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President Bush Discusses Medicare Prescription Drug BenefitKings Point ClubhouseSun City Center, Florida President's Remarks view Fact Sheet: Medicare Prescription Drug Coverage In Focus: Medicare 11:09 A.M. EDTTHE PRESIDENT:Thanks for coming. Please be seated. Thanks for the warmwelcome. It's great to be here in Sun City Center. Brother Jeb said, ifyou want to come to a really good place, come here. (Applause.) First ofall, I think it's a pretty neat deal when you get introduced by yourbrother. (Applause.) Particularly since he's such a good Governor. (Applause.) We both share the same political advisor -- Mom. (Laughterand applause.)I don't know if Mother is still telling you what to do,Jeb, but she's certainly telling me what to do all the time. (Laughter.)And both of us married well. The First Lady of Florida is a fantasticwoman, and so is the First Lady of the United States. (Applause.) Laurasends her very best. She sends her love. Yesterday she represented us inCosta Rica -- they inaugurated a new President, and they sent the wordback, please send the best in your family. (Laughter.) So we sent Laura.I'm also proud to be joined by Congressman Adam Putnam. Where's Adam? There he is. Thank you. (Applause.) He's a smart guy. He's a smartperson and he's a good guy to work with, and I appreciate you being here,Adam. I want to thank the WCI Communities' leadership and staff for havingme here.What I thought I would do is spend a little time talking about the newMedicare program. The reason I'm doing this, because I want people to signup. And then I'll answer some questions if you have some. And then I'mgoing to go to Orlando and do the same thing tomorrow morning -- just likeI did earlier in South Florida. And the reason why I'm doing this isbecause we have changed Medicare for the better, but sometimes changecreates anxieties. In other words, people say, well, maybe I don't want tochange. I kind of like it the way things are and -- but we have a dutyto educate people and give them a chance to see what's available. Andthat's what I'm doing.That's what you want your President to do.First thing, let me give you a little history.As you know, Medicare wassigned by one of my predecessors -- happen to be from the state of Texas,Lyndon Baines Johnson.And it's a vital program. It's a program that hasworked. It's a necessary program. Medicare is a commitment of the federalgovernment. And once you make a commitment, it seems like to me it makessense to make the commitment a good commitment. In other words, you wantit to work. You want it to be a modern, excellent program.Medicare had done a -- provided a lot of comfort for a lot of people, butit was getting old and stale, and needed to be reformed. And one reason itneeded to be reformed is because it did not provide prescription drugcoverage. And you know that. In other words, Medicare would pay for asurgery, say, like ulcer surgery, for $28,000, but wouldn't pay $500 forthe prescription drugs that would have prevented the ulcer in the firstplace.See, medicine had changed with the advent of prescription drugs,but Medicare hadn't.So I thought it made sense to make Medicare work better, to keep ourcommitment to our seniors. And we passed legislation that modernizedMedicare. And we are now explaining to people what the modernized systemmeans.Nobody is going to say, you've got to sign up for this, but I thinkwe have a duty to say to people, please take a look at it. Take a look andsee what's available.The first thing that's in the new system I think is important is that everysenior now entering Medicare is eligible for a "Welcome to Medicare"physical exam.That wasn't the case prior to the reform. Now it is. Andthat makes a lot of sense it seems like to me, to say, here's a physicalfor you. The best way to cure disease is to anticipate it and prevent itfrom happening in the first place -- is to be able to catch illnesses earlythrough screenings. Part of a modern, effective health care says thatwe'll encourage prevention. Helping to prevent disease is going to be areally important part of a modern system, whether you're on Medicare or noton Medicare; whether you're a guy like me, or whether you're a person who'seligible for Medicare.There is a new prescription drug coverage in Medicare.And that'simportant for people to understand. The prescription drug coverage, firstof all, helps all seniors pay for prescription drugs, no matter how they'vepaid before. In other words, everybody should take a look at theprescription drug coverage.Secondly, what's interesting about the new program is it provides choicesfor seniors. You know, I knew that when we put -- laid out the idea ofgiving seniors choices, it would create a little confusion for some. Imean, after all, up to now there hadn't been much -- many choices in thesystem, and all of a sudden, a senior who feels pretty good about thingssays, here's old George W. and Mike Leavitt or Jeb, or somebody say, take alook, and all of a sudden 46 choices pop up.The reason why we felt it was necessary to provide choices is because wewant the system to meet the needs of the consumer. The more choices youhave, the more likely it is you'll be able to find a program that suitsyour specific needs. In other words, one size fits all is not aconsumer-friendly program. And I believe in consumers, I believe intrusting people. I did know that there would be some worries about havingto choose from 40 different plans, but I thought it was worth it because Iknow that 40 different plans here in Florida will mean that individual cantailor a plan to meet his or her needs. And I thought that was important.So how do we handle the 40 different programs?Well, we encouraged allkinds of people to help -- AARP is helping; NAACP is helping; sons anddaughters are helping; faith-based programs are helping people sort throughthe programs to design a program that meets their needs. I readily concedesome seniors have said, there are so many choices, I don't think I want toparticipate. My advice is there is plenty of help for you.Thirdly, seniors with the highest drug costs are going to get extra help inthis modernized Medicare. We have catastrophic protection for the firsttime. And that's important. Drug costs over $3,600 a year will be -- anycosts over that will be picked up by 95 percent by the federal government. It's called catastrophic care.Part of the reason you modernize medicinethis way is to give people peace of mind. You know that if you sign up forthe program and something goes terribly wrong and your prescription drugbills skyrocket, the government is there to help, after $3,600. And that'simportant for families and its important for our seniors, to have thatnotion that there's stopgap insurance, that there's help beyond a certainlevel of costs.And third -- and fourthly, there's extra help for low-income seniors. Ifyou qualify as a low-income senior -- this is about a third of our seniorshere in America -- the prescription drug coverage includes little or nopremiums, low deductibles, no gaps in insurance. On average, thegovernment will pay more than 95 percent of the cost for prescription drugsfor low-income seniors.It's really important for people to take a look and see whether or notthere's a program that meets your needs. A lot of people are signing up. It's about 42 million folks eligible for Medicare in the United States, alittle more than that.More than 31 million thus far have signed up. That's a lot. In other words, since January, people have said, I think I'mgoing to take a look and get involved in this new program.There's six million more who have an alternative source of coverage. Inother words, they're plenty happy with the plans they have. And thisprogram -- by the way, nobody forces anybody to do anything. You know,this is our country, you're free to choose. So this 37 million of thelittle more than 42 million people that have got coverage, and we'reworking hard to sign up the remaining eligible seniors. And they'resigning up -- a lot of people signing up, as we head toward a May 15thdeadline.I want to make this very clear. If you are eligible for extra help, ifyou're a low-income senior, the May 15th deadline does not apply to you. In other words, you can apply after May 15th without penalty. And that'simportant for low-income seniors to understand. We want everybody to signup; we want people to understand that there are really good benefits forseniors. The average senior is going to save one-half on his or her cost-- one-half on the cost of prescription drugs.We were meeting, as I said, in South Florida earlier, and some of thestories down there for people who signed up were really strong stories --people saving money, people got a little extra money in their pocket. Thesystem is modernized and it saves you money. And that's what we want. Now, some say it's too good to be true. If you haven't looked at theprogram, take a look. Take a look. I think you're going to find what Isaid is true.The other interesting thing that's happened is -- just so the people outthere who are wondering whether or not this is cost-effective, whether ornot this makes sense to do -- first of all, I think it makes a lot of senseto do.We don't want seniors choosing between food and medicine. We're acompassionate society.Secondly, because there's competition for you -- inother words, somebody said, here's some different options for you, theaverage premium seniors pay for the prescription drug benefit is $25 amonth -- on average. And that's down from an anticipated cost of $37 amonth.In other words, when somebody bids for your business, it tends tobe -- it helps on price.In Florida, the lowest cost option is about $10 a month. There are manyzero-dollar premium Medicare advantage plans available for our seniors tochoose from. The program is saving seniors a lot of money. And as aresult of people competing for your business, it's saving the taxpayersmoney.In other words, people said, well, it's going to cost X. Well,it's costing 20 percent less. This is a good deal for America's seniors.And so over the next week, Secretary Leavitt and myself and others in theadministration are reminding people that there's a good opportunity foryou. And so I would suggest if you haven't signed up, if you're living inFlorida and watching this TV program -- or anywhere in the country watchingthe TV program, I'd call 1-800-MEDICARE, and there's somebody there who'llhelp you. Or if you've got some -- if you're computer-literate, or have afriend who's computer-literate, get on the web page, and takea look -- take a look at what's available. Seniors all across the countryare saving money because of this plan.It's -- if you're a son or adaughter, and your mom or dad is eligible for Medicare and he or she hasn'tsigned up, I believe the son or a daughter has a duty to help the mom ordad understand what's available. That's what sons and daughters aresupposed to do. That's called love. And a loving son or daughter shouldtake a look and help their folks realize what's possible, help design adrug benefit program that meets your mom or dad's needs.Churches all across the country are reaching out -- synagogues, people fromdifferent faiths understand that it makes sense to help their parishionersrealize the benefits of this plan. I mentioned earlier AARP, NAACP, groupsall across the country are out trying to find the folks who haven't signedup yet and encourage them to do so. And so that's why I'm here. I'm heredoing my duty as Educator-in-Chief. (Laughter.) It's to say to peoplefrom around this part of the world, and those who may be watching over theairwaves, this is a good deal for the American seniors. And it's the rightthing to do for the government. If the government makes a promise, we wantto make sure that promise lives up to what we've told you. We've saidwe're going to get you a modern health care system, and we have.And that's what I've come to talk about. I'll be glad to answer anyquestions anybody has on any subject that may be on your mind.But in themeantime, thanks for letting me come by, and God bless. (Applause.)All righty, no, no -- thank you. I'll be over -- we'll get a littlepicture-taking in a minute. Yes, sir.Q I find there's a dearth of literature about the new program. I justdon't see any pamphlets or books around, which there should be.THE PRESIDENT:True.Q Secondly, I want to ask, if you do sign up, and I don't know what it'sall about, truthfully, computer fearful, and so I'm not -- I'mcomputer-illiterate. And I'd like to know, when -- if I do sign up, can Iquit, can I get out of it?THE PRESIDENT:Yes, you can. (Laughter.) I think if you sign -- first ofall, that's a great question. Literature -- there's all kind ofliterature. I can't answer the question as to why --Q I haven't seen it --THE PRESIDENT:No, I know, there's not any -- you haven't seen it yet, Iknow. But I will try to find out why you haven't seen any here. Secondly,you're not alone when it comes to saying, I'm a little frightened aboutgetting on the computer. You're not the only person I've heard say that. And therefore, one of the things that centers such as this do is providehelp with people who are computer-illiterate. And it's -- with somebodyexplaining how it works and what you're watching, I think you'll find it tobe a lot less intimidating than you think.And thirdly, I wouldn't sign up, if I were you, unless you were comfortablethat it saves you money. This is an add-on to Medicare. It is a part ofMedicare. It's called Medicare Part D. In other words, the rest ofMedicare exists, but what this does is it provides an additional benefit. And as I said, across the country, people are saving half on theirprescription drug bills. People say to me, well, I'm feeling prettyhealthy, and I'm not taking a lot of prescription drugs, I'm not going tosign up. My advice is, sign up, because you don't know when you're goingto have to start taking prescription drugs.But at the very minimum, take a look. You seem like an inquisitive person,somebody who wants to know the facts, and there should be people here atthis center that will help you find the facts out front. And there's goingto be some literature, I hope -- there is? Brother said there'sliterature. Now, there had better be literature, because the man --(laughter) -- the man in the hat is going to walk out there, and if hedoesn't see any literature, I'm cooked. (Laughter.) Good looking hat,too.Yes, sir. Thank you for your question.Q Mr. President, my question concerns the Iranian situation.THE PRESIDENT:Yes.Q I'm very worried about it, and I don't think I'm alone. I know thatyou and Secretary Rice and Ambassador Bolten are doing everything humanlypossible to unite the global community in persuading the Iranians thatgetting the bomb is not in their own interest.And even if you get theChinese the Russians to come around eventually on meaningful sanctions, myfear is it's liable to take so long it will be too little and too late. SoI assume there's a good possibility, given their attitude, they're going toget the bomb. And my question is, if they do, what next?THE PRESIDENT:Yes. First of all, it's a great question because he isbringing to the front here a question of international significance. Ourobjective is not to let them get the bomb, first of all. And I am anoptimistic person and, therefore, believe -- I'm going to rephrase yourquestion a different way: how are you going to stop them from getting itin the first place -- not what are you going to do if they get one.And the first goal -- first of all, all options -- the first option and themost important option is diplomacy. As you know, I've made the toughdecision to commit American troops into harm's way. It's the toughestdecision a President can ever make, but I want you to know that I trieddiplomacy -- in other words, a President has got to be able to say to theAmerican people, diplomacy didn't work. And therefore, the first choice,and a choice that I think will work with the Iranians is diplomacy. And Ibelieve we can accomplish this through diplomacy.Any diplomatic effort must have a common goal, and the common goal isprecisely what you said, sir, which is the Iranians should not have anuclear weapon, or the capacity to make a nuclear weapon.Now, that wasn't always the case during my presidency.In other words,people have come together around that goal. And the countries that havecome around that goal are not only our allies in Europe, but China andRussia agree. So the first step toward good diplomacy is to have differentcountries agree to a common goal, which is that the Iranians should nothave the capacity and/or a nuclear weapon. So that's positive.Secondly, we're now working on the tactics as to how to convince theIranians through -- to get rid of their ambitions through a united front. And so what you're watching play out -- by the way, because we live in atransparent society, everything, of course, is in the newspapers -- whichis fi


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