Showing posts with label Healthcare. Show all posts
Showing posts with label Healthcare. Show all posts

Friday

Noam Chomsky: Bernie Sanders Isn't Radical, He's Popular! The Public Agrees With Him on Healthcare & Taxes


Transcript:
NOAM CHOMSKY: Well, Bernie Sanders is an extremely interesting phenomenon. He’s a decent, honest person. That’s pretty unusual in the political system. Maybe there are two of them in the world, you know. But he’s considered radical and extremist, which is a pretty interesting characterization, because he’s basically a mainstream New Deal Democrat.

His positions would not have surprised President Eisenhower, who said, in fact, that anyone who does not accept New Deal programs doesn’t belong in the American political system. That’s now considered very radical. The other interesting aspect of Sanders’s positions is that they’re quite strongly supported by the general public, and have been for a long time. That’s true on taxes. It’s true on healthcare. So, take, say, healthcare. His proposal for a national healthcare system, meaning the kind of system that just about every other developed country has, at half the per capita cost of the United States and comparable or better outcomes, that’s considered very radical. But it’s been the position of the majority of the American population for a long time. So, you go back, say, to the Reagan—right now, for example, latest polls, about 60 percent of the population favor it. When Obama put through the Affordable Care Act, there was, you recall, a public option. But that was dropped. It was dropped even though it was supported by about almost two-thirds of the population.

You go back earlier, say, to the Reagan years, about 70 percent of the population thought that national healthcare should be in the Constitution, because it’s such an obvious right. And, in fact, about 40 percent of the population thought it was in the Constitution, again, because it’s such an obvious right. The same is true on tax policy and others. So we have this phenomenon where someone is taking positions that would have been considered pretty mainstream during the Eisenhower years, that are supported by a large part, often a considerable majority, of the population, but he’s dismissed as radical and extremist. That’s an indication of how the spectrum has shifted to the right during the neoliberal period, so far to the right that the contemporary Democrats are pretty much what used to be called moderate Republicans. And the Republicans are just off the spectrum. They’re not a legitimate parliamentary party anymore. And Sanders has—the significant part of—he has pressed the mainstream Democrats a little bit towards the progressive side. You see that in Clinton’s statements. But he has mobilized a large number of young people, these young people who are saying, "Look, we’re not going to consent anymore." And if that turns into a continuing, organized, mobilized—mobilized force, that could change the country—maybe not for this election, but in the longer term.

Saturday

Trump calls for new action, not new money, to tackle opioid crisis

Read the Full Transcript

  • Judy Woodruff:
    From President Trump today, a summons to battle opioid addiction. He called for new action, but not necessarily for new money.
    William Brangham begins our coverage.

  • President Donald Trump:
    As you all know from personal experience, families, communities and citizens across our country are currently dealing with the worst drug crisis in American history and even, if you really think about it, world history.

  • William Brangham:
    President Trump, flanked by survivors, first-responders and family members impacted by opioids, declared a public health emergency.

  • President Donald Trump:
    This epidemic is national health emergency. Unlike many of us, we have seen and we have seen in our lifetimes, nobody has seen anybody like what is going on now. As Americans, we cannot allow this to continue. It is time to liberate our communities from the scourge of drug addiction. Never been this way. We can be the generation that ends the opioid epidemic. We can do it.

  • William Brangham:
    The president spoke at length of the severity of this crisis, which claimed the lives of at least 64,000 people last year, has stretched the ability of first-responders and filled treatment centers to capacity nationwide.

    But the president also told a more personal story, about his own brother Fred, who died after his struggle with alcoholism.

  • President Donald Trump:
    But he really helped me. I had somebody that guided me. And he had a very, very, very tough life because of alcohol, believe me, very, very tough, tough life. He was a strong guy. But it was a tough, tough thing that he was going through, but I learned because of Fred. I learned.

  • William Brangham:
    The administration today announced several initiatives. The prescription drug Opana will be removed from the market because it’s considered too dangerous.

    A key regulation will be changed to expand access to treatment facilities. They will allow grants from the Labor Department and money for HIV/AIDS care to be used in this fight. And officials will be able to tap the Public Health Emergency Fund, even though that fund has less than $60,000 in it.

    No new money has been allotted by today’s action. Many say the president’s declaration of a public health emergency is important, but they note that it falls short of a more sweeping state of national emergency, which would give the government far more flexibility to respond to the epidemic.

    The president’s own commission on this crisis, chaired by New Jersey Governor Chris Christie, had urged that more comprehensive declaration earlier this year. Christie today was still very supportive of the president’s action.

  • Gov. Chris Christie, R-n.j.:
    What the president did today was historic and it is an extraordinary beginning set of steps to dealing with this problem.

  • William Brangham:
    Minority Leader Nancy Pelosi said that without more robust funding, today’s action is simply not enough.

  • Rep. Nancy Pelosi, D-calif., House Minority Leader:
    Declaring an emergency means he can have access to some funds, but the funds in that account are like $57,000, $58,000, so show me the money.

  • William Brangham:
    Today’s declaration lasts for just 90 days, but can be renewed indefinitely by the president.

    For the PBS NewsHour, I’m William Brangham.

  • Judy Woodruff:
    The state of Rhode Island has been especially hard hit by this epidemic and has one of the highest overdose fatality rates in the country.

    Gina Raimondo is the governor and a Democrat. And she joins me now from Providence.
    Governor, welcome to the program. Thank you.

    What does it mean to you that the president has declared this a public health emergency?

  • Gov. Gina Raimondo, D-r.i.:
    Well, good afternoon, Judy. Good to talk to you.

    This is a public health emergency. It’s a public health emergency here in Rhode Island. Since I have been governor, I have done two executive orders on the matter. And it is certainly probably the biggest public health crisis we face in America.

    So, we can’t do enough. People are dying every day because of overdose deaths. I’m sick and tired of going to funerals in my state of my friends’ kids, family members of people who I know. Every day almost, I hear a story of this. And we have to do more.

  • Judy Woodruff:
    What is your understanding of what can happen now as a result of this being declared a public health emergency that couldn’t be done before?

  • Gov. Gina Raimondo:
    You know, this has just come out, so it’s little too soon to say.

    What I will say, though, is to me it seems like too little too late. This has been an emergency for some time. What we really need is resources, Judy. We know what works. We have to do prevention and we have to get folks into treatment.

    And so what the president should be doing if he really did care about these lives is sending finances and funding to us on a local level so that we can get folks into treatment. We know what works. Like, here in Rhode Island, for example, we have been using our Medicaid expansion dollars to provide medical assisted treatment to folks in prison, so they don’t overdose and die when they come out.

    It works. It’s saving lives. But if the president were serious about treating this like a crisis that it is, he would have acted sooner, and at this point he would be providing some budget behind this priority, because that’s what we need.

  • Judy Woodruff:
    Well, at the White House, officials are telling reporters that this is going to put them in a position to urge the Congress to put more fun into this so-called Public Health Emergency Fund, which they would point out has not been funded by the Congress for years.

  • Gov. Gina Raimondo:
    And that would be a good step. That would be a good step, although, again, I would say we’re past baby steps on this.

    I mean, in a small state of Rhode Island, hundreds of people die every year because of overdose. And these are people in every zip code, of every socioeconomic status in every neighborhood. Young people, kids in their 20s, are dying, and it could be prevented.
    So I would say we need more money for prevention, more money for mental health. We don’t have nearly enough mental health facilities. And more money for medical-assisted treatment. And I don’t think we can wait. It’s time for action. People deserve action.
    In the past two weeks, I have gone to three funerals related to this. Enough is enough. We’re doing everything we can, and the president needs to do everything he knows how to do to save lives.

  • Judy Woodruff:
    Well, the president, I think, went out of his way today to say that this is something that matters deeply to him personally. He spoke about his own brother who died of — having been diagnosed with alcoholism.

    The president sounded like he’s very determined to keep the focus on this.

  • Gov. Gina Raimondo:
    Well, talk is one thing, but let’s see action.

    You know, as I said, people are still unable to get access to mental health services, either because they can’t afford it, they don’t have insurance, or there’s not enough capacity in the system.

    He mentioned today, for example, going after cheap fentanyl coming in from China. Take action on that. Fentanyl is killing our kids every day. It’s coming in from China and Mexico. So, let’s see some real enforcement.

    And, again, just — I’m just imploring him, put politics aside, imploring the Congress, put politics aside, do the right thing, give the states not just flexibility. Give us the finances that this country has, so we can save lives.

  • Judy Woodruff:
    And time matters here?

  • Gov. Gina Raimondo:
    Time absolutely matters. Every day we wait, people lose their lives. That is about the size of it. So let’s get to work.

  • Judy Woodruff:
    Governor Gina Raimondo of the state of Rhode Island, thank you very much.

  • Gov. Gina Raimondo:
    Thank you.

Friday

House GOP Just Voted to Slash Medicaid — Which Pays for 60 Percent of People in Nursing Homes

By


The American Health Care Act, which squeaked through the House of Representatives on Thursday, is terrible for many Americans in many ways. But what’s gotten almost no attention is the horrendous effect it could have on Americans in nursing homes.

Daniel Webster, a Republican representative from the 11th Congressional District in central Florida, acknowledged this when he announced he would vote for the AHCA.

“I have been very concerned about Florida’s Medicaid-funded nursing home beds,” Webster said. “These are critical to the access some of our senior population has to our nursing homes.”

Webster explained he was only willing to vote yes because President Donald Trump, Vice President Mike Pence and the House of Representatives’ GOP leadership promised that they would find some way to deal with the potential disaster created by the bill. It will now go to the Senate, and if some version of it is passed there, will then have to be reconciled with the House bill for a final vote.

Many middle-class Americans are unaware that the huge cost of nursing home care – which in some areas can run over $100,000 a year — is not covered by Medicare. Those who need it and cannot pay for it themselves can generally receive coverage from Medicaid, though they usually must spend down all their savings first.

When all is said and done, Medicaid pays the bills for over 60 percent of nursing home residents — people who cannot care for themselves and without Medicaid would have literally nowhere to go.
But the AHCA slashes $880 billion dollars from Medicaid spending over the next ten years, or about one-sixth of the $5 trillion it would otherwise cost the federal government. (While these seem like enormous numbers, the U.S. economy is so big that even $5 trillion will be just about two percent of the gross domestic product over the next decade.)

The bill accomplishes these cuts in part by changing Medicaid from an entitlement, in which the federal government automatically provides states with funding based on the needs of their population, to either a block grant or a per capita allocation (at the state’s choice).

The amount states will receive per capita will be set at the average cost for recipients in 2016. It then will increase at the Consumer Price Index’s rate of medical inflation until 2020, when it will begin going up at the CPI medical rate plus one percent. While this sounds reasonable, it will inevitably have serious consequences over the next 20 years due to the aging of the baby boom generation.
This year someone born in 1950 will turn 67 years old, and probably doesn’t need nursing home care. In 2037 they will turn 87, and will be far more likely to do so.

Nursing care is one big reason Medicaid recipients over 85 cost the program 2.5 times more than those who are between the ages of 65 and 74. If Medicaid were to remain an entitlement, states would automatically receive increased federal funds to cover these greater costs as baby boomers age. Under the AHCA, the per-capita payments to states will increase far too slowly to cover them.

Precisely how much of a catastrophe the AHCA could be is impossible to say as of now, since Republicans passed the bill without first having it scored by the Congressional Budget Office. But there’s little question it will be disastrous if anything like it becomes law. This didn’t matter to Republicans in the House. The question now is whether it will matter at all to Republicans in the Senate.

Paul Ryan Fundraised With Health Insurance Lobbying Firm Just Before His PowerPoint

by Lee Fang and Nick Surgey

Just hours before House Speaker Paul Ryan held a press conference to sell his health care overhaul legislation — using a PowerPoint presentation mocked for misrepresenting basic facts  — he was doing something he’s much better at: fundraising.

The two things were related. The Thursday morning breakfast fundraiser he attended was hosted by a lobbying firm working to unwind the Affordable Care Act on behalf of health insurance company Blue Cross Blue Shield, one of the big winners of Ryan’s proposed legislation.

The breakfast, according to an invitation, was sponsored by McGuireWoods PAC, the political action committee for the lobbying firm McGuireWoods. Blue Cross Blue Shield, an Anthem company, pays McGuireWoods $120,000 a year to lobby on changes to health reform, records show. Attendees of the event paid were asked to pitch in as much as $10,000.

Ryan’s American Health Care Act (AHCA), which rolls back most of the revenue-generating provisions of the ACA, reduces premium subsidies, and imposes deep cuts to Medicaid, has largely been panned by medical professionals, health policy experts, and political advocacy groups from across the ideological spectrum.

But the bill enjoys enthusiastic support from some corners of the health care industry — primarily health insurance firms and medical device companies that directly benefit from the legislation.
America’s Health Insurance Plans, the trade group that lobbies on behalf of health insurance companies, wrote a letter to Congress on Wednesday praising much of the AHCA.

“The proposed legislation includes a number of positive steps to help stabilize the market,” wrote AHIP president Marilyn Tavenner, citing the bill’s provisions on “continuous coverage” and added flexibility for “health plans to offer consumers more choices.”

Alissa Fox, the senior vice president for the Blue Cross Blue Shield Association, another health insurance lobby group, also provided a statement praising the bill.

The ACHA includes a special 30 percent premium surcharge insurers can charge anyone who has gone without health coverage for at least two months. The bill also reduces the types of medical coverage Medicaid policies are required to cover — the type of flexibility insurers have sought in order to cover less health care costs.

As we reported earlier this week, insurance lobbyists are particularly fond of a tax change made by the Republican health bill that removes limitations on deductions for executive compensation. That reversal will reduce the tax bill for health insurance companies while incentivizing higher pay for insurance employees.

The ACHA would also permanently repeal the 2.3 percent excise tax on medical device tax, which was imposed by Obama’s health reform law. AdvaMed, the lobby group representing the largest medical device firms, released a statement commending the Republican-led House Ways and Means Committee for the repeal of the tax.

While some media outlets praised Ryan’s “wonky” style and use of bar graphs to make his case for the bill on Thursday, many reporters noted that the speaker stumbled when asked basic questions about the legislation.

Ryan notably called the ACA system of younger, healthier people helping to subsidize the insurance of elderly, sick patients a “fatal conceit.” But that general principle — of high- and low-risk consumers alike pooling their resources — is a fundamental element of all health insurance programs. Ryan also “made a series of misleading statements,” noted Politico’s Danny Vinik, who pointed out that the speaker cherry-picked data to exaggerate ACA premium increases.

Despite the perception of Ryan as a policy expert —  a brand carefully manufactured by friendly D.C. reporters — the speaker has devoted himself to relentless fundraising. Records show Ryan spent much of the year flying to resorts and huddling with lobbyists to raise huge amounts of cash to maintain his party’s control of the House of Representatives. The Team Ryan joint fundraising committee, hosted by McGuireWoods on Thursday morning, is allowed to raise as much as $244,200 per person.
 

Tuesday

President Barack Obama Weekly Address September 17, 2016 (Video/Transcript)

President Barack Obama
 Weekly Address
The White House
September 17, 2016
Hi, everybody.  I’ve delivered a few hundred of these weekly addresses over the years.  And you may have noticed a theme that pops up pretty often:

The Republicans who run this Congress aren’t doing their jobs.

Well, guess what?  Congress recently returned from a seven-week vacation.  They’ve only got two weeks left until their next one.  But there’s a lot of business they need to get done first.

First – even as we’re seeing more and more Zika cases inside the United States, they’ve refused to fund our efforts to protect women and children by fighting Zika in a serious way.

Second – they still need to provide resources to help the people of Louisiana recover from last month’s terrible floods, and to help communities like Flint recover from their own challenges.
Third – they have made Merrick Garland, a Supreme Court nominee with more federal judicial experience than any other in history, wait longer than any other in history for the simple courtesy of a hearing, let alone a vote.  All because they want their nominee for President to fill that seat.

There are plenty other bipartisan priorities they should finish this year, too.  Passing criminal justice reform.  Attacking the opioids epidemic.  Funding Joe Biden’s cancer moonshot.  Finishing a Trans-Pacific trade agreement that will support American jobs and boost American wages.  And passing a budget that will make sure all of America’s priorities are funded without resorting to shutdown threats and last-minute gimmicks.

By the way, it’s been almost a decade since Congress voted to raise the minimum wage.  I’m just saying.

None of this should be controversial.  All of it is within our reach.  This is America – we can do anything.  We just need a Congress that works as hard as you do.  At the very least, we should expect that they do their jobs – and protect us from disease, help us recover from disaster, keep the Supreme Court above politics, and help our businesses grow and hire.

So if any of these priorities matter to you, let your Congressperson know.  And if they still refuse to do their jobs – well, you know what to do in November.

Our government only works as well as the people we elect.  And that’s entirely up to you.

Thanks, and have a great weekend.

Wednesday

Ractopamine danger: Taiwan rejects toxic American beef but Americans don't!

By Dr. Mercola

Meat—and beef in particular—is a mainstay of the traditional American dinner. Unfortunately, the vast majority of it is filled with harmful additives of one form or another, and is raised in such a way that it contributes to the degeneration of health...
This is no minor concern, as most of the animals are also fed genetically engineered feed that is loaded with the potent herbicide glyphosate that winds up in your body.
I am so convinced of the cumulative harms of consuming meat from animals raised in confined animal feeding operations (CAFOs) that the ONLY type of meat I recommend eating (and the only meat I will eat myself) is organically-raised, grass-fed or pastured meats and animal byproducts.
This applies to all types of meat: beef, pork, and poultry, including turkey. In a recent article published by the Cornucopia Institute,1 investigative health reporter Martha Rosenberg discusses the questionable yet widespread use of ractopamine in American animal farming.
According to Rosenberg, the controversial drug is used in as many as 80 percent of all American pig and cattle operations. It's also used in turkey farming.

FDA Sued for Withholding Records Pertaining to Ractopamine Safety

Ractopamine is a beta agonist drug that increases protein synthesis, thereby making the animal more muscular. This reduces the fat content of the meat and increases the profit per animal. The drug, which is also used in asthma medication, was initially recruited for use in livestock when researchers discovered that it made mice more muscular.
Interestingly enough, stubborn weight gain is also common complaint among asthma patients using Advair (a beta-agonist drug)—so much so that the manufacturer has added weight gain to the post-marketing side effects. Other adverse reactions to beta-agonist drugs include increased heart rate, insomnia, headaches, and tremors.
Beta-agonist drugs, as a class, have been used in US cattle production since 2003. The drug is administered in the days leading up to slaughter, and as much as 20 percent of it can remain in the meat you buy.
This is disconcerting when you consider that the drug label warns: "Not for use in humans," and "individuals with cardiovascular disease should exercise special caution to avoid exposure."
While other drugs require a clearance period of around two weeks to help ensure the compounds are flushed from the meat prior to slaughter (and therefore reduce residues leftover for human consumption), there is no clearance period for ractopamine.
In an effort to get this dangerous additive out of American meat products, the Center for Food Safety (CFS) and Animal Legal Defense Fund (ALDF) recently sued the US Food and Drug Administration (FDA) for withholding records pertaining to ractopamine's safety. As reported by Rosenberg:2
"According to the lawsuit, in response to the groups' requests for information 'documenting, analyzing, or otherwise discussing the physiological, psychological, and/or behavioral effects' of ractopamine, the FDA has only produced 464 pages out of 100,000 pages that exist.
Worse, all 464 pages have already been released as part of a reporter's FOIA...
CFS and ALDF have spent over 18 months meeting with the FDA and seeking information about the effects of ractopamine on 'target animal or human liver form and function, kidney form and function, thyroid form and function' as well as urethral and prostate effects and 'tumor development.' The lawsuit says the CFS has 'exhausted administrative remedies' and that the FDA has 'unlawfully withheld' the materials."

Why Is Ractopamine Banned in 160 Countries?

Ractopamine is banned from food production in at least 160 countries around the world, including countries across Europe, Russia, mainland China and Republic of China (Taiwan), due to its suspected health effects. Since 1998, more than 1,700 people have reportedly been "poisoned" from eating pigs fed the drug. If imported meat is found to contain traces of the drug, it is turned away, while fines and imprisonment result for its use in banned countries.
While Americans are largely unaware that the drug is even used, many other nations seem to be far better informed. Fear that the ractopamine ban might be lifted brought thousands of demonstrators onto the streets in Taiwan last year, demanding that the ban remain in place.
In February of this year, Russia issued a ban on US meat imports,3 warning it would remain in place until the US agrees to certify that the meat is ractopamine-free. As reported by Pravda,4 Russia is the fourth largest importer of US meats, purchasing about $500 million-worth of beef and pork annually. At present, the US does not even test for the presence of this drug in meats sold, even though animal research has linked ractopamine to:
  • Reductions in reproductive function
  • Birth defects (Canadian researchers5 found that, in rats, the drug produced a variety of birth defects, including cleft palate, protruding tongue, short limbs, missing or fused digits, open eyelids, jaw abnormalities, limb abnormalities, and enlarged heart)
  • Increase of mastitis in dairy herds
  • Increased disability and death
In both pigs and cattle, FDA reports6 links the drug to: excessive hunger, anorexia, bloat, respiratory- and hoof problems, lameness, stiffness, stress and aggression, and—again—death. In fact, of all reported side effects, death topped the list as the most reported problem associated with ractopamine...
Ractopamine is also known to affect the human cardiovascular system, and is thought to be responsible for hyperactivity. It may also cause chromosomal abnormalities and behavioral changes. According to the Russian news source Pravda,7 the drug may cause food poisoning, and Center for Food Safety (CFS) states that8 "[d]ata from the European Food Safety Authority indicates that ractopamine causes elevated heart rates and heart-pounding sensations in humans."
"Two cousin drugs of ractopamine, clenbuterol and zilpaterol, cause such adrenalin effects in humans they are banned by the Olympics," Roesenberg writes.9 "Cyclist Alberto Contador failed a Tour de France anti-doping test in 2010 for levels of clenbuterol which he said he got from eating meat. Clenbuterol has been banned or restricted in meat after human toxicities. 'The use of highly active beta-agonists as growth promoters is not appropriate because of the potential hazard for human and animal health,' wrote the journal Talanta.10"

Zilmax—An Even More Dangerous Beta Agonist Drug Used in Livestock?

Zilmax (Zilpaterol) is another beta-agonist drug used in cattle to increase weight by as much as 30 pounds of lean meat per cow. The drug recently got a slew of bad press when, in the beginning of August, Tyson Foods Inc declared it would no longer buy Zilmax-fed cattle for slaughter, due to concerns over behavioral problems in some of the cattle.11 Zilmax is already banned for use in horses due to severe side effects, including muscle tremors and rapid heart rates that can last as long as two weeks after stopping the drug.12 It's not a major stretch to imagine similar problems might occur in cattle... Zilmax is actually about 125 times more potent than ractopamine, and according to a 2008 veterinary report,13 this may be why side effects were overlooked in connection with ractopamine studies.
Merck, the manufacturer of Zilmax, has no plans on discontinuing the product however. After responding to Tyson's decision by stating it would halt US and Canadian sales of Zilmax pending research and review, the company recently told Reuters14 that it is in fact pushing to bring the drug back to market, both in the US and Canada. The company says it stands behind the safety of the drug and is working on developing a quality control program to "ensure its proper use."
The problem though is that even with proper use you're likely to end up with drug-laced meat. According to Randox Food Diagnostics,15 which has created tests for Zilmax residue in beef, use of beta-agonists prior to slaughter is of particular concern "as this poses a risk to the consumer and may result in consumer toxicity." (Remember, Zilmax is about 125 times more potent than ractopamine, making this drug an even greater concern in the large scope of things.) Research findings to this effect include:
  • A 2003 study in Analytica Chimica Acta:16 Residue behaviour of Zilmax in urine, plasma, muscle, liver, kidney and retina of cattle and pig was assessed. Two heifers and 16 pigs were treated with Zilmax and slaughtered after withdrawal times varying from 1 to 10 days. The drug was detectable at each point of time examined in all matrices except plasma after a withdrawal period of 10 days. It's worth noting that in the US, the recommended market window is three to 10 days after discontinuing Zilmax17
  • A 2006 study18 on residues of Zilmax in sheep found detectable levels in liver and muscle tissues up to nine days after discontinuation of the drug

Do Beta-Agonists in Meat Pose Human Health Hazards?

According to an article published in the Journal of Animal Science in 1998,19 there's data on "human intoxication following consumption of liver or meat from cattle treated with beta-agonists." The authors write:
"The use of highly active beta-agonists as growth promoters is not appropriate because of the potential hazard for human and animal health, as was recently concluded at the scientific Conference on Growth Promotion in Meat Production (Nov. 1995, Brussels)."
Before it was approved for use in American livestock, scientists worried that illegal use of beta agonists could result in increased cardiovascular risk for consumers.20 Today we don't have to worry about eating illegally treated meat, since these drugs are approved and widely used, but should we be concerned about cardiovascular health risks from non-organic meat products? I feel it would be foolhardy not to...

Glyphosate Contamination—Another Hidden Hazard in CAFO Meats

The true toxicity of glyphosate—the active ingredient in Monsanto's broad-spectrum herbicide Roundup—is becoming devastatingly clear, and it has far-reaching ramifications for the entire food system. Research published last year21 showed that Roundup is toxic to human DNA even when diluted to concentrations 450-fold lower than used in agricultural applications, and ethoxylated adjuvants in glyphosate-based herbicides have been found to be "active principles of human cell toxicity." Cell damage and even cell death can occur at the residual levels found on Roundup-treated food crops, and the chemical has also been found to have estrogenic prT.
The reason I bring this up here is because factory farmed animals are fed a diet primarily made up of grains like corn and soy—and whether those grains are genetically engineered or not, they're likely to be contaminated with glyphosate. Once an animal has been raised on glyphosate-contaminated feed, its meat is bound to be of inferior quality. More so than any other contamination hazard, I believe glyphosate-contamination may be one of the most pressing concerns when it comes to eating CAFO meats and animal byproducts. Besides the potential for bioaccumulation of glyphosate, the chemical has a distinct adverse effect on the animal's gut bacteria, and hence its overall health.
Monsanto has steadfastly claimed that Roundup is harmless to animals and humans because the mechanism of action it uses (which allows it to kill weeds), called the shikimate pathway, is absent in all animals. However, the shikimate pathway IS present in bacteria, and that's the key to understanding how it causes such widespread systemic harm in both animals and humans.
Groundbreaking research published this past June suggests glyphosate may actually be the most important factor in the development of a wide variety of chronic diseases, specifically because your gut bacteria are a key component of glyphosate's mechanism of harm. The same applies to animals that eat feed contaminated with this agricultural chemical. If the animal is chronically ill, how beneficial can you expect its meat to be for your own health?

How to Protect Yourself and Your Family from Potentially Harmful Foods

If you live in the US, it's important to realize that antibiotics, pesticides, genetically engineered ingredients, herbicides like glyphosate, hormones, and countless other drugs—such as beta agonists discussed above—are allowed in your food. Most people make the mistake of thinking that "beef is beef," or that one slab of pork is no different from another, not understanding the vast differences between factory farmed, so-called CAFO, meats, and meats from organically-raised pastured animals.
While pastured, grass-fed meats and animal products are typically nutritionally superior, it's perhaps what these meats DON'T contain that can have the greatest impact on your and your family's health—especially your children, since we're then talking about the cumulative effect over a lifetime, including the developmental stages.
Organically-raised animals are not permitted to be given growth-promoting drugs, hormones, or antibiotics. They also aren't fed genetically engineered ingredients. Cattle, for example, eat a natural diet of grass, not genetically engineered corn contaminated with pesticides... In short, organic foods are FAR "cleaner" in terms of additives and contaminations, and that applies across the board, from fruits and vegetables to animal products.
It all boils down to this: if you want to optimize your health, you must return to the basics of healthy food choices. If you want to avoid these questionable drugs and other potentially harmful ingredients permitted in the US food supply, then ditching processed foods is your best option. Put your focus on WHOLE organic foods -- foods that have not been processed or altered from their original state -- food that has been grown or raised as nature intended, without the use of chemical additives, drugs, hormones, pesticides and fertilizers. This is the answer to a vast majority of our current health crises.
It is not nearly as daunting a task as it may seem to find a local farmer that can supply your family with healthy, humanely raised animal products and produce. At LocalHarvest.org,22 for instance, you can enter your zip code and find farmers' markets, family farms, and other sources of sustainably grown food in your area, all with the click of a button. Once you make the switch from supermarket to local farmer, the choice will seem natural, and you can have peace of mind that the food you're feeding your family is as safe as it will probably ever get.
For a step-by-step guide to make this a reality in your own life, whether you live in the US or elsewhere, simply follow the advice in my optimized nutrition plan, starting with the beginner plan first.

Saturday

Healthy eating in traditional Chinese medicine

Source:  Deutsche Welle
With so many healthy diet theories flying around these days, it can be hard to know what is actually good for our bodies. Here's a completely different view of food, one that's been established for thousands of years. 

Living in a world with countless healthy diet theories are flying around, it's sometimes hard to know what is really good for our bodies. Butter is bad, butter is good; diet coke is good, diet coke is bad; raw food is bad, raw food is good.

Our views on healthy food change all the time, often depending on the newest clinical research findings. We know all about fat, carbohydrates, proteins, minerals and vitamins, but no matter how advanced our knowledge on food is, there are always studies that introduce something new and diet theories that get debunked. What do our bodies really need? That's a question to which we could never seem to find an answer.

The Chinese have their own answer to healthy eating, with concepts strongly related to traditional Chinese medicine. They are probably the most hard-core supporters of the saying “You are what you eat,” regardless of whether they really follow that advice.

I asked a Chinese Medical Practitioner in Hong Kong, Chan Kei-fat, and Guo Qiming, a practitioner from Beijing with a shop in Cologne, to describe to what extent food and medicine are related, and to what extent are these concepts applicable to places outside China.

1. Food is medicine, medicine is food
In contrast with western medicine, the role of food and medicine in traditional Chinese medicine overlap. For example, a water melon is food, but it can also have a medical effect during hot days because of its hydrating properties.

The ancient clans of China, dating back to 2200 BC, started to discover the different medical values of herbs while they were still hunting and gathering. Some foods relieved their illness, some caused death. Over time, and in concourse with the growth of Chinese philosophy, medical theories were developed.

However, there are also some foods that are considered more "medicine" than "food," for example, ginseng. When it comes to this "medicine," a person should consult a practitioner, since eating it could make your body worse. Why? Foods have different natures, and all of us have different bodies that interact differently with different foods.

2. The four natures of food
In traditional Chinese medicine, food is divided into five natures, called "siqi": cold, cool, neutral, warm and hot. The nature of food is not determined by their actual temperature, but rather by what effects they have on a person's body after consumption. When a person continually eats one type of food, it creates an imbalance in their body, and affects their immune system. Thus, one of the keys in Chinese medicine is to keep our body "neutral."

Foods that are warm and hot bring heat to our bodies -- e.g. beef, coffee, ginger, hot chilies and fried foods -- while cold and cool foods cool down our bodies-- think of salad, cheese, green tea, and beer. Neutral foods are foods like oil, rice, pork and most kinds of fishes.

A person who has too much heat in their body usually feels hot, sweats all the time, is grumpy, has a swollen tongue, or could be constipated. People who have too much cold in their bodies appear pale, have cold hands and feet, might feel weak, or have bad blood circulation. When this happens, we are advised to stop eating that kind of food.

3. It's more than just a taste
Similarly in the western world, the Chinese divide tastes into five different kinds (Wuwei): sour, bitter, sweet, spicy and salty. But for the Chinese, these are more than just senses. In traditional Chinese medicine, each bite of foods sends the nutrition to corresponding organs: sour food enters liver and helps stop sweating, eases coughing; salt enters the kidneys, and can drain, purge and soften masses; bitter food enters the heart and the small intestine and helps cool heat and dry any dampness; spicy food enters the lungs and large intestine and helps stimulate appetite; sweet food enters the stomach and spleen and helps lubricate the body. Thus, it is important to have each flavor in the diet.

Does that mean to be healthy we just eat just neutral food in all flavors? Not necessarily. "Food choices are affected by your body's construction, the season and the place where you live" said Chan. The condition of the body could also be affected by age and sex. In other words, Chinese medical practitioners adapt their recommendations to different conditions.

4. One size does not fit all
Just like we all have different personalities, we also all have different body constitutions (tizhi). And just like you cannot communicate with all people in the same way, we also cannot feed our bodies with the same food in the same way.

What is a "constitution"? The categorizations have been in constant flux ever since traditional Chinese medicine first began. Currently, one of the most popular divisions is developed by Huang Qi, who introduced nine types of bodies in 1978.

A person with a lot of "dampness and phlegm" (tanshi) in their body tends to be overweight, might sweat a lot and might have an oily face. These people are usually more mild-tempered.

However, a person with a lot of "dampness and heat" (Shi-Re) is usually short-tempered and often presents with an oily and acned face. Both of these people need different food to take away their dampness, which means sweets, which "lubricate" the body, might worsen the situation.

Each type of food, depending on its nature, might better or worsen the situation. "There is no substance which is good for anybody. Many consider ginger to be healthy, but when you are already a very dry person and you have so much heat in your body, the more ginger tea you drink, the drier you get," says Guo.

5. Eat according to season
The season and time of year is another factor when it comes to food choices. For instance, spring is often wet and sticky in China, which means we need food that can take away the dampness in our body, such as corn, white beans and onion.

Summer is hot, so we need food to cool us down, such as watermelon and cucumber. Autumn is dry, which means we need food to "lubricate" us, such as snow peas and honey. Winter is cold, so we need food which warms up the body, such as beef or shrimps.

In the globalized world, one can easily buy foods that are not in season. But traditional Chinese practices dictate might not be that best way to feed ourselves, since seasonal foods bring us the nutrition that we need in that particular season. A similar concept also exists generally in the western world.

6. Climate also matters
The climate of a place can also affect our food choices. For example, Guo said, the Sichuan province in China: "(Sichuan) is a province where the climate is very wet and cold. So, Sichuan people love to eat spicy food since spicy food makes us sweat and thus removes the dampness in our body." He added that if people from temperate areas eat too much spicy food, the body will be too hot, which is not very healthy.

7. Finding the golden mean
At the end of the day, what is considered to be healthy, what should be avoided? In traditional Chinese medicine, every food is nutritious, and as long as a healthy person doesn't eat too much of any one food, nothing is unhealthy. Chinese philosophers tell us always to take the "golden means"; never take extremes. In traditional Chinese medicine, it's also important not to eat too much (only up to seventy-percent of your capacity), and have food that is in a moderate temperature, so as to avoid overstraining the digestive organs.

This also applies to food. After all, it's all about balance.

There's a saying in Chinese: "The five grains provide nourishment. The five vegetables provide filling. The five domestic animals provide enrichment. The five fruits provide support." It means a balanced diet, where foods are consumed in appropriate combinations according to their natures and flavors, serves to supplement the essence that human body needs.

Sunday

Vice President Joe Biden Weekly Address January 3, 2015 (Video/Trascript )

Vice President Joe Biden
Weekly Address
The White House
January 3, 2015
 
Hello everyone, this is Joe Biden. I want to wish you all a Happy New Year.
I know this is the time of year when we make resolutions to take care of our health, whether it's joining a gym or eating healthier. But there's one thing you can do right now that will also make a big difference in your health: that is getting quality, affordable health insurance through the Affordable Care Act.

Because of that law, access to quality health care is improving. Last year, almost 7 million people signed up for health care coverage under the new law and paid their premiums. And in many cases the cost of health care is less than the cost of your cell phone or your cable bill. In addition, millions more are getting the care that they need through Medicaid that they weren't getting before.

And because of the new law, people who already had health insurance are also benefitting from additional protections. For example, their insurance companies can't deny them coverage because of pre-existing conditions, like asthma or diabetes. And they’re able to get -- for free -- preventive services like mammograms or blood pressure screenings that their doctors ordered for them, saving them a lot of money.

Everyone is beginning to realize what millions of you already know -- the Affordable Care Act is working. And we're just getting started. Because there are millions more of you who can get quality, affordable health care if you sign up before February 15th of this year. That’s now through February 15th.

Now if you don't have insurance, you can go to HealthCare.gov, where you'll find a menu of a bunch of different plans and what each plan covers and how much each plan costs. All you have to do is just pick one. The best one that fits your family's health care needs and your family's budget.

If you don't want to go to HealthCare.gov and you want to talk to somebody on the phone instead, you can call, I'm going to give you the number now, you can call 1-800-318-2596. From this moment on, you can call any time of the day, any day of the week. Phone lines are open 24 hours a day, 7 days a week. And for folks listening today whose family and friends may not speak English: let them know that there are translators available in over 150 language to guide them through the process.

And if you're not comfortable going online or speaking on the phone, and you want to sit down with an individual to help you through this, you can find out where to go as well. Because in every community, at local libraries or community health centers, people are there to help. All you have to do is go on HealthCare.gov, type in where you live, and you can find out exactly where to go to sit down with a person who will help you walk through the process.

But here's the really important point I want to make. If you don't sign up by February 15th of this year -- with only a very few exceptions -- if you don’t sign up by the 15th of this year, you’re going to have to wait until 2016 to get health insurance through the Affordable Care Act.

And even those of you who already have health insurance through the Affordable Care Act, you can also go on HealthCare.gov to find a plan that might offer more benefits or be more affordable in price for you. You might even qualify for additional help paying for the insurance you choose because your income isn't what it was last year.

Now I'm sure some of you already heard from your friends and neighbors who’ve signed up for health insurance under the Affordable Care Act what I hear all around the country. I hear it provides peace of mind that someone you love will be covered if God-forbid something happens. It provides security, so if you have a bad strain in your ankle or your back and you don’t have the money to get treatment, you can now get the treatment rather than wait, put it off, and end up with a chronic condition. And it provides a lot of freedom, and choice, and opportunity -- so you can switch jobs or move to another city without the fear that you'll lose out on the health insurance with the company you now have it with. And what I'm hearing most is how pleased and excited people are about how affordable it is.

An awful lot of people who didn't think they could or would find quality, affordable health insurance are actually able to get assistance from the government to help them pay for their health care plans at a cheaper rate. Let me give you an example. A family of four with an income of around $95,000, they can still get a subsidy to lower their health care premiums.

But maybe most importantly, what I hear is that we have finally ended the debate in this country of whether or not health insurance is a right or a privilege. We think everyone in America has a right to have adequate health care insurance. And the Affordable Care Act gives them that right.

So sign up. And spread the word. Protect your health -- not only for your sake, but for the sake of your families.

Thanks for listening, and Jill and I wish you again a happy and healthy New Year. God bless you, and may God protect our troops.

Saturday

Chinese man wins 'gay conversion' case

Clinic ordered to compensate man who sued it for administering electric shocks intended to make him heterosexual.

Source:Al Jazeera 

A Chinese psychological clinic has been ordered to pay compensation to a gay man who sued it for administering electric shocks intended to make him heterosexual, in what is believed to be China's first case involving so-called conversion therapy.

Lawyer Li Duilong said the Haidian District People's Court in Beijing on Friday ordered the clinic to pay $560 to compensate Yang Teng for costs incurred in the therapy.

Li said the court also ruled that there was no need to administer shocks because homosexuality did not require treatment. A suit against search engine giant Baidu for advertising the Xinyu Piaoxiang clinic in the western city of Chongqing was dismissed.

Homosexuality is finding increasing acceptance in China but many openly gay men face pressure to undergo sexuality "treatment" or marry a partner of the opposite sex.

Yang told the Associated Press he was "very satisfied with the results, which I didn't expect. The court sided with me, and it has supported that homosexuality is not a mental disease that requires treatment".

Yang said the therapy included hypnosis and electric shocks that harmed him both physically and emotionally.

He said he voluntarily underwent the therapy in February following pressure from his parents to marry and have a child.

Homosexuality was de-classified as a mental disorder in the country in 2001 although no laws outlaw discrimination against sexual minorities and same-sex partnerships are not recognised.

Conversion therapy has more than a century of history around the world, but has fallen out of favour with medical authorities.

Nonetheless the lucrative industry persists in countries from Singapore to Britain and the United States - where reports of electro-shock use have added to momentum for a ban.

Tuesday

President Barak Obama on World AIDS Day 2014 (Video/Transcript)

The White House Monday, December 1, 2014

Good afternoon everyone.  Thank you all so much for participating today.  You’ve got a full agenda this afternoon, but I wanted to make sure I got the chance to speak with you too, and on behalf of President Obama, to make one simple point:  Our commitment to fight and end AIDS is unwavering, and it goes all the way to the top.  

We know where we’ve been.  We remember the devastation and the heartbreak.  The pain of an HIV diagnosis that was tantamount to a death sentence and the shameful initial global response. 

And we know where we’re going.  The promise of an AIDS-free generation—an end to AIDS-related deaths.  An end to the suffering and stigma of a terrible disease.  An end to children born with HIV, their promise tragically cut short from birth.  

That’s a goal that was unthinkable even five years ago.  I remember traveling through Africa some 20 years ago, and I remember the pervasive sense of hopelessness among people ravaged by AIDS with no treatment available, and the predictions among global health experts that HIV would continue to spread exponentially.  But with dedication and—critically—vision, we’ve begun to bring this epidemic to heel. 

Since President Obama came into office, we’ve amped up PEPFAR’s impact and built on America’s bipartisan legacy of fighting global AIDS.  We’ve worked smarter and increased our efficiency.  We’ve invested in interventions that have the greatest impact, allowing us to reach more than 7.7 million people with life-saving treatments.  And we’ve partnered with all of you and countless others around the world to make sure we’re all pulling together. 

But the truth of the matter is, as far as we’ve come, the finish line is not yet in sight.  There are still too many new infections, and our progress has been uneven.  There are still whole communities getting left behind.  So we’ve got to keep stepping up our efforts and making sure we reach every person with HIV.  We’ve got to get into communities where infection rates are high or still on the rise, and treatment is hard to come by.  Because everybody counts. 

At home, the fastest rate of infection is among 13-24–year-old gay and bisexual black men.  Teenagers really.  It’s a small community with a much higher prevalence of HIV, so the risk of infection is all the greater.  That means we’ve got to work all the harder.  Because everybody counts. 

Around the world, 380,000 adolescent girls are infected each year.  And, in sub-Saharan Africa, young girls are infected at about 4 times the rate of boys.  On top of that, we’re not reaching nearly as many children with anti-retroviral therapies as we are adults.  So we’ve got to do more to prevent adolescent girls from becoming infected and, if they are infected, we’ve got to make sure they’re getting treatment.  Because everybody counts. 

That’s why I’m proud to announce that the State Department and the First Lady’s office will work together with the Nike Foundation and the Bill and Melinda Gates Foundation on a new initiative specifically targeted to support, nurture, and educate adolescent girls.  It’s called the DREAMS Initiative to help girls develop into Determined, Resilient, Empowered, AIDS-free, Mentored and Safe women—D-R-E-A-M-S, DREAMS.  It will focus on doing more of what we already know works to reduce new HIV infections in girls and young women.

Today, we’re recommitting to the principles that have brought us this far in our work, both at home and overseas.  With transparency and the right data, we can continue to build accountable programs, make sure we’re reaching everyone and have an impact.  With partnership, we can ensure we’re bringing a comprehensive approach to our interventions.  And, with compassion, we can put a permanent end to the stigma that has hampered our efforts for too long, and which still poses barriers to treatment around the world. 

We hold this event each year because our work is not yet done.  We raise that big red ribbon on the White House each year to reaffirm our commitments, to each other and to all those living with HIV.  To the young man right here in Washington, D.C., who just found out he’s infected and doesn’t know where to turn, and to the little girl in South Africa who’s afraid that she won’t make it to her next birthday—you are not alone. 

Even as we face many other challenges around the world and confront new epidemics, like Ebola, we must remain focused on this fight.  And looking around this room—seeing people from across the government, leaders from the private sector, faith-based organizations, health workers, all united in a shared vision—I’m confident we will reach our goals.  So let’s keep working.  As the President just said, let’s get this done. 

Now I have the privilege of inviting my good friend and our outstanding Secretary of State to the stage.  As you know, there has been no more passionate advocate for this cause from the very beginning, first in the Senate and now at the State Department, than John Kerry. 

Thursday

Congress twists the relevant facts on purpose

Commentary: lawmakers deliberately distorted a recent Congressional Budget Office report 

By
Source: The Center for Public Integrity

If you’re curious about what I used to do as a PR guy for the health insurance industry, how I often took facts and figures and twisted them to advance a specific political or financial agenda, take a look at the behavior of some members of Congress last week.

Like I used to do, they took numbers in a report from a government agency — in this case the nonpartisan Congressional Budget Office — and twisted their meaning to suggest something never intended by the report’s authors. Like I used to do, they misled the public with statistics to advance their team’s ultimate agenda, which, of course, is to win votes in November. And if getting people to vote against their own best interests means making comments that not only are dishonest but also contradict what they’ve said previously, so be it.

I have to wonder if, also like my former me, they have trouble sleeping at night.
At issue is a section of the CBO’s 10-year budget and economic outlook, which was released last Tuesday. The agency’s economists updated their previous estimates that 800,000 fewer Americans might be working in 2017 because of the Affordable Care Act than would have been the case if Congress had not passed the law. The economists now believe that the number might actually be closer to 2 million and maybe 2.5 million by 2024.

The CBO never suggested that those jobs would be “lost” or that hundreds of thousands or millions of people would be laid off because of Obamacare. Rather, the law is expected to reduce the labor participation rate, meaning that many people will choose of their own free will not to stay in jobs because they need the health insurance.
 
Over the years, both Democrats and Republicans have pledged to support efforts to eliminate what has come to be known as “job lock,” a phenomenon unique to the U.S. employer-based health insurance system. What “job lock” means is that people stay in jobs they often hate, usually at big corporations, out of fear that they might not be able to find affordable coverage if they quit, even to take a job at a smaller company.

For decades, big employers that provide health coverage in this country have had an advantage over smaller employers that can’t afford to offer subsidized benefits. They’ve been able to attract workers who might prefer to work for a small business — or start a business of their own — but decide against it solely because of health insurance.

And in a system like ours in which millions of people every year lose their health insurance when they get laid off, big employers to a large extent have been the ultimate deciders when it comes to who will be able to keep their health insurance and who will lose it.

As a consequence, most of us with employer-based coverage have always been just one layoff away from joining the ranks of the uninsured. Millions of us join those ranks every year because our employers decide our services are no longer needed.

As Rep. Paul Ryan of Wisconsin, the 2012 GOP vice-presidential nominee, said during the Congressional debate on health care reform in 2009, “the key question that ought to be addressed in any health care reform legislation, is are we going to continue job lock, or are we going to allow individuals more choice and portability to fit the 21st century workforce?”

The Affordable Care Act, by changing the health insurance marketplace to make it more consumer-friendly and a little less insurance company-friendly, essentially does exactly what Ryan said should be health reform’s most important goal: it ends job lock.

But last week, after the CBO report was released, Ryan — surprise! — changed his tune. He suggested that Obamacare was encouraging people "not to get on the ladder of life, to begin working, getting the dignity of work, getting more opportunities, rising the income, joining the middle class."

Republican Sen. Lindsay Graham of South Carolina tweeted: “Obamacare will cost our nation about 2.5 million jobs and increase the deficit by $1 trillion.”

The next day, CBO director Doug Elmendorf said in testimony before the House Budget Committee, which Ryan chairs, that Obamacare critics were misrepresenting the data.
“The reason we don’t use the term ‘lost jobs’ is there is a critical difference between people who like to work and can’t find a job — or have a job that’s lost for reasons beyond their control — and people who choose not to work,” he said.

Despite Elmendorf’s clarification, and the Obama administration’s efforts to set the record straight, we can expect the spin to continue. Don’t be surprised to see campaign ads later this year saying that Obamacare will cost 2.5 million jobs, with the CBO cited as the source.

And you can expect millions of Americans to be influenced by the intentional misrepresentation of facts and figures during the next election. But don’t expect those politicians purposely twisting the record to lose any sleep over it.

Wednesday

President Barack Obama's State of the Union Address (Video/Transcript)


Mr. Speaker, Mr. Vice President, Members of Congress, my fellow Americans:

Today in America, a teacher spent extra time with a student who needed it, and did her part to lift America’s graduation rate to its highest level in more than three decades.
An entrepreneur flipped on the lights in her tech startup, and did her part to add to the more than eight million new jobs our businesses have created over the past four years.
An autoworker fine-tuned some of the best, most fuel-efficient cars in the world, and did his part to help America wean itself off foreign oil.

A farmer prepared for the spring after the strongest five-year stretch of farm exports in our history.  A rural doctor gave a young child the first prescription to treat asthma that his mother could afford.  A man took the bus home from the graveyard shift, bone-tired but dreaming big dreams for his son.  And in tight-knit communities across America, fathers and mothers will tuck in their kids, put an arm around their spouse, remember fallen comrades, and give thanks for being home from a war that, after twelve long years, is finally coming to an end.

Tonight, this chamber speaks with one voice to the people we represent: it is you, our citizens, who make the state of our union strong.

Here are the results of your efforts:  The lowest unemployment rate in over five years.  A rebounding housing market.  A manufacturing sector that’s adding jobs for the first time since the 1990s.  More oil produced at home than we buy from the rest of the world – the first time that’s happened in nearly twenty years.  Our deficits – cut by more than half.  And for the first time in over a decade, business leaders around the world have declared that China is no longer the world’s number one place to invest; America is.

That’s why I believe this can be a breakthrough year for America.  After five years of grit and determined effort, the United States is better-positioned for the 21st century than any other nation on Earth.

The question for everyone in this chamber, running through every decision we make this year, is whether we are going to help or hinder this progress.  For several years now, this town has been consumed by a rancorous argument over the proper size of the federal government.  It’s an important debate – one that dates back to our very founding.  But when that debate prevents us from carrying out even the most basic functions of our democracy – when our differences shut down government or threaten the full faith and credit of the United States – then we are not doing right by the American people.
As President, I’m committed to making Washington work better, and rebuilding the trust of the people who sent us here.  I believe most of you are, too.  Last month, thanks to the work of Democrats and Republicans, this Congress finally produced a budget that undoes some of last year’s severe cuts to priorities like education.  Nobody got everything they wanted, and we can still do more to invest in this country’s future while bringing down our deficit in a balanced way.  But the budget compromise should leave us freer to focus on creating new jobs, not creating new crises.

In the coming months, let’s see where else we can make progress together.  Let’s make this a year of action.  That’s what most Americans want – for all of us in this chamber to focus on their lives, their hopes, their aspirations.  And what I believe unites the people of this nation, regardless of race or region or party, young or old, rich or poor, is the simple, profound belief in opportunity for all – the notion that if you work hard and take responsibility, you can get ahead.

Let’s face it: that belief has suffered some serious blows.  Over more than three decades, even before the Great Recession hit, massive shifts in technology and global competition had eliminated a lot of good, middle-class jobs, and weakened the economic foundations that families depend on.

Today, after four years of economic growth, corporate profits and stock prices have rarely been higher, and those at the top have never done better.  But average wages have barely budged.  Inequality has deepened.  Upward mobility has stalled.  The cold, hard fact is that even in the midst of recovery, too many Americans are working more than ever just to get by – let alone get ahead.  And too many still aren’t working at all.
Our job is to reverse these trends.  It won’t happen right away, and we won’t agree on everything.  But what I offer tonight is a set of concrete, practical proposals to speed up growth, strengthen the middle class, and build new ladders of opportunity into the middle class.  Some require Congressional action, and I’m eager to work with all of you.  But America does not stand still – and neither will I.  So wherever and whenever I can take steps without legislation to expand opportunity for more American families, that’s what I’m going to do.

As usual, our First Lady sets a good example.  Michelle’s Let’s Move partnership with schools, businesses, and local leaders has helped bring down childhood obesity rates for the first time in thirty years – an achievement that will improve lives and reduce health care costs for decades to come.  The Joining Forces alliance that Michelle and Jill Biden launched has already encouraged employers to hire or train nearly 400,000 veterans and military spouses.  Taking a page from that playbook, the White House just organized a College Opportunity Summit where already, 150 universities, businesses, and nonprofits have made concrete commitments to reduce inequality in access to higher education – and help every hardworking kid go to college and succeed when they get to campus.  Across the country, we’re partnering with mayors, governors, and state legislatures on issues from homelessness to marriage equality.

The point is, there are millions of Americans outside Washington who are tired of stale political arguments, and are moving this country forward.  They believe, and I believe, that here in America, our success should depend not on accident of birth, but the strength of our work ethic and the scope of our dreams.  That’s what drew our forebears here.  It’s how the daughter of a factory worker is CEO of America’s largest automaker; how the son of a barkeeper is Speaker of the House; how the son of a single mom can be President of the greatest nation on Earth.

Opportunity is who we are.  And the defining project of our generation is to restore that promise.

We know where to start: the best measure of opportunity is access to a good job.  With the economy picking up speed, companies say they intend to hire more people this year.  And over half of big manufacturers say they’re thinking of insourcing jobs from abroad.
So let’s make that decision easier for more companies.  Both Democrats and Republicans have argued that our tax code is riddled with wasteful, complicated loopholes that punish businesses investing here, and reward companies that keep profits abroad.  Let’s flip that equation.  Let’s work together to close those loopholes, end those incentives to ship jobs overseas, and lower tax rates for businesses that create jobs here at home.

Moreover, we can take the money we save with this transition to tax reform to create jobs rebuilding our roads, upgrading our ports, unclogging our commutes – because in today’s global economy, first-class jobs gravitate to first-class infrastructure.  We’ll need Congress to protect more than three million jobs by finishing transportation and waterways bills this summer.  But I will act on my own to slash bureaucracy and streamline the permitting process for key projects, so we can get more construction workers on the job as fast as possible.

We also have the chance, right now, to beat other countries in the race for the next wave of high-tech manufacturing jobs.  My administration has launched two hubs for high-tech manufacturing in Raleigh and Youngstown, where we’ve connected businesses to research universities that can help America lead the world in advanced technologies.  Tonight, I’m announcing we’ll launch six more this year.  Bipartisan bills in both houses could double the number of these hubs and the jobs they create.  So get those bills to my desk and put more Americans back to work.

Let’s do more to help the entrepreneurs and small business owners who create most new jobs in America.  Over the past five years, my administration has made more loans to small business owners than any other.  And when ninety-eight percent of our exporters are small businesses, new trade partnerships with Europe and the Asia-Pacific will help them create more jobs.  We need to work together on tools like bipartisan trade promotion authority to protect our workers, protect our environment, and open new markets to new goods stamped “Made in the USA.”  China and Europe aren’t standing on the sidelines.  Neither should we.

We know that the nation that goes all-in on innovation today will own the global economy tomorrow.  This is an edge America cannot surrender.  Federally-funded research helped lead to the ideas and inventions behind Google and smartphones.  That’s why Congress should undo the damage done by last year’s cuts to basic research so we can unleash the next great American discovery – whether it’s vaccines that stay ahead of drug-resistant bacteria, or paper-thin material that’s stronger than steel.  And let’s pass a patent reform bill that allows our businesses to stay focused on innovation, not costly, needless litigation.

Now, one of the biggest factors in bringing more jobs back is our commitment to American energy.  The all-of-the-above energy strategy I announced a few years ago is working, and today, America is closer to energy independence than we’ve been in decades.

One of the reasons why is natural gas – if extracted safely, it’s the bridge fuel that can power our economy with less of the carbon pollution that causes climate change.  Businesses plan to invest almost $100 billion in new factories that use natural gas.  I’ll cut red tape to help states get those factories built, and this Congress can help by putting people to work building fueling stations that shift more cars and trucks from foreign oil to American natural gas.  My administration will keep working with the industry to sustain production and job growth while strengthening protection of our air, our water, and our communities.  And while we’re at it, I’ll use my authority to protect more of our pristine federal lands for future generations.

It’s not just oil and natural gas production that’s booming; we’re becoming a global leader in solar, too.  Every four minutes, another American home or business goes solar; every panel pounded into place by a worker whose job can’t be outsourced.  Let’s continue that progress with a smarter tax policy that stops giving $4 billion a year to fossil fuel industries that don’t need it, so that we can invest more in fuels of the future that do.

And even as we’ve increased energy production, we’ve partnered with businesses, builders, and local communities to reduce the energy we consume.  When we rescued our automakers, for example, we worked with them to set higher fuel efficiency standards for our cars.  In the coming months, I’ll build on that success by setting new standards for our trucks, so we can keep driving down oil imports and what we pay at the pump.

Taken together, our energy policy is creating jobs and leading to a cleaner, safer planet.  Over the past eight years, the United States has reduced our total carbon pollution more than any other nation on Earth.  But we have to act with more urgency – because a changing climate is already harming western communities struggling with drought, and coastal cities dealing with floods.  That’s why I directed my administration to work with states, utilities, and others to set new standards on the amount of carbon pollution our power plants are allowed to dump into the air.  The shift to a cleaner energy economy won’t happen overnight, and it will require tough choices along the way.  But the debate is settled.  Climate change is a fact.  And when our children’s children look us in the eye and ask if we did all we could to leave them a safer, more stable world, with new sources of energy, I want us to be able to say yes, we did.

Finally, if we are serious about economic growth, it is time to heed the call of business leaders, labor leaders, faith leaders, and law enforcement – and fix our broken immigration system.  Republicans and Democrats in the Senate have acted.  I know that members of both parties in the House want to do the same.  Independent economists say immigration reform will grow our economy and shrink our deficits by almost $1 trillion in the next two decades.  And for good reason: when people come here to fulfill their dreams – to study, invent, and contribute to our culture – they make our country a more attractive place for businesses to locate and create jobs for everyone.  So let’s get immigration reform done this year.

The ideas I’ve outlined so far can speed up growth and create more jobs.  But in this rapidly-changing economy, we have to make sure that every American has the skills to fill those jobs.

The good news is, we know how to do it.  Two years ago, as the auto industry came roaring back, Andra Rush opened up a manufacturing firm in Detroit.  She knew that Ford needed parts for the best-selling truck in America, and she knew how to make them.  She just needed the workforce.  So she dialed up what we call an American Job Center – places where folks can walk in to get the help or training they need to find a new job, or better job.  She was flooded with new workers.  And today, Detroit Manufacturing Systems has more than 700 employees.

What Andra and her employees experienced is how it should be for every employer – and every job seeker.  So tonight, I’ve asked Vice President Biden to lead an across-the-board reform of America’s training programs to make sure they have one mission: train Americans with the skills employers need, and match them to good jobs that need to be filled right now.  That means more on-the-job training, and more apprenticeships that set a young worker on an upward trajectory for life.  It means connecting companies to community colleges that can help design training to fill their specific needs.  And if Congress wants to help, you can concentrate funding on proven programs that connect more ready-to-work Americans with ready-to-be-filled jobs.

I’m also convinced we can help Americans return to the workforce faster by reforming unemployment insurance so that it’s more effective in today’s economy.  But first, this Congress needs to restore the unemployment insurance you just let expire for 1.6 million people.

Let me tell you why.

Misty DeMars is a mother of two young boys. She’d been steadily employed since she was a teenager.  She put herself through college.  She’d never collected unemployment benefits.  In May, she and her husband used their life savings to buy their first home.  A week later, budget cuts claimed the job she loved.  Last month, when their unemployment insurance was cut off, she sat down and wrote me a letter – the kind I get every day.  “We are the face of the unemployment crisis,” she wrote.  “I am not dependent on the government…Our country depends on people like us who build careers, contribute to society…care about our neighbors…I am confident that in time I will find a job…I will pay my taxes, and we will raise our children in their own home in the community we love.  Please give us this chance.”

Congress, give these hardworking, responsible Americans that chance.  They need our help, but more important, this country needs them in the game.  That’s why I’ve been asking CEOs to give more long-term unemployed workers a fair shot at that new job and new chance to support their families; this week, many will come to the White House to make that commitment real.  Tonight, I ask every business leader in America to join us and to do the same – because we are stronger when America fields a full team.

Of course, it’s not enough to train today’s workforce.  We also have to prepare tomorrow’s workforce, by guaranteeing every child access to a world-class education.
Estiven Rodriguez couldn’t speak a word of English when he moved to New York City at age nine.  But last month, thanks to the support of great teachers and an innovative tutoring program, he led a march of his classmates – through a crowd of cheering parents and neighbors – from their high school to the post office, where they mailed off their college applications.  And this son of a factory worker just found out he’s going to college this fall.

Five years ago, we set out to change the odds for all our kids.  We worked with lenders to reform student loans, and today, more young people are earning college degrees than ever before.  Race to the Top, with the help of governors from both parties, has helped states raise expectations and performance.  Teachers and principals in schools from Tennessee to Washington, D.C. are making big strides in preparing students with skills for the new economy – problem solving, critical thinking, science, technology, engineering, and math.  Some of this change is hard.  It requires everything from more challenging curriculums and more demanding parents to better support for teachers and new ways to measure how well our kids think, not how well they can fill in a bubble on a test.  But it’s worth it – and it’s working.

The problem is we’re still not reaching enough kids, and we’re not reaching them in time.  That has to change.

Research shows that one of the best investments we can make in a child’s life is high-quality early education.  Last year, I asked this Congress to help states make high-quality pre-K available to every four year-old.  As a parent as well as a President, I repeat that request tonight. But in the meantime, thirty states have raised pre-k funding on their own.  They know we can’t wait.  So just as we worked with states to reform our schools, this year, we’ll invest in new partnerships with states and communities across the country in a race to the top for our youngest children.  And as Congress decides what it’s going to do, I’m going to pull together a coalition of elected officials, business leaders, and philanthropists willing to help more kids access the high-quality pre-K they need.

Last year, I also pledged to connect 99 percent of our students to high-speed broadband over the next four years.  Tonight, I can announce that with the support of the FCC and companies like Apple, Microsoft, Sprint, and Verizon, we’ve got a down payment to start connecting more than 15,000 schools and twenty million students over the next two years, without adding a dime to the deficit.

We’re working to redesign high schools and partner them with colleges and employers that offer the real-world education and hands-on training that can lead directly to a job and career.  We’re shaking up our system of higher education to give parents more information, and colleges more incentives to offer better value, so that no middle-class kid is priced out of a college education.  We’re offering millions the opportunity to cap their monthly student loan payments to ten percent of their income, and I want to work with Congress to see how we can help even more Americans who feel trapped by student loan debt.  And I’m reaching out to some of America’s leading foundations and corporations on a new initiative to help more young men of color facing tough odds stay on track and reach their full potential.

The bottom line is, Michelle and I want every child to have the same chance this country gave us.  But we know our opportunity agenda won’t be complete – and too many young people entering the workforce today will see the American Dream as an empty promise – unless we do more to make sure our economy honors the dignity of work, and hard work pays off for every single American.

Today, women make up about half our workforce.  But they still make 77 cents for every dollar a man earns.  That is wrong, and in 2014, it’s an embarrassment. A woman deserves equal pay for equal work.  She deserves to have a baby without sacrificing her job.  A mother deserves a day off to care for a sick child or sick parent without running into hardship – and you know what, a father does, too.  It’s time to do away with workplace policies that belong in a “Mad Men” episode.  This year, let’s all come together – Congress, the White House, and businesses from Wall Street to Main Street – to give every woman the opportunity she deserves.  Because I firmly believe when women succeed, America succeeds.

Now, women hold a majority of lower-wage jobs – but they’re not the only ones stifled by stagnant wages.  Americans understand that some people will earn more than others, and we don’t resent those who, by virtue of their efforts, achieve incredible success.  But Americans overwhelmingly agree that no one who works full time should ever have to raise a family in poverty.

In the year since I asked this Congress to raise the minimum wage, five states have passed laws to raise theirs.  Many businesses have done it on their own.  Nick Chute is here tonight with his boss, John Soranno.  John’s an owner of Punch Pizza in Minneapolis, and Nick helps make the dough.  Only now he makes more of it: John just gave his employees a raise, to ten bucks an hour – a decision that eased their financial stress and boosted their morale.

Tonight, I ask more of America’s business leaders to follow John’s lead and do what you can to raise your employees’ wages.  To every mayor, governor, and state legislator in America, I say, you don’t have to wait for Congress to act; Americans will support you if you take this on.  And as a chief executive, I intend to lead by example. Profitable corporations like Costco see higher wages as the smart way to boost productivity and reduce turnover. We should too.  In the coming weeks, I will issue an Executive Order requiring federal contractors to pay their federally-funded employees a fair wage of at least $10.10 an hour – because if you cook our troops’ meals or wash their dishes, you shouldn’t have to live in poverty.

Of course, to reach millions more, Congress needs to get on board. Today, the federal minimum wage is worth about twenty percent less than it was when Ronald Reagan first stood here.  Tom Harkin and George Miller have a bill to fix that by lifting the minimum wage to $10.10.  This will help families.  It will give businesses customers with more money to spend.  It doesn’t involve any new bureaucratic program.  So join the rest of the country.  Say yes.  Give America a raise.

There are other steps we can take to help families make ends meet, and few are more effective at reducing inequality and helping families pull themselves up through hard work than the Earned Income Tax Credit.  Right now, it helps about half of all parents at some point.  But I agree with Republicans like Senator Rubio that it doesn’t do enough for single workers who don’t have kids.  So let’s work together to strengthen the credit, reward work, and help more Americans get ahead.

Let’s do more to help Americans save for retirement. Today, most workers don’t have a pension.  A Social Security check often isn’t enough on its own.  And while the stock market has doubled over the last five years, that doesn’t help folks who don’t have 401ks.  That’s why, tomorrow, I will direct the Treasury to create a new way for working Americans to start their own retirement savings: MyRA. It’s a new savings bond that encourages folks to build a nest egg.  MyRA guarantees a decent return with no risk of losing what you put in.  And if this Congress wants to help, work with me to fix an upside-down tax code that gives big tax breaks to help the wealthy save, but does little to nothing for middle-class Americans.  Offer every American access to an automatic IRA on the job, so they can save at work just like everyone in this chamber can.  And since the most important investment many families make is their home, send me legislation that protects taxpayers from footing the bill for a housing crisis ever again, and keeps the dream of homeownership alive for future generations of Americans.

One last point on financial security.  For decades, few things exposed hard-working families to economic hardship more than a broken health care system.  And in case you haven’t heard, we’re in the process of fixing that.

A pre-existing condition used to mean that someone like Amanda Shelley, a physician assistant and single mom from Arizona, couldn’t get health insurance.  But on January 1st, she got covered.  On January 3rd, she felt a sharp pain.  On January 6th, she had emergency surgery.  Just one week earlier, Amanda said, that surgery would’ve meant bankruptcy.

That’s what health insurance reform is all about – the peace of mind that if misfortune strikes, you don’t have to lose everything.

Already, because of the Affordable Care Act, more than three million Americans under age 26 have gained coverage under their parents’ plans.

More than nine million Americans have signed up for private health insurance or Medicaid coverage.

And here’s another number: zero.  Because of this law, no American can ever again be dropped or denied coverage for a preexisting condition like asthma, back pain, or cancer. No woman can ever be charged more just because she’s a woman.  And we did all this while adding years to Medicare’s finances, keeping Medicare premiums flat, and lowering prescription costs for millions of seniors.

Now, I don’t expect to convince my Republican friends on the merits of this law.  But I know that the American people aren’t interested in refighting old battles.  So again, if you have specific plans to cut costs, cover more people, and increase choice – tell America what you’d do differently.  Let’s see if the numbers add up.  But let’s not have another forty-something votes to repeal a law that’s already helping millions of Americans like Amanda.  The first forty were plenty.  We got it.  We all owe it to the American people to say what we’re for, not just what we’re against.

And if you want to know the real impact this law is having, just talk to Governor Steve Beshear of Kentucky, who’s here tonight.  Kentucky’s not the most liberal part of the country, but he’s like a man possessed when it comes to covering his commonwealth’s families.  “They are our friends and neighbors,” he said.  “They are people we shop and go to church with…farmers out on the tractors…grocery clerks…they are people who go to work every morning praying they don’t get sick.  No one deserves to live that way.”
Steve’s right.  That’s why, tonight, I ask every American who knows someone without health insurance to help them get covered by March 31st.  Moms, get on your kids to sign up.  Kids, call your mom and walk her through the application.  It will give her some peace of mind – plus, she’ll appreciate hearing from you.

After all, that’s the spirit that has always moved this nation forward.  It’s the spirit of citizenship – the recognition that through hard work and responsibility, we can pursue our individual dreams, but still come together as one American family to make sure the next generation can pursue its dreams as well.

Citizenship means standing up for everyone’s right to vote.  Last year, part of the Voting Rights Act was weakened.  But conservative Republicans and liberal Democrats are working together to strengthen it; and the bipartisan commission I appointed last year has offered reforms so that no one has to wait more than a half hour to vote.  Let’s support these efforts.  It should be the power of our vote, not the size of our bank account, that drives our democracy.

Citizenship means standing up for the lives that gun violence steals from us each day.  I have seen the courage of parents, students, pastors, and police officers all over this country who say “we are not afraid,” and I intend to keep trying, with or without Congress, to help stop more tragedies from visiting innocent Americans in our movie theaters, shopping malls, or schools like Sandy Hook.

Citizenship demands a sense of common cause; participation in the hard work of self-government; an obligation to serve to our communities.  And I know this chamber agrees that few Americans give more to their country than our diplomats and the men and women of the United States Armed Forces.

Tonight, because of the extraordinary troops and civilians who risk and lay down their lives to keep us free, the United States is more secure.  When I took office, nearly 180,000 Americans were serving in Iraq and Afghanistan.  Today, all our troops are out of Iraq.  More than 60,000 of our troops have already come home from Afghanistan.  With Afghan forces now in the lead for their own security, our troops have moved to a support role. Together with our allies, we will complete our mission there by the end of this year, and America’s longest war will finally be over.

After 2014, we will support a unified Afghanistan as it takes responsibility for its own future.  If the Afghan government signs a security agreement that we have negotiated, a small force of Americans could remain in Afghanistan with NATO allies to carry out two narrow missions: training and assisting Afghan forces, and counterterrorism operations to pursue any remnants of al Qaeda.  For while our relationship with Afghanistan will change, one thing will not: our resolve that terrorists do not launch attacks against our country.

The fact is, that danger remains.  While we have put al Qaeda’s core leadership on a path to defeat, the threat has evolved, as al Qaeda affiliates and other extremists take root in different parts of the world. In Yemen, Somalia, Iraq, and Mali, we have to keep working with partners to disrupt and disable these networks. In Syria, we’ll support the opposition that rejects  the agenda of terrorist networks. Here at home, we’ll keep strengthening our defenses, and combat new threats like cyberattacks.  And as we reform our defense budget, we have to keep faith with our men and women in uniform, and invest in the capabilities they need to succeed in future missions.

We have to remain vigilant.  But I strongly believe our leadership and our security cannot depend on our military alone. As Commander-in-Chief, I have used force when needed to protect the American people, and I will never hesitate to do so as long as I hold this office.  But I will not send our troops into harm’s way unless it’s truly necessary; nor will I allow our sons and daughters to be mired in open-ended conflicts.

We must fight the battles that need to be fought, not those that terrorists prefer from us – large-scale deployments that drain our strength and may ultimately feed extremism.
So, even as we aggressively pursue terrorist networks – through more targeted efforts and by building the capacity of our foreign partners – America must move off a permanent war footing.  That’s why I’ve imposed prudent limits on the use of drones – for we will not be safer if people abroad believe we strike within their countries without regard for the consequence.  That’s why, working with this Congress, I will reform our surveillance programs – because the vital work of our intelligence community depends on public confidence, here and abroad, that the privacy of ordinary people is not being violated.  And with the Afghan war ending, this needs to be the year Congress lifts the remaining restrictions on detainee transfers and we close the prison at Guantanamo Bay – because we counter terrorism not just through intelligence and military action, but by remaining true to our Constitutional ideals, and setting an example for the rest of the world.

You see, in a world of complex threats, our security and leadership depends on all elements of our power – including strong and principled diplomacy.  American diplomacy has rallied more than fifty countries to prevent nuclear materials from falling into the wrong hands, and allowed us to reduce our own reliance on Cold War stockpiles.  American diplomacy, backed by the threat of force, is why Syria’s chemical weapons are being eliminated, and we will continue to work with the international community to usher in the future the Syrian people deserve – a future free of dictatorship, terror and fear. As we speak, American diplomacy is supporting Israelis and Palestinians as they engage in difficult but necessary talks to end the conflict there; to achieve dignity and an independent state for Palestinians, and lasting peace and security for the State of Israel – a Jewish state that knows America will always be at their side.

And it is American diplomacy, backed by pressure, that has halted the progress of Iran’s nuclear program – and rolled parts of that program back – for the very first time in a decade.  As we gather here tonight, Iran has begun to eliminate its stockpile of higher levels of enriched uranium.  It is not installing advanced centrifuges.  Unprecedented inspections help the world verify, every day, that Iran is not building a bomb.  And with our allies and partners, we’re engaged in negotiations to see if we can peacefully achieve a goal we all share: preventing Iran from obtaining a nuclear weapon.

These negotiations will be difficult.  They may not succeed.  We are clear-eyed about Iran’s support for terrorist organizations like Hezbollah, which threaten our allies; and the mistrust between our nations cannot be wished away.  But these negotiations do not rely on trust; any long-term deal we agree to must be based on verifiable action that convinces us and the international community that Iran is not building a nuclear bomb.  If John F. Kennedy and Ronald Reagan could negotiate with the Soviet Union, then surely a strong and confident America can negotiate with less powerful adversaries today.

The sanctions that we put in place helped make this opportunity possible.  But let me be clear: if this Congress sends me a new sanctions bill now that threatens to derail these talks, I will veto it.  For the sake of our national security, we must give diplomacy a chance to succeed.  If Iran’s leaders do not seize this opportunity, then I will be the first to call for more sanctions, and stand ready to exercise all options to make sure Iran does not build a nuclear weapon.  But if Iran’s leaders do seize the chance, then Iran could take an important step to rejoin the community of nations, and we will have resolved one of the leading security challenges of our time without the risks of war.

Finally, let’s remember that our leadership is defined not just by our defense against threats, but by the enormous opportunities to do good and promote understanding around the globe – to forge greater cooperation, to expand new markets, to free people from fear and want.  And no one is better positioned to take advantage of those opportunities than America.

Our alliance with Europe remains the strongest the world has ever known.  From Tunisia to Burma, we’re supporting those who are willing to do the hard work of building democracy.  In Ukraine, we stand for the principle that all people have the right to express themselves freely and peacefully, and have a say in their country’s future.  Across Africa, we’re bringing together businesses and governments to double access to electricity and help end extreme poverty.  In the Americas, we are building new ties of commerce, but we’re also expanding cultural and educational exchanges among young people.  And we will continue to focus on the Asia-Pacific, where we support our allies, shape a future of greater security and prosperity, and extend a hand to those devastated by disaster – as we did in the Philippines, when our Marines and civilians rushed to aid those battered by a typhoon, and were greeted with words like, “We will never forget your kindness” and “God bless America!”

We do these things because they help promote our long-term security.  And we do them because we believe in the inherent dignity and equality of every human being, regardless of race or religion, creed or sexual orientation.  And next week, the world will see one expression of that commitment – when Team USA marches the red, white, and blue into the Olympic Stadium – and brings home the gold.

My fellow Americans, no other country in the world does what we do.  On every issue, the world turns to us, not simply because of the size of our economy or our military might – but because of the ideals we stand for, and the burdens we bear to advance them.

No one knows this better than those who serve in uniform.  As this time of war draws to a close, a new generation of heroes returns to civilian life.  We’ll keep slashing that backlog so our veterans receive the benefits they’ve earned, and our wounded warriors receive the health care – including the mental health care – that they need.  We’ll keep working to help all our veterans translate their skills and leadership into jobs here at home.  And we all continue to join forces to honor and support our remarkable military families.

Let me tell you about one of those families I’ve come to know.

I first met Cory Remsburg, a proud Army Ranger, at Omaha Beach on the 65th anniversary of D-Day.  Along with some of his fellow Rangers, he walked me through the program – a strong, impressive young man, with an easy manner, sharp as a tack.  We joked around, and took pictures, and I told him to stay in touch.

A few months later, on his tenth deployment, Cory was nearly killed by a massive roadside bomb in Afghanistan. His comrades found him in a canal, face down, underwater, shrapnel in his brain.

For months, he lay in a coma.  The next time I met him, in the hospital, he couldn’t speak; he could barely move.  Over the years, he’s endured dozens of surgeries and procedures, and hours of grueling rehab every day.

Even now, Cory is still blind in one eye.  He still struggles on his left side.  But slowly, steadily, with the support of caregivers like his dad Craig, and the community around him, Cory has grown stronger. Day by day, he’s learned to speak again and stand again and walk again – and he’s working toward the day when he can serve his country again.
“My recovery has not been easy,” he says. “Nothing in life that’s worth anything is easy.”
Cory is here tonight.  And like the Army he loves, like the America he serves, Sergeant First Class Cory Remsburg never gives up, and he does not quit.

My fellow Americans, men and women like Cory remind us that America has never come easy.  Our freedom, our democracy, has never been easy.  Sometimes we stumble; we make mistakes; we get frustrated or discouraged.  But for more than two hundred years, we have put those things aside and placed our collective shoulder to the wheel of progress – to create and build and expand the possibilities of individual achievement; to free other nations from tyranny and fear; to promote justice, and fairness, and equality under the law, so that the words set to paper by our founders are made real for every citizen.  The America we want for our kids – a rising America where honest work is plentiful and communities are strong; where prosperity is widely shared and opportunity for all lets us go as far as our dreams and toil will take us – none of it is easy.  But if we work together; if we summon what is best in us, with our feet planted firmly in today but our eyes cast towards tomorrow – I know it’s within our reach.
Believe it.

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