Please be assured that as we move along through the implementation of health insurance reform making sure that we find efficiencies within the existing system is foremost on the President's mind.

One of the major goals of health insurance reform is to bring down the cost.

I understand that in these difficult economic times the potential for any additional expense is not welcomed by American businesses. But in the long run the health insurance reform law promises to cut health-care costs for U.S. businesses not expand them.

Challenges of historic import threaten America's future. Action on the deficit economy energy health care and much more is imperative yet our legislative institutions fail to act. Congress must be reformed.

If the goal of health-care reform is to provide comprehensive universal health care in a cost-effective way the only honest approach is a single-payer approach.

There is much that public policy can do to support American entrepreneurs. Health insurance reform will make it easier for entrepreneurs to take a chance on a new business without putting their family's health at risk. Tort reform will make it easier to take prudent risks on new products in a number of sectors.

I basically believe the medical insurance industry should be nonprofit not profit-making. There is no way a health reform plan will work when it is implemented by an industry that seeks to return money to shareholders instead of using that money to provide health care.

I believe in health care reform.

If the states and territories do not sign up to fundamental reform then my message is equally simple: we will take this reform plan to the people at the next election - along with a referendum by or at that same election to give the Australian Government all the power it needs to reform the health system.

Look all this is about is utilizing the rules of the Senate using a majority of the senators to make sure that we get health reform done. We cannot wait another day.

When President Obama passed health care reform it was personal! And when Governor Romney says he would repeal Obamacare and put insurance companies back in charge of a woman's health that's personal too.

Both referred to the Affordable Care Act which is the accurate title of the health care reform law as 'Obamacare.' That is a disparaging reference to the President of the United States it is meant as a disparaging reference to the President of the United States.

I admit it: I had fun watching right-wingers go wild as health reform finally became law.

But you say does it represent change? The change is that we are fighting an insurance industry that has killed health reform for generations. They're spending tens of millions of dollars right now to defeat this bill and we're on the doorstep of winning a great victory for the American people.

One of the jewels in the crown of Labour's time in office was the rescue of the National Health Service. As the Commonwealth Fund the London School of Economics and the Nuffield Foundation have all shown health reforms as well as additional investment were essential to improved outcomes especially for poorer patients.

With a host of proposals on the table and a President examining new ideas for health reform we have an obligation to give real reform our best shot.

I agree with just about everyone in the reform debate when they say 'If you like what you have you should be able to keep it.' But the truth is that none of the health reform bills making their way through Congress actually delivers on that promise.

It's correct that I wanted health reform to do more to create choices and promote competition.

It is hard to miss the irony in the fact that the very same week that Republicans were publicly heralding Congressman Paul Ryan's plan to inject market forces into the American health care system they were crafting a budget deal to strip them from the health reform law.

Without Free Choice Vouchers there is little in the health reform law that discourages employers from increasingly passing the burden of health care costs onto their employees.

True health care reform cannot happen in Washington. It has to happen in our kitchens in our homes in our communities. All health care is personal.

Obama is capable - as evidenced by his first-term success with health care reform. But mandate-building requires humility a trait not easily associated with him.

Successful health reform must not just make health insurance affordable affordable health insurance has to make health care affordable.

Obama seemed poised to realign American politics after his stunning 2008 victory. But the economy remains worse than even the administration's worst-case scenarios and the long legislative battles over health care reform financial services reform and the national debt and deficit have taken their toll. Obama no longer looks invincible.