I know that there are millions of Americans who are content with their health care coverage - they like their plan and, most importantly, they value their relationship with their doctor.

On every front there are clear answers out there that can make this country stronger, but we're going to break through the fear and the frustration people are feeling. Our job is to make sure that even as we make progress, that we are also giving people a sense of hope and vision for the future.

For Democrats who are feeling completely discouraged, I've been trying to remind them, everybody remembers my Boston speech in 2004. They may not remember me showing up here in 2005 when John Kerry had lost a close election, Tom Daschle, the leader of the Senate, had been beaten in an upset. Ken Salazar and I were the only two Democrats that won nationally. Republicans controlled the Senate and the House, and two years later, Democrats were winning back Congress, and four years later I was President of the United States.

Medicare in particular, will run out of money, and we will not be able to sustain that program.

We start this new year in the midst of an economic crisis unlike we have seen in our lifetime.

I've got certain responsibilities that I have to carry out in a very specific institution and in a specific moment in time.

I think that sometimes the Democrats have to run upstream or swim upstream because we've got the Republicans making it out as if we don't care about these things, and we should be able to engage and be willing to engage in the discussion about morality and values.