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Skriven 2006-05-09 23:34:42 av Whitehouse Press (1:3634/12.0)
Ärende: Press Release (0605095) for Tue, 2006 May 9
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President Bush Discusses Medicare Prescription Drug Benefit
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For Immediate Release
Office of the Press Secretary
May 9, 2006

President Bush Discusses Medicare Prescription Drug Benefit
Kings Point Clubhouse
Sun City Center, Florida


˙˙˙˙˙ Fact Sheet: Medicare Prescription Drug Coverage ˙˙˙˙˙ In Focus:
Medicare

11:09 A.M. EDT

THE PRESIDENT: Thanks for coming. Please be seated. Thanks for the warm
welcome. It's great to be here in Sun City Center. Brother Jeb said, if you
want to come to a really good place, come here. (Applause.) First of all, I
think it's a pretty neat deal when you get introduced by your brother.
(Applause.) Particularly since he's such a good Governor. (Applause.) We
both share the same political advisor -- Mom. (Laughter and 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 fantastic
woman, and so is the First Lady of the United States. (Applause.) Laura
sends her very best. She sends her love. Yesterday she represented us in
Costa Rica -- they inaugurated a new President, and they sent the word
back, 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 smart person 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 having me here.

What I thought I would do is spend a little time talking about the new
Medicare program. The reason I'm doing this, because I want people to sign
up. And then I'll answer some questions if you have some. And then I'm
going to go to Orlando and do the same thing tomorrow morning -- just like
I did earlier in South Florida. And the reason why I'm doing this is
because we have changed Medicare for the better, but sometimes change
creates anxieties. In other words, people say, well, maybe I don't want to
change. I kind of like it the way things are and -- but we have a duty to
educate people and give them a chance to see what's available. And that'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 was
signed 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 has
worked. It's a necessary program. Medicare is a commitment of the federal
government. And once you make a commitment, it seems like to me it makes
sense to make the commitment a good commitment. In other words, you want it
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, but
it was getting old and stale, and needed to be reformed. And one reason it
needed to be reformed is because it did not provide prescription drug
coverage. And you know that. In other words, Medicare would pay for a
surgery, say, like ulcer surgery, for $28,000, but wouldn't pay $500 for
the prescription drugs that would have prevented the ulcer in the first
place. 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 our
commitment to our seniors. And we passed legislation that modernized
Medicare. And we are now explaining to people what the modernized system
means. Nobody is going to say, you've got to sign up for this, but I think
we have a duty to say to people, please take a look at it. Take a look and
see what's available.

The first thing that's in the new system I think is important is that every
senior now entering Medicare is eligible for a "Welcome to Medicare"
physical exam. That wasn't the case prior to the reform. Now it is. And
that makes a lot of sense it seems like to me, to say, here's a physical
for you. The best way to cure disease is to anticipate it and prevent it
from happening in the first place -- is to be able to catch illnesses early
through screenings. Part of a modern, effective health care says that we'll
encourage prevention. Helping to prevent disease is going to be a really
important part of a modern system, whether you're on Medicare or not on
Medicare; whether you're a guy like me, or whether you're a person who's
eligible for Medicare.

There is a new prescription drug coverage in Medicare. And that's important
for people to understand. The prescription drug coverage, first of all,
helps all seniors pay for prescription drugs, no matter how they've paid
before. In other words, everybody should take a look at the prescription
drug coverage.

Secondly, what's interesting about the new program is it provides choices
for seniors. You know, I knew that when we put -- laid out the idea of
giving seniors choices, it would create a little confusion for some. I
mean, after all, up to now there hadn't been much -- many choices in the
system, and all of a sudden, a senior who feels pretty good about things
says, here's old George W. and Mike Leavitt or Jeb, or somebody say, take a
look, and all of a sudden 46 choices pop up.

The reason why we felt it was necessary to provide choices is because we
want the system to meet the needs of the consumer. The more choices you
have, the more likely it is you'll be able to find a program that suits
your specific needs. In other words, one size fits all is not a
consumer-friendly program. And I believe in consumers, I believe in
trusting people. I did know that there would be some worries about having
to choose from 40 different plans, but I thought it was worth it because I
know that 40 different plans here in Florida will mean that individual can
tailor 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 all
kinds of people to help -- AARP is helping; NAACP is helping; sons and
daughters are helping; faith-based programs are helping people sort through
the programs to design a program that meets their needs. I readily concede
some seniors have said, there are so many choices, I don't think I want to
participate. My advice is there is plenty of help for you.

Thirdly, seniors with the highest drug costs are going to get extra help in
this modernized Medicare. We have catastrophic protection for the first
time. And that's important. Drug costs over $3,600 a year will be -- any
costs over that will be picked up by 95 percent by the federal government.
It's called catastrophic care. Part of the reason you modernize medicine
this way is to give people peace of mind. You know that if you sign up for
the program and something goes terribly wrong and your prescription drug
bills skyrocket, the government is there to help, after $3,600. And that's
important for families and its important for our seniors, to have that
notion that there's stopgap insurance, that there's help beyond a certain
level of costs.

And third -- and fourthly, there's extra help for low-income seniors. If
you qualify as a low-income senior -- this is about a third of our seniors
here in America -- the prescription drug coverage includes little or no
premiums, low deductibles, no gaps in insurance. On average, the government
will pay more than 95 percent of the cost for prescription drugs for
low-income seniors.

It's really important for people to take a look and see whether or not
there'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, a
little 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'm going
to take a look and get involved in this new program.

There's six million more who have an alternative source of coverage. In
other words, they're plenty happy with the plans they have. And this
program -- 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 the little
more than 42 million people that have got coverage, and we're working hard
to sign up the remaining eligible seniors. And they're signing up -- a lot
of people signing up, as we head toward a May 15th deadline.

I want to make this very clear. If you are eligible for extra help, if
you'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's
important for low-income seniors to understand. We want everybody to sign
up; we want people to understand that there are really good benefits for
seniors. 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 the
stories down there for people who signed up were really strong stories --
people saving money, people got a little extra money in their pocket. The
system 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 the program,
take a look. Take a look. I think you're going to find what I said is true.

The other interesting thing that's happened is -- just so the people out
there who are wondering whether or not this is cost-effective, whether or
not this makes sense to do -- first of all, I think it makes a lot of sense
to do. We don't want seniors choosing between food and medicine. We're a
compassionate society. Secondly, because there's competition for you -- in
other words, somebody said, here's some different options for you, the
average premium seniors pay for the prescription drug benefit is $25 a
month -- on average. And that's down from an anticipated cost of $37 a
month. In other words, when somebody bids for your business, it tends to be
-- it helps on price.

In Florida, the lowest cost option is about $10 a month. There are many
zero-dollar premium Medicare advantage plans available for our seniors to
choose from. The program is saving seniors a lot of money. And as a result
of people competing for your business, it's saving the taxpayers money. 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 the
administration are reminding people that there's a good opportunity for
you. And so I would suggest if you haven't signed up, if you're living in
Florida and watching this TV program -- or anywhere in the country watching
the TV program, I'd call 1-800-MEDICARE, and there's somebody there who'll
help you. Or if you've got some -- if you're computer-literate, or have a
friend who's computer-literate, get on the web page, Medicare.gov and take
a look -- take a look at what's available. Seniors all across the country
are saving money because of this plan. It's -- if you're a son or a
daughter, and your mom or dad is eligible for Medicare and he or she hasn't
signed up, I believe the son or a daughter has a duty to help the mom or
dad understand what's available. That's what sons and daughters are
supposed to do. That's called love. And a loving son or daughter should
take a look and help their folks realize what's possible, help design a
drug benefit program that meets your mom or dad's needs.

Churches all across the country are reaching out -- synagogues, people from
different faiths understand that it makes sense to help their parishioners
realize the benefits of this plan. I mentioned earlier AARP, NAACP, groups
all across the country are out trying to find the folks who haven't signed
up yet and encourage them to do so. And so that's why I'm here. I'm here
doing my duty as Educator-in-Chief. (Laughter.) It's to say to people from
around this part of the world, and those who may be watching over the
airwaves, this is a good deal for the American seniors. And it's the right
thing to do for the government. If the government makes a promise, we want
to make sure that promise lives up to what we've told you. We've said we'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 any
questions anybody has on any subject that may be on your mind. But in the
meantime, thanks for letting me come by, and God bless. (Applause.)

All righty, no, no -- thank you. I'll be over -- we'll get a little
picture-taking in a minute. Yes, sir.

Q I find there's a dearth of literature about the new program. I just don'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's
all about, truthfully, computer fearful, and so I'm not -- I'm
computer-illiterate. And I'd like to know, when -- if I do sign up, can I
quit, can I get out of it?

THE PRESIDENT: Yes, you can. (Laughter.) I think if you sign -- first of
all, that's a great question. Literature -- there's all kind of literature.
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, I
know. 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 about
getting 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 provide
help with people who are computer-illiterate. And it's -- with somebody
explaining how it works and what you're watching, I think you'll find it to
be a lot less intimidating than you think.

And thirdly, I wouldn't sign up, if I were you, unless you were comfortable
that it saves you money. This is an add-on to Medicare. It is a part of
Medicare. It's called Medicare Part D. In other words, the rest of Medicare
exists, but what this does is it provides an additional benefit. And as I
said, across the country, people are saving half on their prescription drug
bills. People say to me, well, I'm feeling pretty healthy, and I'm not
taking a lot of prescription drugs, I'm not going to sign up. My advice is,
sign up, because you don't know when you're going to 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 at
this center that will help you find the facts out front. And there's going
to be some literature, I hope -- there is? Brother said there's literature.
Now, there had better be literature, because the man -- (laughter) -- the
man in the hat is going to walk out there, and if he doesn'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 that you
and Secretary Rice and Ambassador Bolten are doing everything humanly
possible to unite the global community in persuading the Iranians that
getting the bomb is not in their own interest. And even if you get the
Chinese the Russians to come around eventually on meaningful sanctions, my
fear is it's liable to take so long it will be too little and too late. So
I assume there's a good possibility, given their attitude, they're going to
get the bomb. And my question is, if they do, what next?

THE PRESIDENT: Yes. First of all, it's a great question because he is
bringing to the front here a question of international significance. Our
objective is not to let them get the bomb, first of all. And I am an
optimistic person and, therefore, believe -- I'm going to rephrase your
question a different way: how are you going to stop them from getting it in
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 the
most important option is diplomacy. As you know, I've made the tough
decision to commit American troops into harm's way. It's the toughest
decision a President can ever make, but I want you to know that I tried
diplomacy -- in other words, a President has got to be able to say to the
American people, diplomacy didn't work. And therefore, the first choice,
and a choice that I think will work with the Iranians is diplomacy. And I
believe we can accomplish this through diplomacy.

Any diplomatic effort must have a common goal, and the common goal is
precisely what you said, sir, which is the Iranians should not have a
nuclear 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 have
come around that goal are not only our allies in Europe, but China and
Russia agree. So the first step toward good diplomacy is to have different
countries agree to a common goal, which is that the Iranians should not
have the capacity and/or a nuclear weapon. So that's positive.

Secondly, we're now working on the tactics as to how to convince the
Iranians 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 a
transparent society, everything, of course, is in the newspapers -- which
is fine, that's healthy. But that's not the case when you're dealing with a
non-transparent society.

And so we got six countries -- Condi was up there dealing with them last
night, sitting around the table saying, how are we going to achieve our
common goal. So what you're watching is, of course, all the guessing and
speculating about the different positions of the six countries sitting
around the table. But I believe that through hard work, we will continue to
keep people bound together because there is a common interest to prevent
the Iranians from getting that weapon. They understand -- the countries
understand the danger inherent with the Iranians having a weapon. They
understand the consequences of a nuclear Iran, particularly when you have a
President who's threatening people.

And so we're at an early stage of diplomacy at this point in time. And one
of the options, of course, is to go to the United Nations Security Council.
And once in the United Nations Security Council, we're trying to reach --
what does the resolution say. My objective -- and thank you for your kinds
words about Condi and myself working hard to keep the common front. It's
very important for the Iranians to know they will be isolated in the world;
that the rest of the world, much of the world, shares the same demands that
those of us who are heading the -- involved in the negotiations say.

But you're right, this is a very difficult issue. And we will continue to
work through diplomatic channels to make it clear that we mean what we say.
And, obviously, part of making the diplomacy work is, what will be the
consequences if the Iranians decide maybe not to listen to the rational
demands of the world. And you mentioned one, economic sanctions. But we're
-- and I'm not going to comment on that, because I think it's very
important for good negotiators to keep their cards close to the vest, and
then at the appropriate time, make it clear what our intentions are.

This is a serious issue, it's taking a lot of our time, as it should.
Ultimately, of course, I would hope that an American President is able to
say to the Iranian people, you're free, and we look forward to having good
relations with you. Liberty has got an amazing way of changing the world. I
speak to a group of people who know that better than most. You have seen
liberty transform the world during your lifetime. You've seen -- and one of
my favorite ways of explaining the effects of liberty and my belief in what
liberty can do is to explain the relationship I have with the Japanese
Prime Minister.

I bet I've got some World War II vets here. I'll bet there's some people
who know World War II vets who are here. I bet people are here who know
somebody who was called into action to fight the Japanese in World War II.
And I can -- I report to you that the Japanese Prime Minister is my friend
in keeping the peace. And there's a reason why -- is because after World
War II, one of my predecessors, Harry S. Truman, had the belief that the
United States should help that country, our enemy, become a democracy --
not styled -- an American-style democracy, but a Japanese-style democracy.
And because of the faith in the capacity of freedom to change people's way
of thinking, because he felt strong to that conviction, today a
Japanese-style democracy is a friend of America.

Freedom has the capacity to change enemies into friends. And so in the long
run, the best way to deal with problems such as the Iranian problem is to
encourage people to be free. And the fundamental question is, do people
want to be free? And the cornerstone of my foreign policy is my strong
belief that freedom is universal. People desire to be free.

One of the lessons that your generation has taught our generation is that
staying strong to the values that America subscribes to -- human rights,
human dignity, the universality of freedom -- has changed parts of the
world in incredible ways. Just look at Europe -- this is a long answer --
(laughter) -- to an important question. And the reason I'm framing it this
way, is I want you to understand how I think about laying the foundation of
peace so we can deal with not only the issue that you asked about, sir, but
other issues that will inevitably come up during the course of the 21st
century.

But freedom has the capacity to lay the foundations for peace, and we must
not lose sight of the historical examples. Take Europe, for example. There
was two major conflicts in Europe, World War I and World War II. Today
Europe is whole, free, and at peace because democracies don't war. It's one
of the historical lessons.

And so, in the short-term, on the issue you described, we will keep our
diplomacy going, we'll be knitted up as best as we possibly can with
different -- with as many nations as possible -- six of them at the table
last night in New York, by the way. And in the meantime, it is -- we will
continue to advance the freedom agenda.

Good question. Yes, sir.

Q Thank you. First, let me say, I think a lot of people will be helped by
this program.

THE PRESIDENT: They will --

Q A lot of people will be helped by the Medicare Part D program.

THE PRESIDENT: Oh, thank you.

Q But I think there's major deficiencies in it that I think we'd like to
hear some comments from you on. The first major issue, I think the program
is going to be a lot more expensive both to the user and to the taxpayer
than it needs to be, because we don't allow Medicare to negotiate directly
with the pharmaceutical companies. This could wind up costing the taxpayers
hundreds of billions of dollars over the next 10 years.

Another thing, the insurance companies are allowed to change their
formulary once a person is in the program; a person is not allowed to get
out until the end of the year. This is a legalized bate-and-switch
operation by the insurance companies. How many of them are doing it, I
don't know, but it's a danger for our seniors.

Third, I have a report here from Families USA indicating that the poorest
people that are affected by this program are not being helped.

THE PRESIDENT: Well, I just --

Q Not helped -- either they're not signed up, they're not being helped
compared to the benefits they were getting under a combination of Medicare
and Medicaid.

So, finally, I think there are several major changes that should be made in
the program. Number one, let Medicare negotiate with the pharmaceutical
companies. Number two, stop the formulary switch. If we do that, by
reducing the costs, I think we can possibly reduce the size or even
eliminate the doughnut hole that people are exposed to.

THE PRESIDENT: Okay, thanks.

Q And I think -- (laughter.) One last thing -- okay. If we don't bring our
costs down this way, we're never going to control health care costs in the
U.S. And we're subsidizing the pharmaceutical companies, and we're
subsidizing health costs in every other country around the world because
every other country negotiates directly with the pharmaceutical companies.
(Applause.)

THE PRESIDENT: Yes, I'll be glad to give you some comments. First of all,
if a senior takes a look at the program and doesn't think it saves his or
her money, they shouldn't sign up.

Secondly, in terms of the low-income seniors, I don't know what the report
is that you cite -- people cite reports all the time. I will tell you this,
that a lot of people are working hard to find the low-income seniors to
give them the chance to sign up for an incredibly beneficial program --
including AARP, the NAACP, as I mentioned. I've met with their
representatives. They realize this is a good deal for low-income seniors.
But if you're premise is right that the low-income senior won't benefit
from the program, they shouldn't sign up to it. I just strongly disagree
that this isn't good for low-income seniors.

Thirdly, one of the reasons why -- we're trying to make individual choice
available for seniors, as opposed to having the federal government making
The decisions on behalf of seniors. And so the idea of having the federal
government negotiate price keeps the federal government squarely in the
middle of the program. There's a philosophical difference, evidently,
between me and you. All I can tell you is, is that the program is costing
less than anticipated and this program is going to benefit a lot of seniors
because there is more choice for seniors.

Now, the idea of -- this won't help us control health care costs, one, I
disagree with that. I think more choices for consumers, the better off we
are. Secondly, health care costs are on the rise. A lot of it has to do
with these lawsuits that are driving good doctors out of practice that are
causing people to practice defensive medicine and running up the premiums
for consumers. We need to modernize health care, as well, by introducing
information technology so that kind of the system of writing files by hand,
which leads to errors and inefficiency, is replaced by a modern system of
information technology. Thirdly, we need transparency in pricing. People
need to know that which they're purchasing and the quality of that which
they purchase so that consumers are able to make more rational decisions.

Fourthly, the center of the health care needs to be the doctor-patient
relationship -- not bureaucracy, either government or private bureaucracy.
And that's why I'm such a strong believer in health savings account, which
are now being -- now available for a lot of folks in America.

So I think you and I may have a different vision of health care. I thank
you for bringing it up, but, look, if people don't like it, they don't have
to sign up for it. People have got the right to pick what they want to
pick. And therefore, I know you would agree with me in saying that seniors
ought to take a look and see whether or not it meets their needs.

Thank you, sir, very much. I appreciate that.

Yes, ma'am.

Q Mr. President -- (inaudible) to live in this country and I'm very proud
of it.

THE PRESIDENT: Good. Where were you from initially?

Q East Germany.

THE PRESIDENT: Very good.

Q I've been through a lot, and I appreciate this country. And also I just
signed up -- I belong to AARP supplement, and I just signed up for Medicare
Complete Choice RX United Health Care with zero monthly premium, and I'm
saving $140 some a month.

THE PRESIDENT: Good.

Q Thank you. (Applause.)

THE PRESIDENT: How long have you been in this country?

Q I've been in this country longer than I lived in Germany because I was in
East Germany, and we had a lot of problems. You couldn't speak up for
anything. My brother was arrested. My sister almost was for saying
something. So I got out pretending I'm performing at the opera house in
Nuremberg, and I broke my contract interest and I stayed in West Germany.
And I've been here since 1959. And I'm an American citizen. I'm very proud
of it.

THE PRESIDENT: Great. Welcome. (Applause.)

Q Thank you.

THE PRESIDENT: Yes, ma'am. By the way, I met with Chancellor Angela Merkel
the other day, and she was -- she, too, was raised in East Germany. It's
interesting to be dealing with a world leader who was raised in a communist
country. She brings an interesting perspective to the idea of people being
free. I mean, she understands freedom as well as anybody understands
freedom. And she's going to be a -- she's a good ally and a good person.
When I see her I'll tell her I saw you. (Laughter.)

Q Welcome, Mr. President. Thank you for coming here. One of my questions
is, May 15th, I believe, is the sign-up date.

THE PRESIDENT: Yes.

Q If people cannot make a decision by May 15th, will they be penalized, or
will there be another time period where they can sign up?

THE PRESIDENT: It depends upon whether you're a -- eligible for extra
benefits, a low-income senior, or not. If you're a low-income senior, there
will be no penalties. If you're not a low-income senior, sign up before May
15th.

Q Oh, okay. So then there will be -- there will not be another sign-up
date?

THE PRESIDENT: You can continue to sign up, but there won't be sign-up at
the same rates at which you could -- the same rates at which you'll get
your prescription drug benefits prior to May 15th. Deadlines are important.
Deadlines help people understand there's finality, and people need to get
after it, you know? And so the idea is there's the deadline. Now,
low-income seniors, as I mentioned to you, will be able to sign up after
May 15th without penalty.

Let's see -- yes, ma'am.

Q I appreciate everything you've said. I think you're great.

THE PRESIDENT: Thank you. Well, we'll leave it at that. (Laughter.)

Q No, I'm just like your mother. I do want to suggest, this is a community.
Our motto is, "Neighbors Helping Neighbors." We're volunteers. There are
many, many seniors here who need help. We procrastinated, and finally made
the decision to sign up through AARP, because you can always change. And if
they start increasing costs, we'll change to another one. You come in, you
can have influence on people you buy from more than if the government is
handling it. And so I appreciate your approach.

However, I would beg, not for myself -- because there were logjams, they
were shuffling the phone calls directly to Medicare. I got an ID number, my
husband got, in the afternoon, a confirmation number. No one knows whether
there -- it has to be recorded. The Internet was so bogged down you
couldn't get information, because everyone is doing it at the last minute.
Now, when we pay our taxes, there's a deadline. But we can apply for a
six-month reprieve. I think -- (laughter) --

THE PRESIDENT: I think I know where you're headed. (Laughter.)

Q All right, I don't have to continue it. We could go out and help our
neighbors. There's a Medicare bus -- we just found out this week -- going
to a Catholic church in Tampa to help people sign up. There's a Medicare
bus going to a hospital in Sarasota, but we didn't think about getting one
to come here for our people, and we need some time to give them some help.
Thank you.

THE PRESIDENT: Yes, I appreciate that, thanks. In other words, what you're
saying is there's a lot of people beginning to come in at the last minute
and you're afraid they're not going to be able to access the system, and/or
have their numbers and names filed properly before May 15th. I'll check
with the local people to make sure that -- see what the strategy is in
dealing with that.

Yes, ma'am. There you go.

Q Is this the same Medicare plan --

THE PRESIDENT: You're doing fine, just keep cranking it up.

Q Is this the same Medicare plan for people that are on disabilities?

THE PRESIDENT: Disabilities, yes. It applies to people with disabilities,
as well.

Q So if you're under 65 -- then I would have to still go and apply under
this?

THE PRESIDENT: For the additional help, yes, ma'am.

Q For additional help on this. And also, I just want to say, thank you very
much for the way that you run the government with the beliefs of -- your
Christian beliefs, and not letting others -- (applause) -- bring you down
when you stand behind on your beliefs. It's very important. (Applause.) All
the Christians stand behind you.

THE PRESIDENT: Thank you. Yes, ma'am.

Q -- be able to tell you from the same point of view that I'm very
concerned about the growing fields, the products that are now being sent
and brought back from other countries, that we've eroded our own economics
in America, that we're too trusting of other countries, instead of being
able to build up from within. And it's a very great concern, because we
live in this area -- being a tomato growing area for the state of Florida,
going into other states in Florida. We've lost our fields, we're losing the
orange groves. We're losing so much that this whole country was built on,
and we're now relying on beef from Australia, we're relying on produce from
South America. We're now looking at China to come in and supplement Hewlett
Packard and all these other companies that have now said, we can't afford
to keep the Americans employed. This is a very big concern for me, at my
age, let alone for the kids who are coming up behind me.

THE PRESIDENT: You know, it's an interesting -- that's a very interesting
question. She -- or statement. There's a lot of people that are concerned
about a global world in which there is fierce competition. My attitude
about this is I don't think we ought to fear the competition; I think
competition is good and healthy. But I think we ought to be smart about how
we deal with it. In other words, one of the options to deal with that
global fear is to wall ourselves off; is to say, we're not going to accept
products; is to go through protectionism; is to say, we'll put high tariffs
on products because we don't want other people selling their product in the
American market. That's one way to deal with your concern. And it's -- I,
frankly, think that would lead to economic problems for the country.

I am, as you know, a person who believes in free trade. I also believe in
making sure companies [sic] treat us fairly, in other words, so that we can
compete on a level playing field. And so here's some ideas as to how to
deal with it. And by the way, yours is not an isolated concern. A
legitimate question for policymakers is, how do you deal -- how can you
assure us that we can continue to be the economic leader of the world with
such competition?

Wait, let me finish. Let me finish my answer. And here's some practical
things to do. One, make sure our children have got the job skills necessary
-- the skills necessary to fill the jobs of the 21st century. One of the
things that Brother Jeb has done is he's brought strong accountability in
the public schools to make sure that there's high standards and people are
measured. And when we find failure, you can do something about it -- so
that we're just not shuffling kids through the system.

And I want to extend those high standards and extra help for Title I
students who may not be measuring up to standards in math and science.
Because I'm going to tell you what's going to happen in a global world,
that if we do not educate our children with the skills necessary to fill
the jobs of the 21st century -- math, science, engineering, jobs that will
help lead this country forward -- if we don't do that, the jobs are going
to go to other countries. The good, high-paying jobs are going to go to
other parts of the world.

So step one is education. Step two is to make sure we're always the leader
in innovation and research and development. And the way to do that is to
spend federal money, which we're going to do, in the basic sciences, as
well as to make sure the research and development tax credit which
encourages the private sector to invest in research and technology, make
sure that's a permanent part of the tax code. In other words, make sure
America is the leader in innovation. If we're not the leader in innovation,
other countries will be the leader of innovation. So there's competition.
We can try to wall ourselves off, but it will still be a competitive world.

Thirdly, we got to do something about energy. The gas prices, as you know,
are affecting you. They're high. Part of the reason why they're high is
because the price of crude oil is high, and part of the reason the price of
crude oil is high is because the demand for crude oil has been outstripping
supply. And I'm not sure supply will ever catch up with demand in the
short-term, so one of the things we need to do is to figure out how to
drive our cars differently -- different fuels like ethanol grown right here
in -- the core product of which can be grown right here in Florida.

Hybrid automobiles is the second. And we've got incentives in federal law
that provides incentives for people to buy hybrids. Hybrids mean you're
running on a combination of electricity and gasoline. And I'll tell you an
interesting breakthrough that's about to come, though, because of research
as a result of the federal government and private sector, is that we're
going to have batteries that will be able to last for the first 40 miles
when somebody drives. That's good for urban America, for example. A lot of
people don't drive 40 miles in a day. It would be pretty good if they could
drive those first 40 without using gasoline.

We got to be wise about our energy policy. I happen to believe in nuclear
power. I believe nuclear power -- I know nuclear power is renewable, and it
protects the environment. We got to make sure we continue to develop
technologies that allow us to burn coal in environmentally friendly ways.
Solar technology is becoming more advanced, and the government is helping
with the research there.

My point to you is that on the energy front, we've got to be wise if we're
going to compete. We got to do something about junk lawsuits that are
making it hard here in America not only for the medical profession, but for
the business sector, if we want to compete. We got to keep taxes low if we
want to compete. If we want to compete in the future, we got to do
something about Social Security. Social Security is fine for you. You all
are in good shape. It's fine for my generation, but it's not so fine for
the people who are going to be trying to pay for my generation. And it's
time to put aside all that business -- the political business in
Washington, D.C. -- and come up with a solution so younger generations of
Americans -- (applause) -- my answer to the country is we shouldn't fear
the future, we ought to shape it.

And the alternative is to shut ourselves off, and I think that would be a
huge mistake. It's really interesting when you look at the 1920s. During
that period of time, the American people became isolated with high
protective tariffs, and it eventually was part of the reasons why we had a
Great Depression. And I think we always must be mindful of the lessons of
history.

Anyway, excellent question. Thanks for giving me a chance -- you're not
through yet, I take it. (Laughter.) You want to debate?

Q Forty years ago --

THE PRESIDENT: Go ahead.

Q Forty years ago we had the red flag flying about the oil shortage. We
were all told, let's do something. That was 40 years ago. Solar power was
supposed to be the future for us. The government was participating and
literally supplying people with the money to put solar power into their
homes. It all stopped. Why don't we continue to look at these resources
instead of now stopping people because they can't get to their jobs --

THE PRESIDENT: No, no, say that again, look at what now?

Q Why don't we continue to look at these sources of solar power --

THE PRESIDENT: We are.

Q -- these houses around here, literally, if you put up a solar power
panel, somebody is coming up to say, hey, wait a minute, it's not okay.
Down in Fort Myers, they did it 20 years ago, so it has been accepted and
it's fine. But 40 years ago we had these red flags flying --

THE PRESIDENT: Yes.

Q -- why did we waste 40 years? Now we're scared.

THE PRESIDENT: No, I appreciate -- I actually am not -- I don't think
"scared" is the right word to describe how I feel. I feel that we need to
rise to the challenge. I'll remind you. in 2001 the price of crude oil was
like $17 a barrel is one reason why. In other words, it -- the low price of
crude oil kind of lulled people into a sense that maybe things we're going
to -- the supply would be greater than demand. But it also made it more
difficult for alternatives to compete. And I'm not sure what you mean,
people aren't encouraged to put up solar panels. I think people can put up
solar panels if they want to. But the interesting thing about -- and we're
spending research money on advanced solar technology. In other words,
there's not going to be "a" answer for diversifying away from foreign
sources of oil. There's going to be a series of answers on a series of
fronts that will enable this country to diversify away from oil. And we
need to. I completely agree we need to. And the question is, are we
spending money at the federal level to do so? And the answer is,
absolutely. Since I've been President, we've spent about $10 billion on
ways to help us diversify away from oil, through research and development.

Yes, sir.

Q We put out a patent to control hurricanes, and we sent it to --
(laughter) -- Senator Byrd, and he thought it was great, and he --

THE PRESIDENT: Give him a mic that works, please. (Laughter.)

Q We sent it to Senator Byrd, and he thought it was great, and he gave it,
I understand, to Karl Rove.

THE PRESIDENT: What now? I missed your question, sir.

Q A patent to control hurricanes.

THE PRESIDENT: To control hurricanes?

Q Right.

THE PRESIDENT: Where were you last year? (Laughter.)

Q I'm here this year, okay. And Senator Byrd thought it was good enough,
from North Carolina, and he gave it -- I understand it was given to Karl
Rove, okay. We want -- we tried to get in touch with you, and we hope you
get the description of this patent, because we feel sure it's the one thing
that can stop hurricanes when they're young and vulnerable, okay. We can
get them, and we're using the coldest thing in the universe to do it. And
planes -- it's all planned on just how to do it, from MacDill, or anywhere.
And so we hope you get to read this. I gave it to a guy named Ryan here,
that's an associate of yours, and I hope he gives it to you.

THE PRESIDENT: Okay, good. What's his name?

Q My name is Luther Hoffman (phonetic). We sent you a letter, but I guess
it may not have gotten through.

THE PRESIDENT: Well, you know -- (laughter.)

Yes, sir.

Q Yes, sir, can you hear me okay?

THE PRESIDENT: Yes, sir.

Q You mentioned gas prices, and I think everybody understands that this is
being driven by economic imperatives. What I don't understand, what seems
to violate common sense, is why the oil companies are also reporting record
profits. It doesn't seem like people should get rich on somebody else's --
our misery.

THE PRESIDENT: Well, my attitude is, is that I believe in the markets, I
believe in the private enterprise, but I also believe people ought to
reinvest. You know, we haven't built a refinery in this country since the
early 1970s, not one refinery. And guess what -- when you have shortage of
supply, and demand stays strong, price goes up. So part of the reasons why
we've got high gasoline prices is because the price of crude oil has gone
up.

Part of it also is because we're not increasing the supplies of gasoline
for the consumers. And so my call to the energy companies is, reinvest in
America; expand refinery capacity; build new ones. Part of the problem,
though, is our own fault. We've got a lot of rules and regulations that
prevent there to be -- that stop people from investing capital in refinery
expansion. So one of the things I'm working with Congress is to relax these
regulations.

I mean, if we've got a problem, let's address it square on and figure out
where the problem is. And there is a bottleneck when it comes to this
paperwork. And we've got to be less regulatory in America to increase the
supply of gasoline for our people.

We've got another problem, in that in a lot of states they require
different kind of fuel blends, which means that it's hard -- when you have
to change your gasoline supply on a seasonal basis to have specialized
blends, it causes supply disruptions. And disruption in supply causes
prices to go up.

And so I don't believe the federal government ought to be taking over
businesses, I don't believe that. But I do believe that the federal
government ought to be encouraging people to spend profits here in America,
to build pipeline and expand capacity for the sake of consumers.
(Applause.)

Yes, ma'am. We're kind of running out of air time, here, because I've got
to go to Orlando. Brother, you need to get back to work. They're paying you
a lot of money, and you're just sitting there. (Laughter.)

Q First of all, Mr. President, I want you to know that you are in our
prayers on a daily basis.

THE PRESIDENT: Thank you.

Q We pray for you and your Cabinet. (Applause.) Secondly of all, I would
like to ask one question about the Alaskan pipeline. My understanding is
that most of that supply does not come to the United States, and I would
like to know why that goes to other countries rather than to where it's
needed here, so that we can --

THE PRESIDENT: You mean the crude oil coming down the pipeline?

Q Yes, sir.

THE PRESIDENT: I don't know where it goes, to be honest with you. Sorry. I
can find out. (Laughter.)

Q Okay. Could we just divert a little bit of that our direction, please?
(Laughter.)

THE PRESIDENT: I thought you were going to ask, how come we don't have the
gas pipeline coming down yet -- because there's a lot of untapped oil and
gas up there that can be explored in environmentally friendly ways. And I
think we ought to be drilling in ANWR -- it's called ANWR. I know we can do
it and protect the environment at the same time. And I know there's a lot
of untapped gas up there that we ought to get down through pipeline, as
well. I don't know where all the oil goes coming out of the pipeline now.
I'll try to find out for you.

Okay, final question, yes, sir.

Q Morning, Mr. President.

THE PRESIDENT: How are you?

Q I'm a retired New York City fireman.

THE PRESIDENT: Yes, sir. (Applause.)

Q I appreciate the love and affection that you showed New York City after
9/11 on behalf of all them people that passed away --

THE PRESIDENT: Yes, thanks.

Q -- and the 343 firemen, my brother firemen that died there that day. I
think you're doing a fantastic job and we'll always love and respect you.
(Applause.)

You said before you'd like a solution for Social Security. I have it right
here in my hand, Mr. President.

THE PRESIDENT: I'll meet you right there at the corner, and you can hand it
to me.

Q I'd love to. (Laughter.)

THE PRESIDENT: The hurricane guy can show up here with his answer, too.
(Laughter and applause.)

Q I wrote a solution to the Social Security reform a year ago. I sent it to
every congressmen, every senator, every newscaster, every station
throughout this country. I sent 794 letters out, and I got about five
replies. I think what's happening with Social Security is a disgrace. It's
not going to affect us, like you say, but it's going to affect us because
we're the parents of the baby boomers.

THE PRESIDENT: That's right.

Q And we're also the grandparents of the boomers' babies. (Laughter.) And
we're worried about them.

THE PRESIDENT: Yes. I tell you what. I'm fixing to thank everybody and you
stand right there.

Q Thank you, Mr. President.

THE PRESIDENT: And I'm -- I tell you what I'm --

Q Please give me two minutes with this letter.

THE PRESIDENT: I'm going to get the photographer to take a picture of you
handing me that letter.

Q Thank you, sir.

THE PRESIDENT: And that way I'll remember who you were when you handed it
to me. (Laughter and applause.)

Q I'll always remember you, Mr. President.

THE PRESIDENT: Thanks for being a firefighter. God bless, everybody. Thank
you.

END 12:01 P.M. EDT

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