I told them I would work to strengthen and secure Medicare for generations to come, and I told them I would fight for a new prescription drug benefit under Medicare.

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Sometimes in this whole Medicare prescription drug debate, we focus on the prescription drug benefit, and I am glad we do because it is the first time we have ever offered real help to seniors, especially the poor, those in need.

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However, the Medicare prescription drug benefit has changed, and if the nearly 3,000 seniors I have met through 12 town halls can represent a sample of opinion, many seniors do not yet understand the prescription drug program and do not plan to sign up for coverage.

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On January 1, 2006, Medicare will begin to offer a prescription drug benefit, and for the first time, it will place an emphasis on preventive care and early treatment of disease.

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And because of these programs like Medicare, Medicare prescription drugs, Social Security, we now have the healthiest and wealthiest group of senior citizens that the world has ever seen. This is a continuing commitment to that.

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As a former professional patient advocate, I believe prescription drugs are an essential part of high-quality medical treatment, and I supported enactment of the Medicare Prescription Drug and Modernization Act.

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Rather than squander the surplus on tax breaks for the rich, we should add a prescription drug benefit to the Medicare program, shore up Social Security, fortify our defense, provide a quality public education and offer economic assistance to rural areas.

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We not only heard it before 20 years ago, before George Bush in 2001 passed his tax relief, before in 2003 the tax relief were past, we were told they were dead. Before we provided prescription drugs for Medicare, we were told it wasn't going to happen.

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Enrolling in the Medicare Prescription Drug Program will be a great savings for most senior citizens.

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At the end of the day, my hope is that when the new Medicare- Prescription Drug Law gets up and fully running a lot more seniors will pay a whole lot less than they do today for their much-needed medications.

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To be sure, debates will linger about whether Medicare is too large or too small. Debates remain about the allocation of Medicare dollars. But December 8, 2003, demonstrated that there is no debate about this most fundamental fact: Medicare must survive.

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It is time that we provide clarity for our seniors, informing them of the services available that will lower the costs of their prescription drugs and strengthen the overall integrity of the Medicare entitlement.

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History suggests that attempts to privatize Medicare by relying on private companies to offer Medicare benefits in rural America simply will not work.

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But, also, before I even go on the Medicare prescription drug debate, I always tell the folks in rural Illinois, and I represent 30 counties south of Springfield down to Indiana and Kentucky, that in this bill is the best rural package for hospitals ever passed.

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Is Medicare socialism? You want to get rid of Medicare. And a lot of the people against health care do. I want to preserve it and grow it.

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Medicare debates in Congress should result in better Medicare benefits for all our nation's seniors. We're not asking for special treatment for rural America, just a fair deal.

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The Prescription Drug Benefit we passed in Congress is already working to make prescription drugs available and affordable for all seniors who depend on them, through the drug card that became available last year.

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I opposed No Child Left Behind, I opposed the Medicare prescription drug bill, I opposed the Wall Street bailout. What the American people are starting to see is that Republican, Republicans on Capitol Hill get it and the Democrats, from the White House to Capitol Hill, just don't get it.

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When Medicare was first enacted in 1965, it provided coverage for hospitalization, doctor visits and surgeries, but there was no coverage for prescription medications.

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In fact, entitlement spending on programs such as Medicare, Medicaid, and Social Security make up 54% of federal spending, and spending is projected to double within the next decade. Medicare is growing by 9% annually, and Medicaid by 8% annually.

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Medicare and Social Security have created the healthiest and most financially secure generation of senior citizens in American history.

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