    [Public Papers of the Presidents of the United States: WILLIAM J. CLINTON (2000, Book I)]
    [March 30, 2000]
    [Pages 574-577]
    [From the U.S. Government Publishing Office www.gpo.gov]

    [[Page 574]]

    Remarks at the Selfhelp Austin Street Senior Center in New York City
    March 30, 2000

        Thank you so much. Well, Linda, based on
    your speech here, I would say you have a good chance to succeed your
    mother as an effective senior politician--[laughter]--when your time
    comes. Didn't she do a good job? I thought she was great.
        I want to thank you and your
    mother and your family for being here.
    Congressman Anthony Weiner, thank you for
    welcoming me to your district, and for the truly outstanding leadership
    that you have provided to your constituents and to this country. You
    should be very proud of him. He's done a great job in Washington, DC.
        I want to thank Richard Aronson, the CEO
    of Selfhelp Community Services, for what you do, and for the whole self-
    help movement, which I believe so strongly in. I'd like to thank Rabbi
    Skolnik of the Forest Hill Jewish Center
    for hosting the Selfhelp Austin Street Senior Center. I want to thank my
    long-time friend, your borough president, Claire Schulman, and all the people from Queens, the officials who are
    here. Thank you for coming.
        I have brought a number of people from the White House. There's a
    big crowd here. But I brought two people I want to acknowledge. First of
    all, Tom Freedman, who works with me in the
    White House, because he's an old friend of Congressman Weiner's, and he lived with him. And whenever the
    Congressman gets a little too pushy with me, I remind him that I know
    things about his lost youth. [Laughter] So I thank Tom for coming--
    although I must say, that crack about the busy life of a political
    spouse is one of the best jokes I've heard on me in a long time.
    [Laughter] I loved that.
        And I want to recognize one person who has played a major role for 8
    years now in the economic success of this administration. I think,
    clearly, the most knowledgeable Director of the Office of Management and
    Budget, member of the President's Cabinet, in the history of that
    office, a man who got his bar mitzvah in the synagogue upstairs and who
    had the party here in this very room, Mr. Jack Lew, who's here with me today. Thank you, Jack, wherever you
    are. Stand up, Jack. When he told me he got his bar mitzvah here, I
    asked if he were prepared to go through the exercise again today.
    [Laughter] And he said his head was too crowded with my budget numbers.
        Let me say to all of you, I am profoundly honored to be here and to
    be in the presence of Americans who have served our country in so many
    profoundly important ways. Many of you, well into retirement, continue
    to serve today, providing the volunteer power that runs this center and
    doing other things of immense value to your community. Your energy and
    your experience are a precious natural resource. They are part of the
    answer to how we are going to deal with the challenge of Americans
    living longer lives, to ensure that those lives will also be better and
    more fulfilling lives.
        But there's another thing that I worry about all the time, that you
    just heard so eloquently discussed by Linda Nadel. I am the oldest of the baby boomers; I was born in
    1946. The generation between--of people born between 1946 and 1964 is
    loosely known as the baby boom generation. We were, until 2 years ago,
    the largest number of children ever to go through the public schools of
    America. Only now, for the last 2 years, have we had a larger number of
    children in our schools.
        When we retire, there will only be, at present rates of childbirth
    and immigration, about two people working for every one person drawing
    Social Security. And I can tell you, I grew up in a medium-sized
    community where most of my friends were just middle class working
    people, and most of my childhood friends whom I still know today are
    middle class working people. And they all worry very much about whether
    our society is prepared for the retirement of the baby boom generation.
    And all of us who are parents are worried to death that our retirement
    might somehow burden our children and their abilities to raise our
    grandchildren.
        So I came today to talk to you about the challenges that American
    seniors face today--one of which has already been discussed by
    Congressman Weiner, which is the challenge
    of prescription drugs and the fact that it's not covered by Medicare
    today--and the challenges that America will face when we have even more
    seniors in the future.

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        Social Security and Medicare are the foundation of our commitment to
    seniors and to millions of Americans with disabilities. Fiscal
    responsibility has been the foundation of my answer to the challenge of
    the baby boomers' retirement.
        Seven years ago, when I became President, we had a $290 billion
    deficit, our national debt had quadrupled in 12 years, and Medicare was
    predicted to run out of money in 1999, last year. We had to make some
    tough choices. Vice President Gore and I presented the budget to the
    Congress, and he cast the tie-breaking vote
    in the Senate--one of his good jokes, Congressman, is that whenever Al
    Gore votes, we win, because he only gets to vote when the vote is tied--
    [laughter]--and the first budget passed by a single vote in the House.
        But it began to turn the country around. We got the deficit coming
    down. We got interest rates coming down. We got the economy growing
    again. And now, we've been able to have balanced budgets and surpluses,
    doubling our investment in education, and still providing needed tax
    relief to working families.
        This strategy was very controversial when we first started it, but
    it's not so controversial anymore. We've had the first balanced budgets
    back to back in 42 years, the longest economic expansion in history, the
    lowest unemployment rate in 30 years, the lowest welfare rolls in 30
    years, the lowest poverty rates in 20 years, the lowest crime rates in
    25 years, and 21 million new jobs. If we keep going, we'll be able to
    make our country debt-free in the next dozen years, for the first time
    since 1835.
        Now, I want to focus, though, on the specific challenges you face
    and the specific challenges that we baby boomers face as we move into
    our senior years. What does all this mean?
        On that score, remember, again, when I took office, I got a report
    that said the Medicare Trust Fund was going to be broke in 1999, last
    year. But the strong economy has helped. So have a lot of the Medicare
    reforms and a lot of our antifraud measures. And Medicare and Social
    Security are now on a path to a sound future. Today the Social Security
    and Medicare trustees issued the report they issue every year at this
    time on the financial health of these two vital programs. But the first
    thing I'd like to do is to tell you what kind of shape they're in.
        The Social Security trustees announced that the economy has now
    added 3 years to the expected life of the Social Security Trust Fund. It
    is now solvent until 2037 with the present situation.
        The Medicare trustees told us that Medicare is in the best shape in
    a quarter century, better managed, more efficient, and now solvent until
    2023, 24 years longer than the solvency on the day I took office. And I
    am very pleased by that. This means that the commitment to fiscal
    discipline and good Government can make a difference in the lives of
    families, not only here in Queens but all across our country.
        Let me just give you a couple of other examples. Just a decade ago,
    Medicare premiums were increasing at double-digit rates every single
    year. Today, with better management and with a strong economy, we've
    been able to slow the rate of growth dramatically, producing a savings
    of more than $200 a year in the premiums for a couple over 65.
        We're also enabling seniors who are willing and able to work, to do
    so without losing their Social Security benefit. Last year I asked
    Congress to work with me to allow our seniors to work without being
    penalized, and both Houses have now passed that legislation to eliminate
    the Social Security earnings caps for seniors.
        Now, that's the good news. But let me say to all of you: While the
    trustees reports showed that Social Security and Medicare are secure
    today, we must stay focused on the challenges of the future. In 30
    years, the number of Americans on Medicare, the number of Americans over
    65, will double. I hope to be one of them. But they will double.
        Now, let's face it. This is a high-class problem. This is the kind
    of problem we have because we're living longer and better lives because
    of the miracles of modern medicine, because of the miracles of basic
    public health, because we're taking better care of ourselves, and that's
    all very, very good. But we have to prepare for it. And we have to be
    ready for the challenges we know ahead. We want all seniors to have
    access to state-of-the-art medical care. We want all Americans to be
    able to live out their lives in comfort and dignity, without fear of
    being a burden to their families.
        I'd like to just mention one of the families here with us today:
    Wichna Szmulewicz and her husband
    Szymon are Holocaust survivors. Szymon has
    Parkinson's disease. Wichna takes

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    care of him. Their prescription drug costs take almost 20 percent of
    their annual income. This is not right. Wichna does not want a handout,
    but she doesn't want to be burden to her grown children, and she does
    need some help. That's what our proposal, that Congressman Weiner and
    the other members of our caucus support, to provide a voluntary
    prescription drug benefit in Medicare, is all about.
        I think we ought to do our part to help these folks and people like
    them in this room, in this community, and all over this country. We
    should not consume our surpluses with big, risky tax cuts until we have
    first used the surplus to strengthen Social Security and take it out
    beyond the life of the baby boom generation, to strengthen and modernize
    Medicare, and to invest in our children's future through education,
    science and technology, and medical research. And we ought to pay this
    national debt off. I was so pleased to hear you clapping for that. That
    means we'll have another generation of prosperity with lower interest
    rates, more growth, higher incomes, and more jobs.
        So I have asked the Congress to use every dollar of our Social
    Security surplus to pay down the debt and use the interest savings from
    it to extend the life of the Social Security Trust Fund. If we just took
    the interest savings we'll get from paying down the debt with the Social
    Security taxes you are paying and we put that interest saving into the
    Social Security Trust Fund, we could extend the life of Social Security
    to 2054, beyond the life of the baby boom generation.
        It's a simple bill. We're for it. The President is for it. The Vice
    President is for it. The
    Congressman is for it. The Democratic
    candidate for Senator from New York
    is darn sure for it. [Laughter] And if we can just get a little help
    from our friends on the other side of the aisle, we can extend the life
    of Social Security to 2054, beyond the life of the baby boom generation,
    and no baby boomer will have to worry about being a burden to his or her
    children or grandchildren. That is a wonderful opportunity and a simple
    thing to do.
        The second thing we have is a great opportunity to strengthen and
    modernize Medicare. You know, if Lyndon Johnson were President today and
    he were starting Medicare again, he would never sign a bill that didn't
    include prescription drug coverage.
        Just think how different medicine is today than it was 35 years ago.
    Today, often the most cost-effective medical treatment, keeping people
    out of hospitals, keeping people out of surgery, lengthening life and
    quality of life, involves prescription drugs. Well, when Medicare was
    enacted, we didn't have CAT scans or MRI's. We certainly didn't have
    drugs that lowered cholesterol or fought osteoporosis. Now, not having a
    prescription drug coverage in Medicare is like paying a mechanic $4,000
    to fix an engine because you wouldn't spend $25 to get the oil changed
    and a clean filter.
        I simply propose to add a purely voluntary prescription drug benefit
    to Medicare. It will make, also, preventive drug screenings more
    affordable, will have an extra pot for people who have truly
    catastrophic costs for drugs, if they need insurance for that.
        I also want some further changes to make Medicare more efficient.
    One of the reasons we've got the life of the Fund out as far as we do is
    that we have a much, much lower error rate--in other words, things being
    done that shouldn't be done, things being paid for that shouldn't be
    paid for--than we had 7 years ago. If Congress will work with me, we can
    get this done this year.
        But I cannot tell you how important this is. More than three out of
    five seniors on Medicare in this country today do not have adequate,
    affordable prescription drug coverage. And I think it is a great
    mistake, as some have suggested, to limit this coverage to people at,
    let's say, 200 percent of the Federal poverty line. For a single widow,
    that's $16,000 year. Now, that may seem like enough to live on, unless
    you have $300 or $400 a month in medical bills, for medicine alone, and
    a lot of people do.
        So again, since this is a voluntary program, I believe we should
    make everyone on Medicare eligible to buy into it. The broader the
    participation, the more cost-effective it will be. Very often, we've got
    seniors who either don't have any medical insurance that covers
    prescription drugs, or if they do, it is very limited. And very often
    the seniors who have the least money are paying the highest prices for
    drugs of anybody in this country, and it is wrong.
        Now, we are in good shape now. The life of the Medicare Trust Fund
    is secure until 2023--I mean 23d of--whatever it is--I just forgot.
    [Laughter] What is it, Jack? Twenty-twenty-
    three, I got it right. My budget would

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    take it out to 2030. I would like to have a 30-year cushion there. I
    would like for people to know that it would be there for 30 years. But
    it would also provide this prescription drug coverage.
        Now I can tell you what is going to happen. Your Congressman and I are going to go back to Washington, and
    there will be people to say--oh, mostly on the other side of the
    political, I would say--``Well we know this is a hot issue, and we've
    got to do something about it. So let's just provide drug coverage for
    people up to 150 percent of the poverty line.'' It's not enough.
    Medicare was intended to benefit all seniors, to help all seniors to
    keep from being driven into poverty. And this is an insurance program.
        We would never, I will say again, we would never, ever think of
    creating a program, if we were starting all over again with Medicare
    today, that did not have a prescription drug component. You know it, and
    I know it. Since we wouldn't do that, since the program's in the best
    shape it has been in in a generation, since we have the funds to take it
    out to 30 years of life, let's add a prescription drug benefit that
    everybody in this room and everybody in this country who is eligible by
    age and who needs it can buy, to provide the kind of security in health
    care all American seniors deserve.
        I just want to say one other thing, sort of off my script, that a
    lot of you will remember, and you will identify with this. You only get
    a few chances in life as a people to do really big, good things, when
    times are going along so well and the circumstances are there, that you
    can do this. When Medicare was created, it was during what was up until
    this time the longest economic expansion in American history. And so the
    American people felt secure, and they supported their elected
    Representatives in doing things like beginning to provide national
    health to our schools and providing Medicare. Now that's the last time
    we were able to do something like this.
        Now we are in the longest economic expansion in our history. But
    these things don't go on forever. And if we can't do this now, when will
    we ever do it? If we can't do the really big, right things now, in
    Medicare, in continuing to pay our debt off, in improving the education
    of our children, in providing economic opportunity to the neighborhoods
    and the rural communities and the other places that have been left
    behind, when will we ever get around to it?
        So I want to ask all of you, whatever your political background, to
    give us some support to reform Medicare and provide this prescription
    drug benefit, to lengthen the life of Social Security to 2054, to make
    sure that the baby boomers' entire lives are a blessing to this country
    and not a burden to our children and grandchildren, and to immediately
    provide the seniors of today the prescription drug coverage that so many
    millions of them need.
        This is an honorable and a good thing to do, but it is a solemn
    obligation, and we will never have a better chance to do it. And
    therefore, we have a solemn responsibility to get the job done.
        Thank you, and God bless you all.

    Note: The President spoke at 3:01 p.m. in the Crystal Room at the senior
    center in the Borough of Queens. In his remarks, he referred to Linda
    Nadel, office manager, Services Now for Adult Persons Senior Center, who
    introduced the President, and her mother, Ruth Freidman, lobbyist for
    senior issues; and Rabbi Gerald C. Skolnik, Forest Hill Jewish Center.