President Obama Speaks to Insurance Company Executives

November 15, 2013 | 1:56 | Public Domain

Before a meeting with executives from insurance companies participating in the health insurance marketplace, President Obama discusses the importance of making sure that Americans have high-quality health insurance that gives them the security they need for themselves and their family members if and when they get sick.

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Remarks by the President Before Meeting with Insurance Companies

Roosevelt Room

3:31 P.M. EST

THE PRESIDENT:  I want to welcome the executives who are here from a lot of the insurance companies that are participating in the marketplace.  We all share a similar value, which is we want to make sure that Americans have good, solid coverage that gives them the security they need for themselves and their family members if and when they get sick. 

And we know the demand is out there for that.  We had, despite all the problems with the website, over a million people apply.  Many multiples of that wanted to see what options were available.  Obviously because of the problems with the website some folks have been blocked from seeing the well-priced benefits that are available in the marketplace, and so we're working 24/7 to get it fixed.  The website is working a lot better now than it was a couple of weeks ago.

And what we're going to be doing is brainstorming on how do we make sure that everybody understands what their options are.  Because of choice and competition, a whole lot of Americans who’ve always seen health insurance out of reach are going to be in a position to purchase it.  And because of the law, we're also going to be able to provide them help even if they are still having trouble purchasing that insurance.  But they’ve got to know what those options are in order to be successful.

So I appreciate all these folks coming in.  We're going to be soliciting ideas from them.  There’s going to be a collaborative process.  We want to make sure that we get this done so that in the years to come every American is going to have the kind of affordable health care that they all deserve.

Thank you very much for being here. 

END
3:33 P.M. EST

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The White House

Office of the Press Secretary

Statement by the President on the Anniversary of the Birth of Guru Nanak Dev Ji

I want to extend my best wishes to all our Sikh friends, across the United States and around the world, who this weekend are observing the anniversary of the birth of Guru Nanak Dev Ji, the first Sikh Guru.  This sacred time is an occasion to reflect on Guru Nanak’s timeless teachings and the principles that are at the heart of Sikhism, including the equality of all human beings, the pluralism we cherish in diverse societies and the compassion we owe one another.  Here in the United States, we’re grateful to the many Sikh Americans who give life to these values and enrich our country every day, reminding us that these shared principles are not only at the heart of the Sikh faith, they are central to who we are as Americans.

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The White House

Office of the Press Secretary

Remarks by the President Before Meeting with Insurance Companies

Roosevelt Room

3:31 P.M. EST

THE PRESIDENT:  I want to welcome the executives who are here from a lot of the insurance companies that are participating in the marketplace.  We all share a similar value, which is we want to make sure that Americans have good, solid coverage that gives them the security they need for themselves and their family members if and when they get sick. 

And we know the demand is out there for that.  We had, despite all the problems with the website, over a million people apply.  Many multiples of that wanted to see what options were available.  Obviously because of the problems with the website some folks have been blocked from seeing the well-priced benefits that are available in the marketplace, and so we're working 24/7 to get it fixed.  The website is working a lot better now than it was a couple of weeks ago.

And what we're going to be doing is brainstorming on how do we make sure that everybody understands what their options are.  Because of choice and competition, a whole lot of Americans who’ve always seen health insurance out of reach are going to be in a position to purchase it.  And because of the law, we're also going to be able to provide them help even if they are still having trouble purchasing that insurance.  But they’ve got to know what those options are in order to be successful.

So I appreciate all these folks coming in.  We're going to be soliciting ideas from them.  There’s going to be a collaborative process.  We want to make sure that we get this done so that in the years to come every American is going to have the kind of affordable health care that they all deserve.

Thank you very much for being here. 

END
3:33 P.M. EST

The White House

Office of the Press Secretary

Press Briefing by Press Secretary Jay Carney, 11/15/2013

James S. Brady Press Briefing Room

 

1:00 P.M. EST

MR. CARNEY:  Good afternoon, ladies and gentlemen.  Happy Friday.  Thanks for being here.  Did I hear a yay for Friday?  Let's hear it for Friday. 

Q    A little premature for a yay.  It's only 1:00 p.m.

MR. CARNEY:  It is Friday.  Wait, are you -- (laughter) -- are you questioning the premise of the assertion that it's Friday?  (Laughter.) 

Q    It is Friday.

Q    He’s still bitter he went to Cleveland, and the President had a press conference.

MR. CARNEY:  You're bitter the President had a press conference?

Q    Knoller was in Cleveland. 

Q    He was in Cleveland.

MR. CARNEY:  Oh, Mark, I'm sorry. 

Q    He got a free roll of steel.

MR. CARNEY:  Can we make sure that doesn’t happen again? 

Q    Thank you.  (Laughter.)

Q    Cleveland feels the same way.

MR. CARNEY:  Cleveland was fantastic.  That factory is unbelievable.  Those rolls of steel --

Q    Rolls of steel.  Quite amazing.

MR. CARNEY:  Quite amazing.

Q    They gave us souvenir rolls.  They're about 50 tons. 

MR. CARNEY:  They probably didn’t weigh -- yes.  Didn’t the -- I think somebody told me, I'm not sure it's accurate, that one of those rolls was 40,000 pounds.  Is that -- that’s a lot of --

Q    Yes, 40 tons, something like that. 

Q    I think our hour is up.  Good visit. 

Q    We missed all that.  We were busy here.

MR. CARNEY:  Oh, sorry about that.  So my only topper here is that I do have a hard stop at 1:50 so we'll get right to your questions.  At the end of questions, I do have a week ahead for you.  Jim.

Q    Thanks, Jay.  The President is meeting with insurance company CEOs this afternoon.  It seems that the announcement yesterday is getting some pushback and second-guessing from the industry, from actuaries, from even some insurance commissioners who say that it could result in higher premiums.  And I'm wondering whether this meeting is something that should have taken place ahead of time, rather than after the fact.  And does the White House accept or disagree with this possibility that premiums could increase because of this decision?

MR. CARNEY:  Well, there's a couple of issues here.  We do disagree with the assertion that this is not something that cannot be dealt with.  In fact, part of the fix that the President announced was instructions to -- included instructions to HHS to adjust the risk corridor -- what's called the risk corridor, the policy that allows for adjustments if, for example, the pool is less healthy than expected or more healthy than expected, and there are cost changes accordingly.

So we believe -- I mean, there’s a lot of data here about the portion of the population that’s affected here.  The fact that there’s a myth about -- while there are healthy people, generally, healthier people generally in the individual market -- because insurance companies could discriminate against those who weren’t healthy -- the fact is that it’s a myth that they’re particularly young in the individual market.  In fact, there’s data that shows that the disproportionate number of people in the insurance market are older Americans, are 40 and up.

So having said that, as this policy rolls out, and allowing those with plans in the individual market to renew those plans for a more extended period of time, HHS has the capacity to adjust the risk corridor accordingly, if necessary.

Q    But you still -- I mean, you have actuaries saying -- I mean, is it because they’re not taking into account what HHS will be able to do?  Is that what you’re saying?

MR. CARNEY:  Well, I haven’t seen the actuaries’ reports.  What I’m saying is that HHS has the capacity, because of the provision within the ACA, to make adjustments in this risk corridor to deal with changes in costs, swings in costs associated with either more or less risk within the pool of people insured.  So, I mean, the way it works is if the costs are higher, then HHS can mitigate those costs with insurers.  If costs come in significantly lower, then the insurers replenish the fund by passing back some of those profits back. 

So we believe there’s a mechanism here to deal with any swings associated with this provision -- which, remember, again, the size of the population we’re talking about here:  5 percent of the country is in the individual insurance market; a portion of that 5 percent is affected by the cancellation notices.  And what the fix the President announced allows is for -- it basically removes the prohibition from the ACA that said those policies could not be renewed from 2014 into 2015. 

This is something we haven’t talked a lot about, but even under the law, prior to the President’s announcement yesterday, insurers were able to offer renewals of these policies, early renewals of these policies to their policyholders.  And so this extends that possibility so that if you had a plan that was effective through September of next year, you could renew it so that it could go all the way through August 31st, say, of 2015. 

So it’s a way of smoothing the transition.  It’s a way of making an adjustment in response to the problems we saw with the cancellation notices and with that segment of the 5 percent that was put in this position where they did not feel that they had the opportunity to take advantage of marketplace plans that would reduce their costs or keep costs the same.  And the President made clear that he feels like a fix was necessary.  So he looks forward to the implementation of this, looks forward to working with Congress on any sincere effort, good-faith effort, to make improvements to the Affordable Care Act as we implement it.

Q    And having announced the fix yesterday and having this meeting today, didn’t that put the cart before the horse? 

MR. CARNEY:  Well, Jim, I think it is absolutely the case that we have been in consultation with and have had numerous meetings with insurance companies over the course of the last several years with the drafting and passing and implementation of the Affordable Care Act.  And those consultations continue.  The President looks forward to the meeting he’s having later this afternoon with insurers and will talk about ways we can work together to help people enroll through the marketplace and efforts we can make to minimize disruption for consumers as they transition to new coverage.

Q    And last, given the numbers, the enrollment numbers, has the White House given any consideration or have you set aside any thought of extending a waiver period for the mandatory -- the individual mandate so that it doesn’t kick in on March 31st as it’s scheduled to do?

MR. CARNEY:  Jim, as we’ve said all along, the individual responsibility provision is essential to the Affordable Care Act because it is what ensures that individuals with preexisting conditions cannot be denied insurance.  It allows for the rest of the Affordable Care Act to be implemented effectively so that the benefits that the American people deserve are able to be distributed. 

So we are obviously working on a tighter time frame because of the problems with the website and the slowness associated with the rollout and the enrollment period.  But we do have a six-month enrollment period; we are a month-and-a-half into that.  So we're working assiduously to make improvements to the website so that that experience continues to get better for consumers, and more and more Americans are able to enroll.

 Q    So under no circumstance would there be a consideration to extend?

 MR. CARNEY:  Well, I’m not going to speculate about the future.  What I’m going to tell you is that right now we are focused on making the changes and fixes necessary to the website, to improve that experience for consumers, and also to work in a variety of ways to make it easier for Americans to enroll.

One of the things that remains true is that there's enormous interest in the quality, affordable coverage available on the marketplaces.  And where we were unsuccessful is in making that access to that coverage easy from day one, October 1st.  And as the President, I think, made clear to you here yesterday, he takes responsibility for that, we take responsibility for that, and we're about the business of making the fixes necessary to ensure that those benefits are available to the American people who so clearly want them. 

Q    Jay, Henry Chao was raising red flags back in July about the website, saying the plane could crash on takeoff.  Was the White House aware of these concerns at the time?

MR. CARNEY:  Steve, we've said all along -- I know that there's these selective leaks going on out of various House committees, as they conduct oversight into this.  But we've said all along that there were, in the testing of this, instances where there were problems that were identified, and fixes that were undertaken to the website.

What we did not expect was that we would have the size problem that we had, come October 1st.  And if we had expected that, we wouldn't have been promoting the launch of the website and the run-up to it in the way that we were.  The President was very candid about that.  I mean, it does not stand the test of logic to suggest that we somehow knew that this website would perform as poorly as it did, and a week before, or four days before, were encouraging people to go to it and talking about how it would be fairly functional and effective. 

So there's no question -- if the point of these selective leaks is to get everybody to recognize that the website performed terribly on October 1st, I don't think that's a point that anybody here is denying.  So what we're focused on is making the fixes necessary so that the website works in the way that it was intended to.

Q    And a budget question.  You would like to extend unemployment benefits.  What offsets in the budget are you willing to consider to make that happen?

MR. CARNEY:  I appreciate the question.  I think that while we have made substantial progress in bringing the economy back from the brink, there is no question that there are still too many Americans out of work.  And as a nation, we have always taken the approach that in addition to the basic unemployment benefits available to those who lose their jobs and are looking for work, emergency unemployment compensation should be available in times when the labor market is not at full strength.  And while the labor market has been improving, it is not, clearly, at full strength.

At the end of the year, emergency unemployment compensation is set to expire, and that means that 1.3 million unemployed Americans will lose unemployment insurance benefits.  These benefits are crucial for maintaining incomes of the unemployed and their families, and have been shown to reduce poverty and increase the chances of returning the unemployed worker to a good job. 

Independent studies have also shown that in terms of economic impact, these benefits have a big bang for the buck -- because as you know, and anybody who covers these kinds of issues knows, those benefits flow right back into the economy because, almost by definition, those who are strapped and need unemployment benefits are using the benefits that they've received right away, and spending them and injecting that money into the economy, which helps spur growth and create jobs. 

So as Gene Sperling mentioned yesterday -- I think that's why I'm getting the question you mentioned yesterday -- that the President believes we should extend this provision through the end of 2014, and we are confident that Congress will join us in this effort.  And we're confident of that, because if you look back, unemployment compensation, emergency unemployment compensation, has always been extended when the unemployment rate is near current levels.  That was the case under President George W. Bush and it's been the case in the aftermath or in the recovery from the Great Recession. 

So we'll work with Congress for how to make that happen.  But we're confident that Congress will join us in extending these benefits. 

Let me move around.  Victoria. 

Q    The question is, the whistleblowers yesterday at a committee hearing were talking about the Secret Service's apparent sexcapades in 17 countries and visiting bordellos, hiring prostitutes, having one-night stands as well as longer-term relationships with foreign nationals who have not been cleared.  Given this level of what seems to be inappropriate sexual activity going on with the Secret Service, what is the President's level of confidence in them at this point?

 THE PRESIDENT:  The President believes deeply that the vast majority of the men and women who work for the U.S. Secret Service exemplify the highest standards of service, and that they work day and night professionally to protect the President and presidents before him, and presidents -- and they will after him, as well his family and presidential families as well as other protectees. 

 Issues that have arisen, including the visit to Colombia and other issues that arise, the President is confident that they will be fully investigated and that action where appropriate will be taken.  And he believes that the leadership at the Secret Service, including the new director, will address matters as they arise appropriately. 

But it is important to note that the President believes very strongly that these men and women are professionals and that they put their lives on the line to protect the Commander-in-Chief, protect the President, protect his or her family.  And that's a very weighty responsibility, and he greatly appreciates it.

 Q    Does he think that the new director has taken swift action to act on the kinds of allegations that have been in place before she came in?

 MR. CARNEY:  I know that the President believes very strongly that Director Pierson is the right person for the job and has great confidence in her leadership.  I don’t have a specific reaction to any investigation that might be ongoing or accusations that might be leveled currently, except to say that the President has absolute confidence in the leadership at the Secret Service.

Q    Question about this insurance fix the President announced yesterday.  It does introduce a little bit of uncertainty here.  So what advice would you guys give, if any, to these people who have gotten these cancellation letters?  Do they call their insurance company back?  Do they call the state insurance commissioners?  Do they keep trying to log on?  What should they do sort of in the meantime, trying to figure out whether their companies are going to offer this to them?

MR. CARNEY:  Well, a couple of things.  One, what the President did and can do -- and the Secretary has the authority to do -- is essentially waive the provision within the Affordable Care Act that would make plans beyond the current early enrollment phase become compliant with minimum standards.  And, obviously, because we have a system where state insurance commissioners have great authority over the markets in their states, this is something that insurance companies and insurance commissioners will make the ultimate decision on, in terms of offering to extend the renewal period or to offer to renew policies in the individual market where cancellation notices might have gone out. 

What is also required in the fix that the President announced yesterday is that if that offer is made, insurers need to make clear to their customers what benefits are available to them or the fact that benefits are available to them through the marketplace, and also what benefits that might come to them under the new standards are missing in the plans that they might be renewing.  So it's basically eyes wide open is the way -- so that the consumers have the most amount of information possible as they make this decision.

And the whole goal here is to address the problem that has arisen and to give consumers more options as they begin this transition into an insurance marketplace where, over the long run, costs will be contained, minimum benefits will be offered, and you won't be in a situation which has existed up to this very moment where if you're in the individual market you tend to be doing okay as long as you're healthy -- because, A, you'll be offered insurance if you're healthy and you might be thrown off insurance once you get sick; but you’ll also, in this current environment, you might pay more if you're a woman, you might pay double, even, for the same coverage, and you might find that you do not have caps on out-of-pocket expenses, so you could be confronted with a $40,000 or $50,000 bill that’s not covered. 

These are the kinds of things that the Affordable Care Act was designed to fix.  And what the President announced yesterday was a solution to a problem that helps the transition into those marketplaces occur more smoothly.

Q    But it sounds like people who are affected here won't necessarily know for some time whether it's going to be fixed for them.

MR. CARNEY:  We believe that insurers certainly can generate letters, just like they did already, to their customers that advise them of this new opportunity if they choose to make that opportunity available to them, and if there is time to do that.

So we're obviously going to be working with insurers and working with states on this matter.  But we believe there is time, and we believe it's a solution to a problem that has clearly arisen that the President wants addressed.

Q    One more larger one.  We know that the Affordable Care Act has been under fire from the very beginning -- the problems with the website, this issue of people getting these cancellation letters that have only made matters worse.  So the question is, what do you say to the folks who are wondering if the President is going to be able to get back on track and be able to have a productive second term, get his agenda through legislatively?  So how's he going to do that?  What do you say to those folks?

MR. CARNEY:  Look, I think he's going to do it by waking up every day and focusing on addressing the concerns that the American people have, that they want their elected leaders here in Washington to focus on.  And that means, in this case, making the Affordable Care Act deliver on its promise, deliver the benefits that it will provide, when implemented, to millions and millions of Americans.

There's no question that this has been a problem in its rolling out of the policy, as the President I think pretty amply acknowledged yesterday.  But this is an issue that goes to whether or not we are successfully delivering benefits to the American people, delivering on a policy that promises to continue to rein in health care spending over the long term, that provides minimum benefits to Americans that prohibits insurance companies from denying you coverage because you have even a minor preexisting condition. 

This is obviously a challenge and we’re facing the challenge and we’re up to the challenge, but when it comes to what it means more broadly, I think it just goes right to the heart of the fact that the American people want their elected leaders working for them.  And this President wakes up every day focused on what he can do to work for the hardworking Americans and make their lives a little easier, a little better, and a little more secure.  That’s what he’s going to do every day that he is in office.

Jon.

Q    Jay, we’ve already heard from three state insurance commissioners that say the President’s plan simply is not workable.  I mean, what is that going to do for people in those states?  Washington State, Arkansas, Vermont -- all those insurance commissioners said this just won’t work, they’re not going to do it.

 MR. CARNEY:  Well, Jon, I can also cite Kentucky, Florida, and California, I think collectively even a higher population -- states that have said they will -- they’ve announced that they will allow insurers to renew these plans under this policy.  And the fact is --

Q    So states that do it are okay?  States that don’t, those people are out of luck?

MR. CARNEY:  Well, Jon, what you are identifying is the insurance world that we live in, in the United States, where state insurance commissions obviously have a great deal of authority about how insurance is marketed and sold in their state.  So we are going to work with states.  It has always been the case, even up to -- as I noted earlier and this is rarely acknowledged or discussed -- but that the Affordable Care Act has within it the provision that allows insurance companies in those states where the state insurance commissions allow it, to renew existing policies already.  And that was true prior to the problems that we’ve seen in the last several weeks with cancellation notices. 

What the President’s fix does is extend that renewal period.  But it has always been the case -- because, as the President said yesterday, we were trying to build on the existing system to cause the least amount of disruption -- state insurance commissions have authority in their states to govern how policies are marketed and sold, and to set standards for those policies.

Q    So what do you say to Bill Fullner, he’s the guy in Washington State, cancelled -- his insurance policy was cancelled, he was out of luck, took great hope in what the President had said, and then a few hours later finds out that it’s not going to apply to him because his insurance commissioner says the plan is not workable?

MR. CARNEY:  Jon, I would say that what the President said yesterday is that he wants to continue to work with lawmakers of both parties who are engaged in a good-faith effort to make improvements to the Affordable Care Act and even to address this particular issue.  The fact of --

Q    But he’s losing his insurance at the end of the year and is faced now with paying a premium twice as expensive.

MR. CARNEY:  Well, as has always been the case, I don’t know any -- when you throw out an individual to me, I can’t -- I don’t have a capacity --

Q    This would apply to anybody who had a cancellation notice in Washington State.

MR. CARNEY:  Well, no, it wouldn’t apply -- what you just cited about the premium wouldn’t necessarily apply to every individual.  What the fact of the matter is -- and these cases aren’t usually brought into the briefing room here -- that more than half of people who get --

Q    These are real people.  I mean, it’s --

MR. CARNEY:  Oh, absolutely.  And I think you heard the President here at length talk about his concern for those people, and that’s why he’s making this fix, and why he is going to work every day to do what he can and then to work with Congress so that they can do what they can to make the Affordable Care Act implementation go more smoothly and work effectively for the American people. 

What is absolutely the case, Jon, is that the Affordable Care Act, when implemented, will allow Americans across the country, millions of Americans, to purchase affordable, quality health insurance for many of whom that was something that was not possible before.  And even as we deal with the problems that are arising with the implementation of the Affordable Care Act, it is absolutely essential that we remember what the alternative here is.  And the President talked about this a little bit yesterday.  When critics point out -- and they justifiably point out the problems with implementation -- and then they say, well, we should then do away with Obamacare, we should do away with the Affordable Care Act, they are saying that they want to go back to the status quo ante -- which in this market, I don’t know about this individual, but anybody in the individual market was subjected to extreme increases annually in their premiums, to a situation where insurance companies regularly either dropped or abruptly changed the policies that were offered to them, downgrading the coverage that was offered to individuals. 

And that's why -- and to some degree, one of the reasons why we’re seeing this problem is because there has been and is so much churn in that market -- so that the number of people who got cancellation notices was as high as it was because so few policies are maintained for very long, because individuals come in and out of that market because it’s the worst place to be.  It has traditionally been the worst place to be.

So if you’re somebody who buys an individual policy because you have to, because you’re in between jobs, or you have a job where your employer doesn't offer it, and then you get a job with an employer who does, you’re going to go with the employer-provided insurance because the benefits currently available on the insurance market are often substandard, and that is something that the Affordable Care Act was specifically designed to address.

Q    So one more.  Can I just ask you -- the President said yesterday, “I was not informed directly that the website would not be working the way it was supposed to.”  I mean, we’ve heard the latest is the project manager on healthcare.gov warned -- was worried this thing could crash at takeoff.  I’m just wondering, did the President at any point ask the question, has this thing been tested; are we ready to go?  And what was the answer he got?

MR. CARNEY:  Jon, the President was regularly briefed on the implementation of the Affordable Care Act in the run-up to the launch.  What he and others have said is that at no time did we anticipate that the problems that we ended up seeing on October 1st would occur.  And if we had --

Q    I get it.  But the people working on this knew that there were problems and were worried this could happen. 

MR. CARNEY:  No, I get it.

Q    And I’m just asking, did the President ask the question, has it been tested?

MR. CARNEY:  Absolutely, the President constantly asked where we were and what was the progress on --

Q    So who misled him if they knew of these problems and didn't disclose it to him?

MR. CARNEY:  Again, there’s a jump in your logic there.  The fact is, as we acknowledged and have said since October 1st and even before that, we anticipated glitches.  We were told there might be some problems.  And as is the case when any site --

Q    The project manager was worried this could crash at takeoff.

MR. CARNEY:  Could I finish?  Hey, Jon, I know we’re creating an exchange here.  But if I could just exchange -- finish for one second, that the fact is when a site like this is being developed and it’s tested and problems arise, checklists are developed and problems are addressed.  And we believed that the problems were being addressed, and that while there would be some glitches upon launch on October 1st, that, obviously, we never anticipated that we would have the kind of severe problems that we had -- that the site would function as poorly as it did. 

And I really ask for everyone to take a step back and look at the logic here of suggesting that somehow we or anybody responsible for it knew that we would have the problems that we had on October 1st. 

Q    But the project manager is saying that he was worried that it could crash on takeoff. 

MR. CARNEY:  I addressed this when Steve asked it already a few minutes ago. 

Q    This isn't about glitches, this is crashing.  I mean, this is -- he seemed worried about something bigger than that. 

MR. CARNEY:  Again, I think that -- I think it would be -- I would advise everyone who is susceptible to taking these partial transcript leaks from committee staff -- and I think again and again we've seen when the full story is revealed that committee staff hasn’t really been completely transparent with you and others -- that it would be wise to look at the whole story.  And that would be the case in this instance, and I think almost invariably the case when committee staff is trying to make a political point.

There is no question that this goes to -- the fundamental issue is:  Has the website functioned effectively?  Absolutely not.  And nobody is more aware of that or frustrated by it than the President and the people who work for him on this issue.  That’s why we're focused on fixing it and not focused on dribbling out information to score political points.  We're focused on getting it right, because this is about a policy that will deliver benefits to millions of American people who deserve them and have earned them.

Jon-Christopher.

Q    As you know, Senator Lindsey Graham has threatened to put a hold on all confirmations presented by the President, including that of Janet Yellen, the new Chair of the Federal Reserve, until he receives information he's requested on Benghazi.  What steps is the administration taking to resolve this issue and ensure the confirmation of Ms. Yellen, and continuity at the Federal Reserve, which in fact could affect world markets?

MR. CARNEY:  We're very confident that Janet Yellen is absolutely the right candidate for the job.  Her hearing yesterday, we felt, went very well, and it offered an opportunity for her to take questions from committee members of both parties. 

When it comes to Benghazi, we have -- and I will spare everyone here the recitation of the amount of cooperation that we have shown oversight committees with reams of documents and numerous interviews and testimony in hearings.  And that continues.  So we are working with Congress on this as we always do.  And we absolutely believe that the President's highly qualified nominees should not be held, they should be given the votes that they deserve.  And we look forward to their confirmation.

Cheryl.

Q    Yes, do you have either a firm number or a pretty good estimate of the number of cancellation letters that have actually gone out nationwide?

MR. CARNEY:  I meant to mention it -- I think it's this afternoon -- CMS is doing its regular briefing, and I would encourage you to participate in those briefings.  They're going to have more detailed information.  I don’t know if they have a number on that.  The reports in the press vary widely.  I think that one -- I think it's important to note that when you look at the number of people who, for example, get benefits in the marketplaces, tax credits and the like, it’s 17 million.  And I think the largest number I've seen, in terms of cancellation letters, is 3.5 million, and I don't even know if that's accurate.  So I would refer you to CMS.

Major.

Q    You implied a second ago that there's a fuller story about Mr. Chao's testimony, that Jonathan referred to.  Would you like to try to --

MR. CARNEY:  No, I'm simply saying that it has been the case again and again and again, with certain committees, that partial information is produced or leaked to reporters or put out in press releases that, upon further scrutiny, is not quite what they say it was.  What I --

Q    Do you have any reason to dispute what that represents him thinking and fearing before the launch of the website?

MR. CARNEY:  What I can tell you is that there is certainly -- it is certainly the case that in the period leading up to the launch, that individuals involved in it saw problems that needed fixing, and those problems were identified and addressed.  We believed they were addressed sufficiently so that the site would launch with some glitches, but effectively, on October 1st.  And that did not happen.

So again, the logic around this is to suggest that somehow inside the administration, we all knew, or somebody knew, that the thing was not going to work effectively October 1st, and yet we were out there talking about the importance of the launch on October 1st and how everybody should go to the website and take advantage of it.  I don't think if you follow that logic to its conclusion that it makes any sense at all. 

The fact is we did not anticipate that the problems that occurred on October 1st and in the aftermath were going to happen.  We thought there were would be some glitches, as there are with the launches of major websites, but not on the scale that we ended up seeing.

Q    Would you acknowledge that what the President announced yesterday will be difficult for insurance companies to deal with?  They've already raised some just practical issues.  They'll have to contact their consumers -- their customers, rather.  They'll have to recalculate their premiums.  And they'll have to --

MR. CARNEY:  Premiums are locked in for 2014.  They are locked in and set.  That is a fact.

Q    They don't have to recalculate them by re-issuing policies that have been canceled?  Won't that affect some of those calculations?

MR. CARNEY:  The fact of the matter is that any of the existing -- I mean, this is one of the things that consumers need to be aware of -- that as was the case always in the individual market, which was the least regulated portion of the insurance market, these policies were subject to substantial premium increases.  It happened all the time.  The average was 15 percent.  And they were also subject to downgrading on a regular basis, or where individuals had a policy for a year, but if they got sick that year, then they could be dropped. 

None of that exists now.  In the Affordable Care Act and in the marketplaces, there are protections in place for those individuals.  If you choose to renew that existing policy, you need to do so, understanding -- and this is where we're asking the insurance companies to make it clear to their consumers these facts -- that you do not get obviously the tax credits that might be available to you, but also some of the other protections that would come with policies that fit the minimum standards under the Affordable Care Act. 

Q    Do you have any idea or estimate of how many people actually fall into this particular category?  Because it's a broader -- it's a smaller category than the individual market itself.

MR. CARNEY:  No, I think this is what Cheryl was asking.  And I don't -- I've seen a lot of reports.  I would encourage you to participate in the CMS briefings that they have.  They may have more detail about this.  I think the reports have varied.  It is a portion of the 5 percent of the population that participates in the individual market.  What we know is that of that 5 percent, a million -- what's going on here?

Q    No, I was saying it was simulcast.  It's underway now.

MR. CARNEY:  Well, if anybody wants to go get on that call, you can.  You might get answers to the specific question for numbers.  But, in any case, of the 5 percent, a million, roughly, would be eligible for Medicaid in those states that have expanded it. 

And when we talk about -- I mean, here's, again, context.  These individuals are of great concern to the President, the ones who have been adversely affected by this.  And he feels a responsibility for taking steps to fix the problem for those individuals, to make that transition smoother; to allow insurance companies and state insurance commissioners to ensure that they can renew their policies, if they so desire, making sure that they're aware of what their alternative are and aware of the fact that their alternatives might be significantly better for them, both in the benefits they receive and the costs that they incur.

One thing that is absolutely the case when we talk about this, again, more globally, is that all those states out there that have refused, for ideological reasons, to expand Medicaid are depriving millions of Americans of insurance coverage.  Millions.  More than are affected by these cancellation policies.  That's a fact, and it's a problematic fact, because a lot of those individuals are veterans who could be getting Medicaid insurance under the expansion of Medicaid, created by the Affordable Care Act, but for ideological reasons, governors have in some states declined to do that.  Not all Republican governors.  As we know, in Ohio, where the President was yesterday; Arizona, Florida, other states with Republican governors, they have made the decision to do right by their constituents and expand Medicaid and make quality insurance available to millions of low-income Americans who need it.

So we have a problem that we’re trying to fix specific to the section, the subsection of that 5 percent of the population.  But there are other issues here that we need to work together to fix, and that’s why we continue to urge governors in states that haven’t expanded Medicaid to do so for their constituents, not because of their -- they may be ideologically opposed to this President or to a health care reform that has his name on it, but the bottom line is they have the opportunity to help their citizens and they ought to.

Q    It’s no secret to you that House Democrats and Senate Democrats were urging the President to make public whatever fix he was going to have for this problem before the House vote today on the Upton bill, and to give them a place or a position to take, or a policy response to point to, so they wouldn’t be exposed to this vote on the Upton bill or possibly something else in the Senate.  Does the President and the White House believe this fix settles the issue, at least for now, and does not require legislative intervention of the kind that Mary Landrieu and other Senate Democrats are continuing to explore?

MR. CARNEY:  The President said in his remarks, in his prepared remarks yesterday, that he wants to work with lawmakers of both parties who are engaged in good-faith efforts to make improvements to the Affordable Care Act so that it --

Q    No, but on this particular issue.

MR. CARNEY:  That would include on this particular issue.  We absolutely do not support and oppose the Upton bill, because whatever the intentions -- and I think House Republican intentions towards the Affordable Care Act have been pretty clear -- but whatever the intentions of that particular bill, it certainly -- while maybe fixing the problem potentially of those who receive cancellation letters -- it also, by allowing insurers to sell new policies to new customers that don’t meet the standards, is deliberately or not designed to undermine the Affordable Care Act in the long run.

And I think you would find if you talked to insurers that they would have serious problems with something like that, because it would undercut the marketplace and it would create a situation that would be very hard to sustain.

Wendell.

Q    Since the President can’t compel insurers to renew these policies, what’s he going to say to them to convince them to go along, to persuade them, which I gather is what today’s meeting is about?

MR. CARNEY:  Well, look, there are a lot of issues that the President looks forward to discussing with insurers today, when it comes to the implementation of the Affordable Care Act.  This is one of them.  I think that he will certainly raise with them what this fix does and why he thinks it’s the right thing to do, and encourage them to offer renewals to those customers who might want to avail themselves of that choice. 

I mean, the purpose here is to provide a choice, it’s not to compel people to renew or to compel people to choose any particular plan within the marketplace.  It’s to make them -- to give them this option, and when you give them this option, to also make them aware of what’s available to them in the marketplace and also make them aware of what they do not get in terms of protections and benefits if they choose to stick with an individual market plan that does not meet the minimum standards of the Affordable Care Act.

Q    But it requires insurance companies to act rather swiftly over the next 32 days or so.  What will he say to persuade them to make that effort?

MR. CARNEY:  Well, I think he will talk about -- and I think there was a very lengthy briefing yesterday in which officials more steeped in the minutiae of the policy tried to explain how it works to reporters.  But I think he would explain how he envisioned this working, how we are confident that it would not, for example, on the questions I got at the top of the briefing, create adverse problems for the Affordable Care Act when it came to the risk pools because of the flexibility the Secretary has to make adjustments.  And I’m sure those issues will be discussed.

The goal here is to make this transition as smooth as possible for those Americans who have been affected by cancellation notices and may be in a position of finding their best option in their view, the renewal of an existing policy, even if it doesn’t meet minimum standards and doesn’t give the protections that new plans would offer.  And this extends that possibility.

It’s important to remember, again, when we talk about the world as it existed before the announcement yesterday, that every insurer in the states where this is allowed could have and could offer renewals of those plans already.  What the President announced yesterday would simply extend the period for renewal.

Q    What’s his authority for doing this?  I ask that in the same way that people ask whether he had the authority to basically waive the mandate for larger businesses.  What’s his authority for doing this today?

MR. CARNEY:  I know I -- well, the Secretary has the authority under the law to -- here it is.  The Secretary’s authority can be used in narrow circumstances to ease implementation, short of legislative changes, and this is one of those instances.  There are individuals for whom the implementation of new consumer protections without a transition would result in a loss of an existing plan, even though the law includes a section on the preservation of the right to maintain existing coverage -- what I talked to you about earlier. 

So this type of action was used for last year in the administration’s policy on deferred action for childhood arrivals pending immigration reform, for example.  That was something that DHS did.

So this is authority that exists for the Secretary to use to help smooth the implementation of this policy.

Peter and then Chris.

Q    While we were speaking, the House just passed the Keep Your Health Plan Act, 261 to 157.  In simple language, the message from the White House about why that’s bad is what?

MR. CARNEY:  This is the Upton bill. 

Q    Yes, correct.

MR. CARNEY:  Because whatever its intentions, the plan would, by allowing insurers to sell substandard policies to new customers -- not simply to renew -- allow those individuals who had those policies and received cancellations to renew them, but to sell those policies to new customers, unlimited number of new customers would undermine the central premise of the Affordable Care Act, which is that there should be minimum standards for everyone and that insurance companies should not be able to in the new marketplaces sell plans that charge Athena twice what they charge you; that put annual caps on what benefits you can receive; that give you doctors’ visits, but not hospitalizations; that give you coverage, but not your child because your child has asthma.

So this is -- the problem with the Upton bill and why we will -- the President will veto it if it ever gets to his desk, is because it would basically -- again, whether this is the intention of the author or not -- it would basically go back to in that market the world that existed before, which I think it's important to remember:  Even as we have these legitimate discussions about the problems with the rollout of the Affordable Care Act, it's not a world that most people want us to remain living in for those who have to suffer the vagaries of the insurance market as individuals.  So that's why it won't work.   

 Q    Since the President made the “if you like your plan, you can keep your plan” promise, and now already we've heard from at least three states that say they are not going to allow the change from yesterday -- the idea presented by the White House to go forward -- will, A, the President reach out to those states and push them to do that?  And then what does he say directly to those individuals in those states who say, Mr. President, you've made those promises to me and now they don't apply to me?

MR. CARNEY:  What the President will do and his team will do is work with every state to try to discuss the benefits of this fix -- 

Q    So what do you say to Washington State?

MR. CARNEY:  Well, I think I had this question earlier.  But the answer is that the President will continue to work -- he is doing -- he did yesterday --

Q    Is he disappointed maybe is a better way to put it.  I know you answered -- perhaps his thoughts.

MR. CARNEY:  He did yesterday what he can do administratively to address this problem.  He will work with Congress to do -- so that Congress can do what it can do legislatively in a good-faith effort to address problems, to improve the implementation of the Affordable Care Act.  What he won't do is support policies that essentially are designed to sabotage, repeal, undermine the Affordable Care Act.

Q    So if people are upset, who should they be upset with?  Who should the blame be directed to?  Should it be directed to the President, to the state commissioner, or to the insurance company?  The insurance companies say you're making people direct the blame toward them.

MR. CARNEY:  Two things.  One, the President I think accepted an ample amount of responsibility before you yesterday.  No question.

Q    But it doesn’t fix it for a lot of people even still.

 MR. CARNEY:  Let's also be clear, and it is absolutely incumbent on anyone who reports on this to be clear about the reality of the individual market -- which is that the things that happen to consumers in that market every year can continue to happen, unless individuals end up in the marketplaces where they have the protections under the Affordable Care Act.

So one of the reasons why we got where we are is because insurers have been able to in that market to sell you a plan because you're healthy.  And then, when you get sick during the year that that plan and that contract was in effect, refuse to renew your policy the next year, because you now have a preexisting condition.  They again, as I said, could sell you a plan and take the same plan and market it to a woman of the exact same age and the exact same health, and charge her up to twice as much.

So again, this is not about blame.  But I think it is important to understand what individuals in that market have been dealing with for a long, long time, and problems in that market that have been real and have nothing to do with the Affordable Care Act, except in the fact that the Affordable Care Act was designed in part to prevent those problems from traveling with us into the future.

Q    The President said yesterday there will be an intense evaluation already.  He is asking a lot of tough questions of his team to figure out how we got to this point.  Has the President done anything, communicated anything to his team to go forward now with some form of after-action report, given the fact that the October 1 deadline has already passed?  What is he doing right now for that study to take place?

Q    Peter, I think that the answer to that is no, because the President right now has tasked his team -- and everyone involved in this effort -- to the work needed to improve the website and to improve the implementation of the Affordable Care Act and the delivery of the benefits of the Affordable Care Act.

 I think there are obviously already efforts underway in Congress to engage in oversight.  And what the President is focused on and what his team is focused on is doing the work necessary to make sure that the Affordable Care Act works for the American people.

Q    Does he believe that people should be accountable -- even if that process doesn’t happen yet?

MR. CARNEY:  I think the President stood up in front of you yesterday, as he did in an interview on your network last week, and took responsibility for the problems that have arisen with the rollout of the Affordable Care Act.  He is accountable and his team is accountable.  And, no, his team -- and that’s why he has assigned them to work overtime to make these fixes and get it right.

Chris.

Q    Thanks, Jay.  Yesterday, Speaker Boehner said that he sees no basis or no need for the Employment Non-Discrimination Act when I asked him at a news conference if he would be open to bringing it up for a vote.  Given the repeated statements of opposition from that bill from Republican leadership, is there any reconsideration at the White House to an executive order --MR. CARNEY:  Chris, I appreciate the question and the Speaker’s comments of course are disappointing.  And I think that those who oppose this legislation are taking the wrong position.  And they are taking a position that I think history will prove to be wrong, as has been the case in seminal civil rights legislation throughout our history in this country.

Basic equality is fundamental to who we are as a nation.  And our history is, in part, a story of efforts and struggles to reach that ideal where equality is not only an aspiration but a fact.  The Employment Non-Discrimination Act is a piece of that story, and it ought to be passed by Congress, passed by the House as it was by the Senate, because this President will sign it into law. 

And we believe that we have come a long way -- and I know you and I have had this conversation over the course of the last several years -- and I think that it is fair to say that maybe some close observers of this debate did not believe we would get to where we are now, where the Senate has passed this legislation with bipartisan support.  So we are not at all ready to believe that the fight is over in the House, because it is the President’s strong conviction that this is the right thing to do and that the arguments against it do not hold up to scrutiny or the test of history. 

So we’re going to keep fighting for the House to take it up and urging the House to take it up.  We believe that if it were given a vote on the floor, that it would pass and that Democrats and Republicans would vote yes, and the President would sign it into law.  And we believe, as we've discussed, you and I, over the past many months and years, that that is the best solution here.  And we're going to continue to fight for it. 

Q    If the intransigence continues, would the President be open to the idea of threatening to issue the executive order --

MR. CARNEY:  Look, I think that we're focused on getting this legislation passed right now, Chris.  And for the reasons I just discussed, we believe that resistance to it will eventually fall away, because the rightness of it will prevail.

Let me give you a week ahead, please. 

On Sunday, the First Family will attend the Oregon State versus University of Maryland basketball game in College Park, Maryland. 

On Monday, the President will attend meetings here at the White House. 

On Tuesday, the press will deliver remarks at the White House Journal's CEO Council's annual meeting.

On Wednesday, the President will award the Presidential Medal of Freedom.  The First Lady will also attend.  The Medal of Freedom is our nation's highest civilian honor, presented to individuals who have made especially meritorious contributions to the security or national interests of the United States, to world peace, or to cultural or other significant public or private endeavors.  The medals will be presented at the White House in a morning ceremony.

On Thursday, the President will attend meetings here at the White House. 

And on Friday, the press will host King Mohammed VI of Morocco at the White House.  The visit will highlight the longstanding friendship between the United States and Morocco, and strengthen our strategic partnership.  The President looks forward to discussing a range of issues of mutual interest with the King, including support for Morocco's democratic and economic reforms. 

This visit is also an opportunity to increase our cooperation on addressing regional challenges, including countering violent extremism, supporting democratic transitions, and promoting economic development in the Middle East and Africa. 

That is your week ahead.  Thank you all very much.  Have a great weekend. 

Q    Will you send out a reading --

Q    The insurance meeting?

Q    Yes, will you send out something after the meeting?

MR. CARNEY:  A readout?  We'll see.

 

END              

1:55 P.M. EST

The White House

Office of the Press Secretary

President Obama Announces Presidential Delegation to Georgia to Attend the Inauguration of His Excellency Giorgi Margvelashvili, President-elect of Georgia

President Barack Obama today announced the designation of a Presidential Delegation to Georgia to attend the Inauguration of His Excellency Giorgi Margvelashvili on November 17, 2013.

The Honorable Rajiv Shah, Administrator of the United States Agency for International Development will lead the delegation.

Members of the Presidential Delegation:

The Honorable Richard Norland, United States Ambassador to Georgia, Department of State

The Honorable Paige Alexander, Assistant Administrator, Bureau for Europe and Eurasia, United States Agency for International Development

Mr. Thomas Melia, Deputy Assistant Secretary, Bureau of Democracy, Human Rights and Labor, Office of the Under Secretary for Civilian Security, Democracy, and Human Rights, Department of State

The White House

Office of the Press Secretary

Background Conference Call with Senior Administration Officials on the Vice President's Trip to Houston and Panama

Via Teleconference

9:33 A.M. EST

MS. BARKOFF:  Thanks, everyone, for joining today's call.  On today's call, we're hoping to provide you all with more details of the Vice President's schedule and goals during his trip to Panama next week.  This call will be on background, and our speakers will be happy to take a few questions after they give some brief opening statements at the top.  We'd like to keep this call focused on the trip as much as possible.  And I want to remind everyone that it is one question per person today. 

With that, I'm going to turn it over to our first speaker.  You can quote them as a Senior Administration Official.

SENIOR ADMINISTRATION OFFICIAL:  Thanks, Kendra. 

I'm going to just take a couple of minutes to put this trip in a broader context, and then turn it over to my colleague to talk specifically about the Panama elements of the stop and the U.S.-Panama relationship.

The trip the Vice President is taking next week continues the most active year of engagement by this administration in the Western Hemisphere by any administration in quite a long time, with the President traveling to Mexico and Costa Rica in May; the Vice President traveling to Brazil, Colombia, and Trinidad and Tobago; welcoming heads of state here from Peru and Chile already, and then later this year from Colombia; the Vice President was in Mexico in September; met with the President of Uruguay on the margins of the UN General Assembly in New York; he has -- the Vice President has initiated the first-ever sustained dialogue with members of Congress on the Western Hemisphere; and if you look at his call logs over the course of the past few weeks, there is a regular spot for leaders in the hemisphere on a wide range of issues.

So the President has made it a priority for the administration at all levels to elevate and intensify our engagement in the Western Hemisphere, and has asked the Vice President to play a role in helping lead and spearhead that effort. And this trip to Panama next week is simply the latest in that line of engagement, and comes in a broader context of our commitment to partnership and active engagement in the Western Hemisphere.

One of the reasons why we're placing such a high premium on this intensive effort in the Americas is that the economic interconnections between the United States and the countries of the Americas, from Canada all the way down to Chile and everywhere in-between, create so many possibilities for American workers, for American businesses, and for the businesses and workers of all of the countries of the Americas.

The middle class in Latin America has expanded by 50 percent, from just over 100 million in 2003 to over 150 million in 2009.  And over that same period, poverty has fallen from around 44 percent down to 30 percent.

If you look at where U.S. exports go, where the things, the stuff, that American workers make, is shipped overseas, nearly 40 percent of it goes to the Western Hemisphere.  And between 2008 and 2011, U.S. exports to the Americas increased from $250 billion to nearly $750 billion.

If you look at particular pieces of our engagement in the hemisphere, just in North America alone, we have a trillion-dollar trading relationship with Canada and Mexico under NAFTA. 

And the energy picture tells a very similar story.  One third of our oil imports come from the region.  And if you look at the growth, the added oil coming on to the market, it is coming on from places like the United States, like Brazil, and Mexico, and Canada, and other countries in the hemisphere.

So this is a story that cuts across every issue and every constituency.  But the economic dimension of our relationship with the countries of the Americas is an especially central part of the pattern of engagement that we have pursued this year and will continue to pursue over the course of the next three years.

And that's especially important when we think about going down to Panama, because obviously the Panama Canal is a lifeline for trade and commerce for the United States and for the world.  And it connects directly to questions of economic development and job creation in the United States.

So before the Vice President actually goes to Panama, he'll be stopping along the way to visit the port of Houston.  And in Houston and then in Panama, where he will tour the Panama Canal expansion project and meet with Panamanian President Martinelli, he'll be accompanied by a number of significant American leaders, both members of Congress, and city leaders, mayors.  Specifically, he's going to be joined by Secretary of Transportation Anthony Foxx, Senator Johnny Isakson of Georgia, Representative Debbie Wasserman Schultz of Florida, Mayor Stephanie Rawlings-Blake of Baltimore, Mayor Kasim Reed of Atlanta, and Mayor Michael Nutter of Philadelphia.

And the reason that these leaders are traveling with the Vice President is because they want to drive and reinforce the same message the Vice President does, which is that what happens with the Panama Canal matters for American jobs and American cities, it matters for economic growth in the United States, and it matters for broader economic growth throughout the Americas and around the world.

And so drawing this connection, this link, between the cities of the United States and the well-being and welfare of the American people to the important work that is going on in the expansion of the Panama Canal and the future of Panama itself -- drawing that link is an essential way to show just how important our engagement in the Americas is.

With that, let me turn it over to my colleague to talk through the U.S.-Panama relationship, because the bilateral relationship and other issues of importance on foreign policy in the hemisphere are also going to be an important part of the Vice President's trip.

SENIOR ADMINISTRATION OFFICIAL:  Thank you very much.

As my colleague just mentioned, the Vice President's visit to Panama should be seen in the context of our increased engagement with the Americas more broadly.  President Obama has made six visits to Latin America during his time in office.  And this is the Vice President's sixth visit to the region and his fourth in the last 12 months alone.

In addition to our focus on Panama's importance, has been an effective custodian of the Panama Canal, Vice President Biden is visiting to highlight our very positive bilateral relationship, and Panama's important role in the region.

Panama, as you know, is going to be a very good location for the next Summit of the Americas, which it will host in 2015.  We have a very strong economic relationship with Panama, with about $10.4 billion in trade in 2012.  And trade has increased from that period by about 15 percent since our trade promotion agreement went into effect in October of 2012. 

We also have a very successful security partnership with Panama and work together to combat organized crime, including organizations that take advantage of Panama's strategic location and its role as an international logistics hub.  That's something that we're going to continue to highlight, and it will certainly be a topic of discussion between Vice President Biden and President Martinelli.

President Obama and the Vice President are undertaking this outreach, including with Panama, because, as my colleague mentioned, we've seen the Americas as a region of opportunity for the United States, and we have a chance to build a hemisphere that’s secure, middle-class and democratic.  And Panama is part of that.  We see it as part of the broadly positive trend in the region, and while not losing sight of the fact that there’s still much more to do, particularly in Central America.

When President Obama visited Costa Rica in May and met with Central American leaders, one of the themes he emphasized was U.S. support for economic integration in Central America.  As positive as the regional story has been, Central America’s slow economic growth and high level of insecurity in some countries remain a major source of concern.  Our view is that the more that the countries of Central America work together collectively to reduce barriers and take advantage of what’s now a population that’s approaching 40 million people, the greater likelihood that they’ll be able to overcome the challenges they face, which we just described.

The Central American Integration System, or SICA, is really key to this effort.  Panama and the canal are also an important part of the effort to integrate regional infrastructure and regional economies, to reduce the high transport costs of Central America and to address the high energy costs for local producers that are approximately three times the costs of energy in the United States.

Finally, the message that the Vice President is bringing is that the United States is a committed partner, and that we want to be part of the success of the region.  Panama is a good example of how this partnership can bring concrete, positive results, both in the Americas and in the United States, to create jobs in both the United States and in Central America.

So thank you and I think we’re ready for some question.

SENIOR ADMINISTRATION OFFICIAL:  Maybe before we go to questions, if I could take one more moment for those of you on the phone who don’t have the background on what is happening with the expansion of the Panama Canal, just to situate that because it’s an important part of what is bringing the Vice President down to Panama at this time.

As some of you know, ships currently passing through the Panama Canal have to be a certain dimension.  Basically, they have to be able to go through 39.5 feet deep in the water to get through the canal’s two lanes.  In 2015, Panama will complete a larger lane that will accommodate the larger -- what are called Post-Panamax ships -- up to 50 feet deep to pass through.  Post-Panamax vessels currently handle about 87 percent of existing container ship fleets and can accommodate as much as three times more cargo than current ships that can go through the Panama Canal. 

So the addition of this third lane will ease the bottleneck, will allow Post-Panamax ships to get through, and will create a more efficient system for existing Panamax ships to get through as well.  What the Panama Canal Authority estimates that the cargo volume will actually double (inaudible), and as a result that will benefit a great number of ports in the United States as well as other countries in the Americas.

So that is the sort of context and backdrop for the trip to visit the Panama Canal expansion project.  And in the run-up to this trip, the Vice President has actually made it a point to visit several key ports in our country to highlight the importance of infrastructure investment in the United States.  In September, he visited Baltimore, Charleston and Savannah.  In November, earlier this month, he traveled to the Northwest Ohio Intermodal Terminal near Toledo.  And then obviously he will hit the port of Houston before heading down to Panama.

SENIOR ADMINISTRATION OFFICIAL:  I think with that we’ll open it up to a few questions.

Q    Thanks for doing the call.  You mentioned that the President has asked the Vice President to spearhead the work on this relationship, and I just wonder if you could say a little bit more about that mission individually, and then also sort of how it fits into the Vice President’s larger portfolio.

SENIOR ADMINISTRATION OFFICIAL:  Sure.  Well, beginning early this year, the Vice President began a pretty intensive pattern of engagement in the hemisphere, both through travel, through calls, through outreach to the Hill and through public speeches where he tried to lay out and reinforce the President’s agenda, themes and messages for the hemisphere.  He gave a speech at the Council of the Americas on May 8th that I think still stands as a pretty good blueprint for what the administration’s approach will be to the hemisphere in the second term.

And what both the President and the Vice President believe is that spending more time, having a deeper investment in building relationships and partnerships with the countries of the hemisphere benefits the United States in a range of ways, not just on foreign policy matters, but also as I said earlier in terms of economic growth and job creation in the United States.

And the connections between the United States and the hemisphere in terms of our economy and the regional economy are only growing and only becoming more important to our future prosperity.  That’s true whether it’s measured in terms of exports -- more than 40 percent of America’s exports go to the region.  It’s true in terms of energy and the energy revolution that we’re seeing throughout the Americas.  It’s true in terms of questions related to immigration and the movement of labor in the region.  And it’s true on a range of other issues as well.

So an increased focus on the hemisphere and intensified engagement with the people and leaders of the region fits into the Vice President’s overall mission, working on behalf of the President, of trying to advance economic growth, job creation, infrastructure investment -- all of the things that will improve the lives of the American middle class.  And a key to doing that is building deeper, stronger and more durable connections with the countries of the hemisphere.  And there’s no place that you can see that more plainly and acutely than in the relationship between the United States and Panama and the Panama Canal expansion project, how that relates very directly and very literally concretely to the development of ports along the East Coast of the United States and in the Gulf of Mexico. 

And so you will see over the course of the coming months, as you’ve seen over the past months, a continued intensive engagement by the Vice President on this set of issues.  And this is not the Vice President doing this, I mean, out of his own sense of what’s important; it is the President and the Vice President concluding together, with the President setting a clear mission and clear direction for what he believes is important to accomplish, and the President and the Vice President thinking through how we can carry out this enhanced, intensified engagement and partnership with the countries in the Americas.

Maybe I’ll ask my colleague if he has anything he wants to add.

SENIOR ADMINISTRATION OFFICIAL:  No, I think the only thing I would add is another part of the calculus is a sense, and a clear understanding that countries of the Americas are playing a greater global role, and they're moving into foreign policy areas where maybe we wouldn’t have worked as actively with them in the past.  A good example of this is trade in the Pacific and the importance of the Trans-Pacific Partnership to the United States and to the region.

Clearly the inclusion of four countries, in addition to the United States, in this broad agreement is kind of a signal of where we see the region moving.  Again, our work in the Americas is part of a broader global context where we see the growing importance of partnerships throughout the hemisphere.

SENIOR ADMINISTRATION OFFICIAL:  And just one last point I’ll make, the Vice President gave a speech this summer at the Center for American Progress, which was a speech largely focused on Asia, because it preceded his trip to India and Singapore.  But in the speech, he drew a clear line between the administration’s rebalance to Asia and the intensified work we’re doing here in the hemisphere because you can see from the Indian subcontinent to the shores of the Americas an opportunity for a kind of 21st century trade and investment partnership, both through TPP and APEC, but also just more broadly in terms of creating the rules of the road for 21st century trade that a number of countries in the Americas, including the countries that my colleague just mentioned, are going to be integral players in.  And that's something that connects two of the administration’s significant initiatives:  intensified work in the hemisphere and the rebalance to the Asia Pacific.

Q    Good morning, thanks for doing the call.  I just wanted to ask a totally hometown question, and that is could you talk a little bit about the role that the visit to Houston plays in this effort, going down to Panama?  And secondly, I see that the mayor from Houston is not one of the officials included, I just wonder if there are other officials from Houston who might be going as well?

SENIOR ADMINISTRATION OFFICIAL:  Sure.  So, one of the reasons that the Vice President thought it was important to stop in Houston on the way to the Panama Canal is because he wants to, as I said before, draw this link between the development of America’s ports to the expansion of the Panama Canal. 

And over the past five years, the administration has made a number of investments in the Port of Houston, including $100 million through the Recovery Act.  And it’s in part as a result of these investments and investments that Texas and Houston have made that the total amount of exports from the Port Houston has increased by 48 percent.  So today the Port of Houston is responsible for about $500 billion of economic activity a year, which contributes in one way or another to over 2 million jobs around the country.

It’s numbers like that the President and the Vice President is really trying to reinforce with all of his visits to ports around the United States, that this is part of the lifeblood of the American economy, and that expanding the dynamism and sustainability of these ports into the future as ships get bigger, canals get wider is going to be an incredibly important part of the American recovery and growth story.  So that is what is motivating his trip to Houston before he goes down.

And he will be highlighting the fact that forecasts from the Port of Houston indicate that by 2035, there will be more than five times as many containerized exports traveling from Houston to Asia via canal -- the canal as there are today.  So you can just see both what the present contribution is and what the future holds in terms of the Port of Houston's activities.

On the question of officials in Houston and travel to the Panama Canal, the Houston mayor won't be accompanying him to the canal, but he will have ample time to be able to consult with the mayor and a number of local leaders in Houston during his time on the ground in Houston on that day.  So he'll have a chance to consult on the work that they're doing with the port, their own vision for economic growth and infrastructure development, and also be able to talk about his trip to Panama the next day. 

Q    Can you talk a little bit about what message the Vice President would have for the domestic side -- the U.S. side?  Are U.S. ports equipped to handle these ships?  Is there something that the ports in the United States need to do to expand themselves to accommodate this larger traffic? 

SENIOR ADMINISTRATION OFFICIAL:  Sorry, you cut out towards the end there.  Can you just repeat the second half of your question?

Q    Yes, sure.  Is there anything that U.S. ports need to do to get up to speed to accommodate this expanded traffic that would come through the canal with these larger ships?

SENIOR ADMINISTRATION OFFICIAL:  So, you're talking to a couple of foreign policy wonks who are not particularly well suited to talk about the engineering of ports, but I will say this:  That because of the expansion of the canal to allow for ships that run at 50 feet deep -- which are now becoming the dominant type of containerized ship carrying cargo through the canal to and from Asia -- a lot of work is going to have to be done on U.S. ports to be able to prepare for those ships to dock there and load and unload goods. 

And that’s part of what the Vice President has been focused on when he's been going to ports up and down the Eastern Seaboard -- about the infrastructure investments that are required to expand channels, deepen channels, build the physical, on-the-ground infrastructure to handle larger (inaudible).

So the short answer to your question is that there is a huge opportunity for jobs and infrastructure development at the ports to prepare for a Post-Panamax world.  And that is part of the message that he's been carrying in his port visits so far, it's what he will discuss in Houston.  And then it is what, obviously, he'll be highlighting down at the canal expansion project itself. 

And obviously he's bringing with him Secretary of Transportation Foxx, who has played a lead role in terms of helping get American ports prepared for the type of cargo and volume that will be coming as a result of the expansion. 

SENIOR ADMINISTRATION OFFICIAL:  And we can circle back with you with additional information if you'd like to reach out to the Vice President's communications office.  We can provide you with any sort of additional questions on this -- or answers. 

Q    I'm sort of -- Mark at Reuters sort of asked my question about the status of U.S. ports' own expansion to accommodate the larger ships.  But I was wondering, is it possible to quantify -- again, this may be a question you'll have to take -- possible to quantify how much of the President’s initiatives for infrastructure development would go to port expansion before 2015 preferably?  And I’m also curious as to how the trip came to be two days instead of three days.

SENIOR ADMINISTRATION OFFICIAL:  On the latter question, it was simply a question of scheduling.  The important elements came together -- the bilateral with the President, a visit to the port, the chance to see the presidential candidates -- came together in a way where we were able to put it all on a single day rather than have it go over into a couple of days.  And obviously given everything else going on here, having the opportunity for the Vice President to be back in Washington was a positive thing.  But we didn’t have to cut anything from the program; it was merely a question of how to schedule it in a way that it could all be done in a single day.

In terms of the dollar figures, that’s the sort of specific question that I know we have an answer to but it would be best to have our communications folks get back to you with -- to answer both with respect to investments between now and 2015, and then from 2015 and beyond what we would be talking about in terms of infrastructure dollars from the federal government and then from state and local governments as well.

Q    Shifting topic right now, I was wondering if by any chance the issue of Panama’s desire for the United States to retrieve and clean up former chemical weapon munitions that were left on San Jose Island, whether that will be discussed with the Vice President.  The Panamanian Foreign Minister has said that a deal has been reached with the Pentagon for them to retrieve and dispose of the weapons, but I haven’t heard of any formal announcement coming yet from the U.S. government.  Thanks.

SENIOR ADMINISTRATION OFFICIAL:  Thanks for that.  Obviously we’re aware of Panama’s formal request in May to have eight U.S.-origin chemical munitions destroyed.  This is something that we’re reviewing right now and have committed to resolving in a timely manner.  We think that this probably will be part of the discussions and we’ll be prepared to talk about it directly based on the conversations that we’ve been having with Panamanian officials this month.

Q    I would like to know, since you mentioned that you are trying to engage with the Americas and the Americas is divided.  So do you have a plan on how to dealing with the countries who are not really engaged with the U.S., as Venezuela?  And if you can update on us on what happened with Brazil in the meeting with President Obama?  Thank you.

SENIOR ADMINISTRATION OFFICIAL:  Thanks for that.  We understand that there are going to be differences among governments in the Americas, but I think the bigger issue is that, in fact, there is a very unified view throughout the Americas of a need to drive up social indicators and have broad-based economic growth.  That's one area where there’s broad agreement.  Another one is on the need to have new and strong energy sources.  That's something that sort of cuts across as well.

There are many areas where there is a great deal of unity in the Americas.  And we certainly don't view the need or the desirability of any types of divisions, and we certainly have conveyed our readiness to talk to any partner in the region to have as constructive relations as possible.

And we think we're going to continue on that course.  I think the main story is that in the Americas what you see is a range of countries that use democracy and open markets to drive social development and to elevate social indicators, as my colleague described it at the beginning, in reducing poverty by significant amounts and driving up the growth of the middle class.  In Brazil and Mexico, you have middle-class majorities at this point; you have middle classes growing throughout the region.  So, again, the broader story is quite positive.

With respect to Brazil, we have a very strong bilateral relationship.  There are many areas where we have been working together over the last five years, in particular, to build an infrastructure in our relationships and bilateral mechanisms that are going to address the very significant bilateral relationship between our countries, particularly in terms of trade and people-to-people contacts.  And we're sure that that positive relationship is going to continue.

We're obviously dealing with the concerns that have been raised in the last several months, but we are confident that we are going to overcome those in short order and move ahead with what is a very positive set of relationships.

Thank you.

MS. BARKOFF:  With that, I think we'll end the call.  Thanks to everyone for joining us. 

END
10:04 A.M. EST

The White House

Office of the Press Secretary

Presidential Proclamation -- American Education Week, 2013

AMERICAN EDUCATION WEEK, 2013
- - - - - - -
BY THE PRESIDENT OF THE UNITED STATES OF AMERICA
A PROCLAMATION
 
 
Education is both a pillar of democracy and a cornerstone of American opportunity. In an increasingly competitive world, it gives our children the tools to thrive and our Nation the talent to lead. During American Education Week, we reaffirm our commitment to the next generation, and we celebrate everyone who is striving to help America's young people realize their full potential.
 
Every day throughout America, our children mark the many milestones of learning -- from scribbling their first attempts at the alphabet to conducting their first science experiment to crossing the stage at commencement. The educators who guide them deserve our highest admiration, respect, and support for investing in young people's futures. We all have a stake in public education, and we all have a role to play -- from parents and mentors to community leaders and business owners. Through programs focused on tutoring, sports, the arts, and vocational training, we can inspire children to learn both inside and outside the classroom.
 
A great education is a ticket into the middle class, and it should be available to everyone willing to work for it. My Administration is committed to reining in college costs and reducing the burden student loans place on young people. We are also moving forward on a plan to connect 99 percent of America's students to high-speed internet within 5 years; pushing to make high-quality early education accessible to every child in America; and working to strengthen programs in science, technology, engineering, and mathematics. Because none of these plans will succeed without outstanding teachers, we must support these professionals as they perform their vital work.
 
As we move toward Thanksgiving, American Education Week offers a chance to express our gratitude to educators across our Nation. Let us do so with a renewed commitment to giving every young American the opportunities a world-class education affords.
 
NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim November 17 to November 23, 2013, as American Education Week. I call upon all Americans to observe this week by supporting their local schools through appropriate activities, events, and programs designed to help create opportunities for every school and student in America.
 
IN WITNESS WHEREOF, I have hereunto set my hand this fifteenth day of November, in the year of our Lord two thousand thirteen, and of the Independence of the United States of America the two hundred and thirty-eighth.
 
BARACK OBAMA

West Wing Week: 11/15/13 or "We Will Stand By Your Side"

Welcome to the West Wing Week, your guide to everything that's happening at 1600 Pennsylvania Avenue, and beyond. This week, the First and Second Families honored Veterans Day, the President traveled to New Orleans and to Cleveland to speak on the importance of infrastructure to job creation, signed the EpiPen Law, discussed immigration reform with Faith Leaders and attended the 5th Annual Tribal Nations Conference. That's November 8th to November 14th or "We Will Stand By Your Side."

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West Wing Week: 11/15/13 or "We Will Stand By Your Side"

November 15, 2013 | Public Domain

Welcome to the West Wing Week, your guide to everything that's happening at 1600 Pennsylvania Avenue, and beyond. This week, the First and Second Families honored Veterans Day, the President traveled to New Orleans and to Cleveland to speak on the importance of infrastructure to job creation, signed the EpiPen Law, discussed immigration reform with Faith Leaders and attended the 5th Annual Tribal Nations Conference. That's November 8th to November 14th or "We Will Stand By Your Side."

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The White House

Office of the Press Secretary

Remarks by the President on the Economy in Cleveland, OH

ArcelorMittal Cleveland Steel Factory
Cleveland, Ohio 

3:38 P.M. EST

THE PRESIDENT:  Hello, Ohio!  (Applause.)  It is good to be back in Cleveland.  The last time I was here was about a year ago, in the final days of the campaign.  I know how much you miss hearing how I approve this message every night on your TV.  (Laughter.)  I will say it is nice to be here when the only real battle for Ohio is the Browns-Bengals game this Sunday.  (Applause.)  He’s got the Browns shirt right here, Browns cap.  (Laughter.) 

I want to thank Scotty for that terrific introduction.  Give him a big round of applause.  (Applause.)  He is a natural.  I want to thank your CEO, Lakshmi Mittal, for investing in America and the Cleveland area.  We appreciate him.  (Applause.)  And I want to thank all of you for having me here today.

Along with me, there are a couple of people I just want to acknowledge.  First of all, America’s Secretary of Energy, Ernie Moniz, is here.  Right there.  (Applause.)  And Congresswoman Marcy Kaptur is here.  Give Marcy a big round of applause.  (Applause.)  Fighting for working people every day.

And earlier this afternoon I had a chance to see your mayor, Frank Jackson; your county executive, Ed FitzGerald.  And even though they’re not here, I want to thank them for the great work they’re doing on behalf of working people throughout the region.  (Applause.) 

And then, finally, I want to thank Mark and Gary for showing me one of the biggest steel plants in America.  And they told me that folks are proud to have been making steel right here for a century -- 100 years -- right here.  (Applause.)  And they explained that, today, the steel you make in Cleveland is some of the strongest you’ll find anywhere in the world.  It’s one of the most productive plants in the world.  Best workers in the world.  (Applause.)  

And what’s remarkable is, when you think about it, go back to where this plant was just a few years ago.  The economy was in free fall, auto industry on the brink of collapse.  And that meant demand for steel had dried up.  The blast furnaces went quiet.  About 1,200 steelworkers punched out for what might have been the last time.  And that all came at the end of a decade when the middle class was already working harder and harder just to get by, and nearly one in three American manufacturing jobs had vanished -- a lot of them going overseas.  And that could have devastated this community for good.

But we rolled up our sleeves, we made some tough choices.  We rescued and retooled the American auto industry; it saved more than a million jobs.  We bet on American ingenuity and American workers.  (Applause.)  And assembly lines started humming again, and automakers started to make cars again.  And just a few months after this plant shut down, your plant manager got the call:  Fire those furnaces back up, get those workers back on the job.  And over the last four years, you’ve made yourselves one of the most productive steel mills not just in America, but in the world.  In the world.  (Applause.) 

So you retooled to make the stronger steel that goes into newer, better American cars and trucks.  You created new partnerships with schools and community colleges to make sure that folks who work here have the high-tech skills they need for the high-tech jobs -- because I was looking around this factory, and there’s a whole bunch of computer stuff going on.

One of your engineers -- and I want to make sure I get Margaret’s name right here -- Margaret Krolikowski.  Did I get that right, Margaret?  (Applause.)  Where’s Margaret?  Where is she?  There is she is, back there.  So I’m going to quote you -- I’m going to quote you.  Here’s what Margaret said:  “When we came back, we wanted to make sure we were in a position where we never shut down again.”  Never shut down again.  And that means making sure that workers here are constantly upgrading their skills and investments being made in the state-of-the-art technology.

And it was interesting, when I was meeting a number of the folks who were giving me the tour -- folks who have been here 30 years, 40 years -- but obviously the plant has changed, and so during that period they’ve had to upgrade their skills.  And that’s what’s happened.  And the story of this plant is the story of America over the last five years.  We haven’t just been recovering from a crisis.  What we’ve been trying to do is rebuild a new foundation for growth and prosperity to protect ourselves from future crises.  And because of the grit and resilience and optimism of the American people, we’re seeing comeback stories like yours all across America. 

Over the last 44 months, our businesses have created 7.8 million new jobs.  Last month, another 200,000 Americans went back to work.  (Applause.)  And a lot of those jobs are in manufacturing.  So now we’ve got more work to do to get those engines of the economy churning even faster.  But because we’ve been willing to do some hard things, not just kick the can down the road, factories are reopening their doors, businesses are hiring new workers, companies that were shipping jobs overseas, they’re starting to talk about bringing those jobs back to America.  We’re starting to see that. 

And let me give you an example, because we were talking about this -- Mr. Mittal and others were talking about what’s different now.  Take a look at what we’ve done with American energy.  For years, folks have talked about reducing our dependence on foreign oil -- but we didn’t really do it.  And we were just importing more and more oil, sending more and more money overseas.  Gas prices keep on going up and up and up.  We finally decided we were going to do something about it.

So we invested in new American technologies to reverse our addiction to foreign oil, double wind power, double solar power, produce more oil, produce more natural gas, and do it all in a way that is actually bringing down some of our pollution, making our entire economy more energy-efficient.  Today, we generate more renewable energy than ever.  We produce more natural gas than anybody in the world.  Just yesterday, we learned that for the first time since 1995, the United States of America produces more of our own oil here at home than we buy from other countries.  First time since 1995.  (Applause.)  And that’s a big deal.  That’s what America has done these past five years.

And that is a huge competitive advantage for us.  Part of the reason companies now want to move -- we were just talking about it -- this plant, if it’s located in Germany, energy costs are double, maybe triple; same in Japan.  So this gives us a big edge.  But this is also important:  We reached the milestone not just because we’re producing more energy, but also we’re wasting less energy.  And this plant is a good example of it.  We set new fuel standards that double the distance our cars and trucks go on a gallon of gas by the middle of the next decade.  That saves the average driver, everybody here, more than $8,000 at the pump over the life of a new car.  You like that?  (Applause.)  We launched initiatives to put people to work upgrading our homes, and our businesses, and our factories so we’re wasting less energy.  All that saves businesses money on their energy bills.  Your plant is one of the hundreds to answer that call.  And if you’re saving money on energy costs, that means you can invest in equipment, invest in workers, hire more people, produce more products.

And here’s another thing:  Between more clean energy, less wasted energy, the carbon pollution that’s helping to warm the planet, that actually starts going down.  And that’s good news for anybody who cares about leaving a planet to our kids that is as beautiful as the one we got from our parents and our grandparents.  (Applause.)  So it’s a win-win.  Our economy keeps growing, creating new jobs, which means that strengthening our energy security and increasing energy efficiency doesn’t have to be a choice between the environment and the economy -- we can do both.

So we’ve tackled the way we use energy.  That’s making America more competitive in order to attract good jobs.  We’ve also tackled our deficits.  A lot of people have been concerned about deficits.  Since I took office, we cut them in half.  That makes America more attractive when it comes to business investment decisions. 

And we’ve tackled a broken health care system.  Obviously, we’re not done yet.  (Applause.)  Obviously, we’re not done yet.  But over the last three years, health care costs have grown at the slowest pace on record.  And this is a great place to work thanks to a great steelworkers union and cooperation between management and labor.  (Applause.)  But just keep in mind that if businesses’ health care costs are growing at about one-third the rate that they were a decade ago, that makes America a more affordable place to do business, and it also means that the investors here, if they’re putting less money into health care costs, they can put more money in terms of hiring more workers and making sure that they’re getting good pay.

So that’s what all these tough decisions are about:  Reversing the forces that have hurt the middle class for a long, long time, and building an economy where anybody, if you work hard, you can get ahead.  That’s what plants like this have always been about.  It’s not that it’s easy work.  But it means if you work hard, you’ve got a chance to buy a home, you’ve got a chance to retire, you’ve got a chance to send your kids to school, you have a chance to maybe take a little vacation once in a while.  That’s what people strive for.  And that’s what will make the 21st century an American century, just like the last century was. 

But I didn’t run for President to go back to where we were.  I want us to go forward.  I want us to go towards the future.  (Applause.)  I want us to get us to where we need to be.  I want to solve problems, not just put them off.  I want to solve problems.  And we’ve got to do more to create more good, middle-class jobs like the ones folks have here. 

That means we’ve got to do everything we can to prepare our children and our workers for the competition that they’re going to face.  We should be doing everything we can to help put some sort of advanced education within reach for more young people.  Not everybody has got to go to a four-year college, but just looking at the equipment around here, you’ve got to have a little bit of advanced training.  It may come through a community college or it may come through a technical school, but we’ve got to make sure you can get that education, your kids can get that education without going broke -- without going broke, without going into debt.  (Applause.)  So we’re working on that.

Another thing we should be working on:  Fixing a broken immigration system.  (Applause.)  When you think about this whole region, a lot of folks forget, but almost everybody who worked in that plant 100 years ago came from someplace else.  And so we’ve got now a new generation of hopeful, striving immigrants; we’ve got to make sure that they come legally and that we do what we need to secure our borders, but we’ve also got to make sure that we’re providing them opportunity just like your parents, grandparents, great-grandparents received when they arrived at this plant.  And that’s important.  (Applause.)  And, by the way, it will help our economy grow because then they’re paying taxes and helping to invest and build here in America. 

We should do everything we can to revitalize American manufacturing.  Manufacturing is -- that’s the hub of our economy.  When our manufacturing base is strong, the entire economy is strong.  A lot of service jobs depend on servicing manufacturing jobs.  And, typically, manufacturing jobs pay a little bit better.  So that’s been a path, a ticket to the middle class.  So when we make steel and cars, make them here in America, that helps.  Like I said, the work may be hard but it gives you enough money to buy a home and raise a kid, retire and send your kids to school. 

And those kinds of jobs also tell us something else.  It’s not just how much you get in your paycheck, it’s also a sense of, “I’m making something and I’m helping to build this country.”  It helps establish a sense of -- that we’re invested in this country.  (Applause.)  It tells us what we’re worth as a community.  One of your coworkers, Mike Longa -- where’s Mike? 

AUDIENCE MEMBER:  Back here.

THE PRESIDENT:  Is he back here?  That’s Mike right there.  Mike grew up here.  His mom and dad worked at this plant.  This plant helped put Mike and four brothers and/or sisters through college.  And once this plant started growing again, Mike got his chance to be a steelworker here, and provide for his own two young kids.  So it’s a generational thing, and I want to keep that going.

In my State of the Union address, I talked about how we created America’s first manufacturing innovation institute right here in Ohio.  Marcy Kaptur has been a big proponent of this, because she knows how important manufacturing is.  I want to create more of them -- places where businesses are working with universities and they’re partnering to figure out what are the new manufacturing techniques that keep us at the cutting edge so that China or Germany don’t get ahead of us in terms of the equipment that’s being invested.  We want to be at the cutting edge, so what we’re producing is always the best steel, it’s always the best cars.  But that requires research and investment. 

And your Senator, Sherrod Brown, helped us to create that first manufacturing hub in Youngstown.  And he’s now leading a bipartisan effort -- (applause) -- he’s now leading a bipartisan effort with Senator Blunt of Missouri to move more of these manufacturing innovation hubs all across the country.  And Congress should pass Sherrod’s bill.  We should be doing everything we can to guarantee the next revolution in manufacturing happens right here in Cuyahoga, happens right here in Ohio, happens right here in America.  (Applause.) 

And let me make one last point.  We have to do everything we can to make sure every American has access to quality, affordable health care, period.  (Applause.)  You may have read we had some problems last month with websites.  I'm not happy about that.  And then I had a press conference today and I said, you know what, we fumbled the ball in terms of the rollout. 

But we always knew this was going to be hard.  There's a reason why folks had tried to do it for 100 years and hadn't done it.  And it's complicated.  There are a lot of players involved.  The status quo is entrenched.  And so, yes, there’s no question the rollout on the Affordable Care Act was much tougher than we expected.  But I want everybody here to understand, I am going to see this through.  (Applause.)  I want millions of Americans to make sure that they're not going broke when they get sick and they can go to a doctor when their kids get sick.  And we're not apologizing for that.  We are going to get this done.  (Applause.)

So we're going to get the website working the way it’s supposed to.  The plans are already out there that are affordable and people can get tax credits.  We're going to help folks whose old plans have been canceled by the insurers -- many of them weren't very good -- and we're going to make sure that they can get newer, better options. 

But we're not going to go back to the old system, because the old system was broken.  And every year, thousands of Americans would get dropped from coverage or denied their medical history or exposed to financial ruin.  You guys are lucky that you work at a company with a strong union that gives you good health benefits.  (Applause.)  But you know friends and family members who don't have it, and you know what it's like when they get sick.  You know how scary it is for them when they get sick.  Or some of them have health insurance -- they think they do -- and they get sick, and suddenly the insurance company says, oh, I'm sorry, you owe $50,000.  That's not covered.  Or they jack up your premium so you can't afford it because you had some sort of preexisting condition.  That happens every day.

So we're not going to let that happen.  We’re not going to let folks who pay their premiums on time get jerked around.  And we're not going to walk away from the 40 million Americans without health insurance.  (Applause.)  We are not going to gut this law.  We will fix what needs to be fixed, but we're going to make the Affordable Care Act work.  And those who say they're opposed to it and can't offer a solution, we'll push back.  (Applause.)  

I got to give your Governor a little bit of credit.  John Kasich, along with a lot of state legislators who are here today, they expanded Medicaid under the Affordable Care Act.  And think about that.  Just that one step means as many as 275,000 Ohioans are going to have health insurance.  And it doesn't depend on a website.  That's already happening because of the Affordable Care Act.  (Applause.)

And I think it's fair to say that the Governor didn't do it because he just loves me so much.  (Laughter.)  We don't agree on much, but he saw, well, this makes sense -- why wouldn't we do this?  Why wouldn't we make sure that hundreds of thousands of people right here in Ohio have some security?  It was the right thing to do.  And, by the way, if every Republican governor did what Kasich did here rather than play politics about it, you'd have another 5.4 million Americans who could get access to health care next year, regardless of what happens with the website.  That's their decision not to do it.  And it's the wrong decision.  They've got to go ahead and sign folks up. 

So the bottom line is sometimes we just have to set aside the politics and focus on what's good for people.  What's good to grow our middle class?  What's going to help keep plans like this growing?  What's going to make sure we're putting more people back to work?  What's going to really make a difference in terms of our kids getting a great education? 

And, look, we've done it before.  That's the good news.  The good news is that America is -- look, we make mistakes.  We have our differences.  Our politics get screwed up sometimes.  Websites don't work sometimes.  (Laughter.)  But we just keep going.  We didn't become the greatest nation on Earth by accident.  We did it because we did what it took to make sure our families could succeed, make sure our businesses could succeed, make sure our communities could succeed.  And if you don't believe me, listen to one of your coworkers.

So Sherrod Brown, earlier this year, brought a special guest along with him to the State of the Union address -- one of your coworkers, Cookie Hall.  Where's Cookie?  Is Cookie here?

AUDIENCE MEMBER:  No, she's back at the hall.

THE PRESIDENT:  She's back at the hall working.  (Laughter.)  Well, let me say something nice about her behind her back.  (Laughter.)  So Cookie said, one of -- let me make sure I can find this.  She said -- that night she said, "If I get a chance to meet President Obama, I’ll tell him my greatest pride is in our 2012 production record at Cleveland Works.  We’re the most productive steelworkers in the world.”  (Applause.)  More than a ton of steel produced for every single one of the workers at this plant.  That's pretty good.  That's pretty good.  (Applause.) 

So all of you are an example of what we do when we put our minds to it.  This plant was closed for a while.  We go through hard times.  And a lot of our friends are still going through hard times.  But when we work at it, we know we can get to a better place, and we can restore some security to a middle class that was forged in plants just like this one, and keep giving ladders of opportunity for folks who were willing to work hard to get into the middle class.  That's what I'm about.  That's what this plant is about.  I'm proud to be with you. 

And as long as I have the honor of being your President, I'm going to be waking up every single day thinking about how I can keep on helping folks like the ones who work in this plant.  (Applause.)  

God bless you.  Thank you.  God bless you, and God bless the United States of America.  Thank you. 

                                      END                 4:02 P.M. EST