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I also want to draw attention to the responsibilities that people have to live up to their election promises and to live up to the votes that were cast by the people of Wales, in the General Election, in the expectation that we would deliver this promise.

One of the jewels in the crown of Labour's time in office was the rescue of the National Health Service. As the Commonwealth Fund, the London School of Economics and the Nuffield Foundation have all shown, health reforms as well as additional investment were essential to improved outcomes, especially for poorer patients.

This is a government takeover of our healthcare system. It is the government basically running the entire healthcare system, turning large insurers into de facto public utilities, depriving people of choice, depriving people of options, raising people's prices, raising taxes when we need new jobs.

The job of the government - and my responsibility - is to help people live healthier lives. The framework is about giving local authorities the ability to focus on the most effective ways to improve the public's health and reduce health inequalities, long-term, from cradle to grave.

We're trying to take a leadership role in solving the nation's health-care crisis. We want everybody in this country to have health insurance.

I think we do better as a country when we go step by step toward a goal, and the goal in this case should be reducing health care costs.

We have to be bold in our national ambitions. First, we must win the fight against poverty within the next decade. Second, we must improve moral standards in government and society to provide a strong foundation for good governance. Third, we must change the character of our politics to promote fertile ground for reforms.

When ministers in this government talk about investing in education and skills, about making the planning system work; about employment law reform and delivering transport and power generation and broadband communication infrastructure, we are talking about raising Britain's productivity.

The U.S. government has been preoccupied with health care 'reform,' but this refers to improving access and insurance coverage and has little or nothing to do with innovation.

We've got enormous potential, phenomenal potential on our doorstep, which requires politics that makes that work, and that's what we try to show here in Ireland: that while there's a lot of pain, the reward at the end of this is career opportunities, prosperity, and brighter days for everybody.