Following is a portion of the White House transcript of The Washington Post's interview with President Bush, conducted by staff writers Michael A. Fletcher and Jim VandeHei Friday aboard Air Force One en route to Jacksonville, Fla.:
16 Jan 05
http://www.washingtonpost.com/wp-dyn/articles/A12570-2005Jan15.html The Post: When you talk about Social Security, you talk about the crisis being now, given the demographic inevitabilities of the system and the financial strains. Is Medicare in crisis, given that it has the same exact demographic strains?
THE PRESIDENT: Well, the difference, of course, is that in Medicare, we began a reform system that hopefully will take some of the pressures off the unfunded liabilities, and that is providing, for example, a drug benefit, that will, hopefully, in cases, replace the need for surgery.
I used to tell people a lot on the campaign trail that Medicare would pay for the heart surgery but not for the medicine that would prevent the heart surgery from being needed in the first place. Heart surgery costs nearly $100,000, and the medicine could be $1,000. And that's a reform that not only reflects the new nature of medicine, but it's a reform, hopefully, that has cost benefits for the long run. Secondly, one of the things we did, we began to provide a market approach to Medicare, by allowing seniors choice. And the more choice consumers have, the more likely it is some costs will come under control. We've just begun the reform process in Medicare, and that hasn't been the case in Social Security.
The Post: Do you think it's in crisis, though? I mean, when you look at Medicare, do you see --
THE PRESIDENT: I think, definitely, we're going to have to make sure that in the long-run the baby boomer bulge is addressed in Medicare, as well. The difference is, is that we've started a reform process in Medicare, unlike Social Security.