    [Public Papers of the Presidents of the United States: William J. Clinton (1993, Book II)]
    [October 8, 1993]
    [Pages 1707-1715]
    [From the U.S. Government Publishing Office www.gpo.gov]

    [[Page 1707]]

    Remarks at a Democratic National Committee Breakfast
    October 8, 1993

        Thank you. Thank you very much for that wonderful welcome. This is
    the first time we've all been together since the day after the
    Inauguration at the White House. What a happy day that was. But this is
    a happy day, too. And in some ways a more meaningful one because, thanks
    to you and with your help, we have begun to fulfill the promise of the
    long campaign of 1992 and the commitment of our party to change America
    for the better.
        I want to say a special word of thanks to my longtime friend David
    Wilhelm for all the work that he has done, even if he didn't have a top
    10 list for me. After Al Gore went on David Letterman I had a top 10
    list for him. I said, ``The top 10 reasons I'm glad Al Gore is Vice
    President: No. 10 is that he has educated me in enormous detail on
    matters of great importance and matters entirely trivial.'' [Laughter]
    ``And reasons nine through one are that he has a vote in the United
    States Senate.'' I told the Vice President that without blinking an eye,
    and he looked at me and he said, ``Yeah, and every time I vote I'm on
    the winning side.'' [Laughter]
        I want to--just think about that for a while--I want to thank Lottie
    Shackelford who has been my friend, as all of you know, for many years;
    your Vice Chair, Jim Brady, who when I was running for President was
    head of the State Chair's Association; my neighbor and friend, Kathy
    Vick, also from Louisiana. There is probably some monopoly rule they're
    violating, but they voted right in 1992. I want to thank my friend Roy
    Furman for agreeing to become the national finance chair of this party.
    He is doing a wonderful job, and he is wearing me out, which I guess is
    the test of a good job. Congressman Bob Matsui, our treasurer, is not
    here today, but I do want to mention him because he's been such a good
    friend to me and is such a good man.
        And I also want to thank my good friend, Congressman Bill
    Richardson, who helped me to carry New Mexico and organized Hispanic
    voters all across America and now is one of the great leaders in the
    United States House. And I want to say this, people always talk about
    all these tough fights we're in, well, I didn't get hired to do easy
    things. And so if you do hard things, they're going to be tough. But the
    National Journal, or one of these Washington periodicals, did a survey a
    couple of weeks ago which said that so far our first year success rate
    in Congress was second in the last 40 years only to the first year of
    Dwight Eisenhower's Presidency, and we've got a chance to top it if we
    can pass the crime bill and campaign reform before the end of the year,
    thanks to Bill Richardson and others like him. And I thank him.
        I thank Martha Love and I thank Debra DeLee, Bob Reich's favorite
    DNC officer. That was really funny what she said. You know, if you stay
    in this job long enough you get to appreciate every little bit of humor
    you can squeeze out of the day.
        Yesterday we had a group of people in who won arts and humanities
    award, and I told them a story that they thought was apocryphal, but it
    was actually true. After I was sort of humbled anyway last week by first
    of all having Al Gore go on at David Letterman and become sort of, you
    know, a slick magazine model again. And then Hillary became, you know,
    justifiably the rage of the country with her wonderful performance on
    health care before all those committees. Then USA Today had the bad
    taste to do a poll and ask people whether they thought she was smarter
    than me, and 40 percent said yes. [Laughter] And of course, they were
    right, which is what made it really hurt.
        So I went to California, as I always do when I need a real boost,
    because California has been so wonderful to me, and they've got so many
    problems now, and they're struggling so bravely to overcome them, and
    we're working very hard to help them. And so I thought, this is going to
    be great. So I get there, I went to Sacramento and San Francisco and had
    a wonderful time with the AFL-CIO there, and then I came down to L.A.
    And I stayed at the Beverly Hilton because we were going to have a
    couple of events there. And I thought this is an exciting hotel. It's
    got a little, you know, glamour to it, and Merv Griffin owns it, and I
    used to watch him on TV when I was a boy. And when I walked into the
    hotel and there was Merv Griffin to welcome me, and I was beginning

    [[Page 1708]]

    to feel like a President again, you know. [Laughter] I was getting over
    the fact that Gore was on television and Hillary was smarter than me,
    and I was just about to get over it. And then they took me up to the
    floor, and I noticed it was a high floor, which made me feel more
    important. We were going up, and they said, ``You know, we put you on
    this floor because there is one person in California who is a permanent
    resident of that floor, and we thought this is the floor you ought to be
    on.'' So I get off the elevator and standing there to greet me is Rodney
    Dangerfield who had given me a dozen jungle roses and written ``a little
    respect'' on it. ``A little respect.''
        So, let me say to all of you, this has been a remarkable time. If
    you look at what has been accomplished just in the last few months, we
    passed the largest deficit-reduction program in history, and long-term
    interest rates are still below 6 percent. Today's economic report
    indicates that this economy, even though it has been slower than we
    thought it would be, has been creating new jobs at a rate of about
    152,000 jobs a month, which means that as of last month, there has now
    been more private sector job creation in the first portion of this year,
    the first 9 months, than in the previous 4 years.
        The budget package also contained a sweeping reform of college
    loans, which lowered the interest rates for college loans and let people
    pay them back on easier terms of a percentage of their income, as well
    as stiffening measures for collection, something that will open the
    doors of college education to all Americans. There will never be an
    incentive not to borrow money for college now, because you can get it if
    you need it at a lower interest rate, and you can pay it back as a
    percentage of your income no matter how much you borrow. It's a dramatic
    change.
        That budget reconciliation package had the most significant piece of
    reform in 20 years for lower income working families. Families with
    incomes of under $27,000 with children in the home will get tax relief
    from that bill. And we will now be able to say because of the way the
    earned-income tax credit was expanded in this bill, that if you work 40
    hours a week in America and you have a child in the home, you will no
    longer be in poverty. It is a dramatic advance to the values that the
    Democratic Party holds dear: work and family.
        We passed the family leave bill, the motor voter bill. We've got a
    major initiative for reform in defense conversion. We're about to
    announce the first winners of our technology reinvestment project, where
    we put up $500 million this year, and we'll put up a little more than
    that next year. We've already gotten 2,800 proposals from people who
    have ideas to convert defense technologies to domestic uses, to build
    the economy of the 21st century. We announced last week that we were
    removing $37 billion worth of high-tech computer, supercomputer, and
    telecommunications equipment from cold war trade restrictions, which
    will create many, many new jobs in our country.
        We announced a proposal with the UAW and the auto companies and all
    the defense labs and all the other research labs of the Federal
    Government to try to triple the car mileage that our automobiles get by
    the end of the decade. If we do that we'll have sweeping gains in
    international markets for American produced automobiles.
        We have reversed the environmental policies of the previous 12 years
    in ways that will be good for the economy, as well as good for the
    environment. We have appointed unprecedented numbers of women and
    members of different racial minorities to high positions in the National
    Government. This administration is in the process of changing this
    country, and you have made a profound difference.
        You know, I've been a Democratic Party activist for a long time now,
    and I know that one of the things that gets us all into this is that we
    like elections, and we want to win. And one of the things that burns a
    lot of us out of it is that we sometimes think it's only about
    elections. And you can't keep doing elections after so many years unless
    you really believe there are some consequences to it.
        So I wanted to say this to you today, to remind you that there are
    consequences to all the work you did and to the election that we won.
    And in addition to that litany I just gave you, maybe I could just tell
    you one story that would illustrate it better.
        A couple of Sundays ago I came in from my morning run. I was on the
    ground floor at the White House, and I looked over down the hall, and
    there was a family there taking a tour of the White House, which is
    quite unusual on Sunday morning. But I noticed one of my staff members
    there had this family, and I went over to shake hands with them. It was

    [[Page 1709]]

    a father and a mother and three daughters. The middle daughter was in a
    wheelchair. And my staff member said, ``Mr. President, this is one of
    those Make-A-Wish families, and this little girl is desperately ill. And
    her wish was to come to the White House, take a tour, and meet the
    President.''
        So I went over and shook hands with the little girl and her family,
    and we talked a while. And I apologized for being in my running clothes.
    I went upstairs to change, came back down, and--looking more like my
    job--I then had a proper picture with them. And again, a nice visit with
    the wonderful child.
        And as I was walking off, her father grabbed me by the arm, and I
    turned around and he said, ``You know, my daughter is probably not going
    to make it. And because of that these last weeks I've spent with her are
    the most important times of my whole life. And because of that family
    leave bill I didn't have to lose my job to spend that time. But if you
    hadn't passed that law and signed it, I literally would have had to
    choose between losing my job and spending this time, or supporting my
    family and giving up what was the most important time of my life. Don't
    you ever think it doesn't make a difference who wins elections and what
    they do.''
        As you know, I believe, have believed and preached throughout the
    campaign of 1992 that most of the problems of America are rooted in our
    inability to adjust to the sweeping changes of this age. We now know
    that this is the 20th year--1993--since real hourly wages peaked for
    wage earners and that for 20 years most Americans have been working
    harder for less money to pay more for health care, education, housing,
    the basics of life. We know that that has been true through times when
    the economy was growing and times when it was in recession.
        But there have been profound structural changes at work in this
    economy which have put enormous pressures on the great American middle
    class which was built in the 20th century and which exploded at the end
    of World War II and which helped to keep the American dream, that each
    generation could do better than their parents if they work hard and
    played by the rules, alive.
        When you put that with the fact that we have also seen great
    internal changes in the structure of our society, enormous movements
    from one place to another--the average in America is about 20 percent of
    our people move every year or so now, from one place to another,
    extraordinary mobility--dramatic changes in the family unit, alarming
    pockets of profound depression where investment is not made, huge
    increases in the number of children born to one parent only, often to
    children themselves, a dramatic, breathtaking increase in arbitrary
    violence among young people, when you put that together with these
    internationally compelling economic changes, you see that if we just
    keep on doing what we're doing, we're in for deep trouble. Then if you
    look outside our borders you see also sweeping changes, many good, some
    troubling: the end of the cold war; the emergence of new great economic
    powers--China now growing at 10 to 14 percent per year; the emergence of
    a whole range of new democracies, and most of them hoping that they can
    have better relationships with us and trade with us and do business with
    us; the continuing difficulty of other rich countries, not just the
    United States, in creating jobs--Europe doing not as well as we are in
    creating new jobs; Japan now having trouble, even with its closed
    economy, creating new jobs.
        And then we now know at the end of the cold war it certainly didn't
    mean the end of troubles and misery in the world. We've done our best to
    support democracy in Russia and to stick by President Yeltsin. Because I
    believe it's important that we have freedom and democracy in Russia,
    that we continue to denuclearize the world, and work hard on helping
    Russia to do what they're trying to do and the other republics of the
    former Soviet Union.
        We see that there is still an enormous amount of chaos. And once the
    cold war was over and the Communist empire collapsed, it sort of
    stripped the veneer off long-simmering ethnic and religious hatreds and
    tensions in Bosnia and Georgia and lots of other places in the world. We
    know that there are countries in Africa which are not only embroiled in
    war but which are suffering mass famine, in Somalia where we are trying
    to conclude our mission and leave those people a fighting chance not to
    go back to times when hundreds of thousands of children died like flies
    in the streets. But we know that there are also troubles in other
    nations there. In Angola there have been as many children have their
    legs blown off by land mines arbitrarily planted as in any war in
    history that

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    we know of.
        So this is both a troubled and hopeful world. And the old rules we
    had for looking at the world beyond our borders were pretty simple.
    There was a cold war, our policy was to contain communism, our policy
    was to promote countries within our sphere of influence. We preferred
    democracy, but as long as they were anti-Communist, we'd normally stick
    with somebody anyway. And even if they were pro-Communist and
    democratic, we'd normally shy away from them. The necessity of surviving
    in a bipolar world gave an organizing principle to what we did and
    didn't do. To be sure, we had troubles and difficulties, but we knew how
    to do that. Now we're having to define our purposes in the world and our
    leadership in the world in terms of more partnership with other nations
    in promoting democracy and freedom and market opportunities for people
    that we have here, we want elsewhere. It's not easy there.
        But the thing I have tried to say, with all the time that I have
    spent on foreign policy and military policy and trade policy, that I
    must say it's an absolutely fascinating time to be President, and a
    great honor, actually, to be President in this difficult time, to try to
    construct the framework for the post-cold-war world.
        I spend an enormous amount of time on that, but I usually talk about
    what we're doing in this country because I believe you cannot be strong
    abroad unless you are strong at home. It is difficult to promote a
    concept of national security that has nothing to do with the economic
    strength of our Nation. That is what permits us to pay for not only
    defense but the other things which make us more secure.
        And when we think of all these changes we need to cope with, the
    first thing I think we have to say, that I've been trying to hammer home
    and in clear, explicit terms ever since the health care speech, is that
    there has to be a level of security accorded to Americans if they're
    going to be able to change. If you think about your own life, those of
    you who have the privilege of raising children--on most days it's a
    privilege--you can watch in individual lives how difficult it is for
    people to change their habits, even when they know they should, if they
    are insecure personally.
        The same is true of a family or a community or a nation. If you
    spend all your time waiting for the other shoe to drop, expecting
    something bad to happen, not expecting something good to happen, feeling
    that what you now have can be taken away from you by some arbitrary
    force, it is very difficult to have the space, the mental space and the
    emotional space, to think about the changes that are bearing in and what
    initiatives you should take.
        And so an enormous part of my job as your President is not only to
    keep pushing this agenda of change--and getting you to help me do it, as
    you have so well--but to be able to explain to the American people what
    it is we have to change and why and then to be able to advocate those
    things that will give people more personal and family and community and
    national security so that we can have the courage and the space to
    change.
        And if we don't do that, even our incremental progress will not
    satisfy people because they will be disoriented. I'm really proud of the
    fact that we've been creating more than 150,000 jobs a month in a tough
    time and that there are more new jobs now, since January, than there
    were in the previous 4 years. And when I say ``we'' I don't mean the
    Government. I mean ``we'' the American people working together, although
    we have played a role in it in drastically bringing the deficit down and
    keeping the interest rates down and targeting some investment. I'm proud
    of the fact that cars are selling at their highest rates since '89, and
    business investment is expanding at its fastest rate since '84, and all
    of those things. I'm proud of that.
        But unless people understand this in a bigger framework, there will
    always be places that are behind and places that are ahead. Ten years
    ago, my part of the country was behind, and we had an unemployment rate
    3 points higher than the national average. Today California is behind.
    They have 3 points higher than the national average, the center of a lot
    of our high-tech base, 12 percent of our population, 25 percent of our
    unemployed people. This is a big problem for the rest of us.
        So we have to understand these things. How does it all fit together?
    What kind of changes do we have to make? What kind of security do we
    have to have? How does the change in the student loan program or passing
    national service and giving all these kids a chance to earn money for
    college by rebuilding this country at the grassroots level, or going to
    Tokyo and working with the Japanese and the Europeans and the Canadians
    to open markets, how

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    does that all fit together? What difference will it make if we reform
    the welfare system early next year? How does this work?
        My goal is to make individuals in this country and families in this
    country secure enough and strong enough to be able to face and make the
    changes that we must make in order to do what David Wilhelm said I
    talked to him about so long ago: give every American a chance to live up
    to his or her God-given capacity.
        To do it we simply have to be able to rebuild the great middle class
    in this country. We can't continue to have a few people doing very well,
    and the bottom dropping out not just from people who are unemployed but
    from people who are employed. There are a lot of changes we have to
    make. We've begun to make some, and some I've talked about.
        First of all, we've got to make a lot of economic changes. We have
    got to face the fact that the basis of our prosperity can no longer be
    an insular economy, where we don't have foreign competition, and can no
    longer be at least buoyed by very high levels of defense spending in
    high-tech because of the end of the cold war.
        So what do we have to do? First of all, we have to have an
    investment strategy. That's why when we changed the Tax Code this year
    we provided for a new venture capital gains tax, which will give people
    a 50-percent break if they invest for 5 years, not a year but 5 years,
    in new businesses or smaller businesses that are growing jobs. We
    provided more incentives for research and development. We provided more
    incentives to lift off the depressed real estate market in the country.
    We had a theory about that, an investment theory, because there will
    never be enough Government money to get this country going again alone.
        Secondly, we need to recognize that there are some places in this
    country that are profoundly depressed, and we have to do more there. So
    we passed some empowerment zone legislation to see whether or not with
    extreme incentives we could revitalize some of the really distressed
    areas of the country. We have a community development bank bill moving
    through the Congress which will set up banks that are designed to loan
    money to people to start self-employed businesses or very small
    businesses, loan money to people who live in places who ordinarily
    wouldn't be able to get it. We know from our experience at home, and
    from the South Shore Bank in Chicago, that banks can make money loaning
    to poor folks if they know what they're doing. And they can make money
    loaning in low income areas if they know what they're doing.
        These are structural changes we have to make. We have to change the
    entire unemployment system. You know, when I was a kid and somebody lost
    their job, they lost their job for 4 weeks, 5 weeks, 6 weeks, in an
    economic downturn. They would get hired back at the same job. That's the
    system that the unemployment system was designed to support, what are
    so-called cyclical unemployment. So you've got unemployment payments for
    a period of months and then you got your job back. Today most
    unemployment is structural. For example, we continue to lose
    manufacturing jobs when the economy is growing like crazy. Why? Because
    manufacturing productivity is going up so fast, and because we haven't
    gotten into enough new manufacturing areas. So we have either one of two
    things we have to do. We either have to train people that are
    manufacturing workers to do nonmanufacturing work, or we've got to make
    a whole lot of different things if we want to keep the employment up,
    because there will be an almost unlimited trend to be able to produce
    more with fewer people of whatever particular product you're talking
    about.
        What does that mean? That means that instead of an unemployment
    system we now need a reemployment system, because people need different
    jobs because they're not going to get the old job back, by and large. It
    means that the day somebody goes on unemployment, and even before if
    they know they're going to go, they should know what jobs will be
    available within driving distance of their home. They should be able to
    match their skills for those jobs and where the deficiencies are they
    should be able to choose a training program that goes right along with
    that unemployment check. And it should commence immediately, so that you
    shorten the time in which people are unemployed.
        We have to look more to a lot of other problems in our economy. We
    cannot avoid the responsibility to be responsible stewards of this
    country and this planet; so we're going to have to become more
    environmentally sensitive. But we have to do it in a way that creates
    jobs and doesn't just cost jobs. We can do that, but we have to be very
    creative. That requires

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    change. We have to change the way we operate the Government. If we
    invest too much money in doing things in the same old way in the
    Government, then we don't have the money left to invest in education and
    training and the future. That's why the Vice President's report on
    reinventing Government is so important.
        And Democrats have to prove they can do that. You know, if we don't
    hate Government, we ought to have the courage to change it. If we think
    Government has a critical role as partners for the private sector as we
    move toward the 21st century, then we have to have the courage to change
    it. That's really important. We can do more with less in a whole range
    of areas. And that's very, very important.
        So all these changes need to be made. I cannot tell you how
    important I think it is for us to continue to push on defense conversion
    and invest massive amounts of money in the civilian technology
    possibilities of the future. We have been cutting defense since 1987,
    but we did not seriously begin to invest in defense conversion until
    1993. The Congress last year passed a $500 million bill for defense
    conversion, as Congressman Richardson will tell you, and there was an
    ideological opposition in the previous administration to spending the
    money. So all the people, the scientists, the engineers, the technology
    workers, who had lost their jobs had to wait another year just to get
    these programs started.
        We have got to do better on that. We have all these defense labs. We
    have all this research. We have all these resources. I was at McClellan
    Air Force Base, and at McClellan Air Force Base in California they have
    worked with private sector people there to produce an electric car that
    gets 80 miles to the gallon at 55 miles an hour. It operates
    alternatively on electricity and gasoline and can go from zero to 60 in
    12 seconds and has a maximum speed of 100 miles an hour. If we can just
    figure out how to produce it at an affordable price, we'll be in great
    shape.
        But that's the way these things are done. So I could keep you here
    until tomorrow morning at this time talking about the changes we need to
    make. But let's first talk about what the security is. What's the deal
    we have to make with the American working people in order to make these
    changes, to get them to the point where they will have to make the
    changes? You think about everything I just said requires the concurrence
    of millions and tens of millions of people. You change a country--now,
    you can't just pass a law and change it. You can't just write a bill and
    change it. You have to change the behavior of the whole country. People
    have to change their lives.
        So, we can't do that unless people feel a high level of security. I
    think that's self-evident. The first kind of security people need is to
    know that in an America where the economy is tough and where most people
    have to work for a living, you can work and still be a good parent.
    That's what the earned-income tax credit was all about, to give working
    people with kids a break. That's what the Family and Medical Leave Act
    was all about. We've still got work to do to make adequate childcare
    supports available to people around the country. We have got to say that
    there has got to be a way where every American can be a good mother, a
    good father, and a good worker. That's the first thing.
        The second thing we have to do, I would argue to you, is to give
    people basic security. I mean more freedom from fear. When I did my town
    meeting in California, there was a fine looking young Korean man who
    told me about how his brother had been shot and killed, an arbitrary
    shooting. And he asked me about it, told me the circumstances. Then
    there was a fine young junior high school student, a young African-
    American man. He told me that he and his brother just wanted to go to
    school. They said, ``We don't want to be in a gang. We don't want a
    knife. We don't want a gun. We want to study. That's what we want to do,
    and we changed schools because we didn't think our old school was safe.
    So we showed up at our new school on the first day and were standing in
    line to register, and my brother gets shot, standing in front of me,
    because he's in a crossfire.''
        And this is not just California and New York and big cities, folks.
    This is my State and yours. Now, look, I live in a State where half the
    people have got a hunting or fishing license or both and where we have
    to close down whole towns on the opening day of deer season because
    nobody shows up at school, nobody shows up at the factory. But I think
    that even in my State people think it's nuts that there are places in
    this country where teenagers are better armed than police and people are
    scared to walk down the street to go to school. And so we just have to
    decide, you know, are we going

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    to let all this rhetoric--you know, this country we get all--there's a
    lot of great things about America, but we're bad to say one thing and do
    another. We're pretty bad about that.
        We all deplore violence, and we say punish people who do it. We are
    punishing people who do it. Our jails are full. We have a higher
    percentage of people behind bars than any country in the world today.
    But we won't pass the Brady bill. Now, let me say why that matters. That
    sounds like sort of a tepid bill now, given what else is being called
    for. But let me tell you why that matters.
        In New York City last year, they confiscated something like 19,000
    guns, whatever the figure is; 85 percent of them were from other States.
    So a State waiting period doesn't amount to a hill of beans when you've
    got the constitutional right to travel. We've got to know, how old are
    these people buying these guns? Who are they? Do they have a criminal
    record? Do they have a mental health history? It's a big deal.
        The States can do something. Seventeen States have said kids can't
    own handguns unless they're out with their parents on a hunting trip or
    a target practice. A lot of States have tried to set up laws licensing
    gun dealers, but the Federal law will give you a license for 10 bucks,
    and the States can't overturn it yet.
        You've got hundreds of gun dealers out there, and there's no system
    about it. And maybe the most important thing of all is, you've got a lot
    of these people, most of them very young, a lot of them with drug
    problems, nearly all of them with no real connection to the rest of
    society, who have easy access to rapid-fire assault weapons, the sole
    purpose of which is to kill people quicker, in greater numbers. And we
    have lots of bills in Congress to do something about it, and we ought to
    do something about it. We ought to pass one of them and do something
    about it and take a stand.
        We have a crime bill which would put 50,000 more police officers on
    the street. It matters how many police officers are on the street, and I
    say to you, not so much for catching criminals quickly, although that is
    a big deal, but for preventing crime.
        I'll just give you--first of all, look at New York, one of the few
    big cities in the country where for 2 years running, there's been a
    decline in the crime rate in all seven major FBI categories because they
    went to a community policing system. Look at Houston, where the mayor
    there, Bob Lanier, got elected on a commitment to put the equivalent of
    655 more police officers on the street and to concentrate them in areas
    of high crime, and they had a 17 percent drop in the crime rate the
    first year they did it. You can do this. And we ought to be about the
    business of helping our places become more safe. This is a huge deal.
    And the Democratic Party ought to do it. If we were the party of Social
    Security, why can't we be the party of health security and personal
    security and freedom from fear?
        And finally let me say about the health care issue, I feel very
    strongly that this issue will define us not only as a party but as a
    people. Every day--and I don't mind a lot of this--but every day I read
    something about somebody saying why can't we do this, that, or the other
    thing? Again, we have to look at what we are doing. What we are doing,
    we are spending 14\1/2\ percent of our income on health care. It'll be
    about $900 billion this year. Canada spends a dime, or 10 percent of its
    income on health care, 10 percent of every dollar. Germany and Japan
    spend about 8.8 percent of every dollar. Nearly all of our major
    competitors are below that.
        Now, there are some things that make the American health care system
    more costly that we wouldn't want to do anything about, and some things
    that we can't do anything about right now, at least in health care
    reform. What we don't want to do anything about is we have wonderful
    medical research and technology. We invest more in research, and we use
    more technology. And we don't want to change that.
        What we can't do much about right now in the health care bill is
    that we have a higher percentage of poor people, a higher percentage of
    people with AIDS, a higher percentage of teenage births and low birth
    weight babies, and a much higher percentage of violence than any of our
    competitors. And that's all a health care issue. You pay for it when
    those folks show up every weekend all shot up and cut, and they don't
    have any health insurance. They pass it on to you. So, you pay for that.
    That's another big cost of violence. But that makes our system more
    expensive.
        But then there's a whole lot of things that we can do something
    about, that it's unconscionable that we don't. I mean, we spend more
    than anybody else, and yet, we're the only major country that can't
    figure out how to give every-

    [[Page 1714]]

    body basic health care, 37.4 million people, according to the last
    census, without health insurance. Two million people a month lose their
    health insurance, 100,000 of them lose it permanently. We are adding
    100,000 people a month to the rolls of people without health insurance.
    It is hemorrhaging the system we have.
        We know we spend a dime on the dollar more on paperwork and mindless
    administration than any other nation. We know that from studies. We know
    we hired 4 times as many clerical workers to work in hospitals as
    medical personnel in the last decade. We know that the average doctor,
    in 1980, brought home 75 percent of the money that came into his or her
    clinic. And by 1990, it had dropped to 52 cents because of the explosion
    of bureaucracy and paperwork.
        We know we have more fraud and abuse in this system, and a system
    that actually encourages the performance of unnecessary procedure, and a
    system so complicated, it's easier to game and to milk. We know that. We
    know that we don't cover primary and preventive care like we ought to.
    We don't cover mammograms and x-rays and cholesterol tests and prenatal
    care and well-baby visits, and so we spend more money in the long run
    because we won't spend a little money now to keep people well. We spend
    lots of money to take care of them once they get sick.
        These are things we know. This is not some idle theory. We know that
    a country like Germany, for example, relies more on medicine than we do,
    because we cover medicine for Medicaid patients, but if you're a senior
    citizen on Medicare--just a little bit too much income to be on
    Medicaid, you can't get any help with your medicine. And we know it
    costs a lot of money to cover medicine in a health care bill, as we
    propose to do. But we also know there's a whole lot of people,
    especially older people, who choose every week between food and
    medicine. And if they choose food and not medicine, eventually they get
    sick and wind up in the hospital. And they can spend more in a hospital
    in one week than they'll spend in a year on medicine. So, these are
    things we know. These are not sort of idle speculations.
        So, when people say to me, ``Well, you know, this is a big risk,
    this might be expensive.'' I say, ``It's not going to be as expensive as
    what will happen.'' We're now spending 14\1/2\ percent of our income on
    health care. If we do nothing, if we stay with this system, by the end
    of the decade we'll probably have 40 million or more uninsured, and
    we'll be spending 19 or 20 percent of our money on health care. You'll
    have doctor and hospital fees going through the roof, and miserable
    doctors and hospital administrators because more and more of the money
    they're charging you will go to pay for clerical work to hassle people
    to pay on insurance policies.
        The time has come to put aside all the rhetoric and the reservations
    and realize we can't make this system any more complicated than it is.
    We'd have to work from now to kingdom come to make it any more expensive
    than it is on wasted things. And we can no longer afford the sheer
    insecurity that is gripping millions of Americans, not just those
    without health care but those who can never change their jobs because
    they've had somebody in their family get sick, those who are waiting for
    their business to fail, and they know they'll never get health care
    again, those who are just wrenching with the moral dilemmas of whether
    they need to cut their employees off health care because they can no
    longer afford it. I talked to a small business man in California this
    week, 12 employees, didn't have a single claim on his health insurance
    last year except for regular trips to the doctor. His premiums went up
    40 percent. He said, ``What am I going to do? I've got to choose between
    staying in business and doing right by these people who made me the
    money that I have today.''
        So, I say to you, my friends, the plan we have offered is a fair
    plan. We ask people who don't contribute to the system, but who work, to
    make a contribution, because now we're paying for them, the rest of you
    are. For small businesses with low wage workers, we offer a discount.
    So, we'll pay a little bit, but they ought to pay something. Everybody
    who can pay, ought to pay something into this system. It is not fair for
    the rest of you to pay for it. That's where two-thirds of this plan gets
    paid for. We asked for an increase in the cigarette tax. We asked for
    big companies that are going to self-insure to make some contribution to
    medical research and to public health facilities, like all the rest of
    us do. And we asked for credit for savings that will surely come in the
    Medicare and Medicaid program.
        When you hear that I have proposed to cut Medicare and Medicaid,
    don't you believe it. Medicare and Medicaid are projected to go up

    [[Page 1715]]

    at 3 times the rate of inflation. What we say is, ``Adopt our plan, and
    they'll only go up at twice the rate of inflation.'' Now, in Washington,
    they think that's a cut. Where I come from, most of us would give
    anything to have an income increase at twice the rate of inflation,
    wouldn't we?
        So I ask you to think about these things. The time has come to give
    the American people security, health care that's always there, health
    care that can never be taken away. The time has come to simplify the
    system. The time has come to prove that we can make savings. These are
    unconscionable areas of waste. And we can do it and preserve quality. We
    can do it and actually increase the choices most Americans have. We can
    do it and let about two-thirds of the people who have insurance get the
    same or better insurance for the same or less cost. But it is going to
    require some change in the system.
        But this is a security issue. Unless we can be secure in our work
    and families, unless we can be secure on our streets, unless we can be
    secure in our health care, I'm not sure the American people will ever be
    able to recover the personal optimism and courage to open up to the rest
    of the world, to continue to lead the world, to continue to reach out
    and break down the barriers of trade because we know a rich country can
    only create jobs through increasing the volume of trade, to make these
    internal educational and investment changes without which we cannot move
    toward the 21st century. So I ask you to keep doing what you're doing.
    Help us pass these bills. Get us a crime bill. Get us a health care
    bill. Get us the economic bills that we've got up there. Pass the
    Education 2000 bill, all of our education bills.
        But remember what the big picture is. The big picture is, the world
    is trending in directions we cannot fully understand but we pretty
    nearly can imagine. And we have got to get to the 21st century with
    America still the strongest country in the world and with the American
    dream alive again and with a strong middle class again. That means we've
    got to change. And to change, we have to give our people security again.
    We can do it. Together, we can do it.
        Thank you, and God bless you all.

    Note: The President spoke at 10:11 a.m. at the Washington Sheraton
    Hotel. In his remarks, he referred to Democratic National Committee
    officers David Wilhelm, chairman, Kathleen Vick, secretary, and Lottie
    Shackelford, Martha Love, and Debra DeLee, vice chairs.