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This week, President Obama continued to push for health reform as debate over his plan intensified. He still wants legislation to sign into law by the end of the year. (21) But he had to give up hope for both houses of Congress to pass bills before their August break. Health care is one-sixth of the economy. (22) Yet an estimated forty-six million Americans are uninsured. The United States is the only major industrial country that does not guarantee health care for all. (23) The government provides coverage only for old people and the poor.