    [Public Papers of the Presidents of the United States: George W. Bush (2006, Book I)]
    [April 12, 2006]
    [Pages 713-720]
    [From the U.S. Government Publishing Office www.gpo.gov]

    Remarks in a Discussion on Medicare Prescription Drug Benefits in
    Annandale, Virginia
    April 12, 2006

        The President. Thanks for coming. I first want to thank Bob
    Templin, who is the president of
    Northern Virginia Community College, for hosting us again. This is a
    place of educational excellence, and what you're about to watch is a
    seminar on the new Medicare benefit. And the reason why we've got to
    conduct seminars on education about what's available is because there is
    a lot of people who haven't signed up yet for the Medicare benefit, and
    we want people to pay attention to what's available.
        And one of the interesting things about this meeting is, I'm trying
    to show that our Government is reaching out to people from all walks of
    life and all neighborhoods. And so this is my job. I'm the Commander in
    Chief, but I'm sometimes the educator in chief, and that's what I am
    here to do today. So thank you for coming.
        As you can see, we've got a different way of doing this--it's not
    going to be just a speech, but it's going to be--I'm going to rely upon
    our fellow citizens to help share what's available and why you ought to
    take a look, if you're eligible for the Medicare program. We want
    everybody around our country who's eligible for Medicare to take a look
    and see if it will make your life better. What I'm saying is, it will.
        So, Bob, thanks for having us. I
    want to thank Vellie Dietrich-Hall, the
    Commissioner of the President's Advisory Commission on Asian Americans
    and Pacific Islands. Thank you, Vellie. Clayton Fong, who is with us--he is the National Asian Pacific Center on
    Aging executive director. I want to thank all the community leaders
    here.
        I particularly want to thank the veterans who are here with us
    today. We have been joined by a special group of people, the veterans
    from the 442d Regimental Combat Team. By the way, Senator Inouye of Hawaii was a member of that very important
    regimental combat team. And I want to thank you all for being here
    today, and thanks for serving our country. Welcome.
        I also want to thank the Secretary of Labor, Elaine Chao, who is going to have some remarks here.
        So we're talking about Medicare. Our Government made a commitment to
    our seniors to provide health care. My attitude is, if Government makes
    a commitment, then we better make sure we make a good commitment. And I
    was worried that the commitment we made to our seniors was not as good
    as it could be. And so I went to the United States Congress and said,
    ``Let's work together to make sure the medicine we provide for our
    seniors is modern and is up to date.''
        One of the things that we didn't do through the Medicare system
    prior to this reform was, we didn't provide prescription drugs. But
    prescription drugs was an important part of medicine. I'll give you an
    example. If you would have ulcer surgery under Medicare, the Government
    would pay about $28,000, but the Government wouldn't pay one dime for
    the medicine that would help you prevent the ulcer surgery in the first
    place. Now that didn't make any sense. It didn't make any sense to not
    pay $500 to save 28,000.
        And so I said, well, we can do better than this. Let's make sure the
    medicine we deliver to our seniors is modern. Let's make sure the
    program works as well as it possibly can. And we passed a bill.
        And so one of the things that this bill does is it says to seniors,
    here's a new plan for you to look at. As a matter of fact, in the State
    of Virginia, there's over 40 plans to look at--40 different options for
    a senior to choose from. I thought that was very important to have
    available for

    [[Page 714]]

    seniors. Government tends to say, sometimes, ``I'll choose for you.'' I
    believe Government ought to say, ``We trust you with your choice, and
    here are some options from which to choose.''
        The problem with that is that can be confusing to some seniors. Some
    people reach the stage in life where they just simply don't want a
    choice. They're happy with the way things are. And I knew that would be
    the case when we started to bring out the Medicare program. So we put in
    place--and you'll hear from some people who have been involved with
    outreach to our senior citizens. That means, we'll go out and explain to
    people why the different options may make sense to a senior, so a senior
    can design a program to meet his or her needs, that makes the medicine
    modern. This program helps all seniors with their drug benefits. That's
    important to know. This program provides choices for seniors. And
    although that can be somewhat confusing, it's an important part of the
    program.
        As a matter of fact, it's part of my philosophy. My philosophy is,
    let's trust the consumer. Let's trust the taxpayer. Let's give people
    different options from which to choose. Let them design the program, not
    have the government design the program for them.
        By the way, they estimated the cost at something like $34 per month
    premium for the drug program for the typical senior, because there are
    choices. It now costs about $25 a month. In other words, choices mean
    people are going to compete for your business, and that's an important
    part of helping to hold the cost down for the people we're trying to
    help, as well as the taxpayers who are paying the bills.
        This program provides what's called stopgap insurance. In other
    words, when you reach $3,600 for drug costs, the Government pays 95
    percent of the bills for you. I think that makes sense. It makes sense
    for a senior to know that he or she doesn't have to worry if something
    out of the ordinary were to occur; kind of, a catastrophic plan would be
    available to help. It makes sense for a son or daughter who might be
    worried about his or her parents' finances. And so this new plan has got
    what we call catastrophic care or stopgap care which is very important.
        And, finally, if you're a low-income senior--about a third of the
    people eligible for Medicare are low-income--or incomes are such that
    they qualify, the Government will pay over 95 percent of all the costs.
    If you're a low-income senior, you really need to look at this program.
    Any senior needs to look at this program. The average cost savings per
    senior on the Medicare program, on these pharmaceuticals, is one-half.
    People's drug bills have been cut by half because they have signed up
    for this program. And that's really important. It's important for peace
    of mind. It's important for the person's pocketbook.
        Now, I know that sounds too good to be true, but it's happening all
    across the country. As a matter of fact, 29 million people have signed
    up for this program. There are 42 million seniors eligible for Medicare,
    and 29 million people have signed up since January. And that's positive.
        And by the way, when 29 million people show up for a new program,
    there's going to be some glitches. And you're about to hear from a man
    whose job it is to make sure that he takes care of the glitches. That's
    what Presidents do--they delegate. [Laughter]
        We straighten out problems as they occur. Twenty-nine [million]*
    people have signed up. There are 6 million people who are eligible who
    have got a job, and they don't need the Medicare. I'm about to talk to a
    good man in that situation. And there's 7 million people who are
    eligible who have yet to sign up. And so the reason I've come today is
    to urge every senior here in the room and around the country who might
    be listening on TV that if you have not

    [[Page 715]]

    signed up for the Medicare Part D program, you really need to do it.
    That's the seminar part. That's trying to educate people.
    ---------------------------------------------------------------------------
        *White House correction.
    ---------------------------------------------------------------------------
        And by the way, there's a lot of other people helping. It's not just
    me. We've got the National Asian Pacific Center on Aging helping. We've
    got the Organization of Chinese Americans helping. AARP is helping
    seniors realize what's available. The Federation of Korean Associations
    is helping to sign up people. Other Asian American groups all around the
    country are helping. Faith-based programs are helping people realize
    what's available. If you're a son or a daughter whose parent is eligible
    for Medicare, you need to do your duty. Be a good--be a good, loving
    child and explain to your parents that which is available for them.
        And how do you do it? You can get on the computer, medicare.gov, and
    look and see whether or not your mom or dad ought to sign up for a
    program. I'm just telling you what's happening so far. People are saving
    a lot of money when it comes to their prescription drugs.
        By the way, prior to this bill, we had people in this country who
    had to choose between food and pharmaceuticals, and that wasn't right.
    We had people who had to choose between paying their utility bill and
    whether or not they could pay for their prescription drugs. And that's
    not right.
        This bill I signed and this program we're discussing helps change
    that. If you're eligible--and a third of the seniors are eligible--the
    Government will pay over 95 percent of your pharmaceuticals. We're a
    compassionate country. We want our program for Medicare to work well for
    our seniors.
        I fully understand some of the seniors say, ``I don't want any
    choices.'' And that's okay. But somebody ought to at least help you
    look. It doesn't cost a dime to look and see whether or not this program
    is meant for you. It doesn't cost one penny to see whether or not you
    can save money--and I bet you can. So part of the outreach here is to
    say to those of you who are helping our senior citizens realize what's
    available, thank you for what you're doing.
        We've set a deadline for May 15th for people to sign up in order to
    get the discounts involved in the program. And so we're going to spend--
    ``we'' being the Government and people involved in the Government--are
    going to spend a lot of time traveling around the country explaining to
    our senior citizens, the 7 million who have yet to sign up, take a look.
    It's a good deal.
        So I've got with me today some people who are involved in the
    program. First, Elaine Chao, she just spoke.
    She's the Secretary of Labor. She's been in my Cabinet since day one;
    she's doing a fine job. I'm proud to call her friend. Do you have some
    words of wisdom here?
        Secretary of Labor Elaine Chao. Mr.
    President, I sure do. Number one, remember--please remember May 15th is
    the deadline date for the first enrollment. If you don't take advantage
    of the benefits by May 15th, your premiums will increase if you register
    by the second date, which is in November. Please remember, May 15th is
    very important.
        Second of all, it's not that difficult to sign up. There are many
    organizations in your communities that can be of help. Also, call on
    your children, ask your children to help you sign up. Now, we know that
    there are many people who speak different languages, so the Department
    of Health and Human Services has actually toll-free numbers--now, I'm
    going to see whether I have them here--we have booklets and brochures in
    all different languages, including Chinese, Spanish, Tagalog,
    Vietnamese, Japanese. And if you are a non-native speaker and you want
    some help, let me give you some toll-free numbers as well.
        If you speak Chinese--that's Cantonese and Mandarin--the toll-free
    number is 1-800-582-4218. Don't bother taking it down; there will be
    these numbers available

    [[Page 716]]

    at the desks, but I do want to tell you now just in case. The Korean
    number is 1-800-582-4259. And the Vietnamese toll-free number is 1-800-
    582-4336.
        So as the President mentions, this is a good deal. For the majority
    of people, you're going to save money. So take a look at the Medicare
    Part D program, and please, do remember, May 15th is the signup date.
        The President. Thank you, Madam Secretary. Okay, so here's the way this works. You're the President;
    you say to the Secretary of Health and Human Services, ``Make sure the plan gets implemented.'' That's called
    delegation. He then turns to another guy, who happens to be a Texan
    named Dr. Mark McClellan. He's the
    administrator of the Centers for Medicare and Medicaid Services. It's a
    long word for, he's in charge of making sure people know what's
    available.
        So when there's not enough operators to answer the phones--which
    took place earlier this year; as we said, call 1-800-MEDICARE--a lot of
    people called 1-800-MEDICARE, and they got a busy signal. So we said,
    wait a minute, make sure you've got enough operators. We had a problem
    with dual-eligible citizens, and he worked
    it out with the States. He's a troubleshooter.
        He's also responsible for making sure
    that enough information gets out so that people can realize what's
    available. And I want to thank him; I want to congratulate him, even
    before he talks, for recognizing ours is a diverse nation. And this is
    an interesting meeting, isn't it, when you think about it. In other
    words, there are seniors from all walks of life, some of whom require a
    little special help to learn what's available--maybe a little assistance
    with the language. Maybe a special group, they've got confidence in a
    special group that might represent their heritage and their culture, and
    that group will help explain. We're reaching out to everybody. We want
    every senior eligible for Medicare to realize what's available.
        Anyway, McClellan, you're doing a fine
    job. Why don't you explain to me what your responsibilities have been
    and what you intend to do to make sure people know what's available.
        Dr. Mark B. McClellan. Well, thank
    you, Mr. President. As you said, this is the most important new benefit
    in the Medicare program in 40 years. And while prescription drug
    coverage is really important, this is part of making Medicare work in a
    new way to help people stay well and live longer, and not just pay the
    bills when they get sick. We can't afford that anymore.
        To do that effectively, we need to collaborate. And you talked about
    delegation; well, what I've done is help--worked together with many
    partners around the country so that people can find out about what
    Medicare offers today. We're not just a program to think about when you
    get sick. Medicare can help you stay well and live much longer through
    prescription drugs, preventive benefits, and other help.
        So we've started a new approach of reaching out at the grassroots
    level, we're partnering with more than 10,000 organizations around the
    country to reach all of our diverse beneficiaries where they live and
    work and play and pray.
        That includes groups like the ones represented here, like the
    National Asian Pacific Center on Aging. Clayton Fong works very closely
    with me to help provide some of those translation services that you
    mentioned. It involves many local partners, like the Asian Service
    Center in Washington, DC, has worked closely with Qien, who is on my
    staff at CMS, and many of our other partners to help get the word out
    locally.
        We want to make sure people know about this important new benefit,
    and if they have questions, there are lots of places to go to get the
    personal information they need to make a good decision and start saving.
    That includes the medicare.gov web

    [[Page 717]]

    site, which many of the sons and daughters of our beneficiaries are
    using, as well as the beneficiaries themselves. It includes our 1-800-
    MEDICARE, 24/7 customer service line, which has around 7,000 trained
    representatives now and can provide help in multiple languages for
    people who call in.
        And it includes events like this one, that are taking place all over
    the country, more than 1,000 a week, where people like me, many of your
    other senior officials, are helping to get the word out and helping
    people find out about how they can take advantage of this new
    assistance.
        The President. Back me up here on the low-income part of the
    program.
        Dr. McClellan. Well, the benefit for
    prescription drugs is important for everyone with Medicare. A typical
    senior can save about $1,100 compared to not having drug coverage.
    That's more than half of their drug costs. And for people with limited
    incomes--that's about one in three of our seniors who are living month
    to month on a fixed income--they can qualify for extra help, they can
    get their prescriptions for no premium and usually just a few dollars
    for each drug--paying 95 percent of their drug costs. And that's a very
    important extra help to sign up for as well. And we can put you touch
    with the application process and get you into that program as well. It's
    very important extra help. It's worth about $3,700 a year.
        So for people--if you're on Medicare, if you've got a parent who is,
    someone you care about who is looking into this program between now and
    May 15th means, literally, $1,100 worth of help, at least; $3,700 worth
    of coverage if you have a limited income; and protection for the future
    against those high drug costs that you mentioned earlier, Mr. President.
        The President. Yes, this is a good deal. And it's really worth
    people looking at. I'm going to repeat: If you're a son or a daughter
    and your mother or dad is eligible for Medicare, you need to help your
    parent. You really do. You need to get on the phone or get on the
    computer, medicare.gov, or 1-800-MEDICARE.
        Now, Qien He is with us. Qien,
    where were you born--yes, I know where you are. [Laughter] Where were
    you born?
        Qien He. I was born in China.
        The President. Isn't that interesting? Now he is a part of making
    sure that people realize the opportunities of Medicare. Born whereabouts
    in China?
        Mr. He. Okay. First of all, on behalf of Asian--
    --
        The President. No, where were you born in China?
        Mr. He. In China, in Beijing.
        The President. Beijing. See, I'm asking the questions. [Laughter]
        Mr. He. Okay.
        The President. And you're a doctor?
        Mr. He. Yes.
        The President. Of what?
        Mr. He. Doctor of social linguistics.
        The President. Social linguistics. And when did you come to the
    States?
        Mr. He. Nineteen-ninety.
        The President. Nineteen-ninety. And here you are sitting on the
    stage with the President. You're welcome. We're glad you're here.
        Mr. He. Thank you.
        The President. And so what is your job?
        Mr. He. Okay, I'm a health insurance specialist
    for the Centers for Medicare/Medicaid Services. My office is in
    Philadelphia.
        The President. Your office is in Philadelphia?
        Mr. He. Yes.
        The President. So you've come all the way from Philadelphia to be
    here?
        Mr. He. Yes, I come here last night. Tomorrow and
    tonight--I have to come back and organize a similar event tomorrow for
    seminar for people in Philadelphia. It's called Market Closure
    Enrollment event, in Philadelphia. Actually, Secretary Chao will go
    with----
        The President. Okay. So your job--one of the jobs is to continue to
    reach out to

    [[Page 718]]

    people in the Asian American community to convince them to pay attention
    to this program. So are you having any success?
        Mr. He. Well, we have a lot of success. But here,
    I would like to share some successful stories with you.
        The President. Okay, let me hear some.

    [At this point, Mr. He made brief remarks.]

        The President. See, one of the interesting things about America is
    that there are thousands of people who work in the grassroots to make
    the communities in which they live a better place. It's really one of
    the great things about our country, isn't it, when neighbors help
    neighbors. And what he's really saying is his job is
    to convince a neighbor to help a neighbor. That's called grassroots.
    That's what--it's kind of an odd word, maybe, for some to understand. It
    means at the local level, that people are willing to help somebody who
    needs help.
        And that's what your job is, isn't it?

    [Mr. He made further remarks.]

        The President. Well, thank you. Listen, well, I appreciate it.
    [Applause] Hold on, hold on. Thank you. Save your energy. Thank you very
    much for that, Qien; thanks for your kind words.
        What Qien is saying is, is that we recognize
    there are some people out there that sometimes aren't able to get the
    message like other people. And so we want this message to go throughout
    all the neighborhoods. Here, we're talking to Asian Americans, but we
    want people in every neighborhood to hear the message.
        So, for example, we're working with the AARP to get the word out.
    The NAACP has been helpful to make sure that certain seniors who are
    eligible for this program get the message. That's what we want.
        And so if you know somebody or if you're listening on TV and know
    somebody who's eligible for Medicare, make sure you call their attention
    to the program. And remember, there's a lot of seniors who might be a
    little confused at first over the number of choices. But convince them
    to be patient and look at what's available and help them design a plan
    that meets their needs. And what you will find is there will be savings.
    People benefit from this program. It's worthwhile to look at.
        I'm talking to Dr. Yining Wang. Welcome, Dr.
    Wang. Thank you for being here, sir. Got to speak into the mike. You're
    a doc?
        Yining Wang. Yes, I'm doctor in the research
    area.
        The President. Where were you born?
        Dr. Wang. I'm born in Shanghai.
        The President. Shanghai. And here he sits, as
    well, talking to the President of the United States. We're glad you're
    here.
        Dr. Wang. Yes. Thank you very much, Mr.
    President.
        The President. Proud you're here. When did you come to the United
    States?
        Dr. Wang. Well, it's 1988.
        The President. Nineteen eighty-eight.
        Dr. Wang. Yes.
        The President. That's a fine year.
        Dr. Wang. No.
        The President. Yes, it was. [Laughter] Well, maybe not for you, but
    for, you know--my dad got elected President
    in '88. Anyway--[laughter]--so you were a doctor. Where did you work?
        Dr. Wang. I'm sorry?
        The President. Where did you work?
        Dr. Wang. I work in the cardiovascular area
    for the physiology and pathology.
        The President. Oh, fantastic. And you're now retired?
        Dr. Wang. I'm retired at the end of year
    2004.
        The President. That's good.
        Dr. Wang. That's good. [Laughter]
        The President. And so what happened? So you hear--how did you hear
    about the Medicare program?

    [Dr. Wang made brief remarks.]

        The President. Very good. Interesting story, isn't it? So here's a
    man, he's a well-

    [[Page 719]]

    educated fellow. The first reaction, however, to the program was,
    ``There's so many choices; I don't think I want to get involved.''
    That's a natural reaction, by the way. And yet, nevertheless, as he said
    it, ``patience'' was the word I think he used--but somebody helped you
    understand. AARP gave you some advice.
        Dr. Wang. AARP, yes.
        The President. You can get good advice from AARP; you can get good
    advice from somebody who works for the CMS; you can get good advice from
    somebody from your church; you can get good advice from your son or
    daughter. There are all kinds of ways to get good advice.
        What we're doing here today is explaining to seniors, there's a lot
    of people willing to give you advice. And it's worthwhile taking a look.
    And the reason it's worthwhile taking a look is--you just heard the
    reason. The man said he's going to save about
    $200 a month. That's good savings.

    [Dr. Wang made further remarks.]

        The President. That's great. You did a good job, doc. Thank you. Very good job.
        Dr. Wang. Okay.
        The President. I appreciate you. Thank you. Good job, sir.
        Dr. Wang. Thank you so much.
        The President. Bob Nakamoto, third
    generation American. Welcome.
        Robert Nakamoto. Thank you.
        The President. Look, this is a guy still
    working. Remember I said there's 6 million people still working who get
    good health care? He's one of the 6 million. Working strong at age 74,
    and he's not going to slow down a bit.
        Mr. Nakamoto. That's right.
        The President. Isn't that right? What do you do, Bob?
        Mr. Nakamoto. I'm a chairman of a company
    called Base Technologies. We do IT consulting work, primarily with the
    Federal and State government, based in McLean, Virginia, and third
    generation Japanese American.
        The President. Congratulations. And how is your company doing?
        Mr. Nakamoto. We're doing well. We could do
    better with your help. [Laughter]
        The President. Give a man a mike, there's no telling what he's going
    to say. [Laughter] Give us your experience. You took a look at what was
    going on, didn't you?
        Mr. Nakamoto. Pardon?
        The President. You took a look at the Medicare.

    [Mr. Nakamoto made brief remarks.]

        The President. See, here's the reason why we've asked Bob--one, is we like to be around successful people,
    don't we? Secondly, he is a fellow who is eligible, but has chosen to
    stay on the current program provided by his company, but recognizes that
    upon leaving the company, there's a good program available. And that's
    important for people to understand.
        Twenty-nine million people have signed up. Here's one right here.
    There are 6 million people who have not signed up because they're
    working--and that's Bob. I bet there's somebody
    out there who represents that part of the 7 million people who are
    eligible, yet who haven't signed up. And it's really important for you
    to look.
        So you've been looking around at these things, taking a look. You
    find it okay? I mean, you're a computer guy, so it's a little unfair to
    say whether--you know, whether or not----
        Mr. Nakamoto. We're okay with that.
        The President. Using friendly--it's user-friendly?
        Mr. Nakamoto. Right.
        The President. Yes. See, we try to design this program so it's
    called user-friendly. That means you can get on there if you're--you
    don't have to be a computer genius like Bob--
    and take a look.
        Mr. Nakamoto. Right.
        The President. Your advice is? Retire and get on it.

    [[Page 720]]

        Mr. Nakamoto. Right.
        The President. Well, not retire, but when retire.
        Mr. Nakamoto. Yes. I don't know when that's
    going to be, but when that time comes, you'll know about it.
        The President. There you go. [Laughter] Well, listen, I hope you get
    the feeling for why we're here. We're here to explain a really
    interesting opportunity for our seniors. If you don't want to sign up,
    by the way, you don't have to. The Government is not making you do
    anything you don't want, but what the Government is doing is giving you
    a lot of opportunities. In the case of Virginia citizens, over 40
    opportunities to choose a program that suits your particular needs.
        And by that I mean, there's all different kinds of structures for
    the programs. You might be taking this kind of drug or that kind of
    drug. You might be taking a lot of drugs a month or no drugs a month.
    And therefore, you can design a program that says, this is best for me.
        I strongly urge our fellow citizens to take a look. I want to thank
    those of you who are helping our seniors see what's available--and keep
    doing it up until May 15th and even after May 15th. I repeat: If you're
    a son or a daughter and your parent is eligible for Medicare, do them a
    favor and do your duty by getting on medicare.gov or calling 1-800-
    MEDICARE and find out what's available. Just get people to send the
    forms to you and look. Ask your parents questions, or ask your parents'
    doctors questions, or ask your parents' pharmacist questions about what
    program they need. If you're a senior and you're going to your local
    pharmacy, many of the pharmacists are helping our seniors design a
    program that meets their needs.
        Is it worth it? I really think it is. If you're a poor senior, the
    Government will pay most of your drugs. We really don't want to be a
    society where seniors have to choose between food and medicine. It's
    worth it even if you're not in that income category because you'll save
    money.
        And saving money is good after you retire. It'll help you. If you're
    a son or a daughter--again, I repeat: Do your duty. It will give you
    peace of mind to know that your mom or dad are taken care of.
        We worked hard to get this bill passed. It's a good piece of
    legislation. It's one of those times where people are going to be able
    to say, ``Well, the Government actually did a good thing for us.''
        And so I want to thank you all for coming. I particularly want to
    thank our panelists. I want to thank my fellow citizens who've come. I
    particularly want to, again, thank the vets--veterans who are here. Bob,
    thanks for your hospitality. Thank you for paying attention.
        May God bless you all. Thank you.

    Note: The President spoke at 2:07 p.m. in the Richard J. Ernst Community
    Center at Northern Virginia Community College.