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�THE WHITE HOUSE
Office" of the Press Secretary
For Internal, Use Only
February 19, 1994
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REMARKS OF THE FIRST. LADY
AT BLACKHAWK TECHNICAL COLLEGE,
J~NES~ILLE, WISCONSIN
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MRS. CLIINTON: Thank you so much. I am just,
delighted to be he're and to see this great crowd talking
about, wondering ~bout, and planning"for health care reform,
and I am delighted that I could have' with me one of your Rock
County hometown bdys, Russ Feingold, 'and he and I have had a
great time the la1t few days.
(Applause.),
I want you to know .how effective he is in
washington"speak~ng on behalf of Wisconsin and Wisconsin'i'
needs, but also or} behalf of Amer,ica. " And one of the really
important.parts of health care. reform is'that we have tried
to learn from what works in our. state, and we've learned a
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lot from Wlsconsln.
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~irstmeeting
probablJ the very
I had where Russ
was present he said, tllook at the long-term care option
program in WisconSin, 'the community options program, and try
to make it a modei. for the rest of the country, 'and try to
give us some'help!so we can get people otf waiting lisis, and
don't forget about- prescription drugs for older Americans."
So we've been lis~ening to Russ and trying to follow his
leads, and we're very grateful to him.
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And 1t'S a specla I pr1vl I ege f or me t 0 b e h ere Wl th
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your new congressman, Peter Barca.,
-~ Peter is cohtinuing
the fine traditioh that Les Aspin started, of'representing
the first district with class and commitment, and a ,sense of
humor.
I don't know what you all have in the water, here,
to produce people! like Les Aspin and Russ Feingold, and Peter
Barca, but whatever it is, you ought to export it to the rest
of the,country, b~cause it really does make a difference to
have leaders like these three men. So t'm deiighfed to be
here.
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I want tp spend just' a few minutes with ybu talking
. about health care ~eform and what we're, going to try to do.
'But I also' wanted ~o thank everybody associated wIth the
college for helping to put this on.
I know it is a big task
when you have to
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together to do this.
I also particularly,wanted to acknowledge Al
Stegman, (PhonetiC)I, who dislocated a shoulder putting up a
banner, maybe that banner right there.
I hope he's fine., I
hope he'll be bac)c! at work and full speed ahead very shortly,
but I appreciate ~t a,nd wanted" him and his family to know
that.
So I'm ver~ grateful to all of you who had anything to
do with this.
I als6 ~ead an article from the local paper abbut
whether or not Bess Truman was here.
I don't have any,
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insight into that.1 I have learned, though, since I've lived
in the White House, that she was a whole lot more. involved
than folks knew. I , '
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Most evenings she and President Truman would retire
together to his study, and she'd read most of his papers and
correct his lettets, and do things that needed to be done, so
if she wasn't herd physically, she was here in spirit, I can'
guarantee you that. And,I'm delighted to be here in person
and to have a cha~ce .(inaudible)~
What islthis hearth care reform debate, all about?
meanf why area~l of you here, and why am I here, and why
are we spending all this time? And why are some people
sp~nding a lot of money to run advertisements against it?
What is it that's' going ,on?
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Well, very simply, what's going on is that we have
finally recognized ·the kind of fundamental difference between
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the two parts of 0ur health care system. .On the one hand, we
have the finest dbctors, ~urses, hospitals, and medic~l care
providers in the ~ntire world. There isn't any doubt about
that. We also ha~e the stupidest financing system of. any
health care syste~ in the world. ' "
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A lot
folks who studied this for a long time,
and even mo~e,pe~ple who have lived with it:, doctors, who
have watched as their, practice has gotten interfered with by
insurance company regulations, or government, regulations, who
have found themseives having to call up some insurance
,
b~reaucrat to ask permission about running a test on a
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patient. Hospital administrators, who have had to 'hire four
clerical,workers for .
every doctor they could hire bedause
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they ha~ to keep up w1th,all'the paperwork demands generate4
by the way, we pay, for, health care in this country,. ' Nurses '
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who went to nurs1ng school because they 10ved,be1ng able ~o'
take care of peoplk, who are spending ,half their time fillin~
out forms that havk nothing to do' with patient care. The
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government spend1ng more and more money on health care, the
state of 'Wi~consinl spending more and more money on health ,
care.
Employers like many of the five world leading'
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'businesses that halve headquarters right in this congressional
district spending more and more money on the same health
care. Workers bei~g told that they're going to riavS to pay
more next year fori the same health care -- more than they
paid this year -- being told they could no long~r go to the
doctors with'whom ithey had a relationship going back to
childhood, because those doctors were not in the health plan
that'their employe1r was buying this, year.
a~ethekinds
day-to-dayinvolvem~nt~with
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Those
of
the health care sl'lstem that have caused l?eop~e allover the
count.ry to lift tHeir heads up'and'to say,"wait a minute."
I m~an, we can do 'better than~this~ , ' ,
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We cati be more sehs1ble 1n the way we purchase
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health care so that we can cont1nue to support the doctors,
th~ nurses. the hdspitals, the things that w~need when we're
sick. As I haVe ~raveled around the couDtry, that is what I,
have heard'over add over again.
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,I've had people say to ~e, "you know,. I :don't
understand why I dan't get insurance.
I'm willing to pay for
,it, but theyte1llme I ,have a preexisting condition, and they
won't sell it tome." '
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with parents of chronically ill
childre~, people ~hO made good li:,ings, who wan~e,d. to be
respons1bl~, who ~old me how they qouldn't buy 1nsurance at
an~ price b~6auseltheir children were chronically ill.
And
I've listened to parents whose children got sick, and all of
a'sudden what they thought was a secure insurance, policy
turned Qutv:to have a lifetime limit, ,and that lifetime limit,
once it wa,s, hit __ ,m,eantthe Y didn't get any more .insuranbe
coverage. '
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I've talked to hundreds and thousands of ~mericans
who get up every d.ay, go to work, who pay 'their taxes but
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don't have ,health ,~nsurance because they don't'work for
somebody whohelpsj provide health ,insurance; But the taxes
they pay provide h~althinsurance for people who don't work
an~ are on welfarej. ' < '
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So all .of .
those 'things added up together have
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gotten us to this pOint, where we've nearly 40 mllilon
~mericans, most ofl whom work, every singl~d~y, without health
lnsUrance. We've got another 22 or 25'mllllon who have
,insurance, but do ¥ouknow the kind of insurance it is? It's
$3,000, $5,000 dedu,' ctibl~ insuiance.
It doesn't ~ay for,
primary or preventive health care. r "
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Artdwe hlve Medicare which -.- let me, remind you -
~is a government he~l~h care system.
A lot of people ~on/t
know that Medicare~is paid for by taxes that come out of your
paycheck every wee~.
It is a government-run, taxpayei
, supported ,health c~re'syste~. ' And th~nk goodness ~e have it,
foro~r citizens jver the age of 65.
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So'weknow that we can provide basic health care to
senior citizens~ ,~e'know ~e take care of the poorest of our
citizens on welfar,e, but everybody else in the middle is
basically in abi~,giant~oulette game. Whether your number
c.omes up to have i;nsurance or not, depend~ upoll how old you
are, whethet you or a member of your famlly has ever been
sick be'fore, wheth'er or not you have an employer who will
help you so that'YI~u_can af~~~d insb~ance~
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And what the Presldent declded is that we ,need to
build, on what wor]{!s in our health care system. We 'need to
maintain ali of i~s stre~gths, and we need tb fix what
doesn't work.
So he has piopos~d the following:
let's guarantee
private insurance Ito every single American. Let's do so by
building on the s~lstem we have~ and that system is the
employer-employee Isystem.
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You k:now if you believe, as the President and ,I do,
. that we should ha,je everybody insured' in Americ,a -- because
once everybody is,linsured, th~h everyb<?dy is secure .. ' You
don't' have to worrilY about loslng your Job. You don't have to
worry about crossing state lines to take another job, or
moving somewhere. I You don't have to worry about the
preexi~ting conditiions.
Everybody is insured. " '
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we ean begin to , control cost because what
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happens today 1S that because 1n our country peopl~who don't
have insuranbe ev~*tually.get health care. They go to the
.emergency room. They get· health care, but because they can't
pay for it, the re~t 6f'us pay for it. We continue:to shift
...the cost around. . 1
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So when you go to the hosp1tal and you get that
and you looklat it, ~hd 'it says $15 for an Abe
bandage --right? T~ $25 for an ice pac~. And you ~ay to
·yourself, what is going on? What's going on is, that you,
with your insurance throtlgh'your employer, are helping to pay
.for all the peoplejwho couldn't pay 'for their health,care.
That's howDur system workstoday~
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If everyliJody is , in the system, and 'everybody is ,
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paying someth1ng, ~hen we can squeeze those costs down, and
we'can begin to s.tJ!.eamline our system.
If everybody is in
the system we,don~~ need i~oo di~ferent health insurance
companies'selling ihousandsof different policies, deciding
who does or does n6t get insurance and how much they pay.
paperw~rk.
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We don't/need all of that
We don't,need
all of that bureaucracy. We can start hav1ng nurses'tak1ng
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care of pat1ents aga1n'1nstead of,f1111ng out forms. W111 be
better and-more c6st effective for us to have that kind of
health insurance.
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We. also ~eed topreserve.apd strengthen Medicare.
We need to add to Medicare the two benefits that I hear
people asking for .411 over the country; The number one out
of-pocket cost forlolde~ Americans. are prescription drugs.
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Yesterday when I was in South Dakota, I'was talking
toa bunch, of' folks in a sm~ll town called Lennox~ and a man
grabbed my hand. , ~e said 'he and his wife lived o~ $18,000 a
year. ' He was retired, he had social security and he had a
small pension. La~t year, .1993, they. paid over $9,000 in '
prescription drug~ills .. ' "
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a~steve~'s
I was inlameetirig
Point last night,
and a wo~an,told , me her drug b111sare $4800 a year. That is
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not uncommon.
I hear that everywhere I go ,.'
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And'you ~now what happens because'so many older
Americans cannot afford the medication 'their doctors
prescribe for them? They don't take it. Or they read that
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prescription, and it says:
"take four pills a
days", and they sa~ to themselves, "well, if I
a day it will last for 40 days." It will last
they don't take it right, and they end up back
hospital.
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day for 1.0
take one pill
longer.
So
in the
Prescription drugs are not only the right thing to
do for senior citi~ens, it is the smart thing to do
economically.
If vie help them pay for prescription drugs, we
will keep people oJt of hospitals and save money in the long
run.
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The othe~ benefit we need to add to Medicare is
long-term care.
And long-term care modeled after Wisconsin,
which means an opt~on for home-based care and community-based
care.
I saw it in ~erson, working.
I met with citizens at steven's Point.
I met with
citizens in Milwaukee who are the recipients of the Wisconsin
long-term care • opti1oned program which, by the way,
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Sen. Felngold lntroduced and worked for when he was the State
Senator instead of Itheunited States Senator. And I listened
to their stories, a,nd what I heard over and over again was it
is the l':."ight thing to do -- help people stay in their homes,
but it saves money.
I sat this morning with a couple where the wife had
had heart problems land then had a stroke. Her husband needed
a little bit of hel,p to keep her at home and take care of
her.
He couldn't ~ind it at first.
He had to put her in a
nursing home.
Her health began to deteriorate.
He was upset
and sick half.• the t1ime.
They .finally got her in one· of these
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communl ty optlons programs.
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They sat ~here holding hands, all three of us with
tears in our eyes f Iwhile they t<;llked about what it meant to· .
be able to do that.1 But the pOlnt that the husband made was:
not only was it the right thing, that he could take care of
his wife, but it sa~ed thousands and thousands of dollars.
When will we learn in this country to take care of
people with respect and dignity, and save money, instead of
warehousing them in nursing homes? And so all of us who are
at this moment still under 65, we need comprehensive health
care benefits that kvery American is entitled to, and those
benefits should inc~udeprimary and preventive health, care.
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Because'another problem with our insurance system
is, they will not pay to prevent a problem, but they will pay
for the hospitaliz~tion, and the surgery, and the
chemotherapy. The~ won't pay for the well-child exam, but
they'll pay when you take your child to the emergency room
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because that earache that you should have been able to get
covered if you tooM him to the doctor has turned into a
serious infection.
They won ,It pay in many instances for the mammogram
or the pap smear, ~ut they will pay for the surgery or the
chemotherapy. We ~ant a health care system that rewards
responsible behavior and pays for primary and preventive
health care, and tHe President's plan includes that as part
of the benefits ev~ry American is entitled to.
Now some of you in this audience are employed by
employers who pay all or a significant portion of your health
care benefits. Ottiers of you don't have quite as much of
your benefits paid Ifor, but you, too, have employer-based,
employer-contributed health care.
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Some of Ylou are self-employed, and you're out there
by yourselves trying to figure out how ,to insure yourself and
your family, and wfi don't think it,is fair that for those of
you who are self-e~ployed, you are discriminated against.
And so 'the presiderlt's plan includes 100 percent tax
deductibility for t1he health care benefits that a self
employed person hasi to pay for.
And for small businesses, we know that you are in
the worst of all pdssible worlds. If you are among the
majority of small b;usinesses who do something about health
care benefits for ypur employees, you are discriminated
against more than any other part of the insurance market.
You pay m10re than the big businesses that are also
in this country. YpU go into the insurance market even if
you:re in small gropps,or associations with two strikes
aga1nst you, often pay1ng 35 to 40 percent more than your
larger neighbors~
What we ale proposing is to level that playing
field, to pool, to put into purchasing co-ops small
businesses, farmersl' ranchers, entrepreneurs, the self
employed, families, individuals, so that you could have the
same bargaining power that government and big business does.
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Right now those of you in Wisconsin support health care for
your state employees through your taxes. You support health
care for federal e~ployees, and spouses like myself, and
Peter, and Russ. ~our tax dollars pay for those plans.
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And you
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how both the state and the federal
government operate~ They operate, 1n effect, as a purchas1ng
co-op. They pool ~ll the dollars that your tax dollars are
. as the employer and the contribution of the employee. Then
they go into the m~rketplace and they say to all the health
care plans, if you Iwant to give health care to state
employees or federal employees you have to come, and you have
to layout what yo~r options are.
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And then lit's not the employer's choice as to which
health care plan to join, it·is the individual's choice. So
every state employe:e, every federal employee, every single
year, has a period fhen he or she looks at all the health
plans that the co-op, namely their employer, your government,
have been able to slecure for them, not government-run health
care.
It's not Ithe government which comes to the state
employee, or to my husband and me, and says, we're going to
run your health carle. That's not how it works.
It is the
fact·that we are in! this big purchasing cooperative, so that
as we get informatipn, whether it's an insurance plan or a
local doctor-hospital network, or whatever it is, we make the
decision.
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We take our dollars, the combined dollars from the
government, our emp!loyer, and our own personal dollars, and
we then buy the heaQth plan we choose. And if we don't like
it in a year, we sw~tch and choose another one.
It is that
kind of choice thatl the President's plan guarantees for every
American. what we ~ant is to give to you the same choice
that we have in Washington.
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And what has happened, is, the insurance industry
has tried to come ih with this big advertising campaign of
misinformation to s~ythe President's plan wants to take your
choice away. well,1 I'll tell you what: ,the only choice
they're worried about is the choice to keep denying you
health insurance or\ charging you more than you shoUld have to
pay for insurance because the President's plan is not
government run.
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And the ~resident's plan guarantees choice to the
person who should make the choice, not the employer, not the
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government, not the insurance company, but you, you and your
family.
~n~ then What we hope will happen is that as .
literally millions 10f Americans, as we do now through the
federal government, or as state employees do through the
state government here in Wisconsin, millions of Americans
will exercise thei1 choice.
Some plans will get a lot of subscribers because
they do a good jOb'l and other plans will have to become more
sensitive.' They will have to figure out how to treat people
better. They won't be able to keep you waiting in line or
sitting in, the waiting room, because they know that the next
year if you're not Isatisfied you can go somewhere else. .
And everYI area of the country will be guaranteed at
least three plans, and most areas will have many, many more
than that.
Rural areas will be connected up with urban
areas, because eac~I state will decide what • the plan area
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should be, and the ~ural and urban areas wlil all be pooled
together.
And there will be incentives for doctors and
nurses, and hospitals, to stay in rural areas.
And farmers
and ranchers, and small business people will have access to
the same quality he~lth care as ~eople who are now being well
insured in our curr~nt system. What we hope is that as this
debate goes forward we will listen carefully to one another
so that we can make the right decision.
Every time anybody has ever tried to do anything
about health care, ~he same argument has been raised against
change.
Franklin Roosevelt tried.
You know, he thought that
health care security would follow on the heels of social
security, but he couldn't get it done.
presidentlTruman tried twice', in 1945 and 1947. He
proposed health care reform legislation. And I've gone back
and r.ead some of hik speeches and they make us all look
mighty meek.
I meah, he really laid it out there.
He said
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exactly what he thought should be done, and he foresaw a lot
of what our problem~ are today.' ,
We finally got Medicare in the 1960s, but some of
the very same people who are fighting against this reform
today foughtagalnst Medicare. They called Medicare
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socialized medicihe. They said that y6u would go to
government bureauc~ats for Medicarej' instead of to doctors.
Well, I'~e talked ,to my moth~r a lot.
I don't
think she's ever seen a government bureaucrat for her
condition.
She go~s to her doctor as everybody on Medicare'
does.
So once aga~n it was the ,big advertising campaign
against change tha~ was not successful because people
overcame it.,
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Then President Nixon
he. came forward with a
health care reform Iplan that is very much like what my
husband has proposed. He said, let's build on what works.
Let's build on the lemployer-employee based~ystem.and
guarantee ever Ybod1 is in it.
This is not a republican, or defuocratic problem.
When you're si6k~ ~hen you're in the hospital, and your
doctor comes to y(m and says this is what he thinks should be
done, you don't sa~, "well, is that a conservative or a
liberal, or a democratic or a.republican proposal?" Is that
medication ideolog~cally (inaudible)?
We need Jo get the politics out of ' health care. We
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need to get the regulatlons and the paperwork out of health
care. We need to ~ive health care back to the people who
should be involved lin'it: the doctors, and the nurses, and
the hospitals, and the patients of America.,
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Now this is going to be a real struggle, because a
lot of people have made a lot of money on the system just the
way it is.
There are .
hundreds of billions of dollars of
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fraud, o~ wa$te, o~ abuse, of dupllcatlon of unnecessary
tests a'nd procedures in this current system, and yet we don't
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even coverA::e::::dl:~erni urns, your co~pays, and your
ded~ctibles
keep going up, so we know we can do better. And
the kind of plan t~e President ha~ outlined lays out a system
for preserving wha~ works while we fix what is broken, and so'
it's going to be, a challenge.'
But youkI}ow, being here in Wisconsin, I can't help·
.but think of two ch,allenges that have been overcome in the
last couple ofmontihs.
I mean, I am f.rom Illinois,and if
an¥'body had said
me two <?r ~hree yea~s ago' that you were
gOlng to have a Rc)se Bowl, wlnnlng football team.
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But let me say this.
If you liked what Donna
Shalala did for th~ football team of the university of
Wisconsin, she's g6ingto be in charge of implementing the
health car~ system~ She's got a pretty good eye for talent,
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The. othen, of course, " what happene d"
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yest~rday when Dan Jansen finally triumphed.
I had the
privilege of being in Norway last week, and I saw that first
race, that terrible disappointment to Dan and his family, and
~~se~:~~~~~y in Amlrica who cares about him and has followed
I went toI see him after the race was ,over, because
he said he wanted to meet me, and you know I told him that we
were all proud of ~im, and I could tell that this was such ~
painful moment for Ihim.
But his character came through.
You
could tell by looking at him that, even without a medal, this
was a champion in ~ife because of the way he conducted
himself and how he Ibehaved, und~r incredible pressure"
. I also t9ld him that I understood a little bit
about being knocked down and getting back up, and keeping
going and never gi~ling up. And then, when he did win
yesterday, I think all of us felt such a'great sense of
relief and gratitude that somebody who deserved to win really
had put it togethe1 and done that.
I feel sOlmewhat the same way about this. health care
reform struggle that we are in.
You know, there aren't any
gold medals at the ~nd of it.
But for over ~ year I have
looked into the eye1s of people like Bill and Jeannette, whom
I met in Milwaukee Itoday -- the husband taking care of his
wife -- and I have listened to working men and women tell me
the stories that affect their lives bec~use they cannot
afford health care.
I' have talked with so many people in our ,country
who every day get up and do the best they can, often against
great odds. And I ~ecognize that although this will be a
challenge -- and me~bers of congress like Peter and Russ are
going to have to re1ally struggle over this make sure we get
it right.
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If we do dt this year, if we keep faith with
ourselves and beginl to free up the billions of dollars in our
health care system ~o actually go to taking care of people
instead of pushing paper, then we will not only have saved
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money, which is ver.y important, we will also have saved
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lives. But maybe ~ven beyond that, we will have saved faith
with each other abdut the kind of people we are and the kind
of country we have'l
. I feel so blessed that my family· has been healthy.
But I want to live lin a country where everyone of us will be
guaranteed that ou~1 health care needs will be met if we need
them, and where we can look at our neighbors, who are
laboring under health care problems that came out of
nowhere -- which tHere but for the grace of God go the rest
of us -- and know ~hat we live in a country that deserves a
medal for taking c~re of people and showing compassion, for
being the kind of ~merica we ought)to be.
Thank yoJ all very much.
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Title
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Lissa Muscatine - Press Office
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First Lady's Office
Press Office
Lissa Muscatine
Date
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1993 - 1997
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A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36239" target="_blank">Collection Finding Aid</a>
<a href="http://catalog.archives.gov/id/7431941" target="_blank">National Archives Catalog Description</a>
Identifier
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2011-0415-S
Description
An account of the resource
<p>Lissa Muscatine first served in the Clinton Administration as a speechwriter. Within the First Lady’s Office, she served as Communications Director to the First Lady.</p>
<p>Lissa Muscatine’s records consist of materials from First Lady Hillary Clinton’s Press Office, highlighting topics such as health care, women’s rights, the Millennium Council, Hillary Clinton’s 2000 Senate campaign, and deal extensively with press interviews given by the First Lady; her domestic and foreign travel; and speeches and remarks, on a wide variety of topics, given by her before and during her time as First Lady. The records include interview transcripts, press releases, speeches and speech transcripts.</p>
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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Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Extent
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1,324 folders in 27 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
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Paper
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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FLOTUS Statements and Speeches 12/2/93 - 4/26/94 [Binder]: [2/19/94 Blackhawk Technical College]
Is Part Of
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Box 14
<a href="http://clintonlibrary.gov/assets/Documents/Finding-Aids/Systematic/2011-0415-S-Muscatine.pdf" target="_blank">Collection Finding Aid</a>
<a href="http://catalog.archives.gov/id/7431941" target="_blank">National Archives Catalog Description</a>
Creator
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First Lady's Office
Press Office
Lissa Muscatine
Identifier
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2011-0415-S
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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Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Reproduction-Reference
Date Created
Date of creation of the resource.
11/26/2012
Source
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2011-0415-S-flotus-statements-and-speeches-12-2-93-4-26-94-binder-2-19-94-blackhawk-technical-college
7431941