"But if you - if what - the reports are true, what they're saying is, is that as a consequence of us getting 30 million additional people health care, at the margins that's going to increase our costs, we knew that"
About this Quote
Then he pivots to the heart of the Affordable Care Act fight: the admission that expanding coverage can raise costs "at the margins". That phrase is doing heavy rhetorical lifting. It concedes a point critics love to weaponize while shrinking it to a controlled, almost clinical scope. "At the margins" tells the public: yes, there’s a tradeoff, but it’s limited, measurable, and already accounted for. In the same breath, he reframes the headline as proof of competence: "we knew that". Not denial, not surprise, not scandal - planning.
The intent is twofold: inoculation and moral accounting. He’s trying to preempt the familiar gotcha (more insured people use care, therefore reform failed) by restating the premise: coverage is the point, utilization follows, and some costs rise when people finally get treated. The subtext is a rebuke to the fantasy that you can expand a right without paying for it, paired with a quiet insistence that the bill is worth it. As presidential rhetoric, it’s less soaring than managerial: a leader asking the country to accept adulthood over slogans.
Quote Details
| Topic | Health |
|---|---|
| Source | Help us find the source |
| Cite | Cite this Quote |
Citation Formats
APA Style (7th ed.)
Obama, Barack. (2026, January 17). But if you - if what - the reports are true, what they're saying is, is that as a consequence of us getting 30 million additional people health care, at the margins that's going to increase our costs, we knew that. FixQuotes. https://fixquotes.com/quotes/but-if-you-if-what-the-reports-are-true-what-25222/
Chicago Style
Obama, Barack. "But if you - if what - the reports are true, what they're saying is, is that as a consequence of us getting 30 million additional people health care, at the margins that's going to increase our costs, we knew that." FixQuotes. January 17, 2026. https://fixquotes.com/quotes/but-if-you-if-what-the-reports-are-true-what-25222/.
MLA Style (9th ed.)
"But if you - if what - the reports are true, what they're saying is, is that as a consequence of us getting 30 million additional people health care, at the margins that's going to increase our costs, we knew that." FixQuotes, 17 Jan. 2026, https://fixquotes.com/quotes/but-if-you-if-what-the-reports-are-true-what-25222/. Accessed 4 Feb. 2026.



