Though, I think he wanted to emphasis that the projected deficit for medicare and medicaid are unsustainable in the future and therefore a reform is absolutely necessary. Guess it was a more a message to the Congress than to the People at this stage... tryin to fight the idea it is just about spending... changing the message from it's just about social progress to it is about that for all the folks that don't have any coverage or are denied coverage for various reasons but it is also because we can't go ahead with the system as it is with the forecast we have, insisting on without reform on how is financed right now the health care system, the course is unsustainable and will go broke. Meaning there is not much choice, to finance the health care a significant increase of taxes are inevitable and everybody will have to participate leading to, to make it fair, the coverage should also be for everybody as they will contribute.

Not sure about Columbia verses Harvard.