Text 1298, 830 rader
Skriven 2005-08-29 23:36:48 av Whitehouse Press (1:3634/12.0)
Ärende: Press Release (0508295) for Mon, 2005 Aug 29
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President Participates in Conversation on Medicare
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For Immediate Release
Office of the Press Secretary
August 29, 2005

President Participates in Conversation on Medicare
Pueblo El Mirage RV Resort and Country Club
El Mirage, Arizona


˙˙˙˙˙Fact Sheet: New Medicare Prescription Drug Benefit to Include Low-Cost
Options
˙˙˙˙˙In Focus: Medicare

10:06 A.M. MST

THE PRESIDENT: Thank you all. Please be seated. Thanks for coming. As you
can see, it's not going to be just me doing the talking today. We've got
some of your fellow citizens here to discuss how we can make sure our
senior citizens understand there's a fantastic opportunity available for
them in the improved Medicare piece of legislation I signed.

Before we start talking about Medicare, I do want to thank the good folks
here at this center -- those who live here, those who are helping the folks
who live here -- for inviting us. It's not easy to have the presidential
entourage come. (Laughter.) I understand that. But at least my entourage
was spiced up by the First Lady is traveling with me today. I appreciate
you coming. (Applause.)

Laura and I are proud to be here. We're proud to be with Senator Jon Kyl,
who is a fantastic United States senator. (Applause.) I appreciate you,
Senator. We appreciate working with you and we appreciate getting to know
you. He brings Arizona values to Washington, D.C. He's a good,
down-to-earth fellow who cares about the people here. (Applause.)

And speaking about somebody who does a fine job representing this district,
we're honored to be here with Trent Franks. Congressman, thank you.
(Applause.) And his wife, Josie. One thing about Trent Franks, you don't
have to worry about him telling the truth. He's a good, decent, honorable
citizen, and I'm proud to call him friend. I want to thank you for coming,
Congressman.

I want to thank the Secretary of State, Jan Brewer. Madam Secretary, I
appreciate you being here. (Applause.) And the State Treasurer, David
Petersen. David, thanks for coming. (Applause.) There he is. I don't know
if it helps or hurts, but he's from Temple, Texas. (Laughter.) If it hurts,
just forget it. (Laughter.) That's right around the corner from Crawford.

I'm really honored that the Senate President is with us, Ken Bennett. I'm
honored you're here. And the Speaker is with us -- thank you all for
coming. I appreciate you coming. Good to see you again, Ken. (Applause.)
Speaker, appreciate you being here. I want to thank the Mayor, Fred
Waterman. Mr. Mayor, thanks for coming. (Applause.) There he is. Phil
Gordon -- Mayor, are you here? Thanks, Mayor, good to see you. Proud you're
here. (Applause.) Honored you took time to come. And I want to thank Mayor
Elaine Scruggs of Glendale, Arizona. Appreciate your service. (Applause.)

When Laura and I landed, we visited with Ruben and Rita Carroll. They work
for the Retired and Senior Volunteer Program, the RSVP Program. The reason
I bring them up is that the great strength of this country lies in the
hearts and souls of our citizens. We got millions of people across our
country who volunteer to make somebody else's life better. And it doesn't
matter how old you are, or how young you are, there's plenty of opportunity
in America to volunteer. And here are two citizens who are setting the way
and getting a great example. Thanks for coming, appreciate you setting such
a good example for others. (Applause.) Raise your hands so they can see
you. There you go. (Applause.)

I know my fellow citizens here in Arizona and across the country are saying
our prayers for those affected by the -- Hurricane Katrina. Our Gulf Coast
is getting hit and hit hard. I want the folks there on the Gulf Coast to
know that the federal government is prepared to help you when the storm
passes. I want to thank the governors of the affected regions for
mobilizing assets prior to the arrival of the storm to help citizens avoid
this devastating storm.

I urge the citizens there in the region to continue to listen to the local
authorities. Don't abandon your shelters until you're given clearance by
the local authorities. Take precautions because this is a dangerous storm.
When the storm passes, the federal government has got assets and resources
that we'll be deploying to help you. In the meantime, America will pray --
pray for the health and safety of all our citizens.

I also want to talk about immigration here in this state. I understand the
issue well. I was the governor of a border state; I was the governor of the
state of Texas. I know what it means to have a long border with Mexico. And
I understand the solemn obligation of the state government and the federal
government to enforce our border. I did so when I was governor, and I'll
work with your governor and governors along the border to do so as the
President of the United States. We have an obligation to enforce the
borders. (Applause.)

I understand it's putting a strain on your resources. We know that. I don't
know if you know this or not, but hundreds of thousands of people have been
detained, trying to illegally cross into Arizona. In other words, what I'm
telling you is, there's a lot of people working hard to get the job done,
but there is more we can do.

I spoke to Mike Chertoff today -- he's the head of the Department of
Homeland Security. I knew people would want me to discuss this issue, so we
got us an airplane on -- a telephone on Air Force One, so I called him. I
said, are you working with the governor? He said, you bet we are. That's
the most effective way to do things, is to work with the state and local
authorities. There are more resources that will be available, we'll have
more folks on the border; there will be more detention space to make sure
that those who are stopped trying to illegally enter our country are able
to be detained.

It's important for the people of this state to understand your voices are
being here in Washington. D.C. And this Senator and this Congressman are
working closely with the administration to make sure we got the resources
necessary to do our responsibility, which is enforce this border. And we'll
do so. And we'll do so. (Applause.)

I know you're concerned about gasoline prices, and so am I. We finally got
us an energy bill, and I want to thank the members here for helping. You
just got to understand that the situation we got ourselves into, dependency
on foreign sources of oil, took a while to get there, and it's going to
take a while to become less dependent. But this energy bill means we've now
got a strategy which will encourage diversification away from foreign
sources of oil.

And we need to do a lot of things. We need to encourage the development of
nuclear power. We need to continue to develop clean coal technology so we
can use that abundant resource. We need to have more terminals so we can
bring liquified natural gas from around the world into the United States of
America. (Applause.)

We will continue to use the crops in the ground to help fuel our
automobiles, ethanol and biodiesel. It's going to take awhile to get
diversified away from foreign oil, but thanks to members of Congress, we
got the bill passed after four years of debate, and now this country is
beginning the diversification process. There's no way -- I wish I could
just snap my fingers and lower the price of gasoline for you. The markets
don't work that way. I'd be snapping if I could do it. (Laughter.) But
we've got a strategy and a plan to help you.

I also want to talk about some hopeful events overseas. First of all, I
hope you've watched what has happened in the Holy Land. Prime Minister
Sharon made a courageous decision to remove settlements out of Gaza. He
said to the world, I'm going to give the Palestinians a chance to develop a
democracy. And the first step toward that democracy is to give -- is to
remove the settlements out of Gaza. It took political courage to make that
decision, and now it's going to take political courage by the Palestinians
and Prime Minister Abbas to step up, reject violence, reject terrorism, and
build a democracy. And the United States of America stands ready to help.
(Applause.)

And there's hopeful developments in Iraq. I know you see violence on your
TV screens, and it breaks my heart to see the death of innocent life there.
But that's the only thing the terrorists have got going for them. They've
got the capacity to shake our conscience, because, unlike their ideology,
we value every human life. Every person is precious.

I am very optimistic about Iraq, because, first of all, I believe deep in
everybody's soul is the desire to be free. (Applause.) Freedom is not our
country's gift to the world; freedom is an Almighty God's gift to each
person in this world. (Applause.)

My hopes for free societies, of course, were bolstered when eight and a
half million Iraqis went to the polls last January. I know it seems like a
long way away, but it wasn't all that long ago when you think about it,
they voted. And recently, instead of using guns to decide the fate of the
future, Iraqis from all aspects of their society came together and wrote a
constitution. This constitution is one that honors women's rights, and
freedom of religion. (Applause.) Not everybody agreed with it, but now the
Iraqi people get to decide. They get to debate. They get to make the
decision this fall as to whether or not that constitution will be the
constitution that governs their society. And that frightens the terrorists.
It scares them. They cannot stand the thought of a free society emerging in
the broader Middle East. The free society is the exact opposite of their
vision of the world. If you want to think about the vision of these
terrorists and killers, just think about what life was like for young
girls, for example, under the Taliban in Afghanistan. There is no dissent,
there's no right, there is no freedom.

We are laying the foundation for peace. It's hard work. But I want to
assure you that for your -- the sake of your grandchildren and your
grandchildren's children, that this policy is laying that foundation for
peace, because we understand free societies are peaceful societies. We will
defeat the terrorists in the short run by staying on the offense. We will
defeat them in the long run by spreading freedom around the world.
(Applause.)

Not only did I sign an energy bill, I signed a highway bill. That's going
to be good for you if you've got a car. (Laughter.) I also will continue to
work on Social Security. I just want to make sure the seniors here
understand one thing: Nothing is going to change for you. I hope you don't
listen to all the politics coming out of Washington, D.C., but you will get
your check. You need to worry about whether or not your grandchildren will
get their checks.

This system cannot sustain itself the way it is now set up. We got young
kids working to pay payroll taxes into the system that's going to be broke
in 20 -- in 2040. And that's not fair, and it's not right. My job is to
confront problems, not pass them on to future Presidents. And I'm going to
continue to confront that Social Security problem. (Applause.)

And we confronted a problem in Medicare. I remember the debate in
Washington. They said, well, you know, this is an entitlement. Well, no,
the entitlement has already been granted. This federal government of ours
decided to provide health care for our seniors. And, therefore, my attitude
was, if we're going to provide health care for our seniors, let's provide
the best health care available for our seniors. And one of the things that
the current system prior to our reform didn't do, it didn't provide
prescription drugs. Now, think about that kind of system that was so
antiquated and outdated that we would pay money for an ulcer, but not money
for the prescription drug that would prevent the ulcer from occurring the
first place. That didn't make any sense. We'd provide money for the heart
surgery, but not one dime of prescription drug coverage for medicines that
would prevent the heart surgery from being needed in the first place. I
always felt that wasn't a very smart use of taxpayers' money. We'd pay the
$28,000 for the ulcer, but not the $500 for the medicine.

Secondly, we didn't do any preventative screenings in Medicare. A simple
proposition says that if we're going to help have somebody have a healthy
life, we ought to have a screening to determine what's wrong so we can
solve the problem early before it's too late.

Thirdly, we felt like seniors ought to have choice. The government ought to
trust people. The government, as you know, in Medicare, made most of the
decisions. This new bill I signed says, if you're a senior and you like the
way things are today, you're in good shape, don't change. But, by the way,
there's a lot of different options for you. And we're here to talk about
what that means to our seniors.

And, finally, a part of the Medicare bill that's very important for younger
workers and small business is what's called health savings accounts. It's a
really interesting option that if you're running a small business, I urge
you to look at to make sure that you've got quality health care available
for your employees.

This is a good bill. It started -- the bill started kicking in last year
when -- when we had what's called a "Welcome to Medicare" physical. If
you're -- if you've just recently signed up for Medicare, you know what I'm
talking about. There is a free physical available for everybody who's
signing up for Medicare. That's part of the preventative screening. And by
the way, prior to that, we had drug discount cards for pharmacies. We saved
a lot of seniors a lot of money. About six million seniors took advantage
of the cards.

What we're talking about today is new programs and plans with prescription
drugs becoming available for our seniors. This is as much an education
exercise as anything else, because I fully understand, and our government
fully understands, many seniors don't want to change. They're not
interested in change. And, therefore, what I'm telling you is, is that at
least listen to what's available. You don't have to change if you don't
want to, but at least be open-minded enough to listen. And our panelists
today are going to represent different constituencies that will help
seniors understand what's available.

By the way, starting October 1st -- we have a timetable, we got a calendar.
And I've got my man, McClellan, with us. He's a doctor, and a -- Ph.D. See,
every government has got to have a Ph.D, but you notice who -- the Ph.D. is
not the President. (Laughter.) That's the way -- kind of way it works. But
he's going to help -- his job is to help make sure seniors understand
what's available. Starting October 1st, 2005, Medicare beneficiaries start
receiving information about available drug plans. So this is a pre-selling
phase. We're traveling the country. I'm doing events like these, Mark is
doing a lot of events like these, the Secretary of Health and Human
Services. We're laying the groundwork. We want people to be prepared for
what is available.

Secondly, on November 15th, enrollment starts. In other words, you can
start signing up. If you're unhappy with the current Medicare plan, here's
an opportunity to sign up for a new plan.

Thirdly, January 1st, 2006, prescription drug coverage begins for seniors
on Medicare. Think about that. For years, there has been no prescription
drug coverage. Starting January 1st of 2006, prescription drug coverage is
available, and you have up to May 15th to sign up. So we're -- there's
going to be ample time for people to take a look to determine whether or
not you want to change from your current plan.

There's 780,000 folks on Medicare here in Arizona. And one of the reasons I
have come is, hopefully, to get a message out to as many of the 780,000
that I can. And by the way, we're leaving behind a lot of folks who are
going to help get out the message here in Arizona, as well. If you got any
questions, there's an easy way to figure out what I'm talking about here.
It's called 1-800-MEDICARE. Pick up the phone, there will be somebody there
to answer your question. Isn't that right, Mark? Yes. (Laughter.) They
don't want one of these checks in the mail deal, you know. Or MEDICARE.gov.

The reason I'm telling you this, and I'm going to say it again before I'm
through talking, is that it's really important, for example, for sons and
daughters to look into what's available for the mothers and dads, and one
way to do it is to get on 1-800-MEDICARE, or MEDICARE.gov.

Seniors with no drug coverage and average drug dispenses will see their
drug costs cut in half by one-half. Think about that. This plan will cut
your drug bill by half. You need to look at it; you need to look at what's
available. And for the first time ever, Medicare has got catastrophic
coverage for our seniors. In other words, it says that after you've spent
$3,600 a year, the government will pick up 95 percent of your prescription
drug costs. And that's important. That's called peace of mind. It's peace
of mind for you; it's peace of mind for your family. One of the interesting
parts of this Medicare bill is the catastrophic coverage, and that's
important, I thought, for quality of life. And so did members of the Senate
and members of the House.

Competition works, by the way. If you've got one provider, the federal
government, it doesn't give consumers a lot of choice. But when you provide
consumers choice, it's amazing what can happen. People start bidding for
your service, so to speak. They want to attract your business. And it's
going to work in Medicare, too. Did you realize that there's at least one
prescription drug plan with premiums below $20 a month in every state now?
Pretty good deal. And here in Arizona, you've got two plans that cost $20 a
month or less, and six plans at $20 to $25 a month. In other words, you've
got people bidding for your services. That's the whole purpose of the bill,
is to say the consumer matters, and our seniors matter a lot. And so you've
got a lot of choices.

You can pick any Medicare drug plan that meets your needs, and there will
be -- as I mentioned, here in Arizona, there's quite a few to choose from.
You can keep Medicare as it is. Do you realize about 200,000 citizens here
in Arizona use Medicare Advantage plans, and they're really important
plans. It's all part of making sure there is a menu of choice available for
our seniors.

I want to talk about low-income seniors right quick. And by the way, if
you're getting your coverage from your labor union or your business, this
bill will help make sure that your labor union and your business continues
to provide health care for you.

I want to talk about low-income seniors, and this is very important for
people to understand -- that's why it's important for people to go out and
explain to what's available. One-third of our seniors, the lower-income
seniors, will be eligible for drug benefits that include little or no
premium. In other words, the premium I was talking about was for people who
are more likely able to afford a premium. If you're a poor senior here in
Arizona, you will end up with little or no premium, low deductibles, and no
gaps in coverage. It's a good deal, is what I'm telling you. Let me put it
bottom line: You need to look at this plan. (Applause.) On average,
Medicare will pay over 95 percent of your costs for prescription drugs.

Now, here's what you have to do -- now, this may frighten some seniors --
you got to fill out a form. It would frighten me. The good news is, it's a
simple application, and it's four pages long. If you believe that -- well,
it could be 40. (Applause.) Big print. If you believe that you're eligible,
you need to fill out the form. If you're a mother -- I mean, if you're a
son or a daughter, you need to get your mom or your dad to fill out the
form, I'm telling you.

And that's why we're traveling the country. This is a good deal for our
seniors. We have changed Medicare. We have done our duty in Washington,
D.C. We've upgraded an important program and made it better. (Applause.)
And part of the challenge is, it's one thing to pass the law; that was
challenging enough. But part of the challenge now is to make sure the
federal government, in concert with state and local governments, as well as
faith-based groups, grassroots groups, community-based groups, the lobbying
groups, whatever, all kinds of groups, gets the word out.

I want to thank you all for listening, and expect you as good citizens to
help get the word out.

Now, the man in charge, I mentioned, is McClellan, Dr. Mark McClellan. Told
you he had a Ph.D., didn't I? He also has an MD. He has got a big
responsibility. He is the Administrator of the Centers for Medicare and
Medicaid Services. Is that right?

DR. McCLELLAN: That's exactly right.

THE PRESIDENT: He's a Texan, which means he can get the job done and will
get the job done. (Applause.)

Explain how you're going to get the job done.

DR. McCLELLAN: Well, I'm getting a lot of help, and besides that, we've got
a chance now, with the new law that was just enacted, to turn Medicare into
a program, from one that just pays the bill when people get sick to one
that really helps keep them healthy, with drug coverage, with the
preventive benefits that you mentioned, Mr. President.

The thing is, speaking now from that medical background that you mentioned,
you can do a lot more to keep a patient healthy if they're your partners in
the effort, if they understand what they can do, if they take steps in
their own life to get better care, to take care of themselves to live a
longer and better life. And that's really what the new Medicare program is
all about.

When I say we're getting a lot of help, I mean we're turning Medicare into
a program that's really about partnership -- partnerships with our
beneficiaries to make sure their benefits stay up to date; partnerships
with health professionals and advocates and experts around the country to
make sure that people can get the assistance they need to keep their
coverage up to date; partnerships to make people healthier and save money
in the process.

THE PRESIDENT: To follow up on this low-income deal for seniors, make sure
that -- I need a second voice up here -- people say, of course, he's
telling us that, you know. I'm telling you, it's a good deal.

DR. McCLELLAN: It is.

THE PRESIDENT: The doc's about to tell you.

DR. McCLELLAN: It is. I've had a chance to talk to a lot of people around
the country. I think some of the people up here on the stage with us have
had a chance to, as well. This coverage for people with limited income will
pay for, in most cases, all of the cost of the premium -- so you have a
zero premium -- no deductible, no gap in your coverage, and you'll only pay
a few dollars for each prescription, at most three or five dollars, and in
a lot of cases, less than that.

And people who may not think of themselves as low-income are actually
eligible for this extra help. Basically, if you're struggling with paying
for your drugs today because you're living on a fixed income, you've got to
worry about paying for the drugs, paying for your rent, paying for your
food, you should look into this program. People with incomes in -- couples
-- up to -- close to $20,000 are eligible.

And so about one in three seniors, Mr. President, as you said, one in three
people with disabilities are eligible for this extra help.

THE PRESIDENT: And what happens if somebody is interested and calls the
1-800-MEDICARE line?

DR. McCLELLAN: Well, we can give them help in filling out that form. We're
working closely with the Social Security Administration, as well. They sent
out letters to everyone who they think may be eligible, based on their
Social Security earning. We're starting to get those applications back in.
And as you said, when in doubt, fill out the application. If you can't fill
out all the questions -- and it does run four pages, but it is big type and
it's only 16 questions altogether, most people only have to answer 12 -- if
there's one you get to that you can't answer, that's okay, go ahead and
send in the part that you can complete, and Social Security will call you
back and help you through the other questions.

THE PRESIDENT: Great, thanks. Mark's doing a good job. Believe it or not,
the government is actually functioning in an efficient manner on this
issue. (Applause.) And I appreciate it. It really is. He's the right man
for this job.

Nancy Bryan. What do you do, Nancy?

MS. BRYAN: How are you doing today?

THE PRESIDENT: Good, pretty good. (Laughter.) If you like the heat, I'm
doing great. (Laughter.) Not exactly cool in Crawford, either. (Laughter.)

MS. BRYAN: This is a dry heat.

THE PRESIDENT: Yes, that's right. (Laughter.) So what do you do?

MS. BRYAN: I'm a pharmacists here in the valley, and I actually work for
Walmart and Sam's Club.

THE PRESIDENT: Good.

MS. BRYAN: What I do is I travel all over the valley filling in when people
need vacation time, or if they have a day off. And it has been great
because it gives me a chance to meet seniors from all over the valley.

THE PRESIDENT: Right.

MS. BRYAN: In fact, I've been spending a little time up here in --

THE PRESIDENT: That's good. And are you aware of the Medicare -- have you
been following what we've been talking about?

MS. BRYAN: Yes, I have. Walmart actually has put together a program for all
of their pharmacies, and they've actually been helping to train us so that
we know what to do when the patients do come into us, we have information
that we can hand out to them, that we can get them to the people that can
really help them the most.

THE PRESIDENT: Part of making sure the seniors know what's available is to
call on a lot of folks. The pharmacists around the country have been really
doing a great service for our seniors. In other words, if -- point-of-sale
marketing works. And so when you have a senior coming to a counter, you're
available, as are your fellow men and women who work in the pharmacies, to
explain, here's what's available. Take a look at the Medicare plan. Isn't
that what you're doing?

MS. BRYAN: Exactly.

THE PRESIDENT: Yes. It's a good deal. (Laughter.) And there's a lot of
folks making sure people understand. We fully understand that some people
are afraid to change. We know that. And you don't have to. But I do want to
thank the pharmacists, and I want to thank Nancy. I want to thank Walmart.
That's called corporate responsibility -- is to help people understand
what's available.

And so, what are you finding? Are you finding people are nervous about it,
interested about it?

MS. BRYAN: I think they're just wanting to know more information. They're a
little bit confused. They're a little bit nervous.

THE PRESIDENT: Right.

MS. BRYAN: And I think that they're just trying to figure out if it really
works for them. Is this the program that's going to really help them?

THE PRESIDENT: And there have been seminars at Walmart to make sure the
pharmacists --

MS. BRYAN: Well, we actually have a continuing education system for all the
pharmacists.

THE PRESIDENT: Really? That's great. That's important, and there will be
pharmacists all around Arizona who will have the proper information to
explain to Arizona seniors the sign-up dates, what's available, when you
can enroll, when you can start getting your prescription drugs. And that's
important for people to know.

One of the things -- one of the reasons I'm traveling, one of the reasons
Mark is traveling, is to thank people for doing their civic duty. So I'm
going to start, thanking you.

MS. BRYAN: Well, thank you.

THE PRESIDENT: I appreciate you. And another person I'm going to thank --
good job. (Applause.)

MS. BRYAN: Thank you.

THE PRESIDENT: Lieutenant Colonel Don Mowery. Is that right?

LIEUTENANT COLONEL MOWREY: Mr. President.

THE PRESIDENT: Yes, thanks for coming.

LIEUTENANT COLONEL MOWREY: Thank you.

THE PRESIDENT: Of the Salvation Army.

LIEUTENANT COLONEL MOWREY: Thank you. (Applause.)

THE PRESIDENT: The reason I asked Don to come is that throughout this great
state and throughout our country is this wonderful fabric of faith-based
organizations, all of which exist to serve their fellow -- fellow mankind.
And the Salvation Army does a great job of doing that by the way.

LIEUTENANT COLONEL MOWREY: Thank you, thank you very much.

(Applause.)

THE PRESIDENT: Have you ever heard of the Medicare reform plan?

LIEUTENANT COLONEL MOWREY: I have, sir.

THE PRESIDENT: Other than this meeting?

LIEUTENANT COLONEL MOWREY: I have.

THE PRESIDENT: Good. How did you learn about it?

* * * * *

THE PRESIDENT: Well, this is an important piece -- this is good. First of
all, one of the reasons, again, I want to repeat, you've got a lot of
churches and temples and faith-based organizations and community groups to
help -- if you go to a church, do your duty and find out what we're talking
about, and help the seniors at your church at least understand what's
available. That's what the Army is doing. They've got all kinds of programs
at the Salvation Army, and they've taken it upon themselves to say, as a
part of their outreach to the senior community here in Arizona, I'm going
to learn what this is all about.

It is -- I appreciate you doing this, and thanks for setting such a good
example.

Now we've got Noreen Goodell. Noreen, thank you for being here. What do you
do?

MS. GOODELL: Becoming very nervous on stage. (Laughter.)

THE PRESIDENT: You don't look it, so don't let them know. (Laughter.)

MS. GOODELL: I thought that was, don't let them see you sweat.

THE PRESIDENT: That's it. (Laughter.)

MS. GOODELL: I have the privilege and honor of being a registered nurse,
and I work for Sun Health Hospital.

THE PRESIDENT: Good, thank you.

MS. GOODELL: And I am also the caregiver for my parents, my mother and
father, and also my mother-in-law.

THE PRESIDENT: Yes. This is an important -- everybody is important up here
-- Noreen represents a constituency group that I'm going to keep calling
upon -- daughters and sons, and daughter-in-laws and sons -- we have an
obligation, it seems like to me, and you're fulfilling that obligation.

MS. GOODELL: I am, and I'm blessed for it.

THE PRESIDENT: There you go. (Applause.) So you heard about the Medicare
deal.

MS. GOODELL: I have.

THE PRESIDENT: And? How did you hear about it?

MS. GOODELL: Well, being a hospice nurse I deal with a lot of the geriatric
population in Sun City and Sun City West, and sometimes they have questions
about Medicare benefits, which we try our best to answer. So I thought that
it was important that I would try to look into what benefits are available
for them, and also my parents, as well, to make sure that I can provide the
best care possible and be their advocate.

THE PRESIDENT: Right. And is the schedule clear, the October 15th -- the
applications go out, the sign-up dates, the -- when it begins, is that --

Q If it wasn't, it will be now. (Laughter.)

THE PRESIDENT: In other words -- (laughter and applause.) Did you try
1-800-MEDICARE? (Laughter.)

* * * * *

THE PRESIDENT: Listen, Noreen is here, she's a nurse. But if you've got a
-- but she's also a devoted child. Baby boomers -- are you one?

MS. GOODELL: Sandwich generation.

THE PRESIDENT: Sandwich generation, all right. I'm a baby boomer.
(Laughter.) All of us have a duty to find out what's available for our
parents. We have an obligation as somebody who received the benefit of the
love from a parent to do something to make sure our parents have got all
options available to them. If you're worried about change, you do not have
to change when it comes to Medicare. But if you're someone, for example,
who's having to struggle between food and medicine, those days are over
with. This Medicare bill relieves you of that burden and that anxiety.

And sons and daughters have got to understand that. And you need to find
out what I'm talking about, for the sake of your parents. If your mother or
father says, I don't want to change, you don't have to change. But as a son
or a daughter, or as a faith-based initiative, or as a nurse, or as a
pharmacist, you have a duty, as far as I'm concerned, to investigate what's
available and to lay that out for people to see. And that's what we're here
talking about.

And somebody who's going to benefit from this is Margaret Cantrell. That's
you. Speak into that microphone, will you?

MS. CANTRELL: True, very true.

THE PRESIDENT: She told me she has the same hairdo as my mother.
(Laughter.)

MS. CANTRELL: The same color. It's the same color.

THE PRESIDENT: Yes. Three more years as President and I'll have the same
color you got. (Applause.)

MS. CANTRELL: Well, I'll be 82 years old.

THE PRESIDENT: When?

MS. CANTRELL: This coming Monday.

THE PRESIDENT: Oh, yeah, well, a little birthday celebration for you.
(Applause.) You're looking pretty darn good.

MS. CANTRELL: Well, thank you.

THE PRESIDENT: How you feeling?

MS. CANTRELL: Fair.

THE PRESIDENT: Fair. (Laughter.)

MS. CANTRELL: And I'm formerly from Salem, Illinois, which is Lisa James'
hometown, too.

THE PRESIDENT: Lisa James, very good, yes. Nobody knows who she is except
for me and Laura. All right, there's a couple others. (Laughter.)

MS. CANTRELL: And I was a nanny for the James gang for quite a while.

THE PRESIDENT: No wonder you got gray hair. (Laughter.)

MS. CANTRELL: And I do understand about the new program. I received
something from Social Security about two weeks ago. I immediately filled it
out and sent it back in.

THE PRESIDENT: Good move. How about that. (Applause.) By the way, before we
get to Medicare, this good lady lives on her Social Security check.

MS. CANTRELL: I certainly do.

THE PRESIDENT: And she told me, she said she doesn't want anybody taking it
away from her.

MS. CANTRELL: That's true.

THE PRESIDENT: Isn't that right? It's not going to happen.

MS. CANTRELL: Oh, good.

THE PRESIDENT: That's what you've got to know. The Social Security debate
is one that causes people concern because they hear, they're debating
Social Security, they may change it, and I'm not going to get my check. If
you're born prior to 1950, you have nothing to worry about.

MS. CANTRELL: I was. (Laughter.)

THE PRESIDENT: Who's writing your lines for you? (Laughter.)

MS. CANTRELL: I have my daughter -- I have just one daughter, Vicki Kaylor,
and my son-in-law, Gene Kaylor, and two grandsons, Steve and David. And
Vicki and David are with me today.

THE PRESIDENT: Fantastic. And so how did you learn about the Medicare plan?

MS. CANTRELL: Well, I received it from Social Security.

THE PRESIDENT: Oh, that's right, you already said that.

MS. CANTRELL: I did. (Laughter.) And I'm on --

THE PRESIDENT: Laura said, always pay attention. (Laughter.)

MS. CANTRELL: I'm on a first-name basis with my pharmacist, and he's very
nice. And he sent me this little brochure so I'd know more about it.

THE PRESIDENT: Good. Have you started studying the different plans
available yet?

MS. CANTRELL: No, I haven't gotten it yet.

THE PRESIDENT: Okay, well, that will be coming your way. And there will be
a different variety of options, and I'm confident that Vicki will help you
-- you don't need help.

MS. CANTRELL: I filled it, she didn't even see it. I filled it out and sent
it back in. (Laughter.)

THE PRESIDENT: That's good. Not everybody is just going to fill it out that
way. That's what people have got to understand, that people are going to
need a little help.

MS. CANTRELL: But it was easy to do.

THE PRESIDENT: There you go.

MS. CANTRELL: Really.

THE PRESIDENT: She wasn't even prompted. That's awesome.

MS. CANTRELL: Nothing to it.

THE PRESIDENT: Did you get the four-page form?

MS. CANTRELL: I did.

THE PRESIDENT: Four pages.

MS. CANTRELL: Four pages.

THE PRESIDENT: Sixteen questions.

MS. CANTRELL: I didn't count the questions, but --

THE PRESIDENT: Big print.

MS. CANTRELL: Right.

THE PRESIDENT: That's good. That's good. (Laughter.) Congratulations, you
finally got a form to her. (Laughter and applause.) If in doubt, fill it
out. (Laughter.)

MS. CANTRELL: Right.

THE PRESIDENT: Isn't that it?

MS. CANTRELL: That's it.

THE PRESIDENT: See, it's really important for those of us in public service
to continue to do our duty to folks like Margaret, one, to make sure the
Social Security system is available, and it will be. It's just -- just your
great grandkids need to worry about it. I'm not kidding you.

MS. CANTRELL: I don't have any.

THE PRESIDENT: Well -- (laughter.) You might.

MS. CANTRELL: I might.

THE PRESIDENT: Well, somebody else's great grandkids need to worry about
it.

MS. CANTRELL: Right.

THE PRESIDENT: Shhh. (Laughter.) You're younger, you better worry about
Social Security. If you're an older citizen, you don't have to worry about
getting good health care through Medicare anymore. That's what we're here
to talk about.

Margaret has shown -- says to me that, pay attention. That's what she did.
They got the form. Do people usually just throw away the paperwork that
comes with Social Security? Now, I know you don't -- not the check, but I'm
talking about the paperwork. (Laughter.)

MS. CANTRELL: No. No, I don't. I read it.

THE PRESIDENT: Okay, good. I hope you don't either, out there. I hope
people take a look at that form and pay attention to it because it has got
valuable information for you. It means that the quality of your life will
improve if you're struggling with prescription drug coverage. It means that
this federal government has finally, after years, modernized Medicare. And
if you want to, you can be in charge. You're in charge of the
decision-making process. In other words, there's options for you. It's your
choice to make. If you don't want to do anything, if you don't want to
change at all, you don't have to. But there are a lot more choices
available for you. And if you're a low-income senior, you got a fantastic
opportunity to get prescription drug benefits.

We don't want you choosing between your utility bills and your food bills
and prescription drugs. We want your quality of life to be great, as great
as possible. And this Medicare bill will help there.

I want to thank our panelists for being here. Thank you for what you're
doing. Thank you for your compassion. (Applause.) Thank you all for coming.
May the good Lord continue to bless our great nation. Thank you.
(Applause.)

END 10:50 A.M. MST

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