The President of the United States, Barack Obama, made the remarks in a speech to Congress. The speech was in response to a question about the role of the government in paying for health insurance for the elderly.
Obama said that the government was responsible for the cost of health insurance. He also said that it was a mistake for the government to pay for the health insurance of the elderly with the money from health insurance premiums. He said the government should pay more attention to how the money is spent, rather than how it is spent.