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Historic health care reform bill passes the House

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Photo: Pete Souza/White House — President Obama and staff react to the victory vote in the House on health care reform

UPDATE: March 23, 2010 — President Barack Obama signed into law the landmark health care reform bill today. The president declared, “Today, I’m signing this reform bill into law on behalf of my mother, who argued with insurance companies even as she battled cancer in her final days.”

President Obama went on to say, ” … we have now just enshrined… the core principle that everybody should have some basic security when it comes to their health care.” More of the president’s remarks on the White House blog here.


After a long bitter debate, behind the scenes dealmaking, and intense lobbying by President Barack Obama and his administration, a sweeping health care reform bill passed the House 219-212 tonight. All 178 Republicans in the House of Representatives voted against it, along with 34 Democrats.  Last December, the bill cleared the Senate. The next step is for President Obama to sign it into law.

This is the most sweeping change to the federal health care system in four decades. Tonight, President Obama spoke to the American people about what this change means.

President Obama

Good evening, everybody. Tonight, after nearly 100 years of talk and frustration, after decades of trying, and a year of sustained effort and debate, the United States Congress finally declared that America’s workers and America’s families and America’s small businesses deserve the security of knowing that here, in this country, neither illness nor accident should endanger the dreams they’ve worked a lifetime to achieve.

Tonight, at a time when the pundits said it was no longer possible, we rose above the weight of our politics. We pushed back on the undue influence of special interests. We didn’t give in to mistrust or to cynicism or to fear. Instead, we proved that we are still a people capable of doing big things and tackling our biggest challenges. We proved that this government — a government of the people and by the people — still works for the people.

I want to thank every member of Congress who stood up tonight with courage and conviction to make health care reform a reality. And I know this wasn’t an easy vote for a lot of people. But it was the right vote. I want to thank Speaker Nancy Pelosi for her extraordinary leadership, and Majority Leader Steny Hoyer and Majority Whip Jim Clyburn for their commitment to getting the job done. I want to thank my outstanding Vice President, Joe Biden, and my wonderful Secretary of Health and Human Services, Kathleen Sebelius, for their fantastic work on this issue. I want to thank the many staffers in Congress, and my own incredible staff in the White House, who have worked tirelessly over the past year with Americans of all walks of life to forge a reform package finally worthy of the people we were sent here to serve.

Today’s vote answers the dreams of so many who have fought for this reform. To every unsung American who took the time to sit down and write a letter or type out an e-mail hoping your voice would be heard — it has been heard tonight. To the untold numbers who knocked on doors and made phone calls, who organized and mobilized out of a firm conviction that change in this country comes not from the top down, but from the bottom up — let me reaffirm that conviction: This moment is possible because of you.

Most importantly, today’s vote answers the prayers of every American who has hoped deeply for something to be done about a health care system that works for insurance companies, but not for ordinary people. For most Americans, this debate has never been about abstractions, the fight between right and left, Republican and Democrat — it’s always been about something far more personal. It’s about every American who knows the shock of opening an envelope to see that their premiums just shot up again when times are already tough enough. It’s about every parent who knows the desperation of trying to cover a child with a chronic illness only to be told “no” again and again and again. It’s about every small business owner forced to choose between insuring employees and staying open for business. They are why we committed ourselves to this cause.

Tonight’s vote is not a victory for any one party — it’s a victory for them. It’s a victory for the American people. And it’s a victory for common sense.

Now, it probably goes without saying that tonight’s vote will give rise to a frenzy of instant analysis. There will be tallies of Washington winners and losers, predictions about what it means for Democrats and Republicans, for my poll numbers, for my administration. But long after the debate fades away and the prognostication fades away and the dust settles, what will remain standing is not the government-run system some feared, or the status quo that serves the interests of the insurance industry, but a health care system that incorporates ideas from both parties — a system that works better for the American people.

If you have health insurance, this reform just gave you more control by reining in the worst excesses and abuses of the insurance industry with some of the toughest consumer protections this country has ever known — so that you are actually getting what you pay for.

If you don’t have insurance, this reform gives you a chance to be a part of a big purchasing pool that will give you choice and competition and cheaper prices for insurance. And it includes the largest health care tax cut for working families and small businesses in history — so that if you lose your job and you change jobs, start that new business, you’ll finally be able to purchase quality, affordable care and the security and peace of mind that comes with it.

This reform is the right thing to do for our seniors. It makes Medicare stronger and more solvent, extending its life by almost a decade. And it’s the right thing to do for our future. It will reduce our deficit by more than $100 billion over the next decade, and more than $1 trillion in the decade after that.

So this isn’t radical reform. But it is major reform. This legislation will not fix everything that ails our health care system. But it moves us decisively in the right direction. This is what change looks like.

Now as momentous as this day is, it’s not the end of this journey. On Tuesday, the Senate will take up revisions to this legislation that the House has embraced, and these are revisions that have strengthened this law and removed provisions that had no place in it. Some have predicted another siege of parliamentary maneuvering in order to delay adoption of these improvements. I hope that’s not the case. It’s time to bring this debate to a close and begin the hard work of implementing this reform properly on behalf of the American people. This year, and in years to come, we have a solemn responsibility to do it right.

Nor does this day represent the end of the work that faces our country. The work of revitalizing our economy goes on. The work of promoting private sector job creation goes on. The work of putting American families’ dreams back within reach goes on. And we march on, with renewed confidence, energized by this victory on their behalf.

In the end, what this day represents is another stone firmly laid in the foundation of the American Dream. Tonight, we answered the call of history as so many generations of Americans have before us. When faced with crisis, we did not shrink from our challenge — we overcame it. We did not avoid our responsibility — we embraced it. We did not fear our future — we shaped it.

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


 The text of President Obama’s message is from The White House Blog.

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12 Responses to Historic health care reform bill passes the House

  1. ECIO Monday, March 22, 2010 at 8:15 pm #

    I don’t like it at all.

  2. Big Mac Tuesday, March 23, 2010 at 8:00 am #

    Who’s gonna pay for this “Major Reform?” Yup, you and me. Outa pocket baby. All the lazy, no J-O-B having S-O-B’s will have that medical insurance at no cost to them, but at a major cost to the average working American.

    This is a scam and I feel betrayed by Obama and his party. Those Democrats that allowed themselves to be unduly influenced to change their vote, should be ashamed of themselves. I sure hope people vote accordingly when they cast their vote in November!

  3. Purple Dino Tuesday, March 23, 2010 at 11:33 am #

    It’s all cool after all isn’t it about time for government to destroy health care ? They sure have destroyed everything else in the nation. Those who are all excited about it today won’t be so excited once they discover just how badly govt runs it. Imagine health care run like the Burbank Police Department has been run, wanna get your surgery from the government experts ? I sure don’t.

  4. Eileen Tuesday, March 23, 2010 at 2:07 pm #

    A very dark day in American history is what this really is.

  5. Felton Freilino Tuesday, March 23, 2010 at 4:38 pm #

    Barack Obama in addition to the rest of his Washington cronies really should be embarrassed with themselves. This is a complete outrage. I used to be under the impression that once the president will take office he has to swear an oath that will support and also protect the constitution of the us. Nowhere within the Constitution did it give the federal government the authority to be able to enact or implement laws and regulations like the health reform bill. I really believe these power mongers will probably be in for a real surprise around November. Great job on the collapse of your political career.

  6. Gary Tuesday, March 23, 2010 at 5:19 pm #

    What’s next Mr Prseident ? Open the boarders and tax us to pay for the worlds health care ?

    Mr President it’s the economy stupid!

  7. Beverly Wednesday, March 24, 2010 at 1:43 am #

    As someone who has had serious medical problems, I do understand how difficult it can be to get the coverage you have paid years for.

    I also think we are paying for the uninsured any way, since they visit emergency room instead of a doctor’s office.

    I am not sure if this health care bill will fix everything or if the timing is right.

    But then again, I also do not believe my Government needs to spy on me.

    After the Patriot Act, I am no longer surprised by the Government’s involement in our lives.

    Thank you Fronnie for printing the President’s speech, so that we can read it for ourselves.

  8. Stanley Wednesday, March 24, 2010 at 1:49 pm #


    You are right we already paid for the uninsured so what exactly did this law even achieve ?

    I believe it added layers of government to what in realty we already did. Just watch the service go down and the cost go up.

    Obama should have repealed the patriots act. Now that would be something to the benifit of everyone.

  9. Juan Friday, March 26, 2010 at 2:18 pm #

    This is such a great program even Congress expemted themselves from it. INCREDIBLE!!!! The political careers of many have just come to an end. Can’t wait until November.

  10. el Saturday, March 27, 2010 at 12:15 pm #

    I am waiting to see the president himself, his wife and his kiddies give up that great coverage we pay for them to have and take to the long clinic lines his new health care plan will create.

    Now just why didn’t you and the rest of your cronnies drop that great coverage and take this new miracle you threw at the rest of us ?

  11. Orval Groom Monday, April 19, 2010 at 11:38 am #

    Very nice article.. Thanks for sharing..

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