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                     Office of the Press Secretary
                           (Istanbul, Turkey)
For Immediate Release                                  November 20, 1999


THE PRESIDENT: Good morning. I'm speaking to you from Istanbul, Turkey, where we just wrapped up a successful summit meeting of the Organization of Security and Cooperation in Europe, one that focused on the global challenges of the new century. At the same time, our administration has also wrapped up our work with Congress on the first budget of the new century.

Today, I want to talk to you about what we achieved and highlight a little-known accomplishment that will make a big difference to people with disabilities who want to be part of our nation's growing economy.

This week's budget agreement is truly a victory for the American people, a victory for children because it invests in world-class education that keeps us on the path to hiring 100,000 quality teachers to reduce class size. It doubles funds for after-school and summer school programs, and it provides help for communities to turn around failing schools or shut them down. It's a victory for families and neighborhoods, because it commits the resources necessary to begin hiring another 50,000 community police officers to keep our crime rate, already at a 25-year low, coming down.

It's a victory for future generations, because it protects the environment and preserves more natural areas, and it's a victory for American leadership in the world, because finally, it pays our U.N. dues and maintains our commitments around the globe to peace in the Middle East, to reducing the nuclear threat and chemical weapons threats, to helping relieve the debt of the world's poorest nations.

In short, we have delivered a 21st century budget that prepares for the future and lives up to our values. It also continues to pay down our national debt, because we walked away from that big $792-billion tax cut that the Congress passed and I vetoed. So we got the best of all worlds.

Perhaps nothing better symbolizes just what we were fighting for than the historic progress made in the budget to open new doors of opportunity for Americans with disabilities.

Now, we're enjoying one of the strongest economies in generations. Yet, even today, 75 percent of Americans with severe disabilities who are ready, willing and able to work aren't working. One of the biggest reasons is they fear they'll lose their health insurance when they get a job. And there's a good reason for this fear.

Under current law, many people with disabilities are eligible for Medicaid or Medicare coverage. But they can't go to work and keep that coverage. Yet, when they do go to work, they can't get private insurance because of their disability. So there is a tremendous disincentive to work.

Let me just give you one example. I met a man in New Hampshire not long ago who is paralyzed as a result of an accident. He wanted to take a job that paid $28,000 a year, but he would have lost his Medicaid health coverage, which would have led to medical expenses of $40,000 a year.

Now, the taxpayers would actually be better off. We're going to pay the medical expenses one way or the other, but if he went to work, he'd become a taxpaying citizen. And, more important, he would have the dignity of work. No citizen should have to choose between going to work and paying medical bills.

I'm very proud this week that Congress, on a bipartisan basis, finally agreed on the historic Work Incentives Improvement Act. It's bipartisan legislation to allow people with disabilities to keep their health care on the job. They can earn a salary, pay taxes and be role models by proving what people can do if given a chance to live up to their God-given potential.

This will make a real difference, also, for people with potentially severe disabilities -- those who are facing the early onset of diseases like AIDS, muscular dystrophy, Parkinson's or diabetes. Right now, they may be able to work, but their conditions aren't deemed severe enough to qualify for Medicaid. Yet, because they have them, they still can't get private health insurance. In other words, they can't get any health care until they're too sick to work.

In the final hours of negotiations, we were able to further strengthen this legislation by getting $250 million for a demonstration program to allow these Americans to buy into Medicaid, stay on the job and stay healthier longer. I encourage all the states to take advantage of these new health care options.

Taken together, this initiative is the most significant advancement for people with disabilities since the passage of the Americans With Disabilities Act almost a decade ago. It is part of our administration's seven-year commitment to tearing down barriers to work and rewarding responsibility, along with reforming welfare, increasing the minimum wage, increasing child care assistance, and doubling the Earned Income Tax Credit.

The Work Incentives Improvement Act is another milestone on the path to opening work and rewarding responsibility for Americans. Now, I hope we'll stay on that course and take on America's still-unfinished agenda: common-sense gun safety legislation, a real patients' bill of rights, meaningful hate crimes legislation, saving Social Security, reforming Medicare, adding prescription drug coverage, raising the minimum wage.

To Congress I say: We've done a good job for the American people by working together. Let's keep working together, build on our progress and get the right things done for the American people. Thanks for listening.