But still, there were differences.  We disagreed over whether insurance companies should be held accountable when they deny people care or arbitrarily（武断地，专横地） raise premiums.  I believe they should.  We disagreed over giving tax credits to small businesses and individuals that would make health care affordable for those who don’t have it.  This would be the largest middle class tax cut for health care in history, and I believe we should do it.  And while we agreed that Americans with pre-existing conditions should be able to get coverage, we disagreed on how to do that.

Some of these disagreements we may be able to resolve.  Some we may not.  And no final bill will include everything that everyone wants.  That’s what compromise is.  I said at the end of Thursday’s summit that I am eager and willing to move forward with members of both parties on health care if the other side is serious about coming together to resolve our differences and get this done.  But I also believe that we cannot lose the opportunity to meet this challenge.  The tens of millions of men and women who cannot afford their health insurance cannot wait another generation for us to act.  Small businesses cannot wait.  Americans with pre-existing conditions cannot wait.  State and federal budgets cannot sustain these rising costs.

It is time for us to come together.  It is time for us to act.  It is time for those of us in Washington to live up to（实践，做到） our responsibilities to the American people and to future generations.  So let’s get this done.

Thanks for listening.

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