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Clinton Names Satcher As Surgeon General (9/12/97)

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Clinton Nominates Satcher For Surgeon General

SPEAKER: William Clinton, President Of The United States

CLINTON: Thank you very much. Madam Secretary, our distinguished guests representing the health professions, to the Satcher family, and ladies and gentlemen.

Just yesterday, we learned of the strong public health progress our nation has been making in recent years. We learned that last year, infant mortality declined to a record low. Prenatal care

reached a record high. The teen birth rate declined for the fifth straight year. And death from HIV and AIDS declined more than 25 percent.

These are huge gains for public health, and much of the credit goes to the Centers for Disease Control and Prevention and their gifted leader, Dr. David Satcher.

As you heard from the vice president, Dr. Satcher's many accomplishments are built on the deep foundation of personal experience. On a small corn and peanut farm where he grew up, he relied on a dedicated country doctor, the only African-American doctor in the area, to come to his family's side in times of need.

That man, named Dr. Jackson, helped save David Satcher's life and then he and other mentors and other family members inspired him to dedicate his life to caring for the health of other people's families.

They inspired a man whose parents didn't have the opportunity to finish elementary school, to himself become the first black M.D., Ph.D. in the history of Case Western Reserve University, then go on to become president of Meharry Medical College and the director of the world renowned Centers for Disease Control.

In part, because of the inspiration of his family doctor, David Satcher is uniquely qualified to be America's family doctor. He's a mainstream physician with a talent for leadership, and I'm proud to announce that I intend to nominate him to be both assistant secretary for health and the surgeon general of the United States.

Only once before has a president asked one person to fill two of the nation's most prominent public health offices. I do so today because in his role as director of the CDC, the agency that is the world's best defense against disease, David Satcher has demonstrated his profound medical expertise and eloquent advocacy for the nation's public health.

He's helped to lead our fight to improve the safety of our food, to wipe out the scourge of emerging infectious diseases, to expand access to vital cancer screening.

I particularly want to thank him for guiding our childhood immunization initiative. Child immunization levels have now reached an all-time high. And cases of childhood diseases that can be prevented by vaccines are at an all-time low.

Now, I look forward to working with Dr. Satcher on our most important public health mission to free our children from the grip of tobacco. Every year, more Americans die from smoking-related diseases than from AIDS, car accidents, murders, and suicides combined.

We all know if people don't begin to smoke in their teens, it's unlikely they will ever begin to do so.

We have to make the most of this historic opportunity to protect our children against the dangers of tobacco by passing sweeping legislation that focuses first and foremost on reducing smoking among our young people. And he will lead our nation's efforts on many other health issues as well.

Over the past three decades of serving the health needs of our nation, David Satcher has earned the highest respect of public health officials around the nation and indeed, all around the world.

No one is better qualified to be America's doctor. No one is better qualified to be the nation's leading voice for health for all of us.

And I am grateful that he is willing to serve.

Now, before I call on Dr. Satcher to speak, let me make one more comment about another nomination.

I'm very disappointed that my nominee for United States ambassador to Mexico, Governor Weld, did not receive a hearing before the Senate Foreign Relations Committee today.

Because our relationship with Mexico is so very important to our security and to our economy, I want an ambassador who can represent all Americans. In a spirit of bipartisanship, I selected a highly qualified individual in the Republican governor of Massachusetts.

I believe the full Senate should find a way to move forward on this nomination and I am encouraged by suggestions that senators are seeking a way within the rules of the Senate to do so.

After all, a majority of the Senate Foreign Relations committee wants him to have a hearing. A majority of the United States Senate wants him to have a hearing. And all I have asked for is a fair hearing and an up or down vote on a man I believe to be highly qualified.

Now, I hope I will receive a quick hearing and up or down vote, which will doubtless be up, on Dr. David Satcher.

Dr. Satcher.

SATCHER: Thank you, Mr. President, for that introduction and for this extraordinary honor.

While I was listening to the president and the vice president talk about my childhood, I started thinking not just about the road I've traveled to get here, but about the people who helped lighten my load along the way.

And fortunately, many of them are here today. My wife, and actually my best friend, Nola, who has almost gotten used to the idea of perhaps moving to Washington.


But I want to say that her love and her care and discipline have so enriched our family's lives.

To my wonderful children -- Gretchen (ph), to Deroca (ph), and Daryl (ph), and David, who's somewhere out there on the way...


... I'm delighted to be able to share this moment with you.

Today, we also remember their mother Callie (ph), who despite her early death still remains a part of our lives and our spirit.

My stepson Nolan (ph), to Sarah Lynn (ph) and Sarah (ph) -- I'm delighted that you're with us.

Let me also recognize my brothers who are here -- my brother Robert, and his wife Marian (ph), and son Robin; to my brother Larry, whom we've been very pleased to be close with in the last few years while in Atlanta, and to his family. And to the many other members of my family from Alabama to California, many of whom are not here, but who support us and whose love we feel at this very important time in our history.

I wouldn't be here today without the support of my wonderful colleagues at the Centers for Disease Control and Prevention in Atlanta.

And I want to thank them for their enthusiastic support for my leadership.

And the mentors throughout my life who taught me that I could travel as far as my dreams could take me. And, of course, I especially want to express my deep gratitude to President Clinton, to Vice President Gore, and to Secretary Shalala -- Donna Shalala, that tough and tender leader who cares so much about the health of all Americans, and whose care is reflected in our very positive statistics.

I want to thank all of you, not only for the confidence you have continued to place in me, but also for your unyielding commitment to the public health of the nation.

Mr. President, I've never told you this, but when you nominated me to serve as director of the CDC, my mother was actually in the hospital and very ill. She in fact could barely communicate. But when she heard about my nomination, she managed to tell the nurse how very proud she was that her son, who had almost died of whooping cough as a child, would now be leading the very agency so entrusted with saving the lives of our American children.

I want to thank you for that very positive moment in my mother's life before she passed. I can only imagine how my mother and father would feel today. In fact, recently, in fact two days ago, Dr. Koop and I were having a discussion about the importance of values. I told him about my parents. Neither of them finished elementary school and together never earned more than $10,000 a year. But they instilled in me a set of fundamental values, values about right and wrong, values about hard work and commitment, values about helping those too often left out in the cold. Those are the values that have brought me to this day, and I do not intend to abandon them.

Because for me, for someone who has dedicated his life to science and public health, this is in fact the job of a lifetime. And if I'm confirmed, I intend to make it the opportunity of a lifetime. I want to be the surgeon general who reaches our citizens with cutting-edge technology and plain, old-fashioned straight talk. Whether we're talking about smoking or poor diet, I want to send messages of good health to our cities and our suburbs, our barrios and reservations, and even our prisons.

As the assistant secretary for health and the surgeon general, I want to take the best science in the world and place it firmly within the grasp of all Americans. I want to be the surgeon general who doesn't just speak to Americans, but who listens to them, really listens to them.

I want to hear about their expectations and their experiences, their questions and their concerns. I want to engage our citizens in an ongoing conversation about physical activity, about good nutrition, responsible behavior and other passports to good health and long life.

At a time when too many young people are picking up deadly habits and threatening their lives, perhaps more than anything, I want to be the surgeon general who brings young Americans hope for the future. I want to encourage our young people to respect their bodies and their minds.

I want to share with them the hurdles that I have to overcome. And when all is said and done, I want to give them back what I have received -- someone who loves them, someone to listen, someone to help pick up the pieces when they have fallen, someone to convince them that with good health and bold dreams, there isn't any challenges that we cannot meet. Thank you very much.


QUESTION: Mr. President, Senator Lugar says that it's now up to you to prevail on Senator Lott to get the Weld nomination to the Senate floor. And while I'm at it, are you -- will you go for a recess appointment if that doesn't work?

CLINTON: Well, I certainly intend to talk to Senator Lott about it, although I would hope that Senator Lugar would do the same thing, and the other Republicans who want the fair and decent thing done. And my position is that this man should have a hearing. He's been a good governor, he was a distinguished member of the Justice Department under President Reagan, and he's entitled to a hearing. And I believe if he gets a hearing, he'll be confirmed and he'll be able to go to Mexico, and that's what I'm working for.

QUESTION: Mr. President, the Congressional Black Caucus is in town and they're calling on you today to address the problem of police brutality (OFF-MIKE) in town, and they've marched to the Justice Department. What do you have to say to the caucus about the issue of brutality and what should be done about it?

CLINTON: Well, I believe the -- first of all, I think that when any kind of state action rises to the level of a constitutional violation, the Justice Department ought to be on top of it. And I look forward to meeting with -- I'm going to be with the black caucus, and I look forward to hearing from them and seeing what else they think we should do.

This administration, I think has done more for law enforcement than any administration in modern history, and we've been very supportive of it. And I think those of us who believe in law enforcement and support it should also hold it to the highest standards of conduct.

QUESTION: Mr. President, since you're meeting with your tobacco advisers this afternoon on the proposed settlement, can you tell us what direction you're leaning in? And do you think that the penalties that have been imposed on the tobacco industry are severe enough?

CLINTON: Well let me tell you, the direction that I will lean in is I'm going to do whatever I think will best further public health and will best increase the chances that we can dramatically reduce smoking among young people. And I will do that not only what, but when I do that. There are questions of substance and timing here, and it's a highly complex issue.

I want to thank Secretary Shalala and Bruce Reed for heading the process for our administration to review all aspects of this. And also to hear from all people involved, including the tobacco farmers, which Secretary Glickman worked on.

And I will be -- at least I'll begin my review of that later this afternoon, and then I'll do whatever I think is best. But I can't -- I don't want to make any specific comments until I have a chance to hear from my folks. They've been working on this very hard.

QUESTION: President Clinton, on the -- back on the Weld nomination. What do you make of Senator Helms's implied threat that this could have fallout in your relationship with him on other foreign policy matters?

CLINTON: Well, I don't think it was implied. I thought it was explicit.

I like that about Senator Helms. He always tells you where he is and what he's doing. This is just a -- you know -- we've had a very cordial relationship partly because we've been very candid and honest with each other. And this is just an area where we have disagreement.

I think Governor Weld would be a good ambassador. He doesn't. I think whether you believe he'd be good or not, he's entitled to a hearing, especially when the majority of the members of the committee and the majority of the members of the Senate want him to have it.

And so that's where I am and we're at loggerheads now. As Senator Lott operates the Senate under the Senate rules and they may well have the ability to prevent this from ever happening.

And they may prevail, but the battle is not over yet.

QUESTION: Mr. President, Mr. Weld used the term "despotic" to describe today's proceedings. Would you go that far?

CLINTON: Well, you know, I think that there are lot of things about the Senate that, when they operate properly, may be good -- the Senate was designed to slow things down in America by the founding fathers -- but when they're abused can be bad.

I think, among other things, the filibuster has been grossly overused in the last five years. And I know of no precedent for this action.

But we'll just have to see.

I didn't answer that question on purpose.


On the -- yes, that's right. I didn't answer that. Let me remind you of what the situation was in the last recess. We just finished a recess and Senator Lott told me in no uncertain terms that if I intended a recess appointment of Governor Weld, the Senate would not go into recess. And that he would do whatever was necessary to make sure the Senate did not go into recess.

And again, I value my relationship with -- we got a balanced budget out of this Congress in part because we trusted each other to tell the truth. So I have to be careful how I handle this.

I would never mislead Senator Lott. And he might have the same position this time he had last time. So I think it's premature to talk about that.

We should do this the right way. This man has been a distinguished public servant and he ought to get a hearing. Let's do this the right way, and not talk about -- you know, there are circumstances under which recess appointments are appropriate. But what the appropriate thing to do here is to give this man a hearing.

QUESTION: Mr. President...

CLINTON: Thank you. Thank you.

QUESTION: ... there have been some criticisms on why you waited so long on appointing a surgeon general. Could you address this criticism? And also the other criticism is that there doesn't need to be a surgeon general.

CLINTON: Well, first of all, I had -- we had this ready to go. We thought the appropriate thing to do was to wait until right after the break instead of doing it before the break, so we've been ready for some time.

But I thought to do it after the August recess would give it greater national visibility and greater impetus going into the congressional hearing process.

And secondly, you could make an argument that we don't need a lot of folks, I guess, but my view is that -- that the country is better off with a surgeon general than without one. And I think of the contributions that Dr. Koop has made. I think of the contributions many of our other surgeon generals have made.

I think the idea of having a person who can be looked to by ordinary Americans for good advice and for strong advocacy on what they can personally do, on what the public policy of the country ought to be, and who can advise us about what we should be doing in policy and research and things of that kind is very, very important.

I think -- I think the country kind of likes the idea that there ought to be a doctor that they can trust, that they can turn to for old homespun advice and for also keeping them on the cutting edge of whatever modern medical developments are.

And I know that I certainly feel that way and I'll feel a lot better when Dr. Satcher's been confirmed.

Thank you.

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