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Director of Domestic Policy Council Melody Barnes speaks
(Melody Barnes, Director of the Domestic Policy Council, speaks during the White House Regional
Forum on Health Reform in Los Angeles, April 6, 2009.  Photo Credit Peter Grigsby)

Rebecca Adelman of the Department of Health and Human Services returns to live-blog the final Regional Forum on Health Reform, watch the live stream at HealthReform.gov.

3:53: Dr. Oz closes the forum by urging all of the participants in today’s forum, including those who are watching online and participating via satellite in cities across California, to go to www.healthreform.gov to continue to be part of the conversation about health care reform.

3:46: Governor Gregoire closes by saying “we cannot fail again.” She explains that the health reform we enact must be comprehensive, it must be universal, and it must provide affordable care. Governor Gregoire then finishes to loud applause when she says that “this country deserves a health care system that works for its people.”

3:43: Melody Barnes is making her closing remarks in Los Angeles. She says that today at the forum we heard all the reasons why we need to reform our health care system this year, and she urges the group to go back to their communities and insist to their friends, colleagues and family that health care reform happen immediately. She stresses that we may only have the next 100 days to accomplish this task, but that we can do it.

3:39: Dr. Oz concludes by asking the Governors how Americans can help in the health reform effort. Governor Schwarzenegger responds by thanking the participants for participating in the forum, and urging everyone to stay involved. He says we cannot move forward in reforming the health care system without the voices of concerned Americans.

3:30: Marian Wright Edelman is passionately addressing the forum. She says that we can do better when it comes to providing health insurance for children and eliminating health disparities. She said now is the time to end “the lottery of geography,” and concludes by saying “God did not create two classes of children.”

3:25: Dr. Oz calls on the forum taking place in Oakland California, led by Mayor Ron Dellums. The Mayor introduces Don Miller, a practicing nurse in Seattle, Washington. Mr. Miller observes that emergency rooms are becoming more and more crowded, and are becoming more and more expensive.

3:15: Melody Barnes asks the forum how President Obama can reach out to everyday Americans to get their input on health reform, and she also asked members of the audience how they want to be involved in the effort. A participant named Louise answered her question directly by stressing the potential to match existing resources for future prevention and wellness programs, particularly those in schools.

3:05: The group in Los Angeles is now hearing from Supervisor Oliveira via satellite in Clovis, California. Oliveira thanks Governor Schwarzenegger for his leadership, and says he challenges all of us to band together to tackle the most important public policy issue facing us, health care reform.

2:59: Melody Barnes says that President Obama wants everyone around the table, and everything on the table as we discuss how best to reform the health system.

2:55: Governor Gregoire thanks the President for signing the Children’s Health Insurance Program in February. She says it was her goal to insure every child by 2010, and while she wasn’t sure that would be possible before, Washington state will achieve that now thanks to the CHIP bill.

2:52: Governor Schwarzenegger thanks the participants who have shared their stories, including one who shared a story about having her health policy cancelled by her insurance company. He said it is unacceptable that many in the audience and around the country have to “live in fear, even when they have a policy.” He said this is something that is being raised as we talk about the need for universal health care.

2:46: Reynaldo Hernandez addresses the forum from a satellite location in San Diego. He says the cost of purchasing health insurance “just broke us financially.” Hernandez said that in the United States, he knew he had a right to an education, and if he got in trouble with the law he had the right to an attorney – so why, if he gets sick, does he not have the right to have health insurance?

2:42: A forum participant named Carole Moss just spoke emotionally about her son, who died from a preventable staph infection he got while receiving treatment in an Orange County hospital. She thanked President Obama for his dedication to health reform and transparency. She said she wished she had known that her son was at risk for such an infection.

2:37: Governor Schwarzenegger takes a minute to talk about the importance of prevention as a way to bring down health care costs. He says Americans need to eat fewer calories and emphasizes wellness as a complement any health reform effort.

2:30: Governor Schwarzenegger introduces Dr. Mehmet Oz, who is helping moderate the forum today. Dr. Oz reads a question submitted on www.healthreform.gov about the stress of health care costs on businesses and families, and then leads a discussion about the skyrocketing cost of health care. One forum participant points out that a leading reason Americans file for bankruptcy is illness. President of the California Medical Association, Dr. Dev GnanaDev, suggests that any health reform plan should provide universal coverage and universal access.

2:14: Dr. Alice Chen, a doctor specializing in internal medicine and hospital medicine at UCLA, is now addressing the forum. She hosted one of the over 350 community discussions that took place in Calfornia and Washington State over the holidays this past year.  She tells a story about a man she met who lost his insurance because he couldn’t afford it, and who later died because he had difficulty getting in to see a doctor. By the time she met him in the hospital, he was too sick to walk. Dr. Chen tells the group that “it’s time for us to make things right, no matter what it takes.  And what makes me hopeful is that every one of us has a voice, and we are using our voices and speaking up in unprecedented numbers.”

2:10: Domestic Policy Council Director Melody Barnes thanks the Governors for their leadership, and says she can “feel the momentum” that we have for health reform this year. She says that leaders in Washington, D.C. and in the states are talking about health reform, but so are thousands of everyday Americans who know we need health reform now. One of the 30,000 people throughout the country who held community discussions over the holidays, Dr. Alice Chen, is up to speak next.

2:00: Governor Chris Gregoire is greeting the participants in the forum, and those watching in California, in Washington state and on Healthreform.gov. Governor Gregoire says that we desperately need national health reform – and that states cannot do it alone. She says she couldn’t be more delighted to work with Governor Schwarzenegger and other leaders around the country, President Obama especially, on this urgent issue.  She stresses that she agreed with President Obama that we cannot wait to reform our health system – that health reform is not only a moral imperative, but an economic imperative.

1:52: Governor Schwarzenegger thanks Dr. Ross for hosting the forum today, and then goes on to thank President Obama for putting the spotlight on the important issue of health reform. Schwarzenegger says when Americans say they are going to do something, they do it – but health reform is one glaring exception. He says it speaks to the complexity of the issue and the difficulty of bringing together stakeholders. He then turns the microphone over to Governor Chris Gregoire.

1:46: Dr. Bob Ross, President of the California Endowment which is hosting the forum today in Los Angeles, introduces Governor Schwarzenegger and thanks him for making California a healthier place. Dr. Ross also introduces, via satellite, the other gatherings in cities throughout the state of California (Oakland, San Diego, and Clovis) that are participating in the discussion.

1:38: The fifth and final Regional Forum on Health Reform is getting started in Los Angeles, California. Today’s forum will be hosted by Governor Arnold Schwarzenegger, Washington Governor Chris Gregoire, and Melody Barnes, who is Director of the White House Domestic Policy Council. The event will feature several special guests including Marian Wright Edelman, Dr. Dean Ornish and Dr. Mehmet Oz.

At 10:30 AM in California, 1:30 PM back here in Washington, the final White House Regional Forum on Health Reform will be hosted by California Governor Arnold Schwarzenegger and Washington Governor Chris Gregoire – watch it streamed live at HealthReform.gov, or read the live-blog here at WhiteHouse.gov.
While all of these forums together constitute only one significant step in a long process, it is hard not to look back and marvel at what an inspiring, eye-opening and sometimes heart-breaking journey it has been around the country. Starting at the White House Forum on Health Reform, which Nancy-Ann DeParle of the White House Office of Health Reform discussed later when the official report on that forum was released, there has been a different feel to this from prior efforts:
After an hour and a half of discussion, we went back to the East Room to report the results of our breakout session to the President.  I held my breath when the President called on several members of the audience who had opposed health reform in the past, including Karen Ignagni of America’s Health Insurance Plans (”AHIP”).  AHIP’s predecessor ran the “Harry and Louise” advertising campaign in the early 1990s, which is largely credited with rallying support against health care reform.  I knew things were different this time around when Karen said, “We want to work with you, we want to work with the members of Congress on a bipartisan basis here…We hear the American people about what’s not working…You have our commitment to play, to contribute, and to help pass health care reform this year.”
Every regional forum in every location has held its own unique lessons. In Michigan, we heard from the wife of a GM worker whose experience showed how health care concerns can compound the anxiety of employment uncertainty to unbearable proportions. In Vermont the idea of health care as part of the social safety net was a top concern. In Iowa we heard about the needs and preferences regarding long-term care in rural communities. And in North Carolina it was a snap shot of a state hurting about as bad as anybody during this economic crisis and facing even longer term challenges of an eroding manufacturing base.
The forum in California will surely be just as interesting, and will shine a light on just as many unique issues. Don’t miss your chance to watch one live.

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Today the President continued a remarkable tour of Europe in which many of the great issues of our time have been taken on face to face, without hesitation or equivocation. It has been a tour that addressed a global response to the financial crisis at the G-20 Summit in London; a new strategy for Afghanistan and Pakistan in Germany with NATO; the turmoil of the past years in US-European relations in France; and earnestly turning our vision toward a world without nuclear weapons in Prague.
Today the President visited Turkey, a country that lies at the nexus of several cultures, and accordingly the President had several core messages. He emphasized his support for Turkey’s bid for membership in the European Union. In response to questions about whether there was a message being sent through the visit, he stated emphatically that there was indeed, namely that Turkey is a critical ally, vital in issues ranging from energy to the Israeli-Palestinian conflict. And addressing another element of Turkey’s culture, he spoke to the majority-Muslim population in a speech to the Turkish Grand National Assembly:

I know there have been difficulties these last few years. I know that the trust that binds the United States and Turkey has been strained, and I know that strain is shared in many places where the Muslim faith is practiced. So let me say this as clearly as I can: The United States is not, and will never be, at war with Islam. (Applause.) In fact, our partnership with the Muslim world is critical not just in rolling back the violent ideologies that people of all faiths reject, but also to strengthen opportunity for all its people.
I also want to be clear that America’s relationship with the Muslim community, the Muslim world, cannot, and will not, just be based upon opposition to terrorism. We seek broader engagement based on mutual interest and mutual respect. We will listen carefully, we will bridge misunderstandings, and we will seek common ground. We will be respectful, even when we do not agree. We will convey our deep appreciation for the Islamic faith, which has done so much over the centuries to shape the world — including in my own country. The United States has been enriched by Muslim Americans. Many other Americans have Muslims in their families or have lived in a Muslim-majority country — I know, because I am one of them. (Applause.)
Above all, above all we will demonstrate through actions our commitment to a better future. I want to help more children get the education that they need to succeed. We want to promote health care in places where people are vulnerable. We want to expand the trade and investment that can bring prosperity for all people. In the months ahead, I will present specific programs to advance these goals. Our focus will be on what we can do, in partnership with people across the Muslim world, to advance our common hopes and our common dreams. And when people look back on this time, let it be said of America that we extended the hand of friendship to all people.
There’s an old Turkish proverb: “You cannot put out fire with flames.” America knows this. Turkey knows this. There’s some who must be met by force, they will not compromise. But force alone cannot solve our problems, and it is no alternative to extremism. The future must belong to those who create, not those who destroy. That is the future we must work for, and we must work for it together.
The President in Turkey
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(President Obama meets with, left to right, Armenian Foreign Minister Eduard Nalbandian, Swiss Foreign Minister (and mediator) Micheline Calmy-Rey, Turkish undersecretary of the foreign ministry Ertugul Apakan and Turkish Foreign Minister Ali Babacan at a reception in Istanbul, Turkey on April 6, 2009. The President met with the foreign ministers to commend them on recent progress in Armenia-Turkey normalization and urged them to complete an agreement between those two important countries. White House photo by Pete Souza)

In a press conference after the NATO meeting today, the President began by congratulating Danish prime minister Anders Fogh Rasmussen for his unanimous selection as NATO’s next Secretary General, while also recognizing Turkey for seeing past initial objections in the spirit of consensus. He thanked President Sarkozy of France and Chancellor Merkel of Germany for hosting him, and noted the significance of NATO’s two newest formal members, Albania and Croatia. But as everybody new, Afghanistan was the top concern of the meeting, and the President spoke at length about his new plan for Afghanistan announced a week ago and the agreements reached in the meeting:
We start from a simple premise: For years, our efforts in Afghanistan have lacked the resources needed to achieve our goals. And that’s why the United States has recommitted itself to a clear and focused goal — to disrupt, dismantle, and defeat al Qaeda in Afghanistan and Pakistan, and to prevent their return to either country in the future.
This effort cannot be America’s alone. All of NATO understands that al Qaeda is a threat to all of us, and that this collective security effort must achieve its goals. And as a signal of that commitment, I am pleased that our NATO allies pledged their strong and unanimous support for our new strategy. Keep in mind it was only just a week ago that we announced this new approach. But already with Secretary Clinton’s work at The Hague and with the success at today’s summit we’ve started to match real resources to achieve our goals.
We’re leaving Strasbourg and Kehl with concrete commitments on NATO support. Our allies and partners have already agreed to provide approximately 5,000 troops and trainers to advance our new strategy, as well as increased civilian assistance. To support critical elections for August 20th, NATO will fully resource our election support force to maximize security. And our allies have committed additional funds to an Afghan elections trust fund that will provide the necessary resources for free and fair elections.
To accelerate and enhance our training of Afghan security forces, a new NATO mission, a new NATO training mission, will focus on high-level support for Afghan army, and training and mentoring for the Afghan police. And many of our allies and partners have also pledged support for a new trust fund to sustain Afghan national armies going forward.
And to strengthen Afghan institutions and advance opportunity for the Afghan people, we are working with our NATO allies and partners to achieve substantial increases in non-military assistance and to provide the kind of doctors, engineers, educators and agricultural specialists that are needed to make a difference on the ground.
President Obama and Secretary Clinton
(President Barack Obama confers with U.S.Secretary of State Hillary Rodham Clinton during the NATO
summit in Strasbourg, France, Saturday, April 4, 2009. White House Photo/Pete Souza)
The President was later asked about a law recently passed in Afghanistan that has gotten a great deal of attention, and which he described as “abhorrent”:
Q Thank you, Mr. President, and good afternoon. I’d like to ask you about a law that’s recently been passed in Afghanistan that affects the 10 percent of the Shia population there. A summary of it says it negates the need for sexual consent between married couples, tacitly approves child marriage, and restricts a woman’s right to leave the home. The United Nations Development Fund for Women says this legalizes the rape of a wife by her husband. I’d like your assessment of this law, number one. Number two, will you condition future troop movements of the U.S. to Afghanistan on the basis of this law being retracted or rewritten? And if not, sir, what about the character of this law ought to motivate U.S. forces to fight and possibly die in Afghanistan?
PRESIDENT OBAMA: Well, first of all, this was actually a topic of conversation among all the allies. And in our communication — communiqué, you will see that we specifically state that part of this comprehensive approach is encouraging the respect of human rights. I think this law is abhorrent. Certainly the views of the administration have been, and will be, communicated to the Karzai government. And we think that it is very important for us to be sensitive to local culture, but we also think that there are certain basic principles that all nations should uphold, and respect for women and respect for their freedom and integrity is an important principle.
Now, I just want to remind people, though, why our troops are fighting, because I think the notion that you laid out, Major, was that our troops might be less motivated. Our troops are highly motivated to protect the United States, just as troops from NATO are highly motivated to protect their own individual countries and NATO allies collectively. So we want to do everything we can to encourage and promote rule of law, human rights, the education of women and girls in Afghanistan, economic development, infrastructure development, but I also want people to understand that the first reason we are there is to root out al Qaeda so that they cannot attack members of the Alliance.
Now, I don’t — those two things aren’t contradictory, I think they’re complementary. And that’s what’s reflected in the communiqué.

The First Lady at the Notre Dame Cathedral

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(First Lady Michelle Obama and Hayrunnisa Gul, right, the wife of Turkey’s President Abdullah Gul, listen to a french interpretor during a tour at the Notre Dame Cathedral in Strasbourg, France, Saturday, April 4, 2009.  A First Lady that all girls and women can be proud to have represent them on the world stage. White House Photo/Lawrence Jackson)

The First Lady at the Notre Dame Cathedral

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(First Lady Michelle Obama is joined by fellow spouses of NATO Summit leaders as they conclude a tour Saturday, April 4, 2009, of the Notre Dame Cathedral in Strasbourg, France. White House Photo/Lawrence Jackson)

In this week’s address, filmed aboard Air Force One between vital diplomatic engagements abroad, the President discusses the breadth and depth of the global challenges we face. Recapping his trip, though, it is clear just how much opportunity lies in reshaping America’s relationships around the world.   On everything from turning our economy around — which shed hundreds of thousands more jobs last month — to ending the threat of nuclear arms, “The only way forward is through shared and persistent efforts to combat fear and want wherever they exist.”

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Today the President went to Ohio for the Graduation of the Columbus Police Division’s 114th Class.   He went as the Department of Justice was making available $2 billion in Justice Assistance Grants from the recovery act, funding that will put more people to work — more cops on the street, more prosecutors helping in overloaded offices, more factory jobs making law enforcement equipment (learn much more on that at recovery.gov). It was also another very bad day in economic news, demonstrating why it was so necessary to pass the recovery plan and start getting the country moving forward again.
This city of Columbus needs the courage and the commitment of this graduating class to keep it safe, to make sure that people have the protection that they need.  This economy needs your employment to keep it running.  Just this morning we learned that we lost another 651,000 jobs throughout the country in the month of February alone, which brings the total number of jobs lost in this recession to an astounding 4.4 million.
Four point four million jobs.  I don’t need to tell the people of this state what statistics like this mean, because so many of you have been watching jobs disappear long before this recession hit.

President Obama made clear that while the economy he inherited seemed like it was in an endless free fall, “Well, that is not a future I accept for the United States of America.” The recovery plan will help make sure the graduating class he saluted today doesn’t find themselves hitting a brick wall of budget cuts, and can still find the work they thought would be there to support themselves and their families. And that is just one sector in just one town, something that will be replicated all over the country:

In Savannah, Georgia, the police department would use this funding to hire more crime and intelligence analysts and put more cops on the beat protecting our schools.  In Long Beach, California, it will be able to help fund 17,000 hours of overtime for law enforcement officials who are needed in high-crime areas.  West Haven, Connecticut will be able to restore crime prevention programs that were cut, even though they improved the quality of life in the city’s most troubled neighborhoods.  And the state of Iowa will be able to rehire drug enforcement
President Obama made clear that these real stories and real lives are what has made him so passionate about passing a plan that could create real jobs:
So for those who still doubt the wisdom of our recovery plan, I ask them to talk to the teachers who are still able to teach our children because we passed this plan.  I ask them to talk to the nurses who are still able to care for our sick, and the firefighters and first responders who will still be able to keep our communities safe.  I ask them to come to Ohio and meet the 25 men and women who will soon be protecting the streets of Columbus because we passed this plan.  (Applause.)  I look at these young men and women, I look into their eyes and I see their badges today and I know we did the right thing.
In light of an imminent government shut-down as result of delays in passing last year’s appropriations bills, Congress has passed and President Obama has signed a continuing resolution to maintain the prior year’s funding levels through Wednesday while negotiations continue on last year’s budget work. The Office of the Press Secretary has just issued the following bill announcement:
On Friday, March 6, 2009, the President signed into law:
H.J.Res. 38, which provides FY 2009 appropriations for continuing projects and activities of the Federal Government through Wednesday, March 11, 2009. The Federal Government was currently funded under Public Law 110-329, the “Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009″ which was due to expire March 6, 2009, at midnight. By signing this resolution, it allows additional time for the Congress to complete action on H.R. 1105, the FY 2009 Omnibus Appropriations Act, which provides funding for the nine remaining FY 2009 appropriations bills that have yet to be enacted.
Yesterday Mrs. Obama served food at Miriam’s Kitchen, a local non-profit organization that provides healthy, nutritious meals to the homeless in Washington, D.C.  Mrs. Obama discussed the need to support food banks and soup kitchens around the country given that things will get worse before they get better.
She said Miriam’s Kitchen “is an example of what we can do, as a country and as a community, to help folks when they’re down. We’re all going to need one another in these times. We’re going to need to keep lifting each other up, in prayer and in hope.”

In his March 7th weekly address, the President capped off a busy week in Washington remarking on new lending guidelines aimed at lowering mortgage payments; an initiative to generate funds for small business and college loans; the release of his administration’s first budget which includes $2T in deficit reduction, and the start of long overdue health care reform.

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