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This is a rush transcript of "Special Report With Bret Baier" from March 17, 2010. This copy may not be in its final form and may be updated.

BRET BAIER, "SPECIAL REPORT" HOST: Welcome to Washington. I'm Bret Baier, and this is a special edition of "Special Report", beginning tonight in the Blue Room in the White House, mid-way through what many people are calling the most pivotal week of his presidency so far. We are interviewing President Barack Obama.

Mr. President, thank you for the time.

PRESIDENT BARACK OBAMA: Thank you for having me, Bret.

BAIER: You have said at least four times in the past two weeks: "the United States Congress owes the American people a final up or down vote on health care." So do you support the use of this Slaughter rule? The deem and pass rule, so that Democrats avoid a straight up or down vote on the Senate bill?

OBAMA: Here's what I think is going to happen and what should happen. You now have a proposal from me that will be in legislation, that has the toughest insurance reforms in history, makes sure that people are able to get insurance even if they've got preexisting conditions, makes sure that we are reducing costs for families and small businesses, by allowing them to buy into a pool, the same kind of pool that members of Congress have.

We know that this is going to reduce the deficit by over a trillion dollars. So you've got a good package, in terms of substance. I don't spend a lot of time worrying about what the procedural rules are in the House or the Senate.

(CROSS TALK)

OBAMA: What I can tell you is that the vote that's taken in the House will be a vote for health care reform. And if people vote yes, whatever form that takes, that is going to be a vote for health care reform. And I don't think we should pretend otherwise.

(CROSS TALK)

OBAMA: Bret, let me finish. If they don't, if they vote against, then they're going to be voting against health care reform and they're going to be voting in favor of the status quo. So Washington gets very concerned about these procedural issues in Congress. This is always an issue that's — whether Republicans are in charge or Democrats in charge — when Republicans are in charge, Democrats constantly complain that the majority was not giving them an opportunity, et cetera.

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What the American people care about is the fact that their premiums are going up 25, 40, 60 percent, and I'm going to do something about it.

BAIER: Let me insert this. We asked our viewers to e-mail in suggested questions. More than 18,000 people took time to e-mail us questions. These are regular people from all over the country. Lee Johnson, from Spring Valley, California: "If the bill is so good for all of us, why all the intimidation, arm twisting, seedy deals, and parliamentary trickery necessary to pass a bill, when you have an overwhelming majority in both houses and the presidency?"

Sandy Moody in Chesterfield, Missouri: "If the health care bill is so wonderful, why do you have to bribe Congress to pass it?"

OBAMA: Bret, I get 40,000 letters or e-mails a day.

BAIER: I know.

OBAMA: I could read the exact same e-mail —

BAIER: These are people. It's not just Washington punditry.

OBAMA: I've got the exact same e-mails, that I could show you, that talk about why haven't we done something to make sure that I, a small business person, am getting as good a deal as members of Congress are getting, and don't have my insurance rates jacked up 40 percent? Why is it that I, a mother with a child with a preexisting condition, still can't get insurance?

So the issue that I'm concerned about is whether not we're fixing a broken system.

BAIER: OK, back to the original question.

OBAMA: The key is to make sure that we vote — we have a vote on whether or not we're going to maintain the status quo, or whether we're going to reform the system.

BAIER: So you support the deem and pass rule?

OBAMA: I am not —

BAIER: You're saying that's that vote.

OBAMA: What I'm saying is whatever they end up voting on — and I hope it's going to be sometime this week — that it is going to be a vote for or against my health care proposal. That's what matters. That's what ultimately people are going to judge this on.

If people don't believe in health care reform — and I think there are definitely a lot of people who are worried about whether or not these changes are, in some fashion, going to affect them adversely. And I think those are legitimate concerns on the substance — then somebody who votes for this bill, they're going to be judged at the polls. And the same is going to be true if they vote against it.

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