I won't yield to anyone about guns in our society. I know enough about it. - Ted Kennedy

I've heard the critics complain about the costs of change. I'm confident that at the end of the process, the change will be paid for—fairly, responsibly, and without adding to the federal deficit. It doesn't make sense to negotiate in the pages of NEWSWEEK, but I will say that I'm open to many options, including a surtax on the wealthy, as long as it meets the principle laid down by President Obama: that there will be no tax increases on anyone making less than $250,000 a year. What I haven't heard the critics discuss is the cost of inaction. If we don't reform the system, if we leave things as they are, health-care inflation will cost far more over the next decade than health-care reform. We will pay far more for far less—with millions more Americans uninsured or underinsured.

Some years later, I decided the time was right to renew the quest for universal and affordable coverage. When I first introduced the bill in 1970, I didn't expect an easy victory (although I never suspected that it would take this long). I eventually came to believe that we'd have to give up on the ideal of a government-run, single-payer system if we wanted to get universal care. Some of my allies called me a sellout because I was willing to compromise. Even so, we almost had a plan that President Richard Nixon was willing to sign in 1974—but that chance was lost as the Watergate storm swept Washington and the country, and swept Nixon out of the White House. I tried to negotiate an agreement with President Carter but became frustrated when he decided that he'd rather take a piecemeal approach. I ran against Carter, a sitting president from my own party, in large part because of this disagreement. Health reform became central to my 1980 presidential campaign: I argued then that the issue wasn't just coverage but also out-of-control costs that would ultimately break both family and federal budgets, and increasingly burden the national economy. I even predicted, optimistically, that the business community, largely opposed to reform, would come around to supporting it.

Our goals for America also demand a higher priority for health care. One out of six Americans has no health insurance. The problem is becoming worse, not better. Increasingly, people with disabilities and other illnesses are being shut out of coverage. As the cost of care increases and jobs become less secure, more and more Americans are losing the coverage they have, and they fear that the sudden illness of a child or a loved one will bankrupt their family. As a result, too many too often go without the health care they need. In fact, those without health coverage are four times more likely not to get medical care than insured Americans. Lack of health insurance is the seventh leading cause of death in the nation today. Medical bills too often force the uninsured to default on their debts or lose everything they have. Inevitably, as medicine advances and as more and more medical miracles become available in this extraordinary new age of the life sciences, health care is increasingly beyond the reach of large numbers of Americans. America cannot have the best workforce in the world if we do not also have the healthiest workforce in the world. Our failure to guarantee health care is one of our greatest failures as a nation. More than ever, in our modern society, health security should be and must be a basic right for all. The battle for quality, affordable health care has never been easy. If it were, we would have enacted it a generation ago. But as the new spirit after September 11 calls forth the best in all of us, it challenges us to move forward to good health care for all Americans. We saw what could be achieved in education reform with genuine bipartisanship. There are disagreements on health policy, as there were and are on education. But at least we should be able to work together for goals widely shared by all Americans, and endorsed by both Presidential nominees in 2000.