"I suffer no illusions that this will be an easy process. Once again, it will be hard," the president said last year. "But I also know that nearly a century after Teddy Roosevelt first called for reform, the cost of our health care has weighed down our economy and our conscience long enough. So let there be no doubt: Health care reform cannot wait, it must not wait, and it will not wait another year."
Obama will address tonight the complications in the health care proceedings, and will urge Congress to come through on issues on which they agree if they have to give up some of what they initially wanted.
The president's speech tonight is expected to have a heavy focus on national security, given the recent terror attempts. The president promised last year to "forge a new and comprehensive strategy for Afghanistan and Pakistan to defeat al Qaeda and combat extremism."
In keeping with that promise, the president ordered a thorough review last year of the U.S. strategy in that region. He ordered a surge of additional troops in Afghanistan and also set a timeline for starting to withdraw U.S. troops.
On the financial front, however, the administration's efforts have stalled.
"To respond to an economic crisis that is global in scope, we are working with the nations of the G20 to restore confidence in our financial system, avoid the possibility of escalating protectionism, and spur demand for American goods in markets across the globe," Obama said last February.
With many blaming much of the world's financial troubles on the United States, there has been a hesitancy to join in an international accord, putting restraints on the financial system.