    [Public Papers of the Presidents of the United States: William J. Clinton (1993, Book I)]
    [April 12, 1993]
    [Pages 418-419]
    [From the U.S. Government Publishing Office www.gpo.gov]

    [[Page 418]]

    Remarks on Preschool Immunization and an Exchange With Reporters
    April 12, 1993

        The President. This is a proclamation in support of Preschool
    Immunization Week. I'd like to read a statement about it, and then I'll
    be glad to answer some questions, along with Secretary Shalala who also
    has a few remarks to make.
        This proclamation in support of Preschool Immunization Week gives us
    all a chance to promote our best ideals in the Nation and to prove that
    we can make a difference in the lives of our children. In fact, the $300
    million in our stimulus program will help us to immunize one million
    children this summer and to show that this is a campaign of words and
    deeds.
        Studies under all administrations have shown that vaccines are the
    most cost-effective way to prevent human suffering and to reduce the
    economic cost that result from vaccine-preventable diseases. But because
    we've gotten away from preventive care and because immunizations have
    become unaffordable or unavailable, millions of infants and toddlers are
    at risk of completely preventable diseases like polio, mumps, and
    measles; children like Rodney Miller, a 20-month-old in Miami who had
    meningitis that could have been prevented with a vaccine that costs
    $21.48, instead had a hospital stay that cost in excess of $46,000.
        Through public investment and leadership we can do better. It's a
    miracle of our system and our ingenuity that we can prevent the worst
    infectious diseases of children with vaccines and save $10 for every $1
    invested. But things started to go sour in the eighties. We had the
    third worst immunization rate in this hemisphere. Ten years ago,
    immunizations cost $23. Now they cost $200. We're the only
    industrialized nation that does not immunize all children, although we
    develop and produce a majority of the vaccines. As a result, we've had
    thousands of new cases of measles. Immunization rates have not improved,
    and in the case of some, diseases have actually gone down. We have seen
    and predict what this will mean in terms of suffering and human costs.
        Our plan will allow us to purchase vaccine and conduct outreach
    programs in the appropriate language and at the appropriate neighborhood
    venues, to reach those who'd been shut out of this part of our system.
    It will allow us to extend clinic hours, expand education efforts,
    create a national tracking system so that we know what's happening to
    our children. It will give us the resources to help those in the public
    health system and in advocacy groups who are already working heroically
    to bring this simple technology to all of our children.
        Today we will begin what will become, with later legislation, a
    comprehensive program to support community based immunization projects
    and to lower vaccine costs with the goal of having the best, not the
    worst rate in the hemisphere. There are great coalitions working on
    making this effort successful and fun and a model of what we can do
    again to make this Government work.
        I just want to say that today we're having the Easter egg roll on
    the White House lawn. You can look out there at those kids. They are the
    hostages of the Senate filibuster on the program. They are the hostages
    of the Senate filibuster on the stimulus program. All this hot air
    rhetoric about how this money is being wasted and that money is being
    wasted. These people, most of them have been here for the last 12 years
    while we have run immunization into the ground, while we have developed
    the third worst rate in the hemisphere. And they've always got some
    excuse, some of them, for not doing anything.
        Now, what are we going to do for those children? That ought to be
    the question of the week. When I go out there on the lawn, and I think
    about those kids picking up Easter eggs, I want to be able to think
    about them all being immunized and all those children coming along
    behind them being immunized. There is no excuse for this. And it is time
    that we broke the gridlock and stopped making excuses for not doing
    anything.
        Secretary Shalala.

    [At this point, Secretary of Health and Human Services Donna E. Shalala
    spoke on the preschool immunization program.]

        The President. Thank you.

    Stimulus Package

        Q. Mr. President, in order to save the $300

    [[Page 419]]

    million immunization program, are you prepared to compromise with the
    Republicans in the Senate to scale back the stimulus package to
    something a lot less than you had originally hoped for?
        The President. Well, I think, I'd like to know how many more
    Americans they want to keep out of work. I mean, what is their position?
    That's basically what it amounts to. I mean, all this business about
    there being the potential for abuse in the community development block
    grant program, that is a smoke screen, and this is politics. So they're
    going to have to decide. I want to put as many people to work as I can.
    They're going to have to decide how many people they're determined to
    keep out of work. And I'll do everything I can to pass the best bill I
    can.
        But let's not talk about compromise. Let's strip all this rhetoric
    away. This is about whether you want to reduce the unemployment rate in
    America by another half a percentage point for a very modest amount. And
    they don't. For whatever reason, they don't. They want more people to
    stay out of work. So they just have to decide, I guess, how many people
    we can put to work and what we can do. And I'm going to do the best I
    can to get the best program I can. I'll be discussing it this week.
        Whenever we use the word compromise, let's talk about what's really
    at stake. The Republicans had 12 years in which unemployment went down
    only when they were exploding the deficit and increasing the defense
    budget. Now we're reducing the defense budget. What is it that we
    propose to replace it with? We must have some investment. We must have
    some jobs. We must have primarily the overall program that we've already
    passed. But I think we need to strike a match to the job engine in
    America, and that's what I'm trying to do. And I'll do the best I can.
    I'm going to create as many jobs as I can.
        Q. Well, Mr. President, what are you prepared to do to make sure
    that your program gets through Congress?
        The President. We're working--look, we've got a majority in both
    Houses. The American people, I think, are astonished to find out that 41
    Senators, 41 percent of the Senate can shut the whole place down. And
    they've just got to decide, as I said, how many people they want to keep
    out of work and how many people we want to put to work. And I think we
    can work something out. I'm hopeful that we can. I know that there are
    people in that Republican Senate bloc that want to vote for a good
    stimulus program. I know they do. I hope they'll be released to do it.

    Bosnia

        Q. Mr. President, have you rejected the recommendation of your
    commission that force be used in Bosnia?
        The President. I saw that story. That commission has not made a
    report to me yet. We didn't ask anybody not to talk to the Congress. We
    just asked that policy recommendations not be made to the Congress
    before a commission that came out of the executive branch made final
    recommendations to me. We have not received a final report from them.

    Note: The President spoke at 10:07 a.m. in the Oval Office at the White
    House. The National Preschool Immunization Week proclamation of April 9
    is listed in Appendix D at the end of this volume. A tape was not
    available for verification of the content of these remarks.