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Originally Processed With FOIA(s): FOIA Number: Systematically Processed; 1998-0091-F 1998-0091-F FOIA MARKER This is not a textual record. This is used as an administrative marker by the George Bush Presidential Library Staff. Record Group/Collection: George H.W. Bush Presidential Records Collection/Office of Origin: Speechwriting, White House Office of Series: Speech File Draft Files Subseries: Chron File, 1989-1993 OA/ID Number: 13525 Folder ID Number: 13525-006 Folder Title: National Leadership Coalition on AIDS 3/29/90 [OA 4727] [2] Stack: Row: Section: Shelf: Position: THE WHITE HOUSE WASHINGTON March 26, 1990 MEMORANDUM FOR CHRISS WINSTON DEPUTY ASSISTANT TO THE PRESIDENT FOR COMMUNICATIONS FROM: FREDERICK D. NELSON FDN. ASSOCIATE COUNSEL TO THE PRESIDENT SUBJECT: National Leadership Coalition on AIDS Counsel's Office offers a few comments on the draft Presidential remarks for the National Leadership Coalition on AIDS. With regard to the second paragraph on page 4 (urging passage of the Americans With Disabilities Act), we note that the Administration has expressed concern over the remedies impact of the ADA in light of other proposed legislation to alter the remedial scheme of Title VII (which remedies the ADA adopts by reference) the Administration supports the ADA with an amendment to specify that the remedial structure originally bargained for will obtain regardless of whether the Kennedy- Hawkins changes to Title VII are made in other contexts. There are several ways to make these draft remarks consistent with the Administration's ADA position: perhaps the most simple approach would be to add something like "as is incorporated in" immediately after the first dash, so that the sentence would read "today I call on the House of Representatives to get on with the job of passing a law -- as is incorporated in the Americans with Disabilities Act -- that prohibits discrimination against those with HIV and AIDS. " We would also recommend deleting the last sentence on page 3: the ADA does not deal here with eviction, and insurance policies would be affected only insofar as they are provided or withdrawn as benefits of employment. The point of the remarks is clear and the draft flows just as well without the sentence. We also suggest two minor changes that are admittedly more in the scientific than the legal realm. In light of AIDS babies, blood transfusion recipients, etc., we would change the last sentence in the first full paragraph on page 3 to begin with the words "In most circumstances" (and we would be inclined to end the sentence after the phrase "but by what you do"). Finally, because the medical causes of AIDs still may not be perfectly understood, we medical causes of AIDs still may not be perfectly understood, we would change the absolutist language in the carryover paragraph from pages 2-3 from "You can't get it from food coughing. sharing bathrooms or towels" to "There is not a shred of evidence that you can get it from " Thank you for the opportunity to have reviewed these remarks. CC: James W. Cicconi Assistant to the President and Deputy to the Chief of Staff Document No. 125786SS WHITE HOUSE STAFFING MEMORANDUM DATE: 3/23/90 ACTION/CONCURRENCE/COMMENT DUE BY: 3/26/90 2:00 PM PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS SUBJECT: ACTION FYI ACTION FYI VICE PRESIDENT MCCLURE SUNUNU NEWMAN SCOWCROFT PORTER DARMAN ROGICH BATES UNTERMEYER CARD ROGERS CICCONI WINSTON DEMAREST PINKERTON FITZWATER LEE GRAY HAGIN REMARKS: Please forward any comments directly to Chriss Winston, Rm. 122, x2930, no later than 2:00 PM, Monday, March 26, with a copy to my office. Thank you. RESPONSE: Brune 3am for Siy Rajist Great Speech! 62:60 26 MAR 06 James W. Cicconi Assistant to the President and Deputy to the Chief of Staff Ext. 2702 McNally/Simon March 23, 1990 1990 MAR 23 AM IO: 59 Draft Three (B:AIDS) PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS CRYSTAL GATEWAY MARRIOTT THURSDAY, MARCH 29, 1990, 11:15 A.M. Thank you, . [ACKNOWLEDGEMENTS] There could scarcely be a more important gathering, a more important place for me to be than here with you -- the men and women who guide business and industry as they focus on the best way to help our people suffering with HIV and AIDS. There are many team players in this struggle. Community service organizations. Religious leaders of all persuasions. AIDS service organizations created by volunteers, many of them also infected with HIV. And corporations and private foundations that together have given over $100 million to support literally thousands of AIDS projects. You make our hearts glad. And you make your country proud. Other generations have faced life-threatening medical crises, from polio to the plague. This virus is our challenge. Not a challenge we sought. Not a challenge we chose. But today our choice is simple: We will meet this challenge. We will beat this virus. For whether talking about a nation or an individual, character is measured not by our tragedies -- but by how we respond to those tragedies. III And for those who are living with HIV and AIDS, our response is simple: They deserve our compassion. They deserve our care. And they deserve more than a chance -- they deserve a cure. III 2 America will accept nothing less. We are slashing red tape. Accelerating schedules. Boosting research. And somewhere out there, there's a Nobel prize -- and the gratitude of the planet Earth -- waiting for the man or woman who peers into a microscope and sees the answer that's eluded everyone else. We pray that day will come soon. But until that day -- until this virus can be defeated in our hospitals -- there's a battle to be waged in our homes. 111 Because in 1990, the single most effective weapon in our arsenal against AIDS is not medication, 11 but education. \\\ We must increase our efforts to educate the public about AIDS and how it is contracted. Our goal is to turn irrational fear into rational facts. Because this isn't just a fight against disease. It's also a fight against ignorance. A fight against discrimination. III Almost three years ago, I described our struggle against the HIV virus as a battle against a "new and mysterious disease." Today, HIV is not so new and not so mysterious. Today, HIV has joined cancer, heart disease, and accidents as one of the deadly realities of our time. of these, HIV is one of the most lethal, one of the most frightening. But HIV is also one of the most preventable. Every American must learn what AIDS is -- and what AIDS is not. And they must learn now. So let's shoot down some myths. The HIV virus is not spread by handshakes or hugs. You can't get 3 it from food or drink. Coughing or sneezing. or by sharing bathrooms or towels or conversation. It's not like heart disease, where there's confusion over ever-changing bits of advice on oat bran and olive oil, exercise and eggs. The transmission of AIDS is as simple as it is deadly. It's determined not by what you are -- but by what you do -- and by what you fail to do. III Let me state it clearly: People are placed at risk not by their demographics, but by their deeds. By their behavior. III And so it is our duty to make certain that every American has the essential information needed to prevent the spread of HIV and AIDS. Because while the ignorant may discriminate against AIDS -- AIDS won't discriminate among the ignorant. III Like many of you, Barbara and I have had friends who have died of AIDS. Our love for them when they were sick and when they died was just as great and just as intense as for anyone we have lost to heart disease or cancer or accidents. In this nation, in this decade, there is only one way to deal with an individual who is sick. With dignity. Compassion. Care. Confidentiality. And without discrimination. \\\\ Once disease strikes -- we don't blame those who are suffering. We don't spurn the accident victim who didn't wear a seatbelt. We don't reject the cancer patient who didn't quit smoking. We try to love them and care for them and comfort them. We do not fire them, or evict them, or cancel their insurance. 4 People with AIDS are no different than people with other disabling and life-threatening diseases. They are our colleagues and co-workers. Our friends. Our families. THEY ARE US. And today I call on the House of Representatives to get on with the job of passing a law -- the Americans with Disabilities Act -- that prohibits discrimination against those with HIV and AIDS. This is a fight against a disease -- not a fight against people. III And we won't tolerate discrimination. The disease is attacking our most precious resource -- our people, our young. Unlike many of the diseases that cause disability in our elderly, AIDS affects many Americans now in the prime of life. Ninety-five percent of the 115,000 Americans with AIDS are between the ages of 20 and 59. These were the years they planned to work and create, and save for the future. Now their struggle is to survive. The statistics are numbing. You heard them this morning. But just look at the amazing quilts which hang around us today. They prove that no man is a statistic. Every life has its own fabric. Its own colors. Its own purpose. Its own soul. And like the quilts, no two are alike. These quilts commemorate the dead. But the most important part of our learning is with the living. And I hope that you will go out and visit the AIDS wards. Meet with the patients and their families. See the face of humanity in the face of AIDS. 5 When Barbara and I left Washington for the Christmas holidays, our last stop was a clinic at the National Institutes of Health. We were impressed by the mettle and determination of the people there -- the doctors, nurses, and health care workers -- and especially the brave people who are living with HIV. We learned a lot about courage. A lot about family. And a lot about hope. Recently, we received a letter from seven who we visited. They wrote: "Each of us looks for hope in very personal ways. We seek comfort and warmth from those we love. We seek new answers through participation in experimental drug studies. We seek to enjoy the simplest of pleasures in everyday life. We seek to make peace with ourselves and with those who don't understand us. We seek a voice, a compassionate voice, that can address the concerns of hundreds of thousands of people." Ladies and gentlemen, the voice they seek must be your voice. The voice of every American. III Your employees will take their cues from you. You are in a powerful, unique position to influence the response to HIV and AIDS. When someone asks: "Who will volunteer to help care for our co-workers with AIDS?" you should be the first to say, "I will." Washing your hands of it won't help solve this problem. But rolling up your sleeves will. III The roster of participants at this Conference is an honor roll. Allstate sponsored a landmark conference to help deal with the impact of HIV at work. The magazine, Fortune, launched a 6 survey that helped us understand the attitudes and actions of C.E.O.'s in responding to HIV. [An industrial giant] asked an HIV expert to brief its key officers -- and pledged to conduct an education program for employees. Others are fighting the spread of HIV by fighting to keep schools and workplaces drug-free. This is America responding to a crisis. This is America at its best. This epidemic is having a major impact on our health care system. It is altering spending patterns by our government. In 1982, we knew little about AIDS -- and spent only $8 million. By 1990, that has grown to almost $3 billion -- more, even, than the budget of the entire FBI -- and almost double what's spent for the National Cancer Institute. And I have asked Congress for still more money -- almost $3.5 billion in the next fiscal year. Money for basic research. For HIV treatment and education. For protecting civil rights. America has the most sophisticated health care system in the world. But it's not enough. Our system depends on private insurance and individual payments, as well as government programs. AIDS magnifies the challenges, including the challenge of providing fair access to care to all Americans, rich and poor. In my State of the Union Address, I asked Dr. Louis Sullivan to lead a Cabinet-level review of health care in the 1990's. We don't know yet where this review will lead us. But we do know that businesses like those you represent will be a big part of the answer to improving health care and increasing access. 7 The epidemic is not over. We report tens of thousands of new cases every year. And many predict we can expect to continue to do so in this decade, and even into the next century. And yet, as in every generation, no crisis is without hopeful signs. To begin with, we can be encouraged by the news that current projections of the infection rate will not be as high as we thought just a year ago. The use of new medicines such as A-Z-T means that more and more people with HIV will be able to live and work because these therapies offer the potential of making it a more manageable disease. Keep them in your workforce. They can serve many, many more productive years with no threat to you, your other workers, or your companies. It will reduce costs for everyone. And it's the right thing to do. III The pace of progress is promising. The HIV virus has been identified, isolated, and attacked with experimental treatments in a span of less than 10 years. The normal, centuries-long evolution of disease and treatment compressed into a decade. And this race against time has produced an explosion in knowledge and basic understanding about the nature of disease and immunology. Like the unexpected technological boons from Apollo's race to the moon, some physicians predict the race to cure AIDS may even produce a cure for cancer. We're going to continue to fight like hell. But we're also going to fight for hope. America has a unique capacity for beating the odds -- and astounding the world. 1 8 During my own childhood, the silent, whispered terror was a mysterious killer called polio. Like HIV, the virus ignored class distinctions and geographic boundaries. Monday would come, and kids who'd been in school on Friday were simply never seen again. Theaters were closed, summer camps, swimming pools. As with AIDS, there was a lot of ignorance. Thousands of stray cats and dogs put to death. Kids sleeping with camphor inhalers. At least one town was fumigated with D.D.T. -- doing nothing to stop polio -- and unknowingly helping endanger the American eagle. There were terrifying outbreaks in the teens, in the thirties, in the fifties. A cure was so far distant the experts refused to speculate. One doctor observed: "We have learned very little that is new about the disease, but much that is old about ourselves." And then, suddenly, it was over. It happened so fast. The dreaded iron lung, unused, cluttering hospital hallways. Children again growing up in a world without fear. Many comparisons have been made to epidemics past. Cholera. The Plague. Yellow fever. None of them perfect. So let me boil down the lessons of polio to two: There was a lot of ignorance -- let's learn from that. And in the darkest of hours -- hope came unexpectedly, powerfully and with finality. Let's work hard to see that day come to pass. 111 Together, we will make a difference, for those with HIV and AIDS -- and for all Americans. Thank you. And may God bless the United States of America. # # # Document No. 125786SS WHITE HOUSE STAFFING MEMORANDUM DATE: 3/23/90 ACTION/CONCURRENCE/COMMENT DUE BY: 3/26/90 2:00 PM PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS SUBJECT: ACTION FYI ACTION FYI VICE PRESIDENT MCCLURE SUNUNU NEWMAN SCOWCROFT PORTER DARMAN ROGICH BATES UNTERMEYER CARD ROGERS CICCONI WINSTON DEMAREST PINKERTON FITZWATER LEE GRAY HAGIN REMARKS: Please forward any comments directly to Chriss Winston, Rm. 122, x2930, no later than 2:00 PM, Monday, March 26, with a copy to my office. Thank you. See P. RESPONSE: See p. 7. Kese are the people. wfd are now, t have been, becomp the HIU + MAR OS James W. Cicconi Assistant to the President Bay are the leaders in and Deputy to the Chief of Staff Ext. 2702 this We Hand recompt this j thank them prit. Mhee Common Call me l you want details But hee to Vael McNally/Simon 4217 his March 23, 1990 1990 MAR 23 AM ID: 59 Draft Three (B:AIDS) PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS Я CRYSTAL GATEWAY MARRIOTT THURSDAY MARCH 29 1990, 11:15 A.M. Have Thank you, . [ACKNOWLEDGEMENTS] There could scarcely be a more important gathering, a more important place for me to be than here with you -- the men and women who guide business and industry as they focus on the best way to help our people suffering with HIV and AIDS. There are many team players in this struggle. Community service organizations. Religious leaders of all persuasions. Belinda Ras aids AIDS service organizations created by volunteers, many of them also infected with HIV. And corporations and private foundations that together have given over $100 million to support literally thousands of AIDS projects. You make our hearts glad. And you make your country proud. Other generations have faced life-threatening medical crises, from polio to the plague. This virus is our challenge. Not a challenge we sought. Not a challenge we chose. But today our choice is simple: We will meet this challenge. We will beat this virus. For whether talking about a nation or an individual, character is measured not by our tragedies -- but by how we respond to those tragedies. III And for those who are living with HIV and AIDS, our response is simple: They deserve our compassion. They deserve our care. And they deserve more than a chance -- they deserve a cure. III 2 America will accept nothing less. We are slashing red tape. Accelerating "schedules. Boosting research. And somewhere out there, there's a Nobel prize -- and the gratitude of the planet Earth -- waiting for the man or woman who peers into a microscope and sees the answer that's eluded everyone else. We pray that day will come soon. But until that day -- until this virus can be defeated in our hospitals -- there's a battle to be waged in our homes. III Because in 1990, the single most effective weapon in our arsenal against AIDS is not medication, 11 but education. III We must increase our efforts to educate the public about AIDS and how it is contracted. Our goal is to turn irrational fear into rational facts. Because this isn't just a fight against disease. It's also a fight against ignorance. A fight against discrimination. III Almost three years ago, I described our struggle against the HIV virus as a battle against a "new and mysterious disease." Today, HIV is not so new and not so mysterious. Today, HIV has joined cancer, heart disease, and accidents as one of the deadly realities of our time. Of these, HIV is one of the most lethal, one of the most frightening. But HIV is also one of the most preventable. Every American must learn what AIDS is -- and what AIDS is not. And they must learn now. So let's shoot down some myths. The HIV virus is not spread by handshakes or hugs. You can't get 3 it from food or drink. Coughing or sneezing. or by sharing bathrooms or towels or conversation. It's not like heart disease, where there's confusion over ever-changing bits of advice on oat bran and olive oil, exercise and eggs. The transmission of AIDS is as simple as it is deadly. It's determined not by what you are -- but by what you do -- and by what you fail to do. III Let me state it clearly: People are placed at risk not by their demographics, but by their deeds. By their behavior. III And so it is our duty to make certain that every American has the essential information needed to prevent the spread of HIV and AIDS. Because while the ignorant may discriminate against AIDS -- AIDS won't discriminate among the ignorant. III Like many of you, Barbara and I have had friends who have died of AIDS. Our love for them when they were sick and when they died was just as great and just as intense as for anyone we have lost to heart disease or cancer or accidents. In this nation, in this decade, there is only one way to deal with an individual who is sick. With dignity. Compassion. Care. Confidentiality. And without discrimination. 111 Once disease strikes -- we don't blame those who are suffering. We don't spurn the accident victim who didn't wear a seatbelt. We don't reject the cancer patient who didn't quit smoking. We try to love them and care for them and comfort them. We do not fire them, or evict them, or cancel their insurance. 4 People with AIDS are no different than people with other disabling and life-threatening diseases. They are our colleagues and co-workers. Our friends. Our families. THEY ARE US. And today I call on the House of Representatives to get on with the job of passing a law -- the Americans with Disabilities Act -- that prohibits discrimination against those with HIV and AIDS. This is a fight against a disease -- not a fight against people. III And we won't tolerate discrimination. IIII The disease is attacking our most precious resource -- our people, our young. Unlike many of the diseases that cause disability in our elderly, AIDS affects many Americans now in the prime of life. Ninety-five percent of the 115,000 Americans with AIDS are between the ages of 20 and 59. These were the years they planned to work and create, and save for the future. Now their struggle is to survive. The statistics are numbing. You heard them this morning. But just look at the amazing quilts which hang around us today. They prove that no man is a statistic. Every life has its own fabric. Its own colors. Its own purpose. Its own soul. And like the quilts, no two are alike. 111 These quilts commemorate the dead. But the most important part of our learning is with the living. And I hope that you will go out and visit the AIDS wards. Meet with the patients and their families. See the face of humanity in the face of AIDS. 5 When Barbara and I left Washington for the Christmas holidays, our last stop was a clinic at the National Institutes of Health. We were impressed by the mettle and determination of the people there -- the doctors, nurses, and health care workers -- and especially the brave people who are living with HIV. We learned a lot about courage. A lot about family. And a lot about hope. Recently, we received a letter from seven who we visited. They wrote: "Each of us looks for hope in very personal ways. We seek comfort and warmth from those we love. We seek new answers through participation in experimental drug studies. We seek to enjoy the simplest of pleasures in everyday life. We seek to make peace with ourselves and with those who don't understand us. We seek a voice, a compassionate voice, that can address the concerns of hundreds of thousands of people." Ladies and gentlemen, the voice they seek must be your voice. The voice of every American. III Your employees will take their cues from you. You are in a powerful, unique position to influence the response to HIV and AIDS. When someone asks: "Who will volunteer to help care for our co-workers with AIDS?" you should be the first to say, "I will." Washing your hands of it won't help solve this problem. But rolling up your sleeves will. III The roster of participants at this Conference is an honor roll. Allstate sponsored a landmark conference to help deal with the impact of HIV at work. The magazine, Fortune, launched a 6 survey that helped us understand the attitudes and actions of C.E.O.'s in responding to HIV. [An industrial giant] asked an HIV expert to brief its key officers -- and pledged to conduct an education program for employees. Others are fighting the spread of HIV by fighting to keep schools and workplaces drug-free. This is America responding to a crisis. This is America at its best. This epidemic is having a major impact on our health care system. It is altering spending patterns by our government. In 1982, we knew little about AIDS -- and spent only $8 million. By 1990, that has grown to almost $3 billion -- more, even, than the budget of the entire FBI -- and almost double what's spent for the National Cancer Institute. And I have asked Congress for still more money -- almost $3.5 billion in the next fiscal year. Money for basic research. For HIV treatment and education. For protecting civil rights. America has the most sophisticated health care system in the world. But it's not enough. Our system depends on private insurance and individual payments, as well as government programs. AIDS magnifies the challenges, including the challenge of providing fair access to care to all Americans, rich and poor. In my State of the Union Address, I asked Dr. Louis Sullivan to lead a Cabinet-level review of health care in the 1990's. We don't know yet where this review will lead us. But we do know that businesses like those you represent will be a big part of the answer to improving health care and increasing access. Hand keeping you 7 for The epidemic is not over. We report tens of thousands of new cases every year. And many predict we can expect to continue to do so in this decade, and even into the next century. And yet, as in every generation, no crisis is without Rave hopeful signs. To begin with, we can be encouraged by the news leader that current projections of the infection rate will not be as high as we thought just a year ago. been X No the The use of new medicines such as A-Z-T means that more and more people with HIV will be able to live and work because these therapies offer the potential of making it a more manageable as you know disease. Keep them in your workforce. They can serve many, many V more productive years with no threat to you, your other workers, or your companies. It will reduce costs for everyone. And it's the right thing to do. III The pace of progress is promising. The HIV virus has been identified, isolated, and attacked with experimental treatments in a span of less than 10 years. The normal, centuries-long evolution of disease and treatment compressed into a decade. And this race against time has produced an explosion in knowledge and basic understanding about the nature of disease and immunology. Like the unexpected technological boons from Apollo's race to the moon, some physicians predict the race to cure AIDS may even produce a cure for cancer. We're going to continue to fight like hell. But we're also going to fight for hope. America has a unique capacity for beating the odds -- and astounding the world. 8 During my own childhood, the silent, whispered terror was a mysterious killer called polio. Like HIV, the virus ignored class distinctions and geographic boundaries. Monday would come, and kids who'd been in school on Friday were simply never seen again. Theaters were closed, summer camps, swimming pools. As with AIDS, there was a lot of ignorance. Thousands of stray cats and dogs put to death. Kids sleeping with camphor inhalers. At least one town was fumigated with D.D.T. -- doing nothing to stop polio -- and unknowingly helping endanger the American eagle. There were terrifying outbreaks in the teens, in the thirties, in the fifties. A cure was so far distant the experts refused to speculate. One doctor observed: "We have learned very little that is new about the disease, but much that is old about ourselves." And then, suddenly, it was over. It happened so fast. The dreaded iron lung, unused, cluttering hospital hallways. Children again growing up in a world without fear. Many comparisons have been made to epidemics past. Cholera. The Plague. Yellow fever. None of them perfect. So let me boil down the lessons of polio to two: There was a lot of ignorance -- let's learn from that. And in the darkest of hours -- hope came unexpectedly, powerfully and with finality. Let's work hard to see that day come to pass. III Together, we will make a difference, for those with HIV and AIDS -- and for all Americans. 1111 Thank you. And may God bless the United States of America. # # # Document No. 125786SS WHITE HOUSE STAFFING MEMORANDUM DATE: 3/23/90 ACTION/CONCURRENCE/COMMENT DUE BY: 3/26/90 2:00 PM PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS SUBJECT: ACTION FYI ACTION FYI VICE PRESIDENT MCCLURE SUNUNU NEWMAN SCOWCROFT PORTER DARMAN ROGICH BATES UNTERMEYER CARD ROGERS CICCONI WINSTON DEMAREST PINKERTON FITZWATER LEE GRAY HAGIN REMARKS: Please forward any comments directly to Chriss Winston, Rm. 122, x2930, no later than 2:00 PM, Monday, March 26, with a copy to my office. Thank you. RESPONSE: ninor comments XA 29 : Olv 26 MAY 06 James W. Cicconi Assistant to the President and Deputy to the Chief of Staff Ext. 2702 McNally/Simon March 23, 1990 1990 MAR 23 AM ID: 59 Draft Three (B:AIDS) PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS CRYSTAL GATEWAY MARRIOTT THURSDAY, MARCH 29, 1990, 11:15 A.M. Thank you, . [ACKNOWLEDGEMENTS] There could scarcely be a more important gathering, a more important place for me to be than here with you -- the men and women who guide business and industry as they focus on the best way to help our people suffering with HIV and AIDS. There are many team players in this struggle. Community service organizations. Religious leaders of all persuasions. AIDS service organizations created by volunteers, many of them also infected with HIV. And corporations and private foundations that together have given over $100 million to support literally thousands of AIDS projects. You make our hearts glad. And you make your country proud. Other generations have faced life-threatening medical crises, from polio to the plague. This virus is our challenge. Not a challenge we sought. Not a challenge we chose. But today our choice is simple: We will meet this challenge. We will beat this virus. For whether talking about a nation or an individual, character is measured not by our tragedies -- but by how we respond to those tragedies. III And for those who are living with HIV and AIDS, our response is simple: They deserve our compassion. They deserve our care. And they deserve more than a chance -- they deserve a cure. 111 2 America will accept nothing less. We are slashing red tape. Accelerating 'schedules. Boosting research. And somewhere out there, there's a Nobel prize -- and the gratitude of the planet Earth -- waiting for the man or woman who peers into a microscope and sees the answer that's eluded everyone else. We pray that day will come soon. But until that day -- until this virus can be defeated in our hospitals -- there's a battle to be waged in our homes. III Because in 1990, the single most effective weapon in our arsenal against AIDS is not medication, 11 but education. \\\ We must increase our efforts to educate the public about AIDS and how it is contracted. Our goal is to turn irrational fear into rational (facts). foresight? Because this isn't just a fight against disease. It's also a fight against ignorance. A fight against discrimination. III Almost three years ago, I described our struggle against the HIV virus as a battle against a "new and mysterious disease." Today, HIV is not so new and not so mysterious. Today, HIV has joined cancer, heart disease, and accidents as one of the deadly realities of our time. Of these, HIV is one of the most lethal, one of the most frightening. But HIV is also one of the most preventable. Every American must learn what AIDS is -- and what AIDS is Together not. And they must learn now. So ^ let's shoot down some myths. The HIV virus is not spread by handshakes or hugs. You can't get You in This room already know what so many American do not. 3 it from food or drink. Coughing or sneezing. or by sharing bathrooms or towels or conversation. It's not like heart disease, where there's confusion over ever-changing bits of advice on oat bran and olive oil, exercise and eggs. The transmission of AIDS is as simple as it is deadly. It's determined not by what you are -- but by what you do -- and by what you fail to do. III Let me state it clearly: People are placed at risk not by their demographics, but by their deeds. By their behavior. III And so it is our duty to make certain that every American has the essential information needed to prevent the spread of HIV and AIDS. Because while the ignorant may discriminate against AIDS -- AIDS won't discriminate among the ignorant. 111 Like many of you, Barbara and I have had friends who have died of AIDS. Our love for them when they were sick and when they died was just as great and just as intense as for anyone we have lost to heart disease or cancer or accidents. In this nation, in this decade, there is only one way to deal with an individual who is sick. With dignity. Compassion. Care. Confidentiality. And without discrimination. 111 Once disease strikes -- we don't blame those who are suffering. We don't spurn the accident victim who didn't wear a seatbelt. We don't reject the cancer patient who didn't quit smoking. We try to love them and care for them and comfort them. We do not fire them, or evict them, or cancel their insurance. 4 People with AIDS are no different than people with other disabling and life-threatening diseases. They are our colleagues and co-workers. Our friends. Our families. THEY...ARE... US. And today I call on the House of Representatives to get on with the job of passing a law -- the Americans with Disabilities Act -- that prohibits discrimination against those with HIV and AIDS. we're in 50 This is a fight against a disease -- not a fight against people. III And we won't tolerate discrimination. 1111 The disease is attacking our most precious resource -- our people, our young. Unlike many of the diseases that cause disability in our elderly, AIDS affects many Americans now in the prime of life. Ninety-five percent of the 115,000 Americans with AIDS are between the ages of 20 and 59. These were the years they planned to work and create, and save for the future. Now their struggle is to survive. The statistics are numbing. You heard them this morning. But just look at the amazing quilts which hang around us today. They prove that no man is a statistic. Every life has its own fabric. Its own colors. Its own purpose. Its own soul. And like the quilts, no two are alike. III These quilts commemorate the dead. But the most important part of our learning is with the living. And I hope that you will go out and visit the AIDS wards. Meet with the patients and their families. See the face of humanity in the face of AIDS. 5 When Barbara and I left Washington for the Christmas holidays, our last stop was a clinic at the National Institutes of Health. We were impressed by the mettle and determination of the people there -- the doctors, nurses, and health care workers -- and especially the brave people who are living with HIV. We learned a lot about courage. A lot about family. And a lot about hope. Recently, we received a letter from seven who we visited. They wrote: "Each of us looks for hope in very personal ways. We seek comfort and warmth from those we love. We seek new answers through participation in experimental drug studies. We seek to enjoy the simplest of pleasures in everyday life. We seek to make peace with ourselves and with those who don't understand us. We seek a voice, a compassionate voice, that can address the concerns of hundreds of thousands of people." Ladies and gentlemen, the voice they seek must be your voice. The voice of every American. III Your employees will take their cues from you. You are in a powerful, unique position to influence the response to HIV and AIDS. When someone asks: "Who will volunteer to help care for our co-workers with AIDS?" you should be the first to say, "I will." Washing your hands of it won't help solve this problem. But rolling up your sleeves will. III The roster of participants at this Conference is an honor roll. Allstate sponsored a landmark conference to help deal with the impact of HIV at work. The magazine, Fortune, launched a 6 survey that helped us understand the attitudes and actions of C.E.O.'s in responding to HIV. [An industrial giant] asked an HIV expert to brief its key officers -- and pledged to conduct an education program for employees. Others are fighting the spread of HIV by fighting to keep schools and workplaces drug-free. This is America responding to a crisis. This is America at its best. This epidemic is having a major impact on our health care system. It is altering spending patterns by our government. In 1982, we knew little about AIDS -- and spent only $8 million. By 1990, that has grown to almost $3 billion -- more, even, than the budget of the entire FBI -- and almost double what's spent for the National Cancer Institute. And I have asked Congress for still more money -- almost $3.5 billion in the next fiscal year. Money for basic research. For HIV treatment and education. For protecting civil rights. America has the most sophisticated health care system in the world. But it's not enough. Our system depends on private insurance and individual payments, as well as government programs. AIDS magnifies the challenges, including the challenge of providing fair access to care to all Americans, rich and poor. In my State of the Union Address, I asked Dr. Louis Sullivan to lead a Cabinet-level review of health care in the 1990's. We don't know yet where this review will lead us. But we do know that businesses like those you represent will be a big part of the answer to improving health care and increasing access. 7 The epidemic is not over. We report tens of thousands of new cases every year. And many predict we can expect to continue to do so in this decade, and even into the next century. And yet, as in every generation, no crisis is without hopeful signs. To begin with, we can be encouraged by the news that current projections of the infection rate will not be as high as we thought just a year ago. The use of new medicines such as A-Z-T means that more and more people with HIV will be able to live and work because these therapies offer the potential of making it a more manageable disease. Keep them in your workforce. They can serve many, many more productive years with no threat to you, your other workers, or your companies. It will reduce costs for everyone. And it's the right thing to do. III The pace of progress is promising. The HIV virus has been identified, isolated, and attacked with experimental treatments in a span of less than 10 years. The normal, centuries-long evolution of disease and treatment compressed into a decade. And this race against time has produced an explosion in knowledge and basic understanding about the nature of disease and immunology. Like the unexpected technological boons from Apollo's race to the moon, some physicians predict the race to cure AIDS may even produce a cure for cancer. We're going to continue to fight like hell. But we're also going to fight for hope. America has a unique capacity for beating the odds -- and astounding the world. 8 During my own childhood, the silent, whispered terror was a mysterious killer called polio. Like HIV, the virus ignored class distinctions and geographic boundaries. Monday would come, and kids who'd been in school on Friday were simply never seen again. Theaters were closed, summer camps, swimming pools. As with AIDS, there was a lot of ignorance. Thousands of stray cats and dogs put to death. Kids sleeping with camphor inhalers. At least one town was fumigated with D.D.T. -- doing nothing to stop polio -- and unknowingly helping endanger the American eagle. There were terrifying outbreaks in the teens, in the thirties, in the fifties. A cure was so far distant the experts refused to speculate. One doctor observed: "We have learned very little that is new about the disease, but much that is old about ourselves." And then, suddenly, it was over. It happened so fast. The dreaded iron lung, unused, cluttering hospital hallways. Children again growing up in a world without fear. Many comparisons have been made to epidemics past. Cholera. The Plague. Yellow fever. None of them perfect. So let me boil down the lessons of polio to two: There was a lot of ignorance -- let's learn from that. And in the darkest of hours -- hope came unexpectedly, powerfully and with finality. Let's work hard to see that day come to pass. 111 Together, we will make a difference, for those with HIV and AIDS -- and for all Americans. 1111 Thank you. And may God bless the United States of America. # # # McNally/Simon March 20, 1990 Draft Two (B:AIDS) PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS CRYSTAL GATEWAY MARRIOTT THURSDAY, MARCH 29, 1990, 11:15 A.M. Thank you, . [ACKNOWLEDGEMENTS] There could scarcely be a more important gathering, a more important place for me to be than here with you -- the men and women who guide business and industry as they focus on the best way to help our people suffering with HIV and AIDS. Community There are many team players in this struggle. The American service organizations. Red Cross and the United Way. Religious leaders of all persuasions. AIDS service organizations created by volunteers, many of them also infected with HIV. And corporations and private foundations that together have given over $100 million to support literally thousands of AIDS projects. You make our hearts glad. And you make your country proud. Other generations have faced life-threatening medical crises, from polio to the Plague. This virus is our challenge. Not a challenge we sought. Not a challenge we chose. But today our choice is simple: We will meet this challenge. We will beat this virus. For whether talking about a nation or an individual, character is how we respond to those agedest measured not by our tragedies -- but by our responso, \\\\ And for those who are living with HIV and AIDS, our response is simple: They deserve our compassion. They deserve our care. And they deserve more than a chance -- they deserve a cure. III America will accept nothing less. We are slashing red tape. 2 Accelerating schedules. Boosting research. And somewhere out there, there's a Nobel prize -- and the gratitude of the planet Earth -- waiting for the man or woman who peers into a microscope and sees the answer that's eluded everyone else. We pray that day will come soon. But until that day -- until this virus can be defeated in our hospitals -- there's a battle to be waged in our homes. III Because in 1990, the single most effective weapon in our arsenal against AIDS is not medication, 11 but education. III We must increase our efforts to educate the public about AIDS and how it is contracted. Our goal is to turn irrational fear into rational facts. Because this isn't just a fight against disease. It's also a fight against ignorance. A fight against discrimination. III Almost three years ago, I described our struggle against the HIV virus as a battle against a "new and mysterious disease." Today, HIV is not so new and not so mysterious. Today, HIV has joined cancer, heart disease, and accidents as one of the deadly realities of our time. Of these, HIV is one of the most lethal, one of the most frightening. But HIV is also one of the most preventable. Every American must learn what AIDS is -- and what AIDS is not. And they must learn now. So let's shoot down some myths. The HIV virus is not spread by handshakes or hugs. You can't get it from food or drink. Coughing or sneezing. Or by sharing bathrooms or towels or conversation. 3 It's not like heart disease, where there's confusion over ever-changing bits of advice on oat bran and olive oil, exercise and eggs. The transmission of AIDS is as simple as it is deadly. It's determined not by what you are -- but by what you do -- and by what you fail to do. III Let me state it clearly: People are placed at risk not by their demographics, but by their deeds. By their behavior. III And so it is our duty to make certain that every American has the essential information needed to prevent the spread of HIV and AIDS. Because while the ignorant may discriminate against AIDS -- AIDS won't discriminate among the ignorant. Like many of you, Barbara and I have had friends who have died of AIDS. Our love for them when they were sick and when they died was just as great and just as intense as for anyone we have lost to heart disease or cancer or accidents. In this nation, in this decade, there is only one way to deal with an individual who is sick. With dignity. Compassion. Care. Confidentiality. And without discrimination. III Once disease strikes -- we don't blame those who are suffering. We don't spurn the accident victim who didn't wear a seatbelt. We don't reject the cancer patient who didn't quit smoking. We try to love them and care for them and comfort them. We do not fire them, or evict them, or cancel their insurance. People with AIDS are no different than people with other disabling and life-threatening diseases. They are our colleagues and co-workers. Our friends. Our families. THEY ARE US. 4 And today I call on the House of Representatives to get on the americans with Disabilities act with the job of passing a law -- a good, fair, and effective law that prohibits discrimination against those with HIV and AIDS. This is a fight against a disease -- not a fight against people. III And we won't tolerate discrimination. 1111 The disease is attacking our most precious resource -- our people, our young. Unlike many of the diseases that cause disability in our elderly, AIDS affects many Americans now in the prime of life. Ninety-five percent of the 115,000 Americans with AIDS are between the ages of 20 and 59. These were the years they planned to work and create, and save for the future. Now their struggle is to survive. The statistics are numbing. You heard them this morning. But just look at the amazing quilts which hang around us today. They prove that no man is a statistic. Every life has its own fabric. Its own colors. Its own purpose. Its own soul. And like the quilts, no two are alike. III When the AIDS Quilt was spread out over 14 acres behind the White House last fall, people out just to take a curious stroll suddenly found themselves wiping away tears. I hope you have a chance to display some of the panels at your businesses. And I hope we have a chance to display some at the White House. The quilts commemorate the dead. But the most important part of our learning is with the living. And I hope that you will go out and visit the AIDS wards. Meet with the patients and their families. See the face of humanity in the face of AIDS. 5 Christmas When Barbara and I left Washington for the holidays, our last stop was a clinic at the National InstituteSof Health. We were impressed by the mettle and determination of the people there -- the doctors, nurses, and health care workers -- and especially the brave people who are living with HIV. We learned a lot about courage. A lot about family. And a lot about hope. Recently, we received a letter from seven who we visited. They wrote: "Each of us looks for hope in very personal ways. We seek comfort and warmth from those we love. We seek new answers through participation in experimental drug studies. We seek to enjoy the simplest of pleasures in everyday life. We seek to make peace with ourselves and with those who don't understand us. We seek a voice, a compassionate voice, that can address the concerns of hundreds of thousands of people." Ladies and gentlemen, the voice they seek must be your voice. The voice of every American. III Your employees will take their cues from you. You are in a powerful, unique position to influence the response to HIV and AIDS. When someone asks: "Who will volunteer to help care for our co-workers with AIDS?" you should be the first to say, "I will." Washing your hands of it won't help solve this problem. But rolling up your sleeves will. III The roster of participants at this Conference is an honor roll. Allstate sponsored a landmark conference to help deal with the impact of HIV at work. A A magazine, Fortune, launched a survey that The helped us understand the attitudes and actions of C.E.O.'s in 6 responding to HIV. An industrial giant asked an HIV expert to brief its key officers -- and pledged to conduct an education program for employees. Others are fighting the spread of HIV by fighting to keep schools and workplaces drug-free. This is America responding to a crisis. This is America at its best. This epidemic is having a major impact on our health care system. It is altering spending patterns by our government. In 1982, we knew little about AIDS -- and spent only $8 million. By has 1989, that had grown to almost $3 billion -- more, even, than the what budget of the entire FBI -- and double what's spent for the National Cancer Institute. And I have asked Congress for still more money -- almost $3.5 billion in the next fiscal year. Money for basic research. For HIV treatment and education. For protecting civil rights. America has the most sophisticated health care system in the world. But it's not enough. Our system depends on private insurance and individual payments, as well as government programs. AIDS magnifies the challenges, including the challenge of providing fair access to care to all Americans, rich and poor. In my State of the Union Address, I asked Dr. Louis Sullivan to lead a Cabinet-level review of health care in the 1990's. We don't know yet where this review will lead us. But we do know that businesses like those you represent will be a big part of the answer to improving health care and increasing access. The epidemic is not over. We report tens of thousands of new cases every year. And many predict we can expect to continue 7 to do so in this decade, and even into the next century. And yet, as in every generation, no crisis is without hopeful signs. To begin with, we can be encouraged by the news that current projections of the infection rate will not be as high as we thought just a year ago. The use of new medicines such as A-Z-T means that more and more people with HIV will be able to live and work because these therapies offer the potential of making it a more manageable disease. Keep them in your workforce. They can serve many, many more productive years with no threat to you, your other workers, or your companies. It will reduce costs for everyone. And it's the right thing to do. III The pace of progress is promising. The HIV virus has been identified, isolated, and attacked with experimental treatments in a span of less than 10 years. The normal, centuries-long evolution of disease and treatment compressed into a decade. And this race against time has produced an explosion in knowledge and basic understanding about the nature of disease and immunology. Like the unexpected technological boons from Apollo's race to the moon, some physicians predict the race to cure AIDS may even produce a cure for cancer. We're going to continue to fight like hell. But we're also going to fight for hope. America has a unique capacity for beating the odds -- and astounding the world. During my own childhood, the silent, whispered terror was a mysterious killer called polio. Like HIV, the virus ignored 8 class distinctions and geographic boundaries. Monday would come, and kids who'd been in school on Friday were simply never seen again. Theaters were closed, summer camps, swimming pools. As with AIDS, there was a lot of ignorance. Thousands of stray cats and dogs put to death. Kids sleeping with camphor inhalers. At least one town was fumigated with D.D.T. -- doing nothing to stop polio -- and unknowingly helping endanger the American eagle. There were terrifying outbreaks in the teens, in the thirties, in the fifties. A cure was so far distant the experts refused to speculate. One doctor observed: "We have learned very little that is new about the disease, but much that is old about ourselves." And then, suddenly, it was over. It happened so fast. The dreaded iron lung, unused, cluttering hospital hallways. Children again growing up in a world without fear. Many comparisons have been made to epidemics past. Cholera. The Plague. Yellow fever. None of them perfect. So let me boil down the lessons of polio to two: There was a lot of ignorance -- let's learn from that. And in the darkest of hours -- hope came unexpectedly, powerfully and with finality. Let's work hard to see that day come to pass. III Together, we will make a difference, for those with HIV and AIDS -- and for all Americans. Thank you. And may God bless the United States of America. # # # THE WHITE HOUSE WASHINGTON March 20, 1990 TO: CHRISS WINSTON Attached are some points which may prove helpful in drafting the AIDS speech. This particular group is high-powered, and has been largely organized as a means of involving the business community in the fight against AIDS. I think Burt Lee can vouch for them. Thanks. Jim Jim Cicconi Copy original toed 3/20/90 NATIONAL LEADERSHIP COALITION 1990 MAR 20 AM 10: 51 ON AIDS 19 March, 1990 BOARD OF DIRECTORS Officers John R. Taylor Chairman N CEO Ret.: The Principal Financial Group Via Messenger Charr J. Richard Munro Chairman & CEO Time Warner Inc. Jim Cicconi Vice Chair David N. Sundwall, M.D. The White House Vice President Washington, D.C. AmHS Institute Vice Chair Karen Ignagni Dear Jim: Assoc. Dir. Occupational Sarety and Environmental Attairs. AFL-CIO Secretary Thanks for your interest in the National Business Leader- Michael Pollard Partner ship Conference which President Bush will address March 29th. Micraels & Wishner. F ( Treasurer The program for the conference, and a one-page description B.J. Stiles of our goals and purposes are enclosed. President Members You agreed to take a look at suggested highlights for the Gwynn C. Akin, Ph.D. Syntex Corporation speech. I've done such a draft, which is attached. Lewellys F. Barker, M.D. American Red Cross One component not in this draft is a roster of companies, Nora Kizer Bell, Ph.D. University of South Cardina CEOs, and business group which warrant specific acknowledg- Erline Belton ment for their outstanding responses to AIDS. I did not Pignal Equipment operation Edward N. Brandr, Jr.. M.D., Ph.D. include such citations, as someone advised that it was against College of Medicine. Oklahoma University White House policy to include such specific citations without Health Sciences Center prior approval from such sources. I assure that we could Sharon Canner National Association : Manufacturers obtain such approval, or direct the appropriate office at Glenn E. Haughie. M.D. the White House to the source if that is the preferred mechan- International Business Machines Chep. William R. Hendee, Ph.D. ism. Generic thank-you's aren't quite sufficient for AIDS, American Medical Association and I know that those in the vanguard of providing business Stephen E. Herbits Joseph E. Seagram & Sens. Inc and civic leadership will find their jobs far easier if Stanley G. Karson Presidential acknowlegments are possible. Center for Corporate Public Invoivement Larry Kessler AIDs Action Comm Her Mass. Some of those in the vanguard are cited in the enclosed Bryan Lawton, Ph.D. publication, Business and Labor Speak Out on AIDS. But Wells Fargo Bank there are others. Sam S. McKeel The Sun-Times Company Stephen T. Moskey Thank you for any counsel you can provide. Aetna Life & Cusumry T.M. (Terry) Mulready Pacine Bell Cordially Emilio R. Nicolas, Jr. KMEX-TV. Los Angeles Beny J. Primm, Jr., M.D. Addiction Research Treatment Corporation Mervyn F. Silverman, M.D. B.J. Stiles American Foundation :.: AIDS Research The Rt. Rev. William E. Swing President I prospal Diocess Larry H. Williford BJS/st Allstate Insurance mp-ny Enc. 1150 17th Street N.W. Suite 202 Washington, D.C. 20036 202/429-0930 FAX: 202/872-1977 NATIONAL 19 March 1990 LEADERSHIP COALITION ON AIDS National Business Leadership Conference on AIDS March 29, 1990 I. The AIDS epidemic is far from over; we face great challenges ahead. We must work together. This is a painful, difficult disease and we're losing far too many Americans. You heard the specifics earlier this morning from Secretary Sullivan, Dr. Fauci, and Dr. Curran. Just as important are the panels (of the Quilt) which hang around us today. Like each of you, Barbara and I have lost too many friends to AIDS, and these celebrations of their lives remind us that each number we hear is about a human being. Although AIDS is a fatal disease, we will have far more people, living and working longer with AIDS. That means the opportunity to live and work together, and to help one another. II. Private sector responses to AIDS have been outstanding, but the job isn't finished. We must do more. Business and labor have stepped forward, and in some communities you have been among the pioneers. Yet, it seems that only about 20 percent of the largest companies are doing much about AIDS, and we must get others to follow your lead. Most of the business response has been from the nation's largest companies, but as the epidemic spreads and worsens, small and medium sized businesses will also be affected. Corporate giving to AIDS has grown, and I am pleased to know that private foundations and corporations have given over $100 million to support thousands of AIDS projects. But now is not the time to slack off or abandon these important commitments. I believe that the next $100 million or more-will bring us closer to winning this battle. Press and media have been important allies in getting the AIDS message to everyone. But some are tired of the story, or believe there isn't a new angle or hook. Please don't stop now. The message is too urgent. The lives of countless - Americans depends upon understanding how the HIV virus is and is not transmitted, and the mass media plays a critical role in helping change behaviors and attitudes. The churches, synagogues, and spiritual leaders of America are getting involved, and I hope that more will come forward. We need you to help ensure that people with AIDS aren't rejected by their families and neighbors: to help provide care--to literally offer food, clothing and shelter for those suffering from AIDS. I call upon America's religious leaders--lay and clergy--to increase the love and compassion SO badly needed and to dispel the anger and rejection directed toward those with AIDS. We must all resist the instinct to blame the sufferer, and instead find solutions for the suffering. III. Federal, state and municipal resources have been marshaled to provide critical support, but the job isn't finished. We in government must do more, too. We are committed to federal support for all the core components of the epidemic: research, education, care and services, and treatment. We must ensure that no person with AIDS or affected in any way by AIDS is subjected to discrimination. That is one of the foremost messages from Admiral Watkins and his colleagues on the Presidential AIDS Commission, and this Administration is in complete agreement. I want to restate my full support for passage of the Americans with Disabilities Act still pending before Congress, and ask you to join me in seeking swift passage of this important bill. Although we remain opposed to categorical approaches to solving problems, I believe that the special impact of AIDS on parts of our society are SO burdensome and costly that I am today announcing support, in principle, for legislation to help locales especially burdened by AIDS, and for individuals with AIDS who fall outside the health care system in this country. We have the mechanisms to respond promptly to disasters like hurricanes, earthquakes, and tornadoes. We must consider how to provide similar assistance for those hardest hit by the AIDS epidemic. I return to the importance of education, and commend you in the business community who are providing excellent HIV information for your employees, their families, and the communities in which they live. Today I am asking each Member of the Cabinet to identify how we as government employers can increase our effectiveness in helping to educate all federal government 2 employees about AIDS. The guidelines already developed by the Office of Personnel Management are excellent; we now need to make them known throughout the government workforce. In conclusion, I want to strongly endorse the work of those here today, and those you represent, in marshaling support from the private sector to help us resolve the pain, fear, and stigmatization surrounding AIDS. This nation has never shirked a challenge of this magnitude, and we will not turn our back on this one. We have the mechanisms at our disposal. This Administration does care and is resolved to work together with you and others in containing this threat to our personal and social welfare. We will work diligently with the Congress and leaders of both parties to pass the Americans with Disabilities Act, and to develop any other legislation required to ensure that persons with AIDS do not suffer discrimination. We welcome the work of the National AIDS Commission and look forward to close communication with one another as they continue to examine what is needed to resolve this painful, costly, and complex epidemic. We urge you who are here today to return to your places of work, and take this message to your co-workers and bosses: The AIDS epidemic is not over, and we cannot sit back and leave this challenge to others. We must do our share. 3 NATIONAL LEADERSHIP COALITION ON AIDS BOARD OF DIRECTORS Officers NATIONAL BUSINESS LEADERSHIP CONFERENCE John R. Taylor Chairman & CEO Rer.) ON AIDS The Principal Financial Group Chair March 29, 1990 J. Richard Munro Chairman & CEO Time Warner Inc. Purpose of this meeting: Vice Chair David N. Sundwall, M.D. Vice President 1) To convene 400 top business executives, labor leaders, AmHS Institute Vice Chair and others in a one-day session to address the impact Karen Ignagni of AIDS in the 1990s, with special focus on the Assoc. Dir.. Occupational Safety and consequences for the business community. Environmental Affairs. AFL-CIO Secretary Michael Pollard 2) To provide a platform for the President to address the Partner Michaels & Wishner. P.C. nation on this critical subject. Treasurer B.J. Stiles President 3) To marshal further support from the private sector to Members respond to the growing needs stemming from the AIDS crisis. Gwynn C. Akin, Ph.D. Syntex Curporation Lewellys F. Barker, M.D. American Red Cross Goals for this meeting: Nora Kizer Bell, Ph.D. University or South Carolina 1. To underscore the considerable impact of AIDS on all Erline Belton Digital Equipment C rporation Americans, and to highlight the necessity for an Edward N. Brandr, Jr.. M.D., Ph.D. ongoing response to the epidemic. College or Medicine. Oklahoma University Health Sciences Center Bottom line: AIDS is not over; even more will be Sharon Canner National Association of Manuracturers required from all of us in the decade ahead. Glenn E. Haughie. M.D. International Business Machines Curp. William R. Hendee, Ph.D. 2. To acknowledge the role which the private sector has American Medical Association played in reducing infections; providing support; and Stephen E. Herbits Joseph E. Seagram & Sons. Inc. creating a compassionate and favorable response to all Stanley G. Karson those affected by AIDS. Center for Corporate Public Involvement Larry Kessler Bottom line: Many in the private sector--especially AIDS Action Committee or Mass. corporate America--are likely to back away from Bryan Lawton, Ph.D. Wells Fargo Bank continuing attention to AIDS unless there is strong Sam S. McKeel Presidential encouragement and new incentives. The Sun-Times Company Stephen T. Moskey Aetna Lite & Casuary 3. To send participants in this meeting back to their T.M. (Terry) Mulready offices with a clear Presidential mandate, and some new Pacific Bell Emilio R. Nicolas, Jr. insights which will provide their bosses and colleagues KMEX-TV. Los Angeles with a renewed understanding of the nature and scope of Beny J. Primm, Jr., M.D. the epidemic. Addiction Research Treatment Corporation Mervyn F. Silverman, M.D. American Foundation :*: AIDS Research Bottom line: Don't back away; get more of your The Rt. Rev. William E. Swing associates and neighbors involved. Don't go it alone; Episcopal Discuss Comman work with others, especially public health and Larry H. Williford Allstate Insurance cipany community service organizations, religious leaders, and other business and labor groups. 1150 17th Street N.W. Suite 202 Washington, D.C. 20036 202/429-0930 FAX: 202/872-1977 or The National Business Leadership Conference on AIDS March 29, 1990 Crystal Gateway Marriott, Arlington, VA Tentative Agenda 7:30 a.m. - 8:30 a.m. Registration Continental Breakfast 8:30 a.m. Welcome and Introduction Speakers: Lawrence H. Williford Senior Vice President Allstate Insurance Company John R. Taylor Chair, Board of Directors National Leadership Coalition on AIDS David E. Rogers, M.D. Chair National Community AIDS Partnership AIDS and the Federal Agenda Speaker: The Honorable Louis W. Sullivan Secretary Department of Health and Human Services A Critical Look at AIDS in the '90s Research and Treatment Issues Speaker: Anthony S. Fauci, M.D. Director National Institute of Allergy and Infectious Diseases The Numbers and What They Mean Speaker: James W. Curran, M.D., M.P.H. Director, Division HIV/AIDS Center for Infectious Diseases Centers for Disease Control AIDS From A CEO's Perspective Speaker: Robert D. Haas Chairman and Chief Executive Officer Levi Strauss & Co. SPECIAL KEYNOTE ADDRESS (CONFIRMED) Speaker: PRESIDENT GEORGE BUSH Tentative Agenda, Page Two Luncheon Luncheon Speaker J. Richard Munro Co-Chairman and Co-Chief Executive Officer Time Warner, Inc. Belinda A. Mason President, National Association of People With AIDS, and Member, National Commission on AIDS Health Care Costs and the HIV Epidemic Speaker: Carl J. Schramm President Health Insurance Association of America Labor Responses to AIDS Speaker: John J. Sweeney International President Service Employees International Union Living and Working with AIDS Interviewer: Renée Poussaint News Anchor WJLA-TV Panelists: Erline Belton Manager, Corporate Employee Relations Digital Equipment Corporation Cleve Jones Founder The NAMES Project Phil K. Morrow Founder and President, IMDT, Inc. Board of Directors, AIDS Services of Dallas 3:30 p.m. Close Document No. 125786SS WHITE HOUSE STAFFING MEMORANDUM DATE: 3/23/90 ACTION/CONCURRENCE/COMMENT DUE BY: 3/26/90 2:00 PM PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS SUBJECT: ACTION FYI ACTION FYI VICE PRESIDENT MCCLURE SUNUNU NEWMAN SCOWCROFT PORTER DARMAN ROGICH BATES UNTERMEYER CARD ROGERS CICCONI WINSTON DEMAREST PINKERTON FITZWATER LEE GRAY HAGIN REMARKS: Please forward any comments directly to Chriss Winston, Rm. 122, x2930, no later than 2:00 PM, Monday, March 26, with a copy to my office. Thank you. RESPONSE: Please see suggestions 3/26/90 James W. Cicconi Assistant to the President and Deputy to the Chief of Staff Ext. 2702 McNally/Simon March 23, 1990 1990 MAR 23 AM ID: 59 Draft Three (B:AIDS) PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS CRYSTAL GATEWAY MARRIOTT THURSDAY, MARCH 29, 1990, 11:15 A.M. Thank you, . [ACKNOWLEDGEMENTS] There could scarcely be a more important gathering, a more important place for me to be than here with you -- the men and who work with American business to help 2 those women who guide business and industry as they focus\on the best way to help our people suffering with HIV and AIDS. There are many team players in this struggle. Community service organizations. Religious leaders of all persuasions. AIDS service organizations created by volunteers, many of them also infected with HIV. And corporations and private foundations that together have given over $100 million to support literally thousands of AIDS projects. You make our hearts glad. And you make your country proud. Other generations have faced life-threatening medical crises, from polio to the plague. This virus is our challenge. Not a challenge we sought. Not a challenge we chose. But today our choice is simple: must must We will meet this challenge. We will beat this virus. For whether talking about a nation or an individual, character is measured not by our tragedies -- but by how we respond to those tragedies. III And for those who are living with HIV and AIDS, our response is simple: They deserve our compassion. They deserve our care. And they deserve more than a chance -- they deserve a cure. III 2 America will accept nothing less. We are slashing red tape. Accelerating 'schedules. Boosting research. And somewhere out there, there's a Nobel prize -- and the gratitude of the planet Earth -- waiting for the man or woman who peers into a microscope and sees the answer that's eluded everyone else. We pray that day will come soon. But until that day -- until this virus can be defeated in our hospitals -- there's a battle to be waged in our homes. Because in 1990, the single most effective weapon in our arsenal against AIDS is not medication, 11 but education. \\\ We must increase our efforts to educate the public about AIDS and how it is contracted. Our goal is to turn irrational fear into rational facts. Because this isn't just a fight against disease. It's also a fight against ignorance. A fight against discrimination. why ? Almost three years ago, I described our struggle against the highlight HIV virus as a battle against a "new and mysterious disease." Today, HIV is not so new and not so mysterious. Today, HIV has joined cancer, heart disease, and accidents as one of the deadly realities of our time. Of these, HIV is one of the most lethal, one of the most frightening. But HIV is also one of the most preventable. Every American must learn what AIDS is -- and what AIDS is not. And they must learn now. So let's shoot down some myths. The HIV virus is not spread by handshakes or hugs. You can't get beyond circumstances Counsel's office 3 it from food or drink. Coughing or sneezing. O bathrooms or towels or conversation. edit improved suggested an It's not like heart disease, where there's conrusion over ever-changing bits of advice on oat bran and olive oil, exercise and eggs. The transmission of AIDS is as simple as it is deadly. people are plaud at a greater risk It's determined not by what you are -- but by what you do -- and blood by what you fail to do. they they They Let me state it clearly: People are placed at risk not by their demographics, but by their deeds. By their behavior And so it is our duty to make certain that every American has the essential information needed to prevent the spread of HIV and AIDS. Because while the ignorant may discriminate against AIDS -- AIDS won't discriminate among the ignorant. III Like many of you, Barbara and I have had friends who have died of AIDS. Our love for them when they were sick and when they died was just as great and just as intense as for anyone we have lost to heart disease or cancer or accidents. In this nation, in this decade, there is only one way to deal with an individual who is sick. With dignity. Compassion. Care. Confidentiality. And without discrimination. III Once disease strikes -- we don't blame those who are suffering. We don't spurn the accident victim who didn't wear a seatbelt. We don't reject the cancer patient who didn't quit smoking. We try to love them and care for them and comfort them. We do not fire them, or evict them, or cancel their insurance. 4 People with AIDS are no different than people with other disabling and life-threatening diseases. They are our colleagues and co-workers. Our friends. Our families. THEY...ARE...US. And today I call on the House of Representatives to get on with the job of passing a law -- the Americans with Disabilities Act -- that prohibits discrimination against those with HIV and AIDS. This is a fight against a disease -- not a fight against people. III And we won't tolerate discrimination. \\\\ The disease is attacking our most precious resource -- our people, our young. Unlike many of the diseases that cause disability in our elderly, AIDS affects many Americans now in the prime of life. Ninety-five percent of the 115,000 Americans with AIDS are between the ages of 20 and 59. These were the years they planned to work and create, and save for the future. Now their struggle is to survive. The statistics are numbing. You heard them this morning. But just look at the amazing quilts which hang around us today. They prove that no man is a statistic. Every life has its own fabric. Its own colors. Its own purpose. Its own soul. And like the quilts, no two are alike. III These quilts commemorate the dead. But the most important part of our learning is with the living. And I hope that you will go out and visit the AIDS wards. Meet with the patients and their families. See the face of humanity in the face of AIDS. 5 When Barbara and I left Washington for the Christmas holidays, our last stop was a clinic at the National Institutes of Health. We were impressed by the mettle and determination of the people there -- the doctors, nurses, and health care workers -- and especially the brave people who are living with HIV. We learned a lot about courage. A lot about family. And a lot about hope. Recently, we received a letter from seven who we visited. They wrote: "Each of us looks for hope in very personal ways. We seek comfort and warmth from those we love. We seek new answers through participation in experimental drug studies. We seek to enjoy the simplest of pleasures in everyday life. We seek to make peace with ourselves and with those who don't understand us. We seek a voice, a compassionate voice, that can address the concerns of hundreds of thousands of people." Ladies and gentlemen, the voice they seek must be your voice. The voice of every American. III Your employees will take their cues from you. You are in a powerful, unique position to influence the response to HIV and AIDS. When someone asks: "Who will volunteer to help care for our co-workers with AIDS?" you should be the first to say, "I will." Washing your hands of it won't help solve this problem. But rolling up your sleeves will. III The roster of participants at this Conference is an honor roll. Allstate sponsored a landmark conference to help deal with the impact of HIV at work. The magazine, Fortune, launched a 6 survey that helped us understand the attitudes and actions of C.E.O.'s in responding to HIV. [An industrial giant] asked an HIV expert to brief its key officers -- and pledged to conduct an education program for employees. Others are fighting the spread of HIV by fighting to keep schools and workplaces drug-free. This is America responding to a crisis. This is America at its best. This epidemic is having a major impact on our health care system. It is altering spending patterns by our government. In when uss we In 1982, a we knew little about AIDS -- and spent only $8 million. By Today 1990, that has grown to almost $3 billion -- more, even, than the budget of the entire FBI -- and almost double what's spent for the National Cancer Institute. And I have asked Congress for still more money -- almost $3.5 billion in the next fiscal year. Money for basic research. For HIV treatment and education. For protecting civil rights. America has the most sophisticated health care system in the world. But it's not enough. Our system depends on private insurance and individual payments, as well as government programs. AIDS magnifies the challenges, including the challenge of providing fair access to care to all Americans, rich and poor. In my State of the Union Address, I asked Dr. Louis Sullivan to lead a Cabinet-level review of health care in the 1990's. We don't know yet where this review will lead us. But we do know that businesses like those you represent will be a big part of the answer to improving health care and increasing access. 7 The epidemic is not over. We report tens of thousands of new cases every year. And many predict we can expect to continue to do so in this decade, and even into the next century. this And yet, as in every generation, no crisis is without hopeful signs. To begin with, we can be encouraged by the news that current projections of the infection rate will not be as high as we thought just a year ago. The use of new medicines such as A-Z-T means that more and more people with HIV will be able to live and work because these therapies offer the potential of making it a more manageable disease. Keep them in your workforce. They can serve many, many more productive years with no threat to you, your other workers, or your companies. It will reduce costs for everyone. And it's the right thing to do. III The pace of progress is promising. The HIV virus has been identified, isolated, and attacked with experimental treatments in a span of less than 10 years. The normal, centuries-long evolution of disease and treatment compressed into a decade. And this race against time has produced an explosion in knowledge and basic understanding about the nature of disease and immunology. Like the unexpected technological boons from Apollo's race to the moon, some physicians predict the race to cure AIDS may even produce a cure for cancer. We're going to continue to fight like hell. But we're also going to fight for hope. America has a unique capacity for beating the odds -- and astounding the world. 8 During my own childhood, the silent, whispered terror was a mysterious killer called polio. Like HIV, the virus ignored class distinctions and geographic boundaries. Monday would come, and kids who'd been in school on Friday were simply never seen again. Theaters were closed, summer camps, swimming pools. As with AIDS, there was a lot of ignorance. Thousands of stray cats and dogs put to death. Kids sleeping with camphor inhalers. At least one town was fumigated with D.D.T. -- doing human health. nothing Bald to stop polio -- and unknowingly helping endanger the American eagle There were terrifying outbreaks in the teens, in the Should service be move 100. thirties, in the fifties. A cure was so far distant the experts refused to speculate. One doctor observed: "We have learned very little that is new about the disease, but much that is old about ourselves." And then, suddenly, it was over. It happened so fast. The dreaded iron lung, unused, cluttering hospital hallways. Children again growing up in a world without fear. Many comparisons have been made to epidemics past. Cholera. The Plague. Yellow fever. None of them perfect. So let me boil down the lessons of polio to two: There was a lot of ignorance -- let's learn from that. And in the darkest of hours -- hope came unexpectedly, powerfully and with finality. Let's work hard to see that day come to pass. III Together, we will make a difference, for those with HIV and AIDS -- and for all Americans. 1111 Thank you. And may God bless the United States of America. # # # THE WHITE HOUSE WASHINGTON 90 MAR26 Pl: 37 See Porter's memo, (A 7.) Rogers says March 26, 1990 "Pink would like to insert a line or two" on this - not a MEMORANDUM FOR CHRISS WINSTON pages or two FROM: JIM PINKERTON SUBJECT: National Leadership Coalition on AI (This audience is business - and industry For purposes of the speech, Roger Porter asked r not community come up with a few examples of volunteers who are / in fighting AIDS and who represent the spirit of looking mood for service groups Thousand Points of Light. Accordingly, I have dr health care policies short insert (below) for your consideration which than service ideas) reference to these examples. The fourth paragraph on page five, which ends: "Washing your hands of it won't help solve this problem. But rolling up your sleeves will," seems a logical place for such an insert to follow. "Ordinary Americans across this country have joined together and rolled up their sleeves in response to the AIDS crisis. Last month I was pleased to name one such effort as a "Point of Light" -- an exemplar of the spirit of serving others, what I call the Thousands Points Of Light, that is SO uniquely American. That effort was the ActionAIDS organization, a non- profit group based in Philadelphia. ActionAIDS is made up of a professional staff and numerous volunteers who work directly, one-on-one, with patients, and who provide information about AIDS and HIV-related diseases to the community. Meanwhile, down in Florida, a remarkable man, the Reverend Michael Lewis, decided to do something about a heartbreaking tragedy: AIDS babies. He mobilized his congregation and together they transformed an abandoned crack house into a center to recruit and train foster parents to care for AIDS and HIV-infected babies, as well as cocaine- addicted babies. And in San Francisco, another group, Project Open Hand, has taken on a simple but significant mission: to provide meals to people with AIDS. Two weeks ago, in a terrific example of volunteer (more) 2 groups joining forces, Project Open Hand announced a partnership with the Sonoma County 4-H Clubs. The Sonoma 4-H'ers, teenagers 11 to 18 years old, have started to expand their gardens and raise more livestock in order to help Project Open Hand meet the increased demand for its meals. These Americans and millions more form a kind of honor roll of selflessness. In each of their achievements, however humble, they affirm the truth of something you may have heard me say before: From now on in America, any definition of a successful life must include serving others. " The roster of participants at this Conference is itself an honor roll " ### CC: Roger B. Porter THE WHITE HOUSE WASHINGTON March 26, 1990 MEMORANDUM FOR CHRISS WINSTON FROM: ROGER B. PORTER RBP Note: The literature SUBJECT: Presidential Remarks: National Leaders on AIDS is replete us Coalition on Aids comparisons to the speeches at HHS, etc .)dt' Plague (books, Heckler's I am pleased to provide my comments on the Presi remarks to the National Leadership Coalition on Aids. (although we could a mainstream reference. substitute "small 1. On page 1, in the paragraph that begins "(o) ther generations the use of the term "plague" seems to me to be both too extreme and too removed in time to be appropriate Also, rather than talk about our "choices" in this context, I think we should be talking about our "responsibility". 2. On the bottom of page 1, we should again be discussing our responsibility to society. Most, if not all, individuals who are "living with HIV and AIDS " will die before any cure is found. 3. On page 2, the alliteration in the second paragraph is both too narrow in its scope (the battle needs to be waged beyond our homes) and could be misconstrued. I suggest substituting "by science" for "in our hospitals" and "by society" for "in our homes". 4. On page 2, in the sixth paragraph, the reference to "almost three years ago" sounds like the President only recently started thinking about something that has been of great concern to many in the audience and the press for much longer than that. My suggestion is to insert "some" for "almost three". 5. On page 3, in the first full paragraph, I think we should omit the references to oat bran etc. Additionally, the description in this paragraph of how one gets AIDS suggests that it is within each person's power to prevent AIDS. This ignores babies who contract it from their mothers and those who contract it from blood transfusions. 6. On page 4, the last full paragraph, in the sentence that begins "they prove " the word "person" should be inserted in lieu of "man". 7. On page 5, Jim Pinkerton would like to insert a line or two relating to "points of light" in the last full paragraph. He -2- will provide this language directly to you. 8. On page 6, perhaps there is another budget we can compare the AIDS budget to other than the FBI. The FBI has connotations for some people that are better left undisturbed. Additionally, by referring to the National Cancer Institute, we run the risk of people confusing the Institute with our total spending to fight cancer. 9. I would like to see us drop the entire discussion of our health care system and Dr. Sullivan's Cabinet-level review at 7 page 6. I will be happy to discuss the reasons in greater length if you wish over the phone. The speech is already on the long side and omitting these paragraphs should not be a problem. 10. At page 7, I recommend dropping the reference to producing a cure for cancer from our search for a cure for AIDS. I am uncertain of the origin of that type of speculation. 11. At page 8, the discussion about polio is quite good. I think the reference to the American Eagle, however, is out of place. D.D.T. endangered the very children the town was seeking to protect. That seems more relevant to me than the American Eagle, particularly because we are uncertain of whether it was more than one town. 12. At page 8, again I recommend dropping the reference to the plague. 13. Finally, although I agree we have a lot to learn from our experience with polio, and that is a good way to end the speech, I do not believe we ought to be promoting the notion that someday we will simply wake up and the threat will be over. We can hope that is the case, but we do not have enough information to predict or suggest that it will be. Attached is a copy of the remarks with several additional comments and edits for your consideration. If you have any questions, please let me know. CC: James W. Cicconi Document No. 125786SS WHITE HOUSE STAFFING MEMORANDUM 90 MAR 26 P2: 55 DATE: 3/23/90 ACTION/CONCURRENCE/COMMENT DUE BY: 3/26/90 2:00 PM PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS SUBJECT: ACTION FYI ACTION FYI VICE PRESIDENT MCCLURE SUNUNU NEWMAN SCOWCROFT PORTER DARMAN ROGICH BATES UNTERMEYER CARD ROGERS CICCONI WINSTON DEMAREST PINKERTON FITZWATER LEE GRAY HAGIN REMARKS: Please forward any comments directly to Chriss Winston, Rm. 122, x2930, no later than 2:00 PM, Monday, March 26, with a copy to my office. Thank you. RESPONSE: See comments James W. Cicconi Assistant to the President and Deputy to the Chief of Staff Ext. 2702 McNally/Simon March 23, 1990 1990 MAR 23 AM ID: 59 Draft Three (B:AIDS) PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS CRYSTAL GATEWAY MARRIOTT THURSDAY, MARCH 29, 1990, 11:15 A.M. Thank you, . [ACKNOWLEDGEMENTS] There could scarcely be a more important gathering, a more important place for me to be than here with you -- the men and women who guide business and industry as they focus on the best way to help our people suffering with HIV and AIDS. There are many team players in this struggle. Community service organizations. Religious leaders of all persuasions. AIDS service organizations created by volunteers, many of them also infected with HIV. And corporations and private foundations that together have given over $100 million to support literally thousands of AIDS projects. You make our hearts glad. And you make your country proud. Other generations have faced life-threatening medical crises, from polio to the plague. This virus is our challenge. Not a challenge we sought. Not a challenge we chose. But today our choice is simple: We will meet this challenge. We will beat this virus. For whether talking about a nation or an individual, character is measured not by our tragedies -- but by how we respond to those tragedies. 111. And for those who are living with HIV and AIDS, our response is simple: They deserve our compassion. They deserve our care. And they deserve more than a chance -- they deserve a cure. III 2 America will accept nothing less. We are slashing red tape. Accelerating 'schedules. Boosting research. And somewhere out there, there's a Nobel prize -- and the gratitude of the planet Earth -- waiting for the man or woman who peers into a microscope and sees the answer that's eluded everyone else. We pray that day will come soon. But until that day -- until this virus can be defeated in our hospitals -- there's a battle to be waged in our homes. III Because in 1990, the single most effective weapon in our arsenal against AIDS is not medication, 11 but education. III We must increase our efforts to educate the public about AIDS and how it is contracted. Our goal is to turn irrational fear into rational facts. Because this isn't just a fight against disease. It's also a fight against ignorance. A fight against discrimination. III Almost three years ago, I described our struggle against the HIV virus as a battle against a "new and mysterious disease." Today, HIV is not so new and not so mysterious. Today, HIV has joined cancer, heart disease, and accidents as one of the deadly realities of our time. of these, HIV is one of the most lethal, one of the most frightening. But HIV is also one of the most preventable. Every American must learn what AIDS is -- and what AIDS is not. And they must learn now. So let's shoot down some myths. The HIV virus is not spread by handshakes or hugs. You can't get 3 it from food or drink. Coughing or sneezing. Or by sharing bathrooms or towels or conversation. It's not like heart disease, where there's confusion over ever-changing bits of advice on oat bran and olive oil, exercise and eggs. The transmission of AIDS is as simple as it is deadly. It's determined not by what you are -- but by what you do -- and by what you fail to do. 111 Let me state it clearly: People are placed at risk not by their demographics, but by their deeds. By their behavior. III And so it is our duty to make certain that every American has the essential information needed to prevent the spread of HIV and AIDS. Because while the ignorant may discriminate against AIDS -- AIDS won't discriminate among the ignorant. 111 Like many of you, Barbara and I have had friends who have died of AIDS. Our love for them when they were sick and when they died was just as great and just as intense as for anyone we have lost to heart disease or cancer or accidents. In this nation, in this decade, there is only one way to deal with an individual who is sick. With dignity. Compassion. Care. Confidentiality. And without discrimination. 111 Once disease strikes -- we don't blame those who are suffering. We don't spurn the accident victim who didn't wear a seatbelt. We don't reject the cancer patient who didn't quit smoking. We try to love them and care for them and comfort them. We do not fire them, or evict them, or cancel their insurance. on this ML liect recommend beef in as exact parameters of bill/are unclear and this way we cars true usagerial 4 endorsement for paramenters in this mil on this subject or, more nroadly, for the House versins of bill that have People with AIDS are no different than people with other notyet accu endresed by the Administration disabling and life-threatening diseases. They are our colleagues Damus and co-workers. Our friends. Our families. THEY ARE US. hhost And today I call on the House of Representatives to get on with the job of passing a law -- the Americans with Disabilities Act -- that prohibits discrimination against those with HIV and AIDS. This is a fight against a disease -- not a fight against people. III And we won't tolerate discrimination. IIII The disease is attacking our most precious resource -- our people, our young. Unlike many of the diseases that cause disability in our elderly, AIDS affects many Americans now in the prime of life. Ninety-five percent of the 115,000 Americans with AIDS are between the ages of 20 and 59. These were the years they planned to work and create, and save for the future. Now their struggle is to survive. The statistics are numbing. You heard them this morning. But just look at the amazing quilts which hang around us today. They prove that no man is a statistic. Every life has its own fabric. Its own colors. Its own purpose. Its own soul. And like the quilts, no two are alike. III These quilts commemorate the dead. But the most important part of our learning is with the living. And I hope that you will go out and visit the AIDS wards. Meet with the patients and their families. See the face of humanity in the face of AIDS. 5 When Barbara and I left Washington for the Christmas holidays, our last stop was a clinic at the National Institutes of Health. We were impressed by the mettle and determination of the people there -- the doctors, nurses, and health care workers -- and especially the brave people who are living with HIV. We learned a lot about courage. A lot about family. And a lot about hope. Recently, we received a letter from seven who we visited. They wrote: "Each of us looks for hope in very personal ways. We seek comfort and warmth from those we love. We seek new answers through participation in experimental drug studies. We seek to enjoy the simplest of pleasures in everyday life. We seek to make peace with ourselves and with those who don't understand us. We seek a voice, a compassionate voice, that can address the concerns of hundreds of thousands of people." Ladies and gentlemen, the voice they seek must be your voice. The voice of every American. III Your employees will take their cues from you. You are in a powerful, unique position to influence the response to HIV and AIDS. When someone asks: "Who will volunteer to help care for our co-workers with AIDS?" you should be the first to say, "I will." Washing your hands of it won't help solve this problem. But rolling up your sleeves will. III The roster of participants at this Conference is an honor roll. Allstate sponsored a landmark conference to help deal with the impact of HIV at work. The magazine, Fortune, launched a 6 survey that helped us understand the attitudes and actions of C.E.O.'s in responding to HIV. [An industrial giant] asked an HIV expert to brief its key officers -- and pledged to conduct an education program for employees. Others are fighting the spread of HIV by fighting to keep schools and workplaces drug-free. This is America responding to a crisis. This is America at its best. This epidemic is having a major impact on our health care system. It is altering spending patterns by our government. In 1982, we knew little about AIDS -- and spent only $8 million. By 1990, that has grown to almost $3 billion more, even, than the Suggestion: budget of the entire FBI -- and almost double what's spent for End sentence the the National Cancer Institute. Note: this includes tan after amount forthe national $3billion as a And I have asked Congress for still more money -- almost cancer Institute there is $3.5 billion in the next fiscal year. Money for basic research. $ lot of 150 flict For HIV treatment and education. For protecting civil rights. million for AIDS over con AIDS spending us. for that is America has the most sophisticated health care system in the for AIDS world. But it's not enough. Our system depends on private research insurance and individual payments, as well as government programs. AIDS magnifies the challenges, including the challenge Herl HX5178 of providing fair access to care to all Americans, rich and poor. In my State of the Union Address, I asked Dr. Louis Sullivan to lead a Cabinet-level review of health care in the 1990's. We don't know yet where this review will lead us. But we do know that businesses like those you represent will be a big part of the answer to improving health care and increasing access. 7 The epidemic is not over. We report tens of thousands of new cases every year. And many predict we can expect to continue to do so in this decade, and even into the next century. And yet, as in every generation, no crisis is without hopeful signs. To begin with, we can be encouraged by the news that current projections of the infection rate will not be as high as we thought just a year ago. The use of new medicines such as A-Z-T means that more and more people with HIV will be able to live and work because these therapies offer the potential of making it a more manageable disease. Keep them in your workforce. They can serve many, many more productive years with no threat to you, your other workers, or your companies. It will reduce costs for everyone. And it's the right thing to do. The pace of progress is promising. The HIV virus has been identified, isolated, and attacked with experimental treatments in a span of less than 10 years. The normal, centuries-long evolution of disease and treatment compressed into a decade. And this race against time has produced an explosion in knowledge and basic understanding about the nature of disease and immunology. Like the unexpected technological boons from Apollo's race to the moon, some physicians predict the race to cure AIDS may even produce a cure for cancer. We're going to continue to fight like hell But we're also guitaste going to fight for hope. America has a unique capacity for beating the odds -- and astounding the world. HRIL X 5178 8 During my own childhood, the silent, whispered terror was a mysterious killer called polio. Like HIV, the virus ignored class distinctions and geographic boundaries. Monday would come, and kids who'd been in school on Friday were simply never seen again. Theaters were closed, summer camps, swimming pools. As with AIDS, there was a lot of ignorance. Thousands of stray cats and dogs put to death. Kids sleeping with camphor inhalers. At least one town was fumigated with D.D.T. -- doing nothing to stop polio -- and unknowingly helping endanger the American eagle. There were terrifying outbreaks in the teens, in the thirties, in the fifties. A cure was so far distant the experts refused to speculate. One doctor observed: "We have learned very little that is new about the disease, but much that is old about ourselves." And then, suddenly, it was over. It happened so fast. The dreaded iron lung, unused, cluttering hospital hallways. Children again growing up in a world without fear. Many comparisons have been made to epidemics past. Cholera. The Plague. Yellow fever. None of them perfect. So let me boil down the lessons of polio to two: There was a lot of ignorance -- let's learn from that. And in the darkest of hours -- hope came unexpectedly, powerfully and with finality. Let's work hard to see that day come to pass. 111 Together, we will make a difference, for those with HIV and AIDS -- and for all Americans. 1111 Thank you. And may God bless the United States of America. # # # Document No. 125786SS WHITE HOUSE STAFFING MEMORANDUM DATE: 3/23/90 ACTION/CONCURRENCE/COMMENT DUE BY: 3/26/90 2:00 PM PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS SUBJECT: ACTION FYI ACTION FYI VICE PRESIDENT MCCLURE SUNUNU NEWMAN SCOWCROFT PORTER DARMAN ROGICH BATES UNTERMEYER CARD ROGERS CICCONI WINSTON DEMAREST PINKERTON FITZWATER LEE GRAY HAGIN REMARKS: Please forward any comments directly to Chriss Winston, Rm. 122, x2930, no later than 2:00 PM, Monday, March 26, with a copy to my office. Thank you. RESPONSE: James W. Cicconi Assistant to the President and Deputy to the Chief of Staff Ext. 2702 McNally/Simon March 23, 1990 1990 MAR 23 AM ID: 59 Draft Three (B:AIDS) PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS CRYSTAL GATEWAY MARRIOTT THURSDAY, MARCH 29, 1990, 11:15 A.M. Thank you, . [ACKNOWLEDGEMENTS] There could scarcely be a more important gathering, a more important place for me to be than here with you -- the men and women who guide business and industry as they focus on the best way to help our people suffering with HIV and AIDS. There are many team players in this struggle. Community service organizations. Religious leaders of all persuasions. AIDS service organizations created by volunteers, many of them also infected with HIV. And corporations and private foundations that together have given over $100 million to support literally thousands of AIDS projects. You make our hearts glad. And you make your country proud. Other generations have faced life-threatening medical SHOULD NETATION DRIVE. crises, from polio to the plague. This virus is our challenge. THE PLASUE:NOT a challenge we sought. Not a challenge we chose. But today RESPONSIBILITY CAN BE STATED SIMPLY: our choice is simple: MUST We will meet this challenge. We will MUST beat this virus. For whether talking about a nation or an ind 1 Good! Mc Clure is measured not by our tragedies -- but by makes the same nose tragedies. III suggestion And for those who are living with I sponse is simple: They deserve our compassion. They deserve our care. And they deserve more than a chance -- they deserve a cure. III BUT BEYOND COMPASSION AND CARE, WE MUST FIND 2 America will accept nothing less. We are slashing red tape. Accelerating schedules. Boosting research. And somewhere out there, there's a Nobel prize -- and the gratitude of the planet DISCOVERS Earth -- waiting for the man or woman who peers into a microscope "science" and e answer that's eluded everyone else. society - this 7 that day will come soon. But until that day -- is improvement terrific BY SCIENCE irus can be defeated in our hospitals -- there's a BY SOCIETY. waged in our homes. III Because in 1990, the single most effective weapon in our arsenal against AIDS is [not medication, 11 but but] education. \\\ We must i to educate the public about AIDS and how i He's right Good fear into rati change. (Mc Clure r goal is to turn irrational makes the some Because t point) ht against disease. It's also a fight agains t against discrimination. III SOME Almost three years ago, I described our struggle against the HIV virus as a battle against a "new and mysterious disease." " Today, HIV is not so new and not so mysterious. Today, HIV has joined cancer, heart disease, and accidents as one of the deadly realities of our time. Of these, HIV is one of the most lethal, one of the most frightening. But HIV is also one of the most preventable. Every American must learn what AIDS is -- and what AIDS is not. And they must learn now. So let's shoot down some myths. The HIV virus is not spread by handshakes or hugs. You can't get 3 it from food or drink. Coughing or sneezing. Or by sharing bathrooms or towels or conversation. [It's not like heart disease, where there's confusion over OMIT. THIS is A BATTLE ever-changing bits of advice on oat bran and olive oil, exercise WE DON'T and eggs. The transmission of AIDS is as simple as it is deadly. NEED. It's determined not by what you are -- but by what you do -- and MAITH AIDS. by what you fail to do. III 1 Counsel's : state it clearly: People are placed at risk not by office has assem [raphics, but by their deeds. By their behavior. III that a solves this. ential information needed to prevent the spread of HIV suggested edit, it is our duty to make certain that every American Because while the ignorant may discriminate against UNINFORMED. AIDS -- AIDS won't discriminate among the ignorant. III Like many of you, Barbara and I have had friends who have died of AIDS. Our love for them when they were sick and when they died was just as great and just as intense as for anyone we have lost to heart disease or cancer or accidents. In this nation, in this decade, there is only one way to deal with an individual who is sick. With dignity. Compassion. Care. Confidentiality. And without discrimination. III Once disease strikes -- we don't blame those who are suffering. We don't spurn the accident victim who didn't wear a seatbelt. We don't reject the cancer patient who didn't quit smoking. We [try to] love them and care for them and comfort them, * We do not fire them, or evict them, or cancel their insurance. * EVEN AS WE SEEK TO EDUCATE THE NEXT GENERATION. 4 People with AIDS are no different than people with other disabling and life-threatening diseases. They are our colleagues and co-workers. Our friends. Our families. THEY ARE US. And today I call on the House of Representatives to get on with the job of passing a law -- the Americans with Disabilities Act -- that prohibits discrimination against those with HIV and AIDS. This is a fight against a disease -- not a fight against people. III And we won't tolerate discrimination. 1111 The disease is attacking our most precious resource -- our people, our young. Unlike many of the diseases that cause disability in our elderly, AIDS affects many "Four score and seven he prime of life. Ninety-five percent of the : years ago, our th AIDS are between the ages of 20 and 59. The fathers and brought they planned to work and create, and save fo forth on this their struggle is to survive. The statistics are numbing. You heard them this morning. But just look at the amazing quilts which hang around us today. PERSON They prove that no man- is a statistic. Every life has its own fabric. Its own colors. Its own purpose. Its own soul. And like the quilts, no two are alike. III These quilts commemorate the dead. But the most important part of our learning is with the living. And I hope that you will go out and visit the AIDS wards. Meet with the patients and their families. See the face of humanity in the face of AIDS. 5 When Barbara and I left Washington for the Christmas holidays, our last stop was a clinic at the National Institutes of Health. We were impressed by the [mettle and] determination of the people there -- the doctors, nurses, and health care workers -- and especially the brave people who are living with HIV. We learned a lot about courage. A lot about family. And a lot about hope. Recently, we received a letter from seven who we visited. They wrote: "Each of us looks for hope in very personal ways. We seek comfort and warmth from those we love. We seek new answers through participation in experimental drug studies. We seek to enjoy the simplest of pleasures in everyday life. We seek to make peace with ourselves and with those who don't understand us. We seek a voice, a compassionate voice, that can address the concerns of hundreds of thousands of people." Ladies and gentlemen, the voice they seek must be your voice. The voice of every American. III Your employees will take their cues from you. You are in a powerful, unique position to influence the response to HIV and JIM POINTS THOUS PANOSIENT. of AIDS. When someone asks: "Who will volunteer to help care for our co-workers with AIDS?" you should be the first to say, "I will." Washing your hands of it won't help solve this problem. But rolling up your sleeves will. 111 The roster of participants at this Conference is an honor roll. Allstate sponsored a landmark conference to help deal with the impact of HIV at work. The magazine, Fortune, launched a 6 survey that helped us understand the attitudes and actions of C.E.O.'s in responding to HIV. [An industrial giant] asked an HIV expert to brief its key officers -- and pledged to conduct an education program for employees. Others are fighting the spread of HIV by fighting to keep schools and workplaces drug-free. This is America responding to a crisis. This is America at its best. This epidemic is having a major impact on our health care system. It is altering spending patterns by our government. In 1982, we knew little about AIDS -- and spent only $8 million. By 1990, that has grown to almost $3 billion [more, even, than the budget of the entire FBI -- and almost double what's spent for the National Cancer Institute. 1 the edit from And I have asked Congress for still more Cabinet affails may solve this $3.5 billion in the next fiscal year. Money For HIV treatment and education. For protect America has the most sophisticated health care system in the world. But it's not enough. Our system depends on private insurance and individual payments, as well as government programs. AIDS magnifies the challenges, including the challenge DROP of providing fair access to care to all Americans, rich and poor. In my State of the Union Address, I asked Dr. Louis Sullivan to lead a Cabinet-level review of health care in the 1990's. We don't know yet where this review will lead us. But we do know that businesses like those you represent W l agree these 3 It's of the answer to improving health care and incr should be cut for length (since Sullum is speaking in the A.M.). But the fair access" is a good signal, showing POTUS recognings AIDS intend impact the minority community my 7 The epidemic is not over. We report tens of thousands of new cases every year. And many predict we can expect to continue to do so in this decade, and even into the next century. And yet, as in every generation, no crisis is without hopeful signs. To begin with, we can be encouraged by the news that current projections of the infection rate will not be as high as we thought just a year ago. The use of new medicines such as A-Z-T means that more and more people with HIV will be able to live and work because these therapies offer the potential of making it a more manageable disease. Keep them in your workforce. They can serve many, many more productive years with no threat to you, your other workers, or your companies. It will reduce costs for everyone. And it's the right thing to do. III The pace of progress is promising. The HIV virus has been identify McNallip comments line. nd atta al treatments in this "God" on AIDS at NIH. soften ("bad to instead the of 10 year (Fauci will also turies-long evol produce?); But up Dr. OK treat address this group a decade. knowl fauce line confirmed by by st tim in the A.M.) plosion in understand : of disease and immunology. [Like the unexpected technological boons from DROP Apollo's race to the moon, some physicians predict the race to cure AIDS may even produce a cure for cancer .] We're going to continue to fight. like hell. But we're also going to fight for hope. America has a 2 Cabinet offairs beating the odds -- and astounding the that's a nice offers an edit impronement on this. 8 During my own childhood, the silent, whispered terror was a mysterious killer called polio. Like HIV, the virus ignored class distinctions and geographic boundaries. Monday would come, and kids who'd been in school on Friday were simply never seen again. Theaters were closed, summer camps, swimming pools. As with AIDS, there was a lot of ignorance. Thousands of stray cats and dogs put to death. Kids sleeping with camphor inhalers. At least one town was fumigated with D.D.T. -- doing nothing to stop polio -- and unknowingly helping endanger the American eagle. There were terrifying outbreaks in the teens, in the thirties, in the fifties. A cure was so far distant the experts refused to speculate. One doctor observed: "We have learned very little that is new about the disease, but much that is old about ourselves." And then, suddenly, it was over. It happened so fast. The dreaded iron lung, unused, cluttering hospital hallways. Children again growing up in a world without fear. Many comparisons have been made to epidemics past. Cholera. DROP The Plague. Yellow fever. None of them perfect. So let me boil down the lessons of polio to two: vas a lot of ignorance -- let's learn from that. And small pox. st of hours -- hope came unexpectedly, powerfully and :- Let's work hard to see that day come to pass. III . we will make a difference, for those with HIV and r all Americans. Thank you. And may God bless the United States of America. # # # Document No. 125786SS WHITE HOUSE STAFFING MEMORANDUM DATE: 3/23/90 ACTION/CONCURRENCE/COMMENT DUE BY: 3/26/90 2:00 PM PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS SUBJECT: ACTION FYI ACTION FYI VICE PRESIDENT MCCLURE SUNUNU NEWMAN SCOWCROFT PORTER DARMAN ROGICH BATES UNTERMEYER CARD ROGERS CICCONI WINSTON DEMAREST PINKERTON FITZWATER LEE GRAY HAGIN REMARKS: Please forward any comments directly to Chriss Winston, Rm. 122, x2930, no later than 2:00 PM, Monday, March 26, with a copy to my office. Thank you. RESPONSE: HITS winments in blereinle. 3-26-90 James W. Cicconi Assistant to the President and Deputy to the Chief of Staff Ext. 2702 McNally/Simon March 23, 1990 1990 MAR 23 AM ID: 59 Draft Three (B:AIDS) PRESIDENTIAL REMARKS: NATIONAL LEADERSHIP COALITION ON AIDS CRYSTAL GATEWAY MARRIOTT THURSDAY, MARCH 29, 1990, 11:15 A.M. Thank you, . [ACKNOWLEDGEMENTS] (sounds This is a very important and I condescenting) There could scarcely be a more important gathering, a more am honored to be important place for me to be than here with you -- the men and women who guide business and industry as they focus on the best way to help our people suffering with HIV and AIDS. There are many team players in this struggle. Community service organizations. Religious leaders of all persuasions. AIDS service organizations created by volunteers, many of them also infected with HIV. And corporations and private foundations that together have given over $100 million to support literally (private funding thousands of AIDS projects. a mount too close in text to exclamation of You make our hearts glad. And you make your country proud. approval. Other generations have faced life-threatening medical [People may criticize crises, from polio to the plague. This virus is our challenge. the amount of Federal Not a challenge we sought. Not a challenge we chose. But today Spending Orlack our choice is simple: thereof! We will meet this challenge. We will beat this virus. For whether talking about a nation or an individual, character is measured not by our tragedies but by how we respond to those all this opens us tragedies. III up to criticom for lack And for those who are living with HIV and AIDS, our response of more visible Govt. response. is simple: They deserve our compassion. They deserve our care. And they deserve more than a chance -- they deserve a cure. III promises too much our continued (work or) efforts for a cure. a little sensitive because there is someone at NIH, Robertballow, who is nobel prize material. But he is now under a Congressional investigation for misconduct in science. America will accept nothing less. We are slashing red tape. Accelerating schedules. Boosting research. And somewhere out there, there's a Nobel prize -- and the gratitude of the planet Earth -- waiting for the man or woman who peers into a microscope and sees the answer that's eluded everyone else. a littledated now us lazer' + We pray that day will come soon. But until that day -- other hightech until this virus can be defeated in our hospitals -- there's a equip Research battle to be waged in our homes. III Because in 1990, the single most effective weapon in our arsenal against AIDS is not medication, 11 but education. III We must increase our efforts to educate the public about AIDS and how it is contracted. Our goal is to turn irrational fear into rational facts. Because this isn't just a fight against disease. It's also a fight against ignorance. A fight against discrimination. III Almost three years ago, I described our struggle against the HIV virus as a battle against a "new and mysterious disease." Today, HIV is not so new and not so mysterious. Today, HIV has joined cancer, heart disease, and accidents as one of the deadly realities of our time. Of these, HIV is one of the most lethal, one of the most frightening. But HIV is also one of the most preventable. Every American must learn what AIDS is -- and what AIDS is not. And they must learn now. So let's shoot down some myths. The HIV virus is not spread by handshakes or hugs. You can't get 3 it from food or drink. Coughing or sneezing. or by sharing bathrooms or towels or conversation. It's not like heart disease, where there's confusion over ever-changing bits of advice on oat bran and olive oil, exercise and eggs. The transmission of AIDS is as simple as it is deadly. It's determined not by what you are -- but by what you do -- and by what you fail to do. III Let me state it clearly: People are placed at risk not by their demographics, but by their deeds. By their behavior. 111 And so it is our duty to make certain that every American has the essential information needed to prevent the spread of HIV and AIDS. Because while the ignorant may discriminate against AIDS -- AIDS won't discriminate among the ignorant. III Like many of you, Barbara and I have had friends who have died of AIDS. Our love for them when they were sick and when they died was just as great and just as intense as for anyone we have lost to heart disease or cancer or accidents. In this nation, in this decade, there is only one way to deal with an individual who is sick. with dignity. Compassion. Care. Confidentiality. And without discrimination. 111 Once disease strikes -- we don't blame those who are suffering. We don't spurn the accident victim who didn't wear a seatbelt. We don't reject the cancer patient who didn't quit smoking. We try to love them and care for them and comfort them. We do not fire them, or evict them, or cancel their insurance. 4 People with AIDS are no different than people with other disabling and life-threatening diseases. They are our colleagues and co-workers. Our friends. Our families. THEY ARE US. And today I call on the House of Representatives to get on with the job of passing a law -- the Americans with Disabilities Act -- that prohibits discrimination against those with HIV and AIDS. This is a fight against a disease -- not a fight against people. III And we won't tolerate discrimination. IIII The disease is attacking our most precious resource -- our people, our young. Unlike many of the diseases that cause disability in our elderly, AIDS affects many Americans now in the diagnosed Since prime of life. Ninety-five percent of the 115,000 Americans with 1981 AIDS are havebeen between the ages of 20 and 59. These were the years (67,000 of they planned to work and create, and save for the future. Now the 15,000 their struggle is to survive. are dead) The statistics are numbing. You heard them this morning. But just look at the amazing quilts which hang around us today. person or no one They prove that no man is a statistic. Every life has its own fabric. Its own colors. Its own purpose. Its own soul. And like the quilts, no two are alike. III These quilts commemorate the dead. But the most important part of our learning is with the living. And I hope that you asinawedone anl will go out and visit the AIDS wards/ Meet with the patients and their families. See the face of humanity in the face of AIDS. 5 When Barbara and I left Washington for the Christmas holidays, our last stop was a clinic at the National Institutes of Health. We were impressed by the mettle and determination of the people there -- the doctors, nurses, and health care workers -- and especially the brave people who are living with HIV. We learned a lot about courage. A lot about family. And a lot about hope. patients Recently, we received a letter from seven we visited. They wrote: "Each of us looks for hope in very personal ways. We seek comfort and warmth from those we love. We seek new answers through participation in experimental drug studies. We seek to enjoy the simplest of pleasures in everyday life. We seek to make peace with ourselves and with those who don't understand us. We seek a voice, a compassionate voice, that can address the concerns of hundreds of thousands of people." Ladies and gentlemen, the voice they seek must be your voice. The voice of every American. III Your employees will take their cues from you. You are in a powerful, unique position to influence the response to HIV and AIDS. When someone asks: "Who will volunteer to help care for our co-workers with AIDS?" you should be the first to say, "I will." Washing your hands of it won't help solve this problem. But rolling up your sleeves will. 111 The roster of participants at this Conference is an honor roll. Allstate sponsored a landmark conference to help deal with the impact of HIV at work. The magazine, Fortune, launched a 6 survey that helped us understand the attitudes and actions of C.E.O.'s in responding to HIV. [An industrial giant] asked an HIV expert to brief its key officers -- and pledged to conduct an education program for employees. Others are fighting the spread of HIV by fighting to keep schools and workplaces drug-free. This is America responding to a crisis. This is America at its best. This epidemic is having a major impact on our health care system. It is altering spending patterns by our government. In 1982, we knew little about AIDS -- and spent only $8 million. By 1990, that has grown to almost $3 billion -- more, even, than the budget of the entire FBI and almost double what's spent for the reference is inflammatory .5) the National Cancer Institute. because AIDS is now public health And I have asked Congress for still more money -- almost enemy #1 $3.5 billion in the next fiscal year. Money for basic research. For HIV treatment and education. For protecting civil rights. America has the most sophisticated health care system in the world. But it's not enough. Our system depends on private insurance and individual payments, as well as government programs. AIDS magnifies the challenges, including the challenge of providing fair access to care to all Americans, rich and poor. In my State of the Union Address, I asked Dr. Louis Sullivan Domestic Policy Council the delivery system. to lead a Cabinet level review of health care in the 1990 We don't know yet where this review will lead us. But we do must play a Key role in know that businesses like those you represent will be a big part pro viding the unswer to of the answer to improving health care and increasing access. 7 The epidemic is not over. We report tens of thousands of new cases every year. And many predict we can expect to continue to do so in this decade, and even into the next century. And yet, as in every generation, no crisis is without hopeful signs. To begin with, we can be encouraged by the news that current projections of the infection rate will not be as high as we thought just a year ago. The use of new medicines such as A-Z-T means that more and more people with HIV will be able to live and work because these therapies offer the potential of making it a more manageable disease. Keep them in your workforce. They can serve many, many more productive years with no threat to you, your other workers, or your companies. It will reduce costs for everyone. And it's the right thing to do. The pace of progress is promising. The HIV virus has been identified, isolated, and attacked with experimental treatments in a span of less than 10 years. The normal, centuries-long evolution of disease and treatment compressed into a decade. And this race against time has produced an explosion in knowledge and basic understanding about the nature of disease and immunology. Like the unexpected technological boons from Apollo's race to the moon, some physicians predict the race to cure AIDS may even produce a cure for cancer. The destruction, the death, the lost uppor- We're going to continue to fight, like holl. But we're also tunities going to fight for hope. America has a unique capacity for beating the odds -- and astounding the world. 8 During my own childhood, the silent, whispered terror was a mysterious killer called polio. Like HIV, the virus ignored class distinctions and geographic boundaries. Monday would come, and kids who'd been in school on Friday were simply never seen again. Theaters were closed, summer camps, swimming pools. indealing with polio. As with AIDS, there was a lot of ignorance^ Thousands of stray cats and dogs put to death. Kids sleeping with camphor inhalers. At least one town was fumigated with D.D.T. -- doing nothing to stop polio -- and unknowingly helping endanger the American eagle. There were terrifying outbreaks in the teens, in the thirties, in the fifties. A cure was so far distant the experts refused to speculate. One doctor observed: "We have learned very little that is new about the disease, but much that is old about ourselves." And then, suddenly, it was over. It happened so fast. The dreaded iron lung, unused, cluttering hospital hallways. Children again growing up in a world without fear. Many comparisons have been made to epidemics past. Cholera. The Plague. Yellow fever. None of them perfect. So let me boil down the lessons of polio to two: There was a lot of ignorance -- let's learn from that. And in the darkest of hours -- hope came unexpectedly, powerfully and with finality. Let's work hard to see that day come to pass. 111 Together, we will make a difference, for those with HIV and AIDS -- and for all Americans. Thank you. And may God bless the United States of America. # # # THE WHITE HOUSE WASHINGTON NATIONAL LEADERSHIP COALITION ON AIDS GENERAL COMMENTS ON THE PRESIDENT'S ADDRESS There is no mention made of the people who are HIV infected due to blood transfusions, AIDS babies, etc. It seems as if the speech is written to address the problems of those who suffer from the HIV infection due only to sexual practices. -- The section where the President addresses how you contract the AIDS virus, seems to be talking down to this group. They are leaders and experts on the subject and know how the disease is spread -- that seems more appropriate for a group of college students. Perhaps we can have an insert on Dr. Novello, the new Surgeon General, who has specialized in pediatric AIDS. The President just presided over her swearing-in this month. The President may want to acknowledge that Secretary Sullivan is scheduled to speak to the group earlier in the day. -- You need to mention that the President will have just come from a meeting with the leadership of the AIDS Commission. This group, David Rogers, June Osborne and Belinda Mason, will meet with the President at 10:45 a.m. and will probably ride over to the Marriott in the President's motorcade. Secretary Sullivan and Dr. Mason, Assistant Secretary for Public Health (he oversees the Public Health Service -- the Surgeon General works under him) will also attend the meeting. Labor's general comment was for an insert of the following: The Occupational Safety and Health Administration in the Department of Labor this year will adopt a major new regulation to protect 5.3 million American workers against the AIDs and hepatitis B viruses. Included will be 4.7 million who work in health care facilities such as hospitals and physicians' and dentists' offices and another 600,000 who are employed in such areas as law enforcement, fire and rescue operations, correctional work, or research laboratories. Secretary of Labor Elizabeth Dole terms this a dramatic move to reduce the incidence of such diseases among workers. THE WHITE HOUSE WASHINGTON : One last comment, is John Schall, on the DPC, said he thought this was one of the best speeches he has read. BOB SIMON Louis Sullivan AIDS acknowledgements Thank you. Before I start, I want to thank Larry Williford of Allstate and B.J. Stiles from the National Leadership Coalition on AIDS for making this conference possible. And I want to recognize my two appointees to the National Commission on AIDS: Dr. David Rogers and Belinda Mason. And also, my own personal physician, and a member of the original HIV Commission, Dr. Burton Lee. ((I'm sorry I can't stay for lunch, but I understood they're serving broccoli. )) it's fine - but l suggest me play this one w/ no jokes whatsoever. (We gain nothing, and any joke its opens the door a crack for an attack by our critics on insensitivity. We don't needit.) - Ed only agree and acknowled