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DC College Access Prescription Drugs 6-20-00 [Remarks]
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6
7
2
�Draft 06/20/00 11 :30am
Heather Hurlburt
PRESIDENT WILLIAM J. CLINTON
REMARKS AT D.C. COLLEGE ACCESS EVENT
THE WHITE HOUSE
WASHINGTON, DC
June 20, 2000
�Acknowledgements: Secretary Riley;
Congresswoman Eleanor Holmes-Norton; Congressmen
..a'l':l'l More"
Tom Davis(Jack Lew, in his role as chair of the Federal
DC Inter-agency Task Force; and Grant Stockdale, who
'
I
first proposed this idea several years ago. I'm sorry that
Mayor Williams couldn't join us today, but the city is
well-represented. I also want to welcome the university
presidents from George Mason, Trinity, Bowie State and
Delaware State who are here today, as well as the students
they'll be welcoming because of the DC College Access
Act. We also have with us some of the educators and
parents who helped these kids get to college; and the
leaders of the DC College Access program, who are
raising private funds to help local students meet all the
costs of college.
�I'n1 going to talk in a moment about all you've
accomplished together. But first I want to say a few
words about another issue where your example of
bipartisanship could stand us in good stead - and that is
our stewardship of Medicare. This week, the House is
preparing to vote on its proposal for a prescription drug
benefit for older Americans and people with disabilities.
Unfortunately, I believe that their private-insurance drug
plan doesn't achieve the objectives of affordable,
dependable coverage for every senior who needs it.
2
�At the same time, we have got to face the
ch~llenge
of making sure that we pay Medicare providers enough so they can give our seniors the high-quality health care
they expect and deserve. In important areas, those
payments are falling too low - and Medicare patients are
at risk. Some people say we must choose between
providing a prescription drug benefit and ensuring quality
care. But thanks to our remarkable prosperity, and the
strength of Medicare's trust fund, we can do both. And
we should do both right.
Today, I am announcing a proposal to dedicate $40
billion over te'n years to enslire that Medicare providers
can continue providing quality care.
3
�- - - - - - - - - -
---
b -'J-o- dO
It will increase Medicare payments to hospitals,
teaching facilities, nursing homes and home health care
providers, so that Medicare patients get the services they
need. My proposal also endorses Vice President Gore's
initiative to say, for the first time, the Medicare surplus
will be off-budget and can no longer be diverted for other
purposes. Under th~ Vice President's plan, Medicare
surpluses must be saved for paying down the debt in order
to strengthen the life of Medicare. Today, the House is
voting on a proposal that embraces this concept and takes
•
an important step toward achieving thjs goa~ \ ~ .\t'
~~ ~ \.\\.~~ .,."'-'"~ .." ~ ctA-.Iet ~'WI
I~ Congress
a move rapidly to completing
legislation that pays down the debt, and extends the
solvency of the Medi~are program without gimmicks or
loopholes.
4
. .
�Remember, we have reache
ur ation' s health before.
ill to allow people to ta
with them when t
change job . We passed the
t work toget er
to give
Ol
seniors the quality care they deser
pres 1ption drug benefit they can depend on.
We bear a heavy responsibility to our seniors. In this
time of prosperity, we must also meet our obligation to
our young people -by doing all we can to prepare them
for tomorrow.
5
�6- )o-ct)
More and more, that means offering every student the
opportunity to go to ·college. In the coming years, the
nun1ber of new jobs requiring a bachelor's degree will
grow twice as fast as those requiring only high school.
Over the course of a career, someone with a college
degree will earn, on average, $600,000 more than
so1neone with only a high school diploma.
...
}:4auy of you hn8v;r
~
I was the first one in my
fan1ily to go to college. Thanks to my family and
scholarships and loans and jobs, I got opportunities that
my parents' generation didn't have.
6
�I an1 well aware that if it hadn't been for that chance, I
wouldn't be standing here today. So I have been
determined to do everything I could to give every child
that same chance.
For years, too many of this city's young people have
been left behind- not for want of God-given ability, but
for want of resources. But this fall, things are going to be
different. Thanks to a coalition of business leaders, city
and federal officials, Democrats and Republicans, n1any
of.whom are here today, the children of Washington will
have the chance to go to public colleges around the
country at in-state rates, or to get some help to go to a
private school close to home.
7
�?;·- )iJ -~(/
The District of Columbia College Access Act makes
the playing field a little more leyel for the children of
Washington, DC. More students and parents will know
that, if they study hard and believe in themselves, the
doors of college - and the opportunity college brings will be open to them. And -more middle-income families
will find that our great nation's capital is· also a great
place to live and raise children.
This fall, more than 1000 kids, many of whom might
never have had the chance, will get help to go to the
college of their dreams. We're paying the difference
_between out-of-state and in-state tuition - as much as
$10,000.
8
�And we're providing $2500 for young people who've
chosen to attend locaJ private colleges. Washington
businesses are helping many of these kids pay the other
costs of college. And we've helped increase funding for
the University of the District of Columbia as well. This is
a great example of what we can do if we put aside our
differences to focus on a shared goal. And it is one of the
best investments we could ever make.
One of the things that I'm proudest of is that since
I've been President, we've had the biggest expansion of
college aid since the G.I. Bill 50 years ago. We've
expanded Pell Grants, which many young Washington
residents also use.
9
�We established education IRAs, created the $1,500 HOPE
Scholarship tax credit and launched a Lifetime Learning
tax credit. And I've asked this Congress to pass a college
opportunity tax cut and allow every family to deduct up to
$10,000 of college tuition from their income tax every
year.
Right now, we have the resources. Let's make sure
we also have the vision and the will to give all our
children a shot at living their dreams.
Now I want to ask Dr. Alan Merten, President of
George Mason University, Zack Gamble, Secretary Riley
Mil(
Congresswoman Norton t. ,_. ~. (Oft)
Cu\ Plottan ,.,..
Ua\1;~,
! A!.k t.ew .f.o C.OAC. .fot.,.ar~.
10
�-
•.-
... =-- .:
- -
··_';!'!::'"'.
'
Zack Gamble is a young man who did well in school and
was accepted into several colleges, but the DC College
Access Act is making it possible for him to attend George
·Mason this fall, to study computer science. We're going
to present his tuition check now- the first of many. Zack,
congratulations to you and all the other young people here
today. Good luck and God bless you.
11
�It will increase Medicare payments to hospitals,
teaching facilities, nursing homes and home health care
providers, so that Medicare patients get the services they
need. My proposal also endorses Vice President Gore's
initiative to say for the first time, the Medicare surplus
will be off-budget and can no longer be diverted for other
purposes. Under the Vice President's plan, Medicare
surpluses must be saved for paying down the debt in order
to strengthen the life of Medicare. Today, the House is
voting on a proposal that embraces this concept and takes
an important step toward achieving this goal.
I hope the Congress can move rapidly to completing
legislation that pays down the debt, and extends the
solvency of the Medicare program without gimmicks or
loopholes.
4
�Final 06/20/00 1:1Opm
Heather Hurlburt
PRESIDENT WILLIAM J. CLINTON
REMARKS AT D.C. COLLEGE ACCESS EVENT
THE WHITE HOUSE
WASHINGTON, DC
June 20, 2000
Acknowledgements: Secretary Riley; Congresswoman Eleanor Holmes-Norton;
Congressmen Tom Davis. Jack Lew, in his role as chair of the Federal DC Inter-agency Task
Force; and Grant Stockdale, who first proposed this idea several years ago. I'm sorry that Mayor
Williams couldn't join us today, but the city is well-represented. I also want to welcome the
university presidents from George Mason, Trinity, Bowie State and Delaware State who are here
today, as well as the students they'll be welcoming because of the DC College Access Act. We
also have with us some of the educators and parents who helped these kids get to college; and the
leaders of the DC College Access program, who are raising private funds to help local students
meet all the costs of college.
I'm going to talk in a moment about all you've accomplished together. But first I want to
say a few words about another issue where your example of bipartisanship could stand us in
good stead- and that is our stewardship of Medicare. This week, the House is preparing to vote
on its proposal for a prescription drug benefit for older Americans and people with disabilities.
Unfortunately, I believe that their private-insurance drug plan doesn't achieve the objectives of
affordable, dependable coverage for every senior who needs it.
At the same time, we have got to face the challenge of making sure that we pay Medicare
providers enough- so they can give our seniors the high-quality health care they expect and
deserve. In important areas, those payments are falling too low- at~d Medicare patients are at
risk. Some people say we must choose between providing a prescription drug benefit and
ensuring quality care. But thanks to our remarkable prosperity, and the strength of Medicare's
trust fund, we can do both. And we should do both right.
Today, I am announcing a proposal to dedicate $40 billion over ten years to ensure that
Medicare providers can continue providing quality care. It will increase Medicare payments to
hospitals, teaching facilities, nursing homes and home health care providers, so that Medicare
patients get the services they need.
�,Remember, we have reached across pmiy lines for our nation's health before. We passed
the Kennedy-Kassebaum bill to allow people to take health insura11ce with them when they
change jobs. We passed the Children's Health Insurance Program, which has provided millions
of children in lower income working families access to health insurance. Now we must work
together to give our seniors the quality care they deserve -and a prescription drug benefit they
J
can depend on.
We bear a heavy responsibility to our seniors. In this time of prosperity, we must also
meet our obligation to our young people- by doing all we can to prepare them for tomorrow.
More and more, that means offering every student the opportunity to go to college. In the
coming years, the number of new jobs requiring a bachelor's degree will grow twice as fast as
those requiring only high school. Over the course of a career, someone with a college degree
will eam, on average, $600,000 more than someone :with only a high school diploma.
Many of you know that I was the first one in my family to go to college. Thanks to my
family and scholarships and loans and jobs, I got opportunities that my parents' generation didn't
have. I am well aware that if it hadn't been for that chance, I wouldn't be standing here today.
So I have been detennined to do everything I could to give every child that same chance.
For years, too many of this city's young people have been left behind- not for want of
God-given ability, but for want of resources. But this fall, things are going to be different.
Thanks to a coalition ofbusiness leaders, city and federal officials, Democrats and Republicans,
many of whom are here today, the children of Washington will have the chance to go to public
colleges around the country at in-state rates, or to get some help to go to a private school close to
home.
The District of Columbia College Access Act makes the playing field a little more level
for the children of Washington, DC. More students and parents will know that, if they study
hard and believe in themselves, the doors of college- and the opportunity college brings - will
be open to them. And more middle-income families will fit1d that our great nation's capital is
also a great place to live and raise children.
This fall, more than 1000 kids, many of whom might never have had the chance, will get
help to go to the college oftheir dreams. We're paying the difference between out-of-state and
in-state tuition- as much as $10,000. And we're providing $2500 for young people who've
chosen to attend local private colleges. Washington businesses are helping many of these kids
pay the other costs of college. And we've helped increase funding for the University of the
District of Columbia as well. This is a great example of what we can do if we put aside our
differences to focus on a shared goal. And it is one of the best investments we could ever make.
One of the things that I'm proudest of is that since I've been President, we've had the
biggest expansion of college aid since the G.I. Bill 50 years ago. We've expanded Pell Grants,
which many young Washington residents also use. We established education IRAs, created the
$1,500 HOPE Scholarship tax credit and launched a Lifetime Leaming tax credit. And I've
asked this Congress to pass a college opportunity tax cut and allow every family to deduct up to
$10,000 of college tuition from their income tax every year.
�Right now, we have the resources. Let's make sure we also have the vision and the will
to give all our children a shot at living their dreams.
Now I want to ask Dr. Alan Merten, President of George Mason University, Zack
Gamble, Secretary Riley and Congresswoman Norton to come forward. Zack Gamble is a young
man who did well in school and was accepted into several colleges, but the DC College Access
Act is making it possible for him to attend George Mason this fall, to study computer science.
We're going to present his tuition check now- the first of many. Zack, congratulations to you
and all the other young people here today. Good luck and God bless you.
�Final 06/20/00 1:1 Opm
Heather Hurlburt
PRESIDENT WILLIAM J. CLINTON
REMARKS AT D.C. COLLEGE ACCESS EVENT
THE WHITE HOUSE
WASHINGTON, DC
June 20, 2000
Acknowledgements: Secretary Riley; Congresswoman Eleanor Holmes-Norton;
Congressmen Tom Davis. Jack Lew, in his role as chair of the Federal DC Inter-agency Task
Force; and Grant Stockdale, who first proposed this idea several years ago. I'm sorry that Mayor
Williams.couldn't join us today, but the city is well-represented. I also want to welcome the
university presidents from George Mason, Trinity, Bowie State and Delaware State who are here
today, as well as the students they'll be welcoming because of the DC College Access Act. We
also have with us some of the educators and parents who helped these kids get to college; and the
leaders of the DC College Access program, who are raising private funds to help local students
meet all the costs of college.
I'm going to talk in a moment about all you've accomplished together. But first I want to
say a few words about another issue where your example ofbipartisanship could stand us in
good stead- and that is our stewardship of Medicare. This week, the House is preparing to vote
on its proposal for a prescription drug benefit for older Americans and people with disabilities.
Unfortunately, I believe that their private-insurance drug plan doesn't achieve the objectives of
affordable, dependable coverage for every senior who needs it.
At the same time, we have got to face the challenge of making sure that we pay Medicare
providers enough- so they can give our seniors the high-quality health care they expect and
deserve. In important areas, those payments are falling too low- and Medicare patients are at
risk. Some people say we must choose between providing a prescription drug benefit and
ensuring quality care. But thanks to our remarkable prosperity, and the strength of Medicare's
trust fund, we can do both. And we shoulddo both right.
Today, I am announcing a proposal to dedicate $40 billion over ten years to ensure that
Medicare providers can continue providing quality care. It will increase Medicare payments to
hospitals, teaching facilities, nursing homes and home health care providers, so that Medicare
patients get the services they need.
My proposal also endorses Vice-President Gore's initiative to make sure Medicare funds
are spent on Medicare- by taking Medicare off budget, maintaining our financial discipline, and
continuing to pay down the debt. Today, the House is voting on a proposal to achieve this goal.
lt would put Medicare's trust fund in a lockbox, where it could not be touched for any outside
purpose. If the House creates a lockbox without loopholes or exceptions, I will wholeheartedly
support it.
�Remember, we have reached across party lines for our nation's health before. We passed
the Kennedy-Kassebaum bill to allow people to take health insurance with them when they
change jobs. We passed the Children's Health Insurance Program, which has provided millions
of children in lower income working families access to health insurance. Now we must work
together to give our seniors the quality care they deserve -and a prescription drug benefit they
can depend on.
We bear a heavy responsibility to our seniors. In this time of prosperity, we must also
meet our obligation to our young people- by doing all we can to prepare them for tomorrow.
More and more, that means offering every student the opportunity to go to college. In the
coming years, the number of new jobs requiring a bachelor's degree will grow twice as fast as
those requiring only high school. Over the course of a career, someone with a college degree
will earn, on average, $600,000 more than someone with only a high school diploma.
Many of you know that I was the first one in my family to go to college. Thanks to my
family and scholarships and loans and jobs, I got opportunities that my parents' generation didn't
have. I am well aware that if it hadn't been for that chance, I wouldn't be standing here today.
So I have been detennined to do everything I could to give every child that same chance.
For years, too many of this city's young people have been left behind- not for want of
God-given ability, but for want of resources. But this fall, things are going to be different.
Thanks to a coalition of business leaders, city and federal officials, Democrats and Republicans,
many of whom are here today, the children of Washington will have the chance to go to public
colleges around the country at in-state rates, or to get some help to go to a private school close to
home.
The District of Columbia College Access Act makes the playing field a little more level
for the children of Washington, DC. More students and parents will know that, ifthey study
hard and believe in thei11selves, the doors of college- and the opportunity college brings- will
be open to them. And more middle-income families will find that our great nation's capital is
also a great place to live and raise children.
This fall, more than 1000 kids, many of whom might never have had the chance, will get
help to go to the college of their dreams. We're paying the difference between out-of-state and
in-state tuition- as much as $10,000. And we're providing $2500 for young people who've
chosen to attend local private colleges. Washington businesses are helping many of these kids
pay the other costs of college. And we've helped increase funding for the University of the
District of Columbia as well. This is a great example of what we can do ifwe put aside our
differences to focus on a shared goal. And it is one of the best investments we could ever make.
One of the things that I'm proudest of is that since I've been President, we've had the
biggest expansion of college aid since the G.I. Bill 50 years ago. We've expanded Pell Grants,
which many young Washington residents also use. We established education IRAs, created the
$1,500 HOPE Scholarship tax credit and launched a Lifetime Learning tax credit. And I've
asked this Congress to pass a college opportunity tax cut and allow every family to deduct up to
$10,000 of college tuition from their income tax every year.
'
' ,u
~
1. '
•
'
'
'
•
I
f
'
I
(
' ~
-
.
�Right now, we have the resources. Let's make sure we also have the vision and the will
to give all our children a shot at living their dreams.
Now I want to ask Dr. Alan Merten, President of George Mason University, Zack
Gamble, Secretary Riley and Congresswoman Norton to come forward. Zack Gamble is a young
man who did well in school and was accepted into several colleges, but the DC College Access
Act is making it possible for him to attend George Mason this fall, to study computer science.
We're going to present his tuition check now- the first of many. Zack, congratulations to you
and all the other young people here today. Good luck and God bless you.
�Final 06/20/00 1:1Opm
Heather Hurlburt
PRESIDENT WILLIAM J. CLINTON
REMARKS AT D.C. COLLEGE ACCESS EVENT
THE WHITE HOUSE
WASHINGTON, DC
June 20, 2000
Acknowledgements: Secretary Riley; Congresswoman Eleanor Holmes-Norton;
Congressmen Tom Davis. Jack Lew, in his role as chair of the Federal DC Inter-agency Task
Force; and Grant Stockdale, who first proposed this idea several years ago. I'm sorry that Mayor
Williams couldn't join us today, but the city is well-represented. I also want to welcome the
university presidents from George Mason, Trinity, Bowie State and Delaware State who are here
today, as well as the students they'll be welcoming because of the DC College Access Act. We
also have with us some of the educators and parents who helped these kids get to college; and the
leaders of the DC College Access program, who are raising private funds to help local students
meet all the costs of college.
I'm going to talk in a moment about all you've accomplished together. But first I want to
say a few words about another issue where your example of bipartisanship could stand us in
good stead- and that is our stewardship ofMedicare. This week, the House is preparing to vote
on its proposal for a prescription drug benefit for older Americans and people with disabilities.
Unfortunately, I believe that their private-insurance drug plan doesn't achieve the objectives of
affordable, dependable coverage for every senior who needs it.
At the same time, we have got to face the challenge of making sure that we pay Medicare
providers enough - so they can give our seniors the high-quality health care they expect and
deserve. In important areas, those payments are falling too low- and Medicare patients are at
risk. Some people say we must choose between providing a prescription drug benefit and
ensuring quality care. But thanks to our remarkable prosperity, and the strength of Medicare's
trust fund, w~ can do both. And we should do both right.
Today, I am announcing a proposal to dedicate $40 billion over ten years to ensure that
Medicare providers can continue providing quality care. It will increase Medicare payments to
hospitals, teaching facilities, nursing homes and home health care providers, so that Medicare
patients get the services they need.
My proposal also endorses Vice-President Gore's initiative to make sure Medicare funds
are spent on Medicare- by taking Medicare off budget, maintaining our financial discipline, and
continuing to pay down the debt. Today, the House is voting on a proposal to achieve this goal.
It would put Medicare's trust fund in a lockbox, where it could not be touched for any outside
purpose. lf the House creates a lockbox without loopholes or exceptions, I will wholeheartedly
support it.
�Remember, we have reached across party lines for our nation's health before. We passed
the Kennedy-Kassebaum bill to allow people to take health insurance with them when they
change jobs. We passed the Children's Health Insurance Program, which has provided millions
of children in lower income working families access to health insurance. Now we must work
together to give our seniors the quality care they deserve -and a prescription drug benefit they
can depend on.
We bear a heavy responsibility to our seniors. In this time of prosperity, we must also
meet our obligation to our young people- by doing all we can to prepare them for tomorrow.
More and more, that means offering every student the opportunity to go to college. In the
coming years, the number of new jobs requiring a bachelor's degree will grow twice as fast as
those requiring only high school. Over the course of a career, someone with a college degree
will earn, on average, $600,000 more than someone with only a high school diploma.
Many of you know that I was the first one in my family to go to college. Thanks to my
family and scholarships and loans and jobs, 1 got opportunities that my parents' generation didn't
have. 1 am well aware that if it hadn't been for that chance, I wouldn't be standing here today.
So I have been determined to do everything I could to give every child that same chance.
For years, too many of this city's young people have been left behind- not for want of
God-given ability, but for want of resources. But this fall, things are going to be different.
Thanks to a co'alition ofbusiness leaders, city and federal officials, Democrats and Republicans,
many of whom are here today, the children ofWashington will have the chance to go to public
colleges around the country at in-state rates, or to get some help to go to a private school close to
home.
The District of Columbia College Access Act makes the playing field a little more level
for the children of Washington, DC. More students and parents will know that, if they study
hard and believe in themselves, the doors of college- and the opportunity college brings- will
be open to them. And more middle-income families will find that our great nation's capital is
also a great place to live and raise children.
This fall, more than 1000 kids, many of whom might never have had the chance, will get
help to go to the college of their dreams. We're paying the difference between out-of-state and
in-state tuition- as much as $10,000. And we're providing $2500 for young people who've
chosen to attend local private colleges. Washington businesses are helping many of these kids
pay the other costs of college. And we've helped increase funding for the University of the
District of Columbia as well. This is a great example of what we can do ifwe put aside our
differences to focus on a shared goal. And it is one of the best investments we could ever make.
One of the things that I'm proudest of is that since I've been President, we've had the
biggest expansion of college aid since the G.I. Bill 50 years ago. We've expanded Pell Grants,
which many young Washington residents also use. We established education IRAs, created the
$1,500 HOPE Scholarship tax credit and launched a Lifetime Learning tax credit. And I've
asked this Congress to pass a college opportunity tax cut and allow every family to deduct up to
$10,000 of college tuition from their income tax every year.
�Right now, we have the resources. Let's make sure we also have the vision and the will
to give all our children a shot at living their dreams.
Now I want to ask Dr. Alan Merten, President of George Mason University, Zack
Gamble, Secretary Riley and Congresswoman Norton to come forward. Zack Gamble is a young
man who did well in school and was accepted into several colleges, but the DC College Access
Act is making it possible for him to attend George Mason this fall, to study computer science.
We're going to present his tuition check now- the first of many. Zack, congratulations to you
and all the other young people here today. Good luck and God bless you.
�- - - - - - -
College Access Act Event
Roosevelt Room
June 20, 2000
Confirmed Attendees
1.
2.
Carolyn Graham, Deputy Mayor
Laurent Ross, Director, D.C. Assistance Program
3.
4.
Dr. Alan Me1ion, President George Mason University
Zack Gamble- student planning to attend George Mason University
5.
6.
7.
8.
9.
Patricia McGuire, President, Trinity College
Leah Haileab- student plmming to attend Trinity College
Gail Haileab -mother of Leah Haileab
Patricia Long Tucker- principal, Banneker Senior High School (Leah's school)
Jaqueline Pegram- guidance counselor, Banneker Senior High School
10.
Dr. Calvin Lowe, President, Bowie State University
11.
12.
13.
14.
Dr. William B. DeLauder, President, Delaware State University
Tamisha Pugh- student planning to attend Delaware State University
Edwin Jones- principal, H.D. Woodson Senior High School
Jacqueline Lovinggood- guidance counselor, H.D. Woodson Senior High School
15.
16.
Danielle Brewer- student planning to attend Florida A&M University
Clara Brewer- mother ofDanielle Brewer
17.
18.
20.
21.
22.
Argelia Rodriguez, Director, DC College Access Program
Jerry Gregory Dovalis, Senior VP of Strategic Relations, Case Foundation
James Kimsey, Founding CEO Chairman Emeritus, AOL; DC CAP Board Member
Andrew Plepler, Senior VP of Housing & Community Initiatives, Fam1ie Mae Foundation
Marcie Adler, Director, Office of the CEO and Chairman Emeritus James Kimsey
.Iulie Rogers- President, Eugene & Agnes E. Meyer Foundation; DC CAP Board Member
23.
Grant M. Stockdale
24.
25.
Cong. Eleanor Holmes-Nmion (D-DC)
Cong. Tom Davis (R-VA)
26.
27.
Jack Lew, Chair, Federal D.C. Interagency Task Force
Richard Riley, Secretary ofEducation
19.
�http:i/www.pttb.whitehouse.gov/uri- ... oma.eop.gov .us/2000/6112/21. text.l
·t
-.
THE WHITE HOUSE
Office of the Press Secretary
(Northfield, Minnesota)
For Immediate Release
June 10, 2000
REMARKS BY THE PRESIDENT
AT THE 126TH CARLETON COLLEGE COMMENCEMENT EXERCISES
Carleton College
Northfield, Minnesota
10:38 A.M. COT
THE PRESIDENT:
Thank you very much, President Lewis.
It's nice to
be around someone who is not term-limited.
(Laughter.)
To the trustees
and faculty members, including your longtime faculty member and now your
United States Senator, Senator Paul Wellstone.
It's nice to see you
and, Sheila.
Thank you for being here, both of you.
(Applause.)
I congratulate Bruno Nettl and George Dixon on their degrees.
And
I congratulate
I thank the Carleton community for making me welcome.
the student speakers, Katie and Sachin and Faisal -- they were really,
I'm glad there was some break between
really, I thought, very good.
when they spoke and when I had to speak.
(Laughter.)
Maybe you won't
remember how ~ood they wer~, and I'll be able to get through this.
(Laughter.)
I want to congratulate all the members of the Class of 2000, your
families and your friends, and I thank you for giving me the opportunity
to share this with you.
I've been hearing about Carleton for years.
I have a staff member
and advisor, Tom Freedman, who is here with me today, class of '85; and
his college roommate, John Harris, who -- he's on the other side in
Washington, he writes for The Washington Post.
They're both here, over
here to the left.
So ~here is life after college and they have proved
it.
And they told me about the motto, "You are part of Carleton and
Carleton is part of you." They also told me that Carleton is my kind of
place, a school that celebrates diversity; a school whose students and
faculty exemplify excellence without elitism; a schoo1 where the
president of the college gets to sing like Elvis.
(Laughter.)
I'm also very proud that someone painted my portrait on the water
tower.
(Applause.)
And I thank you for that.
Now, I heard it wasn't
the greatest likeness in the world, but I still kind of wish you hadn't
painted it over.
(Laughter and applause.)
I also got a souvenir from my stay here, and I want to show it to
you.
(Applause.)
Thank you.
And someone asked me if I would give this
fellow a ride on Air Force One, to sort of add to the legend, you know?
(Laughter.)· And I thought, why not? He looks more like me than that
guy on the water tower did.
I think I' 11 do that.
(Laughter and
2pplause.)
I do want to say I love the message that Faisal and Sachin gave
about building on our common humanity, and I wrote down what I thought
1 of5
6/19/2000 10:14 AM
�We can choose to move forward with allies and partners to protect our nation from
missiles and other weapons of mass destruction - or we can foolishly insist on going it alone.
We can be leaders in am1s control and preventing the spread of nuclear weapons- or we can face
a world with more and more dangerous nuclear rivalries. We can approach Russia and China as
flawed but important partners -or we can make them our enemies by treating them as enemies.
The President likes to say that the United States cmmot be an island of prosperity. That's
a lesson you have already learned, reaching some 18 countries during your Sea Year alone, truly
making the world your campus. You also know as well as any American that trade and open
markets are the best engines we know to build prosperity at home and raise living standards
around the world. With your generation leading the way, we must choose to shape the global
economy, not be shaped by it.
�http://www.pub.whitehouse.gov/uri-... oma.eop.gov .us/2000/6/12/2l.text.l
was the best line from Katie Beebe's talk, use.cliches like they were
meant to be used.
I think that's pretty good, because we all have them.
(Laughter.)
The truth is, I have been paying attention now to
graduations for quite some time.
And you are graduating at a time which
is different.
Yes, there are a lot of common elements in this ceremony.
Yes, there are a lot of common elements in your feelings.
Yes, you're a
remarkably diverse group -- I could tell that just by shaking hands with
you and exchanging a few words. Ohe of you even asked me to change a
government policy.
(Laughter.)
Good job.
You have to ask Senator
Wellstone; it's an act of Congress now, I can't change it.
(Laughter.)
But the truth is, this year marked more than a rnillennial turning
of the calendar.
This country and the world have entered an era that is
different, in the way we work and live, and relate to each other and the
rest of the world.
For us, it's a time of unparalleled promise. We
have the strongest economy we've ever had, and the longest expan?ion in
history, the lowest minority unemployment rate ever recorded.
And yet, it's also a time of increasing social cohesion:
the
poverty rate at a 20-year low, the welfare rolls at a 32-year low, the
crime rate at a 25-year low.
It is -- in my lifetime, anyway -- the
only time we have ever had at once so much economic prosperity and
social progress, and at the same time so little internal crisis or
external threat to our existence. We have an opportunity to shape a
world, therefore, that is more free and more decent than ever before.
I can't help noting that this is the one-year anniversary of the
day when the Serbian troops accepted NATO's terms and began to withdraw
from Kosovo, and we reversed the tide of ethnic cleansing and religious
cleansing that was present when almost a million people were driven from
their homes.
We still have 5,500 Americans there with troops from 39
nations.
Almost all of the refugees have gone horne.
They're going to
the polls for the first time in history this fall.
So I'm very proud of
that.
But it shows that it's a very different world.
Not so many years
ago, it would have been unthinkable that America would be part of a
multinational force, deployed just to stop people from being murdered or
uprooted because of their race or ethnic background or religion, and I'm
glad we did it.
The world is moving to the beat of two great forces:
globalization, and the revolution and knowledge of information
technology, the biological, environmental and material sciences.
our whole pulse is quickening with all this new discovery and
interaction.
And
I have worked very hard to prepare this country for the 21st
century, and now it belongs to you, and it's up to you to decide what to
do with it.
I hope very much that you will use this moment to deal with
the big challenges and the big opportunities that are still out there
for us:
to bring prosperity to people and places that are still poor
and haven't been caught up in this recovery; to end child poverty and
give all our children access to a good education; to give families the
time and tools they need to balance their work at horne and their work at
work; to deal with the challenge of the aging of America; to reverse the
tide of climate change; to put a human face on a global economy; to
maximize the potential of science and technology and minimize its new
risks; to build one America across all the lines that divide us, and to
build a world where the forces of peace and prosperity and humanity are
stronger than the old demons of war and disease and poverty.
Now, you have a chance to do that, in no small measure because you
spent the last four years here. And I want to talk just very briefly
today about one specific subject -- our common obligation to give all
2 of5
611912000 10:14 AM
�We can choose to move forward with allies and partners to protect our nation from
missiles and other weapons of mass destruction- or we can foolishly insist on going it alone.
We can be leaders in arms control and preventing the spread of nuclear weapons - or we can face
a world with more and more dangerous nuclear rivalries. We can approach Russia and China as
flawed but important partners -or we can make them our enemies by treating them as enemies.
The President likes to say that the United States cmmot be an island of prosperity. That's
a lesson you have already learned, reaching some 18 countries during your Sea Year alone, truly
making the world your campus. You also know as well as any American that trade and open
markets are the best engines we know to build prosperity at home and raise living standards
around the world. With your generation leading the way, we must choose to shape the global
economy, not be shaped by it.
�,•
..
http://www.pub. whitehouse.gov/uri- ... oma.eop.gov .us/2000/6!12/21.text.1
young people the chance you've had to develop the abilities, the
understanding, the feelings, the outlook that you have developed here in
your years at Carleton.
It's important because in the world we live in, it's the only way
tb guarantee our founders' dreams of opportunity for all, so it's
important individually.
But from my point of view, it's even more
important because unless we can more generally spread the benefits of
education, your generation will not be able to build a future of your
dreams.
Two centuries ago, opportunity meant having a chance to carve out a
farm on the forest frontier.
A century ago, it meant a chance to work
in a factory with reasonably decent conditions and give your children a
chance to get a high school education.
Today, opportunity requires the
constant ability to learn and relearn, to master new tools and new
technologies, to think broadly, to adjust quickly, to put things in
context.
It means every American needs more than a high school
education.
It means a college education is not a luxury.
In the coming years, the number of new jobs requiring at least a
bachelor's degree will grow twice as fast-- more than twice as fast-as those that don't.
The three fastes~-gr~wing occupations require at
least a bachelor's degree, and their pay, of course, is much better than
average.
So I have a simple message today which is that our country cannot
afford to leave any students behind simply because they can't afford to
pay for college . . (Applause.)
I came from a family where nobody had
ever gone to college before, and yet, from the time I was a little boy,
I never had any doubt I was going, because that's what my family told me
I was going to do.
And thanks to my family and scholarships and loans
and jobs, I got opportunities that eluded all my parents' generation,
and, unfortunately, eluded all too many of my contemporaries in high
school.
When I became President, I was determined to do what I could to
I am well aware, if it hadn't been for
give every student that chance.
that chance, that I had so long ago now, to go to school, I wouldn't be
standing here today.
So, what does it mean to give every young person the chance to go
to college? First, we have to begin at the beginning. We've worked on
education reforms to make· sure all of our kids start school ready to
learn, finish high school ready to succeed. We've expanded early
childho~d education; supported higher standards, more choice, and
greater accountability for results in our schools; extra help for kids
who need it, from after-s.chool to summer school to mentoring programs;
new efforts to attract talented teachers, reduce class size, modernize
classrooms, connect all of them to the Internet.
That's the first part
of this.
But the second thing we've tried to do is to open the doors of
college to every American.
In 1993, we created something called the
Direct Student Loan Program.
It has lowered the cost of all borrowing
and all loan programs, and saved America's students in lower interest
costs and charges, $9 billion over seven years.
That program also
allows students to pay back their loans as a percentage of their income.
In seven years, we expanded Pell Grants more than 40 percent, and
increased the work-study program so that now a million young college
students are in work-study.
On a thousand campuses, a lot of them are
earning money by teaching young children to read in elementary schools.
AmeriCorps is now giving 150,000 young people a chance to earn money for
college and serving in their comm.unities.
(Applause.)
Education IRAs
3 of5
6/19/2000 10:14 AM
�In Italy Online- Books
http://www.initaly.com/itathome/books.htJ.?1
The Bay of Noon- Shirley Hazzard (Penguin, 1970). This story of an Englishwoman working in Naples
points out all too well why most of "us" don't understand "them."
Naples '44- Norman Lewis (Eland, 1978). An intelligence officer in the labyrinth.
Italian Journey, 1786-88- Johmm Wolfgang von Goethe. For those who want to experience Campania
as part of the 18th- and 19th-century "Grand Tour" taken by everyone who was anyone. The Schocken
Bodes edition was translated beautifully by W.H. Auden and Elizabeth Mayer.
The Story of San Michele- Axel Munthe's bestselling account of his love affair with Italy, including
the lengths to which he went to build his Grecian villa in Anacapri.
The Volcano Lover- Susan Sontag (Farrar, Straus, Giroux, 1992). A fictionalized account of the
passionate love affair between Lord Horatio Nelson and Lady Emma Hamilton.
And finally, for a truly in-depth understanding ofthis fascinating region, read Unto The Sons, by Gay
Talese (Knopf, 1992). In this multi-generational tale of a family from Calabria, an impoverished region
that was long under the dominion of the Realm ofNaples, Talese paints a vibrant picture of what it was
like to live here as much of Western history swept through on its way to more illustrious destinations.
-
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-· ..... the Marches
··The Arts in Emilia-Romagna and
This part ofitaly has been breeding and inspiring artists for centuries. Dante lovingly describes the land
and its daughter Beatrice in the Divine Comedy. Byron, whose own daughter died. here, often mentioned
the woods <i.nd valleys of the Marches. Stendhal immortalized the region in his great masterpiece The
Charterhouse of Parma. Modern filmgoers will recall the Ferrara ofThe Garden ofthe Fitzi-Contini
(based on a novel by Giorgio Bassani) and of course, the Romagna beloved of Federico Fellini. No one
should travel to this area without having first seen Amarcord, a charming portrait of the wonderful
characters who peopled the great filmmaker's youth.
Several painters were born here, including Raphael. But the art which owes the most to this region of
[taly is music. Giovanni Pergolesi, Giuseppe Verdi and Arturo Toscanini were all born here and left
homes you can visit today. To another local youth goes a great deal of credit for the rebirth of worldwide
interest in the Italian art of the opera. Perhaps no one better than Luciano Pavarotti personifies the love
of life and enthusiasm that Gharacterize the people of these regions.
0
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-··- ··4 or 1:4
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now let families put savings in IRAs and then withdraw them for college
expenses, tax-free.
We created the $1,500 HOPE Scholarship tax credit to make the first
two years of college as universal as high school, and to help families
afford the last two years, as well as graduate school and job training.
We set out to launch a Lifetime Learning tax credit which provides a
20-percent credit against tuition and fees.
Now, this year alone -- those things were done in '97 --well over
10 million Americans will use HOPE Scholarships and Lifetime Learning
credits to open the doors of college and opportunity.
In the past seven years, most of which we spent trying to get rid
of the deficit, America has more than doubled college aid -- the
greatest expansion since the G.I. Bill 50 years ago.
It has proved to
be a great investment.
(Applause.)
Today, coincident with this speech,
I am releasing a report which demonstrates that as student aid has·
increased, so has college attendance, now to record levels.
Fully
two-thirds of our high graduates go straight to college-- that's an
211-time high.
And for the first time in history, a majority of young
African Americans are enrolling in higher education.
(Applause.)
The report also documents what you already know:
The value of a
college education in sheer economic terms is going up. The earnings gap
between those who have a degree and those who don't is growing
dramatically.
Over the course of a career, a p~rson with a bachelor's
degree will earn, on average, $600,000 more than a person who has a high
school diploma.
The return on a college in~estment is now nearly double
the stock market's historical rate of return.
Now, this report, on balance, is good news.
But it has some
sobering information. With all the new financial aid, and even though
the rise in tuition costs have slowed over the past few years, most
families still have to stretch to pay the college bills. Over the past
20 years, the cost of colleg-e has quadrupled.
I' 11 bet there are a lot
of parents here who have taken second mortgages or second jobs to help
pay those tuition bills.
So I'd like to do one other thing in this area before I go, and I
hope the Congress will do it this year.
I would like to build on the
success of the HOPE Scholarship and the Lifetime Learning credits with a
$30-billion college opportunity tax cut.
It would allow families,
whether they're in the 15 percent or the 28 percent tax bracket to claim
a tax deduction worth up to $2,800 for up to $10,000 in college tuition
costs.
It would make a big difference to a lot of families in this
audience today, and I think it ought to be done.
(Applause.)
Again, I say, I know it's important for individual opportunity, but
we have to recognize that we're living in a time when investment in
human ~apital is even more important than investment in physical
capital~
This would be some of the best money this country ever spent.
I also hope we'll do more this year to help young people out there
who are still, believe it or not, unaware of ho'w important and how
possible college is. Maybe nobody is pushing them to take the classes
they need, or they don't know how to get the financial aid.
I have
asked, and I ask again, the Congress to work with us to expand our
initiatives, called Gear-Up and TRIO, to reach out to students as early
as the 6th grade to give them the dream that they can go to college and
to determine to do what it takes to succeed once they get there.
Now, if we do these things, we can provide more students with the
support they need; give more families the relief they need; give our
6/19/2000 10:14 AM
4 of5
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In Italy Online- Books
In response to many requests, we have been able to obtain a small number of copies of a classic book
about life in Tuscany. Authored by Elizabeth Romer, first published in 1984 and re-printed in 1996, it
continues to win the hearts of all who read it and savor the life of a family who lives as if it were still the
tum ofthe century.
THE TUSCAN YEARNIEW2
A
book recounting a family's everyday life in a green and secret (but real) valley joining Umbria and
Tuscany, two of the most historic and beautiful areas ofltaly. Those who dwell here live in medieval
houses, pray before altarpieces painted by Renaissance masters and prepare their food with the grace and
balance instilled into them by hundreds of years of measured civilization. In reading about the family's
daily life and the food they grow and prepare, one realizes how the Tuscan cuisine is inextricably bound
to the culture and personality of Tuscany and its people ..... Month by month, Elizabeth Romer chronicles
each season's activities: curing prosciutto and making salame in January, planting and cheesemaking in
March, harvesting and threshing com in July, hunting for wild mushrooms in September, and grape
crushing in October. Scattered throughout this lovely calendar are recipes, informally and simply
explained- fresh bread and olive oil, grilled mushrooms, broad beans with ham, trout with fresh
tomatoes and basil, chicken grilled with fresh sage and garlic, and apples baked with butter, sugar, and
lemon peel. Alive with the rythyms of country tradition, THE TUSCAN YEAR is a treasure for the
armchair traveler as we11 as the cook.
Paperback 182 pages
us $13.
When ordered from Our Heritage
(Click Here to Order From Our Heritage)
0
-··- ....,._
Back t~ top
Campania at the Bookstore
Naples at Table celebrates the food and people ofNaples and Campania. It encompasses the provinces
of Avellino, Benevento, Caserta and Salemo, including the Sorrento Peninsula, Amalfi Coast, Capri and
Ischia. The author presents the finest traditional and contemporary foods of the region and shares myth,
legend, history, recipes, and reminiscences with fellow lovers of all things Italian.
us $24.50
When ordered from Our Heritage
(Click Here to Order From Our Heritage)
Treasure of Naples- Giuseppe Marotta (Dutton, 1949). Ask any Italian to name a book set in Naples
and this one will most likely come to mind: a co11ection of short stories- sometimes witty, sometimes
poignant - about what the author calls this "mad and mythological and adorable city." The basis for the
film Gold ofNaples, it makes a fantastic travel companion.
Torregreca, Life, Death, Miracles- Ann Comelison (Little, Brown & Co., 1969). An altogether
eli fferent type of experience, the painful, insightful memoirs of an American woman who lived in an
impoverished town south ofNaples during the 1950s and 1960s, while helping to set up nursery centers.
61712000 5:06PM
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economy the skilled wo~k force we all need; and give our nation more
active, informed citizens. At long last, we've got the money to do it.
The only question is whether we have the vision and will to do it. We
owe it to your generation to do that.
(Applause. )
Think about this: A hundred years from now, the Carleton Class of
2100 will be sitting where you are.
They'll look up at this podium, and
perhaps they'll see a President reflecting on the 21st century, the good
old days.
I hope that he or she can say -- (applause) -- that we began
this century in the right way.
I offer all of you my congratulations for the challenges you've
conquered, the projects you've completed, the goals you've reached.
You
should be very proud. And as you embark here, I hope you'll never
forget one other thing, implicit in what all other speakers have said.
All your individual lives will unfold in the context of community -your local community, your national community, and increasingly, the
global community.
If you want to make the most of your own lives, you
have to give something to all of your communities.
As the years pass, I am convinced that your generation will be
judged most, and you will tend to judge yourselves most, on the ways in
which, large and small, you give something back to the whole.
If you do
that, then you will be more than leaders in arts and science, business
and industry; you will be great citizens of our nation and the world.
I honestly believe the next 50 years can bring the greatest period
of peace, prosperity and humanity the world has ever known.
It depends
on whether we do the right thing for the future, and whether we
understand that our common humanity is far, far more important than all
the things that divide us.
May Carleton always be with you.
(Applause.)
Good luck, and God bless you.
END
11:05 A.M. COT
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611912000 10:14 AM
�In Italy Online- Books
http://www.initaly.com/itathomelbooks.htrn
'
grows and expands throughout each chapter. Her nan·ative allows the reader a method of understanding
her Italy fever. From movies to maps, north to south, the reader is introduced and guided into multiple
routes of exploring Italian culture in Italy and at home. Her guidance is not only created by her personal
travel experiences but is also composed oflists ofltalian things that she loves: literature, architecture,
movies, food and wine. Her maps help her to plan out her next vacation; her movies and books are for
while she waits for that vacation. Italy Fever is a wonderful read for those who are preparing to go to
Italy tomorrow or in 10 years. The book not only introduces the reader to Italian culture but also helps to
prepare for a lifetime adventure.
US$21.
When ordered from Our Heritage
(Click Here to Order From Our Heritage)
-oo+-
e ••-
Tuscany at the Bookstore
Under the Tuscan Sun :At Home in Italy NIW!
by Frances Mayes
In this memoir of her buying, renovating, and living in an abandoned villa in Tuscany, Frances Mayes
reveals the sensual pleasure she found living in rural Italy, and the generous spirit she brought with her.
She revels in the sunlight and the color, the long view of her valley, the warm homey architecture, the
languor of the slow paced days, the vigor of working her garden, and the intimacy of her dealings with
the locals. Cooking, gardening, tiling and painting are never chores, but skills to be learned, arts to be
practiced, and above all to be enjoyed. At the same time Mayes brings a literary and intellectual mind to
bear on the experience, adding depth to this account of her enticing rural idyll.
Frances Mayes starts off by saying, "I am about to buy a house in a foreign country. A house with the
beautiful name ofBramasole." Tall, square and apricot-colored with faded green shutters, the lovely old
farn1 house that Frances and her husband buy is in Tuscany. They return every summer, they tend the
olives and grapes, they plant potatoes and build a stone wall. The book has Tuscan soil under its
fingernails, Tuscan sun on its back and the flavor of Tuscany throughout.
Why her and not me, you'll be screaming as writer and professor Mayes describes languorous lunches
on the patio, local wine flowing freely and olive pits casually pitched toward the nearby stone wall. The
image Mayes creates of her house, the Italian countryside, and her summers there with fellow professor
Ed and sundry visitors is nothing short of idyllic: Mayes' delightful recipes, evocative descriptions of the
nearby village of Cortona, and thoughtful musings on the Italian spirit only add to the pleasure.
lf you haven'tbeen to Italy, you'll fall in love with the country after reading this book.
lfyou have been to Italy, read this book and you'll be seduced by its beauty, deep history and
sensuousness. (K.night-Ridder). Featured on the New York Times Bestseller List. "An intense
celebration of. .. the voluptuousness of Italian life."
Paperback 288 pages
us $11.
When ordered from Our Heritage
(Click Here to Order From Our Heritage)
2 of 14
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�- - - - - - - - - - - - - - -
DRAFT: BBA PROVIDER RESTORATION INITIATIVE
As part ofhis Midsession Review budget, the President has proposed to dedicate $21 billion over
5 years ($40 billion over 10 years) to ensure that Medicare and Medicaid payments to health care
providers are adequate to ensure high-quality care. This dedication includes $9 billion ($19
bi Ilion over 10 years) in specific policies that mostly delay further payment reductions scheduled
to occur on October 1. This would alleviate immediate problems being experienced in the health
system. It also includes $12 billion ($21 billion over 10 years) in unspecified funding for use in
developing additional policies to ensure adequate reimbursement through targeted and/or
permanent corrections to flawed policies. This funding would be part of the President's overall
plan to make Medicare more competitive and efficient, add a long-overdue, voluntary
prescription drug benefit, and dedicate on-budget surplus to the Hospital Insurance trust fund to
help pay for the retirement of the baby boom generation. Because of the improved status of the
trust fund, less surplus is needed to get past 2030, thus freeing up surplus for these payment
improvements as well as prescription drugs. This proposal illustrates that adequate financing for
provider payments need not conflict with needed funds for a prescription drug benefit.
Dollars in Billions, FY
5 Years
10 Years
HOSPITALS
• Full inpatient hospital market basket for '01:
• Indirect Medical Education at 6.5 percent for '01:
• Repeal Medicare DSH reduction for '01:
• Freeze in Medicaid DSH allotments for '01:
• Rural initiative [Reserve for Comad, Blue Dog policies]:
Total:
$4
$0.2
$0.2
$0.3
$0.5
$5
$9
$0.2
$0.2
$0.3
$1.0
$11
HOME HEALTH
• Delay 15 percent cut in '02:
• Full market basket update for '01:
Total:
$1
$1
$2
$1
$3
$4
NURSING HOMES
• Full market basket update for '01:
• Delay therapy cap changes for an additional year:
Total:
$1
$1
$2
$2
$1
$3
OTHER
• Complete BBRA ESRD composite rate update
$0.2
$0.6
$9
$19
$12
$21
$21
TOTAL SPECIFIED POLICY COSTS:
UNSPECIFIED PROVIDER RESTORATION POOL:
TOTAL FUNDING:
$40
NOTE: Other specific proposals are under review. These proposals would also have an indirect, positive effect on
managed care payments. In addition, the President will no longer include in his Medicare plan traditional provider
payment reductions for '03-08, repeal of the BBRA managed care risk adjustment policy, bad debt policy and the
preferred provider organization proposal. This reduces net savings by $30 billion over 10 years. This focuses the
President's plan on policies to produce long-term efficiencies and reduce fraud and abuse.
�IS Italy Online- Books
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Books
!Campania][Emilia-Romagna and the Marchesi [Friuli-Venezia Giulia][Rome] [Piedmont! [Sicily]
fTuscany]
Pilgrimage:
A Chronicle of Christianity Through the Churches ofRome
by June Hager
170 magnificent color photographs by Grzegorz Galazka
Rome is £~m1ous as the capital of Christianity and the "city of a thousand churches." With a fresh
perspective on the history of the Roman Catholic church recounted for the millennia! jubilee, visit forty
sacred buildings, from the ancient catacombs to the most recent churches raised in the sprawling
suburbs, and become swept up in the stories of each one: S. Stefano Rotondo, built to honor
Christianity's first martyr, has close and mysterious associations to Christ's own tomb in Jerusalem; S.
Maria Sopra Minerva i.s filled with art treasures and the ghosts of protagonists from medieval Rome; S.
Andrea al Quirinale, with its oval shape, theatrical altar, and splendid dome, epitomizes the Baroque at
its height. End with the origins of jubilees and the churches dedicated to them. Plus an introduction by
Pope John Paul II's chosen deputy for the Great Jubilee.
Here's one reader's review:
"All of you, whether you can get to Rome for the Giubileo next year or not, should have this book.
Everyone who can come to Rome in 2000 should get a copy now and start studying it. I read through
"Pilgrimage" immediately on its delivery and started my second reading, after a short night's sleep, a few
hours later. Walking, book in hand, I revisited II Gesu and S. Maria Sopra Minerva near the Pantheon
with new understanding and seeing with new eyes. Those of us who are lucky enough to live in Rome
have visited many churches, but most of us have seen only their surfaces. What a pleasure it was (and
will continue to be) to visit them again and really know what we are seeing. There are not enough
superlatives for this book. It is definitely not another grim guide that tells which statue is where and
who's in every sarcophagus. Here we get clear and careful analysis --how and why the churches were
built and then restored and redecorated, what they meant to their Catholic communities, and some clues
about what they can mean to us. The text is accurate and insightful and to say that the photos are
sumptuous would be a vast understatement. We've been waiting for years for this book. There is no other
with which to compare it, but how wonderful that the first of its kind is a masterpiece."
US$28. when ordered from amazon. com
(Click here to order)
Italy Fever
... ··---
14 Ways to Satisfy Your Love Affair With Italy
By Darlene Marwitz
ftal)l Fever, 14 Ways to Satisjj; Your Love Affair With Italy, is a humorous personal weaving of tr~vel
tales and, helpful travel tips. Darlene Marwitz's passion for Italy and everything Italian continuously ·
I of 14
6/7/2000 5:06PM
�BACKGROUND: IMPROVING HEALTH CARE PROVIDER PAYMENTS
The Balanced Budget Act of 1997 (BBA) helped eliminate the deficit, created the Children's
Health Insurance Program, and reduced and restructured Medicare and Medicaid payments to
health care providers. Many of the provider payment changes were merited and have contributed
to improved efficiency and unprecedented solvency of the Medicare trust fund. However,
evidence in the last 3 years suggests that some of the policies have the potential to affect quality
and access of health care services. To address this, the President worked with Congress to
improve home health care payments in 1998 and many other provider payment policies in 1999.
Last year's Balanced Budget Refinement Act (BBRA) increased payments by $16 billion over 5
years ($2 7 billion over 10 years). In addition, the President has taken a number of administrative
actions to smooth the transition to new policies and ease the burden on providers.
It appears, however, that problems persist. Studies by the Medicare Payment Advisory
Commission, the General Accounting Office (GAO) and others suggestthat the financial distress
of health care providers that serve Medicare and Medicaid beneficiaries has increased -- in part
related to BBA changes. In some instances, has manifested itself in reduced access to health care
services by beneficiaries.
As such, the President has proposed to modify his Medicare reform plan to ensure adequate
reimbursement for health care providers. His plan would set aside $21 billion over 5 years ($40
billion over 10 years) to delay BBA provider payment cuts and fund additional targeted and/or
permanent corrections. Approximately half of this funding ($9 billion over 5 years, $19 billion
over 10 years) would be dedicated for specific policies designed to address immediate payment
reductions that are scheduled to go into effect on October 1, 2000. The remaining $12 billion
over 5 years ($21 billion over 10 years) would not be dedicated to specific policies but would be
set aside for developing a broader set of policies that make more pem1anent and targeted policy
changes. This funding is part of the President's overall plan to add a voluntary prescription drug
benefit to Medicare, improve its and competitiveness and efficiency, and dedicate part of the
surplus to the program to help finance the retirement of the baby boom generation. Because of
the improved status of the trust fund, less surplus is needed to get past 2030, thus freeing up
surplus for these payment improvements as well as prescription drugs. This proposal illustrates
that adequate financing for provider payments need not conflict with needed funds for a
prescription drug benefit.
The following is a description of the specific policies included in the President's plan; additional
policies could be developed with the reserve fund.
HOSPITALS
General hospitals. In its June 2000 report, the Medicare Payment Advisory Commission
(MedPAC) reported that hospitals' financial status has deteriorated significantly. Even taking
into account the BBRA, MedP AC estimates that hospital Medicare inpatient margins will
continue to fall. Rural hospitals' inpatient margins dropped by nearly twice as much as urban
hospitals' margins did between 1997 and 1998. Academic health centers also experienced a
significantly larger decline in margins. Although reductions in private payments to hospitals in
recent years exceed those ofMedicare, MedPAC recommends increasing hospital updates and
ensuring adequate payment for teaching hospitals.
�Draft 06/13/00 9:25am
Heather Hurlburt
PBOR TOPPER
Before I add a few words to what others have already
said, let me make a comment on yesterday's Supreme
Court decision on HMOs. Americans need the right to
see a specialist; to go to the emergency room nearest
them; to maintain continuity of care; and to hold their
health plans accountable. The Supreme Court has
confirmed what we knew all along - only Congress can
ensure these rights. [hold up USA Today headline] This
issue has languished for too long. It's time for Congress
to act- and pass a real Patients' Bill of Rights this year.
�Rural. Rural hospitals face special challenges- they tend to be smaller, have older and more
vulnerable patients, and often cannot attract or keep health care providers. As noted above, rural
hospitals were disproportionately affected by the BBA's hospital- and other-- payment
reductions. The BBRA invested about $1 billion over 5 years to address many of these problem.
However, many of these policies were temporary fixes that will not help the long-term viability
of rural hospitals.
Disproportionate share payments. Hospitals are often the last resort for people without health
insurance. Some uninsured use hospital emergency rooms for primary care while others delay
care until their problems become more severe and costly. While the number of uninsured has
been rising, Federal payments to dispropmiionate share hospitals (DSH) were cut in the BBA.
This coincides with a reduced willingness of private payers to accept the "cost shifting" to them
that traditionally has helped fund uncompensated care.
To mitigate these payment problems confronting hospitals, the President's plan would:
•
Replace the BBA's inpatient hospital update ofmarket basket (MB) -1.1 percentage points
with a full MB update for FY 2001;
•
Eliminate the BRBA's indirect medical education (IME) payment reduction for FY 2001,
maintainin'g the additional payments for IME at 6.5 percent;
•
Eliminate BBRA's Medicare disproportionate share hospital (DSH) reduction for FY 2001 of
3 percent;
•
Replace the BBA's Medicaid DSH reductions for 2001 with a one-year freeze, so that the
Federal share DSH limits for FY 2000 would also apply in 2001.
•
Reserves about $1 billion over 10 years for rural health care provider policies. This will
include policies to improve the sustainability of rural hospitals, similar to those in the
bipartisan "Health Care Access and Rural Equality Act of 2000 (H-CARE)", introduced by
Senators Conrad, Daschle and Representatives Foley, BeiTy, Mclntrye, Pomeroy, Stenholm,
and Tanner among others. In addition, improving the equity for rural hospitals in the
Medicare DSH fmmula will be considered.
The June plan also modifies its savings policies by dropping the FY2003-2008 polici~s to reduce
hospital market basket update and capital payment reductions and the budget proposal to reduce
hospital bad debt. These hospital policies saved over $20 billion over 10 years.
.
HOME HEALTH
There has been a significant decline in home health spending since the implementation of the
BBA. While some of this reduction reflects elimination of overpayments, waste and fraud, it has
appeared to cause access problems in some situations. A recent George Washington University
survey found that about two-thirds of hospital discharge planners reported increased difficulty in
initially obtaining home health services for Medicare beneficiaries.
�Draft 06114/00 6:10pm
Schiller/Hurlburt
FIRST LADY HILLARY RODHAM CLINTON.
COMMENCEMENT ADDRESS
MERCHANT MARINE ACADEMY
KING'S POINT, NEW YORK
June 19, 2000
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You've chosen to stand up for America's national security, by committing to serve in
America's armed forces. You've chosen to pursue prosperity at the cutting edge of America's
economic growth - our trade with other nations across the water. And, by coming to this
Academy, and following the example of the brave men and women who c.ame beforeyou, you've
chosen to live your lives in accordance with fundamental American values -the same values that
have inspired generations of [cadets], in peace and war, to risk their lives at sea.
In the years ahead, you will have more choices to make, about how you live your dreams
and to what you dedicate your lives.
America also has choicesto make, about our nation's rightful place in a globalizing
world. The Cold War world of zero-sum conflict and unchanging ideological rivalries is gone
for good. In its place, advances in computers and communications are tearing down barriers and
building new~e world. They are changing everything about how we live and
work. And j
, · ey are takmg away the d1stmctwns that made foreign affmrs Me
foreign.
·
The world now comes home to Americans every day. The same global positioning
technology that has revolutionized the merchant marine can also be used by hostile powers and
terrorists to threaten our soldiers and civilians -- anywhere.
The instant communication of the Internet brings with it instant and devastating viruses
that can originate anywhere in the world.
The new global markets that bring prosperity to millions of American workers and
businesses can quickly threaten the jobs and livelihoods of others.
And the transportation networks that carry goods and people to more places more quickly
than ever before can also bring pests and disease, like TB or the West Nile virus, from far-off
places to right here at home.
[find out what his title should be]~ 'The Body' Hols;;u lass of2000, says on his
web page about campus life here that "Surviving at Kings Point requires you to live by the
saying 'Graduation by Cooperation.' You rely daily on your classmates for everything." Jesse, I
�The President's plan would:
•
Replace the BBA's home health update ofmarket basket (MB) -1.1 percentage points with a
full MB update for FY 2001;
•
Delay the BBA's 15 percent reduction in home health payments for one additional year until
FY2002.
SKILLED NURSING FACILITIES
The BBA created a new prospective payment system for skilled nursing facilities (SNFs) that
went into effect in 1998. This new system contributed to changes in the SNF market. Recent
GAO and Office of the Inspector General studies have found that SNFs were more cautious
about admitting high-cost cases; 58 percent of hospital discharge planners reported that Medicare
patients requiring extensive services such as intravenous medications have become more difficult
to place in nursing homes. Additionally, several large private SNF chains have experienced
financial problems, in part the result of the payment changes.
The BBA limited yearly payments for physical I speech therapy and occupational therapy to
$1,500 each per beneficiary. This limit caused a large number oftherapy users to have payments
that exceeded the caps and thus paid for services out-of-pocket. The BBRA put a two-year
moratorium on the caps while a study is being conducted to determine appropriate payment
methodologies. However, this moratorium may not be long enough to complete this work.
The President's plan would:
•
Replace the BBA's SNF update of market basket (MB)- 1 percentage points with a full MB
update for FY 2001.
•
Delay for an additional year (until FY 2002) the application of the therapy caps providing
additional time for development of policies.
It would also drop the nursing home bad debt reduction that was in the budget.
MANAGED CARE
. .
One of the challenges facing Medicar~ managed care plans i·s adjusting tq·tl;e BBA changes
while maintaining extra services were offered before the BBA- in particular, prescription drugs.
In the last several years, plans have significantly reduced the generosity of their prescription drug
coverage. For example, in the last two years, the proportion of plans that limit drug coverage to
$500 or less has increased by 50 percent. In 2000, about 75 percent of plans limit drug coverage
to $1,000 or less. Part ofthis results from the BBA's rate structure which is based on a
complicated formula. It also reflects the general tightening of the managed care market.
The President's plan includes a competitive defined benefits proposal that restructures managed
care plans' payments, promoting competition on prices, not extra benefits. In addition, it would
explicitly pay managed care plans for prescripti'on drugs for the first time; this represents about
over $20 billion over 5 years (over $75 billioi1 over 10 year) with the changes in the prescription
drug proposal in the Midsession review.
·
�their lives swept away in mudslides and floods. I met soldiers of every
race and religion working to stop ethnic bloodshed in Bosnia and
Kosovo. And I talked to military families who have led the way in
making their schools and child care centers the envy of civilians.
We have to choose. Will we keep doing what it takes to keep
outstanding men and women like you in our nation's service - and keep ·
our forces ready to fight and win? We just funded the biggest military
pay raise in 20 years. But there is more to do to make America's armed
forces the best place to spend a career and raise a family. And we can
start by improving military housing, and ensuring that no service
member ever needs food stamps to make ends meet.
We have to choose. Will we stand, as a nation, behind our armed
forces 100 percent, wherever they are? And use our diplomacy to
resolve critical conflicts before we ask our young men and women to
walk in harm's way?
When we support talks between the leaders of North and South
Korea, we reduce the chance that Americans will ever again be called to
fight and die on the Korean peninsula. When we stand with leaders in
the Middle East and N orthem Ireland as they make hard choices for
if~
peace, we help bring security to regions of great importance to us.
;: · \ (1o CJYhen we stand for human dignity in the Balkans, we start this new
·
~~
century hopeful that we can leave behind the hatred and bloodsl1ed that ,,..,,f~f~ I)JJ;PDlllarred the last on·~·,dlafCJt ~., oJ ~ UL ;U~ fl<o::/-1L& ~~- _ ~J
·
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In this new entury, we must choose to face up to new threats from Lc.)(J.terrorism, international crime, and chemical and biological weapons.
we've seen the destruction they .can bring from embassy~-.rbings in
e've seen
'
:Africa to a New Year's plot stopped on our own border.
missues th~will sink a ship bought on the black market
hidden in a
duffel bag. . e've ~een the tools ofterror.is~ become ~he~per, de~dlier
and more e Ily available. We've seen m1ssiles that will s1nk a sh1p
b-ought on-the black market anQ..hidt~ in a duffel bag. We've seen
s~~-b
.
•
�Additionally, the plan drops its proposed repeal of the BBRA risk adjustment policy. HCF A
announced on 6/19 that it will work with MedPAC, health plans, beneficiaries and others to
develop a slower-phase in of risk adjustment, addressing administratively the concerns about the
schedule. HCF A will maintain its commitment to using comprehensive, outpatient data
beginning in 2004, but will phase in the percent of payments based on it.
Note: Amount of payment that is risk adjusted:
2000 2001 2002 2003 2004
10% 30% 50% 80% 100%
Original ·
10% 10% 20% 80%' 100%
BBRA
END-STAGE RENAL DISEASE
Medicare covers about 300,000 people with end-stage renal disease (ESRD)- people who have
diabetes, hypertension or other diseases that result in severe impairment of kidney function.
Medicare's composite rate (payment rate for outpatient dialysis services) has not kept pace with
the increasing acuity of patients and cost of services. For the past several years, MedP AC has
recommended updating the payment rate to reflect these factors. The BBRA went part way to
the MedP AC recommendation by updating it by 1.2 percent in 2000 and plans another 1.2
percent increase in 2001 -the first increases since 1991.
The President's plan would fully comply the with MedPAC recommendation:
•
Increase of 1.2 percent for CY 2001 on top of BBRA increase of 1.2 percent.
Note: The plan also drops the PPO proposal and payment reductions for labs, ambulances,
durable medical equipment, parental and enteral nutrients, and prosthetic and orthotics for '0308. These proposals saved about $9 billion over 10 years.
�reserves. You chose to look across the oceans to build America's
prosperity through trade and transportation. And you chose to stand up:
for a set of values that have defined us as human beings and as a nation.]
So too must America choose. We have stood at this crossroads
before. After World War I, we looked inward - and a generation paid
the price. After World War II, our mariners helped point the way toward engagement, not abandonment. Toward the Marshall Plan to
help old allies and enemies alike rebuild as trading partners and friends.
And toward the understanding that Americans can only build the future
we want at home if we lead the way toward peace and justice abroad. .
And now we must choose again in this new global world. Today
the Cold War is over. More than half the world's people now elect their
own leaders. Commerce and communication are tearing down the walls
between us, transforming how we live and work and giving rise to
changes that bring both progress and peril.
The same technology that has revolutionized the merchant marine
can also be used by hostile nati~ns, terrorists and drug traffickers to
~.
threaten our soldiers and civilians. The new global markets that are
\!)~ bringing prosperity to millions of Americans ean thn~aten the livelihoods
~ .of others. And the transportation networks that carry goods and people ·
/V'J ~f> to more places more quickly than ever before can also bring deadly
'b'\fJ 1_ diseases into our homes and neighborhoods.
·~~
So which will it be? Will we build a fortress and turn our backs t
the water's edge? Or follow the path you have chosen1~d protect our
national security, our prosperity, and our most cherished values in. this ·
global age?:J
Over the past seven years, I have had the privilege of meeting
many of your fellow servicemen and women, all part of the best-trained,
best-equipped, best-led armed forces anywhere. I saw them bringing
health and hope to people in Nicaragua and Honduras who had watched
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Heather Hurlburt
Creator
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Office of Speechwriting
Heather Hurlburt
Date
A point or period of time associated with an event in the lifecycle of the resource
1999-2001
Is Part Of
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<a href="http://clinton.presidentiallibraries.us/items/show/36161" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/7431953" target="_blank">National Archives Catalog Description</a>
Identifier
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2008-0700-F
Description
An account of the resource
Heather Hurlburt's speechwriting collection consists of speeches, drafts, correspondence, and background research. Hurlburt worked as Special Assistant and Speechwriter to President Clinton. Her speechwriting files date from 1999-2001. As a speechwriter, Hurlburt prepared remarks on primarily domestic issues ranging from health care to the Special Olympics to the Mississippi Delta Region to the Kennedy Center Awards. She wrote remarks for policy speeches, radio addresses, commencements, taped video remarks, and award ceremonies or tributes. She also prepared a few speeches for the First Lady, and one undelivered speech for Sandy Berger on the topic of military reform.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
Extent
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128 files in 11 boxes
Text
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Original Format
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Paper
Dublin Core
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Title
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DC College Access Prescription Drugs 6/20/00 [Remarks]
Creator
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Office of Speechwriting
Heather Hurlburt
Identifier
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2008-0700-F
Is Part Of
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Box 5
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2008/2008-0700-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/7431953" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
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Adobe Acrobat Document
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Reproduction-Reference
Date Created
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12/15/2014
Source
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42-t-7431953-20080700F-005-002-2014
7431953