Presidential Radio Address - 21 February 1998

Good morning. February is Black History Month, the time when we celebrate the rich heritage of the African-American community and rededicate ourselves to the value of equal opportunity for all Americans that is at the heart of the American ideal. Today I want to talk about an important step we're taking to make sure all Americans, no matter what their background, have a better opportunity to live healthier lives.

In the last 6 years, we've worked hard to make quality health care more accessible and affordable and to place more emphasis on prevention. And this approach is working. Since 1993, our Nation's health has greatly improved. Infant mortality has reached an all-time low, childhood immunization levels are at an all-time high, and AIDS death rates are falling for the first time in the history of the epidemic. Americans are living longer and are in better health than ever before.

This is good news we should all celebrate. But we must not be blind to the alarming fact that too many Americans do not share in the fruits of our progress, and nowhere are the divisions of race and ethnicity more sharply drawn than in the health of our people.

Consider: Infant mortality rates are twice as high for African-Americans as for white Americans; African-American men suffer from heart disease at nearly twice the rate of whites; African-Americans are more likely to die from breast cancer and prostate cancer. Overall, cancer fatalities are disproportionately high among both Latinos and blacks. Vietnamese women are 5 times as likely to have cervical cancer; Chinese-Americans, 4 to 5 times as likely to have liver cancer. Hepatitis B is much more prominent among Asian-Americans than the rest of the populations. Native Americans suffer higher rates of infant mortality and heart disease. And for diabetes, Hispanic rates are twice the national average, and Native American rates, 3 times the national average.

Research shows that, overall, all these groups are less likely to be immunized against disease, less likely to be routinely tested for cancer, less likely to get regular check-ups. We do not know all the reasons for these disturbing gaps. Perhaps inadequate education, disproportionate poverty, discrimination in the delivery of health services, cultural differences are all contributing factors. But we do know this: No matter what the reason, racial and ethnic disparities in health are unacceptable in a country that values equality and equal opportunity for all. And that is why we must act now with a comprehensive initiative that focuses on health care and prevention for racial and ethnic minorities.

This is our national goal: By the year 2010, we must eliminate racial and ethnic disparities in infant mortality, diabetes, cancer screening and management, heart disease, AIDS, and immunization.

My balanced budget plan devotes an unprecedented $400 million to spur promising prevention and outreach programs to help us meet this challenge. I'm asking our top public health officials, led by Secretary Donna Shalala, to convene a task force to find new ways of targeting existing Federal programs to reduce racial and ethnic disparities. Our new Surgeon General, Dr. David Satcher, will launch a comprehensive campaign to educate the public and work with community leaders and health professionals to reach more Americans.

These steps, along with our drive to give 5 million more children, many of them minorities, health insurance and our huge increase in overall medical research, will bring us closer to our goal. But to truly eliminate these disparities and ensure better health for all Americans, all Americans must do their part.

I'm pleased to announce that Grant-Makers in Health, a major coalition of over 136 philanthropic foundations across the country, is joining our efforts. Together, we'll host a national conference this spring to help solve this national problem, community by community.

Above all, Americans must take more responsibility for our own health and the health of our children, for good health is the greatest gift God can bestow, and it is each of our duty to protect it. America has the best health care system in the world, but we can't take full pride in that system until we know that every American has the best health care in the world. With these steps, I'm confident that we can meet the challenge and go forward as one America into the 21st century, stronger and healthier than ever before.

Thanks for listening.