The fact is if we do our job right if we keep worrying not about polls but about the jobs of the American people about their health care about their ability to educate their kids stay in their homes and own their homes send their kids to college the basic pillars of a middle-class life if we keep worrying about the future and building a stronger future for this country these things will take care of themselves.

The issues that matter to me are the social safety nets for people health care middle-class concerns. We need to take care of the middle class and the poor in our country.

People are ready to say 'Yes we are ready for single-payer health insurance.' We are the only industrialized country in the world that does not have national health insurance. We are the richest in wealth and the poorest in health of all the industrial nations.

If any country was a mine-shaft canary for the reintroduction of cholera it was Haiti - and we knew it. And in retrospect more should have been done to prepare for cholera... which can spread like wildfire in Haiti... This was a big rebuke to all of us working in public health and health care in Haiti.

It's wonderful that so many people want to contribute to fighting aids or malaria. But if somebody isn't paying attention to the overall health system in the country a whole lot of money can be wasted.

We've taken on the major health problems of the poorest - tuberculosis maternal mortality AIDS malaria - in four countries. We've scored some victories in the sense that we've cured or treated thousands and changed the discourse about what is possible.

I think the British people are very very attached to the idea that the health service is free at the point of use. But there is no reason why every doctor nurse and teacher in this country has to be employed by the state.

We designed both our state employee health plans and the one we created for low-income Hoosiers as Health Savings Accounts and now in the tens of thousands these citizens are proving that they are fully capable of making smart consumerist choices about their own health care.

America has the best doctors the best nurses the best hospitals the best medical technology the best medical breakthrough medicines in the world. There is absolutely no reason we should not have in this country the best health care in the world.

For the amount of money that the country is going to spend this year on health care you can go out and hire a doctor for every seven families in the US and pay the doctor almost $230 000 a year to cover them.