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Note: The indexes in this issue cover issues 27-39. This issue should be retained until the annual index is published because a separate third quarter index will not be printed.


Addresses and Remarks

Clean car initiative-1915
National export strategy-1918

National Medals of Science and Technology,
presentation ceremony-1942

New York City

Fundraising dinner for Mayor Dinkins-


Health care reform-1885

United Nations General Assembly-1901

United Nations luncheon-1908

Radio address-1883

Regulatory planning and review, Executive

order signing ceremony-1923
Retirement ceremony
for General Colin
Powell in Arlington, VA—1943

Appointments and Nominations

Civil Rights Commission, Vice Chair and Staff


State Department, Ambassador to Poland-

Communications to Congress-Continued
Continuation of Haitian emergency, message

transmitting notice-1941

National emergency with respect to UNITA,

North American Free Trade Agreement,


Restriction of participation in weapons

proliferation activities, message-1936

Communications to Federal Agencies

Agency rulemaking procedures,

AIDS in the workplace, memorandum-1941
Assistance to United Nations for

reestablishment of police forces in Somalia,

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Week Ending Friday, October 1, 1993

The President's Radio Address
September 25, 1993

Good morning. Last Wednesday evening, I asked Congress to take up the challenge of providing health security to every American, to help write the next great chapter in our Nation's history. Already your response has been positive and dramatic, creating what I believe will be an irresistible momentum for reform, while insisting that we be careful to do it right. And I am increasingly confident that before it adjourns next year, Congress will pass and I will sign a bill that guarantees each American comprehensive health benefits that can never ever be taken


In the debate between now and that day, a debate I welcome, our most urgent priority must be to ensure that we preserve what is right with American health care and fix what is wrong. So today I want to take a few minutes to talk with you about the plan that I am suggesting and how it will work for you, what will stay the same and what will change. First, I want you to know that after considering all the options and looking at the systems in place in other countries in the world, I decided that our Nation does not need a Government-run health care system. So our plan builds upon the private system, which provides health care to the vast majority of you today. Nine of 10 of you who have private health care coverage now, get it through the place you work. In the future, you will do it just like you do now. Because that's what works now, I think it should work for every


Second, under our health care plan, 63 percent, more than 6 in 10 Americans who have health insurance today, will pay the same or less than you do today for benefits that are the same or greater, including the right to choose your doctor. If you get good health care, if you like your benefits, if your employer pays 100 percent of your health care costs, nothing will change.

Let's say you work for Super Software, a small computer company that employs about 150 people, and that today your company provides you excellent health benefits, your choice of doctors, and picks up the whole tab. That won't change. You will still sign up for a health plan at work, see the doctors you want, and get the same benefits.

Now, suppose you work for a giant auto company and your union has fought hard for your benefits; you've even had to give up a wage increase or two to get them. Well, under this new plan, you will keep those benefits.

What do you get out of this plan? You get security. You get the knowledge that you'll never lose health coverage even if you lose or change your job or you get very, very sick. You also know that no matter what happens, there's a limit to what your employer can do to reduce the benefits or your choice of plans.

I know that many people also want to know whether you'll still be able to choose your doctor. Again, I say the answer is yes. And no matter what kind of plan you're in today, you will all benefit because under this new system, the cost of health care will go up much more slowly than they've been going


for the last 10 or 12 years. And you'll be able to choose from at least three plans providing comprehensive coverage. You'll also be able to choose your doctor no matter what plan you decide to join because you can follow your doctor into whatever plan he or she joins.

Now, a lot of families have more than one doctor. Say you're a working mother who values your obstetrician, and you trust your children's pediatrician. You want to know if you can see them both. There's still no need to worry, because doctors will be able to join more than one plan and keep treating the same patients they see today.

Finally, we're going to maintain the quality of American health care. We can do that by

making sure that there are quality standards met by all the health care plans, by spending our money smarter, less on paperwork and unnecessary costs and more on medical research, health care centers, and preventive care; by freeing your doctors and nurses from the paperwork they've got to wade through everyday; and by giving you information, valuable information, on variations in costs and outcomes in medical procedures in your area. These are the things that are right, that make sense, that will keep the quality that we've got today.

Now, let's talk about what needs to be changed in this huge health care system of ours. We begin with the need for security. No American can be absolutely guaranteed today that he or she will never lose health care. But we begin by making that guarantee, a comprehensive package of health care benefits, the kinds of benefits that only people with the best plans and the best companies get today, that never can be taken away, even lose your job or move to another town or State or someone in your family gets very

if you


Then we're going to do something, frankly, that we should have done a long time ago. We're going to provide every American, no matter what kind of plan you sign up for, with free preventive care. Things like immunizations for children, prenatal care for preg; nant women, mammograms, cholesterol screenings, things that will keep us healthy and save us all a lot of money over the long


Many Americans will actually have more choices in the kinds of health care they get because everyone will have a choice of at least three health care plans in connection with their job. Today, only about a third of Americans have a choice of more than one plan when they're insured at work. That's a lot more than most Americans have.

We're also going to clear out the paper and the fine print. No more fighting with some insurance bureaucrat hundreds of miles away in order to get what your policy owes you anyway. And no more doctors telling stories of the hundreds of patients they could have served every year if only they weren't swamped in redtape.

This will simplify our system and literally save tens of billions of dollars a year. Don't take my word for it, ask any doctor or nurse or hospital administrator about the growth of unnecessary paperwork in the last decade, mandated by both Government and insurance companies. It adds about a dime to every single dollar we spend in health care. And it has resulted in hospitals hiring 4 times as many clerical workers as doctors being added to their staffs.

Something else is going to be different, too. We're going to ask each of to take you more responsibility. Six of every 10 of you will pay the same or less than you do now

for the same or better benefits. But some

people will pay more: people who are getting a free ride today, businesses that contribute nothing to cover their employees, and others who offer bare bones coverage with huge ployees will have to pay something for their deductibles and copayments, and those emhealth care. Young, single adults will pay more, too, especially those who are in the best of health and don't see any reason to buy health insurance, the ones who, when insurance, pass those costs on to the rest of they end up in the emergency room without


For small businesses and people on very low wages, there will be discounts to make sure we don't cost jobs or hurt people, but everybody should take some responsibility for their own health care. It's not fair to the rest of Americans when you don't. There will also be more responsibility on those in the systems, less for insurance regulation and overhead, a crackdown on fraud and abuse, fewer frivolous malpractice lawsuits, fewer unnecessary procedures done just to get the money and more responsibility for individuals for their own health, strong efforts and incentives to reduce teen pregnancy and low birthweight babies, to reduce the rate of AIDS. These are the kinds of things we have got to do.

But in the end, the most important thing that will change is this: Every American will get something that today no amount of money can buy, the security of health care that can never be taken away no matter what. No matter how good your coverage is today, you can lose it. You can lose it all at once,

or it can be gradually taken away year after year.

Our goal then is health care security for all Americans. The only way to get there is to keep what's right with our system, the best medical care in the world, the best medical technology, the best medical professionals, and fix what's wrong.

We're going to protect quality and choice, but we're going to make some changes. We're going to simplify this system. We're going to get billions of dollars of savings. We're going to ask people who don't pay anything now to assume more responsibility for their own health care. That way we can give you health care security without a big tax in


In the weeks ahead, we'll be describing in greater details what needs to be done. But the most important thing is health security. We can do it.

Thanks for listening.

NOTE: The address was recorded at 5:21 p.m. on September 24 in the Roosevelt Room at the White House for broadcast at 10:06 a.m. on September


in which the U.N.'s mission can be assumed by a Somali authority.

Since 28,000 U.S. troops went to Somalia last December, we have withdrawn 80 percent of our forces. Today, our troops number less than 5,000 and make up less than 20 percent of the remaining U.N. forces from over two dozen nations. As U.N. forces continue to take up the burden, the American role can continue to diminish.

Today, Somalia is on the road to recovery, especially outside of Mogadishu. District councils are reestablishing the rule of law in much of the country, hospitals and schools are operating, and crops are being planted and harvested. On Wednesday, the United Nations took important steps forward to support the reconstruction of Somalia's judicial, security, and penal systems.

We must not allow this substantial yet fragile progress to be threatened by the brutality of warlords who would profit from the suffering of others and thwart the will of the overwhelming majority of Somalis who seek peace and reconciliation.

Statement by the Press Secretary on the Situation in Somalia September 25, 1993

The United States condemns the attack on United Nations forces in Mogadishu last night which resulted in the death of three American soldiers and injuries to several other American and Pakistani soldiers. The President offers his deepest condolences to the families and friends of these brave men who were performing a vital humanitarian mission in Somalia.

This attack underscores the need to reestablish security in Mogadishu to prevent the international humanitarian efforts from being undermined. At times like this, it is essential to remember the reasons for our engagement in the 25-nation U.N. mission in Somalia. The U.N.'s goal is to prevent the recurrence of the famine and anarchy that resulted in the deaths of 350,000 Somalis last year. We are working to create a peaceful environment

Remarks and a Question-and-Answer
Session on Health Care Reform in
New York City
September 26, 1993

The President. Thank you very much, Mayor, and all my good friends in Queens. It's great to be back in this diner again. We had a terrific-was anybody here when I was here before? Well, Congressman Manton was, and Lowey was here, and you were here, and

you were here when I was here before. We had a great time here. A lot of you were here. Didn't we, Antonio? We had a great time. And I felt so good about it, I brought you a cap from my food service. [Laughter] You can wear it here. There you go.

I came to this place during the primary as an example of a new small business and the kind of economic opportunity that I hope to support as President. In the last several months I've had the opportunity to work with the Members of Congress here present: Gary Ackerman, Tom Manton, Anita Lowey. Anybody else here from the House? I don't think

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