"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"

In this quote, Barack Obama is discussing the reports that recommend that supplying health care to an additional 30 million people will increase expenses. He acknowledges that this was anticipated, and that the reports are likely real. He is stressing that the cost increase was expected, and that it is not a surprise. He is also recommending that the boost is just minimal, which the advantages of offering health care to more individuals surpass the costs. This quote highlights Obama's commitment to providing health care to all Americans, and his willingness to accept the associated costs. It also shows his understanding of the value of health care and his belief that it should be available to everyone.