Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. Our publications explore the wide array of settings and practice of the healthcare workforce and provide guidance on workplace policies and programs that support these essential workers. All are free to read online or download.
Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. Ineffective responses to the complex challenges of nursing home care have resulted in a system that often fails to ensure the well-being and safety of nursing home residents. The …[more]
The aging population of the United States has significant implications for the workforce – challenging what it means to work and to retire in the U.S. In fact, by 2030, one-fifth of the population will be over age 65. This shift has significant repercussions for the economy and key social programs. Due to medical advancements and public health …[more]
The decade ahead will test the nation’s nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds …[more]
Headlines frequently appear that purport to highlight the differences among workers of different generations and explain how employers can manage the wants and needs of each generation. But is each new generation really that different from previous ones? Are there fundamental differences among generations that impact how they act and interact …[more]
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to …[more]
The World Health Organization defines the social determinants of health as “the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.” These forces and systems include economic policies, development agendas, cultural and social norms, social policies, and …[more]
Today’s physician education system produces trained doctors with strong scientific underpinnings in biological and physical sciences as well as supervised practical experience in delivering care. Significant financial public support underlies the graduate-level training of the nation’s physicians. Two federal programs—Medicare and …[more]
Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect …[more]
Wildfires can play an important role in maintaining ecosystems. However, current environmental and climatic conditions are causing wildfires to become more frequent, larger, and hotter more quickly than wildland fires of the past, putting more and more people, wildlife, and ecosystems at risk. Smoke generated from wildfires can negatively impact air quality and human health, even for people far away from the fire’s origin. Our work provides deeper insight into the science of wildfires, their impacts on the environment and human health, and how individuals, communities, and decision makers can prepare for future fires.
Wildfires in America are becoming larger, more frequent, and more destructive, driven by climate change and existing land management practices. Many of these fires occur at the wildland-urban interface (WUI), areas where development and wildland areas overlap and which are increasingly at risk of devastating fires as communities continue to …[more]
California and other wildfire-prone western states have experienced a substantial increase in the number and intensity of wildfires in recent years. Wildlands and climate experts expect these trends to continue and quite likely to worsen in coming years. Wildfires and other disasters can be particularly devastating for vulnerable communities. …[more]
Although ecosystems, humans, and fire have coexisted for millennia, changes in geology, ecology, hydrology, and climate as well as sociocultural, regulatory, and economic factors have converged to make wildland fire management exceptionally challenging for U.S. federal, state, and local authorities. Given the mounting, unsustainable costs and …[more]
Wildland fires pose a growing threat to air quality and human health. Fire is a natural part of many landscapes, but the extent of area burned and the severity of fires have been increasing, concurrent with human movement into previously uninhabited fire-prone areas and forest management practices that have increased fuel loads. These changes …[more]
Individuals in the United States and Americans abroad are exposed to inhalation hazards from a variety of sources, and these hazards can have both short- and long-term adverse effects on health. For example, exposure to wildfire smoke, which contains particulate matter and toxic chemicals, can lead to respiratory problems, increased risk for …[more]
Overwhelming evidence exists that exposure to outdoor fine particulate matter (PM2.5) is associated with a range of short-term and chronic health impacts, including asthma exacerbation, acute and chronic bronchitis, heart attacks, increased susceptibility to respiratory infections, and premature death, with the burden of these health effects …[more]
Recent advances in air pollution monitoring and modeling capabilities have made it possible to show that air pollution can be transported long distances and that adverse impacts of emitted pollutants cannot be confined to one country or even one continent. Pollutants from traffic, cooking stoves, and factories emitted half a world away can make …[more]
Our world is changing at an accelerating rate. The global human population has grown from 6.1 billion to 7.1 billion in the last 15 years and is projected to reach 11.2 billion by the end of the century. The distribution of humans across the globe has also shifted, with more than 50 percent of the global population now living in urban areas, …[more]
Geologists around the world hailed the June 2023 news that a scientific expedition to the mid-Atlantic Ridge succeeded in collecting samples of Earth’s mantle from the ocean floor. The breakthrough fulfilled a nearly century-old dream to reach Earth’s mantle, which holds essential clues about Earth’s age, makeup, and internal processes. In 1957, NAS member Walter Munk had proposed “Project Mohole”, an attempt to drill through a couple of miles of Earth’s crust at the Mohorovicic Discontinuity, or Moho, but the project never reached that goal. The 2023 expedition aboard the drill ship JOIDES Resolution succeeded by finding a “tectonic window” in the middle of the Atlantic Ocean where the mantle is just about a mile beneath the ocean floor. Many reports from the National Academies have explored the need for, value of, and technical challenges of scientific ocean drilling. As always, those reports are free to read online or download.
The Earth system functions and connects in unexpected ways – from the microscopic interactions of bacteria and rocks to the macro-scale processes that build and erode mountains and regulate Earth’s climate. Efforts to study Earth’s intertwined processes are made even more pertinent and urgent by the need to understand how the Earth can continue …[more]
Ocean science connects a global community of scientists in many disciplines – physics, chemistry, biology, geology and geophysics. New observational and computational technologies are transforming the ability of scientists to study the global ocean with a more integrated and dynamic approach. This enhanced understanding of the ocean is becoming …[more]
Earth science, which in this context does not include oceanic, atmospheric, and space sciences, is vital to the wellbeing of the United States and many of its issues, such as water resources, are expected to grow in importance. An earth science workforce will be needed to deal with this issues and it’s important that this workforce draw on the …[more]
Through direct exploration of the subseafloor, U.S.-supported scientific ocean drilling programs have significantly contributed to a broad range of scientific accomplishments in Earth science disciplines, shaping understanding of Earth systems and enabling new fields of inquiry. Scientific Ocean Drilling: Accomplishments and Challenges …[more]
This report will provide guidance to the National Science Foundation’s Office of Polar Programs on future directions for Southern Ocean and Antarctic nearshore and coastal research. The committee will identify the highest-priority science drivers and needed capabilities, including drilling platforms needed for scientific research in the Southern Ocean.
As part of the next ocean decadal survey for the National Science Foundation, an interim report will be produced to provide on the resources and infrastructure available to address high priority research questions requiring scientific ocean drilling.
Today’s research enterprise is growing increasingly more international, interdisciplinary, and interconnected with other societal sectors. Research increasingly integrates knowledge and tools from the life sciences, the physical sciences, engineering, and other fields. Our titles explore the changing research enterprise, including ethical issues in research, scientific research workflows, best practices for open science to spur research and innovation, and how best to support and prepare the next generation of scientists.
Genetic and genomic information has become far more accessible, and research using human genetic data has grown exponentially over the past decade. Genetics and genomics research is now being conducted by a wide range of investigators across disciplines, who often use population descriptors …[more]
The needs and demands placed on science to address a range of urgent problems are growing. The world is faced with complex, interrelated challenges in which the way forward lies hidden or dispersed across disciplines and organizations. For centuries, scientific research has progressed through …[more]
With computing technologies increasingly woven into our society and infrastructure, it is vital for the computing research community to be able to address the ethical and societal challenges that can arise from the development of these technologies, from the erosion of personal privacy to the …[more]
The United States has long made substantial investments in clinical research with the goal of improving the health and well-being of our nation. There is no doubt that these investments have contributed significantly to treating and preventing disease and extending human life. Nevertheless, …[more]
New research in psychology, neuroscience, cognitive science, and other fields is published every day, but the gap between what is known and the capacity to act on that knowledge has never been larger. Scholars and nonscholars alike face the problem of how to organize knowledge and to integrate …[more]
Sex, gender identity, and sexual orientation are key indicators of the demographic diversity in the United States. Sex and gender are often conflated under the assumptions that they are mutually determined and do not differ from each other; however, the growing visibility of transgender and …[more]
Biological physics, or the physics of living systems, has emerged fully as a field of physics, alongside more traditional fields of astrophysics and cosmology, atomic, molecular and optical physics, condensed matter physics, nuclear physics, particle physics, and plasma physics. This new field …[more]
The National Academy of Sciences hosted a symposium on February 26, 2020, that gathered top business, academic, and government leaders to explore whether the modern research architecture that fuels U.S. innovation needs to be reconfigured to meet the challenges of our time. The event was held in …[more]
One of the pathways by which the scientific community confirms the validity of a new scientific discovery is by repeating the research that produced it. When a scientific effort fails to independently confirm the computations or results of a previous study, some fear that it may be a symptom of …[more]
Openness and sharing of information are fundamental to the progress of science and to the effective functioning of the research enterprise. The advent of scientific journals in the 17th century helped power the Scientific Revolution by allowing researchers to communicate across time and space, …[more]
The past half-century has witnessed a dramatic increase in the scale and complexity of scientific research. The growing scale of science has been accompanied by a shift toward collaborative research, referred to as “team science.” Scientific research is increasingly conducted by small teams and …[more]
Convergence of the life sciences with fields including physical, chemical, mathematical, computational, engineering, and social sciences is a key strategy to tackle complex challenges and achieve new and innovative solutions. However, institutions face a lack of guidance on how to establish …[more]
Fundamental, emerging, and applied life science and biotechnology research are critical to the bioeconomy, science, health, agriculture, energy, the environment, and national security and defense. The biotechnology economy is growing rapidly, with the scale, scope, and complexity of products increasing. Our titles address critical, emerging policy and technical issues associated with the life sciences and biotechnology research and their applications.
Biological physics, or the physics of living systems, has emerged fully as a field of physics, alongside more traditional fields of astrophysics and cosmology, atomic, molecular and optical physics, condensed matter physics, nuclear physics, particle physics, and plasma physics. This new field brings the physicist’s style of inquiry to bear on …[more]
Heritable human genome editing – making changes to the genetic material of eggs, sperm, or any cells that lead to their development, including the cells of early embryos, and establishing a pregnancy – raises not only scientific and medical considerations but also a host of ethical, moral, and societal issues. Human embryos whose genomes have …[more]
Research and innovation in the life sciences is driving rapid growth in agriculture, biomedical science, information science and computing, energy, and other sectors of the U.S. economy. This economic activity, conceptually referred to as the bioeconomy, presents many opportunities to create jobs, improve the quality of life, and continue to …[more]
The American chestnut, whitebark pine, and several species of ash in the eastern United States are just a few of the North American tree species that have been functionally lost or are in jeopardy of being lost due to outbreaks of pathogens and insect pests. New pressures in this century are putting even more trees at risk. Expanded human …[more]
Scientific advances over the past several decades have accelerated the ability to engineer existing organisms and to potentially create novel ones not found in nature. Synthetic biology, which collectively refers to concepts, approaches, and tools that enable the modification or creation of biological organisms, is being pursued overwhelmingly …[more]
Genome editing is a powerful new tool for making precise alterations to an organism’s genetic material. Recent scientific advances have made genome editing more efficient, precise, and flexible than ever before. These advances have spurred an explosion of interest from around the globe in the possible ways in which genome editing can improve …[more]
Between 1973 and 2016, the ways to manipulate DNA to endow new characteristics in an organism (that is, biotechnology) have advanced, enabling the development of products that were not previously possible. What will the likely future products of biotechnology be over the next 5–10 years? What scientific capabilities, tools, and/or expertise …[more]
Research on gene drive systems is rapidly advancing. Many proposed applications of gene drive research aim to solve environmental and public health challenges, including the reduction of poverty and the burden of vector-borne diseases, such as malaria and dengue, which disproportionately impact low and middle income countries. However, due to …[more]
Genetically engineered (GE) crops were first introduced commercially in the 1990s. After two decades of production, some groups and individuals remain critical of the technology based on their concerns about possible adverse effects on human health, the environment, and ethical considerations. At the same time, others are concerned that the …[more]
May is National Mental Health Awareness Month. Recent reports show that there is a growing mental health crisis among children and youth of our nation. In recent years, this rise in mental health concerns has been fueled in part by the COVID-19 pandemic, gun violence, social unrest, and climate change. Youth who are LGBTQ+, from low-income or other marginalized backgrounds, or with special healthcare needs, have been disproportionately affected. Our publications raise awareness and inform research, practice, and policy change to promote mental, emotional, and behavioral health for our nation’s children and youth, and their families. As always, these are free to read online or download.
The COVID-19 pandemic has had an unprecedented impact on the lives of children and their families, who have faced innumerable challenges such as illness and death; school closures; social isolation; financial hardship; food insecurity; deleterious mental health effects; and difficulties accessing health care. In almost every outcome related to …[more]
Across the country, mental health concerns are affecting children and youth in every community. Mental health providers are witnessing increased numbers of patients and increased severity in reported concerns. In the midst of this crisis, communities are exploring strategies for addressing children and youth’s mental health, including increased …[more]
Adolescence is a crucial period of life for the prevention of substance use disorders. Research has shown that early intervention can significantly reduce rates of substance use disorder in adulthood. To learn more about effective family-focused interventions in primary care settings for preventing substance use disorder, the National Academies …[more]
To better understand the inequalities facing lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth and the promising interventions being used to address these inequalities, the National Academies of Sciences, Engineering, and Medicine’s Board on Children, Youth, and Families hosted a virtual public workshop titled Reducing Inequalities …[more]
Adolescence is a critical growth period in which youth develop essential skills that prepare them for adulthood. Prevention and intervention programs are designed to meet the needs of adolescents who require additional support and promote healthy behaviors and outcomes. To ensure the success of these efforts, it is essential that they include …[more]
For children and youth, summertime presents a unique break from the traditional structure, resources, and support systems that exist during the school year. For some students, this time involves opportunities to engage in fun and enriching activities and programs, while others face additional challenges as they lose a variety of supports, …[more]
Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. …[more]
Adolescence—beginning with the onset of puberty and ending in the mid-20s—is a critical period of development during which key areas of the brain mature and develop. These changes in brain structure, function, and connectivity mark adolescence as a period of opportunity to discover new vistas, to form relationships with peers and adults, …[more]
COVID-19, along with heightened racial trauma, has caused unprecedented disruption in the lives of youth aged 10-18, leading them to experience increases in mental health concerns. Addressing these negative impacts requires that education leaders, school districts, state and local decision makers, parents, teachers, and youth work together to …[more]
Healthy mental, emotional, and behavioral (MEB) development is a critical foundation for a productive adulthood. Much is known about strategies to support families and communities in strengthening the MEB development of children and youth, by promoting healthy development and also by preventing and mitigating disorder, so that young people …[more]
Student wellbeing is foundational to academic success. One recent survey of postsecondary educators found that nearly 80 percent believed emotional wellbeing is a “very” or “extremely” important factor in student success. Studies have found the dropout rates for students with a diagnosed mental health problem range from 43 percent to as high as …[more]
Adolescence is a dynamic time for both brain development and social pressures, making it a critical period to understand mental, emotional, and behavioral health, yet it is often overlooked in terms of policies and service interventions, which makes many young people feel unheard when communicating their own challenges.
While summer is a time of opportunity that adds to some children’s school experience, for other children it means a lack of chances to move forward in their academic and social development. Summer programs can be designed to promote safety, physical and mental health, social and emotional development, and academic learning. Our reports are meant to provide guidance for planning summer STEM experiences that help kids grow and achieve once school resumes.
For children and youth, summertime presents a unique break from the traditional structure, resources, and support systems that exist during the school year. For some students, this time involves opportunities to engage in fun and enriching activities and programs, while others face additional challenges as they lose a variety of supports, …[more]
In the last twenty years, citizen science has blossomed as a way to engage a broad range of individuals in doing science. Citizen science projects focus on, but are not limited to, nonscientists participating in the processes of scientific research, with the intended goal of advancing and using scientific knowledge. A rich range of projects …[more]
More and more young people are learning about science, technology, engineering, and mathematics (STEM) in a wide variety of afterschool, summer, and informal programs. At the same time, there has been increasing awareness of the value of such programs in sparking, sustaining, and extending interest in and understanding of STEM. To help policy …[more]
Science, technology, engineering, and mathematics (STEM) permeate the modern world. The jobs people do, the foods they eat, the vehicles in which they travel, the information they receive, the medicines they take, and many other facets of modern life are constantly changing as STEM knowledge steadily accumulates. Yet STEM education in the …[more]
Practitioners in informal science settings—museums, after-school programs, science and technology centers, media enterprises, libraries, aquariums, zoos, and botanical gardens—are interested in finding out what learning looks like, how to measure it, and what they can do to ensure that people of all ages, from different backgrounds and …[more]
What types of instructional experiences help K-8 students learn science with understanding? What do science educators, teachers, teacher leaders, science specialists, professional development staff, curriculum designers, and school administrators need to know to create and support such experiences?
As scientific advances have made genome editing and other biomedical technologies more efficient, precise, and flexible than ever before, scientists, patients, and others have been exploring possible ways in which this cutting-edge science can improve human health. Our titles consider both the potential benefits and the scientific, ethical, legal, social, and governance issues associated with the use of gene-editing tools and other new technologies. As always, all are free to read online or download.
Each year, tens of millions of individuals in the U.S. suffer from neurological and psychiatric disorders including neurodegenerative diseases such as Alzheimer’s Disease and Parkinson’s Disease, and psychiatric disorders such as autism spectrum disorder, depression and schizophrenia. Treatments for these diseases are often completely …[more]
One of the holy grails in biology is the ability to predict functional characteristics from an organism’s genetic sequence. Despite decades of research since the first sequencing of an organism in 1995, scientists still do not understand exactly how the information in genes is converted into an organism’s phenotype, its physical …[more]
Heritable human genome editing – making changes to the genetic material of eggs, sperm, or any cells that lead to their development, including the cells of early embryos, and establishing a pregnancy – raises not only scientific and medical considerations but also a host of ethical, moral, and societal issues. Human embryos whose genomes have …[more]
Sharing knowledge is what drives scientific progress – each new advance or innovation in biomedical research builds on previous observations. However, for experimental findings to be broadly accepted as credible by the scientific community, they must be verified by other researchers. An essential step is for researchers to report their findings …[more]
Research and innovation in the life sciences is driving rapid growth in agriculture, biomedical science, information science and computing, energy, and other sectors of the U.S. economy. This economic activity, conceptually referred to as the bioeconomy, presents many opportunities to create jobs, improve the quality of life, and continue to …[more]
Over the past 15 years, the National Academies of Sciences, Engineering, and Medicine (the National Academies) have convened multiple committees of leading experts to address ethical challenges related to innovative and emerging biomedical technologies. After reviewing prior National Academies’ reports, individual ethics principles and …[more]
On November 27-29, 2018, the U.S. National Academy of Sciences and U.S. National Academy of Medicine, the Royal Society of the United Kingdom, and the Academy of Sciences of Hong Kong convened the Second International Summit on Human Genome Editing at the University of Hong Kong. The summit brought together more than 500 researchers, ethicists, …[more]
Genomic medicine is defined as the routine use of genomic information about an individual as part of his or her clinical care as well as the health outcomes and policy implications of that clinical use. It is one approach that has the potential to improve the quality of health care by allowing practitioners to tailor prevention, diagnostic, and …[more]
Genomic applications are being integrated into a broad range of clinical and research activities at health care systems across the United States. This trend can be attributed to a variety of factors, including the declining cost of genome sequencing and the potential for improving health outcomes and cutting the costs of care. The goals of …[more]
Genome editing is a powerful new tool for making precise alterations to an organism’s genetic material. Recent scientific advances have made genome editing more efficient, precise, and flexible than ever before. These advances have spurred an explosion of interest from around the globe in the possible ways in which genome editing can improve …[more]
New biochemical tools have made it possible to change the DNA sequences of living organisms with unprecedented ease and precision. These new tools have generated great excitement in the scientific and medical communities because of their potential to advance biological understanding, alter the genomes of microbes, plants, and animals, and treat …[more]
Over the past several decades, new scientific tools and approaches for detecting microbial species have dramatically enhanced our appreciation of the diversity and abundance of the microbiota and its dynamic interactions with the environments within which these microorganisms reside. The first bacterial genome was sequenced in 1995 and took …[more]
Preparing and supporting our nation’s science, engineering, and healthcare workforce is the foundation for our global leadership in research and innovation. Our ability to recognize and develop talent allows the United States to remain at the forefront in the creation and application of new knowledge and contributes to our nation’s goals for energy, the environment, health care, national security, and the economy. Our publications explore barriers to the education and employment of women scientists, engineers, and health care professionals, and ways to increase the participation and advancement of women in all fields of science, engineering, and medicine.
Individuals from minoritized racial and ethnic groups continue to face systemic barriers that impede their ability to access, persist, and thrive in science, technology, engineering, mathematics, and medicine (STEMM) higher education and workforce. Without actively dismantling policies and …[more]
Demand for tech professionals is expected to increase substantially over the next decade, and increasing the number of women of color in tech will be critical to building and maintaining a competitive workforce. Despite years of efforts to increase the diversity of the tech workforce, women of …[more]
Rising awareness of and increased attention to sexual harassment has resulted in momentum to implement sexual harassment prevention efforts in higher education institutions. Work on preventing sexual harassment is an area that has recently garnered a lot of attention, especially around education …[more]
The spring of 2020 marked a change in how almost everyone conducted their personal and professional lives, both within science, technology, engineering, mathematics, and medicine (STEMM) and beyond. The COVID-19 pandemic disrupted global scientific conferences and individual laboratories and …[more]
Mentorship is a catalyst capable of unleashing one’s potential for discovery, curiosity, and participation in STEMM and subsequently improving the training environment in which that STEMM potential is fostered. Mentoring relationships provide developmental spaces in which students’ STEMM skills …[more]
Careers in science, engineering, and medicine offer opportunities to advance knowledge, contribute to the well-being of communities, and support the security, prosperity, and health of the United States. But many women do not pursue or persist in these careers, or advance to leadership positions …[more]
Over the last few decades, research, activity, and funding has been devoted to improving the recruitment, retention, and advancement of women in the fields of science, engineering, and medicine. In recent years the diversity of those participating in these fields, particularly the participation …[more]
Mr. Speaker. Madam Vice President. Our First Lady and Second Gentleman.
Members of Congress and the Cabinet. Leaders of our military.
Mr. Chief Justice, Associate Justices, and retired Justices of the Supreme Court.
And you, my fellow Americans.
I start tonight by congratulating the members of the 118th Congress and the new Speaker of the House, Kevin McCarthy.
Mr. Speaker, I look forward to working together.
I also want to congratulate the new leader of the House Democrats and the first Black House Minority Leader in history, Hakeem Jeffries.
Congratulations to the longest serving Senate Leader in history, Mitch McConnell.
And congratulations to Chuck Schumer for another term as Senate Majority Leader, this time with an even bigger majority.
And I want to give special recognition to someone who I think will be considered the greatest Speaker in the history of this country, Nancy Pelosi.
The story of America is a story of progress and resilience. Of always moving forward. Of never giving up.
A story that is unique among all nations.
We are the only country that has emerged from every crisis stronger than when we entered it.
That is what we are doing again.
Two years ago, our economy was reeling.
As I stand here tonight, we have created a record 12 million new jobs, more jobs created in two years than any president has ever created in four years.
Two years ago, COVID had shut down our businesses, closed our schools, and robbed us of so much.
Today, COVID no longer controls our lives.
And two years ago, our democracy faced its greatest threat since the Civil War.
Today, though bruised, our democracy remains unbowed and unbroken.
As we gather here tonight, we are writing the next chapter in the great American story, a story of progress and resilience. When world leaders ask me to define America, I define our country in one word: Possibilities.
You know, we’re often told that Democrats and Republicans can’t work together.
But over these past two years, we proved the cynics and the naysayers wrong.
Yes, we disagreed plenty. And yes, there were times when Democrats had to go it alone.
But time and again, Democrats and Republicans came together.
Came together to defend a stronger and safer Europe.
Came together to pass a once-in-a-generation infrastructure law, building bridges to connect our nation and people.
Came together to pass one of the most significant laws ever, helping veterans exposed to toxic burn pits.
In fact, I signed over 300 bipartisan laws since becoming President. From reauthorizing the Violence Against Women Act, to the Electoral Count Reform Act, to the Respect for Marriage Act that protects the right to marry the person you love.
To my Republican friends, if we could work together in the last Congress, there is no reason we can’t work together in this new Congress.
The people sent us a clear message. Fighting for the sake of fighting, power for the sake of power, conflict for the sake of conflict, gets us nowhere.
And that’s always been my vision for our country.
To restore the soul of the nation.
To rebuild the backbone of America, the middle class.
To unite the country.
We’ve been sent here to finish the job.
For decades, the middle class was hollowed out.
Too many good-paying manufacturing jobs moved overseas. Factories at home closed down.
Once-thriving cities and towns became shadows of what they used to be.
And along the way, something else was lost.
Pride. That sense of self-worth.
I ran for President to fundamentally change things, to make sure the economy works for everyone so we can all feel pride in what we do.
To build an economy from the bottom up and the middle out, not from the top down. Because when the middle class does well, the poor have a ladder up and the wealthy still do very well. We all do well.
As my Dad used to say, a job is about a lot more than a paycheck. It’s about your dignity. It’s about respect. It’s about being able to look your kid in the eye and say, “Honey –it’s going to be OK,” and mean it.
So, let’s look at the results. Unemployment rate at 3.4%, a 50-year low. Near record low unemployment for Black and Hispanic workers.
We’ve already created 800,000 good-paying manufacturing jobs, the fastest growth in 40 years.
Where is it written that America can’t lead the world in manufacturing again?
For too many decades, we imported products and exported jobs.
Now, thanks to all we’ve done, we’re exporting American products and creating American jobs.
Inflation has been a global problem because of the pandemic that disrupted supply chains and Putin’s war that disrupted energy and food supplies.
But we’re better positioned than any country on Earth.
We have more to do, but here at home, inflation is coming down.
Here at home, gas prices are down $1.50 a gallon since their peak.
Food inflation is coming down.
Inflation has fallen every month for the last six months while take home pay has gone up.
Additionally, over the last two years, a record 10 million Americans applied to start a new small business.
Every time somebody starts a small business, it’s an act of hope.
And the Vice President will continue her work to ensure more small businesses can access capital and the historic laws we enacted.
Standing here last year, I shared with you a story of American genius and possibility.
Semiconductors, the small computer chips the size of your fingertip that power everything from cellphones to automobiles, and so much more. These chips were invented right here in America.
America used to make nearly 40% of the world’s chips.
But in the last few decades, we lost our edge and we’re down to producing only 10%. We all saw what happened during the pandemic when chip factories overseas shut down.
Today’s automobiles need up to 3,000 chips each, but American automakers couldn’t make enough cars because there weren’t enough chips.
Car prices went up. So did everything from refrigerators to cellphones.
We can never let that happen again.
That’s why we came together to pass the bipartisan CHIPS and Science Act.
Visit this site for a list of excerpts from the final legislation and/or conference report which contain references to and studies for The National Academies of Sciences, Engineering, and Medicine.
We’re making sure the supply chain for America begins in America.
We’ve already created 800,000 manufacturing jobs even without this law.
With this new law, we will create hundreds of thousands of new jobs across the country.
Cutting-edge technologies are reshaping manufacturing in the United States and around the world, with applications from medicine to defense. If the United States wants to further build upon these new innovations, the next generation of engineers must be trained to work in advanced manufacturing …[more]
A convergent manufacturing platform is defined as a system that synergistically combines heterogeneous materials and processes (e.g., additive, subtractive, and transformative) in one platform. The platform is equipped with unprecedented modularity, flexibility, connectivity, reconfigurability, …[more]
The ability to deploy and maintain infrastructure and equipment is crucial to military operations and national security. However, the ability to make and repair equipment in a wide range of operational environments is increasingly vulnerable to disruptions in global supply chains and to attacks. …[more]
In 2002, the U.S. Food and Drug Administration (FDA) launched the Pharmaceutical Quality for the 21st Century Initiative to encourage adoption of innovative technologies that would lead to an agile, flexible pharmaceutical manufacturing sector. The goal was to encourage a transition to …[more]
The Manufacturing USA initiative seeks to reinforce U.S.-based advanced manufacturing through partnerships among industry, academia, and government. Started in 2012 and established with bipartisan support by the Revitalize American Manufacturing and Innovation Act of 2014, the initiative …[more]
That’s going to come from companies that have announced more than $300 billion in investments in American manufacturing in the last two years.
Outside of Columbus, Ohio, Intel is building semiconductor factories on a thousand acres – a literal field of dreams.
That’ll create 10,000 jobs. 7,000 construction jobs. 3,000 jobs once the factories are finished.
Jobs paying $130,000 a year, and many don’t require a college degree.
Jobs where people don’t have to leave home in search of opportunity.
And it’s just getting started.
Think about the new homes, new small businesses, and so much more that will come to life.
Talk to mayors and Governors, Democrats and Republicans, and they’ll tell you what this means to their communities.
We’re seeing these fields of dreams transform the heartland.
But to maintain the strongest economy in the world, we also need the best infrastructure in the world.
We used to be #1 in the world in infrastructure, then we fell to #13th.
Now we’re coming back because we came together to pass the Bipartisan Infrastructure Law, the largest investment in infrastructure since President Eisenhower’s Interstate Highway System.
Visit this site for a list of excerpts from the final legislation and/or conference report which contain references to and studies for The National Academies of Sciences, Engineering, and Medicine.
Already, we’ve funded over 20,000 projects, including at major airports from Boston to Atlanta to Portland.
These projects will put hundreds of thousands of people to work rebuilding our highways, bridges, railroads, tunnels, ports and airports, clean water, and high-speed internet across America.
Communities across the United States are subject to ever-increasing human suffering and financial impacts of disasters caused by extreme weather events and other natural hazards amplified in frequency and intensity by climate change. While media coverage sometimes paints these disasters as …[more]
Significant progress has been made over the last decade in integrating resilience criteria into transportation decision-making. A compelling case remains for investing in making transportation projects more resilient in the face of increasing and intensifying storms, floods, droughts, and other …[more]
Although only 19% of the population live in rural areas, more than 70% of the U.S.’s four million miles of roadways are in rural areas. The rural transportation system also includes numerous airports; railways; inland and coastal waterways; rural and intercity buses; and bicycle, pedestrian, …[more]
In thousands of communities across the United States, drinking water is contaminated with chemicals known as perfluoroalkyl and polyfluoroalkyl substances (PFAS). PFAS are used in a wide range of products, such as non-stick cookware, water and stain repellent fabrics, and fire-fighting foam, …[more]
TRB Special Report 329: Renewing the National Commitment to the Interstate Highway System: A Foundation for the Future explores pending and future federal investment and policy decisions concerning the federal Interstate Highway System. Congress asked the committee to make recommendations on the …[more]
Cities have experienced an unprecedented rate of growth in the last decade. More than half the world’s population lives in urban areas, with the U.S. percentage at 80 percent. Cities have captured more than 80 percent of the globe’s economic activity and offered social mobility and economic …[more]
Chronic and episodic water shortages are becoming common in many regions of the United States, and population growth in water-scarce regions further compounds the challenges. Increasingly, alternative water sources such as graywater-untreated wastewater that does not include water from the …[more]
The rapid conversion of land to urban and suburban areas has profoundly altered how water flows during and following storm events, putting higher volumes of water and more pollutants into the nation’s rivers, lakes, and estuaries. These changes have degraded water quality and habitat in …[more]
And we’re just getting started. I sincerely thank my Republican friends who voted for the law.
And to my Republican friends who voted against it but still ask to fund projects in their districts, don’t worry.
I promised to be the president for all Americans.
We’ll fund your projects. And I’ll see you at the ground-breaking.
This law will help further unite all of America.
Major projects like the Brent Spence bridge between Kentucky and Ohio over the Ohio River. Built 60 years ago. Badly in need of repairs.
One of the nation’s most congested freight routes carrying $2 billion worth of freight every day. Folks have been talking about fixing it for decades, but we’re finally going to get it done.
I went there last month with Democrats and Republicans from both states to deliver $1.6 billion for this project.
While I was there, I met an ironworker named Sara, who is here tonight.
For 30 years, she’s been a proud member of Ironworkers Local 44, known as the “cowboys of the sky” who built the Cincinnati skyline.
Sara said she can’t wait to be ten stories above the Ohio River building that new bridge. That’s pride.
That’s what we’re also building – Pride.
We’re also replacing poisonous lead pipes that go into 10 million homes and 400,000 schools and childcare centers, so every child in America can drink clean water.
We’re making sure that every community has access to affordable, high-speed internet.
No parent should have to drive to a McDonald’s parking lot so their kid can do their homework online.
And when we do these projects, we’re going to Buy American.
Buy American has been the law of the land since 1933. But for too long, past administrations have found ways to get around it.
Not anymore.
Tonight, I’m also announcing new standards to require all construction materials used in federal infrastructure projects to be made in America.
And on my watch, American roads, American bridges, and American highways will be made with American products.
My economic plan is about investing in places and people that have been forgotten. Amid the economic upheaval of the past four decades, too many people have been left behind or treated like they’re invisible.
Maybe that’s you, watching at home.
You remember the jobs that went away. And you wonder whether a path even exists anymore for you and your children to get ahead without moving away.
I get it.
That’s why we’re building an economy where no one is left behind.
Jobs are coming back, pride is coming back, because of the choices we made in the last two years. This is a blue-collar blueprint to rebuild America and make a real difference in your lives.
Skilled technical occupations—defined as occupations that require a high level of knowledge in a technical domain but do not require a bachelor’s degree for entry—are a key component of the U.S. economy. In response to globalization and advances in science and technology, American firms …[more]
The aging population of the United States has significant implications for the workforce – challenging what it means to work and to retire in the U.S. In fact, by 2030, one-fifth of the population will be over age 65. This shift has significant repercussions for the economy and key social …[more]
For example, too many of you lay in bed at night staring at the ceiling, wondering what will happen if your spouse gets cancer, your child gets sick, or if something happens to you.
Will you have the money to pay your medical bills? Will you have to sell the house?
I get it. With the Inflation Reduction Act that I signed into law, we’re taking on powerful interests to bring your health care costs down so you can sleep better at night.
You know, we pay more for prescription drugs than any major country on Earth.
For example, one in ten Americans has diabetes.
Every day, millions need insulin to control their diabetes so they can stay alive. Insulin has been around for 100 years. It costs drug companies just $10 a vial to make.
But, Big Pharma has been unfairly charging people hundreds of dollars – and making record profits.
Not anymore.
We capped the cost of insulin at $35 a month for seniors on Medicare.
But there are millions of other Americans who are not on Medicare, including 200,000 young people with Type I diabetes who need insulin to save their lives.
Let’s finish the job this time.
Let’s cap the cost of insulin at $35 a month for every American who needs it.
Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise …[more]
This law also caps out-of-pocket drug costs for seniors on Medicare at a maximum $2,000 per year when there are in fact many drugs, like expensive cancer drugs, that can cost up to $10,000, $12,000, and $14,000 a year.
If drug prices rise faster than inflation, drug companies will have to pay Medicare back the difference.
And we’re finally giving Medicare the power to negotiate drug prices. Bringing down prescription drug costs doesn’t just save seniors money.
It will cut the federal deficit, saving tax payers hundreds of billions of dollars on the prescription drugs the government buys for Medicare.
Why wouldn’t we want to do that?
Now, some members here are threatening to repeal the Inflation Reduction Act.
Make no mistake, if you try to do anything to raise the cost of prescription drugs, I will veto it.
I’m pleased to say that more Americans have health insurance now than ever in history.
A record 16 million people are enrolled under the Affordable Care Act.
Thanks to the law I signed last year, millions are saving $800 a year on their premiums.
But the way that law was written, that benefit expires after 2025.
Let’s finish the job, make those savings permanent, and expand coverage to those left off Medicaid.
Look, the Inflation Reduction Act is also the most significant investment ever to tackle the climate crisis.
Lowering utility bills, creating American jobs, and leading the world to a clean energy future.
I’ve visited the devastating aftermaths of record floods and droughts, storms and wildfires.
As climate has warmed over recent years, a new pattern of more frequent and more intense weather events has unfolded across the globe. Climate models simulate such changes in extreme events, and some of the reasons for the changes are well understood. Warming increases the likelihood of …[more]
Wildfires in America are becoming larger, more frequent, and more destructive, driven by climate change and existing land management practices. Many of these fires occur at the wildland-urban interface (WUI), areas where development and wildland areas overlap and which are increasingly at risk …[more]
In addition to emergency recovery from Puerto Rico to Florida to Idaho, we are rebuilding for the long term.
Resilient supply chains are crucial to maintaining the consistent delivery of goods and services to the American people. The modern economy has made supply chains more interconnected than ever, while also expanding both their range and fragility. In the third quarter of 2017, Hurricanes Harvey, …[more]
New electric grids able to weather the next major storm.
Electric power is essential for the lives and livelihoods of all Americans, and the need for electricity that is safe, clean, affordable, and reliable will only grow in the decades to come. At the request of Congress and the Department of Energy, the National Academies convened a committee of …[more]
Americans’ safety, productivity, comfort, and convenience depend on the reliable supply of electric power. The electric power system is a complex “cyber-physical” system composed of a network of millions of components spread out across the continent. These components are owned, operated, and …[more]
The electric power delivery system that carries electricity from large central generators to customers could be severely damaged by a small number of well-informed attackers. The system is inherently vulnerable because transmission lines may span hundreds of miles, and many key facilities are …[more]
Roads and water systems to withstand the next big flood.
TRB’s National Cooperative Highway Research Program (NCHRP) Report 750: Strategic Issues Facing Transportation, Volume 2: Climate Change, Extreme Weather Events, and the Highway System: Practitioner’s Guide and Research Report provides guidance on adaptation strategies to the likely impacts …[more]
Transportation Resilience: Adaptation to Climate Change and Extreme Weather Events summarizes a symposium held June 16–17, 2016 in Brussels, Belgium. The fourth annual symposium promotes common understanding, efficiencies, and trans-Atlantic cooperation within the international transportation …[more]
TRB’s National Cooperative Highway Research Program (NCHRP) Report 777: A Guide to Regional Transportation Planning for Disasters, Emergencies, and Significant Events uses foundational planning principles, case studies, tips, and tools to explain implementation of transportation planning for …[more]
Clean energy to cut pollution and create jobs in communities too often left behind.
Many technical and institutional issues related to estimating and reducing greenhouse gas emissions (GHGs) lie across a wide spectrum of the activities undertaken by state departments of transportation (DOTs).
The TRB National Cooperative Highway Research Program’s NCHRP Web-Only …[more]
Design innovation for electrically powered and hybrid-electric aircraft is accelerating rapidly. While there are many potential benefits of electric aircraft and hydrogen technologies, not all air service can be replaced by electrically powered aircraft in the near term.
A widespread and rapid transition to a low-carbon energy system by 2050 is essential to keep pace with ambitious policy goals and avoid the worst consequences of climate change. Innovation is necessary to lower costs and improve performance of existing technologies and to develop new clean …[more]
Electricity, supplied reliably and affordably, is foundational to the U.S. economy and is utterly indispensable to modern society. However, emissions resulting from many forms of electricity generation create environmental risks that could have significant negative economic, security, and human …[more]
We’re building 500,000 electric vehicle charging stations installed across the country by tens of thousands of IBEW workers.
And helping families save more than $1,000 a year with tax credits for the purchase of electric vehicles and energy-efficient appliances.
The widespread adoption of electric vehicles will play a critical role in decarbonizing the transportation sector as the nation moves toward net-zero emissions. Recent announcements from automakers and the federal government, as well as provisions in the Infrastructure Investment and Jobs Act of …[more]
From daily commutes to cross-country road trips, millions of light-duty vehicles are on the road every day. The transportation sector is one of the United States’ largest sources of greenhouse gas emissions, and fuel is an important cost for drivers. The period from 2025-2035 could bring the …[more]
Vehicle electrification is one of the emerging and potentially disruptive technologies that are being considered to reduce emissions of criteria pollutants, mobile source air toxics (MSATs), and greenhouse gases (GHGs) from motor vehicles.
The TRB National Cooperative Highway Research …[more]
TRB’s Airport Cooperative Research Program (ACRP) Synthesis 54: Electric Vehicle Charging Stations at Airport Parking Facilities is designed as a primer on electric vehicle (EV) charging and includes information on policy approaches, infrastructure needs, and funding mechanisms that airports …[more]
Historic conservation efforts to be responsible stewards of our lands.
Let’s face reality.
The climate crisis doesn’t care if your state is red or blue. It is an existential threat.
We have an obligation to our children and grandchildren to confront it. I’m proud of how America is at last stepping up to the challenge.
As of 2021, atmospheric carbon dioxide levels have reached historically unprecedented levels, higher than at any time in the past 800,000 years. Worldwide efforts to reduce emissions by creating a more efficient, carbon-free energy system may not be enough to stabilize the climate and avoid the …[more]
The US Global Change Research Program (USGCRP) is a collection of 13 Federal entities charged by law to assist the United States and the world to understand, assess, predict, and respond to human-induced and natural processes of global change. Global Change Research Needs and Opportunities …[more]
The world is transforming its energy system from one dominated by fossil fuel combustion to one with net-zero emissions of carbon dioxide (CO2), the primary anthropogenic greenhouse gas. This energy transition is critical to mitigating climate change, protecting human health, and revitalizing …[more]
To achieve goals for climate and economic growth, “negative emissions technologies” (NETs) that remove and sequester carbon dioxide from the air will need to play a significant role in mitigating climate change. Unlike carbon capture and storage technologies that remove carbon dioxide emissions …[more]
And we pay for these investments in our future by finally making the wealthiest and the biggest corporations begin to pay their fair share.
I’m a capitalist. But just pay your fair share.
And I think a lot of you at home agree with me that our present tax system is simply unfair.
The idea that in 2020, 55 of the biggest companies in America made $40 billion in profits and paid zero in federal income taxes?
That’s simply not fair.
But now, because of the law I signed, billion-dollar companies have to pay a minimum of 15%.
Just 15%.
That’s less than a nurse pays. Let me be clear.
Under my plan, nobody earning less than $400,000 a year will pay an additional penny in taxes.
Nobody. Not one penny.
But there’s more to do.
Let’s finish the job. Reward work, not just wealth. Pass my proposal for a billionaire minimum tax.
Because no billionaire should pay a lower tax rate than a school teacher or a firefighter.
You may have noticed that Big Oil just reported record profits.
Last year, they made $200 billion in the midst of a global energy crisis.
It’s outrageous.
They invested too little of that profit to increase domestic production and keep gas prices down.
Instead, they used those record profits to buy back their own stock, rewarding their CEOs and shareholders.
Corporations ought to do the right thing.
That’s why I propose that we quadruple the tax on corporate stock buybacks to encourage long term investments instead.
They will still make a considerable profit.
Let’s finish the job and close the loopholes that allow the very wealthy to avoid paying their taxes.
Instead of cutting the number of audits of wealthy tax payers, I signed a law that will reduce the deficit by $114 billion by cracking down on wealthy tax cheats.
That’s being fiscally responsible.
In the last two years, my administration cut the deficit by more than $1.7 trillion – the largest deficit reduction in American history.
Under the previous administration, America’s deficit went up four years in a row.
Because of those record deficits, no president added more to the national debt in any four years than my predecessor.
Nearly 25% of the entire national debt, a debt that took 200 years to accumulate, was added by that administration alone.
How did Congress respond to all that debt?
They lifted the debt ceiling three times without preconditions or crisis.
They paid America’s bills to prevent economic disaster for our country.
Tonight, I’m asking this Congress to follow suit.
Let us commit here tonight that the full faith and credit of the United States of America will never, ever be questioned.
Some of my Republican friends want to take the economy hostage unless I agree to their economic plans. All of you at home should know what their plans are.
Instead of making the wealthy pay their fair share, some Republicans want Medicare and Social Security to sunset every five years.
That means if Congress doesn’t vote to keep them, those programs will go away.
Other Republicans say if we don’t cut Social Security and Medicare, they’ll let America default on its debt for the first time in our history.
I won’t let that happen.
Social Security and Medicare are a lifeline for millions of seniors.
Americans have been paying into them with every single paycheck since they started working.
So tonight, let’s all agree to stand up for seniors. Stand up and show them we will not cut Social Security. We will not cut Medicare.
Those benefits belong to the American people. They earned them.
If anyone tries to cut Social Security, I will stop them. And if anyone tries to cut Medicare, I will stop them.
I will not allow them to be taken away.
Not today. Not tomorrow. Not ever.
Next month when I offer my fiscal plan, I ask my Republican friends to offer their plan.
We can sit down together and discuss both plans together.
My plan will lower the deficit by $2 trillion.
I won’t cut a single Social Security or Medicare benefit.
In fact, I will extend the Medicare Trust Fund by at least two decades.
I will not raise taxes on anyone making under $400,000 a year. And I will pay for the ideas I’ve talked about tonight by making the wealthy and big corporations begin to pay their fair share.
Look, here’s the deal. Big corporations aren’t just taking advantage of the tax code. They’re taking advantage of you, the American consumer.
Here’s my message to all of you out there: I have your back. We’re already preventing insurance companies from sending surprise medical bills, stopping 1 million surprise bills a month.
We’re protecting seniors’ lives and life savings by cracking down on nursing homes that commit fraud, endanger patient safety, or prescribe drugs they don’t need.
Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. Ineffective responses to the complex challenges of nursing home care have resulted in a system that often fails to ensure the well-being …[more]
Millions of Americans can now save thousands of dollars because they can finally get hearing aids over-the-counter without a prescription.
The loss of hearing – be it gradual or acute, mild or severe, present since birth or acquired in older age – can have significant effects on one’s communication abilities, quality of life, social participation, and health. Despite this, many people with hearing loss do not seek or receive …[more]
Being able to communicate is a cornerstone of healthy aging. People need to make themselves understood and to understand others to remain cognitively and socially engaged with families, friends, and other individuals. When they are unable to communicate, people with hearing impairments can …[more]
Capitalism without competition is not capitalism. It is exploitation.
Last year I cracked down on foreign shipping companies that were making you pay higher prices for everyday goods coming into our country.
I signed a bipartisan bill that cut shipping costs by 90%, helping American farmers, businesses, and consumers.
Let’s finish the job.
Pass bipartisan legislation to strengthen antitrust enforcement and prevent big online platforms from giving their own products an unfair advantage.
My administration is also taking on “junk” fees, those hidden surcharges too many businesses use to make you pay more.
For example, we’re making airlines show you the full ticket price upfront and refund your money if your flight is cancelled or delayed.
We’ve reduced exorbitant bank overdraft fees, saving consumers more than $1 billion a year.
We’re cutting credit card late fees by 75%, from $30 to $8.
Junk fees may not matter to the very wealthy, but they matter to most folks in homes like the one I grew up in. They add up to hundreds of dollars a month.
They make it harder for you to pay the bills or afford that family trip.
I know how unfair it feels when a company overcharges you and gets away with it.
Not anymore.
We’ve written a bill to stop all that. It’s called the Junk Fee Prevention Act.
We’ll ban surprise “resort fees” that hotels tack on to your bill. These fees can cost you up to $90 a night at hotels that aren’t even resorts.
We’ll make cable internet and cellphone companies stop charging you up to $200 or more when you decide to switch to another provider.
We’ll cap service fees on tickets to concerts and sporting events and make companies disclose all fees upfront.
And we’ll prohibit airlines from charging up to $50 roundtrip for families just to sit together.
Baggage fees are bad enough – they can’t just treat your child like a piece of luggage.
Americans are tired of being played for suckers.
Pass the Junk Fee Prevention Act so companies stop ripping us off.
For too long, workers have been getting stiffed.
Not anymore.
We’re beginning to restore the dignity of work.
For example, 30 million workers had to sign non-compete agreements when they took a job. So a cashier at a burger place can’t cross the street to take the same job at another burger place to make a couple bucks more.
Not anymore.
We’re banning those agreements so companies have to compete for workers and pay them what they’re worth.
I’m so sick and tired of companies breaking the law by preventing workers from organizing.
Pass the PRO Act because workers have a right to form a union. And let’s guarantee all workers a living wage.
Let’s also make sure working parents can afford to raise a family with sick days, paid family and medical leave, and affordable child care that will enable millions more people to go to work.
Let’s also restore the full Child Tax Credit, which gave tens of millions of parents some breathing room and cut child poverty in half, to the lowest level in history.
The strengths and abilities children develop from infancy through adolescence are crucial for their physical, emotional, and cognitive growth, which in turn help them to achieve success in school and to become responsible, economically self-sufficient, and healthy adults. Capable, responsible, …[more]
And by the way, when we do all of these things, we increase productivity. We increase economic growth.
Let’s also finish the job and get more families access to affordable and quality housing.
As the federal moratorium on rental eviction is set to expire on July 31st, 2021, actionable guidance is urgently needed on how to ensure that renters can stay in their homes and housing aid reaches the communities that need it most. This report from the National Academies of Sciences, …[more]
Let’s get seniors who want to stay in their homes the care they need to do so. And give a little more breathing room to millions of family caregivers looking after their loved ones.
As the largest generation in U.S. history – the population born in the two decades immediately following World War II – enters the age of risk for cognitive impairment, growing numbers of people will experience dementia (including Alzheimer’s disease and related dementias). By one estimate, …[more]
Millions of people are living with dementia in the United States and globally. To live well with dementia, people need care, services, and supports that reflect their values and preferences, build on their strengths and abilities, promote well-being, and address needs that evolve as cognitive …[more]
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation’s family caregivers provide the lion’s share of long-term care for our older …[more]
Pass my plan so we get seniors and people with disabilities the home care services they need and support the workers who are doing God’s work.
These plans are fully paid for and we can afford to do them.
Restoring the dignity of work also means making education an affordable ticket to the middle class.
When we made 12 years of public education universal in the last century, it made us the best-educated, best-prepared nation in the world.
But the world has caught up.
Jill, who teaches full-time, has an expression: “Any nation that out-educates us will out-compete us.”
Scientific thinking and understanding are essential for all people navigating the world, not just for scientists and other science, technology, engineering and mathematics (STEM) professionals. Knowledge of science and the practice of scientific thinking are essential components of a fully …[more]
Next Generation Science Standards identifies the science all K-12 students should know. These new standards are based on the National Research Council’s A Framework for K-12 Science Education. The National Research Council, the National Science Teachers Association, the …[more]
It is essential for today’s students to learn about science and engineering in order to make sense of the world around them and participate as informed members of a democratic society. The skills and ways of thinking that are developed and honed through engaging in scientific and engineering …[more]
The imperative that all students, including English learners (ELs), achieve high academic standards and have opportunities to participate in science, technology, engineering, and mathematics (STEM) learning has become even more urgent and complex given shifts in science and mathematics …[more]
Folks, you all know 12 years is not enough to win the economic competition for the 21st Century.
If you want America to have the best-educated workforce, let’s finish the job by providing access to pre-school for 3- and 4-year-olds.
Studies show that children who go to pre-school are nearly 50% more likely to finish high school and go on to earn a 2- or 4-year degree, no matter their background.
Starting in early childhood, children are capable of learning sophisticated science and engineering concepts and engage in disciplinary practices. They are deeply curious about the world around them and eager to investigate the many questions they have about their environment. Educators can …[more]
High-quality early care and education for children from birth to kindergarten entry is critical to positive child development and has the potential to generate economic returns, which benefit not only children and their families but society at large. Despite the great promise of early care and …[more]
Children are already learning at birth, and they develop and learn at a rapid pace in their early years. This provides a critical foundation for lifelong progress, and the adults who provide for the care and the education of young children bear a great responsibility for their health, …[more]
Early childhood mathematics is vitally important for young children’s present and future educational success. Research demonstrates that virtually all young children have the capability to learn and become competent in mathematics. Furthermore, young children enjoy their early informal …[more]
Let’s give public school teachers a raise.
And we’re making progress by reducing student debt and increasing Pell Grants for working- and middle-class families.
Let’s finish the job, connect students to career opportunities starting in high school and provide two years of community college, some of the best career training in America, in addition to being a pathway to a four-year degree.
Computing in some form touches nearly every aspect of day to day life and is reflected in the ubiquitous use of cell phones, the expansion of automation into many industries, and the vast amounts of data that are routinely gathered about people’s health, education, and buying habits. Computing …[more]
The importance of higher education has never been clearer. Educational attainment—the number of years a person spends in school—strongly predicts adult earnings, as well as health and civic engagement. Yet relative to other developed nations, educational attainment in the United States is …[more]
Mentorship is a catalyst capable of unleashing one’s potential for discovery, curiosity, and participation in STEMM and subsequently improving the training environment in which that STEMM potential is fostered. Mentoring relationships provide developmental spaces in which students’ STEMM skills …[more]
Let’s offer every American the path to a good career whether they go to college or not.
And folks, in the midst of the COVID crisis when schools were closed, let’s also recognize how far we’ve come in the fight against the pandemic itself.
While the virus is not gone, thanks to the resilience of the American people, we have broken COVID’s grip on us.
COVID deaths are down nearly 90%.
We’ve saved millions of lives and opened our country back up.
And soon we’ll end the public health emergency.
But we will remember the toll and pain that will never go away for so many. More than 1 million Americans have lost their lives to COVID.
‘Long COVID’ refers to the wide range of long-lasting symptoms experienced by some patients after a SARS-CoV-2 infection. The most common symptoms include fatigue, headache, brain fog, shortness of breath, hair loss, and pain. At this time, there are many knowledge gaps related to Long COVID, …[more]
The spring of 2020 marked a change in how almost everyone conducted their personal and professional lives, both within science, technology, engineering, mathematics, and medicine (STEMM) and beyond. The COVID-19 pandemic disrupted global scientific conferences and individual laboratories and …[more]
The COVID-19 pandemic has highlighted existing weaknesses in the United States health care system, while creating a new set of challenges related to caring for people with serious illness. The National Academy of Sciences, Engineering, and Medicine’s Roundtable on Quality Care for People with …[more]
Families grieving. Children orphaned. Empty chairs at the dining room table.
We remember them, and we remain vigilant.
We still need to monitor dozens of variants and support new vaccines and treatments.
The U.S. Centers for Disease Control and Prevention (CDC) is responsible for preventing the introduction, transmission, and spread of communicable diseases into the United States. It does this primarily through the Division of Global Migration and Quarantine (DGMQ), which oversees the federal …[more]
The COVID-19 pandemic has challenged the world’s preparedness for a respiratory virus event. While the world has been combating COVID-19, seasonal and pandemic influenza remain imminent global health threats. Non-vaccine public health control measures can combat emerging and ongoing influenza …[more]
To take stock of lessons learned from COVID-19 around the world and in the United States, the Forum on Microbial Threats held two virtual workshops during 2021. The first workshop focused on what it means to frame the response to COVID-19 through a “syndemic” approach, and what the implications …[more]
While the COVID-19 pandemic has had devastating health and economic impacts in the United States, communities of color, especially Black communities, have been disproportionately affected. On June 23, 2020, the Roundtable on Black Men and Black Women in Science, Engineering, and Medicine of the …[more]
So Congress needs to fund these efforts and keep America safe.
And as we emerge from this crisis stronger, I’m also doubling down on prosecuting criminals who stole relief money meant to keep workers and small businesses afloat during the pandemic.
Before I came to office many inspector generals who protect taxpayer dollars were sidelined. Fraud was rampant.
Last year, I told you the watchdogs are back. Since then, we’ve recovered billions of taxpayer dollars.
Now, let’s triple our anti-fraud strike forces going after these criminals, double the statute of limitations on these crimes, and crack down on identity fraud by criminal syndicates stealing billions of dollars from the American people.
For every dollar we put into fighting fraud, taxpayers get back at least ten times as much.
COVID left other scars, like the spike in violent crime in 2020, the first year of the pandemic.
We have an obligation to make sure all our people are safe.
Public safety depends on public trust. But too often that trust is violated.
The history of the U.S. criminal justice system is marked by racial inequality and sustained by present day policy. Large racial and ethnic disparities exist across the several stages of criminal legal processing, including in arrests, pre-trial detention, and sentencing and incarceration, among …[more]
Proactive policing, as a strategic approach used by police agencies to prevent crime, is a relatively new phenomenon in the United States. It developed from a crisis in confidence in policing that began to emerge in the 1960s because of social unrest, rising crime rates, and growing skepticism …[more]
The Committee on Reducing Racial Inequalities in the Criminal Justice System of the National Academies of Sciences, Engineering, and Medicine convened a workshop in January 2021 as part of its exploration of ways to reduce racial inequalities in criminal justice outcomes in the United States. In …[more]
Because police are the most visible face of government power for most citizens, they are expected to deal effectively with crime and disorder and to be impartial. Producing justice through the fair, and restrained use of their authority. The standards by which the public judges police success have …[more]
Joining us tonight are the parents of Tyre Nichols, who had to bury him just last week. There are no words to describe the heartbreak and grief of losing a child.
But imagine what it’s like to lose a child at the hands of the law.
Imagine having to worry whether your son or daughter will come home from walking down the street or playing in the park or just driving their car.
I’ve never had to have the talk with my children – Beau, Hunter, and Ashley – that so many Black and Brown families have had with their children.
If a police officer pulls you over, turn on your interior lights. Don’t reach for your license. Keep your hands on the steering wheel.
Imagine having to worry like that every day in America.
Here’s what Tyre’s mom shared with me when I asked her how she finds the courage to carry on and speak out.
With faith in God, she said her son “was a beautiful soul and something good will come from this.”
Imagine how much courage and character that takes.
It’s up to us. It’s up to all of us.
We all want the same thing.
Neighborhoods free of violence.
Law enforcement who earn the community’s trust.
Our children to come home safely.
Equal protection under the law; that’s the covenant we have with each other in America.
And we know police officers put their lives on the line every day, and we ask them to do too much.
To be counselors, social workers, psychologists; responding to drug overdoses, mental health crises, and more.
We ask too much of them.
I know most cops are good, decent people. They risk their lives every time they put on that shield.
But what happened to Tyre in Memphis happens too often.
We have to do better.
Give law enforcement the training they need, hold them to higher standards, and help them succeed in keeping everyone safe.
We also need more first responders and other professionals to address growing mental health and substance abuse challenges.
More resources to reduce violent crime and gun crime; more community intervention programs; more investments in housing, education, and job training.
All this can help prevent violence in the first place.
And when police officers or departments violate the public’s trust, we must hold them accountable.
With the support of families of victims, civil rights groups, and law enforcement, I signed an executive order for all federal officers banning chokeholds, restricting no-knock warrants, and other key elements of the George Floyd Act.
Let’s commit ourselves to make the words of Tyre’s mother come true, something good must come from this.
All of us in this chamber, we need to rise to this moment.
We can’t turn away.
Let’s do what we know in our hearts we need to do.
Let’s come together and finish the job on police reform.
Do something.
That was the same plea of parents who lost their children in Uvalde: Do something on gun violence.
Thank God we did, passing the most sweeping gun safety law in three decades.
That includes things that the majority of responsible gun owners support, like enhanced background checks for 18 to 21-year-olds and red flag laws keeping guns out of the hands of people who are a danger to themselves and others.
The staggering number of deaths and emergency department visits caused by firearm injuries has only grown with time. Costs associated with firearm related injuries amount to over a billion dollars annually in the United States alone, not including physician charges and postdischarge …[more]
Firearm injuries and death are a serious public health concern in the United States. Firearm-related injuries account for tens of thousands of premature deaths of adults and children each year and significantly increase the burden of injury and disability. Firearm injuries are also costly to the …[more]
In 2010, more than 105,000 people were injured or killed in the United States as the result of a firearm-related incident. Recent, highly publicized, tragic mass shootings in Newtown, CT; Aurora, CO; Oak Creek, WI; and Tucson, AZ, have sharpened the American public’s interest in protecting our …[more]
Joining us tonight is Brandon Tsay, a 26-year-old hero.
Brandon put off his college dreams to stay by his mom’s side as she was dying from cancer. He now works at a dance studio started by his grandparents.
Two weeks ago, during Lunar New Year celebrations, he heard the studio’s front door close and saw a man pointing a gun at him.
He thought he was going to die, but then he thought about the people inside.
In that instant, he found the courage to act and wrestled the semi-automatic pistol away from a gunman who had already killed 11 people at another dance studio.
He saved lives. It’s time we do the same as well.
Ban assault weapons once and for all.
We did it before. I led the fight to ban them in 1994.
In the 10 years the ban was law, mass shootings went down. After Republicans let it expire, mass shootings tripled.
Let’s finish the job and ban assault weapons again.
And let’s also come together on immigration and make it a bipartisan issue like it was before.
We now have a record number of personnel working to secure the border, arresting 8,000 human smugglers and seizing over 23,000 pounds of fentanyl in just the last several months.
Since we launched our new border plan last month, unlawful migration from Cuba, Haiti, Nicaragua, and Venezuela has come down 97%.
But America’s border problems won’t be fixed until Congress acts.
The U.S. Department of Homeland Security (DHS) is responsible for securing and managing the nation’s borders. Over the past decade, DHS has dramatically stepped up its enforcement efforts at the U.S.-Mexico border, increasing the number of U.S. Border patrol (USBP) agents, expanding the …[more]
Immigration enforcement is carried out by a complex legal and administrative system, operating under frequently changing legislative mandates and policy guidance, with authority and funding spread across several agencies in two executive departments and the courts. The U.S. Department of …[more]
If you won’t pass my comprehensive immigration reform, at least pass my plan to provide the equipment and officers to secure the border. And a pathway to citizenship for Dreamers, those on temporary status, farm workers, and essential workers.
The Economic and Fiscal Consequences of Immigration finds that the long-term impact of immigration on the wages and employment of native-born workers overall is very small, and that any negative impacts are most likely to be found for prior immigrants or native-born high school dropouts. …[more]
The United States prides itself on being a nation of immigrants, and the country has a long history of successfully absorbing people from across the globe. The integration of immigrants and their children contributes to our economic vitality and our vibrant and ever changing culture. We have …[more]
The market for high-skilled workers is becoming increasingly global, as are the markets for knowledge and ideas. While high-skilled immigrants in the United States represent a much smaller proportion of the workforce than they do in countries such as Australia, Canada, and the United Kingdom, …[more]
Here in the people’s House, it’s our duty to protect all the people’s rights and freedoms.
Congress must restore the right the Supreme Court took away last year and codify Roe v. Wade to protect every woman’s constitutional right to choose.
The Vice President and I are doing everything we can to protect access to reproductive health care and safeguard patient privacy. But already, more than a dozen states are enforcing extreme abortion bans.
Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized …[more]
The United States faces an alarmingly high rate of maternal morbidity and mortality, distinguishing it from other high-income countries that have achieved decreases in these rates in recent years. U.S. maternal morbidity and mortality rates are disproportionate across racial, ethnic, …[more]
The environment for women’s health has changed over the last 25 years. Increased use of automobiles can lead to health risks from lack of physical activity. There has also been an increase in access to and consumption of unhealthy food. Other changes in the past 2 to 3 decades include the …[more]
Make no mistake; if Congress passes a national abortion ban, I will veto it.
Let’s also pass the bipartisan Equality Act to ensure LGBTQ Americans, especially transgender young people, can live with safety and dignity.
The increase in prevalence and visibility of sexually gender diverse (SGD) populations illuminates the need for greater understanding of the ways in which current laws, systems, and programs affect their well-being. Individuals who identify as lesbian, gay, bisexual, asexual, transgender, …[more]
To better understand the inequalities facing lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth and the promising interventions being used to address these inequalities, the National Academies of Sciences, Engineering, and Medicine’s Board on Children, Youth, and Families hosted a …[more]
Sex, gender identity, and sexual orientation are key indicators of the demographic diversity in the United States. Sex and gender are often conflated under the assumptions that they are mutually determined and do not differ from each other; however, the growing visibility of transgender and …[more]
Our strength is not just the example of our power, but the power of our example. Let’s remember the world is watching.
I spoke from this chamber one year ago, just days after Vladimir Putin unleashed his brutal war against Ukraine.
A murderous assault, evoking images of the death and destruction Europe suffered in World War II.
Putin’s invasion has been a test for the ages. A test for America. A test for the world.
Would we stand for the most basic of principles?
Would we stand for sovereignty?
Would we stand for the right of people to live free from tyranny?
Would we stand for the defense of democracy?
For such a defense matters to us because it keeps the peace and prevents open season for would-be aggressors to threaten our security and prosperity. One year later, we know the answer.
Yes, we would.
And yes, we did.
Together, we did what America always does at our best.
We led.
We united NATO and built a global coalition.
We stood against Putin’s aggression.
We stood with the Ukrainian people.
The National Academies are committed to helping scientists, engineers, and health care workers in Ukraine and those who have been forced to flee because of the Russian invasion. Visit this link for more information on these efforts.
Tonight, we are once again joined by Ukraine’s Ambassador to the United States. She represents not just her nation, but the courage of her people.
Ambassador, America is united in our support for your country. We will stand with you as long as it takes.
On June 1, 2022, the National Academies of Sciences, Engineering, and Medicine convened a public workshop to discuss global food security challenges arising from the Ukraine conflict and possible approaches to address these challenges. The workshop focused on short-term responses to the current …[more]
In 2018, the United Nations High Commissioner for Refugees estimated 70.8 million people could be considered forced migrants, which is nearly double their estimation just one decade ago. This includes internally displaced persons, refugees, asylum seekers, and stateless people. This drastic …[more]
Our nation is working for more freedom, more dignity, and more peace,
not just in Europe, but everywhere.
Before I came to office, the story was about how the People’s Republic of China was increasing its power and America was falling in the world.
Not anymore.
I’ve made clear with President Xi that we seek competition, not conflict.
I will make no apologies that we are investing to make America strong. Investing in American innovation, in industries that will define the future, and that China’s government is intent on dominating.
Investing in our alliances and working with our allies to protect our advanced technologies so they’re not used against us.
Modernizing our military to safeguard stability and deter aggression.
The U.S. Department of Defense is pursuing an improved ability to more closely integrate and operate jointly against agile adversaries through Joint All-Domain Command and Control (JADC2). This framework will seamlessly integrate sensors, networks, platforms, commanders, operators, and weapon …[more]
Rigorous operational testing (OT) of weapon systems procured by the U.S. Department of Defense (DoD) is fundamental to ensuring that these sophisticated systems not only meet their stated requirements, but also perform under realistic operational conditions when faced by determined adversaries …[more]
At the request of the Deputy Assistant Secretary of the Army for Research and Technology, Powering the U.S. Army of the Future examines the U.S. Army’s future power requirements for sustaining a multi-domain operational conflict and considers to what extent emerging power generation and …[more]
The effective use of data science – the science and technology of extracting value from data – improves, enhances, and strengthens acquisition decision-making and outcomes. Using data science to support decision making is not new to the defense acquisition community; its use by the acquisition …[more]
Today, we’re in the strongest position in decades to compete with China or anyone else in the world.
I am committed to work with China where it can advance American interests and benefit the world.
But make no mistake: as we made clear last week, if China’s threatens our sovereignty, we will act to protect our country. And we did.
And let’s be clear: winning the competition with China should unite all of us. We face serious challenges across the world.
But in the past two years, democracies have become stronger, not weaker.
Autocracies have grown weaker, not stronger.
America is rallying the world again to meet those challenges, from climate and global health, to food insecurity, to terrorism and territorial aggression.
Our future depends on our collective ability to become effective stewards of the global commons – the climate, ice, land, ocean, fresh water, forests, soils and rich diversity of life. Hosted by the Nobel Foundation and organized by the US National Academy of Sciences in partnership with the …[more]
The need for sustainable agriculture is becoming ever more significant. The world’s population is still increasing, requiring more from our agricultural systems. Malnutrition and diet-related illnesses are present in nearly all societies. At the same time, agriculture plays a significant role in …[more]
Allies are stepping up, spending more and doing more.
And bridges are forming between partners in the Pacific and those in the Atlantic. And those who bet against America are learning just how wrong they are.
It’s never a good bet to bet against America.
When I came to office, most everyone assumed bipartisanship was impossible. But I never believed it.
That’s why a year ago, I offered a Unity Agenda for the nation.
We’ve made real progress.
Together, we passed a law making it easier for doctors to prescribe effective treatments for opioid addiction.
The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by …[more]
Methadone is a Food and Drug Administration- (FDA-) approved medication for treating opioid use disorder (OUD), a chronic brain disease that affects more than 2.7 million people in the United States aged 12 and older. Despite its effectiveness in saving lives, many barriers impede access to, …[more]
The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for …[more]
Passed a gun safety law making historic investments in mental health.
On February 26–27, 2014, the National Academies of Sciences, Engineering, and Medicine’s Forum on Global Violence Prevention convened a workshop titled Mental Health and Violence: Opportunities for Prevention and Early Intervention. The workshop brought together advocates and experts in …[more]
Launched ARPA-H to drive breakthroughs in the fight against cancer, Alzheimer’s, diabetes, and so much more.
We passed the Heath Robinson PACT Act, named for the late Iraq war veteran whose story about exposure to toxic burn pits I shared here last year.
Beginning with the 1990–1991 Gulf War, more than 3.7 million U.S. service members have been deployed to Southwest Asia, where they have been exposed to a number of airborne hazards, including oil-well fire smoke, emissions from open burn pits, dust and sand, diesel exhaust, and …[more]
More than 3.7 million U.S. service members have participated in operations taking place in the Southwest Asia Theater of Military Operations since 1990. These operations include the 1990-1991 Persian Gulf War, a post-war stabilization period spanning 1992 through September 2001, and the …[more]
Many veterans returning from the conflicts in Iraq and Afghanistan have health problems they believe are related to their exposure to the smoke from the burning of waste in open-air “burn pits” on military bases. Particular controversy surrounds the burn pit used to dispose of solid waste at …[more]
But there is so much more to do. And we can do it together.
Joining us tonight is a father named Doug from Newton, New Hampshire.
He wrote Jill and me a letter about his daughter Courtney. Contagious laugh. Her sister’s best friend.
He shared a story all too familiar to millions of Americans.
Courtney discovered pills in high school. It spiraled into addiction and eventually her death from a fentanyl overdose.
She was 20 years old.
Describing the last eight years without her, Doug said, “There is no worse pain.”
Yet their family has turned pain into purpose, working to end stigma and change laws.
He told us he wants to “start the journey towards America’s recovery.”
Doug, we’re with you.
Fentanyl is killing more than 70,000 Americans a year.
Let’s launch a major surge to stop fentanyl production, sale, and trafficking, with more drug detection machines to inspect cargo and stop pills and powder at the border.
Working with couriers like Fed Ex to inspect more packages for drugs. Strong penalties to crack down on fentanyl trafficking.
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the …[more]
The United States is facing an opioid use disorder epidemic with opioid overdoses killing 47,000 people in the U.S. in 2017. The past three decades have witnessed a significant increase in the prescribing of opioids for pain, based on the belief that patients were being undertreated for their …[more]
The Forum on Mental Health and Substance Use Disorders of the National Academies of Sciences, Engineering, and Medicine hosted a virtual workshop, Mental Health and Substance Use Disorders in the Era of COVID-19: With a Special Focus on the Impact of the Pandemic on Communities of Color, on …[more]
Second, let’s do more on mental health, especially for our children. When millions of young people are struggling with bullying, violence, trauma, we owe them greater access to mental health care at school.
Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how …[more]
Adolescence—beginning with the onset of puberty and ending in the mid-20s—is a critical period of development during which key areas of the brain mature and develop. These changes in brain structure, function, and connectivity mark adolescence as a period of opportunity to discover new …[more]
Healthy mental, emotional, and behavioral (MEB) development is a critical foundation for a productive adulthood. Much is known about strategies to support families and communities in strengthening the MEB development of children and youth, by promoting healthy development and also by preventing …[more]
Adolescence is a critical growth period in which youth develop essential skills that prepare them for adulthood. Prevention and intervention programs are designed to meet the needs of adolescents who require additional support and promote healthy behaviors and outcomes. To ensure the success of …[more]
Bullying has long been tolerated as a rite of passage among children and adolescents. There is an implication that individuals who are bullied must have “asked for” this type of treatment, or deserved it. Sometimes, even the child who is bullied begins to internalize this idea. For many years, …[more]
We must finally hold social media companies accountable for the experiment they are running on our children for profit.
And it’s time to pass bipartisan legislation to stop Big Tech from collecting personal data on kids and teenagers online, ban targeted advertising to children, and impose stricter limits on the personal data these companies collect on all of us.
Congress enacted Section 230 to foster the growth of the internet by providing certain immunities for internetbased technology companies. Section 230 contains two key immunity provisions. The first specifies that a provider of an interactive computer service shall not “be treated as the …[more]
Third, let’s do more to keep our nation’s one truly sacred obligation: to equip those we send into harm’s way and care for them and their families when they come home.
The U.S. military has been continuously engaged in foreign conflicts for over two decades. The strains that these deployments, the associated increases in operational tempo, and the general challenges of military life affect not only service members but also the people who depend on them and who …[more]
Job training and job placement for veterans and their spouses as they return to civilian life.
Helping veterans afford their rent because no one should be homeless in this country, especially not those who served it.
And we cannot go on losing 17 veterans a day to the silent scourge of suicide.
On March 28 and 29, 2022, the Board on Behavioral, Cognitive, and Sensory Sciences at the National Academies of Sciences, Engineering, and Medicine held a virtual symposium entitled Community Interventions to Prevent Veteran Suicide: The Role of Social Determinants to gain a better understanding …[more]
The VA is doing everything it can, including expanding mental health screenings and a proven program that recruits veterans to help other veterans understand what they’re going through and get the help they need.
The Veterans Health Administration (VHA) is America’s largest integrated health care system, providing care at 1,243 health care facilities, including 172 medical centers and 1,063 outpatient sites of care of varying complexity, serving 9 million enrolled Veterans each year. In addition, VHA has …[more]
The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. …[more]
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not …[more]
As of December 2012, Operation Enduring Freedom (OEF) in Afghanistan and Operation Iraqi Freedom (OIF) in Iraq have resulted in the deployment of about 2.2 million troops; there have been 2,222 US fatalities in OEF and Operation New Dawn (OND)1 and 4,422 in OIF. The numbers of wounded US troops …[more]
And fourth, last year Jill and I re-ignited the Cancer Moonshot that President Obama asked me to lead in our Administration.
Our goal is to cut the cancer death rate by at least 50% over the next 25 years. Turn more cancers from death sentences into treatable diseases. And provide more support for patients and families.
Despite advances in the delivery of high-quality cancer care and improvements in patient outcomes in recent years, disparities in cancer incidence, care, and patient outcomes persist. To examine opportunities to improve health equity across the cancer care continuum, the National Cancer Policy …[more]
The COVID-19 pandemic has led to dramatic adjustments in cancer care delivery and cancer research. To examine these changes, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine convened a virtual workshop, Innovation in Cancer Care and Cancer …[more]
Since the late 1960s, the survival rate in children and adolescents diagnosed with cancer has steadily improved, with a corresponding decline in the cancer-specific death rate. Although the improvements in survival are encouraging, they have come at the cost of acute, chronic, and late adverse …[more]
Throughout history, perhaps no other disease has generated the level of social, scientific, and political discourse or has had the degree of cultural significance as cancer. A collective in the truest sense of the word, “cancer” is a clustering of different diseases that afflict individuals in …[more]
Though cancer was once considered to be a problem primarily in wealthy nations, low- and middle-income countries now bear a majority share of the global cancer burden, and cancer often surpasses the burden of infectious diseases in these countries. Effective low-cost cancer control options are …[more]
It’s personal for so many of us.
Joining us are Maurice and Kandice, an Irishman and a daughter of immigrants from Panama.
They met and fell in love in New York City and got married in the same chapel as Jill and I did.
Kindred spirits.
He wrote us a letter about their little daughter Ava.
She was just a year old when she was diagnosed with a rare kidney cancer.
26 blood transfusions. 11 rounds of radiation. 8 rounds of chemo. 1 kidney removed.
A 5% survival rate.
He wrote how in the darkest moments he thought, “if she goes, I can’t stay.”
Jill and I understand, like so many of you.
They read how Jill described our family’s cancer journey and how we tried to steal moments of joy where you can.
For them, that glimmer of joy was a half-smile from their baby girl. It meant everything.
They never gave up hope.
Ava never gave up hope. She turns four next month.
They just found out that Ava beat the odds and is on her way to being cancer free, and she’s watching from the White House tonight.
or the lives we can save and for the lives we have lost, let this be a truly American moment that rallies the country and the world together and proves that we can do big things.
Twenty years ago, under the leadership of President Bush and countless advocates and champions, we undertook a bipartisan effort through PEPFAR to transform the global fight against HIV/AIDS. It’s been a huge success.
I believe we can do the same with cancer.
Let’s end cancer as we know it and cure some cancers once and for all.
There’s one reason why we’re able to do all of these things: our democracy itself.
It’s the most fundamental thing of all.
With democracy, everything is possible. Without it, nothing is.
For the last few years our democracy has been threatened, attacked, and put at risk.
Put to the test here, in this very room, on January 6th.
And then, just a few months ago, unhinged by the Big Lie, an assailant unleashed political violence in the home of the then-Speaker of this House of Representatives. Using the very same language that insurrectionists who stalked these halls chanted on January 6th.
Here tonight in this chamber is the man who bears the scars of that brutal attack, but is as tough and strong and as resilient as they get.
My friend, Paul Pelosi.
But such a heinous act never should have happened.
We must all speak out. There is no place for political violence in America. In America, we must protect the right to vote, not suppress that fundamental right. We honor the results of our elections, not subvert the will of the people. We must uphold the rule of the law and restore trust in our institutions of democracy.
And we must give hate and extremism in any form no safe harbor.
Democracy must not be a partisan issue. It must be an American issue.
Every generation of Americans has faced a moment where they have been called on to protect our democracy, to defend it, to stand up for it.
And this is our moment.
My fellow Americans, we meet tonight at an inflection point. One of those moments that only a few generations ever face, where the decisions we make now will decide the course of this nation and of the world for decades to come.
We are not bystanders to history. We are not powerless before the forces that confront us. It is within our power, of We the People. We are facing the test of our time and the time for choosing is at hand.
We must be the nation we have always been at our best. Optimistic. Hopeful. Forward-looking.
A nation that embraces, light over darkness, hope over fear, unity over division. Stability over chaos.
We must see each other not as enemies, but as fellow Americans. We are a good people, the only nation in the world built on an idea.
That all of us, every one of us, is created equal in the image of God. A nation that stands as a beacon to the world. A nation in a new age of possibilities.
So I have come here to fulfil my constitutional duty to report on the state of the union. And here is my report.
Because the soul of this nation is strong, because the backbone of this nation is strong, because the people of this nation are strong, the State of the Union is strong.
As I stand here tonight, I have never been more optimistic about the future of America. We just have to remember who we are.
We are the United States of America and there is nothing, nothing beyond our capacity if we do it together.
May God bless you all. May God protect our troops.