country comes not from the top down, but from the bottom up, let me reaffirm that conviction. this moment is possible because of you. most importantly, today's vote answers the prayers of every american who has hoped deeply for something to be done about for insurance companies, but not for ordinary people. for most americans this debate has never been about abstractions. the fight between right and left, republican and democrat. it's always been about something far more personal. it's about every american who knows the shock of opening an envelope to see premiums have shot up again when times are already tough enough. it's about every parent that knows the desperation of trying to cover a child with a chronic illness only to be told no again and again and again. it's about every small business owner, forced to choose between