WASHINGTON: President Barack Obama urged Congress to enact sweeping health care legislation Wednesday night, declaring the "time for bickering is over" and the moment has arrived to help millions who have insurance and many more without it.
His nationally televised speech to a joint session of Congress comes as Obama's popularity is falling, opposition Republicans are on the attack and his fellow Democrats are divided about what kind of plan to pursue.
"I am not the first president to take up this cause, but I am determined to be the last," Obama said.
Health care has become the definitive issue for Obama, just nine months after he took office amid enormous expectations at home and abroad.
His success or failure may determine whether he has the political clout to press ahead on issues like climate change, arms control and the Afghanistan war.
It is also likely to shape next year's congressional elections.
Obama said there is widespread agreement on about 80 percent of what must be included in legislation. Any yet, criticizing opposition Republicans without saying so, he added: "Instead of honest debate, we have seen scare tactics" and ideological warfare that offers no hope for compromise.
"Well, the time for bickering is over," he said.
"The time for games has passed. Now is the season for action."
Obama spoke in favor of an option for the U.S. government to sell insurance in competition with private industry.
But he said he was open to alternatives that create choices for consumers.
The venue of Wednesday's speech underscored the importance of the issue.
Besides the annual State of the Union address, presidents seldom speak to a joint session of Congress, consisting of lawmakers from both chambers.
But the speech was aimed as much at the millions of Americans watching from home, many of whom have become disillusioned with Obama's handling of health care.
An Associated Press-GfK poll released hours before the address showed that disapproval of Obama's handling of health care has jumped to 52 percent, from 43 percent in July.
Obama's overall approval rating has also suffered a blow.
The survey showed that 49 percent now disapprove of how he is handling his job as president, up from 42 percent who disapproved in July.
Obama appealed for a health care overhaul that provides new and crucial protections for people who already have insurance, affordable access to coverage to those without, and reduced spending for families, businesses and government.
Some Americans who have suffered from high costs and insurance practices sat with first lady Michelle Obama during the speech, and Obama mentioned them in his remarks.
Vicki Kennedy, the widow of Sen. Edward M. Kennedy, was also on the guest list.
The Democratic senator, who died last month, had made health care a career-long cause.
Obama made health care reform a priority when he ran for president last year.
The United States is the only developed country without a universal program of health care.
As many as 50 million Americans lack health insurance.
Despite Obama's enormous popularity on taking office, he has struggled to win support through a difficult summer.
Opponents have packed lawmakers' town hall meetings, denouncing Obama's plans.
Some opposition was driven by Web-fueled falsehoods, such as claims that "death panels" would determine the fate of elderly patients.
But there were more legitimate concerns about how an overhaul would affect the quality of health care and whether it would further swell the government's huge deficit.
Obama said the changes he has in mind would cost about $900 billion over decade, "less than we have spent on the Iraq and Afghanistan wars, and less than the tax cuts for the wealthiest few Americans" passed during the Bush administration.
Obama has had to balance conflicting goals.
He favors a "public option" - a government-run health program that would compete with private insurers.
But he also wants the support of moderate Republicans who oppose the public option.
Several congressional panels have been working on health care bills, but only one - the Senate Finance Committee - offered a reasonable prospect for a bipartisan compromise.
But the panel's Democratic chairman, Max Baucus, said earlier Wednesday that a deal was unlikely and that he would introduce his own proposal next week.
Liberals have been urging Obama to use his large Democratic majorities in both chambers of Congress to disregard Republican objections and push through a plan with a public option.
Some have threatened to vote against any bill that doesn't have one.
But it is not clear that Obama can win approval for a government plan, especially since some conservative Democrats are also wary of it.
In his speech, Obama was expected to argue for the public option, but not demand it.
"I'm open to new ideas," Obama told ABC television.
"We're not being rigid and ideological about this thing." - AP
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