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Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. On January 24, 2007 Obama spoke about his position on health care at Families USA, a health care advocacy group. Obama said, "The time has come for universal health care in America . . . I am absolutely determined that by the end of the first term of the next president, we should have universal health care in this country." Obama went on to say that he believed that it was wrong that forty-six million Americans are uninsured, noting that taxpayers already pay over $15 billion annually to care for the uninsured.