All right, Michael Fletcher, The Washington Post.
Q: Thank you, Mr. President. As you've pushed for an agreement to reduce nuclear stockpiles between Russia and the U.S., part of your rationale has been that you want to have the moral authority to then turn to North Korea and Iran to get them to suspend their programs. Why will they listen to what the U.S. and Russia have to say? What would it matter to them what we do?
OBAMA: Well, I don't think it matters so much necessarily that they will listen to the United States or Russia individually. But it gives us the capacity, as the two nuclear superpowers, to make appeals to the broader world community in a consistent way about the dangers of nuclear proliferation and the need to reduce that danger and hopefully at some point in time eliminate it.
So there are countries that have decided not to pursue nuclear weapons. Brazil, South Africa, Libya have all made a decision not to pursue nuclear weapons. Now, part of the concept behind the nonproliferation treaty was countries could develop peaceful nuclear energy, they would not pursue nuclear weapons if they were signatories to the treaty, and in turn the United States and Russia would also significantly reduce their nuclear stockpiles.
And so part of the goal here is to show that the U.S. and Russia are going to be fulfilling their commitments so that other countries feel that this is an international effort and it's not something simply being imposed by the United States or Russia or members of the nuclear club. And I am confident that we can rebuild a nonproliferation framework that works for all countries. And I think it's important for us to establish a set of international norms that can be verified, that can be enforced. And when we are speaking to Iran or North Korea it's not a matter of singling them out, but rather it's a set of international norms of behavior that we're expecting everybody to abide by.
Paolo Valentino.
Q: President, it seems that yesterday morning you had a very spirited and lively discussion within - with the G-8-plus-5-plus-1, ignited by President Lula (Luiz Inacio Lula da Silva of Brazil) objection to the format, to the adequacy of the G-8 as a forum. And, well, I would like - what was your argument in this discussion and whether or not you have the feeling that the days of the G-8 are over? And a very - a second question, but very light, after six months wheeling and dealing with these international forums - G-20, NATO, and G-8 - do you find it more complicated or less complicated to deal with that than with the American Congress?
OBAMA: Well, the - on the second question it's not even close. I mean, Congress is always tougher. But in terms of the issue of the Gs and what's the appropriate international structure and framework, I have to tell you in the discussions I listened more than I spoke, although what I said privately was the same thing that I've said publicly, which is that there is no doubt that we have to update and refresh and renew the international institutions that were set up in a different time and place. Some - the United Nations - date back to post-World War II. Others, like the G-8, are 30 years old.
And so there's no sense that those institutions can adequately capture the enormous changes that have taken place during those intervening decades. What, exactly, is the right format is a question that I think will be debated.
One point I did make in the meeting is that what I've noticed is everybody wants the smallest possible group, smallest possible organization, that includes them. So if they're the 21st-largest nation in the world, then they want the G-21, and think it's highly unfair if they've been cut out.
What's also true is that part of the challenge here is revitalizing the United Nations, because a lot of energy is going into these various summits and these organizations in part because there's a sense that when it comes to big, tough problems the U.N. General Assembly is not always working as effectively and rapidly as it needs to. So I'm a strong supporter of the U.N. - and I said so in this meeting - but it has to be reformed and revitalized, and this is something that I've said to the secretary-general.
One thing I think is absolutely true is, is that for us to think we can somehow deal with some of these global challenges in the absence of major powers - like China, India, and Brazil - seems to me wrongheaded. So they are going to have to be included in these conversations. To have entire continents like Africa or Latin America not adequately represented in these major international forums and decision-making bodies is not going to work.
So I think we're in a transition period. We're trying to find the right shape that combines the efficiency and capacity for action with inclusiveness. And my expectation is, is that over the next several years you'll see an evolution and we'll be able to find the right combination.
The one thing I will be looking forward to is fewer summit meetings, because, as you said, I've only been in office six months now and there have been a lot of these. And I think that there's a possibility of streamlining them and making them more effective. The United States obviously is a absolutely committed partner to concerted international action, but we need to I think make sure that they're as productive as possible.
Hans Nichols.
Q: Hans had other obligations, sir.
OBAMA: Yes, I notice you're not Hans.
Q: Right. Roger Runningen - we swapped. Anyway, thank you very much for the question. I'd like to return to domestic issues, Mr. President - health care. The momentum seems to have slowed a bit. The Senate Finance Committee is still wrestling with the cost issue. The Blue Dog Democrats, members of your own party, yesterday said they had strong reservations about what's developing so far. I was just wondering, when are you going to be jumping in really full force with this? Do you have any sweeteners planned? What is your push before the August recess?
OBAMA: Well, we jumped in with both feet. Our team is working with members of Congress every day on this issue, and it is my highest legislative priority over the next month.
So I think it's important just to recognize we are closer to achieving serious health care reform that cuts costs, provides coverage to American families, allows them to keep their doctors and plans that are working for them.
We're closer to that significant reform than at any time in recent history. That doesn't make it easy. It's hard. And we are having a whole series of constant negotiations. This is not simply a Democratic versus Republican issue. This is a House versus Senate issue; this is different committees that have different priorities.
My job is to make sure that I've set some clear parameters in terms of what I want to achieve. We have to bend the cost curve on health care, and there are some very specific ways of doing that - game changers that incentivize quality as opposed to quantity, that emphasize prevention.
There are a whole host of things that I've put on the table that I want to see included. I've said that it's got to be budget neutral, it's got to be deficit neutral, and so whatever bill is produced has to be paid for, and that creates some difficulties because people would like to get the good stuff without paying for it.
And so there are going to be some tough negotiations in the days and weeks to come, but I'm confident that we're going to get it done. And I think that, appropriately, all of you as reporters are reporting on the game. What I'm trying to keep focused on are the people out in states all across the country that are getting hammered by rising premiums. They're losing their jobs and suddenly losing their health care. They are going into debt. Some are going into bankruptcy - small businesses and large businesses that are feeling enormous pressure. And I'm also looking at the federal budget.
There's been a lot of talk about the deficit and the debt and, from my Republican colleagues, you know, why isn't Obama doing something about this, ignoring the fact that we got into the worst recession since the Great Depression with a $1.3 billion deficit. Fair enough. This is occurring my watch.
What cannot be denied is that the only way to get a handle on our medium- and long-term budget deficits is if we corral and contain health care costs. Nobody denies this. And so my hope is, is that everybody who is talking about deficit reduction gets serious about reducing the cost of health care and puts some serious proposals on the table. And I think it's going to get done.
It is going to be hard, though, because as I said I think in one of the town hall meetings that I had, as dissatisfied as Americans may be with the health care system, as concerned as they are about the prospects that they may lose their job or their premiums may keep on rising, they're also afraid of the unknown. And we have a long history in America of scaring people that they're going to lose their doctor, they're going to lose their health care plans, they're going to be stuck with some bureaucratic government system that's not responsive to their needs. And overcoming that fear - fear that is often actively promoted by special interests who profit from the existing system - is a challenge. And so my biggest job, even as my staff is working on the day-to-day negotiations with the House and Senate staffs, my biggest job is to explain to the American people why this is so important and give them confidence that we can do better than we're doing right now.
Q: Is it pretty much a do-or-die by the August recess?
OBAMA: I never believe anything is do-or-die. But I really want to get it done by the August recess.
Christi Parsons - hometown girl. Is Christi around? Christi is not here? I'm disappointed. Do we have any members of the foreign press here? Yes, I'll use Christi's spot for - just so that you guys have a chance to ask a question.
Q: Thank you very much ...
OBAMA: I'm sorry, I can't hear you - can somebody make sure the mic is working?
Q: On this trip you have been talking about state sovereignty as a cornerstone of international order. How do you reconcile that with the concept of responsibility to protect, which used to be the cornerstone for lots of victims?
OBAMA: I'm sorry, how do I reconcile that with responsibility to protect, which used to be what?
Q: The cornerstone of hope for lots of people in postwar conflict.
OBAMA: Well, if I understand your question correctly, on the one hand we think that respecting the sovereignties of nation states is important. We don't want stronger nations bullying weaker nations. On the other hand, where you have nations that are oppressing their people, isn't there an international responsibility to intervene? It is one of the most difficult questions in international affairs. And I don't think that there is a clean formula. What I would say is, is that in general it's important for the sovereignty of nations to be respected and to resolve conflicts between nations through diplomacy and through international organizations in trying to set up international norms that countries want to meet.
There are going to be exceptional circumstances in which I think the need for international intervention becomes a moral imperative, the most obvious example being in a situation like Rwanda where genocide has occurred.
Gordon Brown during the last session told a incredibly powerful story, and I may not be getting all the details perfectly right, but he said he had gone to Rwanda, went to some sort of museum or exhibition that commemorated the - or marked the tragedy in Rwanda, and there was a photograph of a 12-year-old boy, and it gave his name, and that he loved soccer, and he wanted to be a doctor, and provided his biography. And the last line on this exhibit said that right before he and his mother was killed, he turned to his mother and he said, "Don't worry, the United Nations is going to come save us."
And that voice has to be heard in international relations. The threshold at which international intervention is appropriate I think has to be very high. There has to be a strong international outrage at what's taking place.
It's not always going to be a neat decision, and there are going to be objections to just about any decision, because there are some in the international community who believe that state sovereignty is sacrosanct and you never intervene under any circumstances in somebody's internal affairs.
I think rather than focus on hypotheticals, what my administration wants to do is to build up international norms, put pressure - economic, diplomatic, et cetera - on nations that are not acting in accordance with universal values towards their citizens, but not hypothesize on particular circumstances, take each case as it comes.
Richard Wolf.
Q: I guess I have to follow on that, Mr. President. Is Iran in that category? And are you disappointed that while you came up with a statement of condemnation from the G-8, you did not come up with any kind of extra sanctions having to do with their crackdown on protesters?
OBAMA: I have to say, I read, Peter, your article and maybe some others. This notion that we were trying to get sanctions or that this was a forum in which we could get sanctions is not accurate.
What we wanted was exactly what we got, which is a statement of unity and strong condemnation about the appalling treatment of peaceful protesters postelection in Iran, as well as some behavior that just violates basic international norms: storming of embassies, arresting embassy personnel, restrictions on journalists. And so I think that the real story here was consensus in that statement, including Russia, which doesn't make statements like that lightly.
Now, there is - the other story there was the agreement that we will reevaluate Iran's posture towards negotiating the cessation of a nuclear weapons policy. We'll evaluate that at the G-20 meeting in September. And I think what that does is it provides a time frame. The international community has said, here's a door you can walk through that allows you to lessen tensions and more fully join the international community. If Iran chooses not to walk through that door, then you have on record the G-8, to begin with, but I think potentially a lot of other countries that are going to say we need to take further steps. And that's been always our premise, is that we provide that door, but we also say we're not going to just wait indefinitely and allow for the development of a nuclear weapon, the breach of international treaties, and wake up one day and find ourselves in a much worse situation and unable to act.
So my hope is, is that the Iranian leadership will look at the statement coming out of the G-8 and recognize that world opinion is clear.
All right, thank you very much, everybody. Arrivederci.