Because it's weird that his little tic, saying "My friends" all the time, would be in there if he wrote it out. Yet there it is, a couple times:
Toward the beginning:
The problem, my friends, with the U.S. health care system is not that Americans don’t have fine doctors, medical technology, and treatments.Toward the end:
The "solution," my friends, isn’t a one-size-fits-all big-government takeover of health care.Link. (PDF)
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