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每日視頻新聞:意大利護士涉嫌殺害38名病人

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Look, let’s face it: Some of these changes are hard. Sometimes they cause controversy. And we have a long way to go. But public education in America is actually improving. Last year, our elementary and middle school students had the highest math and reading scores on record. The dropout rates for Latinos and African Americans are down. (Applause.) The high school graduation rate -- the high school graduation rate is up. It’s now above 80 percent for the first time in history. We’ve invested in more than 700 community colleges --which are so often gateways to the middle class -- and we’re connecting them with employers to train high school graduates for good jobs in fast-growing fields like high-tech manufacturing and energy and IT and cybersecurity.

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Here in Chicago, Rahm just announced that the city will pay community college tuition for more striving high school graduates. We’ve helped more students afford college with grants and tax credits and loans. And today, more young people are graduating than ever before. We’ve sent more veterans to college on the Post-9/11 GI Bill -- including several veterans here at Northwesten -- and a few of them are in this hall today, and we thank them for their service. (Applause.)

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So we’ve made progress on manufacturing and creating good jobs. We’ve made progress on education. Of course, even if you have the right education, for decades, one of the things that made it harder for families to make ends meet and businesses to grow was the high cost of health care. And so the third cornerstone had to be health care reform.

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In the decade before the Affordable Care Act, aka, Obamacare -- (laughter and applause) -- in the decade before the Affordable Care Act, double-digit premium increases were common. CEOs called them one of the biggest challenges to their competitiveness. And if your employer didn’t drop your coverage to avoid these costs, they might pass them on to you and take them out of your wages.

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Today, we have seen a dramatic slowdown in the rising cost of health care. When we passed the Affordable Care Act, the critics were saying,what are you doing about cost. Well, let me tell you what we’ve done about cost. If your family gets your health care through your employer, premiums are rising at a rate tied for the lowest on record. And what this means for the economy is staggering. If we hadn’t taken this on, and premiums had kept growing at the rate they did in the last decade, the average premium for family coverage today would be $1,800 higher than they are. Now, most people don't notice it, but that’s $1,800 you don’t have to pay out of your pocket or see vanish from your paycheck. That’s like a $1,800 tax cut. That's not for folks who signed up for Obamacare. That's the consequences of some of the reforms that we’ve made.

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And because the insurance marketplaces we created encourage insurers to compete for your business, in many of cities they’ve announced that next year’s premiums -- well, something important is happening here -- next year’s premiums are actually falling in some of these markets.

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One expert said this is “defying the law of physics.” But we’re getting it done. And it is progress we can be proud of.

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So we’re slowing the cost of health care, and we’re covering more people at the same time. In just the last year, we reduced the share of uninsured Americans by 26 percent. That means one in four uninsured Americans -- about 10 million people -- have gained the financial security of health insurance in less than one year. And for young entrepreneurs, like many of you here today, the fact that you can compare and buy affordable plans in the marketplace frees you up to strike out on your own, chase that new idea -- something I hope will unleash new services and products and enterprises all across the country. So the job lock that used to exist because you needed health insurance,you’re free from that now. You can go out and do something on your own and get affordable health care.

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And meanwhile, partly because health care prices have been growing at the slowest rate in nearly 50 years, the growth in what health care costs the government is down, also. I want everybody to listen carefully here, because when we were debating the Affordable Care Act there was a lot of complaining about how we couldn’t afford this. The independent, nonpartisan Congressional Budget Office recently reported that in 2020, Medicare and Medicaid will cost us $188 billion less than projected just four years ago. And here’s what that means in layman’s terms: Health care has long been the single biggest driver of America’s future deficits. It’s been the single biggest driver of our debt.

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Health care is now the single biggest factor driving down those deficits.

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And this is a game-changer for the fourth cornerstone of this new foundation -- getting our fiscal house in order for the long run, so we can afford to make investments that grow the middle class.

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Between a growing economy, some prudent spending cuts, health care reform, and asking the wealthiest Americans to pay a little bit more on their taxes, over the past five years we’ve cut our deficits by more than half. When I took office, the deficit was nearly 10 percent of our economy. Today, it’s approaching 3 percent. (Applause.) In other words, we can shore up America’s long-term finances without falling back into the mindless austerity or manufactured crises or trying to find excuses to slash benefits to seniors that dominated Washington budget debates for so long.

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And finally, we’ve put in place financial reform to protect consumers and prevent a crisis on Wall Street from hammering Main Street ever again. We have new tools to prevent “too big to fail,” to stop taxpayer-funded bailouts. We made it illegal for big banks to gamble with your money. We established the first-ever consumer watchdog to protect consumers from irresponsible lending or credit card practices. We secured billions of dollars in relief for consumers who get taken advantage of. And working with states attorneys general like Lisa Madigan, we’ve seen industry practices changing.

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Now, an argument you’ll hear oftentimes from critics is that the way to grow the economy is to just get rid of regulations; free folks up from the oppressive hand of the government. And you know, it turns out, truth be told, there are still some kind of dopey regulations on the books. (Laughter.) There are regulations that are outdated or are no longer serving a useful purpose. And we have scrubbed the laws out there and identified hundreds that are outdated, that don’t help our economy, that don’t make sense, and we’re saving businesses billions of dollars by gradually eliminating those unnecessary regulations. But you have to contrast that with rules that discourage a casino-style mentality on Wall Street, or rules that protect the basic safety of workers on the job, or rules that safeguard the air our children breathe and keep mercury or arsenic out of our water supply. These don’t just have economic benefits, these are rules that save lives and protect families. And I’ll always stand up for those -- and they’re good for our economy.

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So here’s the bottom line: For all the work that remains, for all the citizens that we still need to reach, what I want people to know is that there are some really good things happening in America. Unemployment down. Jobs up. Manufacturing growing. Deficits cut by more than half. High school graduation is up. College enrollment up. Energy production up. Clean energy production up. Financial system more stable. Health care costs rising at a slower rate. Across the board, the trend lines have moved in the right direction.

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