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Originally Processed With FOIA(s): FOIA Number: S; 1999-0118-F 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 Backup Files Subseries: Chron File, 1989-1993 OA/ID Number: 13837 Folder ID Number: 13837-002 Folder Title: Children's Health Care--Delaware 10/2/92 [OA 7581] Stack: Row: Section: Shelf: Position: G 26 23 1 6 TOM SCULLY speech insert I have made children's well being my highest priority - and I've pushed funding for children's health and education programs to unprecedented levels. In fact, since I took office, I've increased spending on children's programs by 66% to over $100 Billion a year. We've increased funding to prevent infant mortality by 65% -- to over $3.6 Billion. And working with Secretary Sullivan, I've had a specific focus on reducing infant mortality in our poorest areas. Last year we began the Healthy Start program -- where we intensively target $143 M a year in infant mortality funds to 15 cities with the highest infant mortality rates. Through the Centers for Disease Control, I've increased Immunization grants by 148% -- from $141 to $349 Million a year-- to ensure that all our kids get the vital vaccines they need. And I have increased funding for the ever effective Women's Infants and Children's Program (WIC) by almost $1 Billion --to $2.8 Billion. The WIC program provides infant ormula and other nutritious foods to millions of mothers and their kids to make sure they get a healthy start right from birth My Health Reform Plan provides all Americans with access to affordable insurance -- and for the first time will guarantee all poor families -- and poor kids -- quality health carte coverage. But its not just in health care that we've focused on helping kids. I've increased Head Start by 127% --$600 million this year alone. So for the first time all eligible four year olds can get a Head Start. An in Education, I've increased funding by 41% and proposed a radical reforms that are badly needed to again make our schools the best in the world. Lets not forget child care the Democrats like forget. --- I pushed through my comprehensive Child Care program -- that give parents vouchers to let them -- not the government -- choose where they want to send their kids for day care. Along with child care, I pushed through a 96% increase in the Earned Income Tax Credit putting another $5.5 Billion a year in the hands of low income working parents with children. The program has a fancy name -- but it is the most important program we have to give low income working parents some help. It encourages them to work and stay off welfare -- and gives them a leg up on providing stability and security for their families. And just last week I proposed a tough new child support policy -- which will make sure that deadbeat parents keep up with their responsibility to support their kids. Millions of single parents do a great job of raising their kids -- and they and their kids can't be loaded down with the added burden of surviving without the support that is due to them. My program will track down absent parents and make them pay up. When it comes to children, Bill Clinton's talks a big game but I've delivered. Mr. Aaron knopt Mayor of Dover Acting 4. Gov. Dale Wolf Zauck . P.4 deml violar rite it 7 - I 89 49th do we had a comp figure 1 for 80? get 0 one Monday sign the very fut constitution several schools are letting out John Herne the square * Golden Heese Jawern - to pous rt- 1 first of 13 states to matify Supres Cont stage left in use statchouse bhind Imloblest Cup. "The Green" &7 Pages circle important stuff - GMA March 22 Nursday 77% of all Ark grads. remedial will Monha Fallow me 10 a world of pure imagination Ferguson/Bunton October 5, 1992 10:30 a.m. [children] PRESIDENTIAL REMARKS: CHILDREN'S HEALTH CARE EVENT DOVER, DELAWARE OCTOBER 5, 1992 3:00 P.M. Thank you, Governor Castle, for that kind introduction. Good afternoon, everyone. (Greetings to Acting Lt. Gov. Dale Wolf; and to Mayor Aaron Knopf.) I've come to Dover this afternoon to talk a little bit about the choice we face this November. This campaign, like every campaign, is about a simple question: what kind of America do we want -- for the young people here today? // I have laid out my Agenda for American Renewal -- a right have in America specific, comprehensive, integrated agenda so we can create in- America -- the world's very first $10 trillion economy./ My agenda for renewal asks that we look forward ... To open new markets for American products -- so we create new jobs for American workers. // To prepare our young people to work -- so they have the tools to compete and win. // To strengthen the American family -- because family is still the foundation of our nation. // To save and invest -- because America must always put tomorrow ahead of today. // 2 Those are the things we must do. So here's what I'm fighting for: I want to re-invent American education -- give every American parent the fundamental right to choose the best school for their children. I want to reform our crazy legal system -- because as a nation, we must sue each other less and care for each other more.// I want to use competition to cut the cost of health care and make it more affordable and accessible for you and your families. Finally, I'm fighting for economic security -- for every man, woman and child in America. // And if we are truly to renew America -- we must pay special attention to those who've been left behind. Today is National Child Health Day -- a good time to remind ourselves that America's greatest resource is her people. As we move into the new century, we cannot afford to lose a single American to indifference and neglect. Good intentions and noble rhetoric aren't enough. Our actions must match our words. And when it comes to children's speak health, the actions of my administration have spoken loud and clear. Let's look at the record. Since I took office, we've increased spending on children's programs by 66 percent -- to over $100 billion a year. From infant mortality / to childhood immunizations / to making sure 3 our neediest kids get the nutritious foods they need -- we've done more than talk about children's health. And we haven't stopped there. We've increased Head Start funding by 127 percent -- $600 million this year alone -- so that every eligible four-year-old will be able to start school ready to learn. We've also pushed through a 96 percent increase in the Earned Income Tax Credit -- putting another $5.5 billion a year in the hands of low-income working parents. Our program encourages them to stay off welfare and stay on the job -- and gives them a leg up in providing stability and security for their families. These are good, solid programs -- programs that work for families, not against them. But nobody should be fooled that we can spend our way out of problems. The bottom line for all our programs should be strengthening the family. We must encourage families to stick together and parents to stick around. Look at our child care reform. I pushed through my comprehensive Child Care program two years ago. The liberals in Congress wanted to create a brave new child care bureaucracy. I said: Let's try something different. And we did. We let parents -- not the government -- choose the child care they want for their kids -- whether it was in a church basement or a public school or at a neighbor's house. We give parents the means -- and let them make the choice. 4 And just last week I proposed a tough new child support policy. We're telling Deadbeat Dads: you can run but you can't hide. You will support the family you're responsible for -- no ifs / ands / or buts. That's our record. I'm proud of it. But what about Governor Clinton? I know that Bill Clinton always talks a good game. But behind his words is a very different reality -- the reality of his record as governor of Arkansas. When it comes to protecting the children of Arkansas, the facts about Bill Clinton's record aren't pretty. But America must look at the facts. Because when it comes to his record in Arkansas, Bill Clinton isn't leveling with the American people. During the 1980s, the death rate for American children 14- and-under improved dramatically across the country. But in Arkansas, it got worse. The state ranked 43rd in 1987. Two / years later it fell to 49th. In the late 1980s, on Governor Clinton's watch, Arkansas's rate of violent deaths for teenagers soared at three times the national average. Over the decade, child abuse reports shot up 130 percent. Now, it's hard to believe Governor Clinton was unaware of what was going on. Throughout the 1980s, study after study offered detailed findings and recommendations -- a cry for help, if you will. Bill Clinton even commissioned some of these studies himself. 5 In 1990, his own Department of Human Services reported -- and I quote -- that "frequent and widespread" official failures had placed the children of Arkansas in "imminent peril." And still Bill Clinton did nothing. At last a group of child welfare advocates had to take him to court. They filed a class action suit naming him as the lead defendant. Finally, four months ago, Governor Clinton settled. Bill Clinton's child-health record in Arkansas is appalling. There's no other word for it. Look at how his state matches up with other states: 45th in the well-being of children; 45th in low weight babies; 47th in the percentage of children in poverty. Despite that record, Governor Clinton travels the country calling himself an advocate for children. Maybe the children of Arkansas would be better off if he'd spent less time talking about them and more time trying to help them. Fairy Fairy tales tales The children of Arkansas deserve better. The children of America deserve better. On issue after issue, you see the same huge gap between the Candidate Clinton's rhetoric and Governor Clinton's record. Bill Clinton says he's for civil rights, but Arkansas is one of two states that doesn't have a basic civil rights law. He says he's for high tech -- but under Bill Clinton, Arkansas has been falling behind in high school. Three out of every four Arkansas graduates spend their first year in college -- relearning what they were supposed to learn in high school. 6 And take a look at our North American Free Trade Agreement with Mexico and Canada -- NAFTA. I launched NAFTA because it will create high-wage jobs for Americans right here in the United States. And I've fought for it every step of the way -- because it's the right thing to do. That's what presidential leadership is all about. Once upon a time, Bill Clinton said he was for NAFTA. Then the labor bosses told him they were against it. So he said he wasn't sure if he was for it or against it. Now he's looked at the polls. He's seen that the American people want NAFTA. So just yesterday he said he's for it, too. Then again, maybe he's not. You see, he's saddled his support for NAFTA with all kinds of reservations and qualifications. He says we need special provisions to help workers, 5x 26/45 -- and he's right. That's why I've of 2beagr. all job retraing for adjustment already proposed $10 billion in job retraining programs to do 2/3 to states 3262 83 -anl just that. CARRY MAUREEN WATSH 1/206 13 for He says we need to complement NAFTA with environmental NAFTA - agreements -- and he's right. That's why I've already negotiated separate environmental agreements with the Mexican government. And when I've asked Bill Clinton's Democratic friends in Congress to fund my proposals to clean up our border with Mexico -- they've said no. But Governor Clinton won't let facts get in the way. It doesn't matter what's right or what's wrong. He just tells people what he thinks they want to hear. UNION, NJ we said #670 minion for See. of Labor to pump into 7 You cannot be everything to everyone. You cannot come down on both sides of the issue and call it leadership. And look at the economy, the major issue in this campaign. I know America has endured some tough economic times, but understand, we are being affected by a global economic slowdown. Our competitors in Europe would trade places with us in a minute. Yet Governor Clinton offers America -- the European social welfare state policies. More government. More special interest spending. More taxes on the middle class. As Governor, Bill Clinton raised and extended the sales tax, including a tax on vegetables and other groceries. He raised the gas tax, he taxed mobile homes, he even taxed cable TV. // In this campaign, the Governor of Arkansas says he's going to raise taxes again -- $150 billion worth -- but only on the rich. Don't bet on it. To get the money he needs for his plan, just the $150 billion he's promised in new taxes, Governor Clinton would have to get his money from every individual with taxable income over $36,600. But that's just for starters. Listen to the newspaper from his own back yard, The Pine Bluff Commercial. Here's what they say: "If Congress followed the example that Bill Clinton has set as Governor of Arkansas, it would pass a tax program that would hit the middle-class hardest." 8 There you have it. Higher taxes on the middle class. More spending. A bigger deficit. America deserves something better than this. At this time in our history, we simply can't afford Bill Clinton's kind of change. Anyway you count it, Bill Clinton is wrong for America. I've been in the Oval Office, I've faced the tough decisions. I've made some mistakes and I've admitted them. But I believe I've been a good leader -- willing to make the tough calls. And if you are looking for a leader with experience, someone who shares your values, a leader who understands that America's real strength is not in government, but in places like Dover and Camden and New Castle -- then I know I can count on your support -- on November 3rd. // Thank you very much. God Bless the United States of America. # # # RCV BY:Xerox Telecopier 7020 :10- 5-92 ; 9:56AM i 2024562380- 2024565218 THE WHITE HOUSE WASHINGTON October 3, 1992 DOVER COMMUNITY WELCOME DATE: Monday, October 4, 1992 TIME: 3:10 - 3:45 p.m. LOCATION: Dover Green Dover, Delaware FROM: Ronald C. Kaufman I. PURPOSE To promote your Agenda For American Renewal proposals before local area Republican activists and local businesspeople from the greater Dover area. II. BACKGROUND Those in attendance at this welcome are local Republican supporters and local Chamber of Commerce officials from Dover and the surrounding communities. III. PARTICIPANTS The President Governor Mike Castle Lt. Governor Dale Wolf B. Gary Scott, Candidate for Governor Mr. Philip Clautier, Candidate for Lt. Governor Mrs. Donna Lee Williams, Candidate for Insurance Commissioner The Hon. Aaron Knopf, Mayor of Dover Mr. Basil Battaglia, GOP State Chairman Mrs. Priscilla Rakestraw, GOP National Committeeman Approximately 3,000 supporters. IV. SEQUENCE OF EVENTS See Advance Office Schedule for details. V. PRESS PLAN Open. VI. REMARKS Remarks Provided by the office of Speechwriting. Ferguson/Bunton October 2, 1992 7:00 p.m. [children] PRESIDENTIAL REMARKS: CHILDREN'S HEALTH CARE EVENT WILMINGTON, DELAWARE OCTOBER 5, 1992 X:XX P.M. Thanks for that kind introduction. Good afternoon, everyone. (Acknowledgments) I've come to Wilmington this afternoon to talk a little bit about the choice we face this November. This campaign, like every campaign, is about a simple question: what kind of America do we want -- for the young people here today? // My opponent likes to cut America down. He says we are sliding down the list of nations, somewhere past Germany and heading for Sri Lanka. Governor Clinton needs to talk to the Europeans. Talk to the people of Asia -- they'd tell him. The American worker is still the most productive -- the American economy is still the most dynamic -- in the entire world. The question now is: How do we stay Number One? I have laid out my Agenda for American Renewal -- a specific, comprehensive, integrated agenda to create in America -- the world's very first $10 trillion economy./ My agenda for renewal asks that we look forward ... To open new markets for American products -- so we create new jobs for American workers. // 2 ILL To prepare our young people to work -- so they have the tools to compete and win. // To strengthen the American family -- because family is still the foundation of our country. // To save and invest -- because America must always put tomorrow ahead of today. // Those are the things we must do. So here's what I'm fighting for: I want to re-invent American education -- give every American parent the fundamental right to choose the best school for their children. I want to reform our crazy legal system -- because as a nation, we must sue each other less and care for each other more.// I want to use competition to cut the cost of health care and make it more affordable for you and your families. Finally, I'm fighting for economic security -- for every man, woman and child in America. // And if we are to reach true economic security in our country -- if we are truly to renew America -- we must pay special attention to those who've been left behind. I'm thinking particularly of the kids. You here at the Northeast State Service Center know what I'm talking about. As you know, today is National Child Health Day, and what you've been doing here PROCLAMATION/ shows that a little caring makes a world of difference in the health of our children. 3 And you know this, too: good intentions aren't enough. Our actions must match our words. I'm very proud of what we've been able to accomplish for children's health over the past three- and-a-half years. Since I took office, I've increased spending on children's TOM SOULLY INSERT programs by 66 percent -- to over $100 billion a year. To stop the horror of infant mortality, I've increased Tom SCULLY funding by 65 percent -- with special attention to our poorest areas. Last year I launched the Healthy Start program -- Tom SCULLY intensively targeting $143 million a year to 15 cities with the highest infant mortality rates. Through the Centers for Disease Control, I've increased X TOM SCULLY Immunization grants by 148 percent -- to $349 million a year -- to ensure that our kids get the vaccines they need. And I've increased funding for the Women's Infants and Children's program by almost $1 billion -- up to $2.8 billion -- TOM SCULLY bringing infant formula and other nutritious foods to the mothers and kids who need it most. But our concern for kids doesn't stop at health care. I've increased Head Start funding by 127 percent -- $600 million this year alone. Thanks to that increase -- for the Tom seally X first time in the program's history, all eligible four-year-olds will get a Head Start. And child care -- I pushed through my comprehensive Child Care program two years ago -- and we did it without creating a 1990 BUSH ADMUNISTRATION RECORD 4 brave new child care bureaucracy. We let parents -- not the government -- choose the child care they want for their kids. I also pushed through a 96 percent increase in the Earned TOM SCULLY X Income Tax Credit -- putting another $5.5 billion a year in the X hands of low-income working parents. Our program encourages them to stay off welfare and stay on the job -- and gives them a leg up in providing stability and security for their families. X 9/30/92 WISCONSIN) And just last week I proposed a tough new child support TOM scuny X policy -- to help families stick together and fathers stick X around. That's our record. I'm proud of it. Now, I'm told that Governor Clinton is also speaking on these issues today -- and I know that Bill Clinton always talks a good game. But behind his words is a very different reality -- the reality of his record as governor of Arkansas. And when it comes to protecting children of Arkansas, the facts about Bill Clinton's record aren't pretty. But America must look at the facts. REMARKS During the 1980s, the death rate for American children 14 MO 9/22/92 and-under improved dramatically across the country. But in POTUS Arkansas, it got worse. The state ranked 49th in 1989. REMARKS X X X X X SPRINGFIELD, In the late 1980s, on Governor Clinton's watch, Arkansas's no X 9/22/92 REMARKS rate of violent deaths for teenagers soared at three times the FOND POTUS 9/30/92 Du X X national average. Over the decade, child abuse reports shot up 130 percent. COMPARATIVE FIGURE- [DAVID TELL] 43rd in 1987. Doesn't think records were kept prov to 1987. daril lell 5 Now, it's hard to believe Governor Clinton was unaware of what was going on. Throughout the 1980s, study after study SPRINGFIELD, contained detailed findings and recommendations -- a cry for help, if you will. Bill Clinton even commissioned some of these studies himself. In 1990, his own Department of Human Services reported -- and I quote -- that "frequent and widespread" official failures SPRINGFIELD, had placed the children of Arkansas in "imminent peril." And still Bill Clinton did nothing. At last a group of child welfare advocates had to take him SPRINGFIELD No. to court. They filed a class action suit naming him as the lead X X defendant. Finally, four months ago, Governor Clinton settled. Bill Clinton's record in Arkansas is appalling. There's no other word for it. Look at how his state matches up with other 1992 (No (1989) CENTER STUDY states: 45th in the well-being of children; 45th in low-weight X (1986-1990). FORSOCIAL babies; 47th in the percentage of children in poverty. Despite that record, Governor Clinton travels the country Annernation policy E Casey calling himself an advocate for children. I urge every American to keep his record in mind -- the next time he tells you he wants Squire (She) to do for America's children what he's done for the children of Arkansas. Well, I say the children of Arkansas deserve better. The children of America deserve better. On issue after issue, you see the same huge gap between the Candidate Clinton's rhetoric and Governor Clinton's record. 6 Bill Clinton says he's for civil rights, but Arkansas doesn't have a basic civil rights law. He says he's for high tech -- but under Bill Clinton, Arkansas has been falling behind in high school. Three out of every four Arkansas graduates spend their first year in college -- relearning what they were supposed to learn in high school. He says he's for a clean environment, but the Institute for Southern Studies ranked Arkansas 50th in environmental policies. / The rivers in that state are some of the most polluted in spingfund America. Governor Clinton sometimes sounds as if he can walk on water. Well in Arkansas, the rivers are so polluted -- maybe he can. // And look at the economy, the major issue in this campaign. I know America has endured some tough economic times, but understand, we are being affected by a global economic slowdown. Our competitors in Europe would trade places with us in a minute. Yet Governor Clinton offers America -- the European social welfare state policies. More government. More special interest spending. More taxes on the middle class. As Governor, Bill Clinton raised and extended the sales tax, including a tax on vegetables and other groceries. He raised the proybands gas tax, he taxed mobile homes, he even taxed cable TV. // In this campaign, the Governor of Arkansas is proposing at W least $150 billion in new taxes -- plus at least $220 billion in new spending. But don't worry, he says -- I'll get it all from the rich. 7 But here's the truth. To get the money he needs for his plan, just the $150 billion he's promised in new taxes, Governor Clinton would have to get his money from every individual with taxable income over $36,600. But that's just the start of his tax campaign against the middle-class. Listen to the newspaper from his own back yard, The Pine Bluff Commercial. Here's what they say: "If Congress followed the example that Bill Clinton has set as Governor of Arkansas, it would pass a tax program that would hit the middle- class hardest." There you have it. Higher taxes on the middle class. More spending. A bigger deficit. America deserves something better than this. At this time in our history, we simply can't afford Bill Clinton's kind of change. Anyway you count it, Bill Clinton is wrong for America. I've been in the Oval Office, I've faced the tough decisions. I've made some mistakes and I've admitted them. But I believe I've been a good leader -- willing to make the tough calls. And if you are looking for a leader with experience, someone who shares your values, a leader who understands that America's real strength is not in government, but in places like Wilmington Camage and Dover and New Castle -- then I know I can count on your support -- on November 3rd. // 8 Thank you very much. God Bless the United States of America. # # # THE WHITE HOUSE WASHINGTON October 2, 1992 MEMORANDUM TO: JOHN KELLER KATHY SUPER STEVE PROVOST FROM: GARY FOSTER G7 SUBJECT: INFORMATION FOR WILMINGTON, DELAWARE The attached is for your informational purposes in preparing for the President to travel to Delaware on Monday, October5 8 in recognition of National Child Health Day. John Keller has someone in Delaware surveying the sites and will be getting back to us this afternoon with an event proposal. The current plan is for the President to briefly tour the Northeast State Service Center and make remarks at the conclusion of the tour. Bob Zoellick agrees that we revert to a stump speech inserting a page or two highlighting the President's very favorable record on child health care in contrast to Clinton's poor record. ATTACHMENTS cc: Bob Zoellick Margaret Tutwiler David Bates Tim McBride David Demarest Ede Holiday Karen Groomes Andrew Carpendale Speechwriters STATE OF DELAWARE OFFICE OF THE GOVERNOR MICHAEL N CANTLE MEMORANDUM GOVERNOR TO: Debbie Messick United States Department of Health and Human Services Office of the Secretary FROM: A. Douglas Rothwell, Office of the Governor, Chief of Staff Mary Jane Hammerstedt, Office of the Governor, Press Secral Thomas P. Eichler, Secretary, Department of Health and Social Services DATE: September 30, 1992 RE: Proposal for President Bush to Visit Delaware on Monday, October 5, 1992, for a Celebration of Child Health Day Debbie. we appreciate the opportunity to explore the possibility of having President Bush visit Delaware on Monday, October 5, to highlight the importance of making health care services available to all of America's children. As you may be aware, Delaware is in the process of implementing a series of health care programs announced by Governor Castle in January as part of his State of the State speech. These programs, approved by the Delaware General Assembly in June, are designed to: Make routine health care available to all Delaware children up to age 18 through a unique partnership with the Nemours Foundation which has committed to building and operating up to 15 pediatric facilities statewide. Beginning October 1. 1992. more than 5,000 children Ages 10-18 living below the poverty level will receive coverage through 1 new State Medicaid-Like program. Expand Medicaid coverage to an additional 350 pregnant women and 250 infents. Make health insurance available to all small businesses and individuals regardless of pre-existing condition, company size and other current barriers. Provide care to more needy adults through an agreement between the State and the Medical Society to create the Voluntary Initiative Program. Attract more physicians to underserved areas of the State through new recruitment and scholarship programs overseen by the Delaware Institute for Medical Education and Research. Control skyrocketing health care costs by creating a committee to make specific recommendations to the Governor by December 1993. LEGISLATIVE HALL CARVEL STATE OFFICE ELDO. DOVER, 18001 WILMINGTON, 19801 302/799-4101 308/677-0210 FAX FAX 502/577-3118 P O 2 Wd 04:12 26 'OE '60 Based on your conversation with our office, we have outlined below I proposed event focused on several specific health access initiatives that are coming to fruition in Delaware during the next few days. EVENT OVERVIEW We propose conducting I press conference at the Worthest State Service Center a center using a model system for integrating and delivering social services - all which benefit children and are based on the concept of "one stop shopping." This press conference will focus on: President Bush and Governor Castle declaring October 5, as Child Health Day in Delaware and across America. Announcing details of Medicaid expansions which will have gane into effect on October 1, and presenting Medicaid cards to newly-eligible families. Announcing the placement of a Nemours Foundation pediatrician at Northeast State Service Center while the Foundation secures and prepares space for up to 15 pediatric clinics statewide. An endorsement by President Bush of Delaware's efforts as a model for the nation and commitment to help expedite the waiver process for our partnership with the Nemours Foundation. The press conference would be followed by a noontime "Rally For Children's Health" in downtown Wilmington. This would give the President and the Governor an opportunity to highlight strategies for implementing universal health care for children nationwide. Both the press conference and the rally would be open to the media and the following groups: Delaware Health Care Commission The Nemours Foundation DHSS' health-related advisory councils 215 visit Certer outdon DHSS' House/Senate committees Cabinet Secretaries Health advocacy organizations Health Care Cost Containment Commission State Council on Minority Health xazing House/Senate leadership ul insating children come Care DHSS division directors and key Medicaid managers Child Health Task Force If time permits, we would also propose: A luncheon with health leaders, legislators, health advocates, and State Medical Society representatives. A tour of the Northeast State Service Center and overview of Delaware's "One-Stop" approach to service delivery. A tour of the world-reknowned A.I. duPont Institute Children's Hospital located in Delaware. We appreciate your interest in Delaware and would be happy to discuss further details with you, as well as enswer any questions you may have. This is just @ proposed program and we would be happy to modify It to better meet your needs. POS 04:12 PM In the event that an October 5, visit to Delaware does not meet the President's schedule, we have a very powerful economic development event tentatively scheduled for mid-October that we would be pleased to expand for the President. It involves the completion of the first phase of the Delaware Technology Park a complex that means new business in a rapidly growing composites and high technology industry and more than 1,000 new jobs for Dolaware by the year 2000. This event would provide an excellent opportunity for the President and the Governor to highlight their economic development strategies for the State and Nation. If you are interested, we would be pleased to outline this in more detail. Again, thank you for your interest in Delaware. We would be very pleased to host President Bush. 6129a P04 Wd 04:12 2606 '60 Clinton Record CHILDREN Clinton calls for full federal funding of Head Start, and more federal funding support for child care programs. Bu Clinton's record on children is weak to the point of criminal neglect, especially where foster care and child welfare are concerned. The state's child welfare and foster care systems have been negiected for a decade. Arkansas child abuse case: increased by 130 percent from 1979-89: Clinton served as governor during eight of those 10 years. And in 1990, the American Humane Association found the state's child abuse rate was 35 percent above the national average. Children have died through state agency neglect, and in 1990 Clinton's own officials reported that Arkansas children were in "imminent peril" due to "frequent and widespread" state government failures. in 1991, children's advocates filed a class action suit against Clinton, alleging his officials withheld health care from abuse victims, assigned foster children to as many as 40 homes in four years. separated families carelessly, an ignored child handicaps. Clinton's response? He convened a panel of experts, who issued recommendations nearly identical to similar task forc reports during the 1980s. Clinton held a special session, increased funding for the program, and settled the lawsuit, b it now appears that the state is trying to renege on its agreement in federal court. The Center for the Study of Social Policy ranks Arkansas at or near the bottom of nearly every significant categ 45th out of 51 in the well-being of children (down from 43rd in the last year alone); 45th in low -weight bables; 49th in child death rates; 47th in teen violent death rate; 45th in single teen births; 47th in children in poverty; and, 42nd in percent of children in single-parent families. Healthy sites stat aua en ac were Gi} cauld ninz note ul children Ledearly Bush Record BACKGROUND October 5 is Child Health Day. This provides an excellent opportunity to highlight the many accomplishments of this Administration in improving children's health and to promote the President's health care reform plan The Administration's record in children's health is indeed impressive. The President should take every opportunity to trumpet such achievements as: the Healthy Start initiative to slash infant mortality rates by 50% in 15 targeted communities; the Infant Immunization initiative, including the new Standards for Pediatric Immunization Practice and a FY 1993 budget request of $349 million, 3-1/2 times the 1988 budget; the historic expansion of Head Start, one of the leading delivery systems for health care to low-income children; and 0 expansion of Community and Migrant Health Centers--$48 million in FY 1992 and a budget request of $88 million for FY 1993. We have identified possible site visits in the key States of Illinois, Michigan, Ohio and Pennsylvania Attached is information about each site. THE WHITE HOUSE WASHINGTON October 2, 1992 MEMORANDUM TO: JOHN KELLER KATHY SUPER STEVE PROVOST FROM: GARY FOSTER G7 SUBJECT: INFORMATION FOR WILMINGTON, DELAWARE The attached is for your informational purposes in preparing for the President to travel to Delaware on Monday, October 8 in recognition of National Child Health Day. John Keller has someone in Delaware surveying the sites and will be getting back to us this afternoon with an event proposal. The current plan is for the President to briefly tour the Northeast State Service Center and make remarks at the conclusion of the tour. Bob Zoellick agrees that we revert to a stump speech inserting a page or two highlighting the President's very favorable record on child health care in contrast to Clinton's poor record. ATTACHMENTS cc: Bob Zoellick Margaret Tutwiler David Bates Tim McBride David Demarest Ede Holiday Karen Groomes Andrew Carpendale Speechwriters STATE OF DELAWARE OFFICE OF THE GOVERNOR MICHAEL N. CANTLE MEMORANDUM GOVERNOR TO: Debbie Messick United States Department of Health and Human Services Office of the Secretary FROM: A. Douglas Rothwell, Office of the Governor, Chief of Staff Mary Jane Hammerstedt, Office of the Governor, Fress Secretary Thomas P. Eichler, Secretary, Department of Health and Social Services DATE: September 30, 1992 RE: Proposal for President Bush to Visit Delaware on Monday, October 5, 1992, for $ Celebration of Child Health Day Debbie. we appreciate the opportunity to explore the possibility of having President Bush visit Delaware on Monday, October 5, to highlight the importance of making health care services available to all of America's children. As you may be aware, Delaware is in the process of implementing a series of health care programs announced by Governor Castle in January as part of his State of the State speech. These programs, approved by the Delaware General Assembly in June, are designed to: Make routine health care available to all Delaware children up to age 18 through a unique partnership with the Nemours Foundation which has committed to building and operating up to 15 pediatric facilities statewide. Beginning October 1. 1992. more than 5,000 children Ages 10-18 living below the poverty level will receive coverage through 1 sex State Medicald-like program. Expand Medicald coverage to an additional 350 pregnant women and 250 infents. Make health insurance available to all small businesses and individuals regardless of pre-existing condition, company size and other current barriers. Provide care to more needy adults through an agreement between the State and the Medical Society to create the Voluntary Initiative Program. * Attract more physicians to underserved areas of the State through new recruitment and scholarship programs overseen by the Delaware Institute for Medical Education and Research. Control skyrocketing health care costs by creating a committee to make specific recommendations to the Governor by December 1993. LEGISLATIVE HALL CARVEL STATE OFFICE BI.DO. DOVER, TH001 WILMINGTON, 19801 005/577-0910 FAX FAX 309/377-3118 PO2 Wd 04:12 'O € '60 Based an your conversation with our office, we have outlined below I proposed event focused on several specific health access initiatives that are coming to fruition in Delaware during the next few days. EVENT OVERVIEW We propose conducting 8 press conference at the Northeast State Service Center a center using a model system for integrating and delivering social services - all which benefit children and are based on the concept of "one stop shopping." This press conference will focus on: President Bush and Governor Castle declaring October 5, as Child Health Day in Delaware and across America. Announcing details of Medicaid expansions which will have gone into effect on October 1, and presenting Medicaid cards to newly-eligible families. Announcing the placement of a Nemours Foundation pediatrician at Northeast State Service Center while the Foundation secures and prepares space for up to 15 pediatric clinics statewide. An endorsement by President Bush of Delaware's efforts as a model for the nation and commitment to help expedite the waiver process for our partnership with the Nemours Foundation. The press conference would be followed by a noontime "Rally For Children's Health" in downtown Wilmington. This would give the President and the Governor an opportunity to highlight strategies for implementing universal health care for children nationwide. Both the press conference and the rally would be open to the media and the following groups: Delaware Health Care Commission The Nemours Foundation DHSS' health-related advisory councils Cabinet Secretaries visit cealu outdon DHSS' House/Senate committees Health advocacy organisations Health Care Cost Containment Commission State Council on Minority Health yaring House/Senate leadership ul DHSS division directors and key Medicaid managers Heat Child Health Task Force If time permits, we would also propose: A luncheon with health leaders, legislators, health advocates, and State Medical Society representatives. A tour of the Northeast State Service Center and overview of Delaware's "One-Stop" approach to service delivery. A tour of the world-reknowned A.I. duPont Institute Children's Hospital located in Delaware. We appreciate your interest in Delaware and would be happy to discuss further details with you, as well as answer any questions you may have. This is just a proposed program and we would be happy to modify it to better meet your needs. POB 04:12 PM 36'00'81 in the event that an October 5, visit to Delaware does not meet the President's schedule, we have a very powerful economic development event tentatively scheduled for mid-October that we would be pleased to expand for the President. It involves the completion of the first phase of the Delaware Technology Park - a complex that means new business in a rapidly growing composites and high technology industry and more than 1,000 new jobs for Delaware by the year 2000. This event would provide an excellent opportunity for the President and the Governor to highlight their economic development strategies for the State and Nation. If you are interested, we would be pleased to outline this in more detail. Again, thank you for your interest in Delaware. We would be very pleased to host President Bush. 6129a 30d Wd 04:12 26 08 '50 Clinton Record CHILDREN Clinton calls for full federal funding of Head Start, and more federal funding support for child care programs. But Clinton's record on children is weak to the point of criminal neglect, especially where foster care and child welfare are concerned. The state's child weifare and foster care systems have been negiected for a decade. Arkansas child abuse cases increased by 130 percent from 1979-89: Clinton served as governor during eight of those 10 years. And in 1990, the American Humane Association found the state's child abuse rate was 35 percent above the national average. Children have died through state agency neglect, and in 1990 Clinton's own officials reported that Arkansas childrer were in "imminent peril" due to "frequent and widespread" state government failures. In 1991, children's advocates filed a class action suit against Clinton, alleging his officials withheld health care from abuse victims, assigned foster children to as many as 40 homes in four years, separated families carelessly, and ignored child handicaps. Clinton's response? He convened a panel of experts, who issued recommendations nearty identical to similar task force reports during the 1980s. Clinton held a special session, increased funding for the program, and settled the lawsuit, bu it now appears that the state is trying to renege on its agreement in federal court. The Center for the Study of Social Policy ranks Arkansas at or near the bottom of nearly every significant catego 45th out of 51 in the well-being of children (down from 43rd in the last year alone); 45th in low-weight bables; 49th in child death rates; 47th in teen violent death rate; 45th in single teen births; 47th in children in poverty; and, 42nd in percent of children in single-parent families. Healthy sites stat alea en DC were G17 cauld nixt note ul children univers Bush Record BACKGROUND October 5 is Child Health Day. This provides an excellent opportunity to highlight the many accomplishments of this Administration in improving children's health and to promote the President's health care reform plan. The Administration's record in children's health is indeed impressive. The President should take every opportunity to trumpet such achievements as: the Healthy Start initiative to slash infant mortality rates by 50% in 15 targeted communities; the Infant Immunization initiative, including the new Standards for Pediatric Immunization Practice and a FY 1993 budget request of $349 million, 3-1/2 times the 1988 budget; the historic expansion of Head Start, one of the leading delivery systems for health care to low-income children; and - 0 expansion of Community and Migrant Health Centers--$48 million in FY 1992 and 0 budget request of $88 million for FY 1993. We have identified possible site visits in the key States of Illinois, Michigan, Ohio and Pennsylvania Attached is information about each site. THE WHITE HOUSE Office of the Press Secretary (Springfield, Missouri) September 22, 1992 For Immediate Release REMARKS BY THE PRESIDENT TO SPRINGFIELD SERVICE ORGANIZATIONS CRIME p.4 University Plaza Convention center Springfield, Missouri 8:53 A.M. CDT THE PRESIDENT: Thank you all very, very much. Thank you very much. And let me just say to Governor Ashcroft how appreciative I am for that rousing introduction. And let me tell you, it's a joy to be back. I keep showing up in this marvelous part of the country. (Applause.) And I understand that I owe a vote of gratitude to Ben Parnell, a leading, most respected Democrat who gave an outstanding talk here; to Hal Gibbs, a former leader in the Perot organization who is now suited up and working hard for us. And I'm grateful to him -- grateful to both of them. To an old friend, Johnny Morris. The only thing I feel deprived of is I can't go by that marvelous outlet here and enhance your economy. (Laughter.) Because I love fishing and I love the outdoors. (Applause.) And I respect Johnny Morris as one of our leading environmentalists in the entire United States. He's sensible and he speaks for the sportsmen all across this country. And, of course, seeing -- modestly sitting in the front row over here, my old, dear friend whom Barbara and I respect and love, who's been with us at Camp David, with whom I campaigned four years ago -- Mo Bandy. I'll tell you, it's a joy to have him here. (Applause.) And I also want to pay my respects to the Congressman -- I haven't seen Mel Hancock. Maybe he's not with us, but he's a great representative for this area. And, of course, I was privileged to -- (applause) -- privileged to ride in with Don Gunn, who is the neighboring state rep, a man that serves with John Ashcroft with such distinction in the Capitol. so let me on with the business at hand. And John has set the course and set the agenda for today's comments. These trips today will take me to six different states. And two weeks ago in Detroit, I presented to the American people my Agenda for American Renewal. It is a clear-eyed look at what's wrong with our country, and also what's right about our country. I offered a comprehensive, integrated approach to win the new global economic competition. so that by early in the next century, the world's first $10-trillion economy will be found right here in the United States of America. (Applause.) Last week, I discussed in detail how my vision of our future differs from that of my opponent. The differences simply could not be deeper -- the stakes, as John points out -- the Governor points out -- could not be higher. Basically, it comes down to this: My opponent believes that government planners can manage the economy better than the workers and small businessmen and women who actually make it grow. I respect government, but I don't put my faith in it. I put my faith in the tax-paying, hard-working men and women of America. (Applause.) The first shot out of the box Goverhor Clinton says he wants to raise taxes that will kill jobs. I want Governor to see that cut to help Americans create jobs. (Applause.) Clinton federal spending by at least $220 billion. And I want and sharp. it them wants to increase -- he's already said this -- to increase cut by that and more. I want the differences to be clear And then the American people, then you will make a choice. You know, the American people are interviewing two men for the same job. Now, you know me. My record is on the table, over the years. You know its shortcomings. I admit I've made mistakes and I hope you know my record's strengths. And in my agenda I've told you what I intend to do to build on that record. I have spoken from my heart about the great optimism that I feel for this nation -- how I know we can rise above our challenges today and achieve an even better tomorrow. My opponent has taken a very different path. He hasn't hesitated a minute to try to tear down everything we've accomplished for 12 years -- to find everything he can about what's wrong with America. While I've been talking about ideas he and his people have admitted publicly that their focus is on the negative -- on what's wrong. For month after month, Governor Clinton has persisted in attacks on me -- persistent, unrelenting and many very personal in nature. Frankly, he has distorted my record, and his campaign chairman even called me a racist. And this week, the Governor unveiled for the first time in this presidential race negative campaigning, negative television advertising -- first one of this campaign. so far, right up to today in springfield, I have resisted the urge to focus on Governor Clinton's record. Frankly, I have felt that Americans want a positive debate. But I must tell you, I am very tired of the distortions, tired of the half-truths. And the stakes are too high to let America be deceived by a negative campaign. so today, for really the first time, I have chosen to lay it on the line -- (applause) -- talk about my opponent's record -- talk facts. Talk about the record in Arkansas, the Governor's record. And that means explaining the Grand Canyon that separates his rhetoric from the reality of his record. You need to know this, because our country's future is literally on the line. You need to know whether you can trust Bill Clinton to take America where it needs to go in the next four years. Because once you buy what he's selling, there's no refund. I hear candidate Clinton is up in Michigan today talking about debates. Well, I propose a debate for him today -- candidate Clinton versus Governor Clinton. You see, we've all heard -- (applause) -- we've all heard what candidate Clinton says he can do for America. But that's very different from what Governor Clinton has done to Arkansas, to the good people of Arkansas. (Applause.) And I want to stress this: My argument is not with the people of Arkansas. It is not. They are good, decent, hard-working people. Frankly, they deserve treatment better than they've received from Governor Clinton. so here we go. Let me begin with an issue of concern to every American, every fair- minded American: civil rights. Governor Clinton says -- and I quote -- "Everybody knows I have the best civil rights record." His words. His modesty overwhelms me. (Laughter.) But how does his record stand? Some of you may know that in 1968 -- when I was a Congressman from Texas -- I supported the Fair Housing Act. It wasn't popular with some of my constituents. Times have changed, MORE and nowadays 41 states have laws banning them housing -- of discrimination course, -- 41. But Arkansas is not one of even though my opponent has been Governor for 12 years. Forty-six states have human relations agéncies that safeguard their citizens against discrimination. But not under his leadership. Forty-eight states have basic Arkansas civil rights laws that ban discrimination and guarantee equal is opportunity. But not Arkansas. That's right: Arkansas statute. one of only two states in America without a civil rights Candidate Clinton likes to talk about my 1990 veto of the Democratic Congress's quota bill. I did veto that bill -- and I'll vato any other quota bill that the liberals cook up. (Applause.) I am for civil rights. And I am against quotas. That 16 hot a contradiction. so last year, after tough negotiations with Congress and beating back two attempts to ram down my throat and the people's throat a quota bill, I did sign -- proudly sign a major civil rights bill without resorting to quotas. In addition, I fought for the Americans with Disabilities Act, the most sweeping civil rights legislation in 30 years that brings those with disabilities into the mainstream and gives them a shot at the American Dream. (Applause.) And I'm proud of it. (Applause.) What about Governor Clinton? Even though his party enjoys overwhelming control of the Arkansas legislature, Governor Clinton has still not brought a civil rights bill to the people of Arkansas. so when you hear the candidate Clinton's rhetoric all across this country about civil rights, Governor Clinton's record just does not stand up. Now, consider another issue: economic fairness. You know, candidate Clinton is playing the old game that liberals love to play -- class warfare. Divide Americans rich from poor, one group from another. And he's good at 1t, candidate Clinton is very good at that: using the same tired, twisted, partisan statistics to explain how the poor can only get richer if the rich get poorer. According to candidate Clinton, the last 10 years have been a nightmare. Well, I've got news for him. It is not true. The Urban Institute back in Washington is not usually sympathetic to me, but listen to what they had to say about the 1980s. "When one follows individuals rather than statistical groups defined by income, one finds that, on average, the rich got a little richer and the poor got much richer." Now, that's the truth. our policies of cutting taxes have spurred growth for all Americans. Yes, we've got tough times now. But it's fair to look at the whole record. And candidate Clinton doesn't think this is a "fair" result. He doesn't think it's fair. Maybe because he -- it's maybe because Governor Clinton doesn't have much experience with tax fairness in his own state. Governor Clinton has more than doubled -- 1f you want a horror story, listen to this -- he has more than doubled Arkansas state spending since 1983, And he has paid for it by raising the taxes that hurt poor and working families the most. My opponent has raised and extended his sales tax repeatedly -- and he has opposed removing that tax from groceries. Governor taxes -- Governor Taxes -- sorry. (Laughter.) Freudian slip. (Applause.) Freudian slip. Governor Clinton raised taxes on beer and started taxing mobile homes, too. And he more than doubled Arkansas's gas tax -- to 18-and-a-half cents per gallon. Governor Clinton even taxed food stamps until the federal government forced him to stop. And as MORE if working families in Arkansas did not have enough problems, he's even tried to tax child care. When it comes to taxes, Governor Clinton can't seem to get history. I signed a tax increase once, and enough. Last year, he signed the largest tax I've increase in Arkansas regretted it ever since. I admit it when I make a mistake. And therein lies the difference. (Applause.) Let me quote from an article in the Arkansas Gazette all of this. "In the Clinton era," it says, "the state tax on system has become more and more regressive. It has become, step by step, a pretty bad system, stacked against the ordinary taxpayer and consumer, stacked for the rich and special interest." End of quotation. Now, that's been his tax policy in Arkansas. Look at what it did to that state's economy -- a wonderful state, but look what it did to the economy. The per-capita income, for example -- that's the bottom line for working men and women, how much income on average each of them have. Well, at the end of the 1980s, Arkansas ranked 48th in the nation per-capita income -- only about 73 percent of the national average, and that was even lower than the 75 percent in 1980. The poor people have been going backwards under this man. And what about all those good manufacturing jobs that candidate Clinton talks about? Well, average hourly earnings for Arkansas manufacturing workers ranked 47th in 1980. BY 1989, they had dropped to 50th. Now candidate Clinton says he wants to do to the American economy what Governor Clinton's done to Arkansas -- Arkansas taxes, Arkansas income, Arkansas jobs. And I don't think he's kidding. I wish he were. Candidate Clinton wants the biggest tax increase in history. He hasn't even got there yet and he's proposing the largest tax increase in history. And that's not even counting his payroll taxes for training and also those that would be required under his health care plan. And that's not fair. That simply is not fair for every working man and woman in America. CRIME Another issue, one near and dear to the hearts of every American, rural or urban, and that's crime. Candidate Clinton likes to talk tough. You'll hear him criticize me about federal aid to state and local law enforcement. But, in fact, since 1989, we've proposed a 59-percent increase in federal spending to fight crime. You'll also hear candidate Clinton make some pretty impressive claims about crime control in Arkansas. Wrong. Wrong again. Not. (Laughter.) Candidate Clinton -- meet Governor Clinton. During the 1980s, the nation's overall crime rate during the '80s actually declined. But not in Arkansas! In fact, Governor Clinton's state had the biggest increase in the overall crime rate in the entire nation -- nearly 28 percent. Again, this is not fair to the good people of Arkansas. What about violent crimes? Arkansas's violent crime rate went up more than 58 percent -- one of the worst records in the entire nation. Why? Well, I've got a few hunches. Arkansas ranks near rock bottom in every important per-capita law enforcement expenditure. For prisons: 46th. For judicial and legal systems: 50th. And when it comes to spending for police officers, Arkansas ranks 49th. And in Arkansas, when the prison door slams shut on a convicted criminal, he knows it won't be long before it opens up again. As incredible as it sounds -- as incredible as it sounds, most inmates in Arkansas serve less than one-fifth -- one-fifth -- of their sentence behind bars. That's the worst record in the entire nation. The people of Arkansas deserve to walk their streets without fearing that some crazy convict is MORE 5 going to ruin their lives -- some guy let out of jail far too early. NOW, contrast the situation in Arkansas with what we've been doing on the federal level. Most federal inmates serve at least 85 percent of their full sentence. And I think it's pretty simple: if you take liberties with the law, you're going to lose your own liberties -- for a long, long time. (Applause.) When you look at Governor Clinton's record on law enforcement, it's not surprising that last week, the fraternal order of police in Little Rock gave me their endorsement for President of the United States of America. (Applause.) And that is the verdict of the police officers in Governor Clinton's own backyard. They agree with me. You do not coddle criminals -- you stand up for the law-abiding citizens in this country. (Applause.) I'm really enjoying getting this record out here. (Laughter.) Let's look at another contrast. It's been 11 long months of his hammering me. And we're just starting today right here Springfield -- (applause) -- because I want the American people to know the truth. (Applause.) I want them to know the facts. (Applause.) I want them to know the truth. (Applause.) Let's look at another contrast between candidate Clinton's rhetoric and Governor Clinton's record with children. In his new book, candidate Clinton says that America has failed to provide its children with either the best education or adequate protection from violence. That's what the candidate says. Now how about the Governor? Look at the facts. During the 1980s, Arkansas fell from 47th to 48th place in the percentage of adults with a high school diploma. Arkansas's rankings on its primary college entrance examination -- known as A.C.T -- have declined overall. Twenty-eight states use the A.C.T as their primary college entrance test. The New York Times recently reported that in 1979 Arkansas ranked 20 out of those 28. The state's latest available ranking 18 down to 25th out of the 28. And we know that more than three-quarters of Arkansas high school graduates require remedial instruction when they get to college. It's not fair to the. Think about it -- 75 Percent of Arkansas college students spend their first year of college relearning what they missed out on in high school. Now these are bright, dynamic young people. And they deserve better than a failed education system. And when it comes to the percentage of adults with a college degree, Governor Clinton's Arkansas still ranks 50th. NOW, when it comes to protecting children from violence, you should know this: My opponent's record is, in one word, appalling. The facts are not pretty. But America should listen to the facts. During the 1980s, the death rate for American children 14-and-under improved dramatically across the country. But in Arkansas, it got worse. The state ranked 49th in 1989. In the late 1980s, Arkansas's rate of violent deaths for teenagers soared at three times the national average. And over the decade, child abuse reports shot up 130 percent. Now, behind that statistic are tales of heartbreaking tragedy. The young people over in Arkansas deserve to have their hearts healed. ANd now, it's hard to believe that Governor Clinton was unaware of what was going on. Throughout the 1980s, study after study contained detailed findings and recommendations -- a cry for help, if you will. And he even commissioned some of MORE these studies himself. In 1990, his own Department of Human Services reported that "frequent and widespread" official failures had placed the children of Arkansas in, again a quote, "imminent peril." still Governor Clinton did nothing. And finally a group of child welfare advocates took the Governor to court. And they filed a federal class action naming him as lead defendant. And on June 8th, less than four months ago, my opponent finally settled. And now candidate Clinton promises to crack down on violence against children. Now to the environment to what Johnny Morris is famous for and that Governor Ashcroft can take great pride in -- the environment. I love to hike. I love to camp out. I love to go fishing. I like to go hunting. And you've heard me talk about the importance of protecting the environment many times. But to me real eloquence is action -- and I have acted. And there's our historic Clean Air Act, cutting acid rain in half -- we did that. we banished offshore oil rigs from sensitive beaches on both coasts and added a billion dollars worth of new forests and parks for our children to enjoy. And in the past three years, our Environmental Protection Agency has assessed more than half of all the civil penalties and criminal fines in the history of EPA -- more than $200 million. To those who spoil our lakes and air we are saying. mess with our children's health and you will pay. And those are facts. And that is the record -- a record I am very proud of on the environment; a sound, progressive record. But candidate Clinton calls America's environmental record since 1989 a "disaster." And he promises, quote, "real environmental policy" that will, again quote, "challenge Americans and demand responsibility at every level." My advice: Let's take candidate Clinton at his word. Demand that candidates run on their records. I'm prepared to do that. We've got a good record to take to the American people, the people of Missouri. I'll stand by my record. Now, let's see if he can stand on his. And, again, I'm going to be very, very factual. Earlier this year, my opponent was asked to name a single Arkansas law that exceeds federal environmental standards. He couldn't do that -- not one. The Governor has accepted generous campaign contributions, free plane rides from Arkansas's powerful chicken industry. And the industry is the ultimate source of -- and I'll put this as delicately as I possibly can -- fecal coliform bacteria, which pollutes hundreds of miles of Arkansas rivers. Governor Clinton did create an animal waste task force to deal with the issue. But the task force subcommittee was headed by a chicken executive. And they decided that controls on what they call "chicken litter", unquote -- (laughter) -- should be purely voluntary. It's hard to keep this clean, but I'm telling you the record is bad over there. (Applause.) But I guess with Governor Clinton, some things do run thicker than water. (Laughter and applause.) Last year, the Institute for Southern Studies released an extraordinarily detailed, state-by-state study of environmental quality and progress. And let me quote the Institute's research director: "in the areas of policy -- laws passed, not task forces or commissions set up to study a problem -- Arkansas was 50th, the worst in the nation." Arkansas residents want clean air and clean water. They're sportsmen just like you all are -- just like I am. They love the outdoors just like you do and just like I do. And they should not be last in the entire nation. MORE And finally, let's talk about health care. As you might expect, to the problem. I want to use competition And candidate expand my opponent and I have two vastly different to approaches preserve quality, drive down the costs. system coverage, Clinton's plan could eventually bring our health care under the control of the federal government. And until last month, candidate Clinton pretended that got him to admit what I've been saying all along: does plan his plan wouldn't cost a dime. But then someone at USA his would Today require a new payroll tax. And I say small business A payroll tax will kill jobs, especially in the small businesses this not need any more taxes. Let's do it my way. (Applause.) new that we're looking to to create the new jobs we need in country. It'll cut wages. But since we're talking about our records today, consider this, too. Candidate Clinton says "health care should be a right, not a privilege." And yet, under Governor Clinton, Arkansas has one of the nation's worst health insurance crises. More than 42 percent of Arkansas workers, the second highest percentage in the nation, don't even have employer-paid health insurance. And the New York Times says a full 25 percent of all state residents have no health insurance at all. Candidate Clinton now says America -- quote -- "can't afford four more years" without a solution to our health care problem. And I totally agree with that. But Governor Clinton took a long time to come around. Early last year, in his fifth term as Governor, he finally signed a bill to provide bare bones coverage to people who have gone uninsured for more than a year. And so there you have it. Nothing personal, just the facts. And next time you hear candidate Clinton promise to be a progressive change agent for the entire United States, think of civil rights and taxes in the state he's left behind. Think of crime and child abuse and education in that great state of Arkansas. Think of the environment that he's neglected, the health care problems he's ignored. Think about all this the next time candidate Clinton says he will do for America what he's done for Arkansas. It is true we're having a big debate about America's future. But first you have to learn who's really on the other side. And you have to know, is it the words of candidate Clinton or the actions of Governor Clinton. We've seen over the last nine months that candidate Clinton appears willing to say anything to anyone. But the record of Governor Clinton proves that it doesn't matter what the candidate will say to anyone, because he won't deliver. So either way -- whether it's candidate Clinton or Governor Clinton -- I believe that Bill Clinton is wrong to be President of the United States of America. (Applause.) You know, I feel better now -- (laughter) -- because when I started this morning, I explained how for months Governor Clinton has distorted my record. And I sat there through primary after primary, one assault by another -- not all by Governor Clinton, I might add; joined by a handful of other guys that have fallen by the wayside. And I've made a decision -- I was President; I was trying to do something to help this country. And I chose not to fight back until now, because I believe Americans want action from their President. And I believe they want positive ideas -- want real solutions to our challenges. But I simply cannot let Governor Clinton's distortions go unanswered. His own record must be exposed -- MORE look at what is at stake. (Applause.) This man issue has the because to go around America and promise the moon, when on gall after issue, the sky has fallen in his own backyard. And I say Arkansas deserves better. And I mean that. more than learning what's wrong, we need to kids what And I say America deserves better. And I say America know deserves to build a safer and more secure future for these over works here. And this is what I offer in this campaign -- experience, character and ideas that are right for America. And my agenda contains 13 specific actions that I'm with going all those new congressmen that are coming in as a result to fight to accomplish in the first year of my second term of the confusion and disarray in the House. (Applause.) And I'm going to get them done. I'm going to get these things done economic with help, because America has what it takes to win the your competition, to win the peace. so let's get on with the job. And thank you for this exceptionally warm welcome -- this Missouri welcome. And may God bless the greatest country on the face of the Earth, the United states of America. Thank you all. END 9:27 A.M. CDT2 TOTAL P.0E THE WHITE HOUSE WASHINGTON October 2, 1992 MEMORANDUM TO: JOHN KELLER KATHY SUPER STEVE PROVOST FROM: GARY FOSTER G7 SUBJECT: INFORMATION FOR WILMINGTON, DELAWARE The attached is for your informational purposes in preparing for the President to travel to Delaware on Monday, October 8 in recognition of National Child Health Day. John Keller has someone in Delaware surveying the sites and will be getting back to us this afternoon with an event proposal. The current plan is for the President to briefly tour the Northeast State Service Center and make remarks at the conclusion of the tour. Bob Zoellick agrees that we revert to a stump speech inserting a page or two highlighting the President's very favorable record on child health care in contrast to Clinton's poor record. ATTACHMENTS cc: Bob Zoellick Margaret Tutwiler David Bates Tim McBride David Demarest Ede Holiday Karen Groomes Andrew Carpendale Speechwriters STATE OF DELAWARE OFFICE OF THE GOVERNOR MICHAEL N CANTLE MEMORANDUM GOVERNOR TO: Debbie Messick United States Department of Health and Human Services Office of the Secretary FROM: A. Douglas Rothwell, Office of the Governor, Chief of Staff Mary Jane Hammerstedt, Office of the Governor, Press Secretary Thomas P. Eichler, Secretary, Department of Health and Social Services DATE: September 30, 1992 RE: Proposal for President Bush to Visit Delaware on Monday, October 5, 1992, for a Celebration of Child Health Day Debbie, we appreciate the opportunity to explore the possibility of having President Bush visit Delaware on Monday, October 5, to highlight the importance of making health care services available to all of America's children. As you may be aware, Delaware is in the process of implementing a series of health care programs announced by Governor Castle in January as part of his State of the State speech. These programs, approved by the Delaware General Assembly in June, are designed to: Make routine health care available to all Delaware children up to age 18 through a unique partnership with the Nemours Foundation which has committed to building and operating up to 15 pediatric facilities statewide. Beginning October 1. 1992. more than 5,000 children ages 10-18 living below the poverty level will receive coverage through a new State Medicaid-like program. Expand Medicaid coverage to an additional 350 pregnant women and 250 infants. Make health insurance available to all small businesses and individuals regardless of pre-existing condition, company size and other current barriers. Provide care to more needy adults through an agreement between the State and the Medical Society to create the Voluntary Initiative Program. * Attract more physicians to underserved areas of the State through new recruitment and scholarship programs overseen by the Delaware Institute for Medical Education and Research. Control skyrocketing health care costs by creating a committee to make specific recommendations to the Governor by Docember 1993. LEGISLATIVE HALL CARVEL STATE OFFICE BI.DO. DOVER, 1H001 WILMINGTON, 19801 308/799-4101 308/577-0910 FAX FAX 300/577-3118 POS Wd 04:12 26 '06 '60 Based an your conversation with our office, we have outlined below I proposed event focused on several specific health access initiatives that are coming to fruition in Delaware during the next few days. EVENT OVERVIEW We propose conducting a press conference at the Wortheast State Service Center a center using a model system for integrating and delivering social services all which benefit children and are based on the concept of "one stop shopping." This press conference will focus on: President Bush and Governor Castle declaring October 5, as Child Health Day in Delaware and across America. Announcing details of Medicaid expansions which will have gane into effect on October 1, and presenting Medicaid cards to newly-eligible families. Announcing the placement of a Nemours Foundation pediatrician at Northeast State Service Center while the Foundation secures and prepares space for up to 15 pediatric clinics statewide. An endorsement by President Bush of Delaware's efforts as a model for the nation and commitment to help expedite the waiver process for our partnership with the Nemours Foundation. The press conference would be followed by a noontime "Rally For Children's Health" in downtown Wilmington. This would give the President and the Governor an opportunity to highlight strategies for implementing universal health care for children nationwide. Both the press conference and the rally would be open to the media and the following groups: Delaware Health Care Commission The Nemours Foundation DHSS' health-related advisory councils Cabinet Secretaries visit center outdon DHSS' House/Senate committees Health advocacy organizations Health Care Cost Containment Commission State Council on Minority Health vally House/Senate leadership DHSS division directors and key Medicaid managers children's Heata Care Child Health Task Force If time permits, we would also propose: A luncheon with health leaders, legislators, health advocates, and State Medical Society representatives. A tour of the Northeast State Service Center and overview of Delaware's "One-Stop" approach to service delivery. A tour of the world-reknowned A.I. duPont Institute Children's Hospital located in Dolaware. We appreciate your interest in Delaware and would be happy to discuss further details with you, as well as answer any questions you may have. This is just a proposed program and we would be happy to modify it to better meet your needs. PO3 04:12 6 In the event that an October 5, visit to Delaware does not meet the President's schedule, we have E very powerful economic development event tentatively scheduled for mid-October that we would be pleased to expand for the President. It involves the completion of the first phase of the Delaware Technology Park a complex that means new business in a rapidly growing composites and high technology industry and more than 1,000 new jobs for Delaware by the year 2000. This event would provide an excellent opportunity for the President and the Governor to highlight their economic development strategies for the State and Nation. If you are interested, we would be pleased to outline this in more detail. Again, thank you for your interest in Delaware. We would be very pleased to host President Bush. 6129a POA Wd 04:12 26 '08'60 CHILDREN Clinton Record Clinton calls for full federal funding of Head Start, and more federal funding support for child care programs. But Clinton's record on children is weak to the point of criminal neglect, especially where foster care and child weifare are concerned. The state's child welfare and foster care systems have been neglected for a decade. Arkansas child abuse cases increased by 130 percent from 1979-89: Clinton served as governor during eight of those 10 years. And in 1990, the American Humane Association found the state's child abuse rate was 35 percent above the national average. Children have died through state agency negiect, and in 1990 Clinton's own officials reported that Arkansas children were in "imminent peril* due to "frequent and widespread" state government failures. In 1991, children's advocates filed a class action suit against Clinton, alleging his officials withheld health care from abuse victims, assigned foster children to as many as 40 homes in four years, separated families carelessly, and ignored child handicaps. Clinton's response? He convened a panel of experts, who issued recommendations nearly identical to similar task force reports during the 1980s. Clinton held a special session, increased funding for the program, and settled the lawsuit, but it now appears that the state is trying to renege on its agreement in federal court. The Center for the Study of Social Policy ranks Arkansas at or near the bottom of nearly every significant catego 45th out of 51 in the well-being of children (down from 43rd in the last year alone); 45th in low-weight babies; 49th in child death rates; 47th in teen violent death rate; 45th in single teen births; 47th in children in poverty; and, 42nd in percent of children in single-parent families. Healthy sites stat aud en de caused were right Git ul children note Bush Record BACKGROUND October 5 is Child Health Day. This provides an excellent opportunity to highlight the many accomplishments of this Administration in improving children's health and to promote the President's health care reform plan. The Administration's record in children's health is indeed impressive. The President should take every opportunity to trumpet such achievements as: the Healthy Start initiative to slash infant mortality rates by 50% in 15 targeted communities; the Infant Immunization initiative, including the new Standards for Pediatric Immunization Practice and a FY 1993 budget request of $349 million, 3-1/2 times the 1988 budget; the historic expansion of Head Start, one of the leading delivery systems for health care to low-income children; and 0 expansion of Community and Migrant Health Centers--$48 million in FY 1992 and a budget request of $88 million for FY 1993. We have identified possible site visits in the key States of Illinois, Michigan, Ohio and Pennsylvania Attached is information about each site. THE WHITE HOUSE Office of the Press Secretary (Fond du Lac, Wisconsin) For Immediate Release September 30, 1992 REMARKS BY THE PRESIDENT AT FOND DU LAC COMMUNITY WELCOME Veterans Memorial Park Fond du Lac, Wisconsin 12:45 P.M. CDT THE PRESIDENT: Thank you, Governor Thompson. Thank all of you for that warm Fond du Lac welcome. And it's great -- great to be here in your city, great to be back in the state of Wisconsin. (Applause.) And let me just say how pleased I am to be here with your Lieutenant Governor, Scott McCallum, who's doing a great job for the state; Anita Anderagg, the County Executive here, a real leader; Cate Zeuska, the State Treasurer. And let me also thank my longtime friend John MacIver, our Bush-Quayle Wisconsin Chairman, for all his efforts. Unless you don't know it, you've got one of the greatest Governors in Tommy Thompson in the entire United States of America. (Applause.) He is an outstanding national leader. And he's doing great things for this state. And he's working most cooperatively with Washington. And I am very, very proud that he is my close, dear friend. And Barbara feels exactly the same way about him. (Applause.) And I see some Tom Petri signs. We've got to reelect him to the United States Congress. (Applause.) He's a good man, a good Congressman; and reelect him. Now, I understand that I'm visiting here the day before the Democratic candidates come to town. AUDIENCE: Booo -- THE PRESIDENT: I can't resist saying, I don't think this is the last time that I'll be ahead of the Democratic ticket. We are going to win this election in November. (Applause.) AUDIENCE: Four more years! Four more years! Four more years! Four more years! THE PRESIDENT: There's been a lot of discussion in the past week about presidential debates. And I think debates are important. And I think the American people deserve to see the two candidates side by side. So yesterday, down in Tennessee, I challenged my opponent to a series of four television debates, the last four Sundays before the election. And I said I'd be very flexible about the format, but I was eager to have the American people compare my ideas with Governor Clinton's. And we have offered to meet with Governor Clinton's campaign anywhere, anytime. And so far at least, Governor Clinton has responded to my challenge the same way he responds to issues like free trade, fuel efficiency standards and middle class taxes -- he waffles. I can't find him. He's lost. He's missing in action. (Applause.) He refuses on this issue to take a position one way or the other just like on all these other issues. So, this morning, I renew my challenge to Governor Clinton; let's have our people sit down, work this out, and let's have four debates with the formats that I like and the format MORE - 2 - that you like. And I'm no Oxford debater -- I didn't spend a lot of time over in Oxford, England in the Debating Society -- but I say let American people decide. Let's get up there and get it on side by side. (Applause.) Now, when we sit down to debate -- and I hope the Governor will take a stand to agree to them -- we should discuss the most important question: What kind of America do we want for the young people here today. Because of your sacrifice, because of your commitment, we have helped reduce the fear of nuclear annihilation. And, today, our kids can dream the sweet dreams of peace without fear of nuclear war. And I am proud that that happened when I have been President of the United States. (Applause.) You listen to Governor Clinton, you might think national security of this country and foreign affairs are not important. They are. We've changed the world. And now we face a new challenge. We must win the new global economic competition, because that is the only way we'll create good jobs for our kids and our grandkids. And I've laid out what I call -- my call for an Agenda for American Renewal, a comprehensive, integrated agenda to create in America by the 21st century the world's very first $10 trillion economy. And we can do it. We are Americans. (Applause.) I know that many Americans are anxious about our economy today, concerned about our future. But we need to understand that we are experiencing the impact of a global economic slowdown. It isn't just the United States. It's being felt here at home but it's also felt in Asia and Europe. And those countries would switch with us in a minute regarding economies. And my opponent spends a lot of time cutting down America, tearing it down, telling everybody how bad he thinks things are. And I would remind him of a few facts. Like the fact that when you go looking for the world's most productive workers and farmers, you don't look to Japan, you don't look to Germany; you look right here in the United States of America. (Applause.) And we need to build on our strengths. And so my agenda starts with a commitment to free and fair trade. And I want to use my experience in international affairs to open new markets for our products and services, because the American worker never retreats. We always compete, and we always win. (Applause.) The people of Fond du Lac know this, but small business is the backbone of what we call the new American entrepreneurial capitalism. They will create two-thirds -- small business will create two-thirds of the new jobs in this new economy. And Governor Clinton promises small business relief from taxation, regulation and, yes, litigation. But if we're going to stay with him we better see what the record is. He has a lousy record on regulation. And he certainly has a lousy record on litigation. Now, if we're really going to renew America, attention must be paid to our children. It is tough to be a kid in America today. The face of poverty is too often a fresh face. The ignorant mind is too often a fresh face. The ignorant mind is too often -- a young mind is too often something you can lose. And the spirit of hope and opportunity has too often been taken away from the young. We know what works to help our kids. We know, for example, that if you give a low-income kid a head start on kindergarten, they end up doing much better in school. And I am proud that today, for the very first time, every eligible kid who wants a head start can get one. And that happened on my watch, and I'm very proud of it. (Applause.) MORE - 3 - I am proud of our education revolution. Already 1,700 schools, including many right here in Wisconsin, have signed-on to the national crusade to raise standards, to free the teachers -- God bless those teachers -- to free them from red tape and to literally reinvent American schools. (Applause.) And I want to go farther and give every parent the right to choose the best schools for their kids -- public, private, or religious. (Applause.) But if we really want to help those kids, we have to change the American system of child support. And the statistics there are not pretty: 1989 -- fathers were absent from 10 million families. And only a little more of half of absent parents are ordered to pay child support. And those required to pay, only half do -- on time and in full. And only one in five absent parents pay for kids' health care. And each year $5 billion in court-ordered child support -- $5 billion -- fails to reach families and kids who desperately need it. And these working parents, mostly mothers, are trying to keep their families going -- trying to work, keep the kids on track, pay the bills. And they need that check every month and they deserve it. And I believe that since I took office we've made a very good start. We are now able to identify 50 percent more fathers of the kids of single moms; and we increased by more than 40 percent the cases of child support collections. And with the aggressive leadership of Governors like your great Tommy Thompson, states collect over S2 billion more in child support. And that's a whole lot of good kids who are now getting some lunch money -- money that they deserve. (Applause.) And that's something you and Wisconsin can take pride in. But the job's not finished. And today I want to build on your success with a new initiative called Project Kids. And Project Kids will require all states to recognize and enforce other states' child support orders. And that will make it much easier to cross borders and catch those deadbeat parents in other states. (Applause.) We will require organizations who receive support from the Legal Services Corporation to devote 10 percent of their federal funds to helping mothers who need legal help track down a deadbeat dad. (Applause.) And we will say to deadbeat parents, if you owe child support and you haven't paid, then you're going to pay a price: You'll get no passport, no professional licenses, no housing or student loans, or any other help from the federal government until you do right by your children. (Applause.) So the bottom is, if you haven't done what's right for your kids, don't expect any help from Uncle Sam from this day forward. (Applause.) Now, by taking these steps, we think we can help reduce the stress on so many families. We can help single parents. And most importantly, we can lend a big hand to kids. And now while we're on the subject, maybe it's worth taking just a few minutes to consider Governor Clinton's record with children. I hate to do this to you on this beautiful sunny day here in Wisconsin. But in this area as in so many others, Governor Clinton talks a good game, but his record leaves something to be desired. Welfare is a kid's issue, because the more we can get people off welfare and into work, the more we strengthen the family. (Applause.) And here in Wisconsin, you are the leading state. Tommy Thompson is making real progress, promoting personal responsibility. And Governor Clinton talks a good game, but when you look behind the rhetoric, there's nothing there. He's got a TV ad that talks about cutting the welfare rolls in Arkansas. And what he neglects to mention is that while some people were MORE 4 leaving welfare, even more were going onto welfare. And since Bill Clinton was elected Governor, Arkansas's welfare rolls have increased by 19 percent, 13 percent faster than the rest of the nation. (Applause.) Now he says he wants to do for America what he's done for Arkansas. AUDIENCE: Booo -- THE PRESIDENT: I don't know whether that's a promise or a threat. America deserves better than that. (Applause.) Look at the facts. Look at the facts about Arkansas. In the late 1980s, Arkansas's rate of violent deaths for teenagers soared at three times the national average. And over the decade, child abuse reports shot up 130 percent. And behind each one of those cases is a story of heartbreak. And Arkansas kids deserve to have their hearts healed. Arkansas faced a special crisis of abuse in the state's foster homes. For years Governor Clinton ignored the problem until he was sued by welfare advocates in his own state. And only this summer, in the middle of his campaign, did he settle a lawsuit and take any steps to improve these homes. And now he's running around our great country, claimed to be an advocate for children. I urge all Americans, young and old to take a look, not just at his rhetoric but a hard look at Governor Clinton's record. And I believe America can do better, and I believe we must do better by the young people in this country. (Applause.) The economy is the major issue; let's look at it -- a major issue in this campaign. And when Bill Clinton became Governor 12 years ago, Arkansas, yes, was one of the poorest states in America. And today, Arkansas is still stuck at the bottom. And Bill Clinton's policies are responsible. As Governor, he raised and extended the sales tax, including a tax on baby formula, vegetables and other groceries. And he raised the gas tax, and he taxed mobile homes and cable tv; and just for good measure he threw in a tax on beer. Now, how do you like that one. AUDIENCE: Booo -- THE PRESIDENT: I didn't think you guys would like it. And, now, Governor Clinton says he's seen the light. And in this campaign he's proposing at least $150 billion in new spending. But don't worry, he says I'm going to get it all from the rich, the people who make over $200,000 -- the top two percent. Well, but here's the truth and here's the problem. To get the money he needs for his plan -- the $150 billion that he's promised in new taxes -- Governor Clinton would have to get his money from every individual with taxable income over $36,000. Now, these are not people on "The Lifestyles of the Rich and Famous." And you deserve a break, not a further tax increase. (Applause.) AUDIENCE: Four more years! Four more years! Four more years! THE PRESIDENT: Look, you see, that's just the start of the tax campaign, though, campaign against the middle class. He has literally made hundreds of promises in this campaign. And he hasn't said how he'll pay for any one of his new programs. But his own hometown newspaper, the Pine Bluff Commercial says, "If Congress followed the example that Bill Clinton set as Governor of Arkansas, it would pass a program that hit the middle class the hardest.' We do not need that for the United States of America. (Applause.) MORE - 5 - Now, the good Governor says he's going after all the millionaires, but he'll end up hitting all the nurses and teachers and cab drivers and construction workers. And I say you pay enough to the tax man already. We do not need to add taxes to the working families in this country. (Applause.) And so it boils down to this: We cannot take a risk of a candidate with no experience, no track record, whose ideas and agenda are wrong for America. That is the basic thing. Governor Clinton is wrong for America. (Applause.) Let me tell you something. In the Oval Office you face tough decisions. You cannot be on all sides of every question. You've got to call them as you see them. And I've made mistakes. Like any American, I'll admit it when I make a mistake. But I believe I've been a good, strong leader willing to make the tough calls -- (applause) -- and I'm a leader whose ideas are right for America. And I stand before you today asking for your support so that we can change America just as we have changed the entire world. And I want a second term in office so we can continue to renew our schools, reform welfare, give our children a better shot at the American Dream. And so we can continue to make lives better for American children by matching the peace around the world and by giving our kids peace of mind right here at home. (Applause.) Let me say something about -- in conclusion -- about service to country. I am very proud that I served my country in the uniform of the United States of America. (Applause.) And I think that has helped me be a good Commander-in-Chief when we had to stand up against aggression halfway around the world. (Applause.) And that standing up aggression -- against aggression -- has changed the world. Don't listen to the Governor who says we're less than Germany and slightly ahead of Sri Lanka. We are the most respected nation on the face of the Earth, admired by every country -- (applause) -- the friends we have and those that used to be our foes. (Applause.) And so now help me take that kind of leadership and help me change America to make life better for every single family in our great country. We are going to win Wisconsin, and we are going to win the presidency because our ideas are right for America, this generation, and generations to come. And may God bless the United States of America, the greatest country on the face of the Earth. (Applause.) Thank you very, very much. END 1:05 P.M. CDT THE WHITE HOUSE Office of the Press Secretary (Bowling Green, Ohio) For Immediate Release September 26, 1992 CHILD HEALTH DAY, 1992 BY THE PRESIDENT OF THE UNITED STATES OF AMERICA A PROCLAMATION On Child Health Day, we pause as a Nation to providing every young American with the best possible children's state of health and to reaffirm our commitment assess our to in life, beginning with high quality prenatal care throughout start pregnancy for expectant mothers and extending through each child's formative years. been marked by remarkable improvement is that of communicable When we examine history, one area of child health that has have developed the means to protect children from diseases childhood diseases. Over the years scientists and physicians girls. Through the practice of childhood immunization, the that, in the past, killed or disabled thousands of boys and worldwide by 1980. Heartened by such progress, we aimed to United States helped to lead the way in eliminating smallpox we devastating disease, measles, by 1990. Unfortunately, however, rid the United States of another contagious and potentially remain short of that goal. for measles and eight other contagious diseases, more than Despite the existence of effective childhood vaccines 50,000 cases of measles were reported in the United States from 1989 to 1991. Out of these cases, 160 persons died. measles early as birth, children can be protected against not as it is preventable. Through a series of vaccinations beginning Such a tragic toll is all the more intolerable because influenzae Type B. While as many as 5 in 10 infants and (whooping cough), tetanus, hepatitis B, and Haemophilus but also mumps, rubella, polio, diphtheria, pertussis only risk immunizations on time, thousands of other children remain at toddlers are receiving all of their recommended childhood of contracting life-threatening or disabling illnesses. tions, forward the Department of Health and Human Services is have their children immunized and to expand access to vaccina- To encourage parents to fulfill their responsibility to several with a concerted immunization initiative. Building moving initiative local pilot programs that were developed in 1991, this on gration through education, programs aimed at parents, through the inte- will increase the number of vaccinated preschoolers organizations. health clinics, and other concerned individuals and local of services, and through the enlistment of teachers, grandparents care but also educators, public officials, and parents health All of us who care about children -- especially and providers -- must renew our commitment to ensuring that more (OVER) 2 every American preschooler is protected through age-appropriate immunizations. Doing so is vital to the well-being of our children and to the future of our Nation. The Congress, by joint resolution approved May 18, 1928, as amended (36 U.S.C. 143), has called for the designation of the first Monday in October as "Child Health Day" and has requested the President to issue a proclamation in observance of this day. NOW, THEREFORE, I, GEORGE BUSH, President of the United States of America, do hereby proclaim Monday, October 5, 1992, as Child Health Day. I urge all Americans to join me in renewing our commitment to protecting the lives of this Nation's youngest citizens. IN WITNESS WHEREOF, I have hereunto set my hand this twenty-sixth day of September, in the year of our Lord nineteen hundred and ninety-two, and of the Independence of the United States of America the two hundred and seventeenth. GEORGE BUSH # # #