Bill Clinton photo

Remarks Announcing Proposed Legislation on Medicare

January 06, 1998

Thank you, Ruth. I think she has made clearer than I could ever hope to that, for many Americans, access to quality health care can mean the difference between a secure, healthy, and productive life, and the enormous burden of illness and worry and enormous financial strain.

Today the proposals I am making are designed to address the problems of some of our most vulnerable older Americans. I propose three new health care options that would give them the security they deserve. The centerpiece of our plan will let many more of these Americans buy into one of our Nation's greatest achievements, Medicare.

When Medicare was first enacted, President Johnson said, and I quote, "It proved that the vitality of our democracy can shape the oldest of our values to the needs and obligations of changing times." Once again we are faced with changing times: a new economy that changes the way we work and the way we live; new technologies and medical breakthroughs holding out hope for longer, healthier lives; a new century brimming with promise but still full of challenge and much more rapid change. The values remain the same, but the new times demand that we find new ways to create opportunity for all Americans.

For the past 5 years, we have had an economic strategy designed to expand opportunity and strengthen our families in changing times, insisting on fiscal responsibility, expanding trade, investing in all our people. Yesterday I announced that the budget I will submit to Congress in 3 weeks will be a balanced budget, the first one in 30 years. Within this balanced budget, we propose to expand health care access for millions of Americans.

Last summer, with the balanced budget agreement I signed, we took action to extend the life of the Medicare Trust Fund until at least 2010, and we appointed a Medicare commission to make sure that Medicare can meet the needs of the baby boom generation. We took action to root out fraud and abuse in the Medicare system, assigning more prosecutors, shutting down fly-by-night home health care providers, taking steps to put an end to overpayments for prescription drugs. Since I took office, we have saved over $20 billion in health care claims, money that would have been wasted, gone instead to provide quality health care for some of our most vulnerable citizens.

We want to continue to do everything possible to ensure that the same system that served our parents can also serve our children. That means bringing Medicare into the 21st century in a fiscally responsible way that recognizes the changing needs of our people in a new era.

We know that for different reasons more and more Americans are retiring or leaving the work force before they become eligible for Medicare at age 65. We know that far too many of these men and women do not have health insurance. Some of them lose their health coverage when their spouse becomes eligible for Medicare and loses his or her health insurance at work. That's the story we heard today.

Some lose their coverage when they lose their jobs because of downsizing or layoffs. Still others lose their insurance when their employers unexpectedly drop their retirement health care plans. These people have spent their lifetimes working hard, supporting their families, contributing to society. And just at the time they most need health care, they are least attractive to health insurers who demand higher premiums or deny coverage outright.

The legislation that I propose today recognizes these new conditions and takes action to expand access to health care to millions of Americans. First, for the first time, people between the ages of 62 and 65 will be able to buy into the Medicare program at a fixed premium rate that, for many, is far more affordable than private insurance but firmly based in the actual cost of insuring people in this age group and, as you just heard from what Ruth said, far, far more affordable than the out-of-pocket costs that people have to pay if they need it.

This is an entirely new way of adapting a program that has worked in the past to the needs of the future. It is a fiscally responsible plan that finances itself by charging an affordable premium up front and a small payment later to ensure that this places no new burdens on Medicare. It will provide access to health care for hundreds of thousands of Americans, and it is clearly the right thing to do.

Second, statistics show that older Americans who lose their jobs are much less likely to find new employment. And far too often, when they lose their jobs, they also lose their health insurance. Under this proposal, people between the ages of 55 and 65 who have been laid off or displaced will also be able to buy into Medicare early, protecting them against the debilitating costs of unforeseen illness.

Third, we know that in recent years too many employers have walked away from their commitments to provide retirement health benefits to longtime, loyal employees. Under our proposal, these employees, also between the ages of 55 and 65, will be allowed to buy into their former employers' health plans until they qualify for Medicare. And thank you, Congressman, for your long fight on this issue.

Taken together, these steps will help to take our health care system into the 21st century, providing more American families with the health care they need to thrive, maintaining the fiscal responsibility that is giving more Americans the chance to live out their dreams, shaping our most enduring values to meet the needs of changing times. It is the right thing to do. And thank you, Ruth, for demonstrating that to us today.

Thank you very much.

NOTE: The President spoke at 11:40 a.m. in the Roosevelt Room at the White House. In his remarks, he referred to Ruth Kain, a heart patient who was denied full health insurance coverage after her husband's retirement at age 65; and Representative Gerald D. Kleczka of Wisconsin.

William J. Clinton, Remarks Announcing Proposed Legislation on Medicare Online by Gerhard Peters and John T. Woolley, The American Presidency Project

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