Text 2462, 642 rader
Skriven 2006-04-11 23:33:16 av Whitehouse Press (1:3634/12.0)
Ärende: Press Release (0604115) for Tue, 2006 Apr 11
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President Participates in Conversation on Medicare Prescription Drug
Benefit
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For Immediate Release
Office of the Press Secretary
April 11, 2006

President Participates in Conversation on Medicare Prescription Drug
Benefit
Etta and Joseph Miller Performing Arts Center
Jefferson City, Missouri


˙˙˙˙˙ Fact Sheet: Medicare Prescription Drug Coverage: Enroll Now and Start
Saving ˙˙˙˙˙ In Focus: Medicare

12:37 P.M. CDT

THE PRESIDENT: Thank you all. Thanks for coming. Please be seated. Thank
you. (Applause.) Cindy, thanks for the kind introduction. I want to thank
the Chamber for inviting me here to what I think you'll find to be an
interesting educational event. At least I hope so. As you can see, I mean,
there's several ways to have an educational event. One is to put a podium
out there and let me blow away for an hour, kind of talk and talk and talk.
Another way is to have fellow citizens sit up here and discuss important
policy issues. And that's what we're here to do today. We're here to
discuss health care, particularly for our seniors. And so I want to thank
you all for joining me.

Most important, thank you all for a warm welcome. It's good to be back here
in Missouri. My only regret is that Laura is not with me. (Applause.) She's
actually in Midland, Texas. That's where I was raised and she was born and
raised. She's doing a little event there, picking up her mom, bringing her
up to Washington. Mother and Dad are coming, too, so we're going to have
Easter at Camp David. A little family affair which is -- (applause.) And
I'm looking forward to it.

But I've also been looking forward to coming here, as well. We just came
from the Lutheran Senior Service Center. Carl Raush -- (applause) -- yes,
there you go. Thank you all. (Applause.) And we're about to have one of
your fellow workers up here, as you'll note. The reason we were there is we
were watching seniors sign up for the new Medicare drug benefit. In other
words, we were at a facility where seniors had -- where seniors were, and
there were good souls from this part of the world saying to people, here's
what's available for you, if you want to sign up.

What we're here today is to talk about health care for seniors. But before
we get there I do want to recognize members of the United States Senate who
have joined us: first, your senior Senator Kit Bond. (Applause.)

Funny thing happened when we were crossing the river. (Laughter.) He
reminded me of how important that Missouri River is for getting farm
product to market. (Applause.) I see the hat back there -- thank you.
(Applause.) Yes, sir. Kind of reminds me of home. (Laughter.)

And also traveling with us is a fellow who I've come to admire a lot as a
straight shooter, Senator Jim Talent. (Applause.) And the Congressman from
this district, Kenny Hulshof. Kenny. (Applause.) I appreciate you, thank
you. Peter Kinder, Lieutenant Governor, has joined us. Governor, thanks for
being here. Proud you're here. It's good to see you again. (Applause.)

Most of all, thanks for coming. Health care is a vital issue for this
country. In my judgment, the best health care plan is one that says we'll
help the poor, we'll help the elderly, and we'll make sure the
doctor-patient relationship is solid for the rest of us. In other words, we
don't want the federal government -- we really don't want the federal
government telling folks who -- what to buy and how to buy it, and what
price to pay. We want there to be a relationship between doctors and
patients. That's what we want.

But our government made a commitment to our seniors, and it's a commitment
that I intended to keep when I went to Washington, D.C. In other words, our
commitment is our seniors should have first-class health care. That
commitment, interestingly enough, was first signed by a fellow citizen from
Texas named Lyndon Baines Johnson. And so I came to Washington, D.C. and
said, are we doing as good a job as possible to provide modern medicine for
our seniors? You see, once the government makes a commitment, it ought to
be a solid commitment, it ought to be a good commitment. There's no need to
have a health care system for our seniors that doesn't meet needs. And one
of the things I noticed in analyzation of the health care system for
seniors, analyzation of Medicare, was that medicine had changed, but
Medicare hadn't.

I'll give you an example. Medicare would pay thousands and thousands and
thousands of dollars for ulcer surgery, but not a dime for the prescription
drugs to help prevent the ulcer from occurring in the first place. That
didn't make sense. It certainly didn't make sense for the seniors, did it?
In other words, if you're going to have a modern system, you ought to have
a system that says, pharmaceuticals have helped changed medicine. And it
certainly didn't make sense for the taxpayers. After all, if you would
spend $50 a month to prevent ulcer surgery, and the surgery costs thousands
to begin with, it saves money.

And so I said to the people in Washington, D.C., let's modernize the
system. Let's figure out how to make it work better for our seniors. A
commitment made is a commitment we've got to keep. And we finally got a
deal done, finally put aside needless politics. I must confess to you,
Washington is full of needless politics. (Applause.) We can do a better
job.

We need to focus on big problems. And a big problem was that Medicare
wasn't living up to its expectations. And I signed the bill, and I proudly
signed it. And so this bill helps all seniors afford prescription drugs. It
really helps a lot. It gives seniors choices.

I knew this would be a problem at first. Some people just simply don't want
to be confronted with choice. You kind of get settled in and everything
seems to be going fine, and all of a sudden up pops a new Medicare plan,
and you've got 42 choices to choose from here in Missouri. And that can be
a little confusing. I knew that would be the case.

On the other hand, I also knew there would be thousands of fellow citizens
who would be willing to go out and help people determine what choice suited
their needs. See, I believe that people ought to be trusted. I don't think
the government ought to be making every decision on behalf of the citizens.
I think the more that people -- citizens are given choice in life, the
better off it is to meet their needs. See, when you have the government
say, this is for you, sometimes it doesn't meet a person's needs. When you
have a person say, here's some options for you to choose from, it means you
could design a program to meet your health care needs. And that's what we
did in this new Medicare plan.

And thirdly, one of the things the Medicare plan didn't have was
catastrophic coverage. One of the things this drug plan says is that
something may happen out of your control and, therefore, you may have a big
expenditure. And, therefore, it seems to make sense that there would be
catastrophic, kind of stop-gap coverage. And so, over $3,600, the
government will pay 90 percent in this new plan. To me that makes sense. It
gives somebody peace of mind. People say everything seems to be going okay
right now, but if something goes bad, the government will help you. And so
the new drug benefit that we're describing today has got a catastrophic
component. And when people sign up, it should give you peace of mind, give
your family peace of mind.

Fourthly, it's -- I recognize that certain people need help in our society
and, therefore, if you're a low-income senior -- about a third of the
seniors qualify -- the government is going to pay over 90 something percent
of your -- 95 percent of the bill. In other words, we recognize people need
help in this society -- we're a compassionate society. And so the drug
benefit, if you're a low-income senior, is really going to help. It's going
to help all seniors. Matter of fact, it's estimated that all seniors' drug
bills are cut in half under this program. And if you're a low-income
senior, it's especially beneficial. And that's the way it should be.

I remember the debate in Washington, D.C. -- the language gets a little
rugged up there. We had people say the prescription drug plan is just
simply a hollow promise, or the bill will leave millions of seniors worse
off. That's not the facts. See, when you cut through all the rhetoric and
look at the results, I think people are going to be amazed at what's
available.

One the reasons I'm here is that even though 29 million people have signed
up, there's still about 7 million people who are qualifying for this
program, and they ought to take a look. See, one way to convince people to
take a look is to have others talk about the benefits of the program.
They've probably got a little more credibility than I do. (Laughter.) You
don't have to agree with that. (Laughter.) I'm just telling you it's a good
deal.

As a matter of fact, we estimated the premiums to be $37 a month. They're
down to $25 a month for the seniors -- for most seniors. When people have
choice, the 42 plans helps bring cost-effectiveness into medicine. You got
one choice, you don't get cost-effective. You got 42 programs to choose
from, it's amazing what happens when somebody kind of competes for your
business, that says, I'm going to try to make the plan attractive for you.
And that's the difference between a government-dictated program and a
program that trusts seniors to make choice.

We've got up until May 15th for folks to get the best benefits. If you
haven't signed up -- if you're listening on TV, and haven't signed up,
please take a look, call 1-800-MEDICARE. Or go to medicare.gov if you want
to find out what's available.

If you're a son -- or if you've got a mom or a dad who is eligible for
Medicare, a son or a daughter has a duty, in my judgment, to the parent to
find out what's available for your mom or dad. That's your duty. This is a
good deal. It costs nothing to look at it. I think you're going to find
it's an amazing opportunity to really help your mom or dad with
prescription drugs, make sure they get modern medicine. Isn't that what a
son or a daughter wants, to make sure the mom or dad gets the best possible
medicine? Well, here's a plan that will make sure you get the best possible
medicine.

If you're a church, part of a church or community center, find somebody
who's eligible for Medicare and help them. It's not all that hard. It's a
pretty simple program. It may be hard for the senior who's not necessarily
computer-literate, but if you're computer-literate, it's pretty easy. The
steps are easy to follow. And you'll be doing somebody a favor.

If you're a senior, wondering whether or not this makes sense, you ought to
take a look. It doesn't cost a dime to look, and you're going to save
money. Seniors are saving about half on the prescription drug charges
already. If you're a poor senior, the government is going to pay over 95
percent of the deal.

I'm here to kind of cut through all the politics and cut through all the
rhetoric and help people understand what's available. No better place to
come than the state of Missouri, kind of the "show me" state. (Applause.)
So we're about to show you. And I'm going to start with Dr. Mark McClellan,
fellow Texan. McClellan is an unusual fellow; he's got a lot of degrees.

What are your degrees, McClellan?

DR. McCLELLAN: Mr. President, I have a medical degree, also a Ph.D.

THE PRESIDENT: Yeah. One of the things I like to remind people of is this
fact: He's a Ph.D. -- and I was an okay student -- (laughter.) Look who the
advisor is and look who the President is. (Applause.) I've used it before
with him. He's a good sport. His job is -- what?

DR. McCLELLAN: I'm the head of the Medicare and Medicaid programs, and we
are working with groups all over the country to help people find out about
the most important new benefit in Medicare in 40 years -- that's the drug
coverage that you're talking about, sir.

THE PRESIDENT: See, we have got a duty at the federal level to help people
find out what's available. That's our duty. Mark is in charge of it. He
works with Mike Leavitt, who's the Secretary of Health and Human Services,
and they've done a fine job. By the way, when you put 29 million people
right off the bat into a system, you're going to have glitches. But they've
handled the glitches. They're working with your Governor, they're working
with the state government to work on dual eligibles. I know you read
initially about the issues related to the sign-ups -- we're dealing with
them. His job is to run them down, find those problems and solve them.

His job is also to help rally the country, others to help explain the
program. And how are we doing? Give us --

DR. McCLELLAN: Well, now over 29 million people are already participating,
hundreds of thousands more seniors and people with disability are signing
up every week. But we want to make sure, Mr. President, that everybody gets
the support they need to make a competent decision. Some of the things that
we do in that include our Medicare help line. People can call us anytime,
day or night, at 1-800-MEDICARE , and get personalized help, finding out
about what the drug benefit means for you. If you like to go on line, or
you've got a son or daughter or grandchildren who do, you can go to
medicare.gov, and get personalized help, as well.

But what we've really found is that events all over the country help us
connect with beneficiaries, make sure we're reaching them where they live
and work and play and pray, so that they can find out, face-to-face, what
the new drug benefit means for them. We've been working with pharmacists
and other health professionals -- like at the event that you visited
earlier today here in Jefferson City -- many advocacy groups that advocate
on behalf of seniors, people with a disability, AARP, church groups, the
NAACP -- very diverse range of groups that don't agree on everything, don't
agree sometimes on much of anything, but they all agree that seniors and
people with a disability should find out about the most important new
benefit in Medicare in 40 years.

THE PRESIDENT: One thing that's important, that people with disability also
qualify -- some people do -- and they need to make sure that they take a
look at what's available.

Give me some of the day -- we got a time frame here we're working in.

DR. McCLELLAN: That's right. We've got until May 15th -- that's the end of
the enrollment period. And we're urging people to take a look now so they
avoid the rush that's probably going to come as we get very close to that
May 15th deadline. This week there are going to be more than a thousand
events all over the country that include many senior officials from your
administration, that include health professionals, that include all of
these groups that we're collaborating with, all over the country to help
people find out about the program. We're doing it here in Jefferson City
and at events all over the state of Missouri. We're doing it all over the
country.

THE PRESIDENT: Yes, change isn't easy. It's hard to change, particularly a
system that's been in place since the 1960s. And yet, we felt it was
necessary to encourage change, for the sake of our seniors. But we also
understand that it requires a massive effort to show people -- get it,
"show me" -- to show people -- (laughter) -- what's available. And old Mark
is in charge of it. But it requires an army of compassion to help.

And one thing before we go to Linda, who's a soldier in the army of
compassion, by the way -- is, tell me about the low-income benefit,
describe that to the folks who are listening.

DR. McCLELLAN: Well, as you said, Mr. President, everybody in Medicare can
take advantage of this new drug coverage, whether they've got a retiree
plan now -- we can help with that -- whether they like to get their care
through a Medicare Advantage Plan -- that's the HMOs or PPOs in Medicare.
Lots of people like to get help in different ways. But there is extra help
available for people with limited incomes.

And so if you're living month-to-month on a Social Security check or some
other limited fixed income, or if you know someone who is, it's very
important to look into the extra help. You apply for this extra assistance.
As you said, you can get 95 percent of your drug costs paid for, on
average. That's a benefit worth about $3,700 a year, on average.

Now, for a typical senior, you're getting about $1,100 worth of help with
drug costs, on average. So that's important right there. But there's extra
help available for people of limited means, and we're making some extra
efforts to reach out to people who may not be able to find out about this
program otherwise. Here in rural parts of the states, we're working with --
we're working with the USDA to get out into the community and, at a
grassroots level, help people find out --

THE PRESIDENT: We're working with Heisinger Bluffs Senior Living Center, as
well.

DR. MCCLELLAN: That's right, we sure are.

THE PRESIDENT: Linda Detring, welcome.

MS. DETRING: Good morning, Mr. President.

THE PRESIDENT: Thanks for coming. Lutheran Senior Services.

MS. DETRING: Right. (Applause.) It's a pleasure to be here this morning,
and thank you for inviting me to participate.

* * * * *

MS. DETRING: During that time I also became a Reserve officer in the United
States Navy Reserves, a Reserve Corps officer.

THE PRESIDENT: Fantastic, thanks.

MS. DETRING: I retired two years ago as a captain. (Applause.)

* * * * *

THE PRESIDENT: See, it's interesting, when you listen to what Linda said,
she said educate about three or four times. And that's what we're doing.
That's why I've asked these people to come sit up here with me, which isn't
easy, by the way. Is it? (Laughter.) Wait until she speaks, you're not
going to believe it. (Laughter.) Anyway, we want people to know what's
available. And I bet you, people, when they take a look at the 40-plus
choices here in Missouri, get a little nervous at first.

MS. DETRING: This is a little overwhelming at first. But if you help them
through it -- and I went on the Internet to choose my mother's plan, and it
was very simple once I got on there and understood it.

THE PRESIDENT: Well, I appreciate you. Thanks.

MS. DETRING: Welcome.

THE PRESIDENT: Thanks for serving as a good example two times -- one, as a
loving daughter, and two, as a person who is involved with the faith
community, all extending a helping hand to somebody who needs a little
help. Thanks for doing it. (Applause.)

Another person who is involved with senior citizens happens to be Jodie
Baker, isn't that right?

MS. BAKER: Yes, it is.

THE PRESIDENT: And what do you do?

MS. BAKER: Thank you, Mr. President. I am a pharmacist. I work here in
Jefferson City at Kmart Pharmacy. So I get to see a lot of seniors.

THE PRESIDENT: You see people coming to buy -- yes, exactly. That's good.
So tell us about -- tell me about your involvement with the Medicare Part-D
program.

MS. BAKER: Well, I was very excited to be involved at my place of work, and
trying to get the word out. And I like to talk. I think most of my
customers would agree with that.

THE PRESIDENT: We're about to find out, aren't we?

MS. BAKER: Yes. (Laughter.)

* * * * *

MS. BAKER: That's one thing as a pharmacist, it's heart-breaking to me
because I see people come in, and I know their conditions, and I know maybe
not all their finances, but the medications are so expensive. I have people
ask me, can you help me pick which prescription I can get this month -- and
that's very hard --

THE PRESIDENT: Yes, it's got to be. Listen, there were people literally
choosing between the electricity bill and pharmaceuticals.

MS. BAKER: Yes, or food.

THE PRESIDENT: And that's not right in this country. And this program fixed
it. And one of the things you told me earlier -- this, by the way, isn't
the first time we've seen each other. Well, it's the first day we've seen
each other, but not the first time, on the stage. Tell me about what you
find with the low-income seniors. And give people a sense -- if you're a
low-income senior, you need to listen. * * * * *

THE PRESIDENT: I appreciate it. There's pharmacists all over the country
who, obviously, interface with seniors. And I want to thank those in the
pharmaceutical -- I mean, in the pharmacist industry who are explaining
what's available. And it's an interesting example, isn't it, of somebody
who is combining her work with her care for seniors and helping people see
what's available.

I appreciate you coming and explaining that. (Applause.)

Jerry, welcome. Jerry Sooter, thanks for coming.

MR. SOOTER: Thank you, Mr. President.

THE PRESIDENT: Appreciate you.

MR. SOOTER: We appreciate you being here very much, and thank you. I
retired as a funeral director in June of 2003. I was born and raised in
north Missouri, northwest Missouri. And, by the way, my wife and daughter
and son-in-law and grandson are here.

THE PRESIDENT: Yes. Looking forward to meeting them afterwards.

MR. SOOTER: I'm sure they're looking forward to that, too. (Laughter.)

THE PRESIDENT: It would be kind of rough if you said they weren't looking
forward -- (laughter.)

* * * * *

THE PRESIDENT: That's great advice. Isn't it interesting, the society in
which we live, word gets out, Jerry gets on the computer and taps into the
system which, for some, could be complicated -- obviously wasn't for you.

MR. SOOTER: I found it extremely easy. And it's perplexing to me to hear
people say it's difficult.

THE PRESIDENT: Well, some people are computer-literate, and some aren't,
for starters. But I like the self-starter -- you're a self-starter. You
said, I'm going to look. People need to take a look. That's what you need
to do. Jerry is saving 65 percent on his drugs. That's pretty healthy
savings. I bet you could use the savings.

MR. SOOTER: Well, that's correct, because last week, when the computer went
out on my automobile, it came in handy. (Laughter.)

THE PRESIDENT: That's good. Well, we appreciate you joining us. Thank you
for being willing to tell people your story. It's -- you're a lot more
credible at telling people your story than I would be. In other words, it's
important for people to hear that, here's Jerry sitting here; he doesn't
have anything to -- any axe to grind, all he wants to do is tell people
what's available. And that's why we've asked him to come. And you're very
articulate about it. Thanks for coming. Looking forward to meeting the
grandkids. (Applause.) Appreciate you.

Helen Robinette -- isn't that right?

MRS. ROBINETTE: Yes, that's right, Mr. President. (Laughter.)

* * * * *

MRS. ROBINETTE: I save approximately $200 a month on my drugs.

THE PRESIDENT: Isn't that interesting?

MRS. ROBINETTE: Yes, I save approximately $200 a month.

THE PRESIDENT: You mean you were paying $300 a month, and now you're paying
about a hundred?

MRS. ROBINETTE: Yes, yes. It's probably -- sometimes it's not even a
hundred. Then also I had --

THE PRESIDENT: So your insurance friend laid it out for you?

MRS. ROBINETTE: Yes.

THE PRESIDENT: Explained it?

MRS. ROBINETTE: Yes, she did. She did. She was very nice.

THE PRESIDENT: Well, she's supposed to be. (Laughter.)

MRS. ROBINETTE: We were kind of dense and didn't understand it.

THE PRESIDENT: No, listen, but you're not alone. When you're -- this can be
confusing to folks.

MRS. ROBINETTE: It is.

THE PRESIDENT: And that's why we've asked people to help -- step up and
help somebody who needs some explanation. Jerry figured it out, but you,
fortunately, had somebody who said, look, I want to help you see what's
available. And you're saving now over $2,000 a year, sounds like.

* * * * *

THE PRESIDENT: Babying that inhaler.

MRS. ROBINETTE: I was babying that inhaler. (Laughter.) And only took it
when I couldn't walk across the floor.

THE PRESIDENT: I got you.

MRS. ROBINETTE: And then all my allergies -- if the doctor didn't have any
samples, I didn't take it because it was very expensive, and I couldn't do
that.

THE PRESIDENT: Yes.

MRS. ROBINETTE: So now with your program, my inhaler is $5. (Applause.) And
I get to take the allergy medicine, too, and I love it. (Laughter.)

THE PRESIDENT: I'm glad you came. Good job. (Applause.)

All right, we're going to end here with Bob Vanderfeltz. (Applause.) Got
the Vanderfeltz family here. When I first met him, I said, I like a guy
with a snap-on shirt. (Laughter and applause.) Tell everybody about
yourself right quick.

MR. VANDERFELTZ: Your people asked me when they called me, are you going to
wear a suit, I said, no, I'm not going to buy one, I don't have one.

THE PRESIDENT: Yes. (Laughter.) Yes, I wish I didn't have to wear them,
believe me. (Laughter.)

MR. VANDERFELTZ: I wish to acknowledge my family. My beautiful wife and
four of my children are here. One of them is a little bit far away. We've
got a lieutenant colonel, battalion commander, serving in Iraq at the
present time.

THE PRESIDENT: Really? Gosh, thank you. Yes, tell him thanks. (Applause.)
Tell him. (Applause.) You know how to email?

MR. VANDERFELTZ: No, sir, I'm one of those illiterate computer boys. I
don't even own one.

THE PRESIDENT: Yes, well, get one of your sons to email him, tell him the
Commander-in-Chief is proud. (Laughter and applause.)

How do you make a living?

MR. VANDERFELTZ: How do I make a living?

THE PRESIDENT: Yes.

MR. VANDERFELTZ: Well, at the present time I'm retired. I was born and
raised right here in central Missouri. I didn't fall far from the tree. I
live still on the dairy farm I was born and raised on.

THE PRESIDENT: Really?

MR. VANDERFELTZ: Yes, sir.

THE PRESIDENT: A man of the land. That's great.

MR. VANDERFELTZ: Nothing like it.

THE PRESIDENT: You got big hands. (Laughter.)

MR. VANDERFELTZ: I know how to milk.

THE PRESIDENT: Yes, that's right. (Laughter and applause.)

MR. VANDERFELTZ: It's kind of like riding a bicycle. You never forget that.
(Laughter.)

Getting back to what we're here for -- (laughter) -- well, I went about
mine a little differently, like I said, being computer-illiterate -- well,
what did I have to lose, I called my local Social Security office. And
surprising to me, I was lucky I knew someone there, and I was talking to
them and in less than 10 minutes, they had me signed up on a program, in
less than 10 minutes time.

* * * * *

MR. VANDERFELTZ: I attempted to call the 1-800 number in the middle of the
day and I found out that sometimes automated machines work better at
nighttime when they aren't so busy. (Laughter.)

THE PRESIDENT: Bring that up with McClellan. (Laughter.) We did have a
problem initially on that 1-800 number. A lot of people were calling, and
then they ended up putting a lot more operators there. Now, I'm not making
excuses. I understand. But thank you.

MR. VANDERFELTZ: But I went, like I said, earlier -- or later in the
evening, at that time, and it was push the buttons and right straight
through.

* * * * *

THE PRESIDENT: Yes, hear that -- $140 a month, now he's paying $7 a month.
(Applause.) Here's a guy -- he may not be computer-literate, but he's smart
enough to call and ask advice for a program that's saving him a lot of
money, isn't that right?

MR. VANDERFELTZ: Right. (Applause.)

THE PRESIDENT: You recommend people look at this thing? That's a leading
question -- I'm not even a lawyer. (Laughter.)

MR. VANDERFELTZ: No, I appreciate it very much. Needless to say, I didn't
have to go to school very far to find out that it saved me money.
(Laughter.)

THE PRESIDENT: I bet you're plenty smart, you know what I'm saying?
(Laughter.) I bet you know what you're doing.

I hope you all have found this interesting. (Applause.) You may not believe
me, but you'll believe Bob, or you'll believe Helen, or you'll believe
Jerry. These are real, live examples of people who said, I think I'll just
take a look. Twenty-nine million Americans have signed up so far. There's 7
million more we're trying to reach. If you're one of the 7 million who have
not signed up, at least take a look -- take a look at what's available for
you.

This government of ours has modernized Medicare so that we can look seniors
in the eye and say, we're doing the best we can to make sure your medicine
is modern. We don't want people choosing between electricity bills or food
and their pharmaceuticals, like that was happening a while back.
(Applause.)

This program makes sense for our seniors. It makes sense for our taxpayers.
Do you realize that because there's choice in the marketplace, because
we've trusted seniors to pick a plan that meets their needs, the estimated
costs in the first year to the federal government are 20 percent less than
thought. In other words, one of the things that's important for our society
to understand is that when you trust people, good things happen. It happens
for them, and it happens for society, as a whole.

I'm proud to be here in Missouri. I want to thank you all for giving us a
chance to come by and say hello. We're dealing with big issues. We're
dealing with health care; we're dealing with keeping the peace; we're
helping our small businesses thrive. It is a fantastic opportunity to come
and thank you all for really being, however, the -- representing the true
strength of America. And the true strength of this country is not in the
size of our armies, or in the size of our wallets, it's in the size of our
hearts.

And for those of you who are helping a neighbor in need, helping a child to
learn how to read, or providing shelter for the homeless or food for the
hungry, or advice to the seniors, I want to thank you from the bottom of my
heart for helping to make this nation the greatest nation on the face of
the Earth.

Thanks for coming, and God bless. (Applause.)

END 1:15 P.M. CDT

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