If you missed the president's news conference, you missed the president....
.... speaking from a 30,000 foot perspective: wanting Americans to buy into the notion that health care reform is imperative and won't cause much sacrifice for most Americans. If it doesn't happen, your premiums will go up, deficits will rise, quality will decline. He's arguing that even as Americans accept the status quo and don't want government to get involved, Americans ought to be angry at the status quo. He insists that government won't dictate medical choices to people and their doctor. Steve Thomma of Reuters asked the best question: "Will you promise that health reform will leave medical decisions up to patients and doctors?" Obama reframed it. "Can I guarantee that there will be no changes to the health delivery system? The answer is no."
In order for health care reform to be worthy of the name, people and their docs will have to use cheaper drugs and take fewer tests. Depending on what type of insurance they have, the insurance companies will enforce this by fiat, or the government will require this by rule. The persuasive mechanism might be economic.
Obama's argument is that in order for doctors to do better and patients to feel better and to make all of this less expensive, government will have to change the incentive structure. That will allow doctors and patients to make better choices.