The inauguration speech: Obama’s “come and have a go” moment

Since December's school shooting in Connecticut, the President's voice has a new edge to it - a hardness, a determination, an aggression and a volume.

You can read the full text of Obama's inauguration speech and watch the video here

In the freezing cold, in front of 800,000 people lined along the Mall which stretches from the Capitol Building to the Washington Monument, President Barack Obama gave his inaugural address. He seemed very small and very human, dwarfed against the Capitol Building and the crowd – smaller than 2009's several million people, but still sizeable – but his voice, amplified a thousand-fold, boomed with what sounded like renewed vigour: this was a new President.

Sitting near the front, I could turn around and hear and almost see the President's voice as it travelled outwards in a wave, its echoes coming decreasingly back to me as the voice spread further from speaker bank to speaker bank. When he paused, the silence spread out the same way; the President watching it spread, enjoying the entropy.

The view down the Mall from the Capitol Building as Obama was sworn in for the second time. Photograph: Getty Images

His voice had an edge to it, that new edge that it's had only since December's school shooting: a hardness, a determination, an aggression and a volume; though it was also as rhetorically polished as we've come to expect, steeped in historical cliché and rising patterns of pairs – “blood drawn by lash and blood drawn by sword,” “youth and drive; diversity and openness,” and so on.

Though echoes of terrible gunfire could be discerned behind Obama's new-found anger, echoes that ring from Connecticut, guns and gun control were themselves notably absent from the speech. Only an oblique reference to the shooting – “our journey is not complete until all our children, from the streets of Detroit to the hills of Appalachia to the quiet lanes of Newtown, know that they are cared for, and cherished, and always safe from harm” – hinted that anything was different at all, though the President has outlined his legislative agenda on guns already a few days ago.

Other divisive issues were notably present, though: by no means was this an inaugural address of platitudes. Obama seems to be looking to pick fights even this early in his second term. First came a long passage about climate change. “We will respond to the threat of climate change, knowing that the failure to do so would betray our children and future generations,” said the President. “Some may still deny the overwhelming judgement of science, but none can avoid the devastating impact of raging fires, and crippling drought, and more powerful storms,” has already set the deniers yapping. Step forward James Delingpole, of course, who in this particularly strange piece of writing entitled “Obama declares war on reality” appears to compare himself to Galileo.

This was not the only “come and have a go” to conservative talking heads, however. In fact, this was a pretty bullish speech all around. Here is Obama jabbing at his Republican opponents, both in Congress and in last year's presidential race: “We cannot mistake absolutism for principle, or substitute spectacle for politics, or treat name-calling as reasoned debate.” Ouch.

More important was Obama's vow to take action on gay marriage; the first time the issue has ever been mentioned in an inaugural address. “...Our journey is not complete until our gay brothers and sisters are treated like anyone else under the law – for if we are truly created equal, then surely the love we commit to one another must be equal as well.” Probably the most important line in the speech, this is a solid mandate and signal that executive action on the issue may well be to follow.

After the speech was over, Beyoncé sang the Stars and Stripes with extraordinary gusto, and it clearly mellowed Obama's mood into nostalgia. As he turned to leave the stage, the President turned and gazed back out at the crowd. “I want to look out one more time,” he said to the secret service detail trying to hurry him along. “I'm not going to see this again.”

President Obama steps out onto the platform in front of the Capitol Building for his second inauguration. Photograph: Getty Images

Nicky Woolf is a writer for the Guardian based in the US. He tweets @NickyWoolf.

Photo: Getty
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Brexit could destroy our NHS – and it would be the government's own fault

Without EU citizens, the health service will be short of 20,000 nurses in a decade.

Aneurin Bevan once said: "Illness is neither an indulgence for which people have to pay, nor an offence for which they should be penalised, but a misfortune, the cost of which should be shared by the community."

And so, in 1948, the National Health Service was established. But today, the service itself seems to be on life support and stumbling towards a final and fatal collapse.

It is no secret that for years the NHS has been neglected and underfunded by the government. But Brexit is doing the NHS no favours either.

In addition to the promise of £350m to our NHS every week, Brexit campaigners shamefully portrayed immigrants, in many ways, as as a burden. This is quite simply not the case, as statistics have shown how Britain has benefited quite significantly from mass EU migration. The NHS, again, profited from large swathes of European recruitment.

We are already suffering an overwhelming downturn in staffing applications from EU/EAA countries due to the uncertainty that Brexit is already causing. If the migration of nurses from EEA countries stopped completely, the Department of Health predicts the UK would have a shortage of 20,000 nurses by 2025/26. Some hospitals have significantly larger numbers of EU workers than others, such as Royal Brompton in London, where one in five workers is from the EU/EAA. How will this be accounted for? 

Britain’s solid pharmaceutical industry – which plays an integral part in the NHS and our everyday lives – is also at risk from Brexit.

London is the current home of the highly prized EU regulatory body, the European Medicine Agency, which was won by John Major in 1994 after the ratification of the Maastricht Treaty.

The EMA is tasked with ensuring that all medicines available on the EU market are safe, effective and of high quality. The UK’s relationship with the EMA is unquestionably vital to the functioning of the NHS.

As well as delivering 900 highly skilled jobs of its own, the EMA is associated with 1,299 QPPV’s (qualified person for pharmacovigilance). Various subcontractors, research organisations and drug companies have settled in London to be close to the regulatory process.

The government may not be able to prevent the removal of the EMA, but it is entirely in its power to retain EU medical staff. 

Yet Theresa May has failed to reassure EU citizens, with her offer to them falling short of continuation of rights. Is it any wonder that 47 per cent of highly skilled workers from the EU are considering leaving the UK in the next five years?

During the election, May failed to declare how she plans to increase the number of future homegrown nurses or how she will protect our current brilliant crop of European nurses – amounting to around 30,000 roles.

A compromise in the form of an EFTA arrangement would lessen the damage Brexit is going to cause to every single facet of our NHS. Yet the government's rhetoric going into the election was "no deal is better than a bad deal". 

Whatever is negotiated with the EU over the coming years, the NHS faces an uncertain and perilous future. The government needs to act now, before the larger inevitable disruptions of Brexit kick in, if it is to restore stability and efficiency to the health service.

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