We can and should take two major steps this year -- pass the Patients Bill of Rights and pass prescription drug coverage for all senior citizens. Too often today, HMOs and insurance companies dictate treatment based on economic cost, not medical need. A good Patients Bill of Rights is nearing final approval, and we should complete it as soon as possible. Too many patients across the country have waited too long. It's time for Congress to give them the simple justice of basic protections against HMO abuses. On Medicare, as prescription drug prices soar, the shameful gap in that basic and beloved federal program becomes increasingly unconscionable. Senior citizens are suffering needlessly because they cannot afford the drugs they need. Medicare is a solemn promise to every citizen. It says: "Work hard. Contribute to the system. Play by the rules. And we will guarantee affordable health care when you are old." But the world has changed since 1965, and the old ways of Medicare will not do.

Our goals for America also demand a higher priority for health care. One out of six Americans has no health insurance. The problem is becoming worse, not better. Increasingly, people with disabilities and other illnesses are being shut out of coverage. As the cost of care increases and jobs become less secure, more and more Americans are losing the coverage they have, and they fear that the sudden illness of a child or a loved one will bankrupt their family. As a result, too many too often go without the health care they need. In fact, those without health coverage are four times more likely not to get medical care than insured Americans. Lack of health insurance is the seventh leading cause of death in the nation today. Medical bills too often force the uninsured to default on their debts or lose everything they have. Inevitably, as medicine advances and as more and more medical miracles become available in this extraordinary new age of the life sciences, health care is increasingly beyond the reach of large numbers of Americans. America cannot have the best workforce in the world if we do not also have the healthiest workforce in the world. Our failure to guarantee health care is one of our greatest failures as a nation. More than ever, in our modern society, health security should be and must be a basic right for all. The battle for quality, affordable health care has never been easy. If it were, we would have enacted it a generation ago. But as the new spirit after September 11 calls forth the best in all of us, it challenges us to move forward to good health care for all Americans. We saw what could be achieved in education reform with genuine bipartisanship. There are disagreements on health policy, as there were and are on education. But at least we should be able to work together for goals widely shared by all Americans, and endorsed by both Presidential nominees in 2000.

I have worked with other members of Congress on bipartisan legislation to provide resources to states and localities to bring existing early learning programs together, and to begin a universal initiative in early education. Although the selection of specific service priorities is best left to states and communities, the federal government can provide greater incentives for the states to create more coherent systems, setting and implementing strategies to assure that young children -- all young children -- will be healthier, more secure, and ready to learn. We must narrow the gap between what we know and what we do, to give every young child in America the best possible start in life. We must see to it that millions of children are not left far behind even before they enter the first grade. In the next year, we must address this vastly important frontier of education reform -- the first five years of life.

Third, it is imperative to develop genuine partnerships among federal, state, and local governments to create a more unified and effective system of early education services for all children, particularly those at greatest risk. Forty-one states are already investing in early education. The early childhood landscape includes a variety of programs, from subsidized child care facilities and private nursery schools to Head Start centers and early intervention services for children with special needs. Too few of the efforts are well-coordinated with each other, but all are guided by the same underlying science. On this shared knowledge base, we must now build stronger ties and eliminate arbitrary barriers. The time has come to coordinate and strengthen the capacity of Head Start and Early Head Start, child welfare, child care, and agencies that administer welfare reform.

Second, we must acknowledge that school readiness is not only about promoting early literacy and other academic skills. Science tells us that how children feel is as important as how they think, particularly if we are concerned about their capacity to succeed when they get to school. Knowing the alphabet and counting to 10 are not enough, if you can't sit still or pay attention in the classroom. All young children, regardless of their God-given abilities and economic circumstances, must be engaged in caring relationships and provided with a variety of opportunities to learn in a safe and stimulating environment. We already know what is needed to promote the intellectual, social, and emotional skills required to learn in school. The time has come for this nation to use that knowledge to help all children achieve that competence -- for their own sake, for the sake of their teachers and classmates, and for the sake of America's future.

Success in this effort will be achieved if we meet three core objectives. First, we must demand value from our investments. In early education, value is reflected in the quality of a range of important services. The most significant factors are the knowledge and skills of the service providers, and their capacity to form strong relationships with children and their families. These personal characteristics are influenced by training and compensation. Yet thirty states have no training requirements for preschool teachers before they begin to teach. Parking lot attendants are generally paid more to watch our cars than early education professionals are paid to teach our youngest children. On average, early education providers earn 15,430 dollars a year. It can and must become a national priority to change this -- to improve the skills, the pay, and the retention of the professionals who teach our children at the dawn of life.

The next great frontier of our commitment to reform should be early childhood education. The politics are complicated, but the goal is simple. Every child should start school ready to learn. Science tells us that the roots of academic difficulty are established well before the first day of school. In the absence of intervention, children from low-income families score consistently lower on developmental tests by age 2, and the differences increase over time. Children who fall far behind before they enter school have a far more difficult time catching up -- but well-designed programs can enhance their learning in the preschool years. And yet, after nearly 35 years of investment in Head Start, only three out of every five eligible children are enrolled. Early Head Start is the only federal program serving infants and toddlers who are living in poverty -- yet it reaches less than five percent -- five percent -- of eligible children. I welcome Mrs. Bush's strong interest and dedication to this issue. She will testify next week before our Education Committee in the Senate. I believe that she and the President can and will join us in working together to develop an effective strategy to promote learning in the earliest years of life. Like elementary and secondary education, building an effective early education system for the nation will take time, commitment, and resources. Therefore, I propose that we set a bold yet realistic goal. Over the next five years, we should develop the capacity to assure that every child has access to quality early education, starting at birth.

In this new session of Congress, we must also join together to do a better job of laying the groundwork for meeting and mastering the longer-run challenges before us. We are being called to action again, as we have been called before at decisive times in our history. We are fighting a war against terrorism -- and we are also fighting for our values. Our resources may be limited, but 2002 can be a year in which we make progress on the great unfinished business of our society. One essential priority is to continue our intense focus on education. For too long, public education has been highly unequal from kindergarten through 12th grade. The new school reform law can go a long way to close the gap -- but only if we stay the course, and provide the increased resources and guidance essential for schools and students to meet and fulfill the high potential of this far-reaching and genuinely bipartisan achievement. I was proud to stand with President Bush as he signed that reform into law. But this is no time for any of us to rest on any laurels. We have only just begun to renew our education system. We have much more to do to realize the ideal of "no child left behind."

Clearly, our number one priority at home -- now and in the years ahead -- is the strength of the national economy. It makes no sense for anyone in Congress or the Administration to try to blur the very obvious difference between the short run and the long run. Both are essential for our economic security, and we face major challenges on each. The most urgent short-run need is economic recovery. I strongly support Senator Daschle's plan. I believe Democrats are ready to work with the President for the kind of immediate, temporary, and fair stimulus that is essential to end this lingering recession and put our national economy back on the path of solid growth for the future. Neither side will get all it wants if we work together here. But surely we can agree to focus on the large number of laid-off workers and their families who are hurting, and who deserve help the most while they look for new jobs. Surely we can agree on the tax incentives that will actually encourage business investment now, without letting them become a transparent pretext for unaffordable longer-term tax giveaways or special interest bonanzas that the country can't afford.

A new spirit has taken hold in America -- a new sense of community -- a new willingness and new commitment to help others -- a new understanding that we are all in this together -- a new recognition of the helpful role of government -- a new readiness on the part of the vast majority of citizens to ask what they can do for each other and for our country. In this new time, it is right to stand with the President on the war front -- and it is just as right to stand up for fundamental principles on the home front. We can and should support President Bush's conduct of the war, and still ask the administration to join us in addressing the urgent needs of our people in areas like jobs, education, health care, and equal rights. Some suggest that the nation is returning to business as usual -- to politics as usual. I reject that view. The spirit of September 11th is a mandate for new missions, not a summons to selfishness. If we accept less, we fail the innocent men and women and rescue workers who lost their lives in the terrorist attacks. We fail the courageous men and women in uniform who have served so brilliantly in recent months. We fail the spirit of September 11th. We fail America itself.

Our first priority is to stand with the President and our armed forces on the frontlines overseas, and to do all we can to protect the homefront against possible new acts of terrorism. But there is another challenge which also demands the best of all of us, and which I hope we can approach with a new bipartisanship. We must reinforce the nation on the homefront by meeting the great domestic challenges here with the same determination that we all have brought to the great challenge from abroad. Despite all the dangers and difficulties, we enter this period with extraordinary possibilities for progress.

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Two years ago this month, we celebrated the beginning of a new century -- indeed, a new millennium. Many people called it the beginning of a new age. But a new age does not necessarily obey the calendar. A very different kind of new age was ushered in four months ago. The tragedy of September 11 changed America as few events have changed us before in our history. We were stunned by our own vulnerability, shaken by the destruction, and touched by the terrible human losses. President Bush deserves high marks for his leadership as Commander in Chief in meeting this supreme challenge. Together with my fellow citizens and my fellow Democrats, I support him and I salute his resolve in the fateful fight against terrorism -- and for freedom from fear. A week from today, Congress returns to renew our part in serving and strengthening the nation.

So I say to all Americans, regardless of party -- if you believe we should use our prosperity to make our children healthy and whole -- fight for Al Gore. Because he's fighting for you. Al Gore will put Medicare in an iron-clad lockbox where politicians can't raid it or cut it. He will veto any effort to use money from Medicare for anything but Medicare. So if you believe in quality health care for all our seniors, no matter what your politics -- fight for Al Gore. Because he's fighting for you. Al Gore believes that no senior citizens in America should ever have to choose between the food on their table and the medicine they need. So if you believe in prescription drug coverage for our seniors -- then fight for Al Gore. Because he's fighting for you. Al Gore has been leading the fight for a real Patients' Bill of Rights. He's been working with leaders of both parties to do it. So if you believe medical decisions should be made by doctors and nurses on the basis of sound medicine -- not by accountants and number-crunchers, sitting at computer screens hundreds of miles away -- then fight for Al Gore. Because he's fighting for you. The fight for health care has been the driving dream of my public service -- starting with my brother's crusade to pass Medicare into law.

I've been a Democrat all my life -- and I am proud of it. But I say to you, there is no Democratic or Republican way to heal a sick child. There is no Democratic or Republican way to make the right medical decision. No Democratic or Republican way to fight cancer, or ease the pain of HIV and AIDS. This is not the time to play partisan games with human health. Let there be no mistake about it. There is a profoundly deep difference between the Democratic and Republican nominees on this issue -- this life and death issue -- of health care for all Americans. Al Gore is the only candidate committed to moving this country, step by step, to universal health coverage -- starting by covering every child by the year 2004. He believes in it heart and soul.

Well, I've been there on the front lines fighting for working families. And I can tell you, we weren't coasting, we were seizing an opportunity when Al Gore and I worked with Republican Senator Orrin Hatch to pass landmark health care coverage for children. And now, two million more children have health coverage. That's called progress -- not partisanship -- and that is Al Gore's way. We weren't drifting, we were moving ahead when Al Gore and I worked with Republican Senator Nancy Kassebaum to see that a family doesn't lose health coverage just because a parent loses a job or changes jobs. And today, we are working with Republicans and Democrats alike to make it even stronger. That's called progress -- not partisanship -- and that is Al Gore's way. We weren't gridlocked, we were raising up our nation when Al Gore and I worked with Republican Senator Jim Jeffords to make sure that people with disabilities can keep their health care when they join the workforce. And today, more and more of the disabled are putting their abilities to work for themselves and for America. That's called progress -- not partisanship -- and that is Al Gore's way.