Shared Responsibility and Shared Prosperity Town Hall

April 21, 2011 | 59:43 | Public Domain

President Obama talks about his plan to secure America’s fiscal future and bring down the deficit at a town hall event in Reno, NV.

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Remarks by the President in a Town Hall in Reno, Nevada

Reno, Nevada

11:50 A.M. PDT

THE PRESIDENT:  Thank you.  Hello, Reno!  Thank you.  Thank you so much.  Please, everybody have a seat.

It is great to be back here in Reno, great to be back in Nevada.  I am thrilled that all of you are here.  We’ve got some special, special people that I want to acknowledge.  First of all, I want to thank Electra Therm for hosting us, and John Fox, the CEO of Electra Therm, is here.  (Applause.)  Stephen Olson, the president and CFO of Electra Therm.  Thank you very much.  (Applause.)  They just had a chance to meet me backstage and they were describing all the great work that they are doing.  I am told the contraption behind me here is known as the Green Machine.  Produces renewable energy from low-temperature heat waste.  And John and Stephen were explaining to me how it works, and I was nodding, pretending like I understood what they were saying.  (Laughter.)  Actually, I have no idea how it works, but I’m glad it does work.  (Laughter.)

And I want to congratulate Electra Therm for being a fine example of a clean energy company that’s been growing by leaps and bounds over the last few years.  Give yourselves a big round of applause.  (Applause.)

In addition, we’ve got some people who are here.  Somebody who’s working hard for you, Congresswoman Shelley Berkley is here.  (Applause.)  Mayor Bob Cashell is here.  (Applause.)  Lieutenant Governor Brian Krolicki is here.  (Applause.)  State Controller Kim Wallin is in the house.  (Applause.)  State Treasurer Kate Marshall is here.  (Applause.)  Secretary of State Ross Miller is here.  (Applause.)  Catherine Cortez Masto, Attorney General, is here.  (Applause.)  Steven Horsford, Senate Majority Leader, is in the house.  (Applause.)  And John Oceguera, Speaker of the House, is here as well.  (Applause.)

Thank you all for your attendance.  Last week, I laid out a plan on one of the biggest issues that we’re going to be facing this year, and that is how to get America’s finances in order -- a plan for shared prosperity through shared responsibility.  And before I take some of your questions today, I’d like to discuss the plan briefly because it goes to the heart of what’s happening at this company and businesses all across America.  It’s a plan that does two big things.  First, it cuts spending and brings down the deficit.  It cuts spending and brings down the deficit.  And we know how important that is.  Just like any family on a tight budget, America has to start living within its means.  And for a long time, Washington acted like that rule didn’t apply to the federal government.  A lot of folks promised us a free lunch.  We had a surplus in 2000 -- we had a surplus a decade ago.  But we cut taxes -- including for millionaires and billionaires; we fought two wars; we created a new prescription drug plan -- and we didn’t pay for any of it.  Didn’t pay for any of it, just put it on the credit card.

Well, as the saying goes, it turns out there is no such thing as a free lunch.  So we were left with a big deficit when I walked into office, and a lot of accumulated debt, and interest on that debt.  

And then it was made worse by the worst recession that we’ve had since the Great Depression.  And as many of you know, when you have a huge recession like that, two things happen:  On the one hand, revenues go down because companies and individuals aren’t doing as well so you’re not taking in as many taxes.  On the other hand, the demands on government are even greater, whether it’s unemployment benefits, or trying to help states and local governments deal with their shortfalls.  And so that added to the deficit as well.

Now, the bottom line is this:  If we don’t close our deficit, if we don’t start reducing our debt, if we don’t get our finances, medium and long term, under control, if we keep on spending more than we take in, it’s going to cause serious damage to our economy.  Companies might be less likely to set up shop and hire folks here in Nevada and here in the United States.  It could cost us more to take out loans for homes or buying a new car or starting a business.  And we won’t be able to invest in those critical investments we need to win the future.  Those are the kinds of investments that make a company like Electra Therm possible.    

So we have to tackle this challenge.  And I believe the right way to tackle it is to live up to another old-fashioned principle, which is shared responsibility.  That means everybody has to do their part.

First thing we’ve got to do is to comb through the budget and find every dime of savings that we can, wherever we can find it.  And we’ve made a good start a few weeks ago, when both parties came together -- Republicans and Democrats -- around a compromise on spending that reduced it and kept the government open at the same time.  So we need to build on those savings, and I’m not going to quit until we’ve found every dime that we can.  We’ll check under the cushions.  But we’re going to find -- any program that’s not working, we need to eliminate it.  Anything that can be done more efficiently, we want to do it.

But finding savings in our domestic spending by itself won’t be enough; it only gets you so far.  So we’ve also got to find savings in places like the defense budget.  I have no greater honor than being the Commander-in-Chief.  And when I watch what our young mean and women are doing overseas, it’s incredible.  So I can promise you I will not cut a penny if it undermines our national security.  But over the last two years, the Secretary of Defense has taken on wasteful spending that does little to protect our troops or protect our nation -- like old weapons systems that the Pentagon doesn’t want, it says we don’t need them, but somehow still gets into the budget thanks to well-connected special interests.  Secretary Gates has already found $400 billion worth of waste in the Pentagon budget.  I think we can find those same kinds of savings again.

Next, we’re going to need to reduce health care spending, and strengthen Medicare and Medicaid through some common-sense reforms that build on what we already have done with the health care reform bill -- eliminates wasteful subsidies to insurance companies, for example; actually improves care by making it easier for folks to buy generic drugs; helps providers manage care for the chronically ill.  And we need to reform the tax code so that it’s fair and simpler.  I know that’s on people’s minds.  Some of you just had to file, and I know I looked at my bill -- and I have actually done my taxes quite a few times.  I admit I don’t do them now.  (Laughter.)  But all of us have gone through the experience of saying this is just too complicated.  It doesn’t make sense.  The amount of taxes you pay shouldn’t depend on a high-priced accountant or lawyer that you can hire.  It should be fair and simple.

And part of what we have to do with our tax code is also
end some of the tax cuts that were instituted for the wealthiest Americans.  (Applause.)  Now, I say that not because I want to punish success.  I’m rooting for everybody to get rich.  But I believe that we can’t ask everybody to sacrifice and then tell the wealthiest among us, well, you can just relax and go count your money and don’t worry about it; we’re not going to ask anything of you.

I’ve been incredibly blessed by this country -- son of a single mom, went on scholarships to get through school.  And so the fact that I’m now well off, I want to be able to give a little bit something back so that the next generation can achieve that same success.  I don’t need additional tax cuts, especially when I know that extending those tax cuts may end up meaning that some senior citizens are getting less health care; or thousands of kids on Head Start might not have that opportunity available to them; or people who are on Medicaid, seniors who are in nursing homes, or families who have got a child who’s autistic or disabled, that somehow they’re left to fend for themselves.  That’s not a good option, from my perspective.  That’s not a trade-off I’m willing to make.

And I don’t believe it’s a trade-off that most Americans are willing to make -- no matter what party you belong to.  That’s not who we are as a country.  We are better than that.  We don’t allow people who are vulnerable just to sink further and further without giving them a little bit of a hand up.  It’s part of what has made this country great.

So that’s the first part of our plan.  We’re going to cut spending in a way that’s fair and asks everybody to share responsibility.  We’re going to reform our tax code.  But here’s what else we need to do, we’ve got to make sure that even as we’re living within our means, even as government is not spending more than it’s taking in, that we’re still investing in the future; we’re still strengthening the middle class; we’re still growing the economy and putting people back to work.  (Applause.)

So we’re going to make some cuts in some programs, including some that I like and if we were in better fiscal shape we’d keep on funding, but I’m telling you what we’re not going to do.  We’re not going to reduce our deficit by gutting our investment in clean energy and medical research and basic science.  I refuse to make that choice.  (Applause.)

America has always been the world’s engine for innovation, the leader in discovery.  That’s who we are.  That’s how we’ve prospered.  I don’t want other countries to get the lead in the industries of tomorrow; I want America to lead in these industries.  I want new technologies invented here.  I want companies like Electra Therm to set up shop here in America and to hire American workers and build American products.  That’s the future that we deserve.  (Applause.)

Let’s just take the example of energy.  Think about it, everybody right now is dealing with $4 a gallon at the pump.  Now, I admit Secret Service doesn’t let me fill up my own tank now.  (Laughter.)  But I remember before I was President the last time gas prices went up this high -- it’s tough.

And if you’re somebody who’s got to drive 20 miles, 30 miles to a job, and maybe you don’t have the money to buy a new car that gets better gas mileage, so you got that old beater.  It’s eight miles a gallon, and -- you know?  (Laughter.)  I’ve been there.  (Laughter.)

It hurts because you know every time you go to work a big chunk of your paycheck is being eaten up.  And you might already be having trouble making ends meet at the end of the month.  So this gas issue is serious.  But here’s the problem -- every time it happens, every time gas prices go up like this, like clockwork, suddenly politicians look around and they discover high gas prices.  And they’re shocked, and they get in front of TV and they say, we’ve got a three-point plan to bring gas down to two bucks a gallon.  And then when gas prices go down, nothing ever happens, and we’re back into the same old patterns, and we don’t have a comprehensive energy strategy for the future.

Now, there are some things that we can do right now.  Last month I asked my Attorney General to look into any cases of price gouging so we can make sure nobody is being taken advantage of at the pump.  Today, I’m going to go a step further.  The Attorney General is putting together a team whose job it is to root out any cases of fraud or manipulation in the oil markets that might affect gas prices, and that includes the role of traders and speculators.  We’re going to make sure that nobody is taking advantage of American consumers for their own short-term gain.  (Applause.)

And while we’re at it, if we’re looking for places to save money that we can then use to invest in clean energy projects like Electra Therm, let’s start with the $4 billion in taxpayer subsidies that right now are going to big oil companies even though they are making billions of dollars a year as it is because of these high oil prices.  (Applause.)  Four billion dollars a year are going to companies that are making record profits -- even during the recession they were making big profits.

The big five oil companies over the last five years, the least they’ve made in profits is $75 billion.  The most they’ve made is $125 billion.  They are doing fine.  And we are encouraging production.  We are working to make sure that there are safe and secure ways for us to drill for more oil, develop more natural gas.  We are all for production in a safe way.  But these folks don’t need further incentives by getting a better deal than the mom-and-pop shop down the street are getting when it comes to their taxes.  They shouldn’t get special tax breaks worth $4 billion that we could invest someplace else.  That doesn’t make sense.  It’s got to stop.  

Instead of subsidizing yesterday’s energy sources, let’s invest in tomorrow’s.  (Applause.)  Some in Congress have proposed slashing by 70 percent our investment in clean energy.  I’m not going to do that.  I was talking to John about the fact that the investment made by the Department of Energy helped Electra Therm do what it’s doing -- helped it expand, helped it hire more workers.  Why are we going to stop making investments in companies like this?

We’re also not going to reduce our deficit by sacrificing investments in infrastructure.  You know, America used to have the best roads, the best bridges, the best trains, the best airports, the best ports.  That’s part of what made us great.  That’s part of why businesses wanted to locate here -- they could move businesses -- or they could move products, services, information.  We don’t have the best infrastructure anymore.  Our roads and bridges are deteriorating.

Remember what happened in Minnesota when that bridge just collapsed?  There are bridges like that all across the country.  Our sewer systems, our water systems are not where they need to be.  And that’s the old infrastructure.  What about the new infrastructure?  You go to Beijing Airport, it is unbelievable.  You go to some of ours, it was built back in the ‘50s.

We don’t have high-speed rail in this country.  Why not?  Every other advanced country has got it.  It works.  We can do this.

If we want businesses to locate here in America and create jobs, we’ve got to make sure that America is built to compete.  We’ve got to have the best roads and the quickest trains and the best broadband networks so we can move information around.  (Applause.)  We don’t want to be dodging potholes for the next 30 years.  Let’s put some people to work doing the work that America needs done.   

And if we’re going to reduce our deficit, we’re not going to do it by cutting education.  (Applause.)  We’re not going to do it by cutting education.  This is another bright idea that some in Congress have.  In a world where our kids are going to be facing tougher competition than ever before, where you’ve got hundreds of millions of Chinese kids and Indian kids and Brazilian kids and Eastern European kids, all who are trying to compete for the jobs of tomorrow, how are we not going to invest in making sure our kids have the best skills possible?

We see why this matters right here.  More than 50,000 college students from Nevada are relying on Pell Grants to help them pay their tuition.  Now, working with folks like Shelley, we were able to eliminate some subsidies that were going to big banks because they were middlemen on student loan programs, and take that money and put more money into Pell Grants so that the grants were higher, so that more kids could get them and they’d have less debt when they graduate.  That was the right thing to do.  (Applause.)  Now you’ve got some folks in Congress who want to roll back some of those changes.  How many of those students do you think can afford to pay $1,000 more to go to school?  I know what it’s like.  I could not have made it through college without scholarships, without loans.

I’m standing here before you because America gave me opportunity.  How am I going to pull up the ladder on the next generation of kids who are just as talented, smarter than I am?  (Applause.)  All they need is a chance.  So I think it would be a mistake to balance the budget on the backs of students by cutting their scholarships by more than $1,000 and forcing a whole lot of students to go without them altogether.

So that’s the bottom line.  We need to cut spending.  We can’t ignore future deficits.  But just as ignoring deficits would mortgage our future, failing to invest in our kids, in our infrastructure, in our basic research and clean energy, that would be mortgaging our future as well.  And I’m not willing to do it.  And that’s at the core of the debate that we’re having right now.

Both Democrats and Republicans agree that we need to cut the deficit.  In fact, there is general agreement on the need to cut about $4 trillion over the medium term to hit our targets.  And when folks in Washington agree on anything that’s quite an accomplishment.  (Laughter.)  So the debate isn’t about whether to cut the deficit, the debate is about how we cut the deficit.  And my view is we can live within our means while still investing in our future.  We can take a balanced approach, cutting where we can while investing in education and innovation and infrastructure, strengthening the safety net of Medicare and Medicaid to make sure that they’re there for future generations.

And I think that Democrats and Republicans can come together to solve this problem.  It has been done before.  (Applause.)  It won’t be easy.  There will be some strong disagreements.  I’m willing to bet that along the way some politics will be played.  (Laughter.)  That’s just a guess.  And there will be some who say, you know what, the country is just too divided, we’re not going to get it done.  But I’m optimistic.  I’m hopeful.  I’m confident that we can come together.

And here’s why this is so important.  Ultimately, this debate is not just about numbers on a page.  It’s about the vision we have for our future -- who we are as a country.  It’s about making sure that the most you can do here is not just live out your own American Dream, but make sure that the people around you are living out their American Dream as well.

We want to make sure this is a country where if you’re willing to try hard you can make it, where everybody has a chance at prosperity.  That’s my focus, that’s my guiding light.  It’s what I think about when I wake up in the morning and go down to the Oval Office.  That’s what I think about when I leave the Oval Office and go to bed at night.  And that’s why I’m going to need the help of all of you.  I don’t want you to be bystanders in this debate.  I want you to hold me accountable.  I want you to hold Washington accountable.  I hope you will hold all of our feet to the fire, because you’ve got a big stake in this fight.  And if your voices are heard, we will meet this challenge.  That’s how we’re going to secure our future; that’s how we’re going to make our country everything that it can be.

Thank you very much, everybody.  (Applause.)

All right, everybody, have a seat.  I’ve got a little time for questions.  I’ll take off my jacket, because I know I’m in the hot seat here.  We’ve got some folks in the audience with microphones, so if you just raise your hand I will call boy, girl, boy, girl -- (laughter) -- make sure it’s fair.  And I’ll try to get through as many questions as I can.

This gentleman right here.  Here, here’s a microphone.  Introduce yourself, if you don’t mind.

Q    Hi, my name is Howard Crabtree (ph).  And I go to the TMCC school right now, just trying to get an education after we lost our -- my wife and I lost our jobs here.

So I entered the renewable energy program, and the more and more I learn about energy and the policies and things, I wonder what -- is the federal government doing anything to encourage the states, because I know the states really control it -- are they doing anything to encourage the states to open the market up so that there are more competitors in the market to bring prices down?  I know that I’ve only ever had NV Energy as a choice.

THE PRESIDENT:  Well, I am not fully familiar with what Nevada’s state regulatory structure is, I’ll admit.  But let me make some general points about how we can start creating not only more competition, but also more innovation in the energy sector.

When it comes to electricity, the traditional sources that we get electricity from are coal, natural gas, and some nuclear.  That’s typically the menu from which we get most of our electricity production at most of the big utilities.  And the advantage, particularly of coal, is that it’s been very cheap.  We are the Saudi Arabia of coal.  We’ve got a lot of coal.

But each of these fossil fuels that we use have some problems, particularly with pollution.  And coal, in particular, in some of these old plants create a lot of particulates that go into the atmosphere and create all kinds of problems in terms of asthma, and it’s also having an impact on the climate overall.

Nuclear doesn’t produce greenhouse gases, but we’ve got problems in terms of storing waste.  And obviously we’re heartbroken by what’s happened in Japan, and that’s raising questions about the safety of the existing storage mechanisms.  And I know obviously there’s a big debate here in Nevada about Yucca Mountain.

Natural gas -- we actually have a lot of natural gas available, but getting to it has historically been a little bit difficult, and so now we’re developing new technologies for that.

But when you think about what’s going to be sort of our future electricity sources, I want to make sure that we are also the frontrunners, the leaders, when it comes to solar, when it comes to wind, when it comes to waste heat -- (laughter) -- geothermal, right?  So there are a whole range of additional energy sources that we’re just not tapping into, and that’s what a company like Electra Therm is all about.

Now, the question for Electra Therm is -- or any of these companies that are innovating -- is, is there enough demand out there that they can start building to scale, they can start making the capital investments that allow them to catch up with these older ways of producing electricity that had a 50-year head start?  Right?  I mean, if you built an old coal plant 30, 40 years ago, well, it’s -- whatever money you put into it, that’s already sunk costs, and now you’re producing electricity that may be relatively cheap, but it’s also relatively dirty.  And the question is, how do we make sure that new companies with newer, cleaner technologies are able to catch up?

So one of the things that we’ve proposed is what’s called a clean energy standard.  It’s a very simple concept.  What it says is, the country, state by state, will purchase a certain amount of energy from these alternative sources.  So we’re not saying that immediately you shut down the old plants, because, frankly, we couldn’t.  I mean, the economy needs a certain amount of electricity just to run our businesses and do everything that we do.  But if we set a target and we say here’s the amount of alternative energy that is going to be purchased every year, then suddenly all these companies out here start saying, you know what, I’ve got some certainty.  I know that if I invest in building a new plant that I’m going to be able to sell that electricity.

And that changes the economic incentives, and then the market can sort out which ones are the best -- who’s got the best company, who’s got the best technologies, et cetera.  It’s not the government saying -- picking winners and losers, it’s just saying get a certain amount from this option, this array of options of clean energy.  That can make a huge difference.

Now, in addition to doing that, the other thing that we really have to do is make sure that as an economy, as a society, we just become more energy efficient generally.  And that’s a lot of what Electra Therm is all about.  They’re capturing -- when you’re talking about waste heat, every business, every industry, is generating some sort of energy byproduct, some sort of heat; it’s going up in smoke stacks and nobody is using it.  And the question is, can we capture that energy and use it in a smart way?  That’s what Electra Therm is all about.

But we waste energy everywhere -- schools, hospitals, our homes.  When we don’t insulate our houses, when we don’t have the kinds of windows that are properly insulated, when our air conditioning systems are all old and creaky and make a lot of noise -- energy is being dissipated everywhere.  Now, I think most people understand that, but the problem is that you might not have a couple thousand bucks initially to insulate your home.  You don’t have that kind of spare change lying around.  Even though if you made the investment you’d get the money back in three or four or five years, you may not be able to make that investment on the front end.

So one of the things that we’re doing, both for homeowners, but also increasingly for commercial buildings, we want to give you some incentives where we say, you know what, you buy that insulation, you make your home more energy efficient, we’ll give you a tax break.  Or we say to companies, you’re going to make your building more energy efficient, we will give you some money on the front end and then you can pay it back by the savings that you get on your electricity bill every month.  So a combination of creating a market for clean and alternative energy, and also providing incentives to consumers to be more energy efficient -- you combine those two things, there’s no reason why we can’t have a brighter energy future.  But it does require some investment from the federal government.  That’s why I’m not willing to see our investment in clean energy slashed by 70 percent, and that’s part of the debate that we’re having in Washington right now.  All right?  (Applause.)

Okay, this young lady right there.  Go ahead.  You got the microphone right here.

Q    Jill Derby (ph).  I’m an educator who’s fighting educational cuts in Nevada that will slash our education budget.  (Applause.)

THE PRESIDENT:  Okay, Jill.

Q    But my question is about health care reform.  I would say all of us in this room understand that the health care reform act that you championed and was passed is critical for the whole country, but somehow the opposition got the message ahead of us and now there isn’t widespread support.  I want to know what you and others are doing to turn that around to help people realize how important that reform act is.  (Applause.)

THE PRESIDENT:  Well, first of all, I appreciate the support and I appreciate the work you’re doing on education.  It turns out that when Social Security was passed, initially it was really unpopular, and all kinds of lawsuits were brought against Social Security.  And people said we were going socialist.  Sound familiar?  (Laughter.)  And now everybody loves Social Security, because once the program got up and running, people understood, you know what, this provides a basic floor, a baseline, so if something goes wrong in my life, even though I’m doing all the responsible things, even though I’m saving, I’m working hard every day, I’m looking out for my family, I’m doing what I’m supposed to do -- if at the end, somehow, things didn’t work out the way I planned, I’ve still got this baseline of savings.

Then, when Medicare was passed in the middle ‘60s, low and behold, it turns out it was very controversial.  And everybody said this is socialized medicine, and there were efforts to repeal it.  And then once it got up and running, lo and behold, people said, you know what, it’s a good thing that our senior citizens now, if they don’t have the health care that they need, they don’t have money, they have something to count on so that if they get sick they’ve got some support.

And I make that point just to say that every time we make a change like this, there are some folks who say no.  And ordinary folks who aren’t following the debate, all they hear is a lot of arguing; it makes folks uncertain about, well, is this thing actually going to work or not.

The big thing that we need is the three years that we designed to implement the plan.  Now, we’re already making progress.  There are already changes that are benefiting you right now.  Everybody who’s sitting here right now, whether you know it or not, you’re being benefited by the health care reform that we passed.  If you’ve got a child who graduated from college, doesn’t yet have a job that provides health insurance, you can keep that child on your health insurance until they’re 26 years old.  (Applause.)  If you’re a parent whose child has a preexisting condition, you now have to be able to get health insurance.  An insurance company cannot turn you down from getting health insurance for that child.  (Applause.)

Right now, insurance companies can’t drop you when you get sick.  They can’t impose arbitrary lifetime limits so that if you really get sick and you really need it, you don’t find out right in the middle of treatment it turns out that you’ve already hit your limit and there’s no more money left and you’re on your own.

So we’ve already implemented a wide range of reform.  Small businesses are eligible right now for huge tax breaks about a third of what small businesses pay for their employees to provide them health care, now they can deduct from their taxes.  And that can save tens of thousands or even hundreds of thousands on their health care bills.  That’s already going on right now.

Senior citizens, you’re getting a $250 rebate on your drugs because of the health care bill.  And by the time we’ve fully implemented it, that doughnut hole that used to be there, where if you got sick, you’d pay -- Medicare would pay only up to a certain point, and then suddenly you had to pick it up in your own pocket because of that doughnut hole, that’s going to be fully closed.  So we are making all sorts of reforms right now.

But the big change comes in 2014 when we’re working with states, including Nevada, to set up a system so that you can be part of a big pool if you’re on your own, if your employer doesn’t provide you health insurance.  You can be part of a big pool with all that purchasing power to get the same health care that Shelley Berkley and other members of Congress get for themselves at reduced prices and higher quality.  (Applause.)

The other thing that we did in health care reform bears on what I was talking about earlier, which is our deficit reduction.  We were giving -- we were giving about $180 billion worth of subsidies to insurance companies under the Medicare program.  It wasn’t making seniors healthier, but it was making the profit margins for those insurance companies a lot healthier.

And we said, you know what, you’re doing just fine without those subsidies.  We are saying to providers, let’s make some changes so instead of having multiple tests for one patient, let’s have one test and then email all the tests through electronic medical records to the specialists that need to work with them.  That saves us money.

Twenty percent of the sick account for 80 percent of the costs under Medicare -- typically the chronically ill, folks who have diabetes, for example.  So why not reimburse providers to help manage the illnesses of the chronically ill?  That will save us money.

So part of what we’re doing is providing care for people.  Part of what we’re doing is making sure that you as a consumer of health insurance are getting a fair deal for insurers.  But part of what we’re doing also is making the overall system more efficient.  And that’s how we’ll save money in the long term.

That’s the big debate that we’re having about Medicare as part of this budget.  There has been a proposal -- it passed through Congress -- that would essentially make Medicare a voucher system.  Essentially what Medicare would become is you’d get a certain amount of money and then you could use that money to buy health insurance on the private marketplace.  But guess what.  If health inflation keeps on going up, you’re out of luck.  If the insurance that you buy isn’t good enough to cover you, too bad.

So what we’ve said is, no, we’re not going to change Medicare as we know it.  What we will do is work inside of Medicare to make sure that providers -- the health care system as a whole is more efficient.  We think that’s the better way to go.  (Applause.)  And I think most folks on Medicare do, too.

All right, let’s see.  Gentleman back there -- right there.  Yes.

Q    John Galbraith, Geothermal Resources Council.  Mr. President, we applaud and commend you for supporting clean, green, renewable, 24-hour baseload energy.  Please describe your thoughts going forward.  Can we expect the same?

THE PRESIDENT:  You can expect the same.  We want to keep on giving the same incentives for clean alternative energies.  We want to make sure that, for example, the tax credits that are in place, that we make those permanent so that folks aren’t always in a guessing game each year as to whether or not they’re going to be there for you.

We think that needs to be part of a overall, comprehensive energy package.  And I was talking earlier about electricity generation, but obviously what’s on the minds of a lot of folks right now are gas prices.  Let me just make this point:  One of the key ways we’re going to get gas prices down is just to use less oil.  Right?  If you buy less, prices go down.  (Applause.)

The best way for us to reduce usage is in the transportation sector.  So a couple of things that we’re doing already:  Number one, we increased fuel-efficiency standards on cars last year for the first time in 30 years.  First time in 30 years.  It’s going to save us 1.8 billion barrels of oil.  And by the way, we didn’t do it through legislation.  We got the car companies, autoworkers, environmental groups -- we got everybody to agree that this made sense for America.  So that’s point number one.

Point number two is we want a million electric cars on the road.  (Applause.)  Over the next several years, we want to develop electric cars and make them affordable for everybody.  And Detroit is now making some good electric cars; the problem is they’re still too expensive.  A couple of things are involved in that.  One is the technology for batteries is still not as developed as it needs to be.  But here’s the good news:  We used to have 2 percent of the market for advanced batteries that go into electric cars; we are going to have 40 percent in five years because of the investments we made with the Recovery Act.  We’re going to have -- 40 percent of those batteries are going to be made here in the United States of America.  (Applause.)

There is no reason why we can’t get cars out there that are getting 150 miles per gallon.  We’ve got the technology for it; we’ve just got to keep on investing it and developing it.  And so one example of how we can really make a difference -- it turns out as President I’ve got a lot of cars in my fleet.  (Laughter.)  The federal government has the biggest fleet of automobiles of anybody, any organization.  So what we’ve said is let’s make our fleet 100 percent alternative-fuel cars.  (Applause.)

And what that does, that creates a big market for American-made cars that are efficient.  (Applause.)  It puts people to work, but it also helps us free ourselves from dependence on foreign oil.

And now what we’re doing -- I was just over at a UPS facility in Maryland.  We’ve gotten Federal Express, Verizon, AT&T -- there are a bunch of companies now that are joining together, and they’re doing the same thing with their truck fleets.  So part of what this is all about is just creating a market.

And once you create a market -- let me tell you, I have driven that -- I didn’t -- when I say drove, they let me drive like five feet.  (Laughter.)  They didn’t really let me zip around there.  But I’ve been in one of these Chevy Volts.  That is a nice car.  It drives really well.

And so the question is can we start getting enough demand that prices go down.  And think about it, I mean, it used to be having a flat-screen TV was a big deal, right?  Now, everybody is going into Best Buy -- because it was such big volume that prices started going down.  Same thing with all technology.  It’s no different in the transportation sector.  We can drive prices down, we just have to make sure that there’s enough demand out there for them.

So for all of you out there who are still driving those eight-mile-a-gallon, big SUVs, some of you -- that’s the car you got to drive right now, you can’t afford a new car, but when you do decide to buy a new car, think about the fact that we’re putting a whole bunch of money into the pockets of some folks in some cases who don’t like us at all.

We send billions of dollars to other countries, some of whom do not like us at all.  We’re just giving away our wealth.  That makes no sense, and it’s got to change, and we’re going to change it.  So -- all right.  (Applause.)

It’s a young lady’s turn.  Right here, in the red.  Right in front.  You got a microphone coming.

Q    Mr. President, my name is Courtney Miller (ph).  And I want to thank you for returning science to the national priority.  And I need to ask for some help for my family.  My husband has chronic fatigue syndrome, which is an illness very much like multiple sclerosis.  And we spend billions of dollars in this country on roughly a million patients for disability and Medicare and lost tax revenue and lost productivity, and we spend less than $6 million for NIH research on this illness.  And I’m asking you for my husband and my kids, who want their father to be able to go to their baseball games, if there’s a way to make improvements on that.

THE PRESIDENT:  Well, let me, first of all, say that you are absolutely right that we’ve tried to put science back where it belongs.  (Applause.)  I am a Christian and a person of faith, and I believe that God gave us brains to figure things out -- (applause) -- and that we’ve got to use science to make life better for our families and our communities and this planet.

That’s one of the reasons why part of the Recovery Act was reinvesting in National Institute of Health -- NIH -- which does a huge amount of the basic medical research that ends up then creating so many of the scientific advances that are making our lives longer and making our lives better.

Now, I will confess to you that, although I’ve heard of chronic fatigue syndrome, I don’t have expertise in it.  But based on the story that you told me, what I promise I will do when I get back is I will have the National Institute of Health explain to me what they’re currently doing and start seeing if they can do more on this particular ailment.  Okay?  (Applause.)

Gentleman there, back there with the beard.  That’s you.  Oh, actually, I was calling on this guy with the beard, but I -- (laughter.)  That’s all right, go ahead.

Q    Hi, I’m Will Adler (ph).  I’m a student at UNR.  And currently we are facing millions -- millions in cuts.  And you mentioned higher education earlier.  I think it’s the most important thing for America’s future in general, and I’m just worried, with the rhetoric nowadays, that -- the word “tax” is like the most evil word on Earth now.  So our state in particular cannot raise enough revenues to support our higher education.  I was wondering how we can change that rhetoric and get more funding in the state level and federal to support our education for the future.  (Applause.)  

Thank you very much, Mr. Obama.  I love you, by the way.  I voted for you.

THE PRESIDENT:  Well, first of all, something that a lot of folks may not be aware of, you hear people say, oh, the stimulus didn’t work, the stimulus didn’t work, the recovery didn’t work.  Well, you know what, we had a terrible recession and shed so many jobs so fast that we had lost 4 million jobs before I came into office.  We lost another 4 million probably in the first six months that I was in office, before any of my economic policies took effect.  So we had a big hole we dug.

But when you look at the Recovery Act, about a third of it was direct support to state budgets.  About a third of it was tax cuts -- your taxes all got cut by the Recovery Act.  Nobody knew it, and I don’t blame folks for not knowing it because it was happening paycheck for paycheck so the increments were relatively small each month and a lot of folks -- if you saw your hours cut back or you had lost your job, you might not have felt it.  But we cut taxes.  That was about a third.

About a third of it was infrastructure investment.  And about a third of it was support to states.  And by the way, some of these same governors who go on TV denouncing the Recovery Act, the stimulus, they took that money.  (Laughter and applause.)  And they used it to close their state budget deficits.  I’m just saying.  (Laughter.)  It is funny, sometimes you’re watching TV and you say, hold on a second.  (Laughter.)  That guy right there, he took that check.  (Laughter.)  And he used it to balance his budget, and then he starts getting on TV complaining about how irresponsible we are.  What are you talking about?  It’s not on the level sometimes.

But what happened as a consequence was for two years we were able to prevent some of the worst choices that states might have to make about laying off teachers and police officers and firefighters and so on.

Now the economy is growing again and state revenues are getting a little bit better.  But I understand here in Nevada, the economy has been the slowest to recover because this is also where the housing boom was hottest.  So that’s put bigger strains on the budget here than just about anywhere.

So I recognize that a state like Nevada has to make tough choices.  I just think it is very important in making those choices not to be shortsighted.  If you’re a family and you’ve got to tighten your belt, you might cut out eating out.  You might say, you know what, we can’t afford that vacation this year.  But you’re not going to decide not to replace the boiler if it has to be replaced.  You’re not going to decide not to fix a hole in the roof, because you know if it starts raining it’s going to ruin the house.  You’re not going to say, we’re going to use up all the savings we had for our kids’ college education and still go on vacation.  Right?  You’re going to prioritize.

That’s what we have to do at the federal level, and that’s what we have to do at the state level.  And I don’t think there is a more important priority than education.  (Applause.)

Now, I think it’s important that our education system is efficient like every other system.  So universities -- I’ve said to universities, try to figure out how you can reduce costs for students.  Don’t just ask for more money.  You should also look at your operations to figure out are there ways that you can make it a better bargain for your kids.  Because they’ve got to pay for it, or somebody has got to pay for that tuition.

I mean, look, I’m a big supporter of state colleges and universities having nice facilities, but you go to some of these gyms and some of these athletic facilities -- I’m thinking, this is really nice.  Shoot, I wouldn’t mind being a member of this club.

And I’ve got to tell you, when I was going to college -- I’m showing my age now where you start “when I was back in my day” -- but it’s true, like the cafeteria was horrible.  The food was bad.  You didn’t expect to get good food when you went to college.  You go to the gym, it had some old rusty weights, a medicine ball.  You didn’t have some gleaming state-of-the-art.

I’m just using those as examples.  There are ways that universities have to cut costs as well.  But ultimately we’ve got to make sure that we’re not cutting education unnecessarily.  And you’re right.  In some cases, revenue is going to be necessary.

Now, how many people here know that not only did we cut your taxes when I first came into office, but back in December we just cut your taxes again?  How many folks are aware of that?  (Applause.)  I mean, you wouldn’t know it from watching TV.  You would think I was just out there raising everybody’s taxes.  Just these big-spending Democrats out there -- we haven’t raised your taxes; we’ve lowered your taxes.  Because it was important during the recession to make sure that middle-class families were able to land on their feet.

And that’s actually helping absorb some of the increased costs of gas prices and food prices that are out there right now, and helping to sustain consumer spending to keep the economy growing.

But at a certain point, as the economy begins to grow again, as people are getting back on their feet, we’ve got to go back and say to ourselves, you know what, there’s no such thing as a free lunch.  Taxes are lower now than they have been in a generation.  Taxes are a lot lower now than they were under Ronald Reagan.  They’re lower than they were under Bill Clinton.  They’re lower than they were under George Bush, in many cases.

And what I’ve said is, at minimum, we should say, for those like myself who can afford it, let’s pay a little bit more.  Let’s go -- we can go back -- if we went back to the Clinton rates for the wealthiest 2 percent, going back to the Clinton rates -- you remember back in the ‘90s, the economy was doing really well, and rich people were doing just fine.  And I can afford it.  It’s not that I like paying taxes.  I don’t like paying taxes.  Nobody likes paying taxes.  But if the choice is keeping my tax break, or 33 seniors having to pay an extra 6,000 bucks for their Medicare, why would I want that -- why would I wish that on those 33 seniors?  If the choice is between me keeping my tax cut and a couple hundred kids being to go get their Head Start, why would I want that?

This isn’t a matter of charity; it’s a matter of what we think it is to live in a good society.  And I think it is good for me, it is good for my life if when I’m driving around, I’m saying to myself, you know what, that school is producing all kinds of kids who are smart and are going to help build America’s future.

And I drive around and I see some seniors, and they’re out for a walk.  And I know, you know what, I’m glad that I live in a country where in their retirement years, they’re going to be secure.  That makes me feel good.  That’s the kind of country I want to live in.  (Applause.)  That’s the kind of country you want to live in.  And we’ve got to make sure we’re willing to fight for it.

Everybody, thank you very much.  God bless you.  (Applause.)

END
12:50 P.M. PDT

Close Transcript

The White House

Office of the Press Secretary

Remarks by the President at a DNC Event

Nob Hill Masonic Center, San Francisco, California

8:52 P.M. PDT

      THE PRESIDENT:  Hello, San Francisco!  (Applause.)  Thank you!  Thank you.  (Applause.)  Thank you so much.  Thank you, everybody.  Everybody, have a seat.  Thank you so much.  It’s good to be back in San Francisco.  (Applause.)

      Part of the reason is I've got some great friends here.  (Applause.)  And a couple people I want to acknowledge:  Somebody who is one of the greatest Speakers that I know of and is going to be one of the greatest Speakers again -- Nancy Pelosi is in the house.  (Applause.)  The lieutenant governor, former mayor, Gavin Newsom is here.  (Applause.)  An outstanding congressional delegation -- Barbara Lee, Mike Honda -- where’s Mike Honda?  John Garamendi is here.  (Applause.)  Jerry McNerney is here.  (Applause.)  State Comptroller John Chiang is here.  (Applause.) And State Treasurer Bill Lockyer is here.  (Applause.)

      And you’re here.  (Applause.)  I see you.  (Applause.)  Thank you.

      It is nice to be back West in the great state of California. And let me -- (applause) -- let me just say this.  Obviously, there are extraordinary responsibilities to this job.  There are certain pleasures, as well.  And coming in on Marine One and then just coming right past the Golden Gate Bridge, that's a pretty nice perk.  (Applause.)  I’ve got to say, one of the greatest -- one of the greatest views in the world.

      I had come in from a town hall meeting hosted by Facebook.  (Applause.)  And I was happy to find out that my Facebook page was doing pretty well.  (Laughter.)  We had -- I’ve got 19 million friends, which -- (laughter and applause) -- which only puts me half a million friends behind SpongeBob SquarePants.  (Laughter.)  So that's something to aspire to.  (Laughter.)  Keeping up with SpongeBob.  (Laughter.)

      AUDIENCE MEMBER:  We love you!

      THE PRESIDENT:  I love you back.  (Applause.)  I do.

      It’s especially nice to be out of Washington, D.C.  (Applause.)  There are wonderful folks doing great work in Washington, but I have to say that the conversation you hear in Washington is just different from the conversation you hear around kitchen tables or around office coolers.  And that's why we decided that our reelection campaign will be the first one in modern history to be based outside of Washington, D.C.  We're going back to Chicago.  (Applause.)   

      We’re going back to Chicago because I don't want our campaign only hearing from pundits and power brokers and the cable chatter.  I want our campaign to be hearing from the people who got us here.  (Applause.)  I want to make sure we’re putting the campaign back in your hands, the hands of the same organizers and volunteers that proved the last time that together ordinary people can do extraordinary things.  (Applause.)  When we’re together there is nothing we can’t do, including elect a guy names Barack Obama to the highest office in the world.  (Applause.)

      Now, a few things have changed since the last time around.  I’m older.  (Laughter.)  I am grayer.  (Laughter.)

      AUDIENCE MEMBER:  That's all right, you still fine.  (Applause.)

      THE PRESIDENT:  But my memory has not gone, and so I can still remember that night in Grant Park when there was so much excitement in the streets and that sense of hope and possibility. And I know you remember not only the good feeling, but also what I said on that night.  I said that our work wasn’t ending; it was just beginning.  I said that our climb was going to be steep.  We had so many challenges ahead of us.  And I have to say that, at the time, I cautioned people.  I said we may not get there in one year.  We may not even get there in one term.  But if we came together, if we showed the same fortitude and persistence and optimism that had gotten us to Election Night, then we could bring about the change that we had talked about; the change that we had envisioned for our communities, for our kids, for our grandkids; the commitments that we had made to each other.

      Because that’s what the campaign was about.  It was a sense of mutual commitment.  The campaign wasn’t about me.  It was about what all of us imagined our country could be.  (Applause.)     And it turns out that the climb was even steeper than some of us had anticipated.  We took office in the middle of the worst recession in our lifetimes -- one that left millions of Americans without jobs; hundreds of thousands of people without homes; folks who kept their jobs or kept their homes struggling to pay the bills.  It was a recession that was so bad that many families are still grappling with the aftershocks even to this day.

      And we had to make tough decisions right off the bat.  We had to immediately move a Recovery Act through that would ensure that we didn’t dip into a depression; that would help states and local governments keep teachers on the job, and firefighters on the job, and police officers on the job -- (applause) -- that would make sure that we cut taxes for Americans so they had a little more money in their pockets to help get through tough times.

      Some of the decisions we made were not popular.  You remember folks talking about the auto bailout.  A lot of folks were skeptical -- we should just let the auto industry in America go by the wayside.  But two and a half years later, our economy is growing again.  We’re creating jobs again.  (Applause.)  Over the last four months, we’ve seen the largest drop in unemployment since 1984.  (Applause.)  Over the last 13 months, we’ve added nearly 2 million private sector jobs.  (Applause.)

      And along the way, we did a few other things:  The largest investment in clean energy in our history.  (Applause.)  The largest investment in science and basic research that we had seen in years.  (Applause.)  Largest investment in our infrastructure since Dwight Eisenhower built the Interstate Highway System.  (Applause.)

      We passed a law that had eluded folks for a hundred years, finally making sure that every single American in this country won’t go bankrupt because they get sick, will be able to get health care coverage even if they’ve got a preexisting condition. We moved that forward.  (Applause.)

      We changed our student loan program so that billions of dollars that were going to big banks are now going directly to students, and millions more young people are able to go to college as a consequence.  (Applause.)

      We put two wise women on the Supreme Court, including the first Latina Supreme Court justice.  (Applause.)  And we rolled back “don't ask, don't tell,” so that everybody can serve their country regardless of who they love.  (Applause.)

      And then we dealt with pirates -- (laughter) -- and a pandemic.  You forgot about that.  An oil spill.  We’ve been pretty busy.  And yet our work is not finished.  It is going --

      AUDIENCE MEMBER:  Gay marriage.

      THE PRESIDENT:  Our work is not finished.  (Applause.)  It is going to take -- it is going to take more than a couple of years.  It is going to take more than one term for us to finish everything that we need to do.  (Applause.)  And I am reminded -- I’m reminded almost every night, when I read letters from people from all across the country talk about what it’s like to send out 16 resumes and not get a response back; a child writing saying their parents are about to lose their home -- Mr. President, is there something you can do to help?

      It’s heartbreaking.  There’s so much resilience and so much strength out there, and yet still so much that needs to be done.
      And so when I think about running for reelection, I don’t look backwards.  I look forward.  I say to myself, what can we do for those Americans out there?  That’s what I think about when I wake up every morning.  That’s what I think about when I go to bed at night.  And that’s what this campaign has to be about -- about your jobs, about your families, about your hopes, about your dreams.  That’s what we’re fighting for.

      Because of you, we’ve been able to make great progress over these last few years.  But that progress can’t make us complacent.  It can’t make us content.  It should remind us that change, yes, is possible, but we’ve got to finish what we started.  We’ve got to finish what we started.  (Applause.)

      Because of you, yes, we were able to prevent another depression.  But in the next few years, we’ve got to make sure that the new jobs and industries of our time are created right here in the United States of America.  (Applause.)  We’ve got to be prepared to win the future.  We’ve got to be prepared to win the future.  And that means making sure we’re investing in innovation, education, infrastructure -- (applause) -- all those ingredients that can keep our economy dynamic.

      Because of you, we’ve made college more affordable for millions of students.  (Applause.)  But we’re not done.  We’re not done.  We’ve raised standards for teaching and learning in schools all across the country by launching a competition called Race to the Top, but now we’ve got to keep that reform going until every child is ready to graduate, every child is ready for college, every child can actually afford to go to college, every child is ready for a career.  (Applause.)

      That’s how we’ll out-educate and out-compete the rest of the world for the jobs of the future right here in the United States of America.  (Applause.)

      Yes, because of you, we’ve made the largest investments in clean and renewable energy in our history.  (Applause.)  And those are already creating jobs and new businesses.  But high gas prices are killing folks out there -- killing you.  You know.  It’s rough.  You say, “it’s just really rough.”  (Laughter.)

      I admit, Secret Service doesn’t let me pump gas now.  (Laughter.)  But I remember what it was like filling up.  (Laughter.)  And you think about a family that has to drive 50 miles to work.  They don't have a choice.  That's where their job is.  They may not be able to sell their home and move closer, That's not an option for them, especially in this housing market.
      It would be nice if they could buy a hybrid, but they might not have the money, and they're driving that old beater.  And it’s getting eight miles a gallon.  (Laughter.)  And that's no joke.  We gave everybody a tax cut, but a lot of that money gets eaten up by high gas prices.

      And so we’ve got to keep making investments in clean energy. We’ve got to strive for energy independence in this country.  (Applause.)  We’ve got to invest in solar and wind and electric cars, and it’s time we stopped giving the oil companies $4 billion in taxpayer subsidies -- take that money and put it into clean energy.  (Applause.)

      That makes no sense.  We’ve got to change it.  Instead of subsidizing yesterday’s energy, let’s invest in tomorrow’s energy.  (Applause.)  It’s good for our security.  It will grow our economy, and it will leave our children with a safer and cleaner planet.  (Applause.)

      Because of all of you, we’ve put hundreds of thousands of people to work rebuilding our infrastructure.  But now we’ve got to make sure that we’re built to compete in the 21st century.  Not just new roads and new bridges, but high-speed rail and high-speed Internet.  (Applause.)  A smart grid to make sure that we can move all that clean energy all across the country.

      I want to make sure that America is the best place on Earth to do business.  (Applause.)  And part of that is having a world-class infrastructure.  I don't want folks flying around the world and saying, how come our airports aren’t as nice as they are in Beijing or Singapore?  I don’t want people going to Europe and saying, boy, these are really nice trains -- how come we don’t have trains like this?  (Applause.)

      That’s not the American way.  I mean, I hate to be parochial but I want us to have the best stuff.  (Applause.)  That’s part of what it means to be American.  We got nice infrastructure.

      AUDIENCE MEMBER:  We’ve got the best President!

      THE PRESIDENT:  Well -- (applause.)  We got to out-build, we got to out-educate, out-innovate the rest of the world.

      Because of you we finally got health care passed.  (Applause.)  We said health care should no longer be a privilege in this country; it should be something that’s affordable and available for every American.  We said in the United States you should not go bankrupt when you get sick.  But you know there are folks who want to roll it back --

      AUDIENCE:  Booo --

      THE PRESIDENT:  -- before it even has a change to get implemented effectively.

      Because of you we passed Wall Street reform that helps to make sure that we don’t go through the same kind of crisis that we went through before, and you as consumers aren’t taken advantage of when it comes to mortgages or credit cards.  But you know there are some folks who want to roll it back.

      AUDIENCE MEMBER:  Booo --

      THE PRESIDENT:  Because of you we passed a law that says a woman should get an equal day’s pay for an equal day’s work.  What do you think, Nancy Pelosi?  Do you agree with that?  (Applause.)

      But you all know that there’s a lot more that can be done. With it comes to enforcement of those laws.  Yes, we overturned “don’t ask, don’t tell,” but we still have more work to do to make sure this country is fully equal and treats everybody with dignity and respect.  (Applause.)  We’ve got more work to do.  We removed 100,000 troops from Iraq and ended combat missions there like I promised we would.  (Applause.)  But we’ve still got more work to do to make ourselves secure and bring our troops home.

      We’ve got to protect the changes that we made, and we’ve got to make the changes that remain undone.  We’ve got to keep moving forward.  We’ve got to keep working for the America that we believe in, the America we want to leave behind to our kids.  And that’s what the debate we’re having in Washington right now is all about.

      There’s a lot of talk right now about debt and deficits and budget and spending.  What this debate is really about is what kind of future we want; about what kind of country we believe in fundamentally.  I believe in an America where a government lives within its means.  (Applause.)  I want a government that is lean and effective and not wasting your money -- because you don’t have any money to waste -- which means we’ve got to cut some spending in Washington.  We’ve got to cut domestic spending.  We’ve also got to cut defense spending.  (Applause.)  And we’ve got to cut spending in our tax code.  We’ve got a whole bunch of loopholes in there that we don’t need.  We’ve got to eliminate every dime of waste.

      And if we want to take responsibility for the debt that we owe, then we’ve got to make some tough decisions.  There are going to be some things that would be nice to have but we can afford to do without.  We all need to share in the sacrifice to get us on a stable financial footing.

      And by the way, if you are progressive, you’ve got to be just as concerned about that as somebody who considers themselves a fiscal conservative, because the fact of the matter is, if money that could be going to Head Start or money that could be going to programs that are putting people back to work, if that money is being wasted, that’s not good -- that doesn’t promote progressive values.  We’ve got to be just as scrupulous in thinking about how government spends money as anybody else.  We’ve got to be more so.  (Applause.)

      But let me tell you something.  I will not reduce our deficit by sacrificing the things that have always made America great.  (Applause.)  The things that have made Americans prosper. I won’t sacrifice our investments in education.  I will not sacrifice those.  (Applause.)  I won’t sacrifice our investments in science and basic research.  (Applause.)  I won’t sacrifice the safety of our highways or our airports.  I won’t sacrifice our investment in clean energy at a time when our dependence on foreign oil is causing Americans so much pain at the pump.  (Applause.)  I will not sacrifice America’s future.  That I will not do.  (Applause.)

      If we want to reduce our deficit, yes, we need to cut spending.  But we need shared sacrifice.  And that means ending the tax cuts for the wealthiest 2 percent of Americans in this country.  We can afford it.  (Applause.)

      It’s not because we want to punish success.  It’s because if we’re going to ask everybody to sacrifice a little, we can’t just tell millionaires and billionaires they don't have to do a thing -- just relax, that's fine.  We’ll take care of this.  (Laughter.)  Go count your money.  That's fine.  (Laughter and applause.)

      Because some of you bought my book, I fall in this category.  (Laughter.)  I’m speaking about myself.  I can afford to do a little more, especially when the only way to pay for these tax cuts for the wealthy is to ask seniors to pay thousands of dollars more for health care.

      AUDIENCE:  Booo!

      THE PRESIDENT:  Or cut children from Head Start, or doing away with health insurance for millions of people on Medicaid, seniors in nursing homes, or poor kids, or middle-class families who’ve got an autistic child.  That's not a tradeoff I’m willing to make.  (Applause.)  And that's not a tradeoff most Americans are willing to make, regardless of party.  We can do better than that.  We are better than that!  (Applause.)  We are better than that!  (Applause.)

      The America we know is great not because of our skyscrapers or the size of our GDP.  It’s because we’ve been able to keep two ideas together at the same time.  The first idea is that we are all individuals endowed with certain inalienable rights and liberties; that we are self-reliant; we are entrepreneurs.  We don't expect others to do for us what we can do for ourselves, and we don't really like people telling us what to do.  (Laughter.)

      But the second idea, just as important is that we’re all in this together; that we look out for one another; that I am my brother’s keeper; that I am my sister’s keeper.  (Applause.)  That I want to make sure that a child born in a tough neighborhood has the same opportunities I had.  (Applause.)  And I do that -- I feel that way not out of charity, but because my life is richer, my life is better, when the people around me have some measure of security and some measure of dignity, and they, too, have a shot at the American Dream.  (Applause.)

      That’s our vision for America.  It’s not a vision of a small America.  It’s a vision of a big America, of a compassionate America, a caring America, an ambitious America.  And that’s what this campaign is about.

      There are those right now who say that this is kind of the end of the line.  We’ve got these deficits, we’ve got debt, we’ve gone through this recession, there’s international competition.  China and India and Brazil, they’re all growing faster than we are.  And you know what, maybe we’ve just got to shrink.  We’ve got to shrink everything.  We can’t afford to do big things.  We can’t afford to make sure every child gets a shot at college.  We can’t afford to make sure that we’ve got the best roads and ports and airports.  We can’t afford to make sure that every senior knows they’ve got basic health care available to them when they get older.  We can’t afford to keep our air and water clean.  We can’t afford to invest in the arts.  We can’t afford to maintain our national parks.

      That’s not a vision of America that I want to pass on to Malia and Sasha.  (Applause.)  I want a vision of America that is big and bold and ambitious as it has ever been.  (Applause.)  That’s what I’m fighting for and that’s what this campaign has to be about -- a vision of a big, generous, compassionate America; a vision where we’re living within our means but we’re still investing in our future; a vision where we all share sacrifice, nobody bears all the burden, and we all share an opportunity; a vision where we live up to the idea that no matter who you are, no matter where you come from, no matter what you look like, no matter whether your ancestors landed here on Ellis Island or came here on slave ships or came across the Rio Grande, we are all connected.  (Applause.)  We will rise and fall together.  (Applause.)

      That's the vision of America that I’ve got.  That's the idea at the heart of America.  (Applause.)  That's the idea at the heart of our campaign!  (Applause.)

      And that's why I’m going to need your help, now more than ever.

      AUDIENCE MEMBER:  I’m in!

      THE PRESIDENT:  This campaign -- you’re in.  (Applause.)
      I need you all in.

      AUDIENCE:  I’m in!  We’re in!  (Applause.)

      THE PRESIDENT:  This campaign is still at its early stages, but now is the time when you can shape it.  Now is the time when you can get out of the gate strong.  I know there are times where some of you have felt frustrated because we haven’t gotten everything done as fast as we wanted.  We didn't get everything exactly the way we had planned.

      AUDIENCE MEMBER:  Health care.

      AUDIENCE MEMBER:  Single-payer.

      THE PRESIDENT:  See, there?  Case in point, right?  All right.  See I knew I’d open up this can of worms.  (Laughter.)

      Look, there are times where I felt the same way that you do. This is a big, complicated, messy democracy.  Change is not simple.  Everybody likes change in the abstract, but change in the concrete is hard.  (Applause.)  It’s tough.  It requires work.  (Applause.)

      Not everybody agrees with us.  Not everybody agrees in this auditorium about issues.  That's part of what makes this country special, is the nature of our democracy.  And so sometimes it can be frustrating.  And I know there are times where you’re sitting there and you’re thinking, golly, you know, Obama, he’s made some compromise with the Republicans on this or that.  Or, how come he’s -- he should have done it this way.  Everybody is a political consultant.  (Laughter.)  And if he had just phrased it that way, I’m sure we could have gotten health care done in two months.  (Laughter and applause.)  You know who I’m talking about -- you.  That’s right.

      And then your friends come and you say, oh, Obama has changed.  I used to be so excited; I still have the poster, but  -- (laughter and applause.)  I know.  I know.

      Sometimes I get frustrated.  There are times where I am just so burdened by the fact that there are still so many folks out there who we haven’t -- haven’t gotten the help that they need.  And so I understand how you guys feel.  But we knew this wouldn’t be easy.  We knew that on a journey like this there were going to be setbacks, there were going to be detours.  There were going to be some times where we stumbled.

      People act like the campaign was easy.  They weren’t on the campaign.  (Laughter.)  They all look back -- oh, Obama, he ran such a perfect campaign; it was so smooth.  What campaign were you on?  (Laughter and applause.)  This was hard.  So we knew that there were going to be setbacks and stumbles.

      But here’s what keeps me going:  At every juncture in our history, when our future was on the line, when we were at a crossroads like we are right now, we pulled through, and we pulled through together.  We were able to make the changes that were needed.  And it was hard. It was full of debate and sometimes rancor, and sometimes worse. That’s how this country became more equal.  That’s how the women’s movement started.  That’s how the civil rights movement started.  That’s how the union movement started.  (Applause.)

      At every juncture there’s been resistance and debate and uncertainty, but somehow, we pulled through -- together.  So whenever you hear people say our problems are too big to solve; whenever you hear people say we’ve got to shrink back on our dreams; whenever you hear people say we can’t bring about the changes that we seek; whenever you hear people say, well, the campaign was this or that, but now governing is somehow different -- I just want you to think about all the progress that we’ve already made.  (Applause.)

      I want you to think about all the unfinished business we’ve got ahead of us.  I want you to be excited about the future that lies before us.  I want to remind you and everybody else of those three simple words that summed up what we believe as a people:  Yes, we can.

      Thank you, everybody.  God bless you.  (Applause.)

                                              END                  9:32 P.M. PDT

The White House

Office of the Press Secretary

Remarks by the President at a DNC Event

Private Residence, San Francisco, California

7:30 P.M. PDT

      THE PRESIDENT:  Thank you, everybody.  Thank you.  Please -- thank you so much.  (Applause.)  Thank you.  Everybody sit down.  Have a seat.

      I know all of you wish that Stevie would just keep on playing.  (Laughter.)  I understand that, and I can relate to it.  I was mentioning to Marc -- and I hate to do this to you, Stevie, because I’m dating you a little bit -- but the first album that I ever bought with my own little spending money was “Talking Book.”  I was 10 years old.  (Applause.)  I was 10 years old, and I would sit in my room and I had this old phonograph, and the earphones were like really big.  You didn’t have the little iPod buds.  They covered your whole ear.  And I would sit in my room and pretend I was Stevie Wonder.  (Laughter.)  And unfortunately, my grandparents, who were -- I was living with at the time, they had to suffer hearing me sing.  I couldn’t hear myself sing.  I was just hearing Stevie, and I figured I sounded just like him.  (Laughter.)  But I’m sure that was not the case.

      Anyway, Stevie and will.i.am have both been huge supporters, huge friends from very early on in this campaign process.  And so it’s wonderful to have them here.  But I want to most of all thank Marc and Lynne -- and Leia -- for sharing their homes.  This is an incredible setting, but what makes it special is the fact that I’ve got a lot of friends in this room.

      As Marc indicated, people who are leaders, not just in this community but nationally and internationally, but so many of you helped get this project started.  Some of you are involved in startups.  Well, I was a startup just -- not so long ago.  And when I think about that campaign in 2008, the fact is, so many of you took a chance on me.  It was not at all likely that I was going to win.  A lot of people couldn’t pronounce my name, much less expect that I would end up being in the Oval Office.

      But a lot of you put faith in that campaign, primarily because the campaign wasn’t about me.  What the campaign was about was a particular vision of America, an idea about who we are as a people.  It was a notion that for all our differences, for all the shifts that have taken place in this country, for all our sometimes troubled history, despite -- no, because of our diversity of race and faith and region, that there was something special when we come together, and that we can somehow combine a fierce individualism and a sense of entrepreneurship and risk-taking and self-reliance and responsibility with also a sense of community, a sense of mutual obligation, a sense that our lives are better if we’re looking out for one another.

      And that spirit was captured in the campaign, and I was sort of a repository for a lot of hopes and expectations that we could get past so many of the divisions and start working together because we were facing some fundamental challenges in this country that we hadn’t seen in a very long time.

      Now, as Marc mentioned, I think none of us realized how profound some of the crises that we were going to confront would be.  When I started running, and even up until maybe a couple months before the campaign, we didn’t realize we faced the worst financial crisis since the Great Depression.  We didn’t realize that we had already lost 4 million jobs by the time I was sworn in and would lose another 4 million probably in the first three, four, six months of my presidency.

      We didn’t understand the degree to which the financial system might melt down and its global consequences.  And yet, despite the enormous economic challenges we faced, despite the changes that we’re seeing internationally, we have made extraordinary progress -- not just pulling the economy back from the brink, but also pushing through that vision that we had, making an America that was more competitive, that was more inclusive, an America that was tapping into that entrepreneurial spirit and once again regaining our edge in this 21st-century global economy, and ended up delivering on promises and commitments that we had made to each other that we knew were going to be very hard, but we knew were going to be important for our future.

      So not only did we make the biggest investment in education that the federal government has ever made, not only did we make the biggest investment in clean energy in our history, not only did we make the biggest investment in infrastructure since Dwight Eisenhower built the Interstate Highway System, not only did we put the most money in basic research in our history, but we passed a health care bill that finally began to deliver on the promise of universal health care, something we’d been trying to do for a hundred years.

      We got “don’t ask, don’t tell” repealed so that anybody who loves this country can serve this country.  We got two women on the Supreme Court including the first Latino woman -- the first Latina on the Supreme Court.  (Applause.)

      On issue after issue we’ve made progress.  Now, here’s the challenge -- and then I’m going to shut up because I want to -- well, I won’t shut up, I want to take some questions from folks.  For all the good work that we’ve done, we’re not finished.  We’ve got more work to do.

      And I think most of the people here understand that we still have some fundamental choices to make in this country if we’re going to deliver the kind of America to our children and our grandchildren that we dreamed about and thought about in 2008.

      The economy is still not as strong as it needs to be, and we’ve still got millions of people all around the country who are out of work, at risk of losing their home, can’t pay their bills.  And we’ve got to deliver for them.

      There are still too many children out there who are in substandard schools, can’t imagine working for one of the companies that are represented here today, don’t even know these companies exist, can’t imagine a career that was stable and steady and that would allow them to raise a family, so we’re going to have to deliver on education reform here and all across the country, and make sure that those kids can go to college and get career-ready.

      We’re not finished when it comes to energy.  Right now we’ve got $4-a-gallon gas, and most of the people under this tent don’t have to worry about that.  But for the average person who has to drive 50 miles to work and can’t afford to buy the Tesla -- (laughter) -- it’s hammering them.  It’s hurting them.  So there’s a huge economic imperative.  There’s a national security imperative, as well, because we see what’s happening in the Middle East and we understand that a finite resource that is primarily located in a very unstable part of the world is not good for our long-term future.

      And then there’s the environmental aspect of it.  There are climate change deniers in Congress and when the economy gets tough, sometimes environmental issues drop from people’s radar screens.  But I don’t think there’s any doubt that unless we are able to move forward in a serious way on clean energy that we’re putting our children and our grandchildren at risk.

      So that’s not yet done.  And then we’ve got this big budget debate that we’re having, which really is probably the most fundamental example of the choice that we’re going to be facing over the next 10, 15, 20 years.  And I won’t repeat some of the speeches that I’ve given recently because I suspect some of you have heard them.  But let me just be very clear:  The deficit is real.  Our debt is real.  We’ve got to do something about it.  But how we do it is going to make a huge difference in terms of whether we can win the future.

      And we’ve got a very stark choice.  You’ve got a Republican vision right now in Congress that says we are going to slash clean energy funding by 70 percent, education funding by 25 percent, transportation funding by a third; we’re going to cut taxes further for the well-to-do; and we’re going to make up the entire deficit not only by cutting programs for things like Head Start, but we’re also going to fundamentally change our social compact so that Medicare is no longer something that our seniors can count on.

      The alternative vision, the one that I presented, says we can manage this debt and this deficit in a serious way by eliminating spending we don’t need, saving $2 trillion making some tough choices, but also raising a trillion dollars’ worth of revenue primarily from folks like us who have benefited incredibly from this society and everything that it offers, that will save us a trillion dollars on interest, and that we can change our health care system so instead of just shifting those costs on to people who aren’t in a position to bear those costs, actually making the health care system more efficient, making it work -- using things like health IT and managing of chronic care, and making sure that our providers are reimbursed in smarter ways, to bend the cost curve on health care so that it’s sustainable for the next generation.

      That’s a fundamental choice, a fundamental distinction in terms of how we view the future.

      And so I’ll just close these opening remarks by saying that I am a congenital optimist when it comes to this country, and I do not accept a vision that says America gets small, where suddenly we can’t build a world-class smart grid, or we can’t build the best ports and airports, or we don’t have the best scientific research, or our kids can no longer access the best universities unless they’re wealthy, or we can’t afford to look after people who are the most vulnerable in our society, or we can’t provide a guarantee to our seniors that they’re going to be cared for after a lifetime of hard work.

      That’s the easy path, in some ways.  I mean, the easiest thing to do is for the rich and the powerful to say, we’ve got ours and we don’t have to worry about the rest.  Doesn’t require a lot of imagination.  The easiest way to cut health care is just stop giving health care to people.

      But that’s not the America I believe in.  That’s not the America you believe in.  And that’s what 2012 is going to be about.  We started something in 2008; we haven’t finished it yet.  And I’m going to need you to help me finish it.

                            END            7:45 P.M. PDT

The White House

Office of the Press Secretary

Statement on the Passing of UN Security Council Resolution 1977

In the two years since President Obama laid out his vision for a world without nuclear weapons in Prague, the United States has pursued an aggressive nonproliferation agenda at the United Nations. Today the United States and the other members of the United Nations Security Council unanimously adopted UN Security Council Resolution 1977 to extend the mandate of the Committee established pursuant to UNSCR 1540.  The 1540 Committee’s new ten-year mandate allows it to continue its valuable work, including through adoption of effective laws, security measures, border controls, and financial controls.  Under resolution 1977, the 1540 Committee will also be aided by a group of experts and work more closely with relevant regional and inter-governmental organizations to effectively implement UNSCR 1540.

The continuation and enhancement of the 1540 Committee’s work is an important element of the United States’ nonproliferation objectives outlined in the President’s April 2009 Prague speech and the 2010 Washington Nuclear Security Summit communiqué and work plan.  To further underscore its commitment to these goals, the United States recently announced our intention to make a voluntary contribution of $3 million to the UN to support 1540 Committee activities.  Resolution 1977 ensures that those vital activities will continue unabated during the 1540 Committee’s new, lengthy mandate.

The White House

Office of the Press Secretary

Remarks by the President at a Facebook Town Hall

Facebook Headquarters
Palo Alto, California

1:58 P.M. PDT

      THE PRESIDENT:  Well, thank you so much, Facebook, for hosting this, first of all.  (Applause.)  My name is Barack Obama, and I'm the guy who got Mark to wear a jacket and tie.  (Applause.)  Thank you.  (Laughter.)  I'm very proud of that.  (Laughter.)

      MR. ZUCKERBERG:  Second time.

      THE PRESIDENT:  I know.  (Laughter.)  I will say -- and I hate to tell stories on Mark, but the first time we had dinner together and he wore this jacket and tie, I'd say halfway through dinner he’s starting to sweat a little bit.  It’s really uncomfortable for him.  So I helped him out of his jacket.  (Laughter.)  And in fact, if you’d like, Mark, we can take our jackets off.  (Applause.)

      MR. ZUCKERBERG:  That's good.

      THE PRESIDENT:  Woo, that's better, isn’t it?

      MR. ZUCKERBERG:  Yes, but you're a lot better at this stuff than me.  (Laughter.)

      THE PRESIDENT:  So, first of all, I just want to say thank you to all of you for taking the time -- not only people who are here in the audience, but also folks all over the country and some around the world who are watching this town hall.

      The main reason we wanted to do this is, first of all, because more and more people, especially young people, are getting their information through different media.  And obviously what all of you have built together is helping to revolutionize how people get information, how they process information, how they’re connecting with each other.

      And historically, part of what makes for a healthy democracy, what is good politics, is when you’ve got citizens who are informed, who are engaged.  And what Facebook allows us to do is make sure this isn’t just a one-way conversation; makes sure that not only am I speaking to you but you're also speaking back and we're in a conversation, were in a dialogue.  So I love doing town hall meetings.  This format and this company I think is an ideal means for us to be able to carry on this conversation.

      And as Mark mentioned, obviously we're having a very serious debate right now about the future direction of our country.  We are living through as tumultuous a time as certainly I've seen in my lifetime.  Admittedly, my lifetime is a lot longer than most of yours so far.  This is a pretty young crowd.  But we're seeing, domestically, a whole series of challenges, starting with the worst recession we've had since the Great Depression.  We're just now coming out of it.  We've got all sorts of disruptions, technological disruptions that are taking place, most of which hold the promise of making our lives a lot better, but also mean that there are a lot of adjustments that people are having to make throughout the economy.

      We still have a very high unemployment rate that is starting to come down, but there are an awful lot of people who are being challenged out there, day in, day out, worrying about whether they can pay the bills, whether they can keep their home.

      Internationally, we're seeing the sorts of changes that we haven't seen in a generation.  We've got certain challenges like energy and climate change that no one nation can solve but we're going to have to solve together.  And we don't yet have all the institutions that are in place in order to do that.

      But what makes me incredibly optimistic -- and that's why being here at Facebook is so exciting for me -- is that at every juncture in our history, whenever we face challenges like this, whether it’s been the shift from a agricultural age to a industrial age, or whether it was facing the challenges of the Cold War, or trying to figure out how we make this country more fair and more inclusive, at every juncture we’ve always been able to adapt.  We’ve been able to change and we’ve been able to get ahead of the curve.  And that’s true today as well, and you guys are at the cutting edge of what’s happening.

      And so I’m going to be interested in talking to all of you about why this debate that we’re having around debt and our deficits is so important, because it’s going to help determine whether we can invest in our future and basic research and innovation and infrastructure that will allow us to compete in the 21st century and still preserve a safety net for the most vulnerable among us.

      But I’m also going to want to share ideas with you about how we can make our democracy work better and our politics work better -- because I don’t think there’s a problem out there that we can’t solve if we decide that we’re going to solve it together.

      And for that, I’m grateful for the opportunity to speak to you.  And instead of just giving a lot of long speeches I want to make sure that we’ve got time for as many questions as possible.

      So, Mark, I understand you got the first one.

      MR. ZUCKERBERG:  Yes, let’s start off.  So let’s start off with the conversation about the debt.  So I understand that yesterday morning you had a town hall in Virginia where you talked about your framework not only for resolving the short-term budget issues, but the longer-term debt.  And you spent some time talking about tax reform and some cost cutting, but you also spent a lot of time talking about things that you didn’t think that we could cut -- in education, infrastructure and clean energy.

      So my question to kind of start off is:  What specifically do you think we should do, and what specifically do you think we can cut in order to make this all add up?

      THE PRESIDENT:  Well, let me, first of all, Mark, share with you sort of the nature of the problem, because I think a lot of folks understand that it’s a problem but aren’t sure how it came about.

      In 2000, at the end of the Clinton administration, we not only had a balanced budget but we actually had a surplus.  And that was in part because of some tough decisions that had been made by President Clinton, Republican Congresses, Democratic Congresses, and President George H.W. Bush.  And what they had said was let’s make sure that we’re spending wisely on the things that matter; let’s spend less on things that don’t matter; and let’s make sure that we’re living within our means, that we’re taking in enough revenue to pay for some of these basic obligations.

      What happened then was we went through 10 years where we forgot what had created the surplus in the first place.  So we had a massive tax cut that wasn’t offset by cuts in spending.  We had two wars that weren’t paid for.  And this was the first time in history where we had gone to war and not asked for additional sacrifice from American citizens.  We had a huge prescription drug plan that wasn’t paid for.

      And so by the time I started office we already had about a trillion-dollar annual deficit and we had massive accumulated debt with interest payments to boot.  Then you have this huge recession.  And so what happens is less revenue is coming in -- because company sales are lower, individuals are making less money -- at the same time there’s more need out there.  So we’re having to help states and we’re having to help local governments.
      And that -- a lot of what the recovery was about was us making sure that the economy didn’t tilt over into a depression by making sure that teachers weren’t laid off and firefighters weren’t laid off, and there was still construction for roads and so forth -- all of which was expensive.  I mean, that added about another trillion dollars worth of debt.

      So now what we’ve got is a situation not only do we have this accumulated debt, but the baby boomers are just now starting to retire.  And what’s scary is not only that the baby boomers are retiring at a greater rate, which means they're making greater demands on Social Security, but primarily Medicare and Medicaid, but health care costs go up a lot faster than inflation and older populations use more health care costs.  You put that all together, and we have an unsustainable situation.

      So right now we face a critical time where we’re going to have to make some decisions how do we bring down the debt in the short term, and how do we bring down the debt over the long term.

      In the short term, Democrats and Republicans now agree we’ve got to reduce the debt by about $4 trillion over the next 10 years.  And I know that sounds like a lot of money -- it is.  But it’s doable if we do it in a balanced way.

      What I proposed was that about $2 trillion over 10 to 12 years is reduction in spending.  Government wastes, just like every other major institution does, and so there are things that we do that we can afford not to do.  Now, there are some things that I’d like to do, are fun to do, but we just can’t afford them right now.

      So we’ve made cuts in every area.  A good example is Pentagon spending, where Congress oftentimes stuffs weapons systems in the Pentagon budget that the Pentagon itself says we don’t need.  But special interests and constituencies helped to bloat the Pentagon budget.  So we’ve already reduced the Pentagon budget by about $400 billion.  We think we can do about another $400 billion.

      So we’ve got to look at spending both on non-security issues as well as defense spending.  And then what we’ve said is let’s take another trillion of that that we raise through a reform in the tax system that allows people like me -- and, frankly, you, Mark -- for paying a little more in taxes.  (Laughter.)

      MR. ZUCKERBERG:  I’m cool with that.

      THE PRESIDENT:  I know you’re okay with that.  (Laughter.)  Keep in mind, what we’re talking about is going back to the rates that existed when Bill Clinton was President.  Now, a lot of you were -- (laughter) -- I’m trying to say this delicately -- still in diapers at that time.  (Laughter.)  But for those of you who recall, the economy was booming, and wealthy people were getting wealthier.  There wasn’t a problem at that time.  If we go back to those rates alone, that by itself would do a lot in terms of us reducing our overall spending.  And if we can get a trillion dollars on the revenue side, $2 trillion in cutting spending, we can still make investments in basic research.

      We can still invest in something we call ARPA-E, which is like DARPA except just focused on energy, so that we can figure out what are the next breakthrough technologies that can help us reduce our reliance on fossil fuels.

      We can still make investments in education, so we’ve already expanded the Pell Grant program so that more young people can go to college.  We’re investing more in STEM education -- math and science and technology education.  We can still make those investments.  We can still rebuild our roads and our bridges, and invest in high-speed rail, and invest in the next generation of broadband and wireless, and make sure everybody has access to the Internet.  We can do all those things while still bringing down the deficit medium term.

      Now, there’s one last component of this -- and I know this is a long answer but I wanted to make sure everybody had the basic foundations for it.  Even if we get this $4 trillion, we do still have a long-term problem with Medicare and Medicaid, because health care costs, the inflation goes up so much faster than wages and salaries.  And this is where there’s another big philosophical debate with the Republicans, because what I’ve said is the best way for us to change it is to build on the health reform we had last year and start getting a better bang for our health care dollar.

      We waste so much on health care.  We spend about 20 percent more than any other country on Earth, and we have worse outcomes because we end up having multiple tests when we could just do one test and have it shared among physicians on Facebook, for example.

      We could focus on the chronically ill; 20 percent of the patients account for 80 percent of the costs.  So doing something simple like reimbursing hospitals and doctors for reducing their readmissions rate, and managing somebody with a chronic illness like diabetes so that they're taking their meds on a regular basis so that they don't come to the emergency room, that saves huge amounts of money.

      So that's what health care reform was about last year or a year and a half ago, and what we want to do is build on that and continue to improve the system.

      What the Republicans right now are saying is, number one, they can't agree to any increases in taxes, which means we’d have to cut out -- of that $4 trillion, all of it would come from education, transportation -- areas that I think are critical for our long-term future.

      So, for example, they proposed 70 percent cuts in clean energy.  Well, I don't know how we free ourselves from dependence on foreign oil -- and anybody who is paying gas prices knows that there’s an economic component to this as well as an environmental component to it -- if we’re not investing in the basic research and technology that allows solar, wind and others to thrive and develop.

      At the same time, what they’ve said is let’s make Medicare into a voucher program, so that retirees, instead of knowing that they're always going to have health care, they're going to get a voucher that covers part of the cost, and whatever health care inflation comes up is all going to be on them.  And if the health insurance companies don't sell you a policy that covers your illnesses, you’re out of luck.

      I think it is very important for us to have a basic social safety net for families with kids with disabilities, for seniors, for folks who are in nursing homes, and I think it’s important for us to invest in our basic research.  We can do all those things, but we’re only going to be able to do it by taking a balanced approach.  And that's what this big debate is about -- all about right now.  All right?

      MR. ZUCKERBERG:  All right, so -- sorry, don't mean to cut off the applause.  (Applause.)

      THE PRESIDENT:  No, no, no, no, no.

      MR. ZUCKERBERG:  That was a very thorough answer.

      THE PRESIDENT:  No, they were -- they were stunned by the length of that answer.  (Laughter.)  But it’s complicated stuff.

      MR. ZUCKERBERG:  So the next question is from someone watching Facebook live.  Jay Aptine (ph) from Williamsburg, Virginia writes in and asks:  “The housing crisis will not go away.  The mortgage financing for new homebuyers with low to moderate income is becoming very difficult.  As President, what can you do to relax the policies that are disqualifying qualified homebuyers from owning their first home?  How can you assure the low to moderate homebuyers that they will have the opportunity to own their first home?”

      THE PRESIDENT:  Well, it’s a good question.  And I’ll be honest with you, this is probably the biggest drag on the economy right now that we have -- along with I know the frustrations people have about gas prices.  What we’ve really seen is the housing market, which was a bubble, had greatly over-inflated in all regions of the country.  And I know I probably don't get a lot of sympathy about that here because I can only imagine what rents and mortgages you guys are paying.

      It is a real drag in all sorts of ways.  People, first of all, they feel poorer even if they still have a home or they’ve already purchased a home, because for a lot of folks their mortgage is now what’s called underwater.  The mortgage is more than the home is worth.  And so if you feel like your most important asset is now worth less than your debt, that's going to constrain how you spend.  People who want to move have a great deal of trouble selling, and people who want to buy, as you pointed out, are seeing terms a lot more restrictive.

      So we've put in place a bunch of programs to try to see if we can speed along the process of reaching a new equilibrium.  For example, what we did is we went to the mortgage lender and said, why don't you renegotiate with your mortgage -- with the person with the mortgage, renegotiate the terms of their mortgage so that their principal is a little bit lower, they can afford the payments, and that way homes don't get foreclosed on, there are fewer homes on the market, and that will raise prices and that will be good for everybody.  And we've seen some significant progress on that front.

      The challenge we still have, as your questioner properly points out, is that a lot of people who bought a first home when credit was easy now are finding that credit is tough.  And we've got to strike a balance.  Frankly, there’s some folks who are probably better off renting.  And what we don't want to do is return to a situation where people are putting no money down and they’ve got very easy payment terms at the front end and then it turns out five years from now, because they’ve got an adjustable rate mortgage, that they couldn't afford it and they lose their home.

      I think the regulators are trying to get that balance right. There are certain communities with high foreclosure rates where what we're trying to do is see if can we help state and local governments take over some of these homes and convert them and provide favorable terms to first-time home buyers.  But, frankly, I think we've got to understand that the days where it was really easy to buy a house without any money down is probably over.  And what we -- what I'm really concerned about is making sure that the housing market overall recovers enough that it’s not such a huge drag on the economy, because if it isn’t, then people will have more confidence, they’ll spend more, more people will get hired, and overall the economy will improve.

      But I recognize for a lot of folks who want to be first-time homebuyers it’s still tough out there.  It’s getting better in certain areas, but in some places, particularly where there was a big housing bubble, it’s not.

      MR. ZUCKERBERG:  So I think the next question is from a Facebook employee in the room today.  So Lauren Hale has a question.  Lauren, where are you from?

      Q    Hi -- over here.

      THE PRESIDENT:  Hey, Lauren.

      Q    Hi, Mr. President.  Thank you so much for joining us today.  I am originally from Detroit, Michigan, and now I'm out here working at Facebook.  So my question for you kind of builds on some of the things we were just talking about.  At the beginning of your term you spent a lot of time talking about job creation and the road to economic recovery, and one of the ways to do that would be substantially increasing federal investments in various areas as a way to fill the void left from consumer spending.  Since then, we’ve seen the conversation shift from that of job creation and economic recovery to that of spending cuts and the deficit.  So I would love to know your thoughts on how you’re going to balance these two going forward, or even potentially shift the conversation back.

      THE PRESIDENT:  Well, you’re exactly right that when I first came into office our number-one job was preventing us from getting into another Great Depression.  And that was what the Recovery Act was all about.  So we helped states make sure that they could minimize some of the layoffs and some of the difficult budget choices that they faced.  We made sure that we had infrastructure spending all around the country.  And, in fact, we made the biggest investment in infrastructure since Dwight Eisenhower built the Interstate Highway System.

      We made the largest investment in history in clean energy research, and it’s really paying off.  For example, when I came into office, we had about 2 percent of the advanced battery manufacturing here in America.  And as everybody here knows, what’s really holding us back from my goal of a million electric vehicles on the road is that battery technology is still tough.  It’s clunky; it’s heavy; it’s expensive.  And if we can make significant improvements in battery technology then I think the opportunities for electric vehicles, alternative vehicles that are much cheaper -- our opportunities are limitless.

      So those were all investments that we made in the first two years.  Now, the economy is now growing.  It’s not growing quite as fast as we would like, because after a financial crisis, typically there’s a bigger drag on the economy for a longer period of time.  But it is growing.  And over the last year and a half we’ve seen almost 2 million jobs created in the private sector.

      Because this recession came at a time when we were already deeply in debt and it made the debt worse, if we don’t have a serious plan to tackle the debt and the deficit, that could actually end up being a bigger drag on the economy than anything else.  If the markets start feeling that we’re not serious about the problem, and if you start seeing investors feel uncertain about the future, then they could pull back right at the time when the economy is taking off.

      So you’re right that it’s tricky.  Folks around here are used to the hills in San Francisco, and you’ve driven -- I don’t know if they still have clutch cars around here.  Anybody every driven a clutch car?  (Laughter.)  I mean, you got to sort of tap and -- well, that’s sort of what we faced in terms of the economy, right?  We got to hit the accelerator, but we’ve got to also make sure that we don’t gun it; we can’t let the car slip backwards.  And so what we’re trying to do then is put together a debt and deficit plan that doesn’t slash spending so drastically that we can’t still make investments in education, that we can’t still make investments in infrastructure -- all of which would help the economy grow.

      In December, we passed a targeted tax cut for business investment, as well as the payroll tax that has a stimulus effect that helps to grow the economy.  We can do those things and still grow the economy while having a plan in place to reduce the deficit, first by 2015, and then over the long term.  So I think we can do both, but it does require the balanced approach that I was talking about.

      If all we’re doing is spending cuts and we’re not discriminating about it, if we’re using a machete instead of a scalpel and we’re cutting out things that create jobs, then the deficit could actually get worse because we could slip back into another recession.

      And obviously for folks in Detroit, where you’re from, they know that our investments can make a difference because we essentially saved the U.S. auto industry.  We now have three auto companies here in America that are all turning a profit.  G.M. just announced that it’s hiring back all of the workers that it was planning to lay off.  And we did so, by the way, at the same time as we were able to increase fuel efficiency standards on cars for the first time in 30 years.  So it can be done, but it takes a balanced approach.  (Applause.)

      MR. ZUCKERBERG:  All right, so we have a question from the University of Florida, where in February, you launched this initiative at Whitehouse.gov, younger Americans with this goal to have a hundred youth roundtables across the country and a bunch of them are taking place right now, watching this Facebook live.

      So Cesar Fernandez (ph) and Elisa Rectanas (ph) are participating in one of those roundtables, and they wanted to ask you this:  “Mr. President, in your deficit reduction speech last week you spoke of the need to not only reduce government spending but to also increase federal revenue.  In light of our nation’s budget challenges, will your administration consider revisiting policies such as the DREAM Act, which the Congressional Budget Office estimates will reduce the deficit by $1.4 billion and increase the government revenue by $2.3 billion over the next 10 years?”  (Applause.)

      THE PRESIDENT:  Let me talk about not only the DREAM Act but about immigration policy generally.  And I want to thank -- Sheryl Sandberg actually participated in a discussion that we had yesterday, bringing together business leaders and government officials and faith leaders, a broad cross-section of Americans together to talk about how do we finally fix an immigration system that's fundamentally broken.

      For those of you who aren’t familiar, the DREAM Act is -- deals with a particular portion of the population, kids who were brought here when they were young by their parents; their parents might have come here illegally -- the kids didn't do anything.  They were just doing what kids do, which is follow their parents. They’ve grown up as Americans.  They went to school with us or with our kids.  They think of themselves as Americans, but many of them still don't have a legal status.

      And so what we’ve said is, especially for these young people who are our neighbors, our friends, our children’s friends, if they are of good character and going to school or joining our military, they want to be part of the American family, why wouldn’t we want to embrace them?  Why wouldn’t we want to make sure that -- (applause.)  Why wouldn’t we want to make sure that they're contributing to our future?

      So that's the DREAM Act.  But that's just a small part of a broader challenge that we have.  Immigration in this country has always been complicated.  The truth of the matter is that we are both a nation of immigrants and a nation of laws.  Sometimes the laws haven’t been fair.  Sometimes the laws have been restrictive to certain ethnic groups.  There have been quotas.  Sometimes our immigration policies have been arbitrary and have been determined by whether industry at a particular time was willing to bring in workers on the cheap.

      But what’s undeniable is America is a nation of immigrants. That’s our history and that’s what makes us stronger.  Because we’ve got ambitious people from all around the world who come here because they’ve got a new idea and they want to create the new big thing, or they just want a better future for their kids and their family, and that dynamism is part of what’s propelled our progress and kept us young.

      Now, I think most Americans understand that and most Americans agree with that.  At the same time, I think most Americans feel there should be an orderly process to do it.  People shouldn’t just be coming here and cutting in front of the line, essentially, and staying without having gone through the proper channels.

      So what we’ve said is let’s fix the whole system.  First of all, let’s make the legal immigration system more fair than it is and more efficient than it is.  And that includes, by the way, something I know that is of great concern here in Silicon Valley. If we’ve got smart people who want to come here and start businesses and are PhDs in math and science and computer science, why don’t we want them to say?  (Applause.)  I mean, why would we want to send them someplace else?  (Applause.)

      So those are potential job creators.  Those are job generators.  I think about somebody like an Andy Grove of Intel. We want more Andy Groves here in the United States.  We don’t want them starting companies -- we don’t want them starting Intel in China or starting it in France.  We want them starting it here.

      So there’s a lot that we can do for making sure that high-skilled immigrants who come here, study -- we’ve paid for their college degrees, we’ve given them scholarships, we’ve given them this training -- let’s make sure that if they want to reinvest and make their future here in America that they can.  So that’s point number one.

      But point number two is you also have a lot of unskilled workers who are now here who are living in the shadows.  They’re contributing to our economy in all sorts of ways.  They’re working in the agricultural sector.  They are in restaurants, and they’re in communities all across the country looking after children and helping to building America.  But they’re scared, and they feel as if they’re locked out of their surroundings.

      And what I’ve said is they did break the law; they came here -- they have to take responsibility for that.  They should pay a fine.  They should learn English.  They should go to the back of the line so that they don’t automatically get citizenship.  But there should be a pathway for them to get legalized in our society so they don’t fear for themselves or their families, so that families aren’t separated.

      At the same time, let’s make sure we’ve got a secure border so that folks aren’t wandering through the desert to get here.  Let’s make the legal immigration system more efficient and more effective so there aren’t huge backlogs.

      This is all part of what we call comprehensive immigration reform.  And there’s no reason why we shouldn’t be able to achieve a system that is fair, is equitable, is an economic engine for America that helps the people who are already here get acculturated, and make sure that our laws aren’t being broken but we’re still true to our traditions.

      But, as I mentioned to Sheryl yesterday, I can’t solve this problem by myself.  Nancy Pelosi is a big champion of this.  The Democratic caucus in the House I think is prepared for -- a majority of them are prepared to advance comprehensive immigration reform.  But we’re going to have to have bipartisan support in order to make it happen.  And all of you have to make sure your voices are heard, saying this is a priority, this is something important -- because if politicians don’t hear from you, then it probably won’t happen.  I can’t do it by myself.  We’re going to have to change the laws in Congress, but I’m confident we can make it happen.  (Applause.)

      MR. ZUCKERBERG:  All right.  So the next one is from a Facebook employee, Leo Abraham.  Leo, where are you from?

      THE PRESIDENT:  Hey, Leo.

      Q    Hi, hey.  I’m from -- originally from San Jose, California.  My question is:  The 2012 budget plan proposed by Paul Ryan has been praised by many in the media as bold or brave. Do you see this as a time that calls for boldness, and do you think that the plan you outlined last week demonstrated sufficient boldness, or is this just a media creation?

      THE PRESIDENT:  No, it’s a great question.  Look, here is what I’d say.  The Republican budget that was put forward I would say is fairly radical.  I wouldn’t call it particularly courageous.  I do think Mr. Ryan is sincere.  I think he’s a patriot.  I think he wants to solve a real problem, which is our long-term deficit.  But I think that what he and the other Republicans in the House of Representatives also want to do is change our social compact in a pretty fundamental way.

      Their basic view is that no matter how successful I am, no matter how much I’ve taken from this country -- I wasn’t born wealthy; I was raised by a single mom and my grandparents.  I went to college on scholarships.  There was a time when my mom was trying to get her PhD, where for a short time she had to take food stamps.  My grandparents relied on Medicare and Social Security to help supplement their income when they got old.

      So their notion is, despite the fact that I’ve benefited from all these investments -- my grandfather benefited from the GI Bill after he fought in World War II -- that somehow I now have no obligation to people who are less fortunate than me and I have no real obligation to future generations to make investments so that they have a better.

      So what his budget proposal does is not only hold income tax flat, he actually wants to further reduce taxes for the wealthy, further reduce taxes for corporations, not pay for those, and in order to make his numbers work, cut 70 percent out of our clean energy budget, cut 25 percent out of our education budget, cut transportation budgets by a third.  I guess you could call that bold.  I would call it shortsighted.  (Applause.)

      And then, as I said, there’s a fundamental difference between how the Republicans and I think about Medicare and Medicaid and our health care system.  Their basic theory is that if we just turn Medicare into a voucher program and turn Medicaid into block grant programs, then now you, a Medicare recipient, will go out and you’ll shop for the best insurance that you’ve got -- that you can find -- and that you’re going to control costs because you’re going to say to the insurance company, this is all I can afford.

      That will control costs, except if you get sick and the policy that you bought doesn’t cover what you’ve got.  Then either you’re going to mortgage your house or you’re going to go to the emergency room, in which case I, who do have insurance, are going to have to pay for it indirectly because the hospital is going to have uncompensated care.

      So they don’t really want to make the health care system more efficient and cheaper.  What they want to do is to push the costs of health care inflation on to you.  And then you’ll be on your own trying to figure out in the marketplace how to make health care cheaper.

      The problem is, you’re just one person.  Now, you work at Facebook, it’s a big enough company; Facebook can probably negotiate with insurance companies and providers to get you a pretty good deal.  But if you’re a startup company, if you’re an entrepreneur out there in the back of your garage, good luck trying to get insurance on your own.  You can’t do it.  If you’re somebody who’s older and has a preexisting condition, insurance companies won’t take you.

      So what we’ve said is let’s make sure instead of just pushing the costs off on to people who individually are not going to have any negotiating power or ability to change how providers operate, or how hospitals or doctors operate, how insurance companies operate, let’s make sure that we have a system both for Medicare but also for people who currently don’t have health insurance where they can be part of a big pool.  They can negotiate for changes in how the health care system works so that it’s more efficient; so that it’s more effective; so that you get better care, so that we have fewer infection rates, for example, in hospitals; so there are fewer readmission rates; so that we’re caring for the chronically ill more effectively; so that there are fewer unnecessary tests.  That’s how you save money.  The government will save money, but you’ll also save money.

      So we think that’s a better way of doing it.  Now, what they’ll say is, well, you know what, that will never work because it’s government imposed and it’s bureaucracy and it’s government takeover and there are death panels.  I still don’t entirely understand the whole “death panel” concept.  But I guess what they’re saying is somehow some remote bureaucrat will be deciding your health care for you.  All we’re saying is if we’ve got health care experts -- doctors and nurses and consumers -- who are helping to design how Medicare works more intelligently, then we don't have to radically change Medicare.

      So, yes, I think it’s fair to say that their vision is radical.  No, I don't think it’s particularly courageous.  Because the last point I’ll make is this.  Nothing is easier than solving a problem on the backs of people who are poor or people who are powerless or don't have lobbyists or don't have clout.  I don't think that's particularly courageous.  (Applause.)

      MR. ZUCKERBERG:  All right, the next one is from the web.  We’ve got a question from Kwami Simmons (ph) from Orlando, Florida.  And he asks:  “I strongly believe that education is the greatest equalizer.  With so many problems plaguing our current system, is it possible to examine a complete overhaul of the system so that it addresses the needs of modern students?”

      And before you jump in, I just want to say as someone who has spent a bunch of time researching education and who cares about this, I think the Race to the Top stuff that you guys have done is one of the most under-appreciated and most important things that your administration has done.  (Applause.)  

      THE PRESIDENT:  I appreciate that.  This is an area where actually I think you’ve seen the parties actually come together. And there’s some good bipartisan work being done.

      It used to be that the argument around education always revolved around the left saying we just need more money, and the right saying we should just blow up the system because public schools aren’t doing a good job.  And what you’re now seeing is people recognizing we need both money and reform.  It’s not an either-or proposition; it’s a both-and proposition.

      So what Mark just mentioned, something called Race to the Top, pretty simple concept.  Most federal dollars are allocated through a formula.  If you’ve got a certain number of poor kids or you’ve got a certain number of disabled kids in your school district, there’s a formula, and you get a certain amount of money.  And every state and every school district gets that money according to the formula.

      What we did was we took about 1 percent of the total spending on education and we said, to get this 1 percent, show us that you’re reforming the system.  It’s almost -- it’s like a competition model.  And so every state, every school district could apply.  And you had to show us that you had a good plan to retrain teachers and recruit and do good professional development so we’ve got the best teacher possible.

      You had to have accountability.  You had to show us that you were actually making progress in the schools, and that you were measuring through data the improvements that were being made; that you were reaching into the schools that were hardest to reach -- because there are about 2,000 schools around the country that account for the majority of dropouts in our country.  They're like dropout factories -- so show us a plan to go into those schools and really make a big difference.

      And what’s happened is that over 40 states, in the process of competing for this extra money, ended up initiating probably the most meaningful reforms that we’ve seen in a generation.  And so it’s made a huge difference.  Even those states that didn't end up actually winning the competition still made changes that are improving the potential for good outcomes in the schools.

      So that's the kind of creative approach that you’ve seen some Democrats and some Republicans embrace.  And our hope is we can build on that.

      A couple of things that we know work:  The most important thing to a good education is making sure we’ve got a good teacher in front of that classroom.  And so providing more support for teachers, recruiting the best and brightest into teaching, making sure that they're compensated, but also making sure that they're performing, that's hugely important.

      The other thing is good data so that there’s a constant feedback, not just a bunch of standardized tests that go into a drawer or that people may game in order not to get penalized.  That's what happened under No Child Left Behind.  But instead, real good data that you can present to the teacher while they're still teaching that child and say, you know what, this child is falling behind in math; here are some ways to do it, to improve their performance.

      So we’re starting to see real progress on the ground, and I’m optimistic that we can actually, before the 2012 election, potentially have a federal education law that will embody some of the best information that we have about how to initiate good school reform.

      Now, last point I’ll make on this:  Government alone can’t do it.  One of the things every time I come to Silicon Valley that I’m inspired by but I’m also frustrated by is how many smart people are here, but also frustrated that I always hear stories about how we can’t find enough engineers, we can’t find enough computer programmers.  You know what, that means our education system is not working the way it should, and that's got to start early.

      And that's why we’re emphasizing math and science.  That's why we’re emphasizing teaching girls math and science.  (Applause.)  That's why we’re emphasizing making sure that black and Hispanic kids are getting math and science.  (Applause.)

      We’ve got to do such a better job when it comes to STEM education.  AAnd that’s one of the reasons, by the way, that we had our first science fair at the White House in a very long time, just because we want to start making science cool.  (Applause.)  I want people to feel the same way about the next big energy breakthrough or the next big Internet breakthrough, I want people to feel the same way they felt about the moon launch -- that that’s how we’re going to stay competitive for the future.  And that’s why these investments in education are so important.

      But, as I said, government alone can’t do it.  There has got to be a shift in American culture, where once again we buckle down and we say this stuff is important and it’s -- that’s why, Mark, the work you’re doing in Newark, for example, the work that the Gates Foundation are doing in philanthropic investments, in best practices and education -- especially around math and science training -- are going to be so important.

      We’ve got to lift -- we’ve got to lift our game up when it comes to technology and math and science.  That’s, hopefully, one of the most important legacies that I can have as President of the United States.  (Applause.)

      MR. ZUCKERBERG:  All right.  So the next one is from another Facebook employee.  Here’s James Mitchell.  So, James Mitchell, where are you from?

      THE PRESIDENT:  Here’s James back here.

      Q    Hi, Mr. President.

      THE PRESIDENT:  Hey, James.

      Q    I'm James Mitchell, born in Chicago and raised out here in Cupertino, California.  I have yet another question for you about the debt and health care.

      THE PRESIDENT:  Go ahead.

      Q    So the biggest threat we have fiscally is the rise in health care costs.  Unfortunately, a lot of the solutions we hear to Medicare and Medicaid don’t involve actually slowing down the rise in health care costs.  Instead, they involve shifting costs to beneficiaries and states.  So my question is:  Can you talk a bit more about what provisions of the Affordable Health Care Act are designed to slow down the rise of health care costs, and what policies you’d like to see enacted in the future to continue to slow down the rise of health care costs?

      THE PRESIDENT:  Let me give you a couple of examples, because you’re exactly right in how you describe it.  I don’t want to just shift the health care costs on to the American people, I want to actually reduce health care costs.

      Let’s take the example of health IT.  We’re in Silicon Valley, so we can talk about IT stuff.  I’ll try to sound like I know what I’m talking about.  (Laughter.)  The health care system is one of the few aspects of our society where a lot of stuff is still done on paper.  The last time you guys went to a doctor’s office or maybe to your dentist’s office, how many people still had, like, to fill out a form on a clipboard?  Right?  And the reason for that is because a large chunk of our provider system is not automated.  So what ends up happening is you may go to your primary care physician; he does some basic tests, he sees something of concern, he refers you to a specialist.  You go to the specialist; he’ll do another test.

      You’re getting charged, or your insurance company is getting charged, for both those tests, as opposed to the test that was taken by your primary care physician being emailed to the specialist.  Or better yet, if it turns out that there may be three or four specialists involved, because it’s a difficult diagnosis -- this is all hypothetical; you look very healthy.  (Laughter.)  But let’s say there were a bunch of specialists.  What would be ideal would be if you get all the specialists together with the primary care physician the first time you’re seen so that you’re not paying for multiple visits as well as multiple tests.

      That’s not how it works right now.  Now, part of it is technology.  So what we did in the Affordable Care Act, building on what we did with the Recovery Act, is try to provide incentives to providers to start getting integrated, automated systems.  And it’s tough because the individual doctor may say to him or herself, I don’t want to put out the initial capital outlay; that’s expensive even though it may make my system more efficient later on.

      So providing some incentives, some help, for the front end investments for a community hospital or for individual providers so that we can slowly get this system more effective, that’s priority number one.

      We know it can be done, by the way.  Surprisingly enough, the health care system that is -- does the best job on this of anybody is actually the Veterans Administration, the VA health care system, because it’s a fully integrated system.  Everybody is working for the VA, all the doctors, all the hospitals, all the providers, so they’ve been able to achieve huge cost savings just because everybody is on a single system.     

      It’s also, though, how we reimburse doctors and how we reimburse hospitals.  So right now, what happens is, when you’ve taken those two tests, if you’re old enough to qualify for Medicare, well, each doctor sends their bill to Medicare and Medicare pays both bills.  And let’s say that you end up getting an operation.  They’ll send the bill for that, and Medicare pays that.  Let’s say they didn’t do a very good job, or you got sick in the hospital, and you are readmitted and you have to be treated again and they have to do the operation all over again.  Medicare then gets billed for the second operation.

      I mean, imagine if that’s how it worked when you bought a car.  So you go, you buy your car.  A week later, the car doesn’t work.  You go back to the dealer and they charged you to fix the bad job that they did in the first place.  Well, that’s what Medicare does all the time.  So we don’t provide incentives for performance.  We just provide -- we just pay for the number of qualified items that were procedures that were performed or tests that were performed by the provider.

      So what we want to do is to start changing how folks are reimbursed.  Let’s take a hospital.  We want to give -- this is sort of like Race to the Top, what Mark was talking about in education.  We want to be able to say to a hospital, if you do a really good job reducing infection rates in the hospital, which kill tens of thousands of people across America every year and are a huge cause for readmission rates, and we know that hospitals can drastically reduce those reinfection rates just by simple protocols of how employees are washing their hands and how they’re moving from room to room and so forth -- there are hospitals who have done it -- if we can say to a hospital, you’ll get a bonus for that, Medicare will reimburse you for instituting these simple procedures, that saves the whole system money.

      And that's what we’ve tried to do in the Affordable Care Act, is to start institutionalizing these new systems.  But it takes time because we’ve got a private sector system -- it’s not like the VA -- a bunch of individual doctors, individual hospitals spread out all across the country with private insurers.  So it’s not something that we can do overnight.

      Our hope is, is that over the next five years, we’re able to see significant savings through these mechanisms, and that will save everybody -- not just people who are on Medicare and Medicaid -- it will save everybody money including folks here at Facebook.  Because I’m sure that you guys provide health insurance and I suspect if you look at your health insurance bills they don't make you happy.  Okay.  (Applause.)

      MR. ZUCKERBERG:  So we have time for only one more question.
      THE PRESIDENT:  All right.

      MR. ZUCKERBERG:  It’s a question from Terry Atwater (ph) from Houston, Texas:  “If you had to do anything differently during your first four years, what would it be?”

      THE PRESIDENT:  Well, it’s only been two and a half, so I’m sure I’ll make more mistakes in the next year and a half.  The jury will still be out.  (Laughter.)  There are all sorts of day-to-day issues where I say to myself, oh, I didn't say that right, or I didn't explain this clearly enough, or maybe if I had sequenced this plan first as opposed to that one, maybe it would have gotten done quicker.

      Health care obviously was a huge battle, and if it hadn’t been for Nancy Pelosi and her leadership in the House and the great work that -- (applause) -- Anna Eshoo and Mike Honda and others did -- we wouldn’t have gotten it done if it hadn’t been for great work in Congress.

      But I do think that it was so complicated that at a certain point people just started saying, oh, this is typical Washington bickering.  And I’ve asked myself sometimes is there a way that we could have gotten it done more quickly and in a way that the American people wouldn’t have been so frustrated by it?   I’m not sure I could have because there’s a reason why it hadn’t gotten done in a hundred years.  It is a -- it’s hard to fix a system as big as health care and as complicated as our health care system.

      I can tell you that -- I think the best way to answer the question is what do I feel I still have to get done, where I still feel a huge sense of urgency.  I’ve talked about a couple of things.  Getting our deficits and debt under control in a balanced way I feel needs to happen while I’m President.  I don't want to leave it to the next President.

      Immigration -- something I mentioned -- we have not gotten done.  It’s something I care deeply about.  It’s the right thing for the country.  I want to get that done while I’m President.

      Energy -- we haven’t talked a lot about energy today, but first of all, $4-a-gallon gas really hurts a lot of people around this country.  It’s not because they're wasteful, but if you’re driving 50 miles to work and that's the only job you can find, and you can’t afford some hybrid so you’re stuck with the old beater that you’re driving around that gets eight miles a gallon, these gas prices are killing you right now.

      And so this is the reason why I’ve said that it is so important for us to invest in new approaches to energy.  We’ve got to have a long-term plan.  It means investing in things like solar and wind, investing in biofuels, investing in clean car technology.  It means converting the federal fleet 100 percent to fuel-efficient vehicles, because we’re a huge market maker. Obviously it turns out that I’ve got a lot of cars as President. (Laughter.)

      And if we’re out there purchasing electric cars and hybrids, that can help boost demand and drive down prices.  Continuing to increase fuel-efficiency standards on cars; increasing oil production but in an intelligent way.  I mean, those are all hugely important.  And by the way, we can pay for it.

      Let me say this.  We lose -- the Treasury loses $4 billion a year on subsidies to oil companies.  Now, think about this.  The top five oil companies have made somewhere between $75 billion and $125 billion every year for the last five years.  Nobody is doing better than Exxon.  Nobody is doing better than Shell or these other companies.  They are doing great.  They are making money hand over fist.  Well, maybe Facebook is doing a little better.  (Laughter.)  But you get the idea.  They’re doing really well.  They don’t need special tax breaks that cost us $4 billion.  So what we’ve said is, why can’t we eliminate the tax breaks for the oil companies who are doing great, and invest that in new energy sources that can help us save the planet?  (Applause.)

      So when it comes to energy, when it comes to immigration, when it comes to getting our deficit under control in a balanced and smart way, when it comes to improving our math and science education, when it comes to reinvesting in our infrastructure, we’ve just got a lot more work to do.

      And I guess my closing comment, Mark, would just be I hope that everybody here -- that you don’t get frustrated and cynical about our democracy.  I mean it is frustrating.  Lord knows it’s frustrating.  (Laughter.)  And I know that some of you who might have been involved in the campaign or been energized back in 2008, you’re frustrated that, gosh, it didn’t get done fast enough and it seems like everybody is bickering all the time.  Just remember that we’ve been through tougher times before.  We’ve always come out ascendant, we’ve always come out on top, because we’ve still got the best universities in the world, we’ve still got the most productive workers in the world, this is still the most dynamic, entrepreneurial culture in the world.

      If we come together, we can solve all these problems.  But I can’t do it by myself.  The only way it happens is if all of you still get involved, still get engaged.

      It hasn’t been that long since Election Day, and we’ve gone through some very, very tough times and we’ve still gotten a lot done.  We’ve still been able to get this economy recovering.  We’ve still been able to get health care passed.  We’ve still been able to invest in clean energy.  We’ve still been able to make sure that we overturn “don’t ask, don’t tell.”  We still made sure that we got two women on the Supreme Court.  We’ve made progress.  (Applause.)

      So rather than be discouraged, I hope everybody is willing to double down and work even harder.  Regardless of your political affiliation, you’ve got to be involved, especially the young people here, your generation.  If you don’t give us a shove, if you don’t give the system a push, it’s just not going to change.  And you’re going to be the ones who end up suffering the consequences.

      But if you are behind it, if you put the same energy and imagination that you put into Facebook into the political process, I guarantee you there’s nothing we can’t solve.

      All right?  Thank you, Mark.  (Applause.)

      MR. ZUCKERBERG:  So I just want to thank you again.  It’s such an honor to have you here.

      THE PRESIDENT:  We had a great time.

      MR. ZUCKERBERG:  And as a small token of our appreciation, in case for some reason you want to dress like me --

      THE PRESIDENT:  Nice, nice.

      MR. ZUCKERBERG:  A Facebook hoodie.  (Applause.)

      THE PRESIDENT:  This is a high-fashion statement right here. This is beautiful.

      Thank you very much, everybody.  Appreciate you.  (Applause.)

                                           END                         3:04 P.M. PDT

The White House

Office of the Press Secretary

Readout of the President's call with British Prime Minister Cameron

President Obama spoke with British Prime Minister David Cameron today as part of his ongoing consultations with coalition allies and partners on Libya.  The President and Prime Minister agreed that United Nations Security Council resolutions on Libya must be fully implemented. In addition to increasing military pressure and protecting civilians through the coalition operation that NATO is leading, the leaders discussed the importance of increasing diplomatic and economic pressure on the Qadhafi regime to cease attacks on civilians and comply with UN Security Council resolutions. The two leaders noted the international consensus achieved at last week’s Contact Group meeting in Doha and the NATO Foreign Ministerial in Berlin, both of which emphasized the need for Qadhafi to leave power.

Get Up and Go!: The 2011 White House Easter Egg Roll

For twelve hours on Monday, April 25th, the South Lawn of the White House will play host to the 133rd White House Easter Egg Roll.

30,000 people from all 50 states and the District of Columbia won tickets through this year’s ticket lottery. With this year's theme being "Get Up and Go!," in collaboration with the First Lady's Let's Move! initiative, guests will have the chance to enjoy entertainment and activities that go far beyond the traditional Easter egg hunt and egg roll. Some of the highlights include:

  • Rockin’ Egg Roll Stage - Live musical performances for all ages. Artists include Colbie Caillat, Greyson Chance, Willow Smith, Sesame Street, and more.
  • Storytime Stage - Celebrities bring books to life. Readers include Kelly Ripa, Mark Consuelos and family, John Lithgow, John Bemelmans Marciano, Kristi Yamaguchi, Geena Davis, and more.
  • Hop To It!- An instructional dance party on the South Lawn!  Get up and go jump rope, hula hoop, dance and more.
  • Eggtivity Zone Obstacle Course- A series of obstacles and drills, including soccer, football and baseball obstacle courses.
  • Basketball and Tennis- Get hands-on training from basketball and tennis pros on the President’s court!
  • Yoga Garden- Come enjoy a session of yoga from professional instructors. 
  • Eggspress Yourself- An arts and crafts workshop filled with egg dying, egg decorating, face painting and more. 
  • Play with your Food- Family Farmer’s Market, Kids’ Kitchen, Make-your-own Garden, Buzzing about Bees, and more led by the White House chefs and celebrity guest chefs. This activity center is built around the White House Kitchen Garden.

Each activity will have exceptional special guests, from John Lithgow and Sesame Street doing songs and stories, to athletes like Ryan Zimmerman of baseball’s Washington Nationals, tennis stars Chris Evert and Brian Vahaly, and the Harlem Globetrotters. The world-famous U.S. Marine Corps Band will perform as well. 

All of the Easter Egg Roll festivities will be live-streamed on WhiteHouse.gov/Live so all Americans and audiences around the world can participate. Check in again on the morning of April 25th to get a full viewing schedule!

Facebook Town Hall with President Obama

April 20, 2011 | 01:04:14 | Public Domain

President Obama takes questions from Facebook users in a Town Hall from Facebook’s headquarters in Palo Alto, CA.

Download mp4 (613MB) | mp3 (59MB)

The White House

Office of the Press Secretary

Statement by President Obama Marking the One-Year Anniversary of the BP Deepwater Horizon Oil Spill

One year ago today, the Deepwater Horizon oil platform exploded, killing eleven men and ultimately releasing an estimated 4.9 million barrels of oil in the Gulf of Mexico.  That catastrophic event deeply affected the lives of millions of Americans, from local fishermen to restaurant and hotel owners and small businesses throughout the region.  From the beginning, my administration brought every available resource to bear, amassing the largest oil spill response in our nation’s history.  At the height of the response, approximately 48,000 men and women worked tirelessly to mitigate the worst impacts of the spill.  While we’ve made significant progress, the job isn’t done. 

Nearly 2,000 responders are actively working in the Gulf to aid in the ongoing recovery efforts. We continue to hold BP and other responsible parties fully accountable for the damage they’ve done and the painful losses that they’ve caused. We’re monitoring seafood to ensure its continued safety and implementing aggressive new reforms for offshore oil production in the Gulf so that we can safely and responsibly expand development of our own energy resources. And EPA Administrator Lisa Jackson is leading a task force to coordinate the long-term restoration effort based on input from local scientists, experts, and citizens.

The events that unfolded on April 20, 2010 and the oil spill that followed underscores the critical link between the environment and economic health of the Gulf. My Administration is committed to doing whatever is necessary to protect and restore the Gulf Coast. Today, we remember the eleven lives lost as a result of this tragic event and thank the thousands of responders who worked to mitigate this disaster. But we also keep a watchful eye on the continuing and important work required to ensure that the Gulf Coast recovers stronger than before.

The White House

Office of the Press Secretary

President Obama Signs North Carolina Disaster Declaration

The President today declared a major disaster exists in the State of North Carolina and ordered Federal aid to supplement State and local recovery efforts in the area struck by severe storms, tornadoes, and flooding on April 16, 2011.

The President's action makes Federal funding available to affected individuals in the counties of Bertie, Bladen, Cumberland, Halifax, Harnett, Johnston, Lee, Onslow, Wake, and Wilson.

Assistance can include grants for temporary housing and home repairs, low-cost loans to cover uninsured property losses, and other programs to help individuals and business owners recover from the effects of the disaster.

Federal funding also is available to State and eligible local governments and certain private nonprofit organizations on a cost-sharing basis in the counties of Bertie, Bladen, Craven, Cumberland, Currituck, Greene, Halifax, Harnett, Hertford, Hoke, Johnston, Lee, Onslow, Pitt, Robeson, Sampson, Wake, and Wilson for debris removal and emergency protective measures, including direct Federal assistance.

Federal funding is also available on a cost-sharing basis for hazard mitigation measures statewide.

W. Craig Fugate, Administrator, Federal Emergency Management Agency (FEMA), Department of Homeland Security, named Michael Bolch as the Federal Coordinating Officer for Federal recovery operations in the affected area.

FEMA said that damage surveys are continuing in other areas, and more counties and additional forms of assistance may be designated after the assessments are fully completed in the affected areas.

FEMA said that those who sustained losses in the counties designated for aid to affected individuals and business owners can begin applying for assistance tomorrow by registering online at http://www.fema.gov or by calling 1-800-621-FEMA(3362) or 1-800-462-7585 (TTY) for the hearing and speech impaired.  The toll-free telephone numbers will operate from 7 a.m. to 10 p.m. (local time) seven days a week until further notice.

FOR FURTHER INFORMATION CONTACT:  FEMA (202) 646-3272.