If we have the right preventive and primary care, if we start charging for comprehensive care in the chronic cases, 10 percent of the cases take up two-thirds of the medical expenses, and if we do more on problems like childhood obesity, that we can, to use the parlance that's popular in Washington, bend the cost curve and eventually reconcile this so our costs will be closer to our competitors and so we can cover everybody.

I tell you, my fellow Americans, that if we learned anything from the collapse of the Berlin Wall and the fall of the governments in Eastern Europe, even a totally controlled society cannot resist the winds of change that economics and technology and information flow have imposed in this world of ours. That is not an option. Our only realistic option is to embrace these changes and create the jobs of tomorrow.

If you want a future of shared prosperity, where the middle class is growing and poverty is declining, where the American Dream really is alive and well again, and where the United States remains the leading force for peace and justice and prosperity in a highly competitive world, you have to vote for Barack Obama.

I figured if I could get really good people who were going to be able to have a big impact in the world over the next decade to come together once a year for ten years and actually sign a pledge to take action themselves, if we did that every year for ten years we could do a lot of good in the world. That's the difference between my meeting and any other. If you don't want to promise to do something, don't come to my meeting, stay home.

You know, everybody makes mistakes when they are president.

Food is a big bargain in America, and you can go to these places, we all like them, and you get big portions, and they taste good. But they're higher in fat than ever before. And same thing has happened, by the way, though, to school menus. A lot of school lunch menus have more fat and more sugar than ever before.

More people can be great leaders than think they can, but they need a purpose greater than themselves.