The White House

Office of the Press Secretary

Remarks by President Obama in Address to the People of India

Siri Fort Auditorium
New Delhi, India

11:02 A.M. IST
 
PRESIDENT OBAMA:  Namaste!  (Applause.)  Thank you so much.  Thank you so much, Neha, for what a wonderful introduction.  (Applause.)  Everybody, please have a seat.  Nothing fills me with more hope than when I hear incredible young people like Neha and all the outstanding work that she’s doing on behalf of India’s youth and for representing this nation’s energy and its optimism and its idealism.  She makes me very, very proud.  And I’m sure -- I think they may be her -- is that somebody related to you?  Okay.  Because we just had a chance to meet, and she’s beaming with pride right now sitting next to you.  Give Neha a big round of applause once again.  (Applause.)
 
Distinguished guests, ladies and gentlemen, to all the students and young people who are here today, to the people of India watching and listening across this vast nation -- I bring the friendship and the greetings of the American people.  On behalf of myself and Michelle, thank you so much for welcoming us back to India.  Bahoot dhanyavad.  (Applause.)   
 
It has been a great honor to be the first American President to join you for Republic Day.  With the tricolor waving above us, we celebrated the strength of your constitution.  We paid tribute to India’s fallen heroes.  In yesterday’s parade, we saw the pride and the diversity of this nation -- including the Dare Devils on their Royal Enfields, which was very impressive.  Secret Service does not let me ride motorcycles.  (Laughter.)  Especially not on my head.  (Laughter.)
 
I realize that the sight of an American President as your chief guest on Republic Day would have once seemed unimaginable.  But my visit reflects the possibilities of a new moment.  As I’ve said many times, I believe that the relationship between India and the United States can be one of the defining partnerships of this century.  When I spoke to your Parliament on my last visit, I laid out my vision for how our two nations can build that partnership.  And today, I want to speak directly to you -- the people of India -- about what I believe we can achieve together, and how we can do it.
 
My commitment to a new chapter between our countries flows from the deep friendship between our people.  And Michelle and I have felt it ourselves.  I recognized India with the first state visit of my presidency -- where we also danced to some pretty good Bhangra.  (Laughter.)  For the first time, we brought Diwali to the White House.  (Applause.)  On our last celebration here, we celebrated the Festival of Lights in Mumbai.  We danced with some children.  Unfortunately, we were not able to schedule any dancing this visit.  Senorita, bade-bade deshon mein.  You know what I mean.  (Laughter and applause.)  Everybody said, by the way, how much better a dance Michelle was than me -- (laughter) -- which hurt my feelings a little bit.  (Laughter.)
 
On a more personal level, India represents an intersection of two men who have always inspired me.  When Reverend Dr. Martin Luther King, Jr. was protesting racial segregation in the United States, he said that his guiding light was Mahatma Gandhi.  When Dr. King came to India, he said that being here -- in “Gandhi’s land” -- reaffirmed his conviction that in the struggle for justice and human dignity, the most potent weapon of all is non-violent resistance.   And those two great souls are why we can gather here together today, Indians and Americans, equal and free.
 
And there is another link that binds us.  More than 100 years ago, America welcomed a son of India -- Swami Vivekananda.  (Applause.)  And Swami Vivekananda, he helped bring Hinduism and yoga to our country.  And he came to my hometown of Chicago.  And there, at a great gathering of religious leaders, he spoke of his faith and the divinity in every soul, and the purity of love.  And he began his speech with a simple greeting:  “Sisters and brothers of America.”
 
So today, let me say:  Sisters and brothers of India -- (applause) -- my confidence in what our nations can achieve together is rooted in the values we share.  For we may have our different histories and speak different languages, but when we look at each other, we see a reflection of ourselves. 
 
Having thrown off colonialism, we created constitutions that began with the same three words -- “we the people.”  As societies that celebrate knowledge and innovation, we transformed ourselves into high-tech hubs of the global economy.  Together, we unlock new discoveries -- from the particles of creation to outer space -- two nations to have gone to both the Moon and to Mars.  (Applause.)  And here in India, this dynamism has resulted in a stunning achievement.  You’ve lifted countless millions from poverty and built one of the world’s largest middle classes.
 
And nobody embodies this progress and this sense of possibility more than our young people.  Empowered by technology, you are connecting and collaborating like never before -- on Facebook and WhatsApp and Twitter.  And chances are, you’re talking to someone in America -- your friends, your cousins.  The United States has the largest Indian diaspora in the world, including some three million proud Indian-Americans.  (Applause.)  And they make America stronger, and they tie us together -- bonds of family and friendship that allow us to share in each other’s success.
 
For all these reasons, India and the United States are not just natural partners.  I believe America can be India’s best partner.  I believe that.  (Applause.)  Of course, only Indians can decide India’s role in the world.  But I’m here because I’m absolutely convinced that both our peoples will have more jobs and opportunity, and our nations will be more secure, and the world will be a safer and a more just place when our two democracies -- the world’s largest democracy and the world’s oldest democracy -- stand together.  I believe that.  (Applause.) 
 
So here in New Delhi, Prime Minister Modi and I have begun this work anew.  And here’s what I think we can do together.  America wants to be your partner as you lift up the lives of the Indian people and provide greater opportunity.  So working together, we’re giving farmers new techniques and data -- from our satellites to their cell phones -- to increase yields and boost incomes.  We’re joining you in your effort to empower every Indian with a bank account. 
 
And with the breakthroughs we achieved on this visit, we can finally move toward fully implementing our civil nuclear agreement, which will mean more reliable electricity for Indians and cleaner, non-carbon energy that helps fight climate change.   (Applause.)  And I don’t have to describe for you what more electricity means.  Students being able to study at night; businesses being able to stay open longer and hire more workers; farmers being able to use mechanized tools that increase their productivity; whole communities seeing more prosperity.  In recent years, India has lifted more people out of poverty than any other country.  And now we have a historic opportunity with India leading the way to end the injustice of extreme poverty all around the world.  (Applause.)
 
America wants to be your partner as you protect the health of your people and the beauty of this land, from the backwaters of Kerala to the banks of Ganges.  As we deliver more energy, more electricity, let’s do it with clean, renewable energy, like solar and wind.  And let’s put cleaner vehicles on the road and more filtration systems on farms and villages.  Because every child should be able to drink clean water, and every child should be able to breathe clean air.  (Applause.)  We need our young people healthy for their futures.  And we can do it.  We have the technology to do it.
 
America wants to be your partner in igniting the next wave of Indian growth.  As India pursues more trade and investment, we want to be first in line.  We’re ready to join you in building new infrastructure -- the roads and the airports, the ports, the bullet trains to propel India into the future.  We’re ready to help design “smart cities” that serve citizens better, and we want to develop more advanced technologies with India, as we do with our closest allies.  
 
We believe we can be even closer partners in ensuring our mutual security.  And both our nations have known the anguish of terrorism, and we stand united in the defense of our people.  And now we’re deepening our defense cooperation against new challenges.  The United States welcomes a greater role for India in the Asia Pacific, where the freedom of navigation must be upheld and disputes must be resolved peacefully.  And even as we acknowledge the world as it is, we must never stop working for the world as it should be -- a world without nuclear weapons.  That should be a goal for all of us.  (Applause.)
 
I believe that if we’re going to be true global partners, then our two nations must do more around the world together.  So to ensure international security and peace, multilateral institutions created in the 20th century have to be updated for the 21st.  And that’s why I support a reformed United Nations Security Council that includes India as a permanent member.  (Applause.)   
 
Of course, as I’ve said before, with power comes responsibility.  In this region, India can play a positive role in helping countries forge a better future, from Burma to Sri Lanka, where today there’s new hope for democracy.  With your experience in elections, you can help other countries with theirs.  With your expertise in science and medicine, India can do more around the world to fight disease and develop new vaccines, and help us end the moral outrage of even a single child dying from a preventable disease.  Together, we can stand up against human trafficking and work to end the scourge of modern day slavery.  (Applause.)   
 
And being global partners means confronting the urgent global challenge of climate change.  With rising seas, melting Himalayan glaciers, more unpredictable monsoons, cyclones getting stronger -- few countries will be more affected by a warmer planet than India.  And the United States recognizes our part in creating this problem, so we’re leading the global effort to combat it.  And today, I can say that America’s carbon pollution is near its lowest level in almost two decades. 
 
I know the argument made by some that it’s unfair for countries like the United States to ask developing nations and emerging economies like India to reduce your dependence on the same fossil fuels that helped power our growth for more than a century.  But here’s the truth:  Even if countries like the United States curb our emissions, if countries that are growing rapidly like India -- with soaring energy needs -- don't also embrace cleaner fuels, then we don’t stand a chance against climate change.
 
So we welcome India’s ambitious targets for generating more clean energy.  We’ll continue to help India deal with the impacts of climate change -- because you shouldn’t have to bear that burden alone.  As we keep working for a strong global agreement on climate change, it's young people like you who have to speak up, so we can protect this planet for your generation.  I'll be gone when the worst effects happen.  It's your generation and your children that are going to be impacted.  That's why it's urgent that we begin this work right now.
 
Development that lifts up the lives and health of our people.  Trade and economic partnerships that reduce poverty and create opportunity.  Leadership in the world that defends our security, and advances human dignity, and protects our planet -- that’s what I believe India and America can do together.  So with the rest of my time, I want to discuss how we can do it.  Because in big and diverse societies like ours, progress ultimately depends on something more basic, and that is how we see each other.  And we know from experience what makes nations strong.
And Neha I think did a great job of describing the essence of what’s important here. 
 
We are strongest when we see the inherent dignity in every human being.  Look at our countries -- the incredible diversity even here in this hall.  India is defined by countless languages and dialects, and every color and caste and creed, gender and orientations.  And likewise, in America, we’re black and white, and Latino and Asian, and Indian-American, and Native American.  Your constitution begins with the pledge to uphold “the dignity of the individual.”  And our Declaration of Independence proclaims that “all men are created equal.”
 
In both our countries, generations have worked to live up to these ideals.  When he came to India, Martin Luther King, Jr. was introduced to some schoolchildren as a “fellow untouchable.”  My grandfather was a cook for the British army in Kenya.  The distant branches of Michelle’s family tree include both slaves and slave owners.  When we were born, people who looked like us still couldn’t vote in some parts of the country.  Even as America has blessed us with extraordinary opportunities, there were moments in my life where I’ve been treated differently because of the color of my skin. 
 
Many countries, including the United States, grapple with questions of identity and inequality, and how we treat each other, people who are different than us, how we deal with diversity of beliefs and of faiths.  Right now, in crowded neighborhoods not far from here, a man is driving an auto-rickshaw, or washing somebody else’s clothes, or doing the hard work no one else will do.  And a woman is cleaning somebody else’s house.  And a young man is on a bicycle delivering lunch. A little girl is hauling a heavy bucket of water.  And I believe their dreams, their hopes, are just as important, just as beautiful, just as worthy as ours.  And so even as we live in a world of terrible inequality, we’re also proud to live in countries where even the grandson of a cook can become President, or even a Dalit can help write a constitution, and even a tea seller can become Prime Minister.  (Applause.) 
 
The point is, is that the aim of our work must be not to just have a few do well, but to have everybody have a chance, everybody who is willing to work for it have the ability to dream big and then reach those dreams. 
 
Our nations are strongest when we uphold the equality of all our people -- and that includes our women.  (Applause.)  Now, you may have noticed, I’m married to a very strong and talented woman.  (Applause.)  Michelle is not afraid to speak her mind, or tell me when I’m wrong -- which happens frequently.  (Laughter.) And we have two beautiful daughters, so I’m surrounded by smart, strong women.  And in raising our girls, we’ve tried to instill in them basic values -- a sense of compassion for others, and respect for themselves, and the confidence that they can go as far as their imaginations and abilities will carry them.  And as part of Michelle’s work as First Lady, she’s met with women and girls around the world, including here in India, to let them know that America believes in them, too.
 
In the United States, we’re still working to make sure that women and girls have all the opportunities they deserve, and that they’re treated equally.  And we have some great role models, including here today the former speaker of our House of Representatives -- Nancy Pelosi -- (applause) -- the first woman speaker of the House, and my great partner.  (Applause.)
 
And here in India, it’s the wives and the mothers who so often hold families and communities together.  Indian women have shown that they can succeed in every field -- including government, where many of your leaders are women.  And the young women who are here today are part of a new generation that is making your voice heard, and standing up and determined to play your part in India’s progress.
 
And here’s what we know.  We know from experience that nations are more successful when their women are successful.  (Applause.)  When girls go to school -- this is one of the most direct measures of whether a nation is going to develop effectively is how it treats its women.  When a girl goes to school, it doesn’t just open up her young mind, it benefits all of us -- because maybe someday she’ll start her own business, or invent a new technology, or cure a disease.  And when women are able to work, families are healthier, and communities are wealthier, and entire countries are more prosperous.  And when young women are educated, then their children are going to be well educated and have more opportunity. 
 
So if nations really want to succeed in today’s global economy, they can’t simply ignore the talents of half their people.  And as husbands and fathers and brothers, we have to step up -- because every girl’s life matters.  Every daughter deserves the same chance as our sons.  Every woman should be able to go about her day -- to walk the streets or ride the bus -- and be safe, and be treated with respect and dignity.  (Applause.)  She deserves that.  (Applause.) 
   
And one of the favorite things about this trip for me has been to see all these incredible Indian women in the armed forces, including the person who commanded the Guard that greeted me when I arrived.  (Applause.)  It's remarkable, and it's a sign of great strength and great progress.
 
Our nations are strongest when we see that we are all God’s children -- all equal in His eyes and worthy of His love.  Across our two great countries we have Hindus and Muslims, Christians and Sikhs, and Jews and Buddhists and Jains and so many faiths.  And we remember the wisdom of Gandhiji, who said, “for me, the different religions are beautiful flowers from the same garden, or they are branches of the same majestic tree.”  (Applause.)    Branches of the same majestic tree.
 
Our freedom of religion is written into our founding documents.  It’s part of America’s very first amendment.  Your Article 25 says that all people are “equally entitled to freedom of conscience and the right freely to profess, practice and propagate religion.”  In both our countries -- in all countries
-- upholding this fundamental freedom is the responsibility of government, but it's also the responsibility of every person.
 
In our lives, Michelle and I have been strengthened by our Christian faith.  But there have been times where my faith has been questioned -- by people who don’t know me -- or they’ve said that I adhere to a different religion, as if that were somehow a bad thing.  Around the world, we’ve seen intolerance and violence and terror perpetrated by those who profess to be standing up for their faith, but, in fact, are betraying it.  No society is immune from the darkest impulses of man.  And too often religion has been used to tap into those darker impulses as opposed to the light of God.  Three years ago in our state of Wisconsin, back in the United States, a man went to a Sikh temple and, in a terrible act of violence, killed six innocent people -- Americans and Indians.  And in that moment of shared grief, our two countries reaffirmed a basic truth, as we must again today -- that every person has the right to practice their faith how they choose, or to practice no faith at all, and to do so free of persecution and fear and discrimination.  (Applause.) 
 
The peace we seek in the world begins in human hearts.  And it finds its glorious expression when we look beyond any differences in religion or tribe, and rejoice in the beauty of every soul.  And nowhere is that more important than India.  Nowhere is it going to be more necessary for that foundational value to be upheld.  India will succeed so long as it is not splintered along the lines of religious faith -- so long as it's not splintered along any lines -- and is unified as one nation.
And it’s when all Indians, whatever your faith, go to the movies and applaud actors like Shah Rukh Khan.  And when you celebrate athletes like Milkha Singh or Mary Kom.  And every Indian can take pride in the courage of a humanitarian who liberates boys and girls from forced labor and exploitation -- who is here today -- Kailash Satyarthi.  (Applause.)  Our most recent winner of the Nobel Prize for Peace.  (Applause.)
 
So that's what unifies us:  Do we act with compassion and empathy.  Are we measured by our efforts -- by what Dr. King called “the content of our character” rather than the color of our skin or the manner in which we worship our God.  In both our countries, in India and in America, our diversity is our strength.  And we have to guard against any efforts to divide ourselves along sectarian lines or any other lines.  And if we do that well, if America shows itself as an example of its diversity and yet the capacity to live together and work together in common effort, in common purpose; if India, as massive as it is, with so much diversity, so many differences is able to continually affirm its democracy, that is an example for every other country on Earth.  That's what makes us world leaders -- not just the size of our economy or the number of weapons we have, but our ability to show the way in how we work together, and how much respect we show each other.  

And, finally, our nations are strongest when we empower our young people –- because ultimately, you're the one who has to break down these old stereotypes and these old barriers, these old ways of thinking.  Prejudices and stereotypes and assumptions -- those are what happens to old minds like mine.  I'm getting gray hair now.  I was more youthful when I first started this office.  And that’s why young people are so important in these efforts.
 
Here in India, most people are under 35 years old.  And India is on track to become the world’s most populous country.  So young Indians like you aren’t just going to define the future of this nation, you’re going to shape the world.  Like young people everywhere, you want to get an education, and find a good job, and make your mark.  And it’s not easy, but in our two countries, it’s possible.
 
Remember, Michelle and I don't come from wealthy backgrounds or famous families.  Our families didn’t have a lot of money.  We did have parents and teachers and communities that cared about us.  And with the help of scholarships and student loans, we were able to attend some of best schools of the world.  Without that education, we wouldn’t be here today.  So whether it’s in America, or here in India, or around the world, we believe young people like you ought to have every chance to pursue your dreams, as well. 
 
So as India builds new community colleges, we’ll link you with our own, so more young people graduate with the skills and training to succeed.  We’ll increase collaborations between our colleges and universities, and help create the next India institute of technology.  We’ll encourage young entrepreneurs who want to start a business.  And we’ll increase exchanges, because I want more American students coming to India, and more Indian students coming to America.  (Applause.)  And that way, we can learn from each other and we can go further.  Because one other thing we have in common Indians and Americans are some of the hardest working people on Earth.  (Applause.) 
 
And I’ve seen that -- Michelle and I have seen that in a family here in India.  I just want to tell you a quick story.  On our last visit here, we visited Humayun’s Tomb.  And while we were there, we met some of the laborers who are the backbone of this nation’s progress.  We met their children and their families as well -- and some wonderful young children with bright smiles, sparks in their eyes.  And one of the children we met was a boy named Vishal.
 
And today, Vishal is 16 years old.  And he and his family live in South Delhi, in the village of Mor Band.  (Applause.)  And his mother works hard in their modest home, and his sister is now in university; she wants to become a teacher.  His brother is a construction worker earning his daily wage.  And his father works as a stone layer, farther away, but sends home what little he makes so Vishal can go to school.  And Vishal loves math, and mostly, he studies.  And when he’s not studying, he likes watching kabaddi.  And he dreams of someday joining the Indian armed forces.  (Applause.)  And we're grateful that Vishal and his family joined us today.  We're very proud of him, because he’s an example of the talent that’s here.  And Vishal’s dreams are as important as Malia and Sasha’s dreams, our daughters.  And we want him to have the same opportunities. 
 
Sisters and brothers of India, we are not perfect countries. And we’ve known tragedy and we've known triumph.  We’re home to glittering skyscrapers, but also terrible poverty; and new wealth, but also rising inequality.  We have many challenges in front of us.  But the reason I stand here today, and am so optimistic about our future together, is that, despite our imperfections, our two nations possess the keys to progress in the century ahead.  We vote in free elections.  We work and we build and we innovate.  We lift up the least among us.  We reach for heights previous generations could not even imagine.  We respect human rights and human dignity, and it is recorded in our constitutions.   And we keep striving to live up to those ideals put to paper all those years ago.
 
And we do these things because they make our lives better and safer and more prosperous.  But we also do them because our moral imaginations extend beyond the limits of our own lives.  And we believe that the circumstances of our birth need not dictate the arc of our lives.  We believe in the father working far from home sending money back so his family might have a better life.  We believe in the mother who goes without so that her children might have something more.  We believe in the laborer earning his daily wage, and the student pursuing her degree.  And we believe in a young boy who knows that if he just keeps studying, if he’s just given the chance, his hopes might be realized, too.
 
We are all “beautiful flowers from the same garden…branches of the same majestic tree.”  And I'm the first American President to come to your country twice, but I predict I will not be the last.  (Applause.)  Because, as Americans, we believe in the promise of India.  We believe in the people of India.  We are proud to be your friend.  We are proud to be your partner as you build the country of your dreams. 
 
Jai Hind!  (Applause.)  Thank you.
 
END   
11:36 A.M. IST

The White House

Office of the Press Secretary

FACT SHEET: President’s 2016 Budget Proposes Historic Investment to Combat Antibiotic-Resistant Bacteria to Protect Public Health

“We now have a national strategy to combat antibiotic-resistant bacteria, to better protect our children and grandchildren from the reemergence of diseases and infections that the world conquered decades ago.”
– President Barack Obama’s remarks at the Global Health Security Agenda Summit, regarding the Executive Order to Combat Antibiotic Resistance, September 26, 2014
 

Antibiotic resistance is one of the most pressing public health issues facing the world today.  The Centers for Disease Control and Prevention (CDC) estimates that each year at least two million illnesses and 23,000 deaths are caused by antibiotic-resistant bacteria in the United States alone.  Antibiotic resistance limits our ability to quickly and reliably treat bacterial infections, and the rise of resistance could hamper our ability to perform a range of modern medical procedures from joint replacements to organ transplants, the safety of which depends on our ability to treat bacterial infections that can arise as post-surgical complications.

Antibiotic-resistant bacteria also pose economic threats.  The CDC reports that antibiotic-resistant infections account for at least $20 billion in excess direct health care costs and up to $35 billion in lost productivity due to hospitalizations and sick days each year.

Given the clear need for action on this issue, in September 2014 President Obama signed an Executive Order launching Federal efforts to combat the rise in antibiotic-resistant bacteria.  The Administration also issued its National Strategy on Combating Antibiotic-Resistant Bacteria, which outlines steps the U.S. government will take to improve prevention, detection, and control of resistant pathogens.  In addition, the President’s Council of Advisors on Science and Technology released a report with recommendations for addressing the antibiotic-resistance crisis.

The President’s FY 2016 Budget builds on these recent efforts by nearly doubling the amount of Federal funding for combating and preventing antibiotic resistance to more than $1.2 billion.  The funding will improve antibiotic stewardship; strengthen antibiotic resistance risk assessment, surveillance, and reporting capabilities; and drive research innovation in the human health and agricultural sectors.

This $1.2 billion investment increases funding for antibiotic resistance across the government in FY 2016.  For example, the Budget:

  • Proposes an almost $1 billion investment in FY 2016 – nearly double the 2015 funding level –  for the Department of Health and Human Services (HHS), including:
o   More than $650 million across the National Institutes of Health (NIH) and the Biomedical Advanced Research and Development Authority (BARDA) to significantly expand America’s investments in development of antibacterial and new rapid diagnostics, and to launch a large scale effort to characterize drug resistance.  Earlier this year, NIH-supported scientists developed a novel technique for extracting powerful antibiotics from soil, including teixobactin: the first new antibiotic to be discovered in more than 25 years.  The FY 2016 investment increases support for this kind of innovative research and discovery.
o   More than $280 million at the CDC to support antibiotic stewardship, outbreak surveillance, antibiotic use and resistance monitoring, and research and development related to combating antibiotic resistance.
o   $47 million at the Food and Drug Administration (FDA) to support evaluation of new antibacterial drugs for patient treatments and antibiotic stewardship in animal agriculture
  • Nearly quadruples antibiotic research and surveillance funding at the Department of Agriculture (USDA) to $77 million.
  • Increases funding at the Departments of Veterans Affairs (VA) and Defense (DoD) to $85 and $75 million, respectively, to address issues related to antibiotic resistance in healthcare settings. 

Improving Antibiotic Stewardship

Judicious use of antibiotics is essential to slow the emergence of antibiotic resistance in bacteria and extend the useful lifetime of effective antibiotics.  Preserving the usefulness of antibiotic resources without compromising human or animal health requires coordination, cooperation, and engagement of healthcare providers, healthcare leaders, pharmaceutical companies, veterinarians, the agricultural and pet industries, and patients.

The President’s FY 2016 Budget supports several key efforts to address issues related to antibiotic stewardship, including:

  • Enhancing collaborative efforts to improve antibiotic prescribing and prevent the spread of resistant bacteria.  Antibiotic-resistant bacteria can spread when infected patients move between hospitals, long-term care facilities, or other healthcare settings.  The President’s FY 2016 Budget includes investments that will help healthcare facilities work together, in close partnership with state health departments, to implement effective interventions that slow the regional spread of antibiotic-resistant bacteria.
  • Strengthening education programs for medical professionals, veterinary professionals, food-animal producers, and members of the public.  Some antibiotics are overprescribed in a variety of human and animal settings. Investments in this area will be used to develop education and outreach programs to clarify and strengthen responsible, appropriate use of antibiotics in humans and animals.  Investments will also support programs that enhance relationships and support necessary linkages across the human and animal health communities.
  • Improving antibiotic stewardship in animal agriculture.  FDA will continue to support the phasing out of medically important antibiotics in food-producing animals, and accelerate the evaluation of new antibacterial drugs and diagnostics for antibiotic-resistant organisms.
  • Improving the health and well-being of veterans.  VA will improve the implementation and effectiveness of the VA Antimicrobial Stewardship Program.  This program fosters the judicious use of antimicrobials through education, direct provider-to-provider stewardship, and surveillance, and supports and expands ongoing efforts to prevent emergence of multidrug-resistant organisms.  All of these actions are focused on improving the health and well-being of our veteran population.
  • Investing in advanced diagnostics.  Optimal, informed deployment of antibiotics relies on diagnostic tests that can quickly and accurately detect disease-causing bacteria, identify the presence of antibiotic-resistant bacteria, and characterize resistance patterns.  Currently, most diagnostic tests take 24 to 72 hours from specimen collection to results, with some tests taking up to weeks.  The President’s FY 2016 Budget will accelerate the development of new advanced diagnostic tests – including rapid point-of-care diagnostic tests suitable for use during a healthcare visit – that could significantly reduce unnecessary antibiotic use.  The Budget will also expand the availability and use of advanced diagnostics to improve treatment, enhance infection control, and improve responses to outbreaks of antibiotic-resistant bacteria in hospitals and in the community.
  • Advancing research to make antibiotic stewardship more effective.  The President’s FY 2016 Budget supports research to develop improved methods and approaches for embracing good antibiotic stewardship practices and combating antibiotic resistance in a variety of health care settings.  In particular, improvements in antibiotic stewardship practices are important in the acute-care hospital setting and in ambulatory and long-term care settings, where stewardship efforts are not as well developed.  Investments in this area include translation of relevant research findings into useful tools for healthcare providers to prevent and control emergence and spread of antibiotic resistance, and support for DoD efforts to develop antimicrobial stewardship policy to foster judicious use of antimicrobials. 

Strengthening Antibiotic Resistance Risk Assessment, Surveillance, and Reporting Capabilities

Resistance can arise in bacterial pathogens affecting humans, animals, and the environment.  The adoption of a “One-Health” approach that integrates human health, veterinary, and ecosystem surveillance will help strengthen detection and control of antibiotic resistance.  Improved surveillance will be achieved through enhancement, expansion, and linkage of existing systems that monitor human and animal pathogens, including the National Healthcare Safety Network (NHSN), the Emerging Infections Program (EIP), the National Antimicrobial Resistance Monitoring System (NARMS), the National Animal Health Monitoring System (NAHMS), and animal health laboratories.

To improve national and international capabilities for surveillance and reporting of antibiotic resistance, the President’s FY 2016 Budget proposes expansion of existing capabilities and establishment of new supporting networks and programs.  Efforts in this area include:

  • Bolstering monitoring and reporting of antibiotic-resistant bacteria.  The number of CDC’s Emerging Infections Program (EIP) sites will be doubled from 10 to 20 across the United States.  The EIP focuses on improving national estimates related to healthcare and community antibiotic resistant infections and expanding antibiotic resistant bacteria surveillance.  Investments in this area also:
o   Support FDA activities related to integrated monitoring of bacterial antibiotic resistance via new collaborative approaches for the National Antimicrobial Resistance Monitoring System.
o   Enable the DoD to collect ongoing and enhanced antibiotic use and resistance surveillance data.
o   Support HHS’s Office of Global Affairs to promote international communication and collaboration on combating antibiotic resistance, improve criteria for susceptibility reporting, and coordinate regulatory approaches with international agencies.
o   Expand VA efforts to perform additional surveillance.
  • Understanding new types of antibiotic resistance.  A Detect Network of Antibiotic Resistance Regional Laboratories will be established, serving as a national resource to characterize emerging resistance and rapidly identify outbreaks of antibiotic-resistant organisms.  Laboratories in the network will use state-of-the-art methods to characterize known resistance patterns in real time and more quickly identify clusters of resistant organisms.  In addition, a new Antibiotic Resistance Isolate Bank will provide a complete collection of current antibiotic-resistant bacteria, help keep pace with mutations, and provide information to guide FDA approval of new tests, antibiotics, and related products.
  • Increasing surveillance for antibiotic-resistant zoonotic and animal pathogens.  Surveillance for antibiotic-resistant zoonotic and animal pathogens nationwide is essential to understanding what bacteria may ultimately generate outbreaks that impact human and animal health.  The President’s FY 2016 Budget will improve existing surveillance capabilities by enhancing the NAHMS and expanding capacity among existing animal health networks.
  • Supporting the National Healthcare Safety Network, a web-based system to monitor antimicrobial resistance and antimicrobial use. 

Driving Research Innovation in the Human Health and Agricultural Sectors

Antibiotics for treating human disease that lose their effectiveness due to the emergence of resistance must be replaced with new drugs.  Alternatives to antibiotics are also needed in animal agriculture and veterinary medicine.  Advancing antibiotic development and increasing the number of candidates in the drug-development pipeline requires intensified efforts to boost basic scientific research, attract greater private investment, and facilitate clinical trials of new antibiotics.  The President’s FY 2016 Budget will:

  • Invest in basic life sciences research.  Understanding environmental factors that facilitate development and spread of antibiotic resistance common to human and animal pathogens is essential for ensuring that newly-developed drugs and vaccines remain effective.  Basic research in this area will exploit powerful new technologies – including systems biology, rapid genome sequencing, metagenomics, and Big Data – to advance the study of antibiotic resistance.
  • Intensify research and development of new therapeutics and vaccines.  Despite the urgent need for new antibacterial drugs, the pipeline of antibiotics in development is inadequate, and commercial interest in antibiotic development remains limited.  The Budget directly supports activities that will advance the discovery and development of new antibiotics, non-traditional therapeutics, and vaccines by investing in basic and applied research, providing researchers with scientific support services (e.g., specimens, sequence data, and regulatory guidance), and fostering public-private partnerships that reduce the risks, uncertainty, and obstacles faced by companies developing new antibiotics.  Investments in this area include:
o   An increase of $100 million within NIH’s existing research activities, including the development of an antibacterial resistance clinical trial network for rapid testing of new drugs to treat multi-drug resistant bacteria.
o   An increase of over $100 million at BARDA for the development of new antibiotic therapies and diagnostics.
o   Support for FDA efforts to streamline the development pathway to facilitate treatment of patients with unmet medical needs.
o   Support for DOD participation in primary and collaborative efforts to identify new small-molecule candidates and point-of-care diagnostics.
  • Develop alternatives to antibiotics in agriculture.  The President’s FY 2016 Budget nearly quadruples funding to $77 million for USDA efforts to combat antimicrobial resistance.  This funding supports USDA development of alternatives to antibiotics, including improved management and animal care practices and other tools.

The United States government has laid out an ambitious plan that aims to help dramatically curb the expansion of antibiotic-resistant bacterial infections.  Over the next five years, the Administration’s efforts to combat antibiotic resistance will enhance national capabilities for antibiotic stewardship, outbreak surveillance, and research in the human healthcare and agricultural sectors.  This effort holds the potential to:

  • Reduce the incidence of carbapenem-resistant Enterobacteriaceae (CRE) infections by 60 percent.
  • Reduce the incidence of Clostridium difficile infection (CDI) and methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections by 50 percent.
  • Reduce the incidence of multidrug-resistant Pseudomonas infections acquired during hospitalization by 35 percent.
  • Spur at least a 25 percent reduction in the rate of multi-drug resistant Salmonella infections and pediatric and geriatric antibiotic-resistant invasive pneumococcal disease. 

Together, the Administration’s proposed investments of more than $1.2 billion to combat and prevent antibiotic resistance that will lead to critical new developments that could fundamentally transform how public health prevents the transmission and emergence of antibiotic-resistant infections.

The White House

Office of the Press Secretary

Statement by Principal Deputy Press Secretary Eric Schultz

The estimates released today by CBO once again confirm the progress we’ve made in bringing down deficits and expanding access to healthcare under the Affordable Care Act. Under the President’s leadership, the deficit has already been cut by about two-thirds as a share of the economy, the fastest sustained deficit reduction since World War II.

CBO’s longer-term budget and economic projections confirm the need for Congress to act to strengthen our economy for the middle class while putting our debt and deficits on a sustainable trajectory, including by making the investments that will accelerate economic growth and generate good new jobs for our workers to fill.  We look forward to discussing the President’s plan to bring middle class economics into the 21st Century and finish the job of putting our Nation on a sustainable fiscal path in more detail when the President’s FY 2016 Budget is released on Monday, February 2.

President Obama Speaks at the U.S.-India Business Council Summit

January 26, 2015 | 43:29 | Public Domain

On January 26, 2015, President Obama delivered remarks at the U.S.-India Business Council Summit in New Delhi, India.

Download mp4 (1610MB) | mp3 (104MB)

The Highlights of President Obama's Visit to India

President Obama and Prime Minister Modi Chat in a Garden

President Barack Obama and Prime Minister Naredra Modi have tea in the garden gazebo at Hyderabad House in New Delhi, India. January 25, 2015. (Official White House Photo by Pete Souza)

"Chalein saath saath; forward together we go."

--India-U.S. Delhi Declaration of Friendship

President Obama and the First Lady traveled to India this week -- their first time visting the South Asian nation since Prime Minister Narendra Modi was sworn in on May 26, 2014. America and India are true global partners in the work of strengthening economies and strong democracies. That is why the President is the first to have visited India twice while in office. 

President Obama and Prime Minister Modi Participate in a CEO Roundtable in India

January 26, 2015 | 11:09 | Public Domain

On January 26, 2015, President Obama and India’s Prime Minister Modi participated in a roundtable with CEOs to identify problems and generate practical solutions that will promote business between the two countries.

Download mp4 (410MB) | mp3 (27MB)

The White House

Office of the Press Secretary

Presidential Nominations Sent to the Senate

NOMINATIONS SENT TO THE SENATE:

Sim Farar, of California, to be a Member of the United States Advisory Commission on Public Diplomacy for a term expiring July 1, 2015. (Reappointment)

Sim Farar, of California, to be a Member of the United States Advisory Commission on Public Diplomacy for a term expiring July 1, 2018. (Reappointment)

William Joseph Hybl, of Colorado, to be a Member of the United States Advisory Commission on Public Diplomacy for a term expiring July 1, 2015. (Reappointment)

William Joseph Hybl, of Colorado, to be a Member of the United States Advisory Commission on Public Diplomacy for a term expiring July 1, 2018. (Reappointment)

Dallas P. Tonsager, of South Dakota, to be a Member of the Farm Credit Administration Board, Farm Credit Administration, for a term expiring May 21, 2020, vice Jill Long Thompson, term expired.

Map: Here's How the President's Actions on Immigration Will Impact Your State

"Passions still fly on immigration, but surely we can all see something of ourselves in the striving young student, and agree that no one benefits when a hardworking mom is snatched from her child, and that it’s possible to shape a law that upholds our tradition as a nation of laws and a nation of immigrants."

-- President Obama, State of the Union Address, January 20, 2015

On November 20, 2014, President Obama took executive action to start fixing our broken immigration system so it works better for our people and our economy. The three main pillars of his action include:

  • Making it easier and faster for high-skilled immigrants, graduates, and entrepreneurs to stay and contribute to our economy, as many business leaders have proposed. 
  • Dealing responsibly with certain undocumented immigrants who are DREAMers or parents of citizens or lawful permanent residents, by requiring that they pass background checks and pay their fair share of taxes.
  • Building on our progress at the border and enforcing our immigration laws in smarter, more effective ways.

These actions not only live up to our heritage as a nation but are essential to building on our hopes for a brighter future. In fact, the President's steps will allow people to contribute more fully to their communities and spark an economic boost for every single state.

Check out the map below to see exactly how the new steps we're taking to fix our broken immigration system will improve the economy in your state: 

The White House

Office of the Press Secretary

Caribbean Energy Security Summit Joint Statement

The Governments of Antigua and Barbuda, Aruba, Bahamas, Barbados, Belize, Canada, Colombia, Curacao, Dominica, Dominican Republic, France, Germany, Grenada, Guyana, Haiti, Jamaica, Mexico, New Zealand, Spain, St. Kitts and Nevis, St. Lucia, St. Vincent and the Grenadines, Suriname, Trinidad and Tobago, United Kingdom, United States, together with the Caribbean Community (CARICOM) Secretariat, Caribbean Development Bank, European Union, Inter-American Development Bank Group, International Renewable Energy Agency, Organization of American States, and the World Bank Group:

1.      Recognizing that energy security, access to energy, economic development, environmental and climate goals benefit from and contribute to sustainable, modern, clean and diversified energy sectors;

2.      Reaffirming our commitment to support  access to sustainable, reliable, and affordable energy services, with a particular focus on cleaner alternative energy resources , for all citizens in the region;

3.      Recognizing that increased energy efficiency and more diversified, and clean energy sources can lead to improved energy security, increasing self-sufficiency, economic growth, and climate resilience as well as reducing greenhouse gas emissions;

4.      Recognizing that cost-effective, alternative, and renewable energy sources, can reduce energy costs, while at the same time providing increased options for countries to diversify their energy matrices;

5.      Recalling the commitment at the Fifth Summit of the Americas in 2009 to expand cooperation on energy and climate change, including through the Energy and Climate Partnership of the Americas (ECPA); and at the Sixth Summit of the Americas in 2012 to accelerate energy integration to provide every person access to the electricity they need through the Connecting the Americas 2022 (Connect 2022) initiative;

6.      Recalling the outcome of the Third International Conference on Small Island Developing States (SIDS Conference), September 2014, and the commitments taken under the SIDS Accelerated Modalities Of Action Pathway;

7.      Recognizing that, although legal and regulatory reforms have been implemented in some countries to introduce renewable energy technologies and sustainable energy management approaches to attract the required investment in the Caribbean energy sector, in principle, more work on policy and regulatory issues is required to fully embrace the opportunities derived from sustainable energy;

8.      Recalling national and regional energy plans, including the CARICOM Energy Policy and Caribbean Sustainable Energy Roadmap and Strategy (C-SERMS), adopted by CARICOM in March of 2013, and the commenced negotiations in the Dominican Republic for a National Pact on Energy;

9.      Recognizing that lowering energy costs can increase competitiveness in tourism, manufacturing and various other sectors of the Regional economies;

10.  Recognizing that the private sector has an important role to play in developing the energy sector in the region, and that there is potential for greater public-private partnerships;

11.  Recognizing the synergies and benefits of regional cooperation for the strengthening of the energy sector;

12.  Noting that this strategy is in line with the objectives of the Sustainable Energy for All (SE4ALL) initiative;

13.  Recognizing the advances already made by several countries in diversifying their energy mix;

14.  Recognizing our actions should support reaching a new international climate change agreement at the December 2015 UNFCCC negotiations in Paris;

15.  Recalling the invitation at the UNFCCC Twentieth Conference of Parties to communicate intended nationally determined contributions well in advance of Paris in a manner that facilitates clarity, transparency and understanding; and

16.  Recognizing the Caribbean is a particularly vulnerable region to climate change and has been an advocate in the fight against climate change.

We state our commitment to support the Caribbean’s transformation of the energy systems of Caribbean states, to share lessons learned through new and expanded regional information networks, to report progress in relevant fora, and to pursue the following in accordance with national laws:

1.      Comprehensive, planning-based and research-driven approaches to energy transition, including implementation of pilot and demonstration projects, based on successful models so that individual clean energy projects are part of a fully integrated, climate-resilient energy transition plan toward clean sustainable energy for all.

2.      For Caribbean countries, necessary and specific reforms , including recommendations from the 2013 CARICOM Energy Policy and the outcome of the 2015 Dominican Energy Pact, to support policy and regulatory environments that facilitate the introduction of new technologies favoring sustainable and clean energy that provide legal certainty for investors and improved predictability in price and supply for users.

3.      Where viable, alignment of national legal and regulatory approaches to facilitate greater clean energy investment throughout the region, provided that countries can access finance and other resources on affordable terms, to set the stage for future electrical interconnection in keeping with the goals of Connect 2022.

4.      Where technically and commercially feasible, promote and develop affordable: (i) no- or lower carbon electricity generation through wind, solar, geothermal power, hydropower, bioenergy, ocean energy, energy recovery from waste, and other clean energies; and (ii) energy efficiency measures.  Recognizing also, that alternative fuels, such as natural gas, can play a useful bridging role.

5.      Open, transparent, competitive and criteria-based processes, including liberalization where cost effective, to procure energy investment and facilitate access to finance for cleaner and climate resilient energy projects and infrastructure.

6.      Data and energy information exchange and coordination with, between, and among countries and stakeholders to minimize duplication and enable the monitoring and evaluation of energy projects to maximize the impacts of efforts toward fully integrated, low carbon and climate-resilient energy transition plans.

What They're Saying: Businesses are Ready to Join the President to UpSkill America

In his State of the Union address and again at Boise State days later, the President called on more employers to adopt or expand measures to help workers gain the skills and credentials to advance into better paying jobs – including by expanding registered apprenticeships, increasing uptake of tuition benefit programs that pay for a worker to complete their college education, offering on-the-job training for career progression, and increasing access to technology-enabled learning tools.

Tonight, I'm also asking more businesses to follow the lead of companies like CVS and UPS, and offer more educational benefits and paid apprenticeships -- opportunities that give workers the chance to earn higher-paying jobs even if they don't have a higher education.

– President Obama, State of the Union Address, January 20, 2015

This initiative to Upskill America includes important steps by employeers, educators, and others in the private sector. That's why more than 30 employers are already answering the President's call to grow apprenticeships, support thousands of workers to earn a college degree for free while they are working, and providing a clear path upward for employeers who develope and demonstrate critical skills in the field. It's also why President Obama is calling on Congress to invest over $2 billion to expand registered apprenticeships and spread high-quality training programs. 

Spreading best practices like these can ensure employers get the skilled workforce that they need, while workers get an opportunity to realize their full potential and earn more. It's no wonder councils and business groups are allready talking about this new initiative. Here's what they're saying: 


Pacific Gas and Electric Company 

PG&E is setting a new goal of filling 75 percent of management vacancies from within PG&E by 2019, providing opportunities for upward mobility and growth for team members. These programs are targeted to individuals considering supervision, crew leaders, newly hired or promoted leaders, supervisors, and others, up to PG&E’s officer level.

Chris Evans is an intern in the White House Office of Digital Strategy.