He states it as his last proposal. "Lowering costs and expanding health care coverage." Through the federal government? When we're trillions in debt? And do you actually think costs are going to lower? Obama promised the same thing with Obamacare, and look what's happened; you make a trip to the emergency room, and it could come out to costing thousands more dollars if the ER you go to isn't the one your insurance plan covers, not because they don't want to, but because you have taxes, costs, restrictions, and others that get passed down to customers to offset expenses from governments, be it local, state, or federal.
For example, why do game systems cost so much more in other, less fortunate countries? It ultimately comes down to the value of the currency, the real costs of customers buying the systems, games, controllers, etc., and all of the costs that come with importing the system to that country, and if the businesses selling the systems want to make money or break even on the systems, the price will reflect the value of the item on the market. It's part of the reason why a lot of Neo-Geo games like the King of Fighters has, rather infamously, a more Mexican/Brazilian fanbase along with that of whatever support it gets in Japan nowadays; Street Fighter II, and its many different versions back in the day was more expensive, and when one can get an arcade machine that one can easily swap game cartridges in and out of as opposed to how the CPS1 boards were set up (I'm pretty confident they weren't using something like the CPS Charger for CPS1 games iirc), the biggest investment is merely the arcade machines, followed by the games themselves. Companies made their money back on these machines thanks to arcade difficulty being to encourage players to keep putting coins in the machine to continue.
It's the same principal; what might be $500 in the US will be $2000 in Peru, or wherever. That's why, when people say that we have it good here in the US, they really do mean that we have it good as these systems are relatively affordable, when stock isn't dropping like a rock thanks to the supply chain being strained due to fears over a virus that has had so much misinformation about by intention and accident that it's created a situation where trust in institutions of government, especially of the more authoritarian variety, is plummeting.