Obama said that out-of-pocket costs for Americans are spiraling while health insurance companies have reaped record profits. He alosaid families are spending more for less care.

Obama visited a children's hospital Monday and spoke with doctors and nurses about the shortcomings of the health care system. He said hey are forced to work in a system that favors drug companies and insurance companies, not care.

Obama said the need for change is urgent and indisputable. He says those who oppose him want to preserve the status quo. He says changing the system is more important than politics or his personal reputation.
Copyright 2009 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.