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President Obama responds to Republican Senator John Barrasso's argument that high-deductible plans and health savings accounts would be enough, explaining that neither are as effective for families below the highest income levels: "The vast majority of these 30 million people we're talking about, they work every day. Some of them work two jobs. But if they're working for a small business, they can't get health care. If they are self-employed, they don't get health care. It is a scary proposition for them. We can debate whether or not we can afford to help them, but we shouldn't pretend somehow that they don't need help. I get too many letters saying they need help."