[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.