In a major speech Thursday, likened to those given on the campaign trail, President-elect Barack Obama outlined his plans for an economic recovery package he hopes to begin moving through Congress as early as his first week in office.

Obama's American Recovery and Reinvestment Plan would require nearly $800 billion in federal funding to rebuild Americans' trust in the economy, help provide new jobs and make all American medical records electronic within five years.

Experts remarked that the speech was short on details, but Obama has not wavered from his pledge of $10 billion a year over five years to promote healthcare IT adoption, including subsidies for providers. Obama's radio address on Jan. 3 put healthcare IT adoption front and center as part of a plan to lower healthcare costs and increase medical safety.

The Healthcare Information and Management Systems Society has called for $25 billion to help non-governmental hospitals and physician practices adopt electronic medical records. Healthcare IT advocacy insiders have been meeting with Obama's transition team through December on the stimulus package.

Without swift federal action, Obama said Americans could face a crisis in 2009 "unlike any we've seen in our lifetime." He asked for bipartisan support and long work hours from Congress to get an economic recovery plan passed.

Obama's speech follows a Congressional Budget Office report this week of an unprecedented $1.2 trillion federal deficit in fiscal year 2009.

"I understand that some might be skeptical," he said, especially after recent federal efforts to bail out Wall Street have not appeared to provide any relief.

Yet, Obama appears to be making use of the grassroots power that helped to elect him. He said Washington will be held accountable by every American "who will be able to go online to see how their money will be spent."