He identified exploding health-care costs as the chief culprit behind rising federal deficits during a bipartisan "fiscal responsibility summit" convened to discuss ways to restore fiscal stability without deepening the recession.
Meeting with the congressional leadership of both parties, as well as a range of business, academic, financial and labor leaders, Obama warned that the country cannot continue its current rate of deficit spending without facing dire economic consequences.
"I refuse to leave our children with a debt they cannot repay," he said in remarks opening the one-day summit at the White House. "We cannot and will not sustain deficits like these without end. ... We cannot simply spend as we please."
The country, Obama argued, is already starting to face the consequences of greater deficit spending, noting that roughly one in 10 taxpayer dollars in 2008 went toward paying $250 billion in interest on the national debt.
The president pledged to take the first step toward fiscal responsibility by, among other things, ending "accounting tricks" such as refusing to include money for expenses such as the Iraq war or natural disasters like Hurricane Katrina in the regular budget.
Such practices, Obama argued, only serve to mask the real size of the deficit.
He also pledged to end no-bid contracts in Iraq, root out waste and abuse in entitlement programs such as Medicare and Medicaid, require every Cabinet member to scrub department budgets "line by line," and reinstate a "pay as you go" rule from the 1990s.
"This is the rule that families across this country follow every single day, and there's no reason their government shouldn't do the same," he said. "You don't pay what you don't have."
But the biggest challenge, he said, would be controlling spiraling health-care costs - "the single most pressing fiscal challenge we face by far."
The projected increase in the deficit is due largely to anticipated growth in Medicare, Medicaid and Social Security, which in turn is driven by rising health-care costs, budget analyst Bob Greenstein noted shortly before Obama spoke.
Greenstein minimized the impact of the $787 billion economic stimulus plan on the budget shortfall, saying that the plan amounts to only one-tenth of 1% of the gross domestic product.
But if health care is not reformed, he warned, the national debt could soar to 300% of the gross domestic product by 2050.
"We are (currently) on the path to the very debt explosion we must avoid," he declared.
"Health care is the key" to getting the nation off an unsustainable fiscal course, added Peter Orszag, head of the Office of Management and Budget.
After Obama's remarks Monday, the fiscal responsibility summit participants separated into small groups to discuss the specific fiscal challenges facing the country, including taxes, health care, Social Security and the budget process.
Obama's address to a joint session of Congress Tuesday night is expected to be dominated by economic and budgetary issues. The president is slated to officially unveil his fiscal year 2010 budget Thursday.
Obama intends to cut the federal deficit in half primarily by spending less on the war in Iraq, raising taxes on those who make more than $250,000 a year and streamlining government, an administration official told CNN Saturday.
The president's budget proposal will project that the estimated $1.3 trillion deficit inherited from the Bush administration will be halved to $533 billion by 2013, or from 9.2% of the gross domestic product to 3%, the official said.
Obama's plans to cut the deficit may be complicated by the continuing economic downturn, which threatens to reduce tax revenues. A group of leading economists is now forecasting a far deeper and more painful recession ahead in the first half of the year, with a solid recovery not taking hold until 2010.
The economy is likely to decline at a 5% rate in the first quarter, even sharper than the 3.8% drop recorded in the fourth quarter of last year, according to a survey of 47 top forecasters from the National Association of Business Economics.
And according to estimates by economists Alan Auerbach of the University of California at Berkeley and William Gale of the Brookings Institution, the deficit - largely because of the recession and the new economic stimulus effort - will average at least $1 trillion per year for the next 10 years, even if the stimulus is limited to two years and the jobs picture improves dramatically.
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