that as these costs mount, that it will prompt the President, President Putin, to reevaluate his strategy. 

Q    Peace talks over Ukraine have also stopped before they began because of additional deaths of civilians there.  Is the White House watching that?  Do you have any specific reaction to those deaths?

MR. EARNEST:  We are continuing to monitor the situation in Ukraine, and we have seen repeatedly that the Russians have been unwilling to live up to their agreements, and that a lot of these deaths of civilians are the result of military actions that are taken by separatists that are supported and armed by the Russian military.  And that is an indication that we need to change the cycle.  And we are hopeful that as the international community continues to show their resolve, and as the costs continue to pile up on the Russian economy, that President Putin will ultimately change course.

Q    And finally, the Greek government is having meetings this week.  The White House released a readout the other day of the President’s discussion with the Prime Minister.  What’s the White House’s reaction to the new government’s statement today that it will not cooperate with the IMF and European lenders about extending its aid package?

MR. EARNEST:  Well, Jeff, I don’t have a specific reaction to that announcement.  I call tell you that, in general, the President telephoned Prime Minister Tsipras earlier this week, because the United States for a number of years now has been working closely with the EU and the Greeks to try to resolve so much of the financial and fiscal instability that we see over in Europe.  And that does have implications and an impact on the U.S. economy and on the global economy, of course. 

So we’re going to continue to work closely with the EU, and that means engaging with the new political leaders in Greece to try to resolve these differences and get Greece and Europe and the global economy back on a path toward growth and prosperity, because that, ultimately, is going to be in the best interest of the U.S. economy.
Justin.

Q    First I wanted to ask about GDP.  It came in a little lower than expectations today.  I know the President has spoken a lot recently about how kind of promising economic signs are the reason that with this budget we can invest more in sort of all his priorities.  Is there any concern that some of the international factors that are dragging on now the U.S. economy are going to undermine the President’s efforts to sort of make that argument?

MR. EARNEST:  Justin, I’ll tell you that that may end up being true, but I don’t think the GDP numbers that were released today are much evidence of that.  The fact is, this is one snapshot.  And as you’ve heard me say for years up here now, we don’t get too excited about one great economic report, or too disappointed by one that doesn’t meet expectations.  The fact is, what we’re looking at are the longer trends.  And even if you look at the more recent trends, just in the last six months of 2014, the economy grew at a rate of 4 percent.  And that is certainly a pretty robust rate of growth, and that’s momentum that we want to build on.  And that’s why so many of the policies that the President laid out in the State of the Union would try to capitalize on that momentum. 

At the same time, we have said -- and this is what I tried to acknowledge at the beginning of my answer to your question -- is that there are consequences for a slowdown in the international economy on the U.S. economy.  And we do continue to be concerned about some of those things.  Jason Furman appeared in the briefing with me about a little over a month ago now, and talked about some of the potential impacts from the slowing global economy.  And certainly, our work with the Europeans that Jeff asked about, is evidence of our ongoing efforts to work with the international community to strengthen the economy around the globe because that’s going to have important benefits for the U.S. economy here at home.

Q    And last night in Philadelphia, it sounded like there was a lively exchange on trade between the President and House Democrats.  And I know that the President promised to loop them in more as these trade deals are being developed, and kind of made his argument for why they were important.  So I’m wondering after that discussion if you guys feel as if you’ve got the 50 or so House Democrats that you need for Trade Promotion Authority.

MR. EARNEST:  Well, the President wasn’t there to count votes last night.  The President was there to have a conversation about his strategy when it comes to these conversations about opening up markets for American exports.  And the President did lay out a pretty compelling case; it’s not that different than the case you heard him make in the State of the Union.

So this is a process.  We’re going to continue to have a conversation with Democrats and Republicans, both supporters of these kinds of trade agreements and some people who have indicated an opposition to them.  The President does have a strong case to make about how an agreement that he will sign will only be an agreement that is in the best interest of American middle-class families and in the best interest of American businesses.  And that will sort of be the guidepost as we pursue this agreement with a range of other countries in the Asia Pacific.

And we’ll make our case to Democrats and Republicans alike along those lines.  I will say that the President over the course of the last six years, based on the success that his policies have had in strengthening our economy after the worst economic downturn since the Great Depression, should give those who are concerned about the middle class some confidence that the President knows what he’s talking about when he says he’s going to go out and stand up for middle-class families.

Q    Even if he wasn’t counting votes, did the President come away from that feeling as if there was enough Democratic support?

MR. EARNEST:  Well, I’ll say that the President came away with the impression that people were focused on this issue, and I do think that he came away with the impression that he got a fair hearing from the Democrats who were in attendance.  I do not anticipate that every single Democrat is going to end up voting for this thing, but I do think that as long as people give the President an opportunity to present the facts and to ask legitimate questions about the details of the agreement, then we’re going to -- then I think we’re going to have an opportunity to continue to make our case and I think we’re going to win some support as a result.

Mr. Viqueira.

Q    Thank you.  I’ll take you to the Middle East.  Israel has announced --

MR. EARNEST:  I was there earlier this week, but we can go back if you’d like.  (Laughter.)

Q    Israel has announced plans to build 450 units on the West Bank.  The chief Palestinian negotiator has said that this is a result of impunity granted to Israel, a reference to the speech that the Speaker has invited the Prime Minister to make here.  What is your reaction to the announcement by Israel?

MR. EARNEST:  Well, Mike, we’ve, on a number of occasions, had the opportunity to make clear our position on settlement activity.  Our position is that we believe that settlements are illegitimate and counterproductive to achieving a two-state outcome.  We have deep concerns about these highly contentious settlement construction announcements.  They will have detrimental impacts on the ground, inflame already-heightened tensions with the Palestinians, and further isolate the Israelis internationally.  The United States, as a close ally of Israel, works -- uses our diplomatic influence around the globe to try to build support for Israel, and an announcement like this only serves to further isolate them.

I can tell you that issuing tenders like this does nothing to bolster Israel’s security.  It does not increase its prosperity and it does not further the cause for peace; in fact, it does precisely the opposite.

Q    Do you suspect a political motive on the part of the Prime Minister, coming so soon before the elections, which you’ve alluded to?

MR. EARNEST:  It’s unclear to me exactly what their motive is.  But what is clear is that this, in our view, would only undermine the ability of the Israelis to build support internationally and to ultimately secure the kind of peace agreement with a two-state outcome that we believe is clearly in the best interest of Israel’s national security.

Kristen.

Q    Josh, thank you.  Can you comment on the reports that one of the five Taliban fighters who was traded last year for Bowe Bergdahl has reached out to try to make contact with the Taliban?  What can you tell us about that?

MR. EARNEST:  Well, I can tell you there are a couple of facts that are important that should be reflected in the reporting.  The first is, is that none of these individuals has returned to the battlefield.  None of them is allowed to travel outside of Qatar, and none has engaged in physical violence.  In fact, each of them at this moment is still in Qatar, and each of them is subject to monitoring and other mitigation measures that limit their activities.

I can also tell you that we are regularly in touch with the Qataris about those mitigation efforts.  And in light of the concerns that you have raised, I can tell you that those mitigation efforts and those monitoring efforts have been updated to reflect those concerns.  But I can tell you, because of the cooperation we’ve gotten from the Qataris and because of the conversations that they’ve had with our national security team here in the administration, that we continue to have confidence that there are measures in place to substantially mitigate the threat that they pose to American national security.

Q    Can you be specific?  What do you mean by “updated”?  Mitigation efforts have been updated?

MR. EARNEST:  Unfortunately, I’m not in a position I think for some -- for a variety of reasons, some of which are obvious, I’m not in a position to detail the mitigation efforts that are in place.

Q    And I know that you’re making the point that this individual hasn’t returned to the battlefield, but doesn’t it suggest that releasing these prisoners could potentially pose a threat to the United States?

MR. EARNEST:  Well, Kristen, you’ll recall that when this transfer from Guantanamo Bay -- from the prison at Guantanamo Bay to Qatar, that the Secretary of Defense had independently certified that there were sufficient mitigation measures in place to substantially mitigate the threat that they posed to American national security.  And Secretary Hagel certified as such last summer. 

Now, the success of those mitigation measures depends on the cooperation of the Qatari government, and I’m pleased to report to you that we’ve gotten good cooperation and there is good coordination between the United States and the Qatari government about these measures that need to be implemented.  And the fact that we are updating them to reflect some of these concerns I think is evidence that we have a system in place that is protecting American national security right now.

Q    And the fact that this contact happened in the first place -- will it make the administration, has it made the administration re-think the effort to essentially close Guantanamo, to step up its release of some of these prisoners?

MR. EARNEST:  No, it does not, and simply because keeping the prison open undermines our national security.  That is the view of the President of the United States.  It’s been his view since he campaigned for this office in the first place.  It actually was the view of the previous administration, who also advocated for the closing of the prison at Guantanamo Bay.

The fact is, the prison at Guantanamo Bay only serves as a recruitment tool for terrorists.  It drains our resources.  As the President mentioned in the State of the Union address, we spend $3 million a year per prisoner to keep them locked up at the prison at Guantanamo Bay.  That certainly is not a good use of our resources.  And the opening of that prison -- or the prison’s continued operation has only served to damage our relationships with countries around the world, countries we rely on to protect our national security.

So the President believes that it is an easy call that we need to close the prison at Guantanamo Bay.  And as we transfer prisoners from the prison, we need to make sure that we have measures in place to mitigate the risk that those individuals pose to the United States.  And in the case of these five individuals, that’s exactly what we have.

Q    And just to put a fine point on it, you can say with confidence that this individual right now does not continue to pose a threat to the United States?

MR. EARNEST:  Well, what I can say with confidence is this individual has not returned to the battlefield.  This individual is not allowed to travel outside Qatar.  And this individual has not engaged in any physical violence.  In fact, this individual is still in Qatar right now, and is subject to monitoring measures that mitigate the threat that this individual poses to the United States of America.

Q    And I want to ask you about something here at home.  There’s a lot of concern, particularly among the CDC officials, about this recent spread of measles.  It’s now impacting people in 14 different states.  There’s been concern, as we get closer to the Super Bowl.  How concerned is the White House?  How closely is the President being informed by the CDC?

MR. EARNEST:  Well, the CDC is obviously monitoring this very closely, and we have our public health experts across the country who are taking a careful look at this.  I mean, I think what those experts would tell you is that their recommendation is that if you’re sick, we recommend that you don’t get on an airplane and you don’t go to crowded locations.  And that’s true of the flu and other illnesses as well.

But this obviously is an illness that’s a little bit more potent than the flu, and it’s certainly attracted the attention of our public health professionals both here in the federal government but also in states and communities all across the country.  And it’s something we’re going to continue to closely monitor.

Q    And obviously it has revived the debate over vaccines.  Does the President, does the White House have a message about that and who will be getting vaccinated?

MR. EARNEST:  Well, the President certainly believes that these kinds of decisions are decisions that should be made by parents, because ultimately when we’re talking about vaccinations, we’re typically talking about vaccinations that are given to children.  But the science on this, as our public health professionals I’m sure would be happy to tell you, the science on this is really clear.

Q    That people should get vaccinated?

MR. EARNEST:  That’s certainly what the science indicates, and that’s obviously what our public health professionals recommend.  And being guided by the science in matters like this is typically the right approach.
Kevin.

Q    Josh, thanks.  An interesting question posed by Politico today about lurching leftward from a policy perspective, perhaps budgetary perspective.  Is that a fair characterization of how the President is now leading?  Is there still an opportunity for a grand bargaining or centrist policies moving forward?

MR. EARNEST:  Well, Kevin, I think what I would say is that the President is driving towards the middle, not on the ideological spectrum, but driving toward the middle class.  And that has exactly been the focal point of his domestic policymaking agenda since he took office.  But I think it’s fair to say that he’s doubling down on that effort, and that was what was included in his State of the Union address. 

And when the President rolls out his budget on Monday, you’ll see that we’re going to have an orientation in that budget where we make clear that our priority is middle-class families.  And the reason for that is simply that when our economy is growing from the middle out, we know that our economy is on its strongest footing.  And the President believes that there’s a lot more that we can do to support middle-class families.  And I don’t know if -- if supporting middle-class families means that you’re more oriented to the progressive end of the ideological spectrum, so be it.  But that certainly -- what the President is focused on is the middle class. 

Q   I want to switch gears for just a second and ask you about immigration.  I know a great deal has been talked about with respect to the people that are already here.  I’m curious about policy moving forward for those who would like to work here and be here for longer periods.  There are thousands, if not more, Canadians, for example, that come here, they do good jobs, and then they have to go back because it’s a time limitation.  Is there any thought to sort of expanding that opportunity as you continue to unpack immigration reform?

MR. EARNEST:  Well, Kevin, this is one of the tragedies of the House Republicans’ decision not to even consider a vote on the bipartisan legislation that passed through the Senate early in 2013.  That legislation included a wide variety of things, but one of the important things it included were reform of our legal immigration system, that there should be some things that we can do to better attract talent from all across the world and entrepreneurs from all across the world to make it easier for them to come to the United States.  And if they want to open a business and create jobs here in America, they should be able to have a clear path to do so. 

And right now, our system doesn’t operate as efficiently as we would like, and it certainly doesn’t optimize our ability to retain talent that has come to the United States.  In some cases, we’re talking about individuals who left their home country to come to the United States to go to school and avail themselves of the most effective higher education system in the world. 

But yet, when their education system is up and they’re ready to invent a new product or innovate in an exciting way, or open a new business, we tell them, sorry, you’re going to have to go back to your home country.  The President doesn’t think that makes a lot of sense.  Certainly the Chamber of Commerce and a number of other business-friendly organizations that don’t typically align themselves with the President agree with him, however, in this case, that it doesn’t make a lot of sense.

So that’s why the President has said that he was going to use all of the power at his disposal, using his executive authority, to try to fix as much of our broken immigration system as possible.  But there is more work that needs to be done.  And we stand ready to work closely with Democrats and Republicans on Capitol Hill who are eager to join that fight.  And that fight should include reforms of our legal immigration system.

Q    One more thing I wanted to ask you about.  There’s a game coming on Sunday; perhaps you’ll be watching it.  A lot of fans in Seattle and in the New England area want to know:  Does the President have a team that he’s picking this year?  Are you picking a team this year?

MR. EARNEST:  Well, the President is always rooting for the Chicago Bears.  And unfortunately, they’re not in the game yet again. 

Q    Again.  (Laughter.) 

MR. EARNEST:  The President told House Democrats last night that he wasn’t going to choose sides in this particular contest, but he’s just hoping for a good game.  I think I can say the same thing for myself.
Major.

Q    Josh, the House Republicans have put together a working group to draft an alternative, they say, to the President’s Affordable Care Act, and doing so in anticipation of King v. Burwell before the Supreme Court.  Two questions.  Do you think there is anything premature about putting together a working group in anticipation of a Supreme Court decision that may strike down a key component of the Affordable Care Act?  And in general, White House reaction to what has long been missing from the Republican argument about Obamacare, that is to say a full-blown legislative replacement?

MR. EARNEST:  Well, I guess what I’d say, Major, is that they’re not premature, they’re about five years too late.  We’ve been waiting for years for Republicans to actually engage constructively in putting forward a plan to reform our health care system.  And that’s why the President had to drive so hard to get this across the finish line, because, again, he was obstructed at every turn by Republicans. 

So the President has also said, since that success of passing health care reform that has expanded health insurance to millions more Americans, and actually limited the growth in health care cost to the lowest level in recorded history, that we welcome ideas from Republicans for actually improving the law.  The fact of the matter is, they voted more than 50 times to actually try and eliminate the law.  So it’s not really clear that either, A, Republicans are serious about putting forward their own plan, or, B, actually even serious about trying to reform our health care system in a way that’s actually good for small business owners and middle-class families.

Q    Do you think there is anything to the idea that if King v. Burwell goes against the Affordable Care Act, the act itself becomes largely toothless in dealing with national health care?

MR. EARNEST:  Well, Major, at this point we remain confident that the Supreme Court will take a close look at the arguments and conclude what so many other people have, which is that the common-sense reading of the legislation is that Congress always intended for individuals that are eligible to collect tax credits that make their health care more affordable, that they should be able to collect those tax credits regardless of who was operating their marketplace.

So we remain confident in that.  And, frankly, what we found from Republicans who are raising those concerns, those are the same Republicans who voted against the Affordable Care Act in the first place.  So it’s hard to take their concerns very seriously.

Q    On Monday, Strobe Talbot, Michele Flournoy and several others will put forward a recommendation on administration policy in Ukraine.  Among the things they’re going to suggest is that this administration provide military equipment to Ukraine because after many, many months of using economic sanctions, they will argue the Ukrainian government needs financial resources of a greater degree than so far provided, and the military means by which to make the continued use of Russian separatists too painful for Russia.  Is this administration willing to give any consideration more seriously than it has to date to the concept of arming -- or providing arms to the Ukrainian government?

MR. EARNEST:  Major, I don’t know that anybody here has had a chance to take a look at that report, so when it’s issued on Monday I’m sure we’ll take a close look at it.

I know that there are a couple of things that it sounds like we may have some agreement with their proposals, based on the way that you’ve described them.  The first is that there is substantially more financial support that we can offer the Ukrainian government; that as a result of this instability in their country that’s been fomented and aided and abetted by the Russians, that they’ve sustained some pretty significant economic costs themselves.  That’s why the President earlier this year called for Congress to act on a $1 billion loan guarantee to Ukraine.  And consistent with some reforms that they put in place, we’d be in favor of even additional support beyond that, in the second half of this year.  So we’ll see how that moves forward.

The second thing is, the President has been urging Congress to approve of some long overdue reforms at the IMF that would bolster the IMF’s ability to offer some financial assistance to the Ukrainians.  So at least that element of the report, the way that you’ve described it, is consistent with our view that there is more that we can and should do to support the Ukrainians financially.

As it relates to military support, the President has been reluctant to do that, principally because in his mind --

Q    Is he becoming more open to it?

MR. EARNEST:  Well, I think at this point what I would say is, he continues to be reluctant -- because ultimately there’s not going to be a military solution to this problem.  This is the kind of dispute that has to be resolved diplomatically.  And what we need to do is we need to see the Russians actually abide by the commitments that they’ve already made at the negotiating table.

Q    The arguments from Strobe Talbot and Michele Flournoy, as someone -- obviously the President is very familiar with both, is that that’s been tested; that there has to be a military price, and the Russians need to begin to feel it, and the Ukrainians need to have a sense they can defend themselves and not see civilian casualties and other destruction continue for there to be a different conclusion on the Russian side about the necessity of reaching the political accommodation you’ve just described.  Does the President disagree with that fundamentally?

MR. EARNEST:  Well, I think I’d look at their report before I pronounced a judgment on it one way or the other.  I think it’s certainly a reasonable point of view.  But the other part of this that we have to remember is that the longer that the sanctions remain in place, the worst the economic costs that Russia has to bear get.  And I think that’s evidenced even by the Russian Central Bank today that they’re having to -- that they’re going to attempt to lower their interest rates just a few days after increasing them significantly.  So there is an element of chaos in the Russian economy that’s only getting worse by the day.

So I think it is too early to say that the economic costs that Russia has to bear as a result of their incursions into Ukraine are not sufficient to get them to change their mind, and will not.  They haven't been so far, obviously.  But as those costs mount, there still is the possibility that it could prompt them to reevaluate their strategy in Ukraine.

Q    Two quick questions on trade.  Is 50 votes in the House, on the Democrat side, the White House benchmark?  And what is it about this argument you think House Democrats who oppose this already, sight unseen, don’t get about the new global economy and what this trade deal might mean for the U.S.?

MR. EARNEST:  I’m not ready to establish a benchmark in terms of the number of Democratic votes that we’d expect for this legislation.

Q    Or that you’d seek.

MR. EARNEST:  What we’d seek is a majority in the House of Representatives for the bill.  And whether that’s all Republicans or a bunch of Republicans and a small number of Democrats is, frankly, not something that we’re particularly concerned about.  We actually just want to see this piece of legislation pass.

On your second question about what it is that we will try to persuade reluctant Democrats, at least, about this matter is I think we’d try to persuade them about two facts.  The first is, there is significant risk associated with not engaging in this region of the world; that if the United States were to stand back and say, we’re not going to enter into any sort of economic agreements with countries in the Asia Pacific, it only serves to create an opening for China to step in and start writing the rules of the road in a way that is certainly not advantageous to American businesses and certainly not advantageous to American workers.  In fact, it would put Americans businesses and American workers at a significant disadvantage if China were to go in and start writing the rules of engagement with a bunch of other countries in the Asia Pacific.

That’s why the President believes it’s important for us to go into that situation and attempt to set a higher standard and to raise standards in a way that will level the playing field and create opportunities for American businesses to grow and thrive and open up access to markets in other countries.  We’re talking about countries that have, combined, a large population and a lot of customers, a lot of potential customers.  So there is an opportunity to be seized here, but there also is a cost associated with failing to seize it, and that is what is on the mind of the President.

And I think the second thing is -- and again, this is what I would expect to be an argument that’s pretty persuasive for a lot of Democrats in Congress -- when the President says he’s not going to sign an agreement that he doesn’t believe is clearly in the best interest of American middle-class families, he means it.  And there is an interest that other countries obviously have in trying to strike an agreement with the United States.  This is the most dynamic economy in the world, and it’s understandable that other countries would want to have more access to sell their goods here or to locate some of their businesses here.

So we’ve sort of got -- the carrot on the other end of the stick is making sure that this is an agreement that’s clearly in the best interest of American businesses and American middle-class families.  And that is the criteria that the President will use to evaluate this agreement.  And the President, as I mentioned, over the last six years or so, has put in place a whole host of policies that are clearly in the interest of middle-class families.  So he’s got some credibility built up around these issues.

And again, I wouldn’t expect that argument to carry the day with every single Democrat in the House of Representatives, but I do think that the President deserves, and so far has gotten, a fair hearing.  But this is a case that we’ll be making in the weeks ahead.
Jim.  

Q    Just to put a finer point on the measles vaccine issue.  When you say that it’s the parents -- you prefaced your comments by saying that parents would have that decision.  Are you supporting those who not for religious reasons, but because they have a special reason for it which may be based upon faulty science, are holding their kids back from getting vaccines?  Does the President support that?

MR. EARNEST:  Well, the President believes that everybody should be listening to our public health professionals.  Our public health professionals are guided by the science.  They’re the ones who are steeped in this knowledge, they’ve reviewed the studies, and then can offer the best advice to Americans about how they can best protect themselves and their kids from diseases like measles.

So I guess my point is, I’m not going to stand up here and dispense medical advice, but I am going to suggest that the President’s view is that people should evaluate this for themselves with a bias toward good science and toward the advice of our public health professionals who are trained to offer us exactly this kind of advice.

Q    And as I understand the regulations now are, is that the federal rules are you have to get a vaccine to go to school, but if you have -- but there are exemptions, and the exemptions are for religious reasons and also if you have a special concern.  Does that law need to be addressed?  Does that mean we have to eliminate these special concerns, which are not based on science?

MR. EARNEST:  I haven't heard any discussion about revising those rules, but this administration and our public health professionals rely on the best science available to give Americans the information that they need so that they can take the steps that are necessary to protect themselves and their families.  And that’s what we believe is the most important rule for the government in this case.

Q    And then just, in the State of the Union, the President said that it was time for Congress to begin to lift the embargo in Cuba.  Do you believe that the legislation, which has been proposed by Senators Leahy -- in the Senate, Senators Leahy and Flake and Durbin, is what the President is talking about?  It’s not talking asking for the embargo to be lifted, but for the travel restrictions to be lifted?

MR. EARNEST:  I think it’s certainly a step in the right direction, and I think it reflects the kind of bipartisan support there is for the policy proposal -- or the policy change that the President has started to implement on his own and has called for Congress to follow up on.  So we certainly welcome that piece of legislation, and hope it will get due consideration in both the House and the Senate.

Q    And do you think in this Congress, that the second step, the lifting of the embargo, will come up?

MR. EARNEST:  Well, it’s certainly possible.  I know the President is not the only person to support the lifting of the embargo.  There are Democrats and Republicans on both sides of the aisle who do support it, and the President will continue to advocate for it.
Annie.

Q    You just mentioned earlier that you welcome Republican ideas to change Obamacare.  And one of those that may have come up today with Obama’s push for medical research is supporting rescinding the medical device tax.  And I’m curious if there’s been any movement on that at all, and particularly with this push that you guys are making.

MR. EARNEST:  Well, I don’t think that there’s much of a connection between the medical device tax and the precision medicine announcement that the President made today.  The announcement that the President made today related to precision medicine is part of a substantial investment that he believes is necessary in the kind of medical innovations that could serve to dramatically overhaul health care in this country in a way that would have tremendous benefits for the health and wellbeing of people all across the country.

The President is also supportive of those kinds of investments because they have important economic benefits as well.  Right now it’s difficult to predict exactly what kind of businesses could sprout up around some of these innovations, but there is tremendous economic potential associated with a lot of this research.

And so, for both of those reasons, the President strongly believes that this is a worthwhile investment, and he’ll have more details about what that investment actually is in his budget.

Q    Well, many of those companies, though -- many of the companies that come up with these innovations are pushing for the medical device tax to be rescinded for that very reason.  And it will give them more time and more resources to put into research.

MR. EARNEST:  Well, we certainly have indicated a willingness to have a conversation with Republicans about the medical device tax.  I know some of them have expressed some concerns about it.  And we’re certainly willing to have that conversation.  But I don’t think there’s any reason why that medical device tax would in any way limit the kind of innovation that the President believes could revolutionize health care and has great economic potential for both those well-established health care companies, but also new companies that could emerge as a result of some of this new technology.

Q    And then, just on the Super Bowl, I’m wondering if the President has any thoughts about either what the NFL has done on domestic violence or on the issue of concussions.

MR. EARNEST:  Well, as I think has been covered in a lot of the reporting, this has been a challenging year for the NFL, and there are a range of important issues that I think even they’ve acknowledged that they need to address.  And I haven't heard the President sort of evaluate the specific response of the NFL to some of these challenges, but certainly acknowledging that these challenges exist is an important first step, and there’s no question that the NFL has done that.
Jim.

Q    Getting back to the President’s remarks last night, specifically when he referenced Governor Romney, the President did say that Governor Romney is a former presidential candidate on the other side, who suddenly is just deeply concerned about poverty.  He was zinging Romney, was he not?

MR. EARNEST:  Well, Jim, I think the President was observing a phenomenon that we’ve seen emerge from the mouths of many members of the Republican Party in the last few months; that all of a sudden, a party that has for years advocated policies that benefit those at the top, with the expectation that those benefits may trickle down to those in the middle, that all of a sudden, at least some Republicans seem to be changing their tune and indicating that they’re now actually all of a sudden interested in helping middle-class families.  The President welcomes their interest, but is hopeful that their interest is a signal of actual policy proposals and not just a new set of talking points.

Q    And how much does the President expect his message, the one that he delivered last night, the message that he’s trying to convey in this upcoming budget proposal, is picked up by Hillary Clinton or the Democratic Party heading into 2016?  Is he trying to set the table for whoever may be running for that nomination in 2016?

MR. EARNEST:  I mean, the short answer to the question is no.  What the President is trying to do is he wants to set the table for some progress for the country over the course of the two remaining years of his presidency.  And the President is hopeful that he can work with Congress to make some of that progress.  The President is also the first to acknowledge that he may have to take some steps on his own to realize some of that progress, and he’s willing to do both.

That’s what the President is going to be focused on for the last two years, and there will be this other presidential campaign that’s going on.  And I’m confident that there will be some people who are running for President who are going to be critical of some of the President’s proposals, and there will be some people who are running for President who will compliment the President for some of the proposals that he’s put forward.  And the President is happy to be a part of that debate. 

But ultimately, the debate that he’s going to have will be one that’s focused on the middle class and focused on how we can make progress for the middle class.  The people who are part of that campaign will be making the case for the country about how they can make that progress, if they’re given the same kind of opportunity that this President has been given, to serve here in the White House.

Q    And with Governor Romney making his decision today, they aren’t any thoughts here at the White House as to how soon perhaps Hillary Clinton or Joe Biden should be making some decisions on the future?

MR. EARNEST:  They’ll make those decisions on their own timeframe.

Q    Okay.  And I want to get back to the Bowe Bergdahl swap.  No regrets at this White House for that swap?

MR. EARNEST:  Of course not, Jim.  We’re talking about a principle that has a lot of precedent that this President is firmly committed to.  As the Commander-in-Chief, it’s his responsibility that no man or woman who wears the uniform of the United States military is left behind.  And that is a principle that the President is committed to upholding, in the same way that commanders-in-chief before him upheld that principle.  And that, ultimately, is where this debate starts and stops for him. 

Q    And you said that none of these individuals have returned to the battlefield.  Has the administration confirmed that?

MR. EARNEST:  That’s correct.

Q    And when was that confirmation made?  Was that just made in recent days -- contacts made in recent days to confirm that?

MR. EARNEST:  Jim, we are -- the national security team here is in regular touch with our counterparts in Qatar.  And right now, these individuals are in Qatar and they are subjected to monitoring and mitigation measures that ensures that we’re limiting their activities and doing so in a way that protects the national security interest of the United States.

Q    And the United States is doing that monitoring, is that correct?  In conjunction with the allies there in the region?

MR. EARNEST:  Well, Jim, we’re in close touch with the Qataris about these monitoring and mitigation procedures.  But I’m just not going to be in a position to detail exactly what those are.

Q    And I’m sorry, just to button it up, the fact that this individual was perhaps in contact with people on the battlefield, or in that theater of concern, does that concern the White House?  It appears that was the case.  You’re saying not on the battlefield, making that distinction.  But perhaps making attempts to contact people on the battlefield, that should be a concern, I would think. 

MR. EARNEST:  Well, I can’t talk about the individual concern that we have.  I can just say, as a general matter, that there have been concerns that have been raised about one individual, and that the monitoring and mitigation measures that were in place have been updated to reflect those concerns.  But I just can’t get into the details of either what prompted those concerns, what the concerns are, or what the mitigation measures were. 

Q    And by “updated,” you mean intensified, right?

MR. EARNEST:  Well, I think it would be fine for you to interpret it that way.

Q    And because of the drone concerns here at the White House earlier this week, and there have been some reports about drone concerns at the Super Bowl this weekend -- that people may try to do this sort of thing, and people have been told not to do that -- I mean, what is the Department of Homeland Security, I guess, activity related to that?  Is this a new concern?  Is this sort of a new phenomenon that the Department of Homeland Security is looking at, that the national security apparatus of this government is looking at with respect to keeping people safe this weekend?

MR. EARNEST:  Well, Jim, this is a concern that is new in the headlines, but is a concern that our national security team, and specifically the Department of Homeland Security has been aware of and focused on for quite some time.  And I can tell you, as it relates to the White House, this is something that has been a subject of extensive conversation at the United States Secret Service, the agency that’s responsible for protecting the White House.  I also know that the Department of Homeland Security is involved in some of the security precautions that are put in place around the Super Bowl, as they are with other large gatherings like that.  So I’d refer you to the Department of Homeland Security to discuss what they can about the security measures that are in place to keep people safe when they’re attending the Super Bowl today -- or this weekend.
Jared.

Q    Josh, I want to follow up on Major’s question about King v. Burwell.  I know you said that you remain confident about the Supreme Court’s decision.  Is there any legislative proposal that the administration is considering that could potentially get through two Republican chambers of Congress that would fix the Affordable Care Act if the King v. Burwell decision went the other way?

MR. EARNEST:  Well, Jared, we’re confident that it’s not going to go the other way. 

Q    So there’s no legislative consideration happening to hedge any of those bets?

MR. EARNEST:  Well, Republicans have indicated that they’re, again, determined to try to undermine the Affordable Care Act.  And for some reason, they think it’s good politics to try to take health care away from people; I’m not sure exactly why that is.  But that’s the conclusion that they’ve reached.  And they have said that they would block any sort of legislative improvements to the Affordable Care Act, and that’s unfortunate but that’s the situation as it exists.  That’s why it’s a good thing that we continue to be confident that the Supreme Court is going to take a look at the legislation and consider what is a pretty straightforward reading -- that the Congress intended for individuals who are qualified to accept tax credits to make their health care more affordable can actually accept them.  And that’s a pretty simple principle, and I don’t think it’s one that we -- it is a conclusion that has been acknowledged by others who have looked at this.

For example, when the Congressional Budget Office did a review of the Affordable Care Act, they did so, and their analysis indicated that they expected people who lived in states where the federal government was running their marketplace, that those people who be eligible to collect tax credits to make their health insurance more affordable.

So it’s not as if this is some sort of creative interpretation of the legislation.  I think it is rather the clear intent of those who wrote the law.  Ultimately, it’s the Supreme Court that has to decide this, but I think on its face it’s a matter of common sense.

Q    So since the Republicans control both chambers of Congress, there’s no point in the White House -- is this what you’re saying -- pursuing a backstop proposal if the Supreme Court went the other way?

MR. EARNEST:  Well, again, we don’t think the Supreme Court is going to go the other way.  And even if they did, Republicans have said that they wouldn’t consider a legislative solution.  So we’re pretty busy here at the White House.  I don’t think that would be a good use of our time.

Q    One other thing, Josh.  Does the White House have any reaction to Texas state representative, Molly White, and a decision that she made to put an Israeli flag on her desk and ask people to sign a pledge of allegiance to Muslims who were visiting her office yesterday?  Does the White House happen to have any reaction to that?

MR. EARNEST:  I don’t, Jared.  And that’s actually the first I’m hearing of it, but I’ll go see if I can learn more about it.
April.

MR. EARNEST:  Or not, maybe. (Laughter.)  I’m sorry, April, I didn’t mean to interrupt.

Q    No problem.  No problem.  Josh, I want to know, is Ferguson still a very special issue item that the President still looks at daily to find out what’s happening?

MR. EARNEST:  This broader issue, April, of strengthening the bonds of trust between local law enforcement officials and the citizens of the communities they serve is something that the President is very focused on.  And as you know, there is this commission that has been hard at work, that was appointed by the President, to take a look at some of these issues.  This is a commission that include members of law enforcement, some community and civil rights leaders and others, who could examine what some communities across the country have done to build this trust and to try to find ways to share those best practices with other communities across the country.

Q    So since you’re still looking at that issue, what did the President say about the dust-up that happened in Ferguson as tensions are still very high between the black community and law enforcement there?

MR. EARNEST:  April, I haven't talk to the President about it.  I have seen the news reports that you’re referring to.  And I think this is an indication that there’s more work that needs to be done on this, and I don’t think that’s a surprise to anybody, that some of the --

Q    On a federal level?

MR. EARNEST:  Well, no, actually in that community.  And don’t think that’s a surprise to anybody.  I think that so much of the turmoil that we saw in that community over the summer and fall were not the result of issues that had just cropped up; these were issues that were long-simmering and erupted in rather tragic ways into public view.

And the Department of Justice, as you know, has been intensively involved in that local community, trying to work through some of those issues.  And we’re hopeful that the work of this commission that the President has appointed will have some very practical, tangible recommendations for Ferguson and other communities all across the country, large and small, for some ideas about things they can do to try to head off these issues before they erupt so violently in the way that they did in Ferguson.

Q    And on a second, unrelated question, you brought up Mitt Romney.  Well, Nedra asked about Mitt Romney and you spoke very glowingly of him, saying he’s a man of great faith and it was a difficult decision, things that you said.  And Jim asked -- brought up a really good point about inclusion.  During his run for President against President Obama, he was not known for inclusion efforts, and with that, what does this White House think of the crop of candidates running -- be it Democrat or Republican -- as it relates to inclusion and to include the issues that we’re seeing with Ferguson, what’s happened in New York, in Sanford, Florida, with Travon Martin, and with Tamir Rice in Cleveland?  Does this administration feel that there’s a responsibility for these potential presidential candidates to really reach out for inclusion versus being a party for a single group of people?

MR. EARNEST:  Well, April, I think the best way for me to answer your question is to talk about the President’s experience.  And the President believed that the strength of his campaign was built on the diversity of the support that he enjoyed all across the country; that the President’s campaign had succeeded in energizing people who hadn’t been involved in politics before; that we got Democrats and Republicans and independents excited about the prospect of being able to change their country.

And the President believes that ultimately, in 2008 and in 2012, that that was the key to his success.  And to the extent that the campaigns that are run in 2016 are going to want to try to emulate successful -- recent, successful president campaigns, then a core element of those campaigns will need to be predicated on building a diverse, inclusive national campaign.

Q    So are you saying that we’re in a time that there’s no room for just focusing on one group of people?

MR. EARNEST:  Well, what I’m saying is that ultimately the people who will run in the 2016 campaigns are going to have to devise their own strategy.  But I can tell you that when the President devised his strategy in 2008 and 2012, that one of the most important elements of that strategy was building an inclusive campaign that reflected the kind of diverse support that he wanted to earn from voters and supporters all across the country.

Francesca.

Q    Yes, speaking of people who might potentially be running for President, Joe Biden -- when he was at the Democratic conference, he said, to state the obvious, the past six years have been really, really hard for this country.  What was Vice President Biden trying to say there?  I mean, the past six years this President has been in charge of the country.

MR. EARNEST:  Francesca, I think what the Vice President was observing is that it’s been very difficult to dig out of the financial crisis that this President inherited when he took office and that it has been hard work to dig out of that financial crisis.  And because of the grit and determination of the American people and American workers, because of the policies that this administration put in place, our economy has bounced back stronger than ever. 

And we’ve laid a new foundation that we need to capitalize on, and the President is hopeful that on top of that new foundation, we can actually put in place policies that are going to benefit middle-class families.  And whether it’s opening up the doors to a college education to more middle-class families; making it easier for middle-class families to save for retirement; helping middle-class families stretch a paycheck -- stretch their paychecks, particularly if both mom and dad are working.  There are a number of policies we can put in place that will be in the best interest of middle-class families and that’s an opportunity that we have now that we have recovered from a terrible financial crisis.

Q    Well, you’re very clear, but on a related note, the Democrats are having a panel today called, “Where Do We Go From Here?”  Does that suggest that the rest of the Democratic Party, especially congressional democrats, are adrift and they don’t know where the party is going?

MR. EARNEST:  Well, I don’t speak for all the Democrats; I speak for just the most powerful Democrat in the world.  (Laughter.)  And I can tell you that he’s very clear about where he wants to take the country.

Ching-Yi.

Q    Thank you, Josh.  I have a question regarding the Asia Pacific, actually.  Yesterday, U.S. Seventh Fleet Commander, Admiral Robert Thomas, told Reuters that the U.S. would welcome Japan patrols in the South China Sea.  And the Chinese government has a reaction to that.  And China’s English newspaper also reacts strongly by saying that Washington has no authority to draw Japan in, and also if Japan did send air patrols to South China Sea, China would counter that action and also announce to establish a South China Sea air defense zone.  So is this a new strategy for Obama administration to involve Japan’s military into South China Sea?  And is there any change of your Asia rebalance policy?

MR. EARNEST:  Ching-Yi, I’m not aware of the specific report that you’ve raised, but I can tell you that the administration policy that we have sought to pursue is to make sure that disputes that are arising in the South China Sea are resolved peacefully; that the South China Sea is a zone of commerce that’s critically important to the global economy.  And ensuring that commerce can be conducted in that region of the world is in the clear interest of the largest economies in the world, including China, Japan and the United States.  So we all have an interest in making sure that those disputes are resolved peacefully and in a way that will allow commerce to continue unimpeded in that region of the world.

Q    So will the U.S. support Japan to air patrol in South China Sea?

MR. EARNEST:  Again, I haven’t seen that specific prospect being raised but let me see if I can have my colleagues at the National Security Council get back to you on it.

Cheryl.

Q    Yes, thanks.  Last night, one of the other messages from the President was DHS, Department of Homeland Security funding.  But what can Democrats do at this point, and have you heard anything new from Republicans on where that’s headed?

MR. EARNEST:  Yes, unfortunately, we have not heard anything new from Republicans.  As I mentioned earlier, Republicans -- I guess this was yesterday that we discussed this previously -- the Republicans spent a lot of time trying to campaign so that they could have the majority in the House of Representatives and the majority in the United States Senate, and that they promised that they would show the country the kind of leadership that the Republican Party stands for.  But less than a month into this new era of Republican majorities in both Houses of Congress we see that Republicans are saying it's not that big of a deal if they don’t fund the Department of Homeland Security.

I can tell you that it's a pretty big deal to a border patrol officer.  If he’s going to be expected to show up to work, protect the country, but not get his paycheck for doing so.  It certainly is a pretty big deal for the President, that in a time when we’re dealing with some pretty significant national security challenges, that we’re not giving the Department of Homeland Security the flexibility and certainty that they need to carry out their mission because they don’t have a budget.

So, again, if Republicans want to take some responsibility, as they said they did when they were running for the majority, we hope that they understand that a basic responsibility that they have is to protect the country, and to protect our homeland security, and to make sure that the agency that’s charged with homeland security is properly funded.

Olivier.

Q    Josh, I’ve got a couple for you.  First, in the spirit of the President’s repeated calls for raising taxes on the most well-off in America, will the President support legislation that would strip the NFL of its tax-exempt status?

MR. EARNEST:  Olivier, I haven’t seen that specific proposal but maybe after the President rolls out his budget we’ll have more to say about this.

Q    And then secondly and unrelated, over the last six years if you and I wanted to discuss the President’s policy in Afghanistan we’d be able to draw on a wealth of data compiled by the Special Inspector General in charge of Afghan Reconstruction.  Specifically, if we wanted to discuss the recruitment training equipment of Afghan forces, we’d be able to draw on data of how many people are in the field, what is their status, we can’t anymore because -- with apparently this White House’s blessing now the NATO command has classified information they used to make public.  Will the President reverse that decision?  And how are we supposed to hold this administration and this policy to account if we can’t get this information?

MR. EARNEST:  I have to admit, Olivier, I'm not aware of this specific issue, but we can take a look into it for you.  And the President has made it a priority to try to be more transparent and that has included trying to limit the over-classification -- there is a tendency to classify data in a way that ultimately upon further review isn’t necessary.  I don’t know whether or not this is one of those situations, but we can take a look into it and get back to you.

Q    I appreciate that.

Mark.

Q    One more on the President’s speech last night.  He said there is no economic metric by which we are not better off.  Now does he include the national debt in that?

MR. EARNEST:  Well, what the President has noted is that when you evaluate the deficit, the deficit has actually fallen by two-thirds since he’s taken office.  And the way that we measure that is the way that economists evaluate it.  They don’t look at just the sum total; what they do is they evaluate the deficit as a percentage of the economy -- that that’s a more effective and precise way to evaluate the impact of the deficit on our economy.  And by that measure, the deficit has been brought down by two-thirds since the President took office.

Q    What about the debt, which has gone up 70 percent on his watch?

MR. EARNEST:  Yes, well, I don’t know what the measure is of the debt as it relates to when you measure it as a percentage of the economy.  But I can tell you that the President continues to be committed to the kinds of fiscally responsible policies that were important to getting our debt and deficit under control when the President first took office.  And that includes, as somebody mentioned a little earlier, raising taxes on those at the top so that we can offer some tax cuts to the middle class; that by closing loopholes and making our tax code a little bit more fair, we can also make it a little easier for middle-class families to make their ends meet, and we can do that in a way that does exacerbate the federal deficit.

Q    Might he concede that the debt is not a metric that shows we’re better off?

MR. EARNEST:  Well, I think he would concede, as I would, that the raw math shows that the debt has increased.  But the steps that the President has taken have been important to improving our fiscal picture.

Chris, I’ll give you the last one.

Q    Thanks, Josh.  On Wednesday the Senate Armed Service Committee will hold a confirmation hearing for Ashton Carter as Defense Secretary.  LGBT advocates have been calling for two things that will be under his purview:  Openly transgender service and a non-discrimination rule for LGBT servicemembers.  Do you anticipate the President’s nominee will address those things during the hearing?

MR. EARNEST:  If asked, I'm sure that he will. 

Q    Will he volunteer this in some capacity do you think?

MR. EARNEST:  Well, I don’t know that there’s a lot of volunteering that goes on in those kinds of settings, I think usually they’re asked questions -- and I'm sure that he’ll answer them if he’s given the opportunity to do so.  So, one thing you could do is you could go and ask members of Congress if they’re going to ask him.

Q    In other news, federal contractor Exxon Mobile today announced that it has adopted an LGBT inclusive non-discrimination policy for its workers.  This follows the executive order the President signed in July to prohibit LGBT discrimination among federal contractors.  Does the President deserve credit for this change?

MR. EARNEST:  Well, I was not aware of that news until you just informed me -- but I guess that is your profession.  What I will say is I do think this is an indication of something that we have talked about quite a bit, that there is -- that there are a number of ways that the President can advance the kind of agenda that he thinks is in the best interest of the country. 

Sometimes that’s by passing legislation that would apply broadly across the economy and across the country.  Sometimes it's about the President taking action that applies only to the federal government and using that as a model for other businesses that are considering -- or other entities that are considering similar action.  So we’ve seen this when it came to the minimum wage, that the President was able to raise the minimum wage for federal contractors, and that in conjunction with that, we saw that other states said that’s probably a good idea in our states.  Or voters in other states said, we should raise the minimum wage in our states.

So, there is a way for the President to use his executive authority in a way that may, at the beginning, have only a limited effect, but does serve to motivate and in some cases even inspire other states or other companies or other organizations to take similar steps.  And certainly the -- we’re gratified by the success that we’ve had when it comes to pushing other states to raise the minimum wage or states to expand access to quality early childhood education.  And it's possible, based on what you’ve described to me, that this may be an example of that as well.

Q    I just want to go back to my first question because I wasn’t really satisfied with that response.  Those two issues of openly transgender service and --

MR. EARNEST:  There’s a lot of that in this building it sometimes.  (Laughter.)  It's okay, it's part of my profession.

Q    -- the LGBT non-discrimination policy.  Do you think those are two things that the Pentagon can implement either before or after confirmations?

MR. EARNEST:  I don’t know, you’ll have to check with the Pentagon about that.  Okay?  Why don’t we do a week ahead before we go? 

Q    Josh, the Super Bowl plans?  The President’s guests?

MR. EARNEST:  The President will be here at the White House to watch the Super Bowl with some friends and family.  As you may know, the President on Sunday will be doing an interview with NBC’s Savannah Guthrie.  That will be, I think, around 4:30 on Sunday, it’ll be aired live so those of you who are watching the Super Bowl should tune in for that. 

Q    But is it going to be a party?

MR. EARNEST:  I'm sorry.

Q    Not just a gathering, is it going to be a party --

MR. EARNEST:  I think they’re hoping to have a little fun while they’re watching the football game.

Q    You know what I'm talking about.

MR. EARNEST:  I'm not sure that I totally do.  (Laughter.)

Q    Large numbers of people, big-screen TVs, popcorn, pretzels, all that stuff, like it's been in the past.

MR. EARNEST:  I think there will be some of that, yes.

Q    Okay.

MR. EARNEST:  On Monday, the President will deliver remarks on the FY 2016 budget at the Department of Homeland Security.  That will be an opportunity for the President to make the case once again that it's important for Republicans to not allow funding for the Department of Homeland Security to lapse at the end of February.

In the afternoon, the President will welcome the 2014 NHL Champion Los Angeles Kings and the 2014 MLS Cup Champion L.A. Galaxy to honor the teams on winning their championship titles.  Thank goodness it's Friday.  This visit will continue the tradition begun by President Obama of honoring sports teams for their efforts to give back to their communities.

On Tuesday, the President here at the White House will hold a cabinet meeting.  On Wednesday, the President will attend meetings at the White House.  On Thursday, the President is looking forward to delivering remarks at the National Prayer Breakfast.  The First Lady will also attend.  And on Friday, the President will attend meetings at the White House.

Have a great weekend, everybody.

END
2:05 P.M. EST

The White House

Office of the Press Secretary

Presidential Proclamation -- National African American History Month, 2015

NATIONAL AFRICAN AMERICAN HISTORY MONTH, 2015
 
- - - - - - -
 
BY THE PRESIDENT OF THE UNITED STATES OF AMERICA
 
A PROCLAMATION
 
For generations, the story of American progress has been shaped by the inextinguishable beliefs that change is always possible and a brighter future lies ahead. With tremendous strength and abiding resolve, our ancestors -- some of whom were brought to this land in chains -- have woven their resilient dignity into the fabric of our Nation and taught us that we are not trapped by the mistakes of history. It was these truths that found expression as foot soldiers and Freedom Riders sat in and stood up, marched and agitated for justice and equality. This audacious movement gave birth to a new era of civil and voting rights, and slowly, we renewed our commitment to an ideal at the heart of our founding: no matter who you are, what you look like, how modest your beginnings, or the circumstances of your birth, you deserve every opportunity to achieve your God-given potential.
 
As we mark National African American History Month, we celebrate giants of the civil rights movement and countless other men and women whose names are etched in the hearts of their loved ones and the cornerstones of the country they helped to change. We pause to reflect on our progress and our history -- not only to remember, but also to acknowledge our unfinished work. We reject the false notion that our challenges lie only in the past, and we recommit to advancing what has been left undone.
 
Brave Americans did not struggle and sacrifice to secure fundamental rights for themselves and others only to see those rights denied to their children and grandchildren. Our Nation is still racked with division and poverty. Too many children live in crumbling neighborhoods, cycling through substandard schools and being affected by daily violence in their communities. And Americans of all races have seen their wages and incomes stagnate while inequality continues to hold back hardworking families and entire communities.
 
But the trajectory of our history gives us hope. Today, we stand on the shoulders of courageous individuals who endured the thumps of billy clubs, the blasts of fire hoses, and the pain of watching dreams be deferred and denied. We honor them by investing in those around us and doing all we can to ensure every American can reach their full potential. Our country is at its best when everyone is treated fairly and has the chance to build the future they seek for themselves and their family. This means providing the opportunity for every person in America
to access a world-class education, safe and affordable housing, and the job training that will prepare them for the careers of tomorrow.
 
Like the countless, quiet heroes who worked and bled far from the public eye, we know that with enough effort, empathy, and perseverance, people who love their country can change it. Together, we can help our Nation live up to its immense promise. This month, let us continue that unending journey toward a more just, more equal, and more perfect Union.
 
NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim February 2015 as National African American History Month. I call upon public officials, educators, librarians, and all the people of the United States to observe this month with appropriate programs, ceremonies, and activities.
 
IN WITNESS WHEREOF, I have hereunto set my hand this thirtieth day of January, in the year of our Lord two thousand fifteen, and of the Independence of the United States of America the two hundred and thirty-ninth.
 
BARACK OBAMA

The White House

Office of the Press Secretary

Presidential Proclamation -- American Heart Month

AMERICAN HEART MONTH, 2015
 
- - - - - - -
 
BY THE PRESIDENT OF THE UNITED STATES OF AMERICA
 
A PROCLAMATION
 
In the United States, cardiovascular disease -- including heart disease, stroke, and high blood pressure -- is responsible for one out of every three deaths. It is the number one killer of American women and men, and it is a leading cause of serious illness and disability. Across our Nation, we have lost devoted mothers and fathers, loved siblings, and cherished friends to this devastating epidemic. During American Heart Month, as we honor their memories, let us recommit to improving our heart health and continuing the fight against this deadly disease, for ourselves and our families.
 
Americans of all backgrounds can be at risk for heart disease and stroke -- and nearly half of all adults have at least one major risk factor. However, individuals who are at high risk often do not know it, and data suggest that many people who experience sudden cardiac death do not act on early warning signs. That is why it is important to understand the risk factors for cardiovascular disease, such as obesity, inactivity, and diabetes, and to keep your blood pressure and cholesterol under control. By maintaining a healthy diet, getting regular exercise, and not smoking, you can control risk factors and help protect your heart. To learn more about cardiovascular health, talk with your healthcare provider and visit www.CDC.gov/heartdisease.
 
My Administration is committed to leading a new era of medicine -- one that delivers the right treatment at the right time -- and to ensuring Americans live longer, healthier, more productive lives. That is why earlier this year, I announced the Precision Medicine Initiative. This bold new effort will revolutionize how our Nation fights disease by investing in research that will enable clinicians to tailor treatments to individual patients. Additionally, in 2011 we launched Million Hearts, an unprecedented effort that is bringing together Federal Agencies, non-profit organizations, and private-sector partners to prevent 1 million heart attacks and strokes by 2017. We are working to enhance clinical care, bolster disease prevention programs, and empower individuals and communities to make healthy choices, demonstrating that improving the health system can save lives. More information on these important initiatives is available at www.NIH.gov/precisionmedicine and www.millionhearts.HHS.gov.
 
At the same time, First Lady Michelle Obama's Let's Move! initiative is encouraging young people to develop heart-healthy habits from an early age, and the Affordable Care Act is allowing more families to access quality, affordable health care. New protections under the law require most insurance plans to cover recommended preventive services without copays, and they prevent insurers from denying coverage due to a pre-existing condition like heart disease.
 
On Friday, February 6, Michelle and I invite all Americans to join in marking National Wear Red Day. By wearing red, we help raise awareness of cardiovascular disease and provide an important reminder that it is never too early to take action to protect our health. This month, let us reaffirm our resolve to fight this epidemic and continue our work to build a brighter future for our families.
 
In acknowledgement of the importance of the ongoing fight against cardiovascular disease, the Congress, by Joint Resolution approved December 30, 1963, as amended (77 Stat. 843; 36 U.S.C. 101), has requested that the President issue an annual proclamation designating February as "American Heart Month."
 
NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, do hereby proclaim February 2015 as American Heart Month, and I invite all Americans to participate in National Wear Red Day on February 6, 2015. I also invite the Governors of the States, the Commonwealth of Puerto Rico, officials of other areas subject to the jurisdiction of the United States, and the American people to join me in recognizing and reaffirming our commitment to fighting cardiovascular disease.
 
IN WITNESS WHEREOF, I have hereunto set my hand this thirtieth day of January, in the year of our Lord two thousand fifteen, and of the Independence of the United States of America the two hundred and thirty-ninth.
 
BARACK OBAMA

The White House

Office of the Press Secretary

Presidential Proclamation -- National Teen Dating Violence Awareness

NATIONAL TEEN DATING VIOLENCE AWARENESS
AND PREVENTION MONTH, 2015
 
- - - - - - -
 
BY THE PRESIDENT OF THE UNITED STATES OF AMERICA
 
A PROCLAMATION
 
In a Nation invested in the limitless possibility of every child, ending dating violence is an urgent priority. Each year, an estimated 1 in 10 American teenagers is physically hurt on purpose by a boyfriend or girlfriend. This behavior violates our most basic values and can have profound consequences for survivors. Young people who experience dating violence are at increased risk of substance abuse, depression, poor academic performance, and future victimization. This month, we join with all those who have endured the pain of an unhealthy relationship and acknowledge the responsibility we each have to end this cycle of fear, isolation, and abuse.
 
Dating violence often involves the use of inappropriate actions to control a partner or resolve conflicts. These behaviors can be physical, emotional, or sexual, and can take place in person or with the use of technology and social media. Unhealthy relationships can affect people of all ages, and many teenagers do not recognize the severity of dating abuse, or they do not report it because they are afraid or ashamed to speak up. That is why it is important to talk with friends and loved ones about dating violence and to learn the warning signs of an unhealthy relationship, including extreme jealousy, constant monitoring, and possessiveness.
 
If you are in -- or know someone who is in -- an abusive relationship, the National Dating Abuse Helpline can offer immediate and confidential support. To contact the Helpline, call 1-866-331-9474, text "loveis" to 22522, or visit LoveIsRespect.org. For more information on dating violence, visit VetoViolence.CDC.gov.
 
It is on all of us to reject the quiet tolerance of sexual assault, and the Federal Government is committed to being part of the solution. Last year, I established the White House Task Force to Protect Students from Sexual Assault and directed its members to consider how their recommendations could apply to our Nation's elementary and secondary schools. In addition, as part of Vice President Joe Biden's 1is2many initiative, my Administration is working to provide teenagers and their communities with the resources and support they need, so our young people can pursue their dreams free from fear. As we strive to eliminate teen dating violence, we are focused on bolstering prevention efforts and improving our response in order to protect those at risk and ensure survivors can access the help they need.
 
Healthy relationships are built on respect, trust, and equality. Our commitment to these values demands that we stand up against dating abuse and all forms of intimate partner violence. During National Teen Dating Violence Awareness and Prevention Month, we are called to act. Let us recommit to fostering a society where our strength is measured by our resolve to speak out against this outrage, and where there are no barriers that prevent our daughters and sons from achieving their full potential.
 
NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim February 2015 as National Teen Dating Violence Awareness and Prevention Month. I call upon all Americans to support efforts in their communities and schools, and in their own families, to empower young people to develop healthy relationships throughout their lives and to engage in activities that prevent and respond to teen dating violence.
 
IN WITNESS WHEREOF, I have hereunto set my hand this thirtieth day of January, in the year of our Lord two thousand fifteen, and of the Independence of the United States of America the two hundred and thirty-ninth.
 
BARACK OBAMA
 

Chart of the Week: Businesses Are Ready to Hire More Americans Now Than at Any Point Since 2001

Six years after the financial crisis, America’s resurgence is real and beginning to touch more and more lives across the country. As the President said, “With a growing economy, shrinking deficits, bustling industry, and booming energy production, we have risen from the recession freer to write our own future than any other nation on Earth.”   

America’s businesses are already setting pen to paper, creating jobs in burgeoning industries at a breakneck pace. In fact, there are more open jobs today than at any point since 2001.

Whether in information technology, health care, or other growing industries, there are more jobs now that offer higher wages and an important step up into the middle class. Here’s the chart to prove it: 

More than 4.26 Million Records Released

In September 2009, the President announced that — for the first time in history — White House visitor records would be made available to the public on an ongoing basis. Today, the White House releases visitor records that were generated in October 2014. This release brings the total number of records made public by this White House to more than 4.26 million — all of which can be viewed in our Disclosures section.

Related Topics: Ethics

The White House

Office of the Press Secretary

Executive Order – Establishing a Federal Flood Risk Management Standard and a Process for Further Soliciting and Considering Stakeholder Input

EXECUTIVE ORDER
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ESTABLISHING A FEDERAL FLOOD RISK MANAGEMENT STANDARD
AND A PROCESS FOR FURTHER SOLICITING AND CONSIDERING
STAKEHOLDER INPUT

By the authority vested in me as President by the Constitution and the laws of the United States of America, and in order to improve the Nation's resilience to current and future flood risk, I hereby direct the following:

Section 1. Policy. It is the policy of the United States to improve the resilience of communities and Federal assets against the impacts of flooding. These impacts are anticipated to increase over time due to the effects of climate change and other threats. Losses caused by flooding affect the environment, our economic prosperity, and public health and safety, each of which affects our national security.

The Federal Government must take action, informed by the best-available and actionable science, to improve the Nation's preparedness and resilience against flooding. Executive Order 11988 of May 24, 1977 (Floodplain Management), requires executive departments and agencies (agencies) to avoid, to the extent possible, the long- and short-term adverse impacts associated with the occupancy and modification of floodplains and to avoid direct or indirect support of floodplain development wherever there is a practicable alternative. The Federal Government has developed processes for evaluating the impacts of Federal actions in or affecting floodplains to implement Executive Order 11988.

As part of a national policy on resilience and risk reduction consistent with my Climate Action Plan, the National Security Council staff coordinated an interagency effort to create a new flood risk reduction standard for federally funded projects. The views of Governors, mayors, and other stakeholders were solicited and considered as efforts were made to establish a new flood risk reduction standard for federally funded projects. The result of these efforts is the Federal Flood Risk Management Standard (Standard), a flexible framework to increase resilience against flooding and help preserve the natural values of floodplains. Incorporating this Standard will ensure that agencies expand management from the current base flood level to a higher vertical elevation and corresponding horizontal floodplain to address current and future flood risk and ensure that projects funded with taxpayer dollars last as long as intended.

This order establishes the Standard and sets forth a process for further solicitation and consideration of public input, including from Governors, mayors, and other stakeholders, prior to implementation of the Standard.

Sec. 2. Amendments to Executive Order 11988. Executive Order 11988 is amended as follows:

(a) Section 2 is amended by inserting ", to the extent permitted by law" after "as follows".

(b) Section 2(a)(1) is amended by striking "This Determination shall be made according to a Department of Housing and Urban Development (HUD) floodplain map or a more detailed map of an area, if available. If such maps are not available, the agency shall make a determination of the location of the floodplain based on the best-available information. The Water Resources Council shall issue guidance on this information not later than October 1, 1977" and inserting in lieu thereof "To determine whether the action is located in a floodplain, the agency shall use one of the approaches in Section 6(c) of this Order based on the best-available information and the Federal Emergency Management Agency's effective Flood Insurance Rate Map".

(c) Section 2(a)(2) is amended by inserting the following sentence after the first sentence:

"Where possible, an agency shall use natural systems, ecosystem processes, and nature-based approaches when developing alternatives for consideration.".

(d) Section 2(d) is amended by striking "Director" and inserting "Administrator" in lieu thereof.

(e) Section 3(a) is amended by inserting the following sentence after the first sentence:

"The regulations and procedures must also be consistent with the Federal Flood Risk Management Standard (FFRMS).".

(f) Section 3(a) is further amended by inserting "and FFRMS" after "Flood Insurance Program".

(g) Section 3(b) is amended by striking "base flood level" and inserting "elevation of the floodplain as defined in Section 6(c) of this Order" in lieu thereof.

(h) Section 4 is revised to read as follows:

"In addition to any responsibilities under this Order and Sections 102, 202, and 205 of the Flood Disaster Protection Act of 1973, as amended (42 U.S.C. 4012a, 4106, and 4128), agencies which guarantee, approve, regulate, or insure any financial transaction which is related to an area located in an area subject to the base flood shall, prior to completing action on such transaction, inform any private parties participating in the transaction of the hazards of locating structures in the area subject to the base flood.".

(i) Section 6(c) is amended by striking ", including at a minimum, that area subject to a one percent or greater chance of flooding in any given year" and inserting in lieu thereof:

". The floodplain shall be established using one of the following approaches:

"(1) Unless an exception is made under paragraph (2), the floodplain shall be:

"(i) the elevation and flood hazard area that result from using a climate-informed science approach that uses the best-available, actionable hydrologic and hydraulic data and methods that integrate current and future changes in flooding based on climate science. This approach will also include an emphasis on whether the action is a critical action as one of the factors to be considered when conducting the analysis;

"(ii) the elevation and flood hazard area that result from using the freeboard value, reached by adding an additional 2 feet to the base flood elevation for non-critical actions and by adding an additional 3 feet to the base flood elevation for critical actions;

"(iii) the area subject to flooding by the 0.2 percent annual chance flood; or

"(iv) the elevation and flood hazard area that result from using any other method identified in an update to the FFRMS.

"(2) The head of an agency may except an agency action from paragraph (1) where it is in the interest of national security, where the agency action is an emergency action, where application to a Federal facility or structure is demonstrably inappropriate, or where the agency action is a mission-critical requirement related to a national security interest or an emergency action. When an agency action is excepted from paragraph (1) because it is in the interest of national security, it is an emergency action, or it is a mission-critical requirement related to a national security interest or an emergency action, the agency head shall rely on the area of land subject to the base flood".

(j) Section 6 is further amended by adding the following new subsection (d) at the end:

"(d) The term 'critical action' shall mean any activity for which even a slight chance of flooding would be too great.".

(k) Section 8 is revised to read as follows:

"Nothing in this Order shall apply to assistance provided for emergency work essential to save lives and protect property and public health and safety, performed pursuant to Sections 403 and 502 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act of 1988 (42 U.S.C. 5170b and 5192).".

Sec. 3. Agency Action. (a) Prior to any action to implement the Standard, additional input from stakeholders shall be solicited and considered. To carry out this process:

(i) the Federal Emergency Management Agency, on behalf of the Mitigation Framework Leadership Group, shall publish for public comment draft amended Floodplain Management Guidelines for Implementing Executive Order 11988 (Guidelines) to provide guidance to agencies on the implementation of Executive Order 11988, as amended, consistent with the Standard;

(ii) during the comment period, the Mitigation Framework Leadership Group shall host public meetings with stakeholders to solicit input; and

(iii) after the comment period closes, and based on the comments received on the draft Guidelines during the comment period, in accordance with subsections (a)(i) and (ii) of this section, the Mitigation Framework Leadership Group shall provide recommendations to the Water Resources Council.

(b) After additional input from stakeholders has been solicited and considered as set forth in subsections (a)(i) and (ii) of this section and after consideration of the recommendations made by the Mitigation Framework Leadership Group pursuant to subsection (a)(iii) of this section, the Water Resources Council shall issue amended Guidelines to provide guidance to agencies on the implementation of Executive Order 11988, as amended, consistent with the Standard.

(c) To the extent permitted by law, each agency shall, in consultation with the Water Resources Council, Federal Interagency Floodplain Management Task Force, Federal Emergency Management Agency, and Council on Environmental Quality, issue or amend existing regulations and procedures to comply with this order, and update those regulations and procedures as warranted. Within 30 days of the closing of the public comment period for the draft amendments to the Guidelines as described in subsection (a) of this section, each agency shall submit an implementation plan to the National Security Council staff that contains milestones and a timeline for implementation of this order and the Standard, by the agency as it applies to the agency's processes and mission. Agencies shall not issue or amend existing regulations and procedures pursuant to this subsection until after the Water Resources Council has issued amended Guidelines pursuant to subsection (b) of this order.

Sec. 4. Reassessment. (a) The Water Resources Council shall issue any further amendments to the Guidelines as warranted.

(b) The Mitigation Framework Leadership Group in consultation with the Federal Interagency Floodplain Management Task Force shall reassess the Standard annually, after seeking stakeholder input, and provide recommendations to the Water Resources Council to update the Standard if warranted based on accurate and actionable science that takes into account changes to climate and other changes in flood risk. The Water Resources Council shall issue an update to the Standard at least every 5 years.

Sec. 5. General Provisions. (a) Nothing in this order shall be construed to impair or otherwise affect:

(i) the authority granted by law to an executive department, agency, or the head thereof; or

(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

(d) The Water Resources Council shall carry out its responsibilities under this order in consultation with the Mitigation Framework Leadership Group.

BARACK OBAMA

THE WHITE HOUSE,
January 30, 2015.

The White House

Office of the Press Secretary

Remarks by the President on Precision Medicine

East Room

11:19 A.M. EST

THE PRESIDENT:  Well, thank you so much, Elana, for that wonderful introduction.  Let me just be clear, when I was 19, I was not doing genetic testing.  (Laughter.)  When I met Elana at the White House Science Fair last year, she tried to explain her research to me -- and to help her explain her findings, she made these giant pink chromosomes out of swim noodles, which was helpful to me -- (laughter) -- because I know what swim noodles are, and I saw how they fit together. 

But I could not have been more impressed with Elana.  And she represents the incredible talent and energy and possibility of our young people, and so I’m so proud of her and I’m so grateful that she introduced me here today.  And she’s doing great at Harvard from what I understand.  So those of you who are interested in purchasing stock in her -- (laughter) -- I’m sure she has an agent of some sort that you can talk to.

We’ve got some folks here who are doing outstanding work to keep Americans healthy.  We have America’s Health and Human Services Secretary, Sylvia Burwell.  You can give her a round of applause.  (Applause.)  She’s worthy of it.  We’ve got our Surgeon General, Vivek Murthy.  Where’s Vivek?  (Applause.)  Stand up, Vivek.  Our new Surgeon General.  We haven't had one in a while.  (Laughter.)  So we’re really happy to have him here.  And he looks sharp in his uniform.  We have Dr. Harold Varmus of the National Cancer Institute.  Harold.  (Applause.)  We have the singing scientist, Dr. Francis Collins, of NIH here.  (Applause.)  And we have my science advisor, Dr. John Holdren, who does not sing.  (Applause.)  For anyone wondering, “Is there a doctor in the house?” -- we have got you covered.  

We also have members of Congress who are here.  Lamar Alexander from the great state of Tennessee is one of the Senate’s key supporters of encouraging medical innovation, and I’m so looking forward to working with him.  Give Lamar a big round of applause.  (Applause.)  Senator Patty Murray is prepared to work with him on this issue.  She couldn’t make it here today.  But we do have on the House side, Congresswoman Diana DeGette, who is here and who is leading this effort in the House.  We’re very proud of her.  (Applause.)   

Now, last week, in my State of the Union Address, I focused on what we need to do to make sure middle-class economics helps more Americans get ahead in the new economy.  We’ve got to help working families make ends meet and make them feel more secure in a constantly changing, dynamic, global economy.  We have to offer more opportunities for people to upgrade their skills for better-paying jobs in this economy.  And we’ve got to build the world’s most competitive economy so that businesses create jobs here in the United States and not someplace else.

And that last part is what I want to focus on today.  We’ve invited some of America’s brightest minds in medicine and technology; some of our strongest advocates for privacy.  And perhaps most importantly, we’ve invited patients who have the most at stake in these efforts.  And we’re here to harness what is most special about America, and that is our spirit of innovation; our ability to dream and take risks, and tinker and try new things.  And as a result of that, it will not only improve our economy, but improve the lives of men and women and children for generations to come.  And together, what’s so exciting is, is that we have the possibility of leading an entirely new era of medicine that makes sure new jobs and new industries and new lifesaving treatments for diseases are created right here in the United States.

Because we shouldn’t just celebrate innovation.  We have to invest in innovation.  We have to nurture innovation.  We have to encourage it and make sure that we’re channeling it in ways that are most productive.  And that’s especially true when it comes to medicine.  After all, when American researchers developed a vaccine for polio, a program created by Congress helped to distribute it.  A federally funded study helped American doctors discover the risk factors for heart disease.  Grants from the National Science Foundation and NIH supported the early experiments that led to the invention of the MRI. 

And these kinds of investments don’t always pay off.  Basic research, by definition, will sometimes lead us down blind alleys, but it will also tell us what we don’t know, which then helps us figure out new pathways.  And when things do pay off, then they create economic opportunities in ways that we could never imagine. 

So, Francis, Dr. Collins here, helped lead the Human Genome Project, and we’ve got a number of people here who are deeply involved in that process.  And one study found that every dollar we spent to map the human genome has already returned $140 to our economy.  There’s a huge economic stake in us tapping into this innovation.  (Applause.)  There’s nothing wrong with clapping about that. 

But as anybody who’s ever watched a loved one battle with an illness, particularly a life-threatening illness -- and I suspect that there’s nobody here who hasn’t been touched in some fashion by that experience -- what everybody here understands is that the most important impact these investments can have can’t be measured in dollars.  If we have an opportunity to prevent hurt and heartbreak for more families; if we have the opportunity to help people live longer, happier, healthier lives; if we have the chance to make sure that a young person like Elana, who was stricken by a disease before their life has even really gotten going, if we have a chance to make sure that they’re okay and cured, and then able to make incredible contributions our society, then we’ve got to seize that.  We’ve got to go after that.

And that’s why we’re here today.  Because something called precision medicine -- in some cases, people call it personalized medicine -- gives us one of the greatest opportunities for new medical breakthroughs that we have ever seen.  Doctors have always recognized that every patient is unique, and doctors have always tried to tailor their treatments as best they can to individuals.  You can match a blood transfusion to a blood type.  That was an important discovery.  What if matching a cancer cure to our genetic code was just as easy, just as standard?  What if figuring out the right dose of medicine was as simple as taking our temperature?

And that’s the promise of precision medicine -- delivering the right treatments, at the right time, every time to the right person.  And for a small but growing number of patients, that future is already here.  Eight out of 10 people with one type of leukemia saw white blood cell counts return to normal with a new drug targeting a specific gene.  Genetic testing for HIV patients helps doctors determine who will be helped by a new antiviral drug, and who will experience harmful side effects. 

And advances in technology means these breakthroughs could just be the beginning.  The year Dr. Collins helped sequence the first human genome, it cost about $100 million dollars, and today it costs less than $2,000.  Wearable electronics make it easier than ever to record vital signs from your blood sugar to your heart rate.  Electronic medical records let doctors and researchers across the country collaborate more closely than ever before.  And more powerful computers help us analyze data faster than ever before. 

So if we combine all these emerging technologies, if we focus them and make sure that the connections are made, then the possibility of discovering new cures, the possibility of applying medicines more efficiently and more effectively so that the success rates are higher, so that there’s less waste in the system, which then means more resources to help more people -- the possibilities are boundless.  So the time is right to unleash a new wave of advances in this area, in precision medicine, just like we did with genetics 25 years ago. 

And the really good news -- this is how you know that the moment is right, is there’s bipartisan support for the idea -- (laughter) -- here in Washington.  (Applause.)  Which makes me very happy.  (Laughter.)  When I was a senator back in 2005, I worked with Republican Senator Richard Burr on a bill supporting precision medicine.  Newly elected Republican Senator Bill Cassidy -- who also happens to be a gastroenterologist -- recently called precision medicine, “An incredible area of promise.”

And that’s why the budget I send this Congress on Monday will include a new Precision Medicine Initiative that brings America closer to curing diseases like cancer and diabetes, and gives all of us access, potentially, to the personalized information that we need to keep ourselves and our families healthier. 

So let me just outline the facets of this.  First, we’re going to work with the National Cancer Institute.  We want to find the genetic factors that can lead to cancer.  And we want to use that knowledge to develop new and more effective approaches to help people beat this disease.   

Second, we’re going to work with the FDA to develop new approaches for evaluating next-generation genetic tests.  The way we approve a new gene-sequencing technology is going to be different than the way we approve a new pacemaker or prosthetic device.  And we need to make sure that our approach reflects the difference in technology.

Third, we’re going to work with the National Institutes of Health to create a research group of one million volunteers.  And just like analyzing our DNA teaches us more about who we are than ever before, analyzing data from one of the largest research populations ever assembled will teach us more about the connections between us than ever before.  And this new information will help doctors discover the causes, and one day the cures, of some of the most deadly diseases that we face.  So if we have a big data set, a big pool of people that’s varied, then that allows us to really map out not only the genome of one person, but now we can start seeing connections and patterns and correlations that helps us refine exactly what it is that we’re trying to do with respect to treatment.

And finally, we’re going to make sure that protecting patient privacy is built into our efforts from day one.  And I’m proud we have so many patients’ rights advocates with us here today.  They’re not going to be on the sidelines.  It’s not going to be an afterthought.  They’ll help us design this initiative from the ground up, making sure that we harness new technologies and opportunities in a responsible way.

So the Precision Medicine Initiative we’re launching today will lay the foundation for a new generation of lifesaving discoveries.  But in order for us to realize its potential, I’m asking more hospitals, and researchers, and privacy experts to join us in this effort.  And I’m asking entrepreneurs and non-profits to help us create tools that give patients the chance to get involved as well.  Because we want every American ultimately to be able to securely access and analyze their own health data, so that they can make the best decisions for themselves and for their families.  

And ultimately, this has the possibility of not only helping us find new cures, but it also helps us create a genuine health care system as opposed to just a disease care system.  Part of what we want to do is to allow each of us to have sufficient information about our particular quirks -- (laughter) -- that we can make better life decisions.  And that, ultimately, is one of the most promising aspects about this -- making sure that we’ve got a system that focuses on prevention and keeping healthy, not just on curing diseases after they happen.

Medical breakthroughs take time, and this area of precision medicine will be no different.  But the patients with us this morning are living proof that the dawn of a new era has arrived.  If we start today, and seize this moment, and the focus and the energy and the resources that it demands, there is no telling how many lives we could change.  And every single one of those lives matter.

Bill Elder was one of Michelle’s guests at the State of the Union last week.  Where’s Bill?  Here he is.  Stand up, Bill.  (Applause.)  Bill is a good-looking, young guy.  (Laughter.)  And about 20 years ago, Bill was diagnosed with cystic fibrosis.  But it turns out Bill is one of 4 percent of cystic fibrosis patients whose disease is caused by a particular mutation in one gene.  And a few years ago, the FDA fast-tracked a new drug target specifically targeting that mutation.  And one night in 2012, Bill tried it for the first time.  Just a few hours later he woke up, knowing something was different, and finally he realized what it was:  He had never been able to breathe out of his nose before.  Think about that.

So Bill is now 27.  When he was born, 27 was the median age of survival for a cystic fibrosis patient.  Today, Bill is in his third year of medical school.  (Applause.)  And “for the first time in my life,” Bill said -- for the first time in his life, he says, “I truly believe that I will live long enough to be a grandfather.”  And one day Bill will be able to tell his grandchildren about how he used the miracle of his own life to not only serve as an example, but also an inspiration and ultimately a pathway for his own career to help save the lives of other people.

And that’s the spirit of hope, and resilience, and community that’s always carried America forward.  And we may disagree sometimes, especially here in Washington, but we do share a common vision for our future.  We want an economy powered by the world’s best innovations, the best ideas.  We want a country that extends its promise of opportunity to everybody who’s willing to work for it.  We want to have a nation in which the accidents and circumstances of our birth aren’t determining our fate, and therefore born with a particular disease or a particular genetic makeup that makes us more vulnerable to something; that that’s not our destiny, that’s not our fate -- that we can remake it. 

That’s who we are as Americans, and that’s the power of scientific discovery.  And we want Bill’s generation, and the generations that come after, to inherit that most extraordinary gift anybody can imagine, and that is not just a chance to live a long, and happy, and healthy life in this greatest country on Earth, but also the chance to remake that world continuously, in ways that provide great promise for future generations.  So I’m very excited about this.  I hope you are, too.   

Thank you, everybody.  God bless you.  (Applause.)  God bless the United States.  Let’s get to work. 

END
11:39 A.M. EST

West Wing Week: 1/30/15 or, “Namaste Obama”

This week, the President made history by being the first sitting President to make a second visit to India. He and the First Lady also traveled to Saudi Arabia to pay their respects to the late King. And back at home, the President convened a meeting with U.S. mayors and honored outgoing Secretary of Defense Chuck Hagel. That's January 23 to January 29 or, "Namaste Obama."

Watch on YouTube

Behind the Budget: The Budget Methods Specialist

"Behind the Budget" is a series of posts featuring audio stories from staffers from across the Office of Management and Budget, discussing aspects of the budget process that most Americans don't get to see.


Underlying the President's FY 2016 budget is a database holding about 600,000 pieces of information across multiple agencies and accounts. The database keeps track of every dollar appropriated by Congress: when it was appropriated, when it was or is going to be obligated -- whether that means signing a contract or placing an order -- and when the dollar goes out the door. It catalogues what the dollar was used for, and why. It's a lot of information, and right now, Aron Greenberg -- who's worked in OMB's Budget Review Division for about 11 years -- is responsible for helping to make sure it's accurate. Listen to him describe the work of the team responsible for doing the final comb of the budget.

Meet Aron Greenberg, Budget Methods Specialist in OMB's Budget Review Division.

"The examining divisions are responsible for helping develop the policies that accomplish specific goals. That's not our gig. We're here to make sure that the policies of the Administration are accurately reflected in the database…So if the Administration wants to spend $10 million on something, it's our responsibility to make sure that $10 million shows up in the database."