The White House, President George W. Bush Click to print this document

For Immediate Release
Office of the Press Secretary
October 22, 2004

President Discusses Medical Liability Reform and Health Care in Ohio
October 22, 2004
Canton Palace Theater
Canton, Ohio

2:06 P.M. EST

THE PRESIDENT: Go ahead and be seated, please. We've got some work to do. Thank you all for coming today. First of all, George, thank you for that strong endorsement. I am proud to have George in my corner, just like I'm proud to have thousands of Democrats all across the state of Ohio who understand if they want a safer America, a stronger America, and a better America to put me and Dick Cheney back in office. (Applause.)

Thank you, sir.

I'm keeping mighty good company today. So I don't know if you know this or not, but Laura and I were in the 7th grade together at San Jacinto Junior High in Midland, Texas. And then we became reacquainted when she was a public school librarian in Texas. I asked her to marry me. She said, fine, I will marry you, but make me one promise. I said, what is it. She said, never make me give a speech. (Laughter.) I said, okay. You've got a deal. Fortunately, she didn't hold me to that promise. Laura is a great speaker, and when she does, the American people see a compassionate, warm, wonderful First Lady. (Applause.)

So I have been telling the girls, one of these days, we'll take the family camping trip. (Laughter.) They envisioned the Grand Canyon, the wilds of Alaska. Girls, this is it, the 2004 campaign. (Laughter.) We love them dearly. I'm proud of Barbara and Jenna. Thank you all for campaigning so hard. (Applause.)

Thanks for coming today. I'm back in the great city of Canton because I'm here asking for the vote. I'm here to describe to you what I intend to do over the next four years to make this country a better place. I believe you have to get out amongst the people and ask for the vote. We've got a very unusual way of making some points today. As you can see, I've been joined by some citizens from Ohio here on the stage. We will listen to their stories. I think it'll help the people of Ohio understand why I have made some of the decisions I have made.

Before I begin, though, I want to thank your Governor Bob Taft for joining us today. Governor, great to see you. (Applause.) I want to thank Jennette Bradley, the Lieutenant Governor. Thanks for coming, Governor. You look great. (Applause.) Congressman Ralph Regula -- appreciate you being here, Congressman. (Applause.) Laura and I were looking forward to seeing the wife, but, no, of course. She's probably out mowing the lawn like you should be doing. (Laughter.)

Listen, you've got a great United States Senator in George Voinovich. He doesn't need a poll or a focus group to tell him what to think. He stands on principle. You know where he's coming from. He doesn't shift in the wind like some other United States senators I know. (Laughter.) Put him back in office. (Applause.) And I'm proud -- I'm proud of Mike DeWine. A fine United States Senator, as well. We're -- Laura and I are proud to call both George and Mike, friends.

Today, when I landed at the airport, I met Dan Yeric who's sitting right there. Dan, why don't you wave your hand. Thanks for coming. Dan has been a volunteer at the Akron Children's Hospital for 12 years. The reason I bring him up is the strength of this country lies in the hearts and souls of our fellow citizens. The true strength of America is not our military might, it's not the size of our pocketbook. The true strength of America is in the hearts and souls of citizens who are working to change this country one person at a time, those who've heard the call to love a neighbor just like they'd like to be loved themselves. Dan is a soldier in the army of compassion. Thank you for your example. Thank you for your care. (Applause.)

We're getting close to voting time. Who's counting the days? (Laughter.) And I'm here to ask for your help. I believe, with your help, we will carry Ohio again and win a great victory in November. (Applause.)

So Laura and I and the girls are here to thank you for what you are going to do over the next less than two weeks: call the phone, get on the phone and call the voters, put up the signs, find those discerning Democrats like the mayor, independents, Republicans. Get people to do their duty and vote.

And when you do, as you get them out to vote, remind them what this economy has been through. I know there's tough times here in Ohio. Remind everybody what we have been through. You might remind them, starting with this point. The stock market was in a serious decline six months prior to my arrival in Washington, D.C. And then we had a recession. In other words, that stock market decline was an indicator that the economy was heading south, and it did.

And then we had some corporate scandals. We passed tough law to make it abundantly clear we're not going to tolerate dishonesty in the boardrooms of America.

And then we got attacked. And those attacks cost us nearly a million jobs in the three months after September the 11th, 2001. Our economy has been through a lot. But we acted. We cut the taxes to spur consumption and investment and our economy is growing. (Applause.)

We raised the child credit to help people with kids. We lowered the marriage penalty. Listen, we don't want a tax code that penalizes marriage. We want a tax code that encourages marriage. (Applause.)

We reduced rates on everybody who pays taxes. I don't think you ought to be trying to pick and choose winners when it comes to tax relief. If you pay taxes, you ought to get relief. We helped our small businesses. We encouraged investment. Our economy has been growing at rates as fast as any in nearly 20 years. We've added 1.9 million new jobs since August of 2003. This month of September, in the last month, that being September, the state of Ohio added 5,500 new jobs. Your unemployment rate dropped from 6.3 to 6 percent. We're moving forward. (Applause.)

I signed a bill that's going to help our manufacturers. It will save $77 billion over the next ten years for the manufacturing sector of America. That will help keep jobs here. It's a bill that extended the $100,000 expensing deduction, expensing allowance for small businesses. That will help keep jobs here in Ohio. It closes corporate loopholes. It repeals the 4.3 -- 4.3 percent tax on railroad diesel and barge fuel. That will help keep jobs here in Ohio.

To keep jobs here, we've got to have less regulations on our job creators. To keep jobs growing in Ohio, we need to do something about the junk lawsuits that plague the job creators in the state of Ohio. (Applause.)

It's important for us to open up markets for U.S. products, for markets, for crops grown right here in the state of Ohio. Listen, we've opened up our market, and it's good for consumers. Here's the way the market works. If you have more products to choose from, you're like to get that which you want at a better price and higher quality. So rather than hurting our consumers, what I'm saying to places like China, you treat us the way we treat you. You open up your markets, because we can compete with anybody, anytime, anywhere, so long as the rules are fair. (Applause.)

To keep jobs here, we need an energy plan. I proposed one to the United States Congress over two years ago. It's a plan that encourages conservation, a plan that encourages the use of renewables. It's a plan that recognizes we can use technologies to protect our environment and at the same time, burn coal and find natural gas. It is a plan that recognizes in order to keep jobs in Ohio, in order to expand the job base here in this state and other states, we must be less dependent on foreign sources of energy. (Applause.)

In order to make sure jobs are here, we've got to do a good job of educating our people. I told the people when I ran I was going to challenge the soft bigotry of low expectations, you know, the system that just shuffled kids through the schools grade after grade, year after year, without teaching the basics. I kept my word. We passed the No Child Left Behind Act. It raises standards. It spends more money. But in return for more money, we're now measuring. You cannot solve a problem unless you diagnose the problem. We're diagnosing problems early now, and more and more of our children are learning to read and write and add and subtract, and we're not going to go back to the days of mediocrity in our classrooms. (Applause.)

Education is more than just elementary school. We'll extend high standards to our high schools. We'll emphasize math and science. We'll continue to expand Pell grants so low- and middle-income Americans can start their career with a college diploma. We're going to continue to expand access to community -- community colleges so that people actually have the skills necessary to fill the jobs of the 21st century.

I'm going to also remind you that to make sure our economy grows, we've got to keep your taxes low. And taxes are an issue in this campaign. They are a significant issue, and I'll tell you why. My opponent has proposed $2.2 trillion of new spending thus far. That's trillion with a "T." (Laughter.) That's a heck of a lot, even for a Senator from Massachusetts. (Laughter and applause.)

So they asked him, how are you going to pay for it? And he pulled out that same old line, that class warfare line: Don't worry, we'll pay for it by taxing the rich. You can't raise enough money to pay for $2.2 trillion of new spending by taxing the rich. He says he's going to raise the to two brackets. I'll tell you three things about that. One, most small businesses are subchapter-S corporations or limited partnerships, which mean they pay tax at the individual income tax level. And when you're running up the top two brackets, you're taxing about 900,000 to a million small businesses all across America. Guess what. Seventy percent of new jobs in America are created by small businesses. It makes no sense to tax job creators. (Applause.)

Secondly, there is a tax gap. There is a difference between what he has promised, $2.2 trillion, and what he can raise. Now, guess who usually gets to fill that gap? Yes, you do.

Thirdly, the so-called rich hire lawyers and accountants for a reason when it comes to tax time, to slip the bill and pass it onto you. The good news is, we're not going to let him tax you. Taxes would be bad for our economy. If you want to make sure you keep jobs here in Ohio, you keep the taxes low. We're not going to let him tax the American people because we're going to win in November. (Applause.) He can run -- he can run, he can even run in camo -- (laughter) -- but he cannot hide. (Applause.)

A couple of other things I want to share with you, and then we're going to talk about health care, as you can see. I want to talk about promoting an ownership society in America. You know, it's said that no one ever washes a rental car. (Laughter.) There's some wisdom in that. (Laughter.) When you own something, you care about it. If you own your own small business, you care about the future of America. Do you realize that the home ownership rate under my administration is at an all-time high in America? (Applause.) We're going to talk about health savings accounts in a minute, but this is a way for people to own their own health care and manage their own health care in a way that makes sense for American families and American small businesses.

I want to talk about Social Security and ownership. The 2000 campaign, I remember it clearly. During that campaign, people ran advertisements that said if George W. gets elected, our seniors will not get their Social Security checks. You might remember those ads. It's kind of the old typical political scare tactic. Well, as you're out gathering up the vote, remind our senior citizens, I did get elected, and you got your checks. And I'm going to get elected again, and you're still going to get your checks. (Applause.)

The reason I bring that up is because I'm willing -- I'm willing to talk about how to make sure the Social Security system is available for our children and our grandchildren. It is necessary to do so. See, we're in good shape as a baby boomer. The money in the trust; there's enough people paying in that we'll be taken care of. We need to worry about the children and grandchildren. We need to worry about whether or not Social Security will be available for them. In order to make sure Social Security is available for our young, I believe younger workers ought to be allowed to take some of their payroll taxes and set up a personal savings account that will earn a greater rate of interest -- rate of return on their money than it does in the current Social Security trust, a personal account they can call their own, a personal account they can pass on to whomever they want, and a personal account the government will never take away. (Applause.)

And here we have -- here we have another difference in this campaign. See, I believe a President ought to confront problems and not pass them on to future Presidents and future generations. And we have a problem in Social Security. You might remember one of our debates when my opponent said, well, the status quo was fine. Let me remind you of two things about that. One, he is the only person on that stage during the debate that voted to tax Social Security benefits, not once, but eight times. And secondly, the status quo is not fine when it comes to our children. A President must be willing to confront problems. And in a new term, I'll bring Republicans and Democrats together to make sure Social Security is available for the younger generation. (Applause.)

Now, let me talk about health care. We have a clear choice when it comes to health care in this campaign. I have a common-sense approach to make sure health care is available and affordable. Available through places like community health centers, where the poor and the indigent can get health care and relieve pressure off of the emergency rooms of the hospitals all across the country. Available by making sure our children of low-income families are fully subscribed in the government program for them. Affordable by recognizing that most of the uninsured in America work for small businesses and, therefore, small businesses ought to be allowed to pool risk across jurisdictional boundaries so they can buy insurance at the same discounts that big companies are able to do. (Applause.)

Affordable through health savings accounts, which we'll discuss. Health care more affordable by moving generic drugs quicker to the market so our seniors are able to better afford prescription drugs. Affordable because I'm the first President to have taken on Medicare -- I shouldn't say that, other Presidents have talked about Medicare. It used to be called, "Mediscare," because anytime you talked about it, somebody would club you over the head with it as an issue, political issue. But I went to Washington to solve problems. And we had a problem in Medicare. Medicine was changing, medicine was modernizing; Medicare wasn't. We pay tens of thousands of dollars for a heart surgery for a Medicare patient, but not a dime for the prescription drugs that could prevent the heart surgery from being needed in the first place. That didn't make any sense. So I brought Republicans and Democrats together; I signed a good Medicare bill that says, in 2006, our seniors will get prescription drug coverage. (Applause.)

To make sure health care is available and affordable, we have got to do something about these frivolous and junk lawsuits that are running up the cost of medicine and running good doctors out of practice. (Applause.) We're going to talk about that issue in a minute. We're going to talk about that issue in a minute, but I do want to make it very clear there is a difference of opinion between me and my opponent on health care. In one of the debates he said -- he looked right in the camera, he said, the government doesn't have anything to do with it -- referring to his health care program. Stared right in the camera and said it -- I could barely contain myself. (Laughter.)

Government has got a lot to do with it. Eight out of ten people that would be signed up for health insurance on his program would end up on a government program. When you raise the limits of Medicaid, it provides an incentive for small business owners to provide no insurance for their employees because the government will pick it up. And therefore, millions of people will go from private insurance to the government rolls. His is a plan that creates 225 new mandates for small businesses. Government-run health care does not work. We have got a great health care system in the world because it's innovative, because it's -- private medicine is at the center of our health care system. And my opponent's plan would increase the scope and the size of the federal government when it comes to your health care decisions.

In all we do to make sure health care works, we'll make sure the decisions are between patients and doctors, not by officials in Washington, D.C. (Applause.)

Up here with me is Michael Gordon. No, not Michael Gordon. He didn't make it. Michael Gordon was supposed to be here -- he's a small business owner. Let me talk about Michael Gordon right quick. He's stuck out there. Probably behind a barricade chanting, "Four more years." (Laughter.)

AUDIENCE MEMBER: Four more years!

THE PRESIDENT: Oh, Michael, you made it! (Laughter.)

Anyway, he's from Tendon Manufacturing. He's a small business. He's adding employees. He's optimistic -- a small manufacturing company here in Ohio. He is a sub-chapter S corporation. I wish Michael were sitting up here so you could see him. He's a sub-chapter S. He's expanding his business. When you run up the top two brackets of the tax code, you're taxing Michael. You're taxing his company. It makes no sense to tax the small business job creators, which is precisely what Senator Kerry will do.

Now, let me talk to you about Bruce, Bruce McDonnell. That's you.

MR. McDONNELL: That's me.

THE PRESIDENT: Okay. (Laughter.) What do you do, Bruce?


THE PRESIDENT: You are? Good. And he is here to discuss with us health savings accounts. Some of you have heard of health savings accounts, some of you haven't heard of health savings accounts. But it is an innovative way to make sure the health care costs are reasonable.

Describe to us, if you don't mind, for this great crowd how it works.

* * * * *

THE PRESIDENT: Let me stop you. So that's to pay for major medical bills. So anything above $1,000 for individual will be taken care of by the insurance company. Go ahead.

* * * * *

THE PRESIDENT: Right. So here's the way it works. He says -- what he just said is, a health savings account, one, is a combination of a tax-free saving account, plus a high deductible insurance policy. So say you've got a $1,000 deductible, from zero to $1,000, you're responsible for paying, or in his case, his company contributes from the zero to $1,000 a portion of that. And then above $1,000, the insurance company pays for it.

But think about the benefits of that kind of plan. First of all, if you don't use all $1,000, it's rolled over to the next year tax-free, so that you begin to accumulate savings for your own health care. Secondly, if he were to start a new firm -- which I'm not suggesting you're going to do -- but if you were, and you moved, the health care account would go with you. It's yours. You own the health care account. You make the decisions. Decision-making between patient and doctor is a part of how we introduce market forces into a health care industry. One way to control cost is to let consumers have more decision-making, which is precisely what a health savings account does.

Isn't that right?

MR. McDONNELL: Absolutely right.

THE PRESIDENT: Did we get it right?

MR. McDONNELL: You got it right.

THE PRESIDENT: This is a very interesting way to help small businesses hold down -- (applause.)

Guess who else is a health savings account owner? Doc, you're a health savings account owner -- Dr. Schwieterman. Where are you from, doc?

DR. SCHWIETERMAN: I'm from Mercer County, which is on the other side of the state, Mr. President.

THE PRESIDENT: Welcome. Glad you're here. You are a doctor of?

DR. SCHWIETERMAN: Family practice, and I provided up until a month ago.

THE PRESIDENT: Yes. We've got a problem. Provided up until a month ago, helps define what we're here to talk about, which is good health care for people.

Doc, tell me, you have been -- you've told me something really interesting. I don't know if you know this, but my grandfather was raised in Columbus, Ohio. He ended up being a senator from Connecticut -- Connecticut, yeah. My dad, as you know, was in politics. I'm in politics. Anybody in your family ever been a doctor before?

DR. SCHWIETERMAN: I am the fourth generation family physician in the same town, and actually in the same building in rural Mercer county. (Applause.)

THE PRESIDENT: YeS. Nothing wrong with following the old family footsteps. (Laughter.)

DR. SCHWIETERMAN: Little easier, though.

THE PRESIDENT: Right. (Laughter.) Oops.

So, we were backstage talking. I mean, this is, obviously, not the first time I met Tom, or the doc, I call him. We have a -- he's a rural doc. Rural health care is really important for the quality of life in a state like Ohio. And so tell me, describe your problem.

DR. SCHWIETERMAN: We have a family practice that has a very long heritage, of course, 113 years of providing general medical care and obstetrics. Over those 113 years, we have delivered over or near 10,000 children. (Applause.) Thank you. See, my dad's right there. He delivered 5,000.


DR. SCHWIETERMAN: That's my dad.

THE PRESIDENT: Hey, Dad! You raised a good boy.

DR. SCHWIETERMAN: And during those 110, 13 years, we have never had a claims made against our practice. We have retained a majority of those births within the practice. And unfortunately, last month, we were forced to do our last delivery, and this was a fourth generation patient. And she unfortunately ended the legacy that we have enjoyed for so long.

THE PRESIDENT: And why? Tell people why. They need to know the truth. The people of Ohio need to understand what's taking place as a result of all these lawsuits. (Applause.)

DR. SCHWIETERMAN: For the past three years, we've pretty much done OB at cost. What we took in is what we paid out in malpractice, and this year, we -- our premiums went up 40 percent, and it became a point where we could not afford to maintain a small business with our employees, take care of our patients, with the premiums going from $25,000 to $80,000 in 48 months.

THE PRESIDENT: Yeah. Let me tell -- people need to hear this. This is an issue in this campaign. The quality of life in the state of Ohio depends on whether or not you've got good docs and good strong hospitals and people being able to find health care in cities and in rural America. (Applause.)

Let me talk to you about these lawsuits. First of all, docs practice what's called defensive medicine. If you've got a lawyer looming right behind you all the time, if you're worried about what happens in the court -- in the -- okay, fine. Everybody needs a good lawyer. I've got too many myself. Anyway -- (laughter.) It's the difference between some lawyers and personal injury trial lawyers that are constantly out there trying to convert this legal system into what looks like a lottery. And guess who ends up paying for the ticket? The taxpayers and the people, because the quality of health care is going down.

If you've got a lawsuit, if you think you're going to get sued, you're going to practice more medicine that is needed so you can defend yourself in a court of law. That's what happens. And guess what that does to the federal budget, for example. The defensive practice of medicine costs our budget about $28 billion a year. I say our budget, because when I talk about the government budget, you pay for it. It's your money, $28 billion a year in excess costs in Medicaid, and Medicare, and veteran's health benefits. This is a national issue.

Secondly, because of the lawsuits, because many people just settle whether the suit has merit or not, premiums go up. And guess who pays the premiums? You do.

And thirdly, as a result of a lot of these lawsuits, people just can't simply practice medicine anymore. And you just talk -- you just heard the story that unfortunately is being repeated over, and over, and over again in America. This country needs medical liability reform now. (Applause.)

And this is an issue in this campaign. This is an issue in campaign -- this campaign. Oh, I heard him in the debates, my opponent. I heard him talking about medical liability reform. But let me tell you something. We had a bill on the floor of the United States Senate to provide liability protection to OB/GYNs, and my opponent voted "no." He's voted against medical liability reform 10 times in the United States Senate. He can run, but he cannot hide from that record. (Applause.)

Barb Coen is with us. Doc, thanks. Where do you work?

DR. COEN: I work in Norton, Ohio at a practice called Generations Women's Health Care, which my partner is Dr. Susan Clark who's here.

THE PRESIDENT: Where's the doc? Oh, there you go. Thanks for coming. I appreciate you. Very good. Dr. Clark?

DR. COEN: Dr. Clark.

THE PRESIDENT: Yes, Dr. Clark. Good to see you, doc. You must have drawn the short straw, so you're the one who had to actually get up here and talk in front of all the cameras. (Laughter.) Tell us about your practice. Just give -- tell people exactly what's happening.

* * * * *

DR. COEN: And, as all of you know who've had a baby, the relationship between an OB/GYN and a pregnant patient is pretty special. They trust you with not only their life, but the life of their unborn child. I can't tell you what an honor it is to be the first person to touch a new life when it comes into the world. There is absolutely nothing like it. (Applause.)

THE PRESIDENT: Listen, it was pretty cool to be the second person when I touched Barbara and Jenna. (Laughter.) Go ahead. They'll be happy to hear I let the doc go first. (Laughter.)

* * * * *

THE PRESIDENT: I appreciate you. Thank you. Okay, thanks, hold on. We've got more work to do here. Thank you. Thank you all. And not only do we need legislation, we need something that works. Legislation that doesn't work is not a good deal. We're not going to do that. We need to make sure that there is a real cap on non-economic damages. If you want docs to be in practice, we need to make sure that the reform of the medical liability law works. That's why I believe in firm caps to keep docs in business.

Andy Kazar is with us. Andy, tell us your story. This is -- just, again, I want people listening, to understand the consequences of not getting a good medical liability law out of the United States Senate, a law that my opponent has consistently opposed. Please.

* * * * *

THE PRESIDENT: See, this is -- the story is being repeated all across the country. I was -- in Pennsylvania yesterday, OB/GYNs can't practice. Women have to drive miles in order to find a doc. This is not the quality of life that we expect here in America. And it's caused by frivolous lawsuits. Make no mistake about it, it is a legal culture. (Applause.)

When you're out rounding up the vote, or if you're listening and trying to determine who you're for, remember the stories up here, remember the stories of good-hearted docs who are worried about practicing their -- their skill. And remember the story about moms who are deeply concerned about their child. This is a big issue in this campaign.

Now, I want to talk about a couple of other issues, and then we'll all go home and start working. Actually, I'm going down to Florida, you're going to go home and start working. (Laughter.) The -- and I'm not going down there to sit on the beach, either. (Laughter.) I'm going down there to campaign.

Two other -- a couple of other things. I talk about time of change, and these are changing times. Some things don't change, the values we try to live by don't change: courage and compassion, reverence and integrity. And we stand for a culture of life in which every person matters and every being counts. We stand for institutions like family and marriage, which are the foundations of our societies. (Applause.) And we stand for judges, federal judges who know the difference between personal opinion and the strict interpretation of the law. (Applause.)

Talking about education and health care, these are very important issues. But let me say to you that it all goes to naught if we don't secure this country, that the security of the American people is the most important responsibility of the President. If we show any uncertainty or weakness in this decade, this world of ours will drift toward tragedy. This isn't going to happen so long as I'm your President. (Applause.)

Let me talk to you -- I want to talk to you about some of the lessons that I've learned as your President after September the 11th. First of all, we face an enemy which has no conscience. They are cold-blooded. Therefore, you can never hope for the best with them. You cannot negotiate with them. You can't say, oh, well, maybe we'll sign a peace treaty, and therefore, they'll change their ways. The only way to secure America, to keep us safe, is to find them and bring them to justice before they hurt us again. And therefore, any strategy has got to be one that is consistent, firm, and resolve and never relenting. (Applause.)

Hold on a second. Hold on for a -- I've got some more I've got to tell you.

Secondly, this is a different kind of war. You've got to understand, I wish I wasn't talking about war. No President ever wants to be the President of a country -- of our country during war. War is horrible. But it's necessary to be realistic during these times. Our most solemn duty is to protect you. And it's a different kind of war than we're used to. It's a kind of war when you say something, you need to speak clearly and mean what you say.

And so when I said, if you harbor a terrorist, you're just as guilty as the terrorist, I meant what I said. I was speaking to the Taliban in Afghanistan. (Applause.) And see, I was talking to the Taliban because they were providing safe haven for al Qaeda. Al Qaeda was training there. And we said, listen, get rid of al Qaeda. They didn't believe the United

States of America. But because of a great military and because I meant what I said, al Qaeda -- and the Taliban is no longer in control of Afghanistan, and al Qaeda is on the run.

We're making progress. Three-quarters of al Qaeda and their associates have been brought to justice. I assure you, we're after the rest of them. And the Taliban no longer is in power. And as a result of our action, America and the world are safer.

But I want -- I want you to tell your sons and daughters about what has taken place in an incredibly brief period of time. It wasn't all that long ago in Afghanistan that young girls were not allowed to go to school. Think about a society that was run by such barbarians that girls were not allowed to be educated. These ideologues of hate had a dark vision about the future. As a matter of fact, if their moms didn't toe the line, they'd be whipped in the public square and, sometimes, executed in a sports stadium. In defending ourselves and upholding doctrine, we liberated the people of Afghanistan. Twenty-five million people now live in freedom. Millions went to the polls to vote for their President, and the first voter was a 19-year-old woman. (Applause.)

Three-and-a-half years ago, if you would have asked anybody whether or not women would be voting in Afghanistan for President, they would have said, you're crazy, you're wrong. And freedom is on the march. Darkness has turned to light in Afghanistan, and America is better off for it. We're better off to have an example of freedom in that part of the world. We're better off to have an ally in Afghanistan, an ally in the war on terror. And we're making progress in Iraq.

The third lesson of September the 11th, by the way, is we've got to take threats seriously before they fully materialize. You can't hope -- you cannot hope for the best. It used to be, prior to September the 11th that if we saw a threat, we could deal with it or not deal with it because we didn't ever think it could come home to hurt us. That's what we thought. That all changed on September the 11th. You better have a President who fully understands that. (Applause.)

My opponent in his -- my opponent in his convention speech said, oh, we'll respond if attacked. That is a pre-September the 11th mind set, that is dangerous in the world in which we live. We've got to take threats seriously before they come to hurt us. And I saw a threat in Saddam Hussein. The world is better off with Saddam Hussein sitting in a prison cell. (Applause.)

Thank you all.

There will be presidential elections there in January. Think how far that society has come from the days of mass graves and torture chambers.

You know, I told the story one time about the seven -- there's a lot of docs here and healers here. One of the most poignant stories of my presidency was when the Oval Office door opened and in came seven men from Iraq, all of whom had had their right hand cut off by Saddam Hussein because the currency of that country had devalued and he needed scapegoats. It's a true story, I'm telling you. And I asked one of the men there. I said, why you? He said he was a small merchant who needed gold to make jewelry, and he sold dinars to buy another currency so he could buy the gold, and it just happened to be on the day that Saddam was looking for a scapegoat. He found seven small merchants, seven individuals, hauled in, Xs carved in their foreheads, and their right hands cut off.

They had come to see me in the Oval Office because, guess what happened? Great compassion existed for them when their stories were known. They had been to Houston, Texas to get new hands put on. And the guy who did it is a guy I know, and he said, would you mind welcoming these citizens of the world into the Oval Office, which I was more than happy to do. They came in, they were in awe of the Oval Office, of course. You know, I'm kind of a weeper at times, and they were weeping, I was semi-weeping. The guy grabs a Sharpie with his new hand and folds it and writes a prayer in Arabic blessing the United States of America. I told the guy, I told him, I said, freedom is on the march in your country. There will be institutions greater than the people there. One of the great things about the American presidency is the office is always greater than the person. And someday in your country, the institutions will be bigger than the individuals, so that no leader will ever be able to pluck you out of society and cut off your right hand again.

People want to be free in this world. There will be election in Iraq. Listen, these enemies are trying to stop us. This guy Zarqawi, he's trying to stop the march of freedom. Freedom frightens these ideologues of hate. It is the worst thing that can happen to them. They can't stand the thought of free societies.

I love to tell the story about our friend Koizumi. I'm getting kind of wound up here, yeah. (Laughter.) She wants me to -- all right, hold on a second. I kind of felt the invisible hook, you know. (Laughter.)

I want to share this with you, though, because it's important for you to know my thinking about how to make this world a better place. I have a deep desire for your children to grow up in a peaceful world. I understand my duty to protect this country. I believe that liberty can transform societies. I believe that. And living proof of that is the fact that Prime Minister Koizumi is a good friend of Laura and mine. That probably doesn't seem much to some, but remember, it wasn't all that long ago, 60 years ago, that we were at war with the Japanese. The Japanese were the sworn enemy of the United States of America. My dad fought against the Japanese. I'm confident many of your relatives fought against the Japanese.

And after we won the war in World War II, Harry S Truman, President of the United States, and others in our country, believed in the power of liberty to transform an enemy into an ally. There was a lot of skeptics then. You can understand why. An enemy couldn't conceivably become a democracy, some would say. Why do we even care about working with a country that had conflicted so much harm on the citizens of this country?

But there was great faith in this view. And as a result of that, and as a result of helping Japan become a democracy, I sit down at the table with the Prime Minister of a former enemy, talking about how to keep the peace in a troubled world, talking about doing what we all want, and that is to extend the peace.

Someday, an American President will be sitting down with the duly elected leader of Iraq talking about the peace in the Middle East, and our children and our grandchildren will be better off for it. (Applause.)

Hold on a second. I have a -- I believe that people want to be free. Freedom is not America's gift to the world. Freedom is the Almighty God's gift to each man and woman in this world. (Applause.)

In the closing days of this campaign, it's very important for you to remind your friends and neighbors we have -- my opponent and I have a different vision about how to keep America secure. He talks in terms of a global test before we commit troops. I didn't make that up. The man was standing right there when he said it -- well, right here to my right during the debate. He wasn't there physically right now. I saw a lot of heads turn. (Laughter.)

Listen, I work with our friends and allies. We'll continue to build alliances. But I will never turn over America's national security decisions to leaders of other countries. (Applause.)

I want to thank you all for coming to greet us. I want to thank you for your help. I know where I want to lead this country. I know what it takes to continue to expand this economy so people can find work. I've got a vision for a health care plan that empowers patients and docs. I believe in high standards in our schools, and we'll continue to press for educational excellence for every child. And I understand that the President of the United States must be consistent and firm and resolved in these troubling times.

You know, when I campaigned across your state, I said if you gave me -- in 2000 -- if you gave me a chance to serve, I would uphold the honor and the dignity of the office to which I had been elected. With your hard work, with your help, I will do so for four more years.

God bless. And thank you all for coming. (Applause.)

END 2:56 P.M. EDT

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