America’s highways and airports are increasingly congested. Our nation’s transportation system remains dependent on oil. And our existing transportation infrastructure is inadequate to the demands of the 21st century. The United States should build an efficient and fast passenger rail network, with high-speed rail as a central component, to help address the nation’s transportation challenges in the 21st century.
To fix our roads and bridges, America first must fix our transportation policies. To counteract the tendencies to neglect repair and maintenance, we must adopt strong “fix-it first” rules that give priority to maintenance of our existing roads and bridges, set national goals for the condition of our transportation system, and hold state governments accountable for achieving results.
As America moves toward construction of new high-speed rail networks in regions throughout the country, we have much to learn from experiences abroad. High-speed rail lines have operated for more than 45 years in Japan and for three decades in Europe, providing a wealth of information about what the United States can expect from high-speed rail and how we can receive the greatest possible benefits from our investment.
When it comes to health care, American small business owners are getting a raw deal. While the current insurance marketplace offers some options to larger employers, it too often leaves small business owners on the outside looking in. They face unpredictable changes in costs, and far too often they are forced to choose between covering employees and the very survival of their businesses.
Without health care reform, the United States is projected to spend over $40 trillion on health care in the next decade. Experts estimate that thirty percent of that spending – up to $12 trillion dollars – will be wasted on ineffective care, pointless red tape, and counterproductive treatments that can actually harm patients.