Skip to main content

Leadership Quote by Barack Obama

"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

The most revealing part is the stutter: "But if you - if what - the reports are true..". Obama isn’t just buying time; he’s performing caution in real time, signaling he won’t launder rumor into fact. It’s a small act of technocratic ethics, delivered in the halting cadence of someone trying to keep a political argument tethered to reality while cameras demand a clean, viral line.

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

TopicHealth
SourceHelp us find the source
CiteCite 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.

More Quotes by Barack Add to List
Obama on expanding coverage and marginal costs
Click to enlarge Portrait | Landscape

About the Author

Barack Obama

Barack Obama (born August 4, 1961) is a President from USA.

123 more quotes available

View Profile

Similar Quotes