    [Public Papers of the Presidents of the United States: William J. Clinton (1993, Book II)]
    [December 16, 1993]
    [Pages 2182-2184]
    [From the U.S. Government Publishing Office www.gpo.gov]

    Remarks to Physicians Supporting the Health Security Plan
    December 16, 1993

        Thank you very much, ladies and gentlemen, all of you, for being
    here. And I want to say a special word of thanks to the physicians who
    have joined us here today; to Secretary Shalala and to Ira Magaziner and
    to the First Lady for all the work they have done. I thank especially my
    longtime friend and one of our family's physicians in the past, Dr.
    Betty Lowe, and I thank Dr. Bill Coleman for the remarks that they made.
        You know, I can't help but note right here at the outset that, I
    think it was just yesterday or the day before, one of the congressional
    opponents of our approach said that it was socialist. When I heard that
    Alabama accent and that Arkansas accent--we've got a doctor from rural
    Mississippi here and another one from North Carolina--I thought, ``These
    people do not look like a bunch of socialists to me.'' [Laughter]
        I'll tell you what they do know. They know that it's not easy to be
    a doctor in the world today. They still know what it's like to deliver a
    baby in the middle of the night or to get a call at daybreak from a
    mother whose child has a 102 fever or to care for an asthmatic patient
    for whom every breath is a struggle. They know what it's like to really
    make people's lives better, to save people's lives, and to maintain in a
    very personal way the quality of American medicine as the finest in the
    world. And I'm convinced that they would not do anything to weaken that
    quality and are here because they want to work with us to improve it and
    make it available to all Americans.
        More than anything, these leaders and the physicians whom they
    represent, many of whom are in the audience today, understand the
    problems of a health care system in which millions

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    live in fear of losing their coverage while costs keep rising, in which
    last year over 2 million Americans did lose their coverage so that at
    the latest count we are up to nearly 39 million Americans without health
    insurance. They know that we have to fix what's wrong with this system
    without messing up what's right.
        Our plan strengthens and restores what is best about our medicine
    and places the doctor-patient relationship back at the heart of the
    American health care system. It protects the American people's cherished
    right to choose their doctors. Indeed, it enhances that right by making
    it clear that people not now insured cannot be put into plans where they
    have no choice of doctors, something which is happening increasingly to
    Americans already under the present system and will continue to increase
    if we do nothing.
        Under our plan, individuals, not their employers, have the freedom
    to choose the health plan that best meets their needs and desires. That
    means they can stay with their family doctors. Our plan also guarantees
    much greater freedom for the patient-doctor relationship, guaranteeing
    that the doctor, who knows what is best for the patient, and not some
    insurance or Government bureaucrat will make the decisions about care.
        And finally, of course, as has been said, this plan supported by
    these doctors guarantees universal coverage through the requirement of
    private insurance mandated in each employment unit with a system of
    discounts for small businesses and businesses that have a lot of low-
    wage employees. Now, I think that is very, very important to emphasize.
    These physicians here represent over 300,000 American physicians. They
    know that if we're ever going to control the cost of health care and
    provide quality health care to everyone, we simply have to have
    universal coverage. It is not only an ethical imperative; it is a
    practical necessity.
        They also are in the best position to judge the importance of a
    universal coverage requirement that has comprehensive benefits,
    including primary and preventive care coverage. We have spent ourselves
    a fortune of money in America by not taking care of primary and
    preventive health care in health insurance policies. It has been a big
    mistake, and we have paid for it.
        I appreciate their support for holding down the cost increases. I
    certainly appreciate their support, as you would expect, for the
    proposition that the significant amount of taxpayer money that goes into
    medical education should be now used to encourage more primary and
    family practitioners in a country in which we are now, frankly,
    graduating a disastrously low number of family doctors from our medical
    schools.
        I am most grateful, however, again, because the presence of these
    physicians here debunks the notion that the plan we have presented is
    some sort of big Government, bureaucratic plan that erodes the doctor-
    patient relationship and reestablishes its basic principle. Every other
    advanced country in the world has figured out how to cover their
    citizens but us. And we're spending 50 percent more of our income on
    health care than most countries. And too much of it is going to people
    who are not doctors, who are not nurses, who are not providing hospital
    or clinical care, but who are just shuffling papers in a maze that is
    the most bureaucratic, complicated system on the face of the Earth
    today.
        Now, I also want to say that this morning I received a letter, an
    interesting letter from the American Medical Association, which
    represents fewer than 300,000 doctors, but still a substantial number--
    just not as many as are represented on this stage, but still a large
    number--reaffirming, reaffirming the support of the AMA for universal
    coverage and clarifying the position taken by the house of delegates
    recently, in which Dr. Todd says that they are still for universal
    coverage, that they are not opposed to an employer mandate, but that
    they think other options for achieving universal coverage in addition to
    an employer mandate should be considered. And I appreciate that, and I
    think we all should.
        I do not wish this debate in this coming year to become unduly
    partisan, both within the medical community or the American political
    community. The truth is that all Americans have a common interest in
    universal coverage, primary and preventive care, slowing the rate of
    medical inflation, and reducing the incredible bureaucracy and
    regulatory intrusion into the health care system. All Americans have a
    common interest in that. They have an economic interest; they have a
    human interest, every family.
        As I have said many times, there are very few families in this
    country that are not at risk of losing their health care. Most of them
    just don't know it until they lose it, their coverage.

    [[Page 2184]]

    So we all have a common interest. And at this holiday season I would
    hope that we could do away with the destructive and counterproductive
    labels. I would hope we'll all get a laugh when we think about this
    eminent panel of Socialists up here on the platform--[laughter]--and
    learn to laugh about that and in this holiday season remind ourselves
    that perhaps the greatest gift we can give to our country in common is a
    greater sense of community and security, a major portion of which is
    universal health care.
        Thank you very much.

    Note: The President spoke at 11:55 a.m. in Room 450 of the Old Executive
    Office Building. In his remarks, he referred to Dr. Betty Lowe,
    president, American Academy of Pediatrics; Dr. William Coleman,
    president, American Academy of Family Physicians; and Dr. James Todd,
    executive vice president, American Medical Association.