This inescapable duty to observe oneself: if someone else is observing me, naturally I have to observe myself too; if none observe me, I have to observe myself all the closer.
The president is eager to get to work and looks forward to working with the new Congress on policies that will make sure middle-class Americans are sharing in the economic recovery, but the president is clear that he will not let this Congress undo important protections gained -- particularly in areas of health care, Wall Street reform and the environment.
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.
A central notion in the Affordable Care Act was we had an inefficient system with a lot of waste that didn't also deliver the kind of quality that was needed that often put health care providers in a box where they wanted to do better for their patients, but financial incentives were skewed the other way... We don't need to reinvent the wheel; you're already figuring out what works to reduce infections in hospitals or help patients with complicated needs.