Ask the Scholar
Document scope · 1 page
Scholar
Ask about this object, its catalog metadata, its source description, or the page inventory.
For page-specific OCR and visual context, open one of the page chats.
Scholar Source Context
Document identity
localId
323151849
label
Rotary Club - San Diego 2/7/92 [OA 6097]
core
doc
dtoType
document
citationUrl
pageCount
1
Source metadata
id
323151849
contentType
document
title
Rotary Club - San Diego 2/7/92 [OA 6097]
citationUrl
identifierLocal
13603-006
collections
Records of the White House Office of Speechwriting (George H. W. Bush Administration)
Speech Draft Files
imageCount
1
hasImages
yes
source
import
hasTranscription
no
Source extras
naId
323151849
levelOfDescription
fileUnit
recordType
description
ocrSource
nara-archive
Single page context
seq
1
pageIndex
0
type
document
mediaId
ad8b10ee1970d43e
ocrText
Originally Processed With FOIA(s):
FOIA Number:
S
S
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:
13603
Folder ID Number:
13603-006
Folder Title:
Rotary Club - San Diego 2/7/92 [OA 6097]
Stack:
Row:
Section:
Shelf:
Position:
G
26
17
6
4
Document No. 304157ss
WHITE HOUSE STAFFING MEMORANDUM
DATE.
2/4/92
ACTION/CONCURRENCE/COMMENT DUE BY: ---
PRESIDENTIAL REMARKS: SAN DIEGO ROTARY CLUB
SUBJECT:
FRIDAY, FEBRUARY 7, 10:00 a.m.
ACTION FYI
ACTION FYI
-
VICE PRESIDENT
HORNER
SKINNER
CALIO
SCOWCROFT
PETERSMEYER
-
DARMAN
PORTER
-
BRADY
ROGICH
BROMLEY
SMITH
-
CARD
BOSKIN
DEMAREST
KAUFMAN
FINDLAY
FITZWATER
SNOW
GRAY
HOLIDAY
REMARKS:
The attached has been forwarded to the President.
RESPONSE:
PHILLIP D. BRADY
Assistant to the President
and Staff Secretary
Ext. 2702
THE WHITE HOUSE
WASHINGTON
February 4, 1992
32 FEB 4 P6:21
MEMORANDUM FOR THE PRESIDENT
THROUGH:
DAVID DEMAREST
TONY SNOWTS
FROM:
CURT SMITH is
SUBJECT:
SAN DIEGO ROTARY CLUB
On Friday, February 7, at 10:00 a.m., you will deliver
remarks (approximately 14 minutes/teleprompted) to a breakfast
audience of 400 Rotarians and 50-70 health care officials at the
Sheraton Harbor Island Hotel in San Diego, California.
Your remarks play off the previous day's announcement of
your health care package in Cleveland. You address the
challenges confronting our current system, and critique the
nationalized care proposals suggested by others. The speech then
emphasizes the important role of prevention, focusing on the most
obvious preventative measure: infant immunization.
(Smith/Grossman)
February 4, 1992
SHOT
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
[glistening]
under a flood of sunlight." // Today, San Diego shines and
bustles -- a truly American jewel. // Thank you for the
privilege of visiting this beautiful city on the Pacific. //
( (I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
// If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington.) ) //
Earlier today, I visited a catalyst of caring -- the Logan
Heights Family Health Center, founded by Laura Rodriguez, one of
San Diego's Points of Light. I saw the families and the children
-- and watched the little ones being immunized. / Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention.
This afternoon, I want to discuss how prevention can achieve
a priceless gift: Good health in America. // Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. //
This country has the best health care system in the world.
The problem is not our unrivaled quality. It is, first, that
health care costs too much. This year, Americans will pay more
2
than $800 billion for health care -- one-tenth of all we spend. /
A second problem is that too many are excluded -- leaving one-
seventh of our people without health insurance coverage. / This
brings me to the system's third flaw: Millions fear losing
access to coverage when they change jobs, or develop illness. //
This is unacceptable -- and it's got to stop. /
Imagine. Let's say you're making do -- just getting by your
current job that offers health coverage for your disabled child.
/ Let's say you get offered a better job with a higher salary.
You want to take it. / You need to take it. / But you can't
take the chance it won't cover your child. // That, too, is
unacceptable -- and it's got to stop. //
Affordability -- access -- portability -- these are the
issues we must address. So yesterday, in Cleveland, I announced
a pioneering plan to do just that: To stabilize costs / ensure
access / and free workers from the fear of losing coverage. 11 My
plan will preserve what works and reform what doesn't. It
consists of four points -- each based on choice. I ask you to
support them. Help me make the best system in the world even
better. //
First, our plan will make health insurance more accessible
by making it more affordable for millions of low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will cut health care costs by making it more efficient. Studies
3
show that the larger the group being insured, the lower the cost
per individual. So we will create Health Insurance Networks that
help companies band together and cut administrative costs. /
The third point will also lower costs. We must reform
medical malpractice litigation. // Today we have too many
malpractice suits driving up costs for a doctor, a nurse, or a
hospital stay. // ((I don't want to get into trouble with the
Bar Association, but I once quoted to someone that line, "An
apple a day keeps the doctor away." He said, "What works for
lawyers?") ) / Here's what will work for America: Let's spend as
much time building a better health system as we do wrestling with
our legal system. We'd do better caring for each other if we
stop solving problems by suing each other. // That brings me to
point four. We will cut the outrageous growth --- so that we can
protect the benefits -- of Federal health programs like Medicare.
Our reform program will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to health
care. / Yet there are those who -- like an old dog -- refuse to
learn new tricks. // Instead of a better health care system --
they demand a nationalized system. // Instead of my program for
success -- they're giving America a prescription for failure. //
The folks who want national health care are the same people
who said that Tony Gwynn would never amount to much of a hitter -
- they just can't see the future. / They think socialized
medicine is just the ticket for health care in America. What
4
they're not saying is the ticket is your number in the waiting
line for treatment. //
Anyone who's spent months checking the mail for that income
tax refund 11 or tried to track down a missing social security
check // or wasted a day in line at the DMV is going to think
long and hard before they let the government play doctor. //
Some say nationalized health care would serve everyone. Sure, it
would -- like a restaurant that serves bad food -- but in very
generous portions. //
Look at countries where socialized medicine violates the
number one rule of the Medical Profession: "Do no harm. " //
They can tell you: Nationalized health care is a national
disaster. // I love Canada -- and I'll even admit that Canada's
system of socialized medicine has increased that country's
exports. What's been exported are patients coming to the U.S.
for prompt surgery and doctors coming here for better working
conditions. //
As long as I am President, we will NOT go down the road of
nationalized health care. //
Nor will we jump from the frying pan into the fire. I
oppose the other government-takeover plan known as pay or play -
- where employers are forced either to accept a health insurance
plan or pay a payroll tax and join the government plan. / That
choice costs jobs and money, and reminds me of the guy with the
gun in your back who says: "Your money or your life. // Jack
Benny used to respond by saying, "I'm thinking, I'm thinking. n /
5
We'd better think long and hard about a pay or play plan that
would make us pay / and pay / and pay. //
I will not let Congress try to cure America's health care
ailments by binding wounds in red tape. / I have proposed a plan
that is sensible, and will work. I ask you to help, too. // One
of the best ways is keeping people healthy. So let me talk about
how we must also change the way we act. / If you'll forgive me
for altering an old saying: "A pound of prevention is worth a
ton of cure. "//
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability and two-thirds of all cases of long-lasting
disability" -- and, yes, many, many AIDS cases. / If you avoid
drugs / smoke less / drink less / and exercise more / you'll live
longer -- and America will live better. //
Let's show how exercise can keep you physically and mentally
fit. // Let's change the behavior -- drug abuse / alcohol abuse
/ smoking -- which costs society tens of billions of dollars in
lost earnings and productivity, treatment-related programs,
accidents, and crime. // Maybe I'm a little old-fashioned -- but
I believe personal responsibility makes progress possible. So
let's also act through another prevention measure: immunization.
// With health care costs stretched to the limit, we can't
afford NOT to immunize our youngest children. //
6
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. Our goal was simple:
to bring immunization to every American child. 11 This effort
pays huge dividends: Every $1 spent on immunization now for
measles, mumps, and rubella saves an estimated $14 later. //
Consider two facts. / Two years ago, measles cases soared
to a high of 27,000. In 1989-90 alone, measles caused 130 deaths
-- 60 percent of which were children under five years of age.
How needless. How tragic. To this wrong which breaks our
hearts, we need immunization to set things right. //
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely
over the health of their children. Last year, they were
preparing for the holidays, but they were not prepared for the
news -- their two littlest, stricken by whooping cough. 11 Thank
God, 2 and 1/2 year-old Kensington has now left the hospital.
Little 18-month-old Colleen has stabilized. As Michael and
Barbara prayed, they asked that other parents would not make the
same mistake. // Said Michael: "You can't fight something you
can't see
You've got to have them immunized. Give them as
much protection as you can -- as early as you can.")) //
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids -- where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. // Kids
7
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
cent in many States -- and often as low as 10 per cent in some
inner cities. / We have to change that -- and we will. //
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. // Yet the
government will do its part. The private sector needs to do its
part. / We need to help it try creative ideas like "one-stop
shopping" for health care, and escorted referral for "express
lane" immunization at clinics. 11 Finally, I ask each of you --
mothers, fathers, spouses, friends. / Call your health official
or physician. Join groups which encourage childhood immunization.
Please -- please -- make sure your child is immunized. //
When I was little, I read a quote by Saint Francis of
Assisi. "Give me a child until he is seven," he wrote, "and you
may have him afterward." // Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
#
#
#
#
THE WHITE HOUSE
WASHINGTON
February 4, 1992
MEMORANDUM FOR THE PRESIDENT
THROUGH:
DAVID DEMAREST
TONY SNOW KG
FROM:
CURT SMITH
SUBJECT:
SAN DIEGO ROTARY CLUB
On Friday, February 7, at 10:00 a.m., you will deliver
remarks (approximately 14 minutes/teleprompted) to a breakfast
audience of 400 Rotarians and 50-70 health care officials at the
Sheraton Harbor Island Hotel in San Diego, California.
Your remarks play off the previous day's announcement of
your health care package in Cleveland. You address the
challenges confronting our current system, and critique the
nationalized care proposals suggested by others. The speech then
emphasizes the important role of prevention, focusing on the most
obvious preventative measure: infant immunization.
(Smith/Grossman)
February 4, 1992
SHOT
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
[glistening]
under a flood of sunlight." // Today, San Diego shines and
bustles -- a truly American jewel. // Thank you for the
privilege of visiting this beautiful city on the Pacific. //
( (I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
// If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington. )) //
Earlier today, I visited a catalyst of caring -- the Logan
Heights Family Health Center, founded by Laura Rodriguez, one of
San Diego's Points of Light. I saw the families and the children
-- and watched the little ones being immunized. / Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention.
This afternoon, I want to discuss how prevention can achieve
a priceless gift: Good health in America. // Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. //
This country has the best health care system in the world.
The problem is not our unrivaled quality. It is, first, that
health care costs too much. This year, Americans will pay more
2
than $800 billion for health care -- one-tenth of all we spend. /
A second problem is that too many are excluded -- leaving one-
seventh of our people without health insurance coverage. / This
brings me to the system's third flaw: Millions fear losing
access to coverage when they change jobs, or develop illness. //
This is unacceptable -- and it's got to stop. /
Imagine. Let's say you're making do -- just getting by your
current job that offers health coverage for your disabled child.
/ Let's say you get offered a better job with a higher salary.
You want to take it. / You need to take it. / But you can't
take the chance it won't cover your child. // That, too, is
unacceptable -- and it's got to stop. //
Affordability -- access -- portability -- these are the
issues we must address. So yesterday, in Cleveland, I announced
a pioneering plan to do just that: To stabilize costs / ensure
access / and free workers from the fear of losing coverage. 11 My
plan will preserve what works and reform what doesn't. It
consists of four points -- each based on choice. I ask you to
support them. Help me make the best system in the world even
better. //
First, our plan will make health insurance more accessible
by making it more affordable for millions of low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will cut health care costs by making it more efficient. Studies
3
show that the larger the group being insured, the lower the cost
per individual. So we will create Health Insurance Networks that
help companies band together and cut administrative costs. /
The third point will also lower costs. We must reform
medical malpractice litigation. // Today we have too many
malpractice suits driving up costs for a doctor, a nurse, or a
hospital stay. // ((I don't want to get into trouble with the
Bar Association, but I once quoted to someone that line, "An
apple a day keeps the doctor away." He said, "What works for
lawyers?") ) / Here's what will work for America: Let's spend as
much time building a better health system as we do wrestling with
our legal system. We'd do better caring for each other if we
stop solving problems by suing each other. // That brings me to
point four. We will cut the outrageous growth -- so that we can
protect the benefits -- of Federal health programs like Medicare.
Our reform program will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to health
care. / Yet there are those who -- like an old dog -- refuse to
learn new tricks. // Instead of a better health care system --
they demand a nationalized system. // Instead of my program for
success -- they're giving America a prescription for failure. //
The folks who want national health care are the same people
who said that Tony Gwynn would never amount to much of a hitter -
- they just can't see the future. / They think socialized
medicine is just the ticket for health care in America. What
4
they're not saying is the ticket is your number in the waiting
line for treatment. //
Anyone who's spent months checking the mail for that income
tax refund 11 or tried to track down a missing social security
check // or wasted a day in line at the DMV is going to think
long and hard before they let the government play doctor. //
Some say nationalized health care would serve everyone. Sure, it
would -- like a restaurant that serves bad food -- but in very
generous portions. //
Look at countries where socialized medicine violates the
number one rule of the Medical Profession: "Do no harm. " //
They can tell you: Nationalized health care is a national
disaster. // I love Canada -- and I'll even admit that Canada's
system of socialized medicine has increased that country's
exports. What's been exported are patients coming to the U.S.
for prompt surgery and doctors coming here for better working
conditions. 11
As long as I am President, we will NOT go down the road of
nationalized health care. //
Nor will we jump from the frying pan into the fire. I
oppose the other government-takeover plan known as pay or play -
- where employers are forced either to accept a health insurance
plan or pay a payroll tax and join the government plan. / That
choice costs jobs and money, and reminds me of the guy with the
gun in your back who says: "Your money or your life. " // Jack
Benny used to respond by saying, "I'm thinking, I'm thinking. " /
5
We'd better think long and hard about a pay or play plan that
would make us pay / and pay / and pay. //
I will not let Congress try to cure America's health care
ailments by binding wounds in red tape. / I have proposed a plan
that is sensible, and will work. I ask you to help, too. // One
of the best ways is keeping people healthy. So let me talk about
how we must also change the way we act. / If you'll forgive me
for altering an old saying: "A pound- of prevention is worth a
ton of cure. / /
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability and two-thirds of all cases of long-lasting
disability" -- and, yes, many, many AIDS cases. / If you avoid
drugs / smoke less / drink less / and exercise more / you'll live
longer -- and America will live better. //
Let's show how exercise can keep you physically and mentally
fit. // Let's change the behavior -- drug abuse / alcohol abuse
/ smoking -- which costs society tens of billions of dollars in
lost earnings and productivity, treatment-related programs,
accidents, and crime. // Maybe I'm a little old-fashioned -- but
I believe personal responsibility makes progress possible. So
let's also act through another prevention measure: immunization.
// With health care costs stretched to the limit, we can't
afford NOT to immunize our youngest children. //
6
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. Our goal was simple:
to bring immunization to every American child. // This effort
pays huge dividends: Every $1 spent on immunization now for
measles, mumps, and rubella saves an estimated $14 later. //
Consider two facts. / Two years ago, measles cases soared
to a high of 27,000. In 1989-90 alone, measles caused 130 deaths
-- 60 percent of which were children under five years of age.
How needless. How tragic. To this wrong which breaks our
hearts, we need immunization to set things right. //
((Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely
over the health of their children. Last year, they were
preparing for the holidays, but they were not prepared for the
news -- their two littlest, stricken by whooping cough. 11 Thank
God, 2 and 1/2 year-old Kensington has now left the hospital.
Little 18-month-old Colleen has stabilized. As Michael and
Barbara prayed, they asked that other parents would not make the
same mistake. // Said Michael: "You can't fight something you
can't see
You've got to have them immunized. Give them as
much protection as you can -- as early as you can.")) //
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids -- where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. // Kids
7
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
cent in many States -- and often as low as 10 per cent in some
inner cities. / We have to change that -- and we will. //
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. // Yet the
government will do its part. The private sector needs to do its
part. / We need to help it try creative ideas like "one-stop
shopping" for health care, and escorted referral for "express
lane" immunization at clinics. 11 Finally, I ask each of you --
mothers, fathers, spouses, friends. / Call your health official
or physician. Join groups which encourage childhood immunization.
Please -- please -- make sure your child is immunized. //
When I was little, I read a qüote by Saint Francis of
Assisi. "Give me a child until he is seven," he wrote, "and you
may have him afterward.' // Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
#
#
#
#
THE WHITE HOUSE
WASHINGTON
92 JAN 4 P2: 49
February 3, 1992
MEMORANDUM FOR TONY SNOW
Deputy Assistant to the President for
Communications and Director of Speechwriting
FROM:
JANET REHNQUIST pr
Associate Counsel to the President
SUBJECT:
Presidential Remarks -- Rotary Club; San Diego,
California; February 7, 1992
This is in follow-up to my telephone call to your office today
regarding the above-referenced matter. Counsel's Office has no
legal objections.
Thank you for the opportunity to review this matter.
CC: Phil Brady
THE WHITE HOUSE
WASHINGTON
92 JAN 3 P1:21
February 3, 1992
MEMORANDUM FOR TONY SNOW/CURT SMITH
FROM:
John S. Gardner 25
SUBJECT:
San Diego Rotary Club Speech
This is a good speech, but I would punch up the prevention
angle a little more. Specifically, can we get the figure (CEA
should have it) of the total cost to the economy (in productivity
loss, hospitalization, etc.) from smoking, alcohol abuse, and
drugs? I've heard it before, and it's very, very high. The
implicit assumption here, of course, is that without these costs,
national health care really wouldn't be so much of an issue,
because these factors drive up insurance costs, drive up
emergency room costs, and burden the health care system. The
cost of health care would be sharply lower -- and more people
would have ready access to care under our current private system
-- if these steps could be taken on prevention.
I marked a couple of other comments. Thanks.
MASTER
304157
Document No.
WHITE HOUSE STAFFING MEMORANDUM
DATE: 2/1/92
ACTION/CONCURRENCE/COMMENT DUE BY: MONDAY, 4:00 PM, 2/3/92
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
SUBJECT:
FRIDAY, FEBRUARY 7, 1992
ACTION FYI
ACTION FYI
N/V
VICE PRESIDENT
HORNER
SKINNER
MCCLURE
SCOWCROFT
PETERSMEYER
it
ARMAN
PORTER
BRADY
ROGICH
BROMLEY
SMITH
CARD
FINDLAY
DEMAREST
SNOW
KAUFMAN 2135 N/L
GRAY FITZWATER Towe 2544 2312 Renguist
BOSKIN
HOLIDAY
REMARKS:
Please forward your comments directly to Tony Snow, Rm. 122, x2930,
with a copy to this office NO LATER THAN 4:00 PM, MONDAY, FEBRUARY 3.
Thank you.
RESPONSE:
CoS
PHILLIP D. BRADY
Assistant to the President
and Staff Secretary
Ext. 2702
(Smith/Grossman)
02 JAN31 P4: 29
January 31, 1992
SHOT
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
[glistening]
under a flood of sunlight." // Today, San Diego shines and
bustles -- a truly American jewel. // (Pc) Thank you for the
privilege of visiting this Valhalla on the Pacific. He
( ( I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
// If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington. )) //
Earlier today, I visited a site with a surplus of caring --
the Logan Heights Family Health Center. I saw the families and
the children / watched little ones being immunized / and listened
to cries that will pre-empt future tears. // Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention. //
This afternoon, I want to discuss how prevention can achieve
a priceless gift: Good health in America. // Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. //
All of us know the problem with America's health care
The problem isn't thequalityof our health care that's undisputably the best
in The world. The problemis
yes system. 1 Health care costs too much. This year, Americans will
2
pay over $800 billion on health care -- one-tenth of all we
spend. / So yesterday in Cleveland, I announced a plan to reform
the system. My plan also attacks its other flaw: Too many are
(DR)
aswretten
excluded -- leaving one-seventh of our people without access to
not
health insurance when they change jobs, or (DV)just develop illness. //
Imagine. Let's say you're making do getting by on a low
your current
paying job a job that offers health coverage for your disabled
child. / Let's say you get offered a better job with a higher
yes
salary. You want to take it. / You need to take it. / But you
can't take the chance it won't cover your child. //
movelD2)
Some say the answer is a nationalized health system.
(These are the same folks who said that Tony Gwynn would never
(Barrien)
amount to much of a hitter.)
// These people believe socialized
medicine is just the ticket for health care in America. What
they're not saying is that ticket is a number you have to take to
stand in line and wait your turn for treatment. //
Now, I'll admit that Canada's system of socialized medcine
has increased that country's exports. What's been exported are
patients coming to the U.S. for prompt survery and doctors coming
here for better working conditions. // As long as I am President,
we will not go down the dead-end road of nationalized health
(D2) jump from the frising paninto the fire. l oppose theother
care. // Nor will I accept another government-takover plan: Pay
(mcClure) or play -- where employers are forced either to accept a health
Mention - insurance plan or pay a payroll tax and join the government plan.
this costs
jobs.
(p2)
It's like the joke about choosing your own poison: The
yes
Hobson's choice - whats' the joke? Some choice more like
choose your porson
3
hangman or the pill. // Socialized health care is a prescription
for failure. Yesterday, I announced a program for success. //
My plan will preserve what works -- reform what doesn't --
and thus stabilize soaring health care bills. It consists of
five points -- each based on choice. // First, we will make
health insurance more affordable for low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will make health care more efficient. How? In part, through
Health Insurance Networks that cut administrative costs. / (03/plain
(D2)We must reformmalpsactics.
sh
The third point will also lower costs Today we have too
driving up costs for a doctor, a nurse, or achospital stay.
many malpractice suits / too many lawyers / too many hustlers
If
-
spent as
looking to soak the system. ( (I don't want to get into trouble
much time
workingon a with the Bar Association, but I once quoted to someone that line,
a better health
care system An apple a day keeps the doctor away. " He said, "What works for
than we do wresting
with our legal lawyers?") ) // By reforming malpractice, we re going to slash
reform (EA) system
waste and excess in the present system. That brings me to
Any # estimates (Ireclure)
People know
don't
point four. We will cut the outrageous growth -- so that we can
if
the benefits -- of Federal health programs like Medicare.
good ush should Paying
Finally, we will expand information to help consumers know
more / act wiser / and shop better in choosing health care.
We'd do better care for each other if
wed stop poeving problems by suing each other
market work
of
These five points will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to the
world's best health care. / Yet an even better way to cut costs
is to keep people healthy from getting sick. So I want to talk about how
not impressive, reform is impressive though
Part 2 weak * making market forus, HMO'S This
is mostiniportant Seperates our proposal from Hill
4
we can change the way we act. / If you'll forgive me for altering
an old saying: "A pound of prevention is worth a ton of cure. "//
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability, and two-thirds of all cases of long-lasting
moderately
disability. " / If you avoid drugs / smoke less / drink less and
exercise more / you'll live longer. America will live better. //
( (You know, this morning I got to thinking about how
preventing disease can give kids the chance to build that model
airplane / learn to play shortstop for the Padres / go to the
world-famous San Diego Zoo. / (D2) Someone asked me if I was going to
the ZOO. I said I didn't have the time, but not to worry. Some
consider Washington the San Diego Zoo East. )) 1P
It is for our children that we must teach that better health
equals better lives. // Let's show how exercise can keep you
(D3/ets face it's personal
(HHS)
physically and mentally fit. // Let's morally avoid the behavior
in 1989
710
which last year caused
deaths by drugs and 19,810 by alcohol / 431,000
(Gardner)
by smoking and 20,000 by AIDS. 111 Let's also act through another
Personal responsibility is a big part answer of the
Careful:
Not all AID prevention measure: immunization. // With health care costs
deathware
behavior
stretched to the limit, we can't afford NOT to immunize our
related.
Have to subtract
youngest children. //
deaths of
hemophiliacs.
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. Our goal was simple:
to bring immunization to every American child. // Since then, he
has traveled across America to make this goal reality. //
5
Enlisting the non-profit and private sectors to protect our
littlest citizens / our most precious citizens / our future / our
kids. // This effort pays huge dividends: Every $1 spent on
immunization now saves an estimated $14 in health costs later. //
Consider two facts. / Last year measles cases soared to a
(D2)
high of 27,000. In 1989-90 alone, measles killed 130 kids
children. How needless. How tragic. To this wrong which breaks
our hearts, we need immunization to set things right. //
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely the
health of their children. Last year, preparing for the holidays,
they were not prepared for the news -- their two littlest,
stricken by whooping cough. // Thank God, 2 and 1/2 year-old
Kensington has now left the hospital. Little 18-month-old
Colleen may have turned the corner. As Michael and Barbara
prayed, they asked that other parents would not make the same
mistake. // Said Michael: "You can't fight something you can't
see
You've got to have them immunized. Give them as much
protection as you can -- as early as you can.")) //
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids --where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. // Kids
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
6
cent in many States -- and often as low as 20 per cent in some
inner cities. / We have to change that -- and we will. //
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. / Yet
government will do its part. Our 1992 1993 budget calls for an (HHS)
Total (meclure
additional $40 52 million for the CDC immunization progam. In
figure?
addition, we have emphasized our Healthy Start Program. / Today,
I again ask Congress to fully fund this initiative to curb infant
perce smith
(445)
mortality. Last year, it appropriated only $25 million. Our
kids deserve the funding of more than twice that much. No longer
can we simply live and let live. We must live and help live. //
Next, I ask the private sector to do its part. / We need
to help it try creative ideas like "one-stop shopping" for health
care, and escorted referral for "express lane" immunization at
clinics. // Finally, I beseech each of you -- mothers, fathers,
spouses, friends. / Call your health official or physician.
Join groups which spur childhood immunization. (DZ) By serving as
points of light, you can become stars of life. Please -- please
-- make sure your child is immunized. //
When I was little, I read a quote by Saint Francis of
Assisi. "Give me a child until he is seven," he wrote, "and you
may have him afterward." // Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
Nancy IT,
Document No. 304157
WHITE HOUSE STAFFING MEMORANDUM
DATE: 2/1/92
ACTION/CONCURRENCE/COMMENT DUE BY: MONDAY, 4:00 PM, 2/3/92
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
SUBJECT:
FRIDAY, FEBRUARY 7, 1992
ACTION FTI
ACTION FYI
VICE PRESIDENT
HORNER
SKINNER
MCCLURE
SCOWCROFT
PETERSMEYER
DARMAN
PORTER
BRADY
ROGICH
BROMLEY
SMITH
CARD
FINDLAY
DEMAREST
SNOW
FITZWATER
KAUFMAN
BOSKIN
GRAY
HOLIDAY
REMARKS:
Please forward your comments directly to Tony Snow, Rm. 122, x2930,
with a copy to this office NO LATER THAN 4:00 PM, MONDAY, FEBRUARY 3.
Thank you.
see comments DD
RESPONSE:
PHILLIP D. BRADY
Assistant to the President
and Staff Secretary
Ext. 2702
L 9218:
282883-
SENT BY:Xerox Telecopier 7020 : 2- 3-92 ; 5:21PM ;
(Smith/Grossman)
12 JAN31 P4: 29
January 31, 1992
SHOT
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
...
[glistening]
under a flood of sunlight." 11 Today, San Diego shines and
bustles -- a truly American jewel. 11 Thank you for the
privilege of visiting this Valhalla on the Pacific, 11
((I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
// If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington.) ) 11
Earlier today, I visited a site with at surplus of caring --
the Logan Heights Family Health Center. I saw the families and
the children / watched little ones being immunized / and listened
to cries that will pre-empt future tears. // Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention. 11
This afternoon, I want to discuss how prevention can achieve
a priceless gift: Good health in America. 11 Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. 11
All of us know the problem with America's health care
system. Health care costs too much. This year, Americans will
The the our That's card the world. The mollen
is
2 6218:#
4562988-4
: 9:22PM : 26-2 -2 : 7020 Telecoter BY: INES
2
pay over $800 billion on health care -- one-tenth of all we
spend. / So yesterday in Cleveland, I announced a plan to reform
witten
the system. My plan also attacks its other flaw: Too many are
excluded -- leaving one-seventh of our people without access to
thraccure not as s
health insurance when they change jobs, or develop illness. //
Imagine. Let's say you're making do just getting by on et low-
your current
y
paying job job that offers health coverage for your disabled
child. / Let's say you get offered a better job with a higher
salary. You want to take it. / You need to take it. / But you
can't take the chance it won't cover your child. 11
Some say the answer is a nationalized health system.
move
( ((These are the same folks who said that Tony Gwynn would never
amount to much of a hitter. )) /
These people believe socialized
medicine is just the ticket for health care in America. What
they're not saying is that ticket is a number you have to take to
stand in line and wait your turn for treatment. 11
Now, I'll admit that Canada's system of socialized medcine
has increased that country's exports. What's been exported are
patients coming to the U.S. for prompt surgery and doctors coming
here for better working conditions. 11 As long as I am President,
we will not go down the dead-end road of nationalized health
we years from the feying pa ato the fix. I office other
care. 11 Nor will I accept another government-takover plan: Pay
or play -- where employers are forced either to accept a health
insurance plan or pay a payroll tax and join the government plan.
// Itle Hobsonia like the joke about choosing your own poison: The
Some Core what's moreachose choice the joke? porso. your
E 9218:0
4562988-
SENT BY:Xerox Telecopier 7020 ; 2- 3-92 ; 5:22PM ;
3
hangman or the pill. 11 Socialized health care is a prescription
for failure. Yesterday, I announced a program for success. 11
My plan will preserve what works -- reform what doesn't --
and thus stabilize soaring health care bills. It consists of
five points -- each based on choice. 11 First, we will make
Uplan
health insurance more affordable for low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will make health care more efficient. How? In part, through
Health Insurance Networks that cut administrative costs.
we must reform / matgractics.
The third point will also lower costs. Today we have too
during us costs for a Disctor, a nerror, or a hospins
many malpractice suits of too many lawyers too many hustlers stay.
looking to seak the system. ( (I don't want to get into trouble
H.
with the Bar Association, but I once quoted to someone that line,
"An apple a day keeps the doctor away." He said, "What works for
lawyers?") ) 11 By reforming malpractice, We re going to cleah
waste and excess in the present system / That brings me to
point four. We will cut the outrageous growth -- so that we can
protect the benefits -- of Federal health programs like Medicare.
/ Finally, we will expand information to help consumers know
We'd do better care for eachother
it we'd Atop solving problems,
more / act wiser / and shop better in choosing health care.
These five points will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to the
world's best health care. / Yet an even better way to cut costs
health
is to keep people from getting sick. So I want to talk about how
If we spent as much time working on a better health care system
and we do wrestline with our legal system
6218;# 4
4562988-
SENT BY:Xerox Telecopier 7020 ; 2- 3-92 ; 5:23PM ;
4
we can change the way we act. / If you'll forgive me for altering
an old saying: "A pound of prevention is worth a ton of cure. /
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability, and two-thirds of all cases of long-lasting
disability." / If you avoid drugs / smoke less / drink less / and
exercise more / you'll live longer. America will live better. 11
( (You know, this morning I got to thinking about how
preventing disease can give kids the chance to build that model
airplane / learn to play shortstop for the Padres / go to the
world-famous San Diego Zoo. & Someone asked me if I was going to
the 200. I said I didn't have the time, but not to worry. Some
consider Washington the San Diego Zoo East )) H
It is for our children that we must teach that better health
equals better lives. 11 Let's show how exercise can keep you
Let's face its
Personal
physically and mentally fit. 11 Let's morally avoid the behavior
last year caused deaths by drugs and by alcohol /
Personal responsibity is a bus put asswer the
by smoking and by AIDS. "A Let's also act through another
prevention measure: immunization. 11 with health care costs
stretched to the limit. we can't afford NOT to immunize our
youngest children. 11
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. Our goal was simple:
to bring immunization to every American child. 11 Since then, he
has traveled across America to make this goal reality. 11
S 6218:#
4562988-
SENT BY:Xerox Telecopier 7020 ; 2- 3-92 ; 5:23PM ;
5
Enlisting the non-profit and private sectors to protect our
littlest citizens / our most precious citizens / our future / our
kids. 11 This effort pays huge dividends: Every $1 spent on
immunization now saves an estimated $14 in health costs later. 11
Consider two facts. / Last year measles cases soared to a
high of 27,000. In 1989-90 alone, measles killed 130
children. How needless. How tragic. To this wrong which breaks
our hearts, we need immunization to set things right. 11
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely the
health of their children. Last year, preparing for the holidays,
they were not prepared for the news - their two littlest,
stricken by whooping cough. 11 Thank God, 2 and 1/2 year-old
Kensington has now left the hospital. Little 18-month-old
Colleen may have turned the corner. As Michael and Barbara
prayed, they asked that other parents would not make the same
mistake. // Said Michael: "You can't fight something you can't
see
You've got to have them immunized. Give them as much
protection as you can -- as early as you can. ) 11
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids --where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. 11 Kids
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
-9 61181#
4562688-4
SENT BY:Xerox Telecopier 7020 ; 2- 3-92 ; 5:24PM ;
6
cent in many States -- and often as low as 20 per cent in some
inner cities. / We have to change that -- and we will. 11
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. / Yet
government will do its part. Our 1992 budget calls for an
additional $40 million for the CDC immunization progam. In
addition, we have emphasized our Healthy Start Program. / Today,
I again ask Congress to fully fund this initiative to curb infant
mortality. Last year, it appropriated only $25 million. Our
kids deserve the funding of more than twice that much. No longer
can we simply live and let live. We must live and help live. 11
Next, I ask the private sector to do its part. / We need
to help it try creative ideas like "one-stop shopping" for health
care, and escorted referral for "express lane" immunization at
clinics. 11 Finally, I beseech each of you -- mothers, fathers,
spouses, friends. / Call your health official or physician.
Join groups which spur childhood immunization. By serving
as
points of light, you can become state of life. Please -- please
--- make sure your child is immunized. 11
When I was little, I read a quote by Saint Francis of
Assisi. "Give me a child until he is seven," he wrote, "and you
may have him afterward." 11 Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
L 6218:#
4562988-
SENT BY:Xerox Telecopier 7020 ; 2- 3-92 ; 5:24PM ;
SENT BY:The TICKET CENTER
; 2- 3-92 : 10:20 ; LEGISLATIVE AFFAIRS-
6218:# 1
Executive Office of the President
92 JAN 3 A/Q: 54
Office of Legislative Affairs
40 (dia)
FACSIMILE TRANSMITTAL SHEET
NUMBER OF PAGES INCLUDING COVER
8
DATE 2-3-92
TO Navey
FAX NUMBER
OFFICE NUMBER
COMMENTS Attached
FROM Jim R.
FAX NUMBER
OFFICE NUMBER
SENT BY: The TICKET CENTER
; 2- 3-92 ; 10:20 ; LEGISLATIVE AFFAIRS-
6218;# 2
Document No. 304157
WHITE HOUSE STAFFING MEMORANDUM
DATE: 2/1/92
ACTION/CONCURRENCE/COMMENT DUE BY: MONDAY, 4:00 PM, 2/3/92
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
SUBJECT:
FRIDAY, FEBRUARY 7, 1992
ACTION FYI
ACTION FYI
VICE PRESIDENT
HORNER
SKINNER
MCCLURE
SCOWCROFT
PETERSMEYER
DARMAN
PORTER
BRADY
ROGICH
BROMLEY
SMITH
FINDLAY
CARD
SNOW
DEMAREST
KAUFMAN
FITZWATER
BOSKIN
GRAY
HOLIDAY
REMARKS:
Please forward your comments directly to Tony Snow, Rm. 122, x2930,
with a copy to this office NO LATER THAN 4:00 PM, MONDAY, FEBRUARY 3.
Thank you.
RESPONSE:
Brief comments pgz,3+6
AL 2/3/92
PHILLIP D. BRADY
Assistant to the President
and Staff Secretary
Ext. 2702
SENT BY:The TICKET CENTER
; 2- 3-92 ; 10:20 ; LEGISLATIVE AFFAIRS-
6218;# 3
(Smith/Grossman)
02 JAN31 P4: 29
January 31, 1992
SHOT
PRESIDENTIAL REMARKS:
ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
[glistening]
under a flood of sunlight." // Today, San Diego shines and
bustles - a truly American jewel. 11 Thank you for the
privilege of visiting this Valhalla on the Pacific. 11
((I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
11 If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington.) //
Earlier today, I visited a site with a surplus of caring --
the Logan Heights Family Health Center. I saw the families and
the children / watched little ones being immunized / and listened
to criss that will pre-empt future tears. 11 Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention. 11
This afternoon, I want to discuss how prevention can achieve
a priceless gift: Good health in America. 11 Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. 11
All of us know the problem with America's health care
system. Health care costs too much. This year, Americans will
SENT BY:The TICKET CENTER
; 2- 3-92 ; 10:21 ; LEGISLATIVE AFFAIRS-
6218;# 4
2
pay over $800 billion on health care -- one-tenth of all we
spend. / So yesterday in Cleveland, I announced a plan to reform
the system. My plan also attacks its other flaw: Too many are
excluded -- leaving one-seventh of our people without access to
health insurance when they change jobs, or develop illness. 11
Imagine. Let's say you're making do -- getting by on a low-
paying job - a job that offers health coverage for your disabled
child. / Let's say you get offered a better job with a higher
salary. You want to take it. / You need to take it. / But you
can't take the chance it won't cover your child. 11
Some say the answer is a nationalized health system.
( (These are the same folks who said that Tony Gwynn would never
amount to much of a hitter.) ) 11 These people believe socialized
medicine is just the ticket for health care in America. What
they're not saying is that ticket is a number you have to take to
stand in line and wait your turn for treatment. 11
Now, I'll admit that Canada's system of socialized medcine
has increased that country's exports. What's been exported are
patients coming to the U.S. for prompt survery and doctors coming
here for better working conditions. 11 As long as I am President,
we will not go down the dead-end road of nationalized health
care. 11 Nor will I accept another government-takover plan: Pay
or play - where employers are forced either to accept a health
insurance plan or pay a payroll tax and join the government plan.
11 It's like the joke about choosing your own poison: The
nation
Tosfs
This
Jobs
SENT BY:The TICKET CENTER
: 2- 3-92 ; 10:21 ; LEGISLATIVE AFFAIRS-
6218;# 5
3
hangman or the pill. 11 Socialized health care is a prescription
for failure. Yesterday, I announced a program for success. 11
My plan will preserve what works -- reform what doesn't --
and thus stabilize soaring health care bills. It consists of
five points -- each based on choice. 11 First, we will make
health insurance more affordable for low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will make health care more efficient. How? In part, through
Health Insurance Networks that cut administrative costs. /
The third point will also lower costs. Today we have too
many malpractice suits / too many lawyers / too many hustlers
looking to soak the system. ((I don't want to get into trouble
with the Bar Association, but I once quoted to someone that line,
"An apple a day keeps the doctor away." He said, "What works for
lawyers?") ) 11 By reforming malpractice, we're going to slash
waste and excess in the present system. / That brings me to
point four. We will cut the outrageous growth -- so that we can
protect the benefits -- of Federal health programs like Medicare.
/ Finally, we will expand information to help consumers know
more / act wiser / and shop better in choosing health care.
These five points will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to the
world's best health care. / Yet an even better way to cut costs
is to keep people from getting sick. So I want to talk about how
SENT BY:The TICKET CENTER
; 2- 3-92 ; 10:22 ; LEGISLATIVE AFFAIRS-
6218;# 6
4
we can change the way we act. / If you'll forgive me for altering
an old saying: "A pound of prevention is worth a ton of cure. "//
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability, and two-thirds of all cases of long-lasting
disability." / If you avoid drugs / smoke less / drink less / and
exercise more / you'll live longer. America will live better. 11
( (You know, this morning I got to thinking about how
preventing disease can give kids the chance to build that model
airplane / learn to play shortstop for the Padres / go to the
world-famous San Diego Zoo. / Someone asked me if I was going to
the 200. I said I didn't have the time, but not to worry. Some
consider Washington the San Diego Zoo East. " 11
It is for our children that we must teach that better health
equals better lives. 11 Let's show how exercise can keep you
physically and mentally fit. 11 Let's morally avoid the behavior
which last year caused - deaths by drugs and by alcohol / -
by smoking and - by AIDS. 11 Let's also act through another
prevention measure: immunization. 11 with health care costs
stretched to the limit, we can't afford NOT to immunize our
youngest children. 11
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. our goal was simple:
to bring immunization to every American child. 11 Since then, he
has traveled across America to make this goal reality. 11
SENT BY:The TICKET CENTER
; 2- 3-92 ; 10:22 ; LEGISLATIVE AFFAIRS-
6218:# 7
5
Enlisting the non-profit and private sectors to protect our
littlest citizens / our most precious citizens / our future / our
kids. // This sffort pays huge dividends: Every $1 spent on
immunization now saves an estimated $14 in health costs later. 11
Consider two facts. / Last year measles cases soared to a
high of 27,000. In 1989-90 alone, measles killed 130 kids
children. How needless. How tragic. To this wrong which breaks
our hearts, we need immunization to set things right. //
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely the
health of their children. Last year, preparing for the holidays,
they were not prepared for the news -- their two littlest,
stricken by whooping cough. 11 Thank God, 2 and 1/2 year-old
Kensington has now left the hospital. Little 18-month-old
Colleen may have turned the corner. As Michael and Barbara
prayed, they asked that other parents would not make the same
mistake. 11 Said Michael: "You can't fight something you can't
see
You've got to have them immunized. Give them as much
protection as you can -- as early as you can. 11
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not mersly of school-age kids --where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. 11 Kids
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
SENT BY:The TICKET CENTER
;
2- 3-92 ; 10:23 ; LEGISLATIVE AFFAIRS-
6218;# 8
6
cent in many States -- and often as low as 20 per cent in some
inner cities. / We have to change that -- and we will. 11
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. / Yet
government will do its part. Our 1992 budget calls for an
additional $40 million for the CDC immunization progam. In
addition, we have emphasized our Healthy Start Program. / Today,
I again ask Congress to fully fund this initiative to curb infant
mortality. Last year, it appropriated only $25 million. Our
kids deserve the funding of more than twice that much. No longer
can we simply live and let live. We must live and help live. 11
Next, I ask the private sector to do its part. / We need
to help it try creative ideas like "one-stop shopping" for health
care, and escorted referral for "express lane" immunization at
clinics. 11 Finally, I beseech each of you -- mothers, fathers,
spouses, friends. / Call your health official or physician.
Join groups which spur childhood immunization. By serving as
points of light, you can become stars of life. Please -- please
-- make sure your child is immunized. 11
When I was little, I read a quote by Saint Francis of
Assisi. "Give me a child until he is seven," he wrote, "and you
may have him afterward." 11 Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
304157
Document No.
WHITE HOUSE STAFFING MEMORANDUM
DATE: 2/1/92
ACTION/CONCURRENCE/COMMENT DUE BY: MONDAY, 4:00 PM, 2/3/92
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
SUBJECT:
FRIDAY, FEBRUARY 7, 1992
ACTION FYI
ACTION FYI
VICE PRESIDENT
HORNER
SKINNER
MCCLURE
SCOWCROFT
PETERSMEYER
DARMAN
PORTER
BRADY
ROGICH
BROMLEY
SMITH
1
CARD
FINDLAY
DEMAREST
SNOW
FITZWATER
KAUFMAN
BOSKIN
GRAY
HOLIDAY
REMARKS:
Please forward your comments directly to Tony Snow, Rm. 122, x2930,
with a copy to this office NO LATER THAN 4:00 PM, MONDAY, FEBRUARY 3.
Thank you.
RESPONSE:
I deletion
Ok
BO for SR
PHILLIP D. BRADY
Assistant to the President
and Staff Secretary
Ext. 2702
3
hangman or the pill. // Socialized health care is a prescription
for failure. Yesterday, I announced a program for success. //
My plan will preserve what works -- reform what doesn't --
and thus stabilize soaring health care bills. It consists of
five points -- each based on choice. // First, we will make
health insurance more affordable for low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will make health care more efficient. How? In part, through
Health Insurance Networks that cut administrative costs. /
The third point will also lower costs. Today we have too
many malpractice suits / too many lawyers / too many hustlers
looking to soak the system. ( (I don't want to get into trouble
with the Bar Association, but I once quoted to someone that line,
"An apple a day keeps the doctor away." He said, "What works for
lawyers?") ) // By reforming malpractice, we're going to slash
waste and excess in the present system. / That brings me to
point four. We will cut the outrageous growth -- so that we can
protect the benefits -- of Federal health programs like Medicare.
/ Finally, we will expand information to help consumers know
more / act wiser / and shop better in choosing health care.
These five points will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to the
world's best health care. / Yet an even better way to cut costs
is to keep people from getting sick. So I want to talk about how
4
we can change the way we act. / If you'll forgive me for altering
an old saying: "A pound of prevention is worth a ton of cure. //
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability, and two-thirds of all cases of long-lasting
disability." / If you avoid drugs / smoke less / drink less / and
exercise more / you'll live longer. America will live better. //
( (You know, this morning I got to thinking about how
preventing disease can give kids the chance to build that model
airplane / learn to play shortstop for the Padres / go to the
world-famous San Diego Zoo. / Someone asked me if I was going to
the ZOO. I said I didn't have the time, but not to worry. Some
consider Washington the San Diego Zoo East. )) //
It is for our children that we must teach that better health
equals better lives. // Let's show how exercise can keep you
physically and mentally fit. // Let's morally avoid the behavior
which last year caused deaths by drugs and - by alcohol / -
by smoking and by AIDS. // Let's also act through another
-
prevention measure: immunization. // With health care costs
stretched to the limit, we can't afford NOT to immunize our
youngest children. //
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. Our goal was simple:
to bring immunization to every American child. // Since then, he
has traveled across America to make this goal reality. //
5
Enlisting the non-profit and private sectors to protect our
littlest citizens / our most precious citizens / our future / our
kids. // This effort pays huge dividends: Every $1 spent on
immunization now saves an estimated $14 in health costs later. //
Consider two facts. / Last year measles cases soared to a
high of 27,000. In 1989-90 alone, measles killed 130 kids
children. How needless. How tragic. To this wrong which breaks
our hearts, we need immunization to set things right. //
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely the
health of their children. Last year, preparing for the holidays,
they were not prepared for the news -- their two littlest,
stricken by whooping cough. // Thank God, 2 and 1/2 year-old
Kensington has now left the hospital. Little 18-month-old
Colleen may have turned the corner. As Michael and Barbara
prayed, they asked that other parents would not make the same
mistake. // Said Michael: "You can't fight something you can't
see
You've got to have them immunized. Give them as much
protection as you can -- as early as you can.") ) 11
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids --where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. // Kids
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
Janet Renguist
(Smith/Grossman)
92
JAN
3
P5:
Counsels office Counsels office
January 31, 1992
SHOT
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
[glistening]
under a flood of sunlight." // Today, San Diego shines and
bustles -- a truly American jewel. // Thank you for the
privilege of visiting this Valhalla on the Pacific. //
( (I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
// If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington. )) //
Earlier today, I visited a site with a surplus of caring --
the Logan Heights Family Health Center. I saw the families and
the children / watched little ones being immunized / and listened
to cries that will pre-empt future tears. // Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention. //
This afternoon, I want to discuss how prevention can achieve
a priceless gift: Good health in America. // Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. //
All of us know the problem with America's health care
system. Health care costs too much. This year, Americans will
Beforming medical Malpractice
2
pay over $800 billion on health care -- one-tenth of all we
spend. / So yesterday in Cleveland, I announced a plan to reform
the system. My plan also attacks its other flaw: Too many are
excluded -- leaving one-seventh of our people without access to
health insurance when they change jobs, or develop illness. //
Imagine. Let's say you're making do -- getting by on a low-
paying job -- a job that offers health coverage for your disabled
child. / Let's say you get offered a better job with a higher
salary. You want to take it. / You need to take it. / But you
can't take the chance it won't cover your child. //
Some say the answer is a nationalized health system.
( (These are the same folks who said that Tony Gwynn would never
amount to much of a hitter.) )) // These people believe socialized
medicine is just the ticket for health care in America. What
they're not saying is that ticket is a number you have to take to
stand in line and wait your turn for treatment. //
Now, I'll admit that Canada's system of socialized medcine
has increased that country's exports. What's been exported are
patients coming to the U.S. for prompt survery and doctors coming
here for better working conditions. // As long as I am President,
we will not go down the dead-end road of nationalized health
care. // Nor will I accept another government-takover plan: Pay
or play -- where employers are forced either to accept a health
insurance plan or pay a payroll tax and join the government plan.
// It's like the joke about choosing your own poison: The
3
hangman or the pill. // Socialized health care is a prescription
for failure. Yesterday, I announced a program for success. //
My plan will preserve what works -- reform what doesn't --
and thus stabilize soaring health care bills. It consists of
five points -- each based on choice. // First, we will make
health insurance more affordable for low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will make health care more efficient. How? In part, through
Health Insurance Networks that cut administrative costs. /
The third point will also lower costs. Today we have too
many malpractice suits / too many lawyers / too many hustlers
looking to soak the system. ( (I don't want to get into trouble
with the Bar Association, but I once quoted to someone that line,
"An apple a day keeps the doctor away." He said, "What works for
medical
Standards
lawyers?") ) // By reforming/malpractice, we're going to slash
waste and excess in the present system. / That brings me to
point four. We will cut the outrageous growth -- so that we can
protect the benefits -- of Federal health programs like Medicare.
/ Finally, we will expand information to help consumers know
more / act wiser / and shop better in choosing health care.
These five points will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to the
world's best health care. / Yet an even better way to cut costs
is to keep people from getting sick. So I want to talk about how
4
we can change the way we act. / If you'll forgive me for altering
an old saying: "A pound of prevention is worth a ton of cure. "//
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability, and two-thirds of all cases of long-lasting
disability." / If you avoid drugs / smoke less / drink less / and
exercise more / you'll live longer. America will live better. //
( (You know, this morning I got to thinking about how
preventing disease can give kids the chance to build that model
airplane / learn to play shortstop for the Padres / go to the
world-famous San Diego Zoo. / Someone asked me if I was going to
the ZOO. I said I didn't have the time, but not to worry. Some
consider Washington the San Diego Zoo East. )) //
It is for our children that we must teach that better health
equals better lives. // Let's show how exercise can keep you
physically and mentally fit. // Let's morally avoid the behavior
which last year caused deaths by drugs and by alcohol /
by smoking and by AIDS. // Let's also act through another
prevention measure: immunization. // With health care costs
stretched to the limit, we can't afford NOT to immunize our
youngest children. / /
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. Our goal was simple:
to bring immunization to every American child. // Since then, he
has traveled across America to make this goal reality. //
5
Enlisting the non-profit and private sectors to protect our
littlest citizens / our most precious citizens / our future / our
kids. // This effort pays huge dividends: Every $1 spent on
immunization now saves an estimated $14 in health costs later. //
Consider two facts. / Last year measles cases soared to a
high of 27,000. In 1989-90 alone, measles killed 130 kids
children. How needless. How tragic. To this wrong which breaks
our hearts, we need immunization to set things right. //
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely the
health of their children. Last year, preparing for the holidays,
they were not prepared for the news -- their two littlest,
stricken by whooping cough. // Thank God, 2 and 1/2 year-old
Kensington has now left the hospital. Little 18-month-old
Colleen may have turned the corner. As Michael and Barbara
prayed, they asked that other parents would not make the same
mistake. // Said Michael: "You can't fight something you can't
see
You've got to have them immunized. Give them as much
protection as you can -- as early as you can.")) //
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids -where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. // Kids
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
6
cent in many States -- and often as low as 20 per cent in some
inner cities. / We have to change that -- and we will. //
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. / Yet
government will do its part. Our 1992 budget calls for an
additional $40 million for the CDC immunization progam. In
addition, we have emphasized our Healthy Start Program. / Today,
I again ask Congress to fully fund this initiative to curb infant
mortality. Last year, it appropriated only $25 million. Our
kids deserve the funding of more than twice that much. No longer
can we simply live and let live. We must live and help live. //
Next, I ask the private sector to do its part. / We need
to help it try creative ideas like "one-stop shopping" for health
care, and escorted referral for "express lane" immunization at
clinics. // Finally, I beseech each of you -- mothers, fathers,
spouses, friends. / Call your health official or physician.
Join groups which spur childhood immunization. By serving as
points of light, you can become stars of life. Please -- please
-- make sure your child is immunized. //
When I was little, I read a quote by Saint Francis of
Assisi. "Give me a child until he is seven, " he wrote, "and you
may have him afterward." // Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
CEA
(Smith/Grossman)
92 JAN 3 A10: Rdave Bizer 4737
January 31, 1992
SHOT
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
[glistening]
under a flood of sunlight." // Today, San Diego shines and
bustles -- a truly American jewel. // Thank you for the
privilege of visiting this Valhalla on the Pacific. //
((I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
// If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington.) ) //
Earlier today, I visited a site with a surplus of caring --
the Logan Heights Family Health Center. I saw the families and
the children / watched little ones being immunized / and listened
to cries that will pre-empt future tears. // Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention. //
This afternoon, I want to discuss how prevention can achieve
a priceless gift: Good health in America. // Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. //
All of us know the problem with America's health care
system. Health care costs too much. This year, Americans will
2
pay over $800 billion on health care -- one-tenth of all we
spend. / So yesterday in Cleveland, I announced a plan to reform
the system. My plan also attacks its other flaw: Too many are
excluded -- leaving one-seventh of our people without access to
health insurance when they change jobs, or develop illness. //
Imagine. Let's say you're making do -- getting by on a low-
paying job -- a. job that offers health coverage for your disabled
child. / Let's say you get offered a better job with a higher
salary. You want to take it. / You need to take it. / But you
can't take the chance it won't cover your child. //
Some say the answer is a nationalized health system.
( (These are the same folks who said that Tony Gwynn would never
amount to much of a hitter. )) // These people believe socialized
medicine is just the ticket for health care in America. What
they're not saying is that ticket is a number you have to take to
stand in line and wait your turn for treatment. //
Now, I'll admit that Canada's system of socialized medcine
has increased that country's exports. What's been exported are
patients coming to the U.S. for prompt survery and doctors coming
here for better working conditions. 11 As long as I am President,
we will not go down the dead-end road of nationalized health
care. // Nor will I accept another government-takover plan: Pay
or play -- where employers are forced either to accept a health
insurance plan or pay a payroll tax and join the government plan.
// It's like the joke about choosing your own poison: The
3
hangman or the pill. // Socialized health care is a prescription
for failure. Yesterday, I announced a program for success. //
My plan will preserve what works -- reform what doesn't --
and thus stabilize soaring health care bills. It consists of
five points -- each based on choice. // First, we will make
health insurance more affordable for low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will make health care more efficient. How? In part, through
Health Insurance Networks that cut administrative costs. /
The third point will also lower costs. Today we have too
many malpractice suits / too many lawyers / too many hustlers
looking to soak the system. ( (I don't want to get into trouble
people
with the Bar Association, but I once quoted to someone that line,
know.re if
that
"An apple a day keeps the doctor away." He said, "What works for
Drs +
lawyers?") ) // By reforming malpractice, we're going to slash
dist how good
waste and excess in the present system. / That brings me to
much
share
point four. We will cut the outrageous growth -- so that we can
protect the benefits -- of Federal health programs like Medicare.
we
pays
/
Finally, we will expand information to help consumers know
more / act wiser / and shop better in choosing health care.
part making
These five points will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to the
world's best health care. / Yet an even better way to cut costs
is to keep people from getting sick. So I want to talk about how
This us, most
not impressive, reform IS
impressive though
ou amoiral from Hill
4
we can change the way we act. / If you'll forgive me for altering
an old saying: "A pound of prevention is worth a ton of cure. "//
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability, and two-thirds of all cases of long-lasting
disability." / If you avoid drugs / smoke less / drink less / and
exercise more / you'll live longer. America will live better. //
( (You know, this morning I got to thinking about how
preventing disease can give kids the chance to build that model
airplane / learn to play shortstop for the Padres / go to the
world-famous San Diego Zoo. / Someone asked me if I was going to
the ZOO. I said I didn't have the time, but not to worry. Some
consider Washington the San Diego Zoo East. )) //
It is for our children that we must teach that better health
equals better lives. // Let's show how exercise can keep you
physically and mentally fit. // Let's morally avoid the behavior
which last year caused deaths by drugs and - by alcohol /
I
by smoking and by AIDS. // Let's also act through another
-
prevention measure: immunization. // With health care costs
stretched to the limit, we can't afford NOT to immunize our
youngest children. //
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. Our goal was simple:
to bring immunization to every American child. // Since then, he
has traveled across America to make this goal reality. //
5
Enlisting the non-profit and private sectors to protect our
littlest citizens / our most precious citizens / our future / our
kids. // This effort pays huge dividends: Every $1 spent on
immunization now saves an estimated $14 in health costs later. //
Consider two facts. / Last year measles cases soared to a
high of 27,000. In 1989-90 alone, measles killed 130 kids
children. How needless. How tragic. To this wrong which breaks
our hearts, we need immunization to set things right. //
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely the
health of their children. Last year, preparing for the holidays,
they were not prepared for the news -- their two littlest,
stricken by whooping cough. // Thank God, 2 and 1/2 year-old
Kensington has now left the hospital. Little 18-month-old
Colleen may have turned the corner. As Michael and Barbara
prayed, they asked that other parents would not make the same
mistake. // Said Michael: "You can't fight something you can't
see
You've got to have them immunized. Give them as much
protection as you can -- as early as you can.")) //
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids -where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. // Kids
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
6
cent in many States -- and often as low as 20 per cent in some
inner cities. / We have to change that -- and we will. //
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. / Yet
government will do its part. Our 1992 budget calls for an
additional $40 million for the CDC immunization progam. In
addition, we have emphasized our Healthy Start Program. / Today,
I again ask Congress to fully fund this initiative to curb infant
mortality. Last year, it appropriated only $25 million. Our
kids deserve the funding of more than twice that much. No longer
can we simply live and let live. We must live and help live. //
Next, I ask the private sector to do its part. / We need
to help it try creative ideas like "one-stop shopping" for health
care, and escorted referral for "express lane" immunization at
clinics. // Finally, I beseech each of you -- mothers, fathers,
spouses, friends. / Call your health official or physician.
Join groups which spur childhood immunization. By serving as
points of light, you can become stars of life. Please -- please
-- make sure your child is immunized. //
When I was little, I read a quote by Saint Francis of
Assisi. "Give me a child until he is seven, " he wrote, "and you
may have him afterward." // Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
304157
Document No.
WHITE HOUSE STAFFING MEMORANDUM
92 JAN 3 P12: 42
DATE: 2/1/92
ACTION/CONCURRENCE/COMMENT DUE BY: MONDAY, 4:00 PM, 2/3/92
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
SUBJECT:
FRIDAY, FEBRUARY 7, 1992
ACTION FYI
ACTION FYI
VICE PRESIDENT
HORNER
-
SKINNER
MCCLURE
-
SCOWCROFT
PETERSMEYER
DARMAN
PORTER
BRADY
ROGICH
1
BROMLEY
SMITH
CARD
FINDLAY
DEMAREST
SNOW
FITZWATER
KAUFMAN
GRAY
BOSKIN
HOLIDAY
REMARKS:
Please forward your comments directly to Tony Snow, Rm. 122, x2930,
with a copy to this office NO LATER THAN 4:00 PM, MONDAY, FEBRUARY 3.
Thank you.
RESPONSE:
PHILLIP D. BRADY
Assistant to the President
and Staff Secretary
Ext. 2702
(Smith/Grossman)
02 JAN31 P4: 29
January 31, 1992
SHOT
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
[glistening]
under a flood of sunlight." 11 Today, San Diego shines and
bustles -- a truly American jewel. // Thank you for the
privilege of visiting this Valhalla on the Pacific. //
((I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
// If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington. )) //
Earlier today, I visited a site with a surplus of caring --
the Logan Heights Family Health Center. I saw the families and
the children / watched little ones being immunized / and listened
to cries that will pre-empt future tears. // Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention. //
/ AM
This afternoon I want to discuss how prevention can achieve
a priceless gift: Good health in America. // Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. 11
All of us know the problem with America's health care
system. Health care costs too much. This year, Americans will
2
pay over $800 billion on health care -- one-tenth of all we
spend. / So yesterday in Cleveland, I announced a plan to reform
the system. My plan also attacks its other flaw: Too many are
excluded -- leaving one-seventh of our people without access to
health insurance when they change jobs, or develop illness. //
Imagine. Let's say you're making do -- getting by on a low-
paying job -- a job that offers health coverage for your disabled
child. / Let's say you get offered a better job with a higher
salary. You want to take it. / You need to take it. / But you
can't take the chance it won't cover your child. //
Some say the answer is a nationalized health system.
( (These are the same folks who said that Tony Gwynn would never
amount to much of a hitter.) )) // These people believe socialized
medicine is just the ticket for health care in America. What
they're not saying is that ticket is a number you have to take to
stand in line and wait your turn for treatment. 11
Now, I'll admit that Canada's system of socialized medcine
has increased that country's exports. What's been exported are
patients coming to the U.S. for prompt survery and doctors coming
here for better working conditions. // As long as I am President,
we will not go down the dead-end road of nationalized health
care. // Nor will I accept another government-takover plan: Pay
or play -- where employers are forced either to accept a health
insurance plan or pay a payroll tax and join the government plan.
// It's like the joke about choosing your own poison: The
3
hangman or the pill. // Socialized health care is a prescription
for failure. Yesterday, I announced a program for success. 11
My plan will preserve what works -- reform what doesn't --
and thus stabilize soaring health care bills. It consists of
five points -- each based on choice. 11 First, we will make
health insurance more affordable for low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will make health care more efficient. How? In part, through
Health Insurance Networks that cut administrative costs. /
The third point will also lower costs. Today we have too
many malpractice suits / too many lawyers / too many hustlers
looking to soak the system. ( (I don't want to get into trouble
with the Bar Association, but I once quoted to someone that line,
"An apple a day keeps the doctor away." He said, "What works for
lawyers?") ) // By reforming malpractice, we're going to slash
waste and excess in the present system. / That brings me to
point four. We will cut the outrageous growth -- so that we can
protect the benefits -- of Federal health programs like Medicare.
/ Finally, we will expand information to help consumers know
more / act wiser / and shop better in choosing health care.
These five points will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to the
world's best health care. / Yet an even better way to cut costs
is to keep people from getting sick. So I want to talk about how
sunce.
4
we can change the way we act. / If you'll forgive me for altering
an old saying: "A pound of prevention is worth a ton of cure. "//
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability, and two-thirds of all cases of long-lasting
disability." / If you avoid drugs / smoke less / drink less / and
exercise more / you'll live longer. America will live better. //
( (You know, this morning I got to thinking about how
preventing disease can give kids the chance to build that model
airplane / learn to play shortstop for the Padres / go to the
world-famous San Diego Zoo. / Someone asked me if I was going to
the ZOO. I said I didn't have the time, but not to worry. Some
consider Washington the San Diego Zoo East. )) //
It is for our children that we must teach that better health
equals better lives. // Let's show how exercise can keep you
physically and mentally fit. // Let's morally avoid the behavior
which last year caused deaths by drugs and - by alcohol / -
by smoking and by AIDS. // Let's also act through another
-
prevention measure: immunization. // With health care costs
stretched to the limit, we can't afford NOT to immunize our
youngest children. //
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. Our goal was simple:
to bring immunization to every American child. // Since then, he
has traveled across America to make this goal reality. //
5
Enlisting the non-profit and private sectors to protect our
littlest citizens / our most precious citizens / our future / our
kids. // This effort pays huge dividends: Every $1 spent on
immunization now saves an estimated $14 in health costs later. 11
Consider two facts. / Last year measles cases soared to a
high of 27,000. In 1989-90 alone, measles killed 130 kids
children. How needless. How tragic. To this wrong which breaks
our hearts, we need immunization to set things right. //
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely the
health of their children. Last year, preparing for the holidays,
they were not prepared for the news -- their two littlest,
stricken by whooping cough. // Thank God, 2 and 1/2 year-old
Kensington has now left the hospital. Little 18-month-old
Colleen may have turned the corner. As Michael and Barbara
prayed, they asked that other parents would not make the same
mistake. 11 Said Michael: "You can't fight something you can't
see
You've got to have them immunized. Give them as much
protection as you can -- as early as you can. ) //
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids --where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. // Kids
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
MARCH
tzon
FDEADWNE
cent in many States -- and often as low as 20 per cent in some
inner cities. / We have to change that -- and we will. //
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. / Yet
government will do its part. Our 1992 budget calls for an
additional $40 million for the CDC immunization progam. In
addition, we have emphasized our Healthy Start Program. / Today,
I again ask Congress to fully fund this initiative to curb infant
mortality. Last year, it appropriated only $25 million. Our
kids deserve the funding of more than twice that much. No longer
can we simply live and let live. We must live and help live. 11
Next, I ask the private sector to do its part. / We need
to help it try creative ideas like "one-stop shopping" for health
care, and escorted referral for "express lane" immunization at
clinics. // Finally, I beseech each of you -- mothers, fathers,
spouses, friends. / Call your health official or physician.
Join groups which spur childhood immunization. By serving as
points of light, you can become stars of life. Please -- please
-- make sure your child is immunized. //
When I was little, I read a quote by Saint Francis of
Assisi. "Give me a child until he is seven," he wrote, "and you
may have him afterward." // Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
ACKNOWLEDGEMENTS FOR SAN DIEGO ROTARY
1)
(introduced by Governor Wilson)
2)
Sec. Sullivan
3)
Surgeon General Antonia Novella
4)
Rotary Club President Craig Evanco
5)
Mayor Maureen O'Connor
304157
Document No.
WHITE HOUSE STAFFING MEMORANDUM
DATE: 2/1/92
ACTION/CONCURRENCE/COMMENT DUE BY: MONDAY, 4:00 PM, 2/3/92
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
SUBJECT:
FRIDAY, FEBRUARY 7, 1992
ACTION FYI
ACTION FYI
1
VICE PRESIDENT
HORNER
SKINNER
MCCLURE
SCOWCROFT
PETERSMEYER
1
DARMAN
PORTER
BRADY
ROGICH
BROMLEY
SMITH
CARD
FINDLAY
DEMAREST
SNOW
FITZWATER
KAUFMAN
BOSKIN
GRAY
HOLIDAY
REMARKS:
Please forward your comments directly to Tony Snow, Rm. 122, x2930,
with a copy to this office NO LATER THAN 4:00 PM, MONDAY, FEBRUARY 3.
Thank you.
RESPONSE:
See comments PK Thanks
Paul KorConta 02/03/92
PHILLIP D. BRADY
Assistant to the President
and Staff Secretary
Ext. 2702
(Smith/Grossman)
02 JAN31 P4: 29
January 31, 1992
SHOT
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
[glistening]
under a flood of sunlight." // Today, San Diego shines and
bustles -- a truly American jewel. // Thank you for the
privilege of visiting this Valhalla on the Pacific. //
((I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
// If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington.) ) //
Earlier today, I visited a site with a surplus of caring --
the Logan Heights Family Health Center. I saw the families and
the children / watched little ones being immunized / and listened
to cries that will pre-empt future tears. // Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention. //
This afternoon, I want to discuss how prevention can achieve
a priceless gift: Good health in America. // Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. //
All of us know the problem with America's health care
system. Health care costs too much. This year, Americans will
2
pay over $800 billion on health care -- one-tenth of all we
spend. / So yesterday in Cleveland, I announced a plan to reform
the system. My plan also attacks its other flaw: Too many are
excluded -- leaving one-seventh of our people without access to
health insurance when they change jobs, or develop illness. //
Imagine. Let's say you're making do -- getting by on a low-
paying job -- a job that offers health coverage for your disabled
child. / Let's say you get offered a better job with a higher
salary. You want to take it. / You need to take it. / But you
can't take the chance it won't cover your child. //
Some say the answer is a nationalized health system.
( (These are the same folks who said that Tony Gwynn would never
amount to much of a hitter. )) // These people believe socialized
medicine is just the ticket for health care in America. What
they're not saying is that ticket is a number you have to take to
stand in line and wait your turn for treatment. //
Now, I'll admit that Canada's system of socialized medcine
has increased that country's exports. What's been exported are
patients coming to the U.S. for prompt surgery survery and doctors coming
here for better working conditions. // As long as I am President,
we will not go down the dead-end road of nationalized health
care. 11 Nor will I accept another government-takover plan: Pay
or play -- where employers are forced either to accept a health
insurance plan or pay a payroll tax and join the government plan.
// It's like the joke about choosing your own poison: The
3
hangman or the pill. // Socialized health care is a prescription
for failure. Yesterday, I announced a program for success. //
My plan will preserve what works -- reform what doesn't --
and thus stabilize soaring health care bills. It consists of
five points -- each based on choice. // First, we will make
health insurance more affordable for low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will make health care more efficient. How? In part, through
Health Insurance Networks that cut administrative costs. /
The third point will also lower costs. Today we have too
many malpractice suits / too many lawyers / too many hustlers
looking to soak the system. ( (I don't want to get into trouble
with the Bar Association, but I once quoted to someone that line,
"An apple a day keeps the doctor away." He said, "What works for
lawyers?") ) // By reforming malpractice, we're going to slash
waste and excess in the present system. / That brings me to
point four. We will cut the outrageous growth -- so that we can
protect the benefits -- of Federal health programs like Medicare.
/ Finally, we will expand information to help consumers know
more / act wiser / and shop better in choosing health care.
These five points will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to the
world's best health care. / Yet an even better way to cut costs
is to keep people from getting sick. So I want to talk about how
4
we can change the way we act. / If you'll forgive me for altering
an old saying: "A pound of prevention is worth a ton of cure. "//
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability, and two-thirds of all cases of long-lasting
disability.' / If you avoid drugs / smoke less / drink less / and
exercise more / you'll live longer. America will live better. //
( (You know, this morning I got to thinking about how
preventing disease can give kids the chance to build that model
airplane / learn to play shortstop for the Padres / go to the
world-famous San Diego Zoo. / Someone asked me if I was going to
the ZOO. I said I didn't have the time, but not to worry. Some
consider Washington the San Diego Zoo East. )) //
It is for our children that we must teach that better health
equals better lives. // Let's show how exercise can keep you
physically and mentally fit. // Let's morally avoid 19,810 the behavior
in 1989
(HHS)
which last year caused deaths by drugs and by alcohol / -
431 000 by smoking and 20,000 by AIDS. // Let's also act through another
prevention measure: immunization. // With health care costs
stretched to the limit, we can't afford NOT to immunize our
youngest children. //
Last June, Secretary Sullivan and I announced our
Administration's Immunization Initiative. Our goal was simple:
to bring immunization to every American child. // Since then, he
has traveled across America to make this goal reality. //
5
Enlisting the non-profit and private sectors to protect our
littlest citizens / our most precious citizens / our future / our
kids. // This effort pays huge dividends: Every $1 spent on
immunization now saves an estimated $14 in health costs later. //
Consider two facts. / Last year measles cases soared to a
high of 27,000. In 1989-90 alone, measles killed 130
children. How needless. How tragic. To this wrong which breaks
our hearts, we need immunization to set things right. //
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely the
health of their children. Last year, preparing for the holidays,
they were not prepared for the news -- their two littlest,
stricken by whooping cough. // Thank God, 2 and 1/2 year-old
Kensington has now left the hospital. Little 18-month-old
Colleen may have turned the corner. As Michael and Barbara
prayed, they asked that other parents would not make the same
mistake. // Said Michael: "You can't fight something you can't
see
You've got to have them immunized. Give them as much
protection as you can -- as early as you can.")) //
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids --where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. // Kids
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
6
cent in many States -- and often as low as 20 per cent in some
inner cities. / We have to change that -- and we will. //
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. / Yet
1993
(HHS)
government will do its part. Our 1992 budget calls for an
52
additional $40 million for the CDC immunization progam. In
addition, we have emphasized our Healthy Start Program. / Today,
I again ask Congress to fully fund this initiative to curb infant
64
mortality. Last year, it appropriated only $25 million. Our
kids deserve the funding of more than twice that much. No longer
can we simply live and let live. We must live and help live. //
Next, I ask the private sector to do its part. / We need
to help it try creative ideas like "one-stop shopping" for health
care, and escorted referral for "express lane" immunization at
clinics. // Finally, I beseech each of you -- mothers, fathers,
spouses, friends. / Call your health official or physician.
Join groups which spur childhood immunization. By serving as
points of light, you can become stars of life. Please -- please
-- make sure your child is immunized. //
When I was little, I read a quote by Saint Francis of
Assisi. "Give me a child until he is seven, " he wrote, "and you
may have him afterward." // Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
Lardner
(Smith/Grossman)
January 31, 1992
92 JAN31 P4: 29
SHOT
PRESIDENTIAL REMARKS: ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
It is a delight to be in what, nearly thirty years ago, a
writer called "a pleasant and leisurely city
...
[glistening]
under a flood of sunlight." // Today, San Diego shines and
bustles -- a truly American jewel. // Thank you for the
privilege of visiting this Valhalla on the Pacific. //
((I know that the eyes of sailing enthusiasts are on San
Diego this year with the "America's Cup" competition in progress.
// If you run low on wind, let me know -- I can send you some of
the surplus we have in Washington. )) //
Earlier today, I visited a site with a surplus of caring --
the Logan Heights Family Health Center. I saw the families and
the children / watched little ones being immunized / and listened
to cries that will pre-empt future tears. // Later, I talked
with parents and community leaders about how greater immunization
can increase illness prevention. //
This afternoon, I want to discuss how prevention can achieve
a priceless gift: Good health in America. // Let me begin with
an equation: Good health equals a change in the health care
system plus a change in the way we act. //
All of us know the problem with America's health care
system. Health care costs too much. This year, Americans will
2
pay over $800 billion on health care -- one-tenth of all we
spend. / So yesterday in Cleveland, I announced a plan to reform
the system. My plan also attacks its other flaw: Too many are
excluded -- leaving one-seventh of our people without access to
health insurance when they change jobs, or develop illness. //
Imagine. Let's say you're making do -- getting by on a low-
paying job -- a job that offers health coverage for your disabled
child. / Let's say you get offered a better job with a higher
salary. You want to take it. / You need to take it. / But you
can't take the chance it won't cover your child. //
Some say the answer is a nationalized health system.
((These are the same folks who said that Tony Gwynn would never
amount to much of a hitter.) )) // These people believe socialized
medicine is just the ticket for health care in America. What
they're not saying is that ticket is a number you have to take to
stand in line and wait your turn for treatment. //
Now, I'll admit that Canada's system of socialized medcine
has increased that country's exports. What's been exported are
patients coming to the U.S. for prompt survery and doctors coming
here for better working conditions. // As long as I am President,
we will not go down the dead-end road of nationalized health
care. // Nor will I accept another government-takover plan: Pay
or play -- where employers are forced either to accept a health
insurance plan or pay a payroll tax and join the government plan.
// It's like the joke about choosing your own poison: The
3
hangman or the pill. // Socialized health care is a prescription
for failure. Yesterday, I announced a program for success. //
My plan will preserve what works -- reform what doesn't --
and thus stabilize soaring health care bills. It consists of
five points -- each based on choice. // First, we will make
health insurance more affordable for low-to-middle income
families. For low-income families, I want a health insurance
credit of up to $3,750 a year to help them buy insurance: For
middle-income, a tax deduction for the same amount. / Second, we
will make health care more efficient. How? In part, through
Health Insurance Networks that cut administrative costs. /
The third point will also lower costs. Today we have too
many malpractice suits / too many lawyers / too many hustlers
looking to soak the system. ( (I don't want to get into trouble
with the Bar Association, but I once quoted to someone that line,
"An apple a day keeps the doctor away. " He said, "What works for
lawyers?") ) // By reforming malpractice, we're going to slash
waste and excess in the present system. / That brings me to
point four. We will cut the outrageous growth -- so that we can
protect the benefits -- of Federal health programs like Medicare.
/ Finally, we will expand information to help consumers know
more / act wiser / and shop better in choosing health care.
These five points will cut costs / ensure choice / and give
everyone -- rich or poor; sick or healthy -- access to the
world's best health care. / Yet an even better way to cut costs
is to keep people from getting sick. So I want to talk about how
4
we can change the way we act. / If you'll forgive me for altering
an old saying: "A pound of prevention is worth a ton of cure. "//
My good friend and Secretary of HHS, Lou Sullivan, has said:
"Better control of fewer than 10 risk factors could prevent [up
to] 70 percent of premature deaths, one-third of all cases of
acute disability, and two-thirds of all cases of long-lasting
disability. " / If you avoid drugs / smoke less / drink less moderately and
don't
exercise more / you'll live longer. America will live better. //
((You know, this morning I got to thinking about how
preventing disease can give kids the chance to build that model
airplane / learn to play shortstop for the Padres / go to the
world-famous San Diego Zoo. / Someone asked me if I was going to
the zoo. I said I didn't have the time, but not to worry. Some
consider Washington the San Diego Zoo East. )) //
It is for our children that we must teach that better health
equals better lives. // Let's show how exercise can keep you
physically and mentally fit. // Let's morally avoid the behavior
which last year caused deaths by drugs and by alcohol /
-
by smoking and by AIDS. // Let's also act through another
prevention measure: immunization. // With health care costs
stretched to the limit, we can't afford NOT to immunize our
youngest children. //
Last June, Secretary Sullivan and I announced our
Administration Immunization Initiative. Our goal was simple:
to bring immunization to every American child. // Since then, he
has traveled across America to make this goal reality. //
Carfuli notall AIDS deaths are
behavior related. Have to and subtract
deaths of hemephiliscs.
5
Enlisting the non-profit and private sectors to protect our
littlest citizens / our most precious citizens / our future / our
kids. // This effort pays huge dividends: Every $1 spent on
immunization now saves an estimated $14 in health costs later. //
Consider two facts. / Last year measles cases soared to a
high of 27,000. In 1989-90 alone, measles killed 130 kids
children. How needless. How tragic. To this wrong which breaks
our hearts, we need immunization to set things right. //
( (Let me tell you a story about a family right here in San
Diego. Michael and Barbara Baines had always watched closely the
health of their children. Last year, preparing for the holidays,
they were not prepared for the news -- their two littlest,
stricken by whooping cough. // Thank God, 2 and 1/2 year-old
Kensington has now left the hospital. Little 18-month-old
Colleen may have turned the corner. As Michael and Barbara
prayed, they asked that other parents would not make the same
mistake. // Said Michael: "You can't fight something you can't
see
You've got to have them immunized. Give them as much
protection as you can -- as early as you can.")) //
It's because of families like the Baines that I put forth
this message: We need improved immunization. We also need
earlier immunization. / Not merely of school-age kids --where
immunization approaches 100 percent -- but of our smallest
victims -- where a year of wait can be a year too long. // Kids
need to be completely vaccinated in the first and second years of
life. Yet immunization rates at two years of age are only 50 per
6
cent in many States -- and often as low as 20 per cent in some
inner cities. / We have to change that -- and we will. //
It won't be easy to immunize every child: The only place
where success comes before work is the dictionary. / Yet
government will do its part. Our 1992 budget calls for an
additional $40 million for the CDC immunization progam. In
addition, we have emphasized our Healthy Start Program. / Today,
I again ask Congress to fully fund this initiative to curb infant
mortality. Last year, it appropriated only $25 million. Our
kids deserve the funding of more than twice that much. No longer
can we simply live and let live. We must live and help live. //
Next, I ask the private sector to do its part. / We need
to help it try creative ideas like "one-stop shopping" for health
care, and escorted referral for "express lane" immunization at
clinics. // Finally, I beseech each of you -- mothers, fathers,
spouses, friends. / Call your health official or physician.
Join groups which spur childhood immunization. By serving as
points of light, you can become stars of life. Please -- please
-- make sure your child is immunized. //
When I was little, I read a quote by Saint Francis of
Assisi. "Give me a child until he is seven, " he wrote, "and you
may have him afterward." // Through a better system and better
behavior, we can ensure that the future will have our kids
afterward -- hoping / building / dreaming / as Americans always
have / as Americans always will.
God bless you, and the United States of America.
SAVE
ROTARY CLUB
SAN DIEGO, CALIFORNIA
FRIDAY, FEBRUARY 7, 1992
A
GOVERNOR WILSON, THANK YOU FOR THAT INTRODUCTION.
SECRETARY SULLIVAN. SURGEON GENERAL NOVELLO. ROTARY
CLUB PRESIDENT CRAIG EVANCO. MAYOR MAUREEN O'CONNOR.
LADIES AND GENTLEMEN. / IT IS A DELIGHT TO BE IN WHAT,
&
NEARLY THIRTY YEARS AGO, A WRITER CALLED "A PLEASANT
AND LEISURELY CITY
...
[GLISTENING] UNDER A FLOOD OF
SUNLIGHT." // TODAY, SAN DIEGO SHINES AND BUSTLES -- A
TRULY AMERICAN JEWEL. // THANK YOU FOR THE PRIVILEGE
OF VISITING THIS BEAUTIFUL CITY ON THE PACIFIC. //
((I KNOW THAT THE EYES OF SAILING ENTHUSIASTS ARE
ON SAN DIEGO THIS YEAR WITH THE "AMERICA'S CUP"
A
COMPETITION IN PROGRESS. // IF YOU RUN LOW ON WIND,
LET ME KNOW -- -- I KNOW WHERE THERE'S A SURPLUS.
R
WASHINGTON, D.C.)) //
- 2 -
EARLIER TODAY, I VISITED A CATALYST OF CARING --
THE LOGAN HEIGHTS FAMILY HEALTH CENTER, FOUNDED BY
LAURA RODRIGUEZ, ONE OF SAN DIEGO'S POINTS OF LIGHT. I
SAW THE FAMILIES AND THE CHILDREN -- AND WATCHED THE
LITTLE ONES BEING IMMUNIZED. / LATER, I TALKED WITH
PARENTS AND COMMUNITY LEADERS ABOUT HOW GREATER
IMMUNIZATION CAN INCREASE ILLNESS PREVENTION.
THIS MORNING, ((LIKE IMMUNIZATION, I'LL TRY TO BE
BRIEF -- AND ALSO LIKE IMMUNIZATION, I'LL TRY TO KEEP
THE PAIN TO A MINIMUM.)) I WANT TO DISCUSS HOW
PREVENTION CAN ACHIEVE A PRICELESS GIFT: GOOD HEALTH
IN AMERICA. // LET ME BEGIN WITH AN EQUATION: GOOD
HEALTH EQUALS A CHANGE IN THE HEALTH CARE SYSTEM PLUS A
CHANGE IN THE WAY WE ACT. //
sorely Tengted
- 3 -
THIS COUNTRY HAS THE BEST HEALTH CARE SYSTEM IN THE
WORLD. THE QUALITY OF HEALTH CARE IN AMERICA IS
UNRIVALLED. THAT'S NOT THE PROBLEM. RATHER, THE
PROBLEM IS, FIRST, THAT TOO MANY AMERICANS ARE EXCLUDED
-- LEAVING ONE-SEVENTH OF OUR PEOPLE WITHOUT HEALTH
INSURANCE COVERAGE. SECOND, MILLIONS OF AMERICANS FEAR
LOSING ACCESS TO COVERAGE WHEN THEY CHANGE JOBS, OR
DEVELOP ILLNESS. // THIS IS ABSOLUTELY UNACCEPTABLE
-- AND IT'S GOT TO STOP. ! FINALLY, HEALTH CARE COSTS
TOO MUCH. THIS YEAR, AMERICANS WILL PAY MORE THAN $800
BILLION FOR HEALTH CARE -- ONE-TENTH OF ALL WE SPEND.
THE HEALTH OF OUR ECONOMY AND THE HEALTH OF OUR NATION
CANNOT AFFORD IT -- WE'VE GOT TO DO SOMETHING ABOUT IT.
A
NOW'S THE TIME TO START.
- 4 -
IMAGINE. LET'S SAY YOU'RE MAKING DO -- JUST
GETTING BY IN YOUR CURRENT JOB THAT OFFERS HEALTH
COVERAGE FOR YOUR DISABLED CHILD. / LET'S SAY YOU GET
OFFERED A BETTER JOB WITH A HIGHER SALARY. YOU WANT TO
TAKE IT. / YOU NEED TO TAKE IT. / BUT YOU CAN'T TAKE
THE CHANCE IT WON'T COVER YOUR CHILD. // THAT IS NOT
THE AMERICAN WAY -- I KNOW WE CAN DO BETTER AND MY PLAN
DOES -- WE'VE GOT TO ROLL-UP OUR SLEEVES AND MEET THIS
CHALLENGE HEAD-ON.
AFFORDABILITY -- ACCESS -- PORTABILITY -- THESE ARE
THE ISSUES WE MUST ADDRESS. SO YESTERDAY, IN
CLEVELAND, I ANNOUNCED A PIONEERING PLAN TO DO JUST
THAT: TO STABILIZE COSTS / ENSURE ACCESS / AND FREE
WORKERS FROM THE FEAR OF LOSING COVERAGE. // MY PLAN
WILL PRESERVE WHAT WORKS AND REFORM WHAT DOESN'T. IT
CONSISTS OF FOUR POINTS. I ASK YOU TO SUPPORT THIS
PLAN AND HELP ME MAKE THE BEST SYSTEM IN THE WORLD EVEN
BETTER. //
- 5 -
FIRST, OUR PLAN WILL MAKE HEALTH INSURANCE MORE
ACCESSIBLE BY MAKING IT MORE AFFORDABLE FOR MILLIONS OF
LOW-TO-MIDDLE INCOME FAMILIES. FOR LOW-INCOME
FAMILIES, I WANT A HEALTH INSURANCE CREDIT OF UP TO
$3,750 A YEAR TO HELP THEM BUY INSURANCE: FOR MIDDLE-
INCOME, A TAX DEDUCTION UP TO THE SAME AMOUNT. /
SECOND, WE WILL CUT HEALTH CARE COSTS BY MAKING IT MORE
EFFICIENT. STUDIES SHOW THAT THE LARGER THE GROUP
BEING INSURED, THE LOWER THE COST PER INDIVIDUAL. so
WE WILL CREATE HEALTH INSURANCE NETWORKS THAT HELP
COMPANIES BAND TOGETHER AND CUT ADMINISTRATIVE COSTS. /
- 6 -
THE THIRD POINT WILL ALSO LOWER COSTS. WE MUST
#
REFORM MEDICAL MALPRACTICE LITIGATION. // TODAY WE
HAVE TOO MANY MALPRACTICE SUITS DRIVING UP COSTS FOR A
A
DOCTOR, A NURSE, OR A HOSPITAL STAY. A RECENT STUDY
FOUND THAT IN 1989 THE COST OF DEFENSIVE MEDICINE - --
JUST FOR PHYSICIANS' EXPENDITURES TO BE OVER TWENTY
BILLION DOLLARS - -- OR NEARLY EIGHTEEN PERCENT OF THEIR
TOTAL COSTS. // ((I DON'T WANT TO GET INTO TROUBLE
WITH THE BAR ASSOCIATION, BUT I ONCE QUOTED TO SOMEONE
THAT LINE, "AN APPLE A DAY KEEPS THE DOCTOR AWAY." HE
SAID, "WHAT WORKS FOR LAWYERS?")) / HERE'S WHAT WILL
WORK FOR AMERICA: LET'S SPEND AS MUCH TIME BUILDING A
A
BETTER HEALTH SYSTEM AS WE DO WRESTLING WITH OUR LEGAL
SYSTEM. WE'D DO BETTER CARING FOR EACH OTHER IF WE
STOP SOLVING PROBLEMS BY SUING EACH OTHER. // THAT
BRINGS ME TO POINT FOUR. WE WILL CUT THE OUTRAGEOUS
GROWTH OF FEDERAL HEALTH PROGRAMS LIKE MEDICARE -- so
THAT WE CAN PROTECT THE BENEFITS.
- 7 -
OUR REFORM PROGRAM WILL CUT COSTS / ENSURE CHOICE /
AND GIVE EVERYONE - -- RICH OR POOR; SICK OR HEALTHY --
ACCESS TO HEALTH CARE. / YET THERE ARE THOSE WHO --
LIKE AN OLD DOG -- -- REFUSE TO LEARN NEW TRICKS. //
INSTEAD OF A BETTER HEALTH CARE SYSTEM -- THEY DEMAND A
NATIONALIZED SYSTEM -- VERY CANDIDLY, THAT MEANS A
SOCIALIZED SYSTEM. // LET ME TELL YOU STRAIGHT -- I
WILL NOT ALLOW THEM TO GIVE AMERICA A PRESCRIPTION FOR
#
FAILURE. //
THE FOLKS WHO WANT NATIONAL HEALTH CARE ARE THE
SAME PEOPLE WHO SAID THAT TONY GWYNN WOULD NEVER AMOUNT
TO MUCH OF A HITTER - THEY JUST CAN'T SEE THE FUTURE.
/ THEY THINK SOCIALIZED MEDICINE - -- TOTALLY GOVERNMENT
CONTROLLED MEDICAL CARE -- IS JUST THE TICKET FOR
HEALTH CARE IN AMERICA. WHAT THEY'RE NOT SAYING IS
IT'S ALSO THE TICKET FOR THE TREATMENT WAITING LINE. //
- 8 -
ANYONE WHO'S SPENT MONTHS CHECKING THE MAIL FOR
THAT INCOME TAX REFUND // OR TRIED TO TRACK DOWN A
MISSING SOCIAL SECURITY CHECK // OR WASTED A DAY IN
LINE AT THE DEPARTMENT OF MOTOR VEHICLES IS GOING TO
*
THINK LONG AND HARD BEFORE THEY LET THE GOVERNMENT PLAY
DOCTOR. // SOME SAY NATIONALIZED HEALTH CARE WOULD
SERVE EVERYONE. SURE, IT WOULD -- LIKE A RESTAURANT
THAT SERVES BAD FOOD -- BUT IN VERY GENEROUS PORTIONS.
//
LOOK AT COUNTRIES WHERE SOCIALIZED MEDICINE
VIOLATES THE NUMBER ONE RULE OF THE MEDICAL PROFESSION:
"DO NO HARM." // THEY CAN TELL YOU: NATIONALIZED
HEALTH CARE IS A NATIONAL DISASTER. // IT'S TRUE
SOCIALIZED MEDICINE PLANS HAVE INCREASED EXPORTS TO OUR
COUNTRY. BUT WHAT ARE THE EXPORTS? I'LL TELL YOU:
PATIENTS COMING HERE FOR PROMPT SURGERY AND THE FINEST
CARE IN THE WORLD DOCTORS COMING HERE FOR BETTER
WORKING CONDITIONS. //
- 9 -
AS LONG AS I AM PRESIDENT, WE WILL NOT GO DOWN THE
ROAD OF NATIONALIZED HEALTH CARE. //
NOR WILL WE JUMP FROM THE FRYING PAN INTO THE FIRE.
I OPPOSE THE OTHER GOVERNMENT-TAKEOVER PLAN KNOWN AS
PAY OR PLAY -- WHERE EMPLOYERS ARE FORCED EITHER TO
ACCEPT A HEALTH INSURANCE PLAN OR PAY A PAYROLL TAX AND
JOIN THE GOVERNMENT PLAN. / THE "PLAY OR PAY" CHOICE
COSTS JOBS AND MONEY, AND REMINDS ME OF THE GUY WITH
THE GUN IN YOUR BACK WHO SAYS: "YOUR MONEY OR YOUR
LIFE." // JACK BENNY USED TO RESPOND BY SAYING, "I'M
THINKING, I'M THINKING." / WE'D BETTER THINK LONG AND
HARD ABOUT A PAY OR PLAY PLAN THAT WOULD MAKE US PAY /
AND PAY / AND PAY. // I WILL NOT LET CONGRESS TRY TO
CURE AMERICA'S HEALTH CARE AILMENTS BY BINDING WOUNDS
IN RED TAPE. /
- 10 -
I HAVE PROPOSED A PLAN THAT IS SENSIBLE, AND WILL
WORK. I ASK YOU TO HELP, TOO. // ONE OF THE BEST WAYS
IS KEEPING PEOPLE HEALTHY. so LET ME TALK ABOUT HOW WE
MUST ALSO CHANGE THE WAY WE ACT. / IF YOU'LL FORGIVE ME
FOR ALTERING AN OLD SAYING: "A POUND OF PREVENTION IS
WORTH A TON OF CURE. "//
MY GOOD FRIEND AND SECRETARY OF H.H.S., LOU
SULLIVAN, HAS SAID: "BETTER CONTROL OF FEWER THAN 10
RISK FACTORS...COULD PREVENT [UP TO] 70 PERCENT OF
PREMATURE DEATHS, ONE-THIRD OF ALL CASES OF ACUTE
DISABILITY AND TWO-THIRDS OF ALL CASES OF LONG-LASTING
DISABILITY" -- AND, YES, MANY, MANY AIDS CASES. / IF,
YOU EXERCISE / EAT RIGHT / DON'T SMOKE OR ABUSE DRUGS /
DRINK LESS / AND AVOID RISKY SEXUAL BEHAVIOR / YOU'LL
LIVE LONGER -- AND AMERICA WILL LIVE BETTER. //
- 11 -
LET'S CHANGE THE BEHAVIOR THAT COSTS SOCIETY TENS
OF BILLIONS OF DOLLARS IN LOST EARNINGS AND
PRODUCTIVITY, TREATMENT-RELATED PROGRAMS, ACCIDENTS,
AND CRIME. // MAYBE I'M A LITTLE OLD-FASHIONED -- BUT
I BELIEVE PERSONAL RESPONSIBILITY HAS A LOT TO DO WITH
MAKING AMERICA A BETTER COUNTRY.
so LET'S ALSO ACT THROUGH ANOTHER PREVENTION
MEASURE: IMMUNIZATION. // WITH HEALTH CARE COSTS
STRETCHED TO THE LIMIT, WE CAN'T AFFORD NOT TO IMMUNIZE
OUR YOUNGEST CHILDREN. //
LAST JUNE, SECRETARY SULLIVAN AND I ANNOUNCED OUR
ADMINISTRATION'S IMMUNIZATION INITIATIVE. OUR GOAL
WAS SIMPLE: TO BRING IMMUNIZATION TO EVERY AMERICAN
CHILD. // THIS EFFORT PAYS HUGE DIVIDENDS: EVERY $1
SPENT ON IMMUNIZATION NOW FOR MEASLES, MUMPS, AND
RUBELLA SAVES AN ESTIMATED $14 LATER. //
- 12 -
CONSIDER TWO FACTS. / TWO YEARS AGO, MEASLES
CASES SOARED TO A HIGH OF 27,000. IN 1989-90 ALONE,
MEASLES CAUSED 130 DEATHS -- 60 PERCENT OF WHICH WERE
CHILDREN UNDER FIVE YEARS OF AGE. BECAUSE OF OUR
IMMUNIZATION INITIATIVE WE NOW HAVE A NATIONAL
BLUEPRINT TO BRING THIS NEEDLESS, AND TRAGIC STORY TO A
SPEEDIER END. WE'RE ALSO WORKING ON IMMUNIZATION'S
EQUIVALENT OF "PUTTING A MAN ON THE MOON" -- THE ONE-
TIME, ALL-IN-ONE VACCINE THAT IMMUNIZES A CHILD AGAINST
ALL VACCINE-PREVENTABLE CHILDHOOD DISEASES.
YOU KNOW, SINCE SEPTEMBER OF 1991, THERE HAS NOT
BEEN A SINGLE REPORTED POLIO CASE IN THE AMERICAS.
THAT'S AN EXTRAORDINARY IMMUNIZATION ACCOMPLISHMENT,
BUT WE MUST DO BETTER. THAT'S WHY WE'VE MORE THAN
TRIPLED THE DOLLARS FOR FEDERAL IMMUNIZATION EFFORTS
SINCE I TOOK OFFICE IN 1988 -- FROM 98 MILLION TO 297
MILLION DOLLARS FOR 1992. AND OUR WORK WILL ONLY BE
COMPLETE WHEN WE ERADICATE THESE TERRIBLE DISEASES NOT
ONLY FROM OUR NEIGHBORHOODS BUT FROM THE WORLD'S AS
WELL.
- 13 -
((LET ME TELL YOU A STORY ABOUT A FAMILY RIGHT HERE
IN SAN DIEGO. MICHAEL AND BARBARA BAINES HAD ALWAYS
WATCHED CLOSELY OVER THE HEALTH OF THEIR CHILDREN.
LAST YEAR, THEY WERE PREPARING FOR THE HOLIDAYS, BUT
THEY WERE NOT PREPARED FOR THE NEWS -- THEIR TWO
LITTLEST, STRICKEN BY WHOOPING COUGH. // THANK GOD, 2
AND 1/2 YEAR-OLD KENSINGTON HAS NOW LEFT THE HOSPITAL.
LITTLE 18-MONTH-OLD COLLEEN HAS STABILIZED. AS MICHAEL
AND BARBARA PRAYED, THEY ASKED THAT OTHER PARENTS WOULD
NOT MAKE THE SAME MISTAKE. // SAID MICHAEL: "YOU
CAN'T FIGHT SOMETHING YOU CAN'T SEE
YOU'VE GOT TO
HAVE THEM IMMUNIZED. GIVE THEM AS MUCH PROTECTION AS
YOU CAN -- AS EARLY AS YOU CAN.")) //
- 14 -
IT'S BECAUSE OF FAMILIES LIKE THE BAINES THAT I PUT
FORTH THIS MESSAGE: WE NEED IMPROVED IMMUNIZATION. WE
ALSO NEED EARLIER IMMUNIZATION. / NOT MERELY OF
SCHOOL-AGE KIDS -- WHERE IMMUNIZATION APPROACHES 100
PERCENT -- BUT OF OUR SMALLEST VICTIMS -- WHERE A YEAR
OF WAIT CAN BE A YEAR TOO LONG. // KIDS NEED TO BE
COMPLETELY VACCINATED IN THE FIRST AND SECOND YEARS OF
LIFE. YET IMMUNIZATION RATES AT TWO YEARS OF AGE ARE
ONLY 50 PER CENT IN MANY STATES -- AND OFTEN AS LOW AS
10 PER CENT IN SOME INNER CITIES. / WE HAVE TO CHANGE
THAT -- AND I AM DETERMINED THAT WE WILL. //
- 15 -
IT WON'T BE EASY TO IMMUNIZE EVERY CHILD. YET THE
GOVERNMENT WILL DO ITS PART. AND THE PRIVATE SECTOR
NEEDS TO DO ITS PART. / WE NEED TO HELP IT TRY
CREATIVE IDEAS LIKE "ONE-STOP SHOPPING" FOR HEALTH
CARE, AND ESCORTED REFERRAL FOR "EXPRESS LANE"
IMMUNIZATION AT CLINICS. // FINALLY, I ASK EACH OF YOU
--MOTHERS, FATHERS, SPOUSES, FRIENDS. / CALL YOUR
HEALTH OFFICIAL OR PHYSICIAN. JOIN GROUPS WHICH
ENCOURAGE CHILDHOOD IMMUNIZATION. PLEASE -- PLEASE --
MAKE SURE YOUR CHILD IS IMMUNIZED. //
I HAVE OUTLINED TODAY A REFORM PROGRAM TO MAKE
HEALTH CARE ACCESSIBLE AND AFFORDABLE. IT'S A PROGRAM
WHICH REJECTS THE DEAD-END OF SOCIALIZED MEDICINE -- A
PROGRAM WHICH WILL BE GOOD MEDICINE FOR THE AMERICAN
ECONOMY, AND THE AMERICAN PEOPLE. // HELP ME TAKE THIS
MESSAGE TO THE CONGRESS: "HE WHO HAS HEALTH HAS HOPE,
AND HE WHO HAS HOPE HAS EVERYTHING." / I NEED YOUR
SUPPORT. I NEED YOUR INVOLVEMENT. LET'S BRING QUALITY
HEALTH CARE TO EVERY AMERICAN. //
- 16 - -
WHEN I WAS LITTLE, I READ A QUOTE BY SAINT FRANCIS
OF ASSISI. "GIVE ME A CHILD UNTIL HE IS SEVEN," HE
WROTE, "AND YOU MAY HAVE HIM AFTERWARD." // THROUGH A
BETTER SYSTEM AND BETTER BEHAVIOR, WE CAN ENSURE THAT
THE FUTURE WILL HAVE OUR CHILDREN AFTERWARD -- HOPING /
BUILDING / DREAMING / AS AMERICANS ALWAYS HAVE / AS
AMERICANS ALWAYS WILL.
GOD BLESS YOU, AND THE UNITED STATES OF AMERICA.
# # # #