President Obama held a prime-time White House news conference on Wednesday, the fourth of his presidency. Obama spent much of the hour defending his push for healthcare reform.

President Obama: “So let me be clear: If we do not control these costs, we will not be able to control our deficit. If we do not reform healthcare, your premiums and out-of-pocket costs will continue to skyrocket. If we don’t act, 14,000 Americans will continue to lose their health insurance every single day. These are the consequences of inaction; these are the stakes of the debate that we’re having right now.”

Obama also acknowledged the US won’t be able to provide healthcare insurance to every American without adopting single payer, which his administration has opposed.