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Health care reform
Main article: Healthcare reform in the United States
Obama called for Congress to pass legislation reforming health care in the United States, a key campaign promise and a top legislative goal.[295] He proposed an expansion of health insurance coverage to cover the uninsured, cap premium increases, and allow people to retain their coverage when they leave or change jobs. His proposal was to spend $900 billion over ten years and include a government insurance plan, also known as the public option, to compete with the corporate insurance sector as a main component to lowering costs and improving quality of health care. It would also make it illegal for insurers to drop sick people or deny them coverage for pre-existing conditions, and require every American to carry health coverage. The plan also includes medical spending cuts and taxes on insurance companies that offer expensive plans.