President Bush Calls for Action on 38th Anniversary of Medicare
Remarks by the President on the 38th Anniversary of Medicare
The East Room
2:45 P.M. EDT
THE PRESIDENT: Thank you all for coming. Welcome to the people's
house. We're thrilled you're here. Tommy is right, 38 years ago,
Lyndon Johnson signed the Medicare Act. What I found interesting was
that he had the ceremony in Independence, Missouri, so that former
President Harry Truman could be there, because Truman had set out the
vision of Medicare many years before that. A few minutes after 3:00
p.m., Medicare became law, and President Johnson handed the first
Medicare card to Harry Truman. (Applause.)
Health insurance for elderly and disabled Americans was one of the
greatest, most compassionate legislative achievements of the 20th
century. It spared millions of seniors from needless worry and
hardship. Since 1965, every President and every Congress has had the
responsibility to uphold the promise of Medicare, and we will uphold
our promise. We will do our duty.
The 38th anniversary of Medicare is a time for action. The purpose
of the Medicare system is to deliver modern medicine to America's
seniors. That's the purpose. And in the 21st century, delivering
modern medicine requires coverage for prescription drugs. (Applause.)
Both houses of Congress have passed Medicare improvements that
include prescription coverage. Now the House and Senate must iron out
the remaining differences and send me a bill. For the sake of our
seniors, for the sake of future retirees, we must strengthen and
modernize Medicare this year. (Applause.)
I appreciate Tommy Thompson taking the lead on this issue for this
administration. He -- I knew him when he was a governor. I figured
he'd make a pretty good Cabinet Secretary. (Laughter.) And he proved
me right. He's doing a fabulous job. He is the point man on the Hill
on this complex, important legislation.
And we've got two of the members from the Senate who have worked
really hard to see to it that the legislation came to fruition and
passed the Senate, and are working hard to get a good bill out of the
conference. And that's -- starting with the Majority Leader of the
United States Senate, Bill Frist, from Tennessee. (Applause.) The
ranking member on the Finance Committee from the state of Montana --
that would be Max Baucus, Senator Baucus. (Applause.)
For those of you who don't follow politics -- (laughter) -- Frist
is a Republican -- (laughter) -- Baucus is a Democrat. (Laughter and
applause.) Both of them willing to put aside party to focus on what's
doing right for the seniors. And I appreciate their leadership of both
these Senators. Thank you all for coming. You set a good example for
the body you represent. (Applause.)
I appreciate Tom Scully who is with us. He is the Administrator
for the Centers for Medicare and Medicaid Services. That is a long
title for a very tough job. And I appreciate Scully's knowledge on
this issue. He, too, along with Secretary Thompson, is working the
Hill, along with members of my staff, working hard with senators and
congressman from both parties to come up with a bill that will stand
the test of time.
I want to thank top docs in my administration who are traveling the
country to talk about the benefits of Medicare reform. Rich Carmona is
the Surgeon General of the United States. Thank you for coming, doc.
Dr. Julie Gerberding directs the Center for Disease Control and
Prevention. It's a tough and important job. Mark McClellan is the
Commissioner of the FDA, the Food and Drug Administration. Elias
Zerhouni is the Director of the National Institute of Health. All four
great Americans; all four find doctors; all four doing a really good
job on behalf of the American citizens. (Applause.)
On a piece of legislation like this, it obviously attracts the
attention of advocates, people who are willing to get involved in the
process, people who work hard on behalf of the constituents they
represent. Today we've got Jim Parkel and Bill Novelli. Jim is the
president, Bill Novelli is the director and CEO of AARP. I'm honored
you all are here. Thanks, thanks for providing such good leadership
for all. (Applause.)
There's a group involved in the process called United Seniors
Association. It's headed by Charlie Jarvis. He's the chairman and
CEO, and Charlie is with us today. Thank you for coming, Charlie.
(Applause.) Representing the 60 + Association is my longtime friend,
Jim Martin. Thank you for coming. I'm glad you're here. (Applause.)
I want to thank those of you here today for your interest. I want
to thank fellow citizens who may be watching this on C-SPAN if it
happens to be on C-SPAN -- it seems like everything is on C-SPAN these
days -- (laughter) -- for your interest in this very important issue.
You know, for a long time Medicare was called Mediscare, and it
meant that political people weren't supposed to touch it for fear of
losing an election, that when you talked about reforming Medicare, then
all of a sudden you were supposed to lose, because people would bang
you over the head on the issue. I think we're beyond that, and that's
a very positive development. A lot of you in this room have helped us
get beyond that. And I want to thank you for that. Now we've got hard
work to do to get this process across the line.
I'm joined on stage, by the way, by some of our fellow citizens,
who I'll talk about in a little bit about how the current Medicare plan
as envisioned by a lot of us will help in their daily lives. But let
me start by telling you this. For four decades, it's important for our
citizens to know that Medicare has done exactly what it was created to
do, which is pretty unusual for an act of Congress. (Laughter.) In
all due respect. (Laughter.) Under Medicare older Americans have
access to good quality health care in a system of private medicine.
That what it was intended to do, and that's what it has done. Seniors
and people with disabilities have greater peace of mind knowing that
Medicare will always be there. It was the initial intent of the law,
and that's what it has done.
Medicare coverage has helped protect the savings of our seniors and
shielded their families from costs they may not be able to afford.
Medicare is an important national achievement, and it is a continuing
moral responsibility of our federal government. Americans are proud of
our Medicare program. We must make sure that Medicare fits the needs
of our seniors today. It has done what it was supposed to do. Our
task is to make sure it continues to do what it was supposed to do.
It was created at a time when medicine consisted mostly of house
calls and surgery and long hospital stays. Now modern medicine
includes preventative care, outpatient procedures, and at-home care.
Medicine is changing. Many invasive surgeries are now unnecessary
because of the miraculous new prescription drugs being developed. Most
Americans have coverage for all this new medicine; yet seniors relying
exclusively on Medicare do not have coverage for most prescription
drugs.
No one intended for Medicare to develop these major gaps in
coverage. That was not the initial intent of the law. There are gaps
in coverage now. Medicine has changed; Medicare hadn't. We must fill
those gaps. Medicare must be modernized. (Applause.)
Let me give you a couple of examples by what I mean when I talk
about modernization. Medicare today will pay for extended hospital
stays for ulcer surgery, at a cost of up to $28,000 per patient. This
is important coverage. Yet Medicare will not pay for drugs that
eliminate the cause of most ulcers, drugs that cost about $500 a year.
Medicare will pay for the cost to treat a stroke, including bills from
the hospital and rehab center, doctors, home health aides and
out-patient care. That's what Medicare pays for. Those costs can
total up to $100,000. This is essential coverage, it's vital
coverage. Yet Medicare does not cover the blood-thinning drugs that
prevent strokes in the first place, drugs that cost less than $1,000 a
year.
The Medicare system has got a lot of strengths, no question about
it. Yet it is often slow to respond to the dramatic changes in
medicine. And that's what we've got to address. That's what we are
addressing.
The best way to provide our seniors with prescription drug coverage
and better preventative care is to give them better choices under
Medicare. If seniors have choices, health plans will compete for their
business, by offering better coverage at affordable prices.
Both houses of Congress have passed bills that follow the framework
of reform that I suggested, and others have suggested. Under either
bill, seniors who want to stay in current Medicare have that option,
plus a new prescription drug benefit. Seniors who want enhanced
benefits, such as coverage for extended hospital stays and protection
against high out-of-pocket expenses will have that choice, as well.
Seniors who like managed care plans will have that option, as well.
All low-income seniors will receive extra help so that all seniors will
have the ability to choose a Medicare option that includes a
prescription drug benefit.
Many retirees depend on employer-sponsored health plans for their
prescription drug coverage. That's a reality in today's society.
Medicare legislation -- the legislation that these two good senators
are working hard on -- should encourage employers to continue to
provide those benefits, while extending drug coverage to millions of
Medicare beneficiaries who now lack it. It's important that those who
have assumed the responsibility -- corporate responsibility of
providing prescription drugs for their retirees keep providing that
benefit. And I know the senators are working on that important part of
the Medicare legislation.
Every member of Congress gets to choose a health coverage plan that
makes the most sense for them, and so does their staff. So does every
federal employee. And so should every senior have that choice. See,
choice is good. It makes sense. I can understand why members of
Congress have said, well, look, give me more than one option if you
don't mind. I'm plenty capable of choosing for myself. I'd like to
see what's available. As a matter of fact, I'd like to have my demand
be listened to. I'd like to have plans begin to tailor their services
to what I think is necessary for me. And seniors should have that same
option, it seems like to me. Seniors are plenty capable of making
decisions for what's best for them.
For seniors without any drug coverage now, these reforms will help
a lot. Let me tell you what I mean by that. In return for a monthly
premium of about $35 or about a dollar a day, seniors now without
coverage will see their drug bills cut roughly in half. That's the
good work that these senators have done. They've heard the call and
they're responding with a piece of legislation that will help seniors
save money.
A senior with a monthly drug cost of $200 will save between $1,300
and $1,800 on drug costs each year. That's under the bills that have
been passed now. A senior with a monthly drug cost of $800 -- monthly
cost of $800 would save between $5,700 a year and $6,100 each year on
drug costs. That's some pretty good change.
The House and the Senate have got to work out their differences.
And they're going to. That's -- I believe that there's a spirit of
cooperation and a can-do attitude amongst the conferees. But in either
version of their bills, seniors who currently lack drug coverage will
see real savings. And that's a positive reform for a lot of our fellow
citizens.
As we move toward this system, we will provide seniors with a drug
discount card that saves them 10 to 25 percent off the cost of all
drugs, so they'll start seeing savings immediately, as well. The
conferees I know are working on the drug discount card now, to make
sure we can iron out any differences. And I was briefed on that today
by our staffers who are working close with the conferees.
We have some seniors, as I mentioned, with us today -- some
citizens with us today that would like to see the legislation move
forward for practical reasons. A lot of times in Washington we talk
about statistics and laws and hearings, and I always like to bring the
human element to the front, so people get to see how these bills will
actually affect people's lives in a positive way.
Mary Jane Jones from Midlothian, Virginia, is with us today. She's
a Medicare recipient. She's 69 years old. She'd like to be retired
for good. (Laughter.) But she has to work 20 hours a week just to
make sure she can afford her nearly $500-a-month bill for prescription
drugs and insulin. Sometimes, she says, she uses her insulin needles
three or four times to save money. That's a story I'm confident that
those who have held hearings in Congress, or members of groups here
hear from their members.
Mary Jane says that getting about half her drug cost covered would
be a big help. That way, she says, she wouldn't have to work
constantly. Seniors like Mary Jane have made their plans. This bill
will help them enjoy their retirement.
Refa Ryan is with us from Warrenton, Virginia. She has Medicare,
she doesn't have drug coverage, and she pays $120 to $200 a month for
medicine. Three-years-ago, when she was having a hard time making
payments on her drugs, rather than asking someone for help, she was
ready to sell her engagement ring. Fortunately, Denise found out about
it, and bought the ring so it stayed in the family. Refa says she
appreciates what Congress is trying to do, to add drug coverage to
Medicare.
"I wouldn't be anxious all the time," she said. "I wouldn't have
to worry all the time." See, this bill will help our seniors not have
to worry all the time. And that's why there's momentum toward getting
something done.
I also fully recognize that there are some that are beginning to
think about what Medicare means when they retire. I might be one of
them. (Laughter.) There's some baby boomers that are beginning to
look out, and say, Medicare isn't going to be there. Is it going to be
modern when we get ready?
In support of what I know the senators are doing, and members of
the House are doing, the conferees are doing, is they're thinking not
only to make sure the system works for our seniors today, but make sure
that seniors -- I mean, that the seniors to be have got a plan
available for them. And that most of us in the baby boomer era, we
like the idea of choices. We want to be able to pick and choose to
help meet our needs. We want to make sure that the system kind of
listens to the demand of the citizen.
Richard Kamenitzer is with us. Richard and I are of the same
generation. It says in here he and his wife, Rose Marie, are in their
50s. Well, Laura and I are in our 50s, too. He's from Stroudsburg,
Pennsylvania. He's a self-employed guy. He's a part of the
entrepreneurial class here in America. He's a small business man. And
he and his wife take about seven medications a day, right now. Now,
he's probably beginning to wonder, after he retires, how can he afford
seven medications -- he and his wife -- a day? Who's going to pay for
it?
He said -- here's what he says, with drug coverage and Medicare --
about the new plans that we're trying to get done -- he said, "I'd have
a fighting chance" -- that is, I would have a fighting chance to enjoy
retirement. "Without it, I don't know what I'd do. Retirement, in a
sense, may be out of the question, because I won't be able to afford
the prescriptions I desperately need."
See, not only are we talking about helping the seniors today who
are on Medicare, we're talking about the ones getting ready to get on
Medicare, too. And that's why these folks are thinking beyond just the
immediate. We want a plan that stands the test of time. Remember, the
plan that Lyndon Johnson signed was pretty effective for four decades.
We have a chance to do the same thing here in Washington, D.C.
I know that Congress is listening to the voices of the retired and
near-retired. And I appreciate that very much. I appreciate the
willingness throughout all the federal government to give our seniors
and those living with disabilities the kind of options they deserve,
the kind of hearing that they want. We should not let another Medicare
anniversary go by without modernizing the system, without giving our
seniors -- (applause.)
The Senate, I think, is getting ready to go out on the August
vacation. We're certainly pulling for you to go out. (Laughter.) The
House is already gone. They're in their districts. They'll be
listening to the people. And I know Americans who are concerned about
this issue will want to make their voices heard. And we, of course,
urge you to do so. We urge you to contact your member of your House
and your senators and let them know your thoughts on Medicare reform.
Let them know that we expect to plow through the doubts and the
obstacles and get a good bill to the President's desk. My pen is
ready. I'm ready to sign a good bill.
I know that this August staff members of the conference will be
working. And for those staff members who are here, I want to thank you
for grinding through a complex piece of legislation and working out
your differences. And then when the members come back, we'll have some
heavy lifting to do. But I want to be there to help you carry the
load.
We've all come to Washington, those of us who have been elected to
office, to serve something greater than ourself. And we have a duty
and a call to not only describe a problem, but to address it. And in
this case when we do, the lives of our fellow citizens will be
improved.
I want to thank you for your interest in this really important
subject -- thank to the two senators who have joined us today. I want
to thank the members of my Cabinet who are here. May God bless you
all, and may God continue to bless the United States of America.
(Applause.)