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The intro is from the 1986 Hollywood Movie Top Gun. The real flyers who follow are a lot more daring (warning: strong language):

Yeah, it’s all fun until somebody loses an eye.

Barack Obama, here in Ohio Monday:

Last month, I got a letter from Connie’s sister, Natoma [Canfield]. She’s self-employed, she’s trying to make ends meet, and for years she’s done the responsible thing, just like most of you have. She bought insurance — she didn’t have a big employer who provided her insurance, so she bought her health insurance through the individual market.

And it was important for her to have insurance because 16 years ago, she was diagnosed with a treatable form of cancer. And even though she had been cancer-free for more than a decade, the insurance companies kept on jacking up her rates, year after year. So she increased her out-of-pocket expenses. She raised her deductible. She did everything she could to maintain her health insurance that would be there just in case she got sick, because she figured, I didn’t want to be — she didn’t want to be in a position where, if she did get sick, somebody else would have to pick up the tab; that she’d have to go to the emergency room; that the cost would be shifted onto folks through their higher insurance premiums or hospitals charging higher rates. So she tried to do the right thing.

And she upped her deductible last year to the minimum [sic], the highest possible deductible. But despite that, Natoma’s insurance company raised her premiums by more than 25 percent. And over the past year, she paid more than $6,000 in monthly premiums. [More than $6,000 total for the year.]

She paid more than $4,000 in out-of-pocket medical costs, for co-pays and medical care and prescriptions. So all together, this woman paid $10,000 — one year. But because she never hit her deductible, her insurance company only spent $900 on her care. So the insurance company is making — getting $10,000; paying out $900. Now, what comes in the mail at the end of last year?

It’s a letter telling Natoma that her premiums would go up again by more than 40 percent.

So here’s what happens. She just couldn’t afford it. She didn’t have the money. She realized that if she paid those health insurance premiums that had been jacked up by 40 percent, she couldn’t make her mortgage. And despite her desire to keep her coverage, despite her fears that she would get sick and lose the home that her parents built — she finally surrendered, she finally gave up her health insurance. She stopped paying it — she couldn’t make ends meet.

So January was her last month of being insured. Like so many responsible Americans — folks who work hard every day, who try to do the right thing — she was forced to hang her fortunes on chance. To take a chance, that’s all she could do. She hoped against hope that she would stay healthy. She feared terribly that she might not stay healthy.

That was the letter that I read to the insurance companies, including the person responsible for raising her rates. Now, I understand Natoma was pretty surprised when she found out that I had read it to these CEOs. But I thought it was important for them to understand the human dimensions of this problem. Her rates have been hiked more than 40 percent.

And this was less than two weeks ago. Unfortunately, Natoma’s worst fears were realized. And just last week, she was working on a nearby farm, walking outside — apparently, chasing after a cow — when she collapsed. And she was rushed to the hospital. She was very sick. She needed two blood transfusions. Doctors performed a battery of tests. And on Saturday, Natoma was diagnosed with leukemia.

Now, the reason Natoma is not here today is that she’s lying on a hospital bed, suddenly faced with this emergency — suddenly faced with the fight of her life. She expects to face more than a month of aggressive chemotherapy. She is racked with worry not only about her illness but about the costs of the tests and the treatment that she’s surely going to need to beat it.

So you want to know why I’m here, Ohio? I’m here because of Natoma. I’m here because of the countless others who have been forced to face the most terrifying challenges in their lives with the added burden of medical bills they can’t pay. I don’t think that’s right. Neither do you. That’s why we need health insurance right now. Health insurance reform right now.

I’m here because of my own mother’s story. She died of cancer, and in the last six months of her life, she was on the phone in her hospital room arguing with insurance companies instead of focusing on getting well and spending time with her family.

I’m here because of the millions who are denied coverage because of preexisting conditions or dropped from coverage when they get sick.

I’m here because of the small businesses who are forced to choose between health care and hiring.

I’m here because of the seniors unable to afford the prescriptions that they need.

I’m here because of the folks seeing their premiums go up 20 and 30 and 40 and 50 and 60 percent in a year.

Ohio, I am here because that is not the America I believe in and that’s not the America that you believe in.

So when you hear people say “start over” — I want you to think about Natoma. When you hear people saying that this isn’t the “right time,” you think about what she’s going through. When you hear people talk about, well, what does this mean for the Democrats? What does this mean for the Republicans? I don’t know how the polls are doing. When you hear people more worried about the politics of it than what’s right and what’s wrong, I want you to think about Natoma and the millions of people all across this country who are looking for some help, and looking for some relief. That’s why we need health insurance reform right now.

The Republican response (with Portuguese subtitles for some reason):