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https://clinton.presidentiallibraries.us/files/original/5b94f46e7d656a9594dd0952408881a9.pdf
3498e87bd3c5e46f597cf4b968f43af5
PDF Text
Text
FOIA Number:
2006-0810-F (2)
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Croup:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderlD:
Folder Title:
POTUS CHILDREN'S HEALTH INITIA I IVE
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
7
2
�HHS
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•
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U.S. D E P A R T M E N T O F H E A L T H A N D HUMAN S E R V I C E S
February 6,1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's majorfirstterm accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children — one in seven — are uninsured.
Most of them are members of working families. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives ofPediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up to five million children.
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
fonner employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches ~ like those
initiated in Florida and Pennsylvania - to help working families purchase private insurance for
their children. States will receive $3.75 billion over the nextfiveyears to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid - that's a total increase of 1 million insured children.
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U.S. D E P A R T M E N T O F H E A L T H A N D HUMAN S E R V I C E S
February^ 1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children — one in seven — are uninsured.
Most of them are members of workingfamilies. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives ofPediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up tofivemillion children.
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment. This assistance may be used to purchase coveragefromthe worker's
fonner employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches — like those
initiated in Florida and Pennsylvania - to help working families purchase private insurance for
their children. States will receive $3.75 billion over the next five years to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid — that's a total increase of 1 million insured children.
###
�HS
H
Ik?
U.S. D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
February 6,1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven — are uninsured.
Most ofthem are members of working families. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives ofPediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up tofivemillion children.
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
former employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches - like those
initiated in Florida and Pennsylvania - to help working families purchase private insurance for
their children. States will receive $3.75 billion over the nextfiveyears to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid - that's a total increase of 1 million insured children.
###
�HHS
•
U.S. D E P A R T M E N T O F H E A L T H A N D HUMAN S E R V I C E S
February 6,1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One ofthe Clinton Administration's majorfirstterm accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven — are uninsured.
Most of them are members of workingfamilies. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives of Pediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up tofivemillion children
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
fonner employer (through COBRA) or other private plans, at states' discretion.
ChUdren Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches - like those
initiated in Florida and Pennsylvania - to help working families purchase private insurance for
their children. States will receive $3.75 billion over the nextfiveyears to support these efforts.
�-2Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, move from welfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid - that's a total increase of 1 million insured children.
###
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U.S. D E P A R T M E N T O F H E A L T H A N D HUMAN S E R V I C E S
February 6,1997
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Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven — are uninsured
Most of them are members of working families. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives of Pediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up to five million children.
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coverage from the worker's
former employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches - like those
initiated in Florida and Pennsylvania - to help working families purchase private insurance for
their children. States will receive $3.75 billion over the next five years to support these efforts.
�f
-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have tp determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid - that's a total increase of 1 million insured children.
um
�HS
H
•
n
n
U.S. D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
Contact:
February 6,1997
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent of pregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children — one in seven — are uninsured.
Most of them are members of working families. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives of Pediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up to five million children.
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coverage from the worker's
former employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches - like those
initiated in Florida and Pennsylvania — to help working families purchase private insurance for
their children. States will receive $3.75 billion over the next five years to support these efforts.
�f
»
-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid - that's a total increase of 1 million insured children.
um
�HS
H
lk?u
n
n
U.S. D E P A R T M E N T O F H E A L T H A N D HUMAN S E R V I C E S
February 6,1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status ofchildren. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven — are uninsured
Most ofthem are members of working families. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. (Archives ofPediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up to five million children.
The ChUdren's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
ChUdren at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
former employer (through COBRA) or other private plans, at states' discretion.
ChUdren Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches - like those
initiated in Florida and Pennsylvania — to help working families purchase private insurance for
their children. States will receive $3.75 billion over the nextfiveyears to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid — that's a total increase of 1 million insured children.
TTTTJT
�HHS
U.S. D E P A R T M E N T O F H E A L T H A N D HUMAN S E R V I C E S
February 6,1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One ofthe Clinton Administration's majorfirstterm accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because of the work ofcountless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven — are uninsured.
Most ofthem are members of workingfamilies. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives ofPediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up tofivemillion children.
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
ChUdren at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
former employer (through COBRA) or other private plans, at states' discretion.
ChUdren Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches - like those
initiated in Florida and Pennsylvania - to help working families purchase private insurance for
their children. States will receive $3.75 billion over the next five years to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid — that's a total increase of 1 million insured children.
mm
�/
HHS
in
U.S. D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
February 6,1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status of children. Today, became of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven — are uninsured.
Most of them are members of working families. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives of Pediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up to five million children.
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment. This assistance may be used to purchase coverage from the worker's
fonner employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches ~ like those
initiated in Florida and Pennsylvania ~ to help working families purchase private insurance for
their children. States will receive $3.75 billion over the next five years to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, move from welfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid ~ that's a total increase of 1 million insured children.
###
�THE WHITE HOUSE
WASHINGTON
AGENDA
CHILDREN'S HEALTH BRIEFING
Thursday, February 6,1997
Room 100
10:30 AM-11:30 AM
WELCOME
Barbara Woolley
Associate Director, White House Office of Public Liaison
REMARKS
Secretary Donna Shalala
Department of Health and Human Services
Chris Jennings
Deputy Assistant to the President
The White House
�CHILDREN'S HEALTH BRIEFING
Thursday, February 6,1997
Room 100, OEOB
10:30 AM-11:30 AM
List of Participants
Ann Kolker
Cathy Hurwit
Larry Gage
Hank Kim
Ellen S. Battistelli
Fish Brown
Marina Weiss
Jo Merrill
Donna LenhofF
Judy Waxman
Joan Alker
Lisa Smith
Lisa Cox
Ann Langley
Susan Flinn
Jackie Noyes
Catherine Hess
Donna Langill
Kathy McGinley
Jeff Jacobs
Irwin Redlener
Adrina Mitchen
Kim Sanwogou
Gregg Haifley
National Women's Law Center
Citizen Action
National Association of Public Hospitals
Interhealth
Children's Welfare I-eague of America
Catholic Health Association
March of Dimes
March of Dimes
Women's Legal Defense Fund
Families, USA
Families, USA
Catholic Charities USA
National Women's Health Network
NACH
Advocates for Youth
American Academy of Pediatrics
Association of Maternal and Child Health
National Association of Child Advocates
CCD/ARC
American Public Health Association
Children's Health Fund
Consumers Union
National Black Child Development Institute
Children's Defense Fund
�The President's F Y 1998 Budget Health Care Reform Proposals
Preserving and Strengthening Medicare
-
Saves approximately $100 billion over 5 years ($138 billion over six years), modernizes the
program, and extends the life of the Trust Fund to 2007.
Restraining Growth in the Program
Constrains payments to health plans and providers, such as managed care, hospitals, nursing
homes, home health care.
••
Extends current law that sets Part B premium at 25 percent of program costs.
Combatsfraudand abuse by enacting new program integrity provisions and by repealing the
provisions Congress enacted last year that weaken fraud and abuse enforcement.
Improving Benefits
Invests in preventive health care such as diabetes management, colorectal screening, annual
mammograms without copayments, and increases reimbursement rates for certain immunizations
to protect seniors from pneumonia, influenza, and hepatitis.
Establishes a new respite care benefit to assist families of Medicare beneficiaries with
Alzheimer's and related diseases.
••
Phases down excessive outpatient copayments to the traditional 20 percent level.
»•
Adds Medigap protections to increase the security of Medicare beneficiaries.
Modernizing Medicare
-
Provides more choices by establishing new private health plans options (such as preferred provider
organizations and provider sponsored organizations).
••
Establishes market-oriented purchasing for Medicare including: new prospective payment systems
for home health care, nursing home care, and outpatient services; competitive pricing authority;
and expanded "centers of excellence" to improve quality and reduce costs.
*
Addresses flaws in Medicare's current payment methodology for managed care, which combined
with a new national minimum floor, will reduce geographical variation in rates.
Protecting and Preserving Medicaid
Savings and Investments. The President's proposal saves, on net, about $9 billion over five
years. It would save about $22 billion over five years, but at the same time, it makes about $13
billion in investments in Medicaid, including proposals to expand coverage for eligible children,
and changes to last year's welfare reform law.
�Per Capita Cap. To stabilize Medicaid growth, the plan includes a "per capita cap," which would
constrain the rate of increase in Federal matching payments per beneficiary.
DSH. Under the President's plan, Federal payments for disproportionate share hospitals (DSH)
would be tightened and States would have the flexibility to target these payments to a range of
essential community providers.
Improved State Flexibility. The plan contains a number of reforms, including: repealing the
"Boren amendment" for hospitals and nursing homes; eliminating the Federal waiver process for
States opting for managed care; and eliminating a Federal waiver for States moving populations
needing long-term care from nursing homes to home- and community-based care.
Medicaid and Medicare for Workers with Disabilities. The plan enables SSI beneficiaries with
disabilities to keep their Medicaid when they return to work. It also includes a demonstration
program that allows certain SSDI beneficiaries receiving Medicare benefits to maintain their
coverage when they return to work.
Expanding Coverage for Workers Who Are In-Between Jobs
»
•
The President's plan includes an initiative to help provide health care coverage for workers who
are in-between jobs and their families. This initiative would help an estimated 3.3 million
Americans, including 700,000 children. This initiative invests $9.8 billion over five years.
The plan helps working families continue health insurance coverage, building on KassebaumKennedy's protections against pre-existing conditions.
*
•
The plan gives States the flexibility to provide coverage in the way that best meets the needs of
their populations.
Expanding Health Care Coverage for Children
Children Whose Parents are In-Between Jobs. This initiative will provide health care coverage
for 700,000 children whose parents are in-between jobs.
Grants to States to Expand Childrens' Coverage. The President's budget provides $750
million a year ($3.75 billion over five years) to States to develop innovative programs to provide
coverage to children.
Investments in Medicaid to Expand Coverage. The plan expands coverage for children by
investing in Medicaid. It:
—
Gives States the option to extend one year of continuous Medicaid coverage to all children
who are determined eligible for Medicaid.
—
Proposes to work with States and the private sector to reach out to the three million
children who are enrolled but not eligible for Medicaid.
�HIGHLIGHTS OF THE PRESIDENT S MEDICARE REFORM PLAN
Medicare Savings
Approximately $100 billion over 5 years; $138 billion over 6
years.
Medicare Trust Fund
Extends the solvency of the Trust Fund to 2007 through a
combination of scorable savings and programmatic and
structural changes.
Beneficiary Provisions
Extends current law that sets Part B premium at 25 percent of
program costs. This policy achieves $10 billion in savings
over 5 years. The Part B premium would go below this
percentage without this change after 1998; the expenditures
associated with the reallocation of some home health
expenditures are excluded from this calculation.
Invests in preventive health care to improve seniors' health
status and reduce the incidence and costs of disease. The plan
covers colorectal screening, diabetics management, and
annual mammograms without copayments, and it increases
reimbursement rates for certain immunizations to ensure that
seniors are protected from pneumonia, influenza, and
hepatitis.
Establishes a new Alzheimer's respite benefit starting in 1998
to assist families of Medicare beneficiaries with Alzheimer's
and related diseases.
Buys down excessive outpatient copayments to the traditional
20 percent level. Because of a flaw in reimbursement
methodology, beneficiaries now in effect contribute a 46
percent copayment. Our policy will prevent further increases
in copayments and reduce the copayment to 20 percent by
2007.
�Adds Medigap protections (such as new open enrollment
requirements and prohibitions against the use of pre-existing
condition exclusions) to increase the security of Medicare
beneficiaries who wish to opt for managed care but fear they
will be unable to access the Medigap policy of their choice if
they decide to return to the fee-for-service plan. (This
provision is consistent with bipartisan legislation pending
before Congress.)
Provides new private plan choices (through new PPO and
Provider Service Organization choices) for beneficiaries.
Provider Impact
Hospitals
Through a series of traditional savings (reductions in hgspital
updates, capital payments, etc.), achieves about $33 billion in
savings over 5 years.
Establishes new provider service organization (PSOs), which
will allow hospitals (and other providers) to establish their
own health care plans to compete with current Medicare
HMOs.
Establishes a new pool of funding, about $11 billion over 5
years for direct payment to academic health centers to ensure
that academic health centers are compensated for teaching
costs. This is funded by carving out medical education and
disproportionate share (DSH) payments from the current
Medicare HMO reimbursement formula.
�Managed Care
Through a series of policy changes, the plan will address the
flaws in Medicare's current payment methodology for
managed care. Specifically the reforms will create a national
floor to better assure that managed care products can be
offered in low payment areas, which are predominantly rural
communities. In addition, the proposal includes a blended
payment methodology, which combined with the national
minimum floor, will dramatically reduce geographical
variations in current payment rates. Medicare will reduce
reimbursement to managed care plans by approximately $34
billion over 5 years. Savings will comefromthree sources:
(1) Because HMO payments are updated based on projections
of national Medicare per-capita growth, when the traditional
fee-for-service side of the program is reduced, HMO
payments are reduced. The savings from this is $18 billion
over five years;
(2) The elimination of the medical education and DSH
payments from the HMO reimbursement formula (these funds
will be paid directly to academic health centers). Savings from
this proposal are $9 billion overfiveyears; and
(3) A phased-in reduction in HMO payment rates from the
current 95 percent of fee-for-service payments to 90 percent.
A number of recent studies have validated earlier evidence
that Medicare significantly overcompensates HMOs. The
reduction does not start until 2000 and it accounts for a
relatively modest $6 billion in savings over 5 years.
Home Health Care
Saves about $14 billion over 5 years through the transition to
and establishment of a new prospective payment system.
�Home Health Expenditure Home health care has become one of the fastest growing
Reallocation
components of the Medicare program, growing at double digit
rates. Originally designed as a post-acute care service under
Part A for beneficiaries who had been hospitalized, home
health care has increasingly become a chronic care benefit not
linked to hospitalization. The President's proposal restores
the original split of home health care payments between Parts
A and B of Medicare. The first 100 home health visits
following a 3-day hospitalization would be reimbursed by Part
A. All other visits - including those not following a
hospitalization ~ would be reimbursed by Part B.
The restoration of the original policy will not count toward
the $100 billion in savings in the President's plan. The policy
avoids the need for excessive reductions in payments to
hospitals, physicians, HMOs, and other health care providers
while helping to extend the solvency of the Part A Trust
Fund.
See additional provisions under Fraud and Abuse which save
$1.3 billion over five years.
Physicians
Saves about $7 billion over 5 years through a modification of
physician updates. This reduction is relatively small because
Medicare has been relatively effective in constraining growth
in reimbursement to physicians.
Skilled Nursing Facilities
Saves about $7 billion over 5 years through the establishment
of a prospective payment system.
Fraud and Abuse
Saves about $9 billion over 5 years through a series of
provisions to combat fraud and abuse in areas such as home
health care, by requiring insurers to provide information
about insurance coverage of beneficiaries, and by repealing
the provisions Congress enacted last year that weaken fraud
and abuse enforcement.
:
�Structural Reform
Brings the Medicare program into the 21st century by:
(1) Establishing new private health plan options (such as
PPOs and Provider Service Networks) for the program;
(2) Establishing annual open enrollment for all Medicare plans
within independent third-party consumer consulting.
(3) Establishing market-oriented purchasing for Medicare
including the new prospective payment systems for home
health care, nursing home care, and outpatient hospital
services, as well as competitive bidding authority and the use
of centers of excellence to improve quality and cut back on
costs;
(4) Adding new Medigap protections to make it possible for
beneficiaries to switch back from a managed care plan to
traditional Medicare without being underwritten by insurers
for private supplemental insurance coverage. This should
encourage more beneficiaries to opt for managed care because
it addresses the fear that such a choice would lock them in
forever.
Rural Health Care
The plan will have a very strong package of rural health care
initiatives, including continuation and improvement of sole
community hospital, Medicare dependent hospital, and rural
referral center protections, the expansion of the Rural Primary
Care Hospital program that allow for designation of and
reimbursement to facilities that are not full-service hospitals,
and the modification of managed care payments to ensure they
are adequate for rural settings. The rural hospital investment
alone is $1 billion over 5 years.
Medicare for Workers'
with Disabilities
The President's budget authorizes a demonstration which
enables SSDI beneficiaries to return to work without losing
their health care coverage. Under the demonstration, certain
SSDI beneficiaries who return to work would be able to
maintain their Part A coverage.
�Distribution of Medicare Savings
FY 1998 Presiidenfs Budget
FY 1998 - FY 2002
J
4f
4?
�THE PRESIDENT'S LATEST MEDICARE PROPOSAL
DEMONSTRATES HIS COMMITMENT TO REAL REFORM AND
MEETS THE REPUBLICANS HALFWAY.
Republican
1996
Proposal
President's
Current
Proposal
President's
1996
Proposal
$158 Billion
$138 Billion
$116 Billion
1
6-YEAR
2
3
-' •' •'3 '
1
1996 Proposal (April 1996 baseline). Six-year period is FY 1997-FY 2002. (Medicare savings stream as reported in the Senate Budget Resolution
Report, 5/13/96).
2
3
HCFA Actuaries' Estimates. Six-year period is FY 1998-FY 2003. The additional savings come from a range of policy changes, but
the most notable increase in savings comes from managed care and home health care.
1996 Proposal (April 1996 baseline). Six-year period is FY 1997-FY2002. ("CBO's Estimates of the President's Budgetary Proposals" in "The
Economic & Budget Outlook: FY 1997-2002").
�HIGHLIGHTS OF THE PRESIDENT'S MEDICAID REFORM PLAN
Medicaid Savings and
Investments
The President's plan saves approximately $9 billion net of
new investments over 5 years.
Through a combination of policies to reduce and target
spending on disproportionate share hospitals (DSH) more
effectively and establish a per-beneficiary limit on future
Medicaid growth, the plan would save $22 billion over five
years.
Roughly two-thirds of the savings comes from a reduction in
Disproportionate Share Hospital (DSH) payments and
roughly one-third from the per capita cap.
In addition, the President's plan invests $13 billion in
improvements to Medicaid, including health initiatives to
expand coverage for children, changes to last year's welfare
reform law, and new policies to help people with disabilities
return to work.
Guarantee of Coverage
The 37 million children, pregnant women, people with
disabilities, and older Americans who are currently covered
by Medicaid would retain their Federal guarantee of health
care coverage for a meaningful set of benefits.
Per Capita Cap
Even though the overall Medicaid baseline has fallen over the
past few years, Medicaid spending growth is still expected to
increase by over 8 percent annually after the year 2000. To
stabilize Medicaid growth, the President's budget would set a
per capita cap on Medicaid spending. The cap would . A •
constrain the rate of increase in Federal matching payments ;
per beneficiary.
;
The per capita cap protects States facing population growth or
economic downturns because it ensures that Federal dollars
are linked with beneficiaries.
�DSH Payments
Federal DSH payments would be tightened without
undermining the important role these funds play for providers
that serve a disproportionate number of low-income and
Medicaid beneficiaries.
Improved State Flexibility
The President's plan incorporates the highest-priority State
flexibility requests advocated by the National Governors'
Association. It:
Repeals the "Boren amendment" for hospitals and
nursing homes, to allow States more flexibility to
negotiate provider payment rates;
Eliminates Federal waiver process for States opting
for managed care; and
Allows States to serve people needing long-term care
in home- and community-based settings without
Federal waivers, and a number of other initiatives.
Improves Quality
Standards
The President's plan maintains existing Federal standards and
enforcement for nursing homes and institutions for people
with mental retardation and developmental disabilities.
Quality standards for managed care systems would be
updated and enhanced.
Expanded Coverage for
Children
The President's plan includes measures to enhance coverage
for Medicaid-eligible children. It:
Provides continuous coverage for children: The
President's budget provides States with the option to
extend 12 months of continuous Medicaid coverage,
guaranteeing more stable coverage for children and
reducing the administrative burden on Medicaid
officials, providers, and families.
Encourages outreach to help more children receive
Medicaid: The Administration will work with States
to develop innovative ways to reach and sign up for
Medicaid some of the 3 million children who are
eligible for Medicaid but are not currently enrolled.
�Modifications to Welfare
Reform Law
The President's plan includes provisions to ameliorate some
of the effects of the welfare reform law, including:
•
•
Exempting immigrant children and disabled
immigrants from the bans on Medicaid benefits for
immigrants, and from the new "deeming"
requirements that mandated that the income and
resources of an immigrant's sponsor be counted when
determining program eligibility.
•
Extending from 5 to 7 years the exemption from the
Medicaid bans and deeming requirements for refugees
and asylees.
•
Provision to Help Workers
with Disabilities
Exempting disabled immigrants from the ban on SSI
benefits to ensure they retain their Medicaid benefits.
Retaining Medicaid coverage for disabled children
currently receiving Medicaid who lose their
Supplemental Security Income (SSI) benefit because
of changes in the definition of childhood disability.
The President's plan recognizes that many people with
disabilities want to work but they face significant barriers.
The plan would help people with disabilities return to work
risking their health care coverage. As a State option, SSI
beneficiaries with disabilities who earn more than certain
amounts could keep Medicaid. They would contribute to the
cost of coverage on their income rises.
�HIGHLIGHTS OF THE PRESIDENT'S INITIATIVES TO MAINTAIN AND EXPAND
WORKERS' COVERAGE
Because most Americans have employment-based health insurance, health care coverage is often
jeopardized for workers who change jobs. In fact, over 50 percent of the uninsured lost their health
insurance due to a job change. Many of these uninsured Americans are the spouses and children of
workers. The President's initiative will provide temporary premium assistance to families with workers
who are in-between jobs. For millions of these workers and their families this assistance could make it
possible for them to maintain their health care coverage while looking for another job. This initiative is
fiilly paid for within the President's FY 1998 balanced budget plan. In addition, to assist small businesses
- which often have more difficulty providing and maintaining health care coverage for their workers ~ the
President has proposed to help States create voluntary purchasing cooperatives.
Funding
Invests $9.8 billion over the budget window and is paid for in the
President's FYI998 balanced budget.
Eligibility
Helps an estimated 3.3 million Americans in 1998, including
about 700,000 children.
A full subsidy would be provided up to 100% of the
poverty level for and would be phased out at 240% of the
poverty level.
To assure that limited federal dollars are cost-effectively
targeted, individuals who are eligible for Medicare,
Medicaid or who have an employed spouse with coverage,
are not eligible for this program.
While low-income workers would certainly be helped by
this benefit, over half of participants would come from
families who previously had incomes over $30,000, for a
family of four.
Coverage for Families of
Workers Who Are
In-Between Jobs
Helps to assure that Kassebaum-Kennedy protections against preexisting conditions are not placed at risk because of breaks in
insurance coverage. It achieves this goal by helping working
families retain their health coverage through premium assistance
during a time in which they lose much of their income.
�Gives States the flexibility to provide coverage in ways that best
meets the needs of their populations. States would have
flexibility to administer their own programs, (e.g., COBRA, a
private insurance product. Medicaid, or an alternative means of
coverage).
Voluntary Purchasing
Cooperatives
Small businesses have more difficulty providing health care
coverage for their workers because they have higher per capita
costs due to increased risk and because of extraordinarily high
administrative costs.
The President's budget will make it easier for small businesses to
provide health care coverage for their employees, by allowing
them to band together to reduce their risks, lower administrative
costs, and improve their purchasing power with insurance
companies.
His budget proposes to empower small businesses to access and
purchase more affordable health insurance through the use of
voluntary health purchasing cooperatives. This will be
accomplished by providing $25 million a year in grants that States
can use for technical assistance, by setting up voluntary
purchasing cooperatives, and by allowing these purchasing
cooperatives to access to Federal Employees Health Benefit Plans.
- '4/:
�HIGHLIGHTS OF THE PRESIDENT'S CHILDREN'S HEALTH INITIATIVES
In 1995, more than 10 million American children had no health insurance. Eighty percent
(8 million) of the ten million uninsured children have a parent who is a worker. Many uninsured
children have parents who earn too much for Medicaid but too little to afford private coverage,
and an estimated three million children are eligible, but not enrolled in Medicaid. The President's
plan helps these groups of uninsured children by working with States, communities, advocacy
groups, providers, and businesses to expand coverage. Combined with the scheduled Medicaid
phase-in of older children, HHS estimates that the President's plan would provide coverage for
as many as five million children by the year 2000.
Assistance for Children Whose
Parents Are In-Between Jobs
The President's plan includes an initiative to assist workers
who are in-between jobs and their families maintain health
coverage. The program will cost $9.8 billion over five
years, and will help an estimated 3.3 million Americans,
including 700,000 children.
This initiative provides funding to States to cover the
children of workers who are temporarily in-between jobs.
The program would help those families who had employerbased coverage in their prior jobs.
The plan would give States flexibility to administer their
own programs (e.g., through Medicaid, COBRA, or an
independent program).
Grants to States to Expand
Children's Coverage
The President's plan provides $750 million a year in grants
to States ($3.8 billion over FY 1998-2002) that will build
on successful State children's programs like those in
Pennsylvania, Washington, Minnesota, and Florida, to
identify and provide coverage for uninsured children.
Under the President's plan, States could work with insurers, ^
providers, employers, schools, and others to develop
,. ; innovative programs to provide coverage to children.
^
In addition to covering children who fall through the gaps,
these new State grants may help identify and enroll children
eligible for Medicaid.
�Investments to Expand
Medicaid Coverage
The President's plan invests in Medicaid to provide better
coverage for eligible children. It:
Provides one year of continuous Medicaid coverage to
children. The President's budget give States the option to
extend 12 months of continuous Medicaid coverage to all
children who are determined eligible for Medicaid.
Currently, many children receive Medicaid protection for
only part of the year. This is because Federal law requires
that a family that has a change in income or some other
factor affecting eligibility report it immediately, possibly
making them ineligible for Medicaid.
This provision will benefit families who will have the
security of knowing that their children will be covered by
Medicaid for a full year. It will also help States by reducing
administrative costs, and managed care plans, by enabling
them to better coordinate care.
Encourages outreach. The President's plan proposes to
work with the States, communities, advocacy groups,
providers, and businesses to extend Medicaid coverage to
the three million children who are eligible for Medicaid but
are not currently enrolled.
^ v
5
^ ,
...
�The President's F Y 1998 Budget Health Care Reform Proposals
Preserving and Strengthening Medicare
••
Saves approximately $100 billion over 5 years ($138 billion over six years), modernizes the
program, and extends the life of the Trust Fund to 2007.
Restraining Growth in the Program
Constrains payments to health plans and providers, such as managed care, hospitals, nursing
homes, home health care.
Extends current law that sets Part B premium at 25 percent of program costs.
Combatsfraudand abuse by enacting new program integrity provisions and by repealing the
provisions Congress enacted last year that weaken fraud and abuse enforcement.
Improving Benefits
Invests in preventive health care such as diabetes management, colorectal screening, annual
mammograms without copayments, and increases reimbursement rates for certain immunizations
to protect seniors from pneumonia, influenza, and hepatitis.
Establishes a new respite care benefit to assist families of Medicare beneficiaries with
Alzheimer's and related diseases.
Phases down excessive outpatient copayments to the traditional 20 percent level.
*
•
Adds Medigap protections to increase the security of Medicare beneficiaries.
Modernizing Medicare
Provides more choices by establishing new private health plans options (such as preferred provider
organizations and provider sponsored organizations).
••
Establishes market-oriented purchasing for Medicare including: new prospective payment systems
for home health care, nursing home care, and outpatient services; competitive pricing authority;
and expanded "centers of excellence" to improve quality and reduce costs.
••
Addressesflawsin Medicare's current payment methodology for managed care, which combined
with a new national minimumfloor,will reduce geographical variation in rates.
Protecting and Preserving Medicaid
••
Savings and Investments. The President's proposal saves, on net, about $9 billion over five
years. It would save about $22 billion over five years, but at the same time, it makes about $13
billion in investments in Medicaid, including proposals to expand coverage for eligible children,
and changes to last year's welfare reform law.
�»
•
Per Capita Cap. To stabilize Medicaid growth, the plan includes a "per capita cap," which would
constrain the rate of increase in Federal matching payments per beneficiary.
*
•
DSH. Under the President's plan, Federal payments for disproportionate share hospitals (DSH)
would be tightened and States would have the flexibility to target these payments to a range of
essential community providers.
*•
Improved State Flexibility. The plan contains a number of reforms, including: repealing the
"Boren amendment" for hospitals and nursing homes; eliminating the Federal waiver process for
States opting for managed care; and eliminating a Federal waiver for States moving populations
needing long-term care from nursing homes to home- and community-based care.
••
Medicaid and Medicare for Workers with Disabilities. The plan enables SSI beneficiaries with
disabilities to keep their Medicaid when they return to work. It also includes a demonstration
program that allows certain SSDI beneficiaries receiving Medicare benefits to maintain their
coverage when they return to work.
Expanding Coverage for Workers Who Are In-Between Jobs
•
The President's plan includes an initiative to help provide health care coverage for workers who
are in-between jobs and their families. This initiative would help an estimated 3.3 million
Americans, including 700,000 children. This initiative invests $9.8 billion over five years.
•
The plan helps working families continue health insurance coverage, building on KassebaumKennedy's protections against pre-existing conditions.
•
The plan gives States the flexibility to provide coverage in the way that best meets the needs of
their populations.
Expanding Health Care Coverage for Children
Children Whose Parents are In-Between Jobs. This initiative will provide health care coverage
for 700,000 children whose parents are in-between jobs.
Grants to States to Expand Childrens' Coverage. The President's budget provides $750
million a year ($3.75 billion over five years) to States to develop innovative programs to provide
coverage to children.
^
Investments in Medicaid to Expand Coverage. The plan expands coverage for children by
investing in Medicaid. It:
—
Gives States the option to extend one year of continuous Medicaid coverage to all children
who are determined eligible for Medicaid.
—
Proposes to work with States and the private sector to reach out to the three million
children who are enrolled but not eligible for Medicaid.
�HIGHLIGHTS OF THE PRESIDENT'S MEDICARE REFORM PLAN
Medicare Savings
Approximately $100 billion over 5 years; $138 billion over 6
years.
Medicare Trust Fund
Extends the solvency of the Trust Fund to 2007 through a
combination of scorable savings and programmatic and
structural changes.
Beneficiary Provisions
Extends current law that sets Part B premium at 25 percent of
program costs. This policy achieves $10 billion in savings
over 5 years. The Part B premium would go below this
percentage without this change after 1998; the expenditures
associated with the reallocation of some home health
expenditures are excluded from this calculation.
Invests in preventive health care to improve seniors' health
status and reduce the incidence and costs of disease. The plan
covers colorectal screening, diabetics management, and
annual mammograms without copayments, and it increases
reimbursement rates for certain immunizations to ensure that
seniors are protected from pneumonia, influenza, and
hepatitis.
Establishes a new Alzheimer's respite benefit starting in 1998
to assist families of Medicare beneficiaries with Alzheimer's
and related diseases.
Buys down excessive outpatient copayments to the traditional
20 percent level. Because of a flaw in reimbursement
methodology, beneficiaries now in effect contribute a 46
percent copayment. Our policy will prevent further increases
in copayments and reduce the copayment to 20 percent by
2007.
�Adds Medigap protections (such as new open enrollment
requirements and prohibitions against the use of pre-existing
condition exclusions) to increase the security of Medicare
beneficiaries who wish to opt for managed care but fear they
will be unable to access the Medigap policy of their choice if
they decide to return to the fee-for-service plan. (This
provision is consistent with bipartisan legislation pending
before Congress.)
Provides new private plan choices (through new PPO and
Provider Service Organization choices) for beneficiaries.
Provider Impact
Hospitals
Through a series of traditional savings (reductions in hospital
updates, capital payments, etc.), achieves about $33 billion in
savings over 5 years.
Establishes new provider service organization (PSOs), which
will allow hospitals (and other providers) to establish their
own health care plans to compete with current Medicare
HMOs.
Establishes a new pool of funding, about $11 billion over 5
years for direct payment to academic health centers to ensure
that academic health centers are compensated for teaching
costs. This is funded by carving out medical education and
disproportionate share (DSH) payments from the current
Medicare HMO reimbursement formula.
�Managed Care
Through a series of policy changes, the plan will address the
flaws in Medicare's current payment methodology for
managed care. Specifically the reforms will create a national
floor to better assure that managed care products can be
offered in low payment areas, which are predominantly rural
communities. In addition, the proposal includes a blended
payment methodology, which combined with the national
minimum floor, will dramatically reduce geographical
variations in current payment rates. Medicare will reduce
reimbursement to managed care plans by approximately $34
billion over 5 years. Savings will come from three sources:
(1) Because HMO payments are updated based on projections
of national Medicare per-capita growth, when the traditional
fee-for-service side of the program is reduced, HMO
payments are reduced. The savings from this is $18 billion
over five years;
(2) The elimination of the medical education and DSH
payments from the HMO reimbursement formula (these funds
will be paid directly to academic health centers). Savings from
this proposal are $9 billion over five years; and
(3) A phased-in reduction in HMO payment rates from the
current 95 percent of fee-for-service payments to 90 percent.
A number of recent studies have validated earlier evidence
that Medicare significantly overcompensates HMOs. The
reduction does not start until 2000 and it accounts for a
relatively modest $6 billion in savings over 5 years.
Home Health Care
Saves about $14 billion over 5 years through the transition to
and establishment of a new prospective payment system.
�Home Health Expenditure Home health care has become one of the fastest growing
components of the Medicare program, growing at double digit
Reallocation
rates. Originally designed as a post-acute care service under
Part A for beneficiaries who had been hospitalized, home
health care has increasingly become a chronic care benefit not
linked to hospitalization. The President's proposal restores
the original split of home health care payments between Parts
A and B of Medicare. The first 100 home health visits
following a 3-day hospitalization would be reimbursed by Part
A. All other visits - including those not following a
hospitalization — would be reimbursed by Part B.
The restoration of the original policy will not count toward
the $100 billion in savings in the President's plan. The policy
avoids the need for excessive reductions in payments to
hospitals, physicians, HMOs, and other health care providers
while helping to extend the solvency of the Part A Trust
Fund.
See additional provisions under Fraud and Abuse which save
$1.3 billion over five years.
Physicians
Saves about $7 billion over 5 years through a modification of
physician updates. This reduction is relatively small because
Medicare has been relatively effective in constraining growth
in reimbursement to physicians.
Skilled Nursing Facilities
Saves about $7 billion over 5 years through the establishment
of a prospective payment system.
Fraud and Abuse
Saves about $9 billion over 5 years through a series of
provisions to combat fraud and abuse in areas such as home
health care, by requiring insurers to provide information
about insurance coverage of beneficiaries, and by repealing
the provisions Congress enacted last year that weaken fraud
and abuse enforcement.
�Structural Reform
Brings the Medicare program into the 21st century by:
(1) Establishing new private health plan options (such as
PPOs and Provider Service Networks) for the program;
(2) Establishing annual open enrollment for all Medicare plans
within independent third-party consumer consulting.
(3) Establishing market-oriented purchasing for Medicare
including the new prospective payment systems for home
health care, nursing home care, and outpatient hospital
services, as well as competitive bidding authority and the use
of centers of excellence to improve quality and cut back on
costs;
(4) Adding new Medigap protections to make it possible for
beneficiaries to switch back from a managed care plan to
traditional Medicare without being underwritten by insurers
for private supplemental insurance coverage. This should
encourage more beneficiaries to opt for managed care because
it addresses the fear that such a choice would lock them in
forever.
Rural Health Care
The plan will have a very strong package of rural health care
initiatives, including continuation and improvement of sole
community hospital, Medicare dependent hospital, and rural
referral center protections, the expansion of the Rural Primary
Care Hospital program that allow for designation of and
reimbursement to facilities that are not full-service hospitals,
and the modification of managed care payments to ensure they
are adequate for rural settings. The rural hospital investment
alone is $1 billion over 5 years.
Medicare for Workers'
with Disabilities
The President's budget authorizes a demonstration which
enables SSDI beneficiaries to return to work without losing
their health care coverage. Under the demonstration, certain"
SSDI beneficiaries who return to work would be able to
maintain their Part A coverage.
�Distribution of Medicare Savings
FY 1998 President's Budget
FY 1998 - FY 2002
i
4?
4?
•
4f
.»
4
5f
/
�THE PRESIDENT'S LATEST MEDICARE PROPOSAL
DEMONSTRATES HIS COMMITMENT TO REAL REFORM AND
MEETS THE REPUBLICANS HALFWAY.
Republican
1996
Proposal
President's
Current
Proposal
President's
1996
Proposal
$158 Billion
$138 Billion
$116 Billion
1
6-YEAR
2
3
1
1996 Proposal (April 1996 baseline). Six-year period is FY 1997-FY 2002. (Medicare savings stream as reported in the Senate Budget Resolution
Report, 5/13/96).
2
3
HCFA Actuaries' Estimates. Six-year period is FY 1998-FY 2003. The additional savings come from a range of policy changes, but
the most notable increase in savings comes from managed care and home health care.
1996 Proposal (April 1996 baseline). Six-year period is FY 1997-FY2002. ("CBO's Estimates of the President's Budgetary Proposals" in "The
Economic & Budget Outlook: FY 1997-2002").
�HIGHLIGHTS OF THE PRESIDENT'S MEDICAID REFORM PLAN
Medicaid Savings and
Investments
The President's plan saves approximately $9 billion net of
new investments over 5 years.
Through a combination of policies to reduce and target
spending on disproportionate share hospitals (DSH) more
effectively and establish a per-beneficiary limit on future
Medicaid growth, the plan would save $22 billion over five
years.
Roughly two-thirds of the savings comes from a reduction in
Disproportionate Share Hospital (DSH) payments and
roughly one-third from the per capita cap.
In addition, the President's plan invests $13 billion in
improvements to Medicaid, including health initiatives to
expand coverage for children, changes to last year's welfare
reform law, and new policies to help people with disabilities
return to work.
Guarantee of Coverage
The 37 million children, pregnant women, people with
disabilities, and older Americans who are currently covered
by Medicaid would retain their Federal guarantee of health
care coverage for a meaningful set of benefits.
Per Capita Cap
Even though the overall Medicaid baseline has fallen over the
past few years, Medicaid spending growth is still expected to
increase by over 8 percent annually after the year 2000. To
stabilize Medicaid growth, the President's budget would set a
per capita cap on Medicaid spending. The cap would . . . •
_
»
constrain the rate of increase in Federal matching payments ;
per beneficiary.
•
The per capita cap protects States facing population growth or
economic downturns because it ensures that Federal dollars
are linked with beneficiaries.
�DSH Payments
Federal DSH payments would be tightened without
undermining the important role these funds play for providers
that serve a disproportionate number of low-income and
Medicaid beneficiaries.
Improved State Flexibility
The President's plan incorporates the highest-priority State
flexibility requests advocated by the National Governors'
Association. It:
Repeals the "Boren amendment" for hospitals and
nursing homes, to allow States more flexibility to
negotiate provider payment rates;
Eliminates Federal waiver process for States opting
for managed care; and
Allows States to serve people needing long-term care
in home- and community-based settings without
Federal waivers, and a number of other initiatives.
Improves Quality
Standards
The President's plan maintains existing Federal standards and
enforcement for nursing homes and institutions for people
with mental retardation and developmental disabilities.
Quality standards for managed care systems would be
updated and enhanced.
Expanded Coverage for
Children
The President's plan includes measures to enhance coverage
for Medicaid-eligible children. It:
Provides continuous coverage for children: The
President's budget provides States with the option to
extend 12 months of continuous Medicaid coverage,
guaranteeing more stable coverage for children and
reducing the administrative burden on Medicaid
officials, providers, and families.
Encourages outreach to help more children receive
Medicaid: The Administration will work with States
to develop innovative ways to reach and sign up for
Medicaid some of the 3 million children who are
eligible for Medicaid but are not currently enrolled.
�Modifications to Welfare
Reform Law
The President's plan includes provisions to ameliorate some
of the effects of the welfare reform law, including:
•
•
Exempting immigrant children and disabled
immigrants from the bans on Medicaid benefits for
immigrants, and from the new "deeming"
requirements that mandated that the income and
resources of an immigrant's sponsor be counted when
determining program eligibility.
•
Extending from 5 to 7 years the exemption from the
Medicaid bans and deeming requirements for refugees
and asylees.
•
Provision to Help Workers
with Disabilities
Exempting disabled immigrants from the ban on SSI
benefits to ensure they retain their Medicaid benefits.
Retaining Medicaid coverage for disabled children
currently receiving Medicaid who lose their
Supplemental Security Income (SSI) benefit because
of changes in the definition of childhood disability.
The President's plan recognizes that many people with
disabilities want to work but they face significant barriers.
The plan would help people with disabilities return to work
risking their health care coverage. As a State option, SSI
beneficiaries with disabilities who earn more than certain
amounts could keep Medicaid. They would contribute to the
cost of coverage on their income rises.
�HIGHLIGHTS OF THE PRESIDENT'S INITIATIVES TO MAINTAIN AND EXPAND
WORKERS' COVERAGE
Because most Americans have employment-based health insurance, health care coverage is often
jeopardized for workers who change jobs. In fact, over 50 percent of the uninsured lost their health
insurance due to a job change. Many of these uninsured Americans are the spouses and children of
workers. The President's initiative will provide temporary premium assistance to families with workers
who are in-between jobs. For millions of these workers and their families this assistance could make it
possible for them to maintain their health care coverage while looking for another job. This initiative is
fully paid for within the President's FY 1998 balanced budget plan. In addition, to assist small businesses
- which often have more difficulty providing and maintaining health care coverage for their workers ~ the
President has proposed to help States create voluntary purchasing cooperatives.
Funding
Invests $9.8 billion over the budget window and is paid for in the
President's FYI998 balanced budget.
Eligibility
Helps an estimated 3.3 million Americans in 1998, including
about 700,000 children.
A full subsidy would be provided up to 100% of the
poverty level for and would be phased out at 240% of the
poverty level.
To assure that limited federal dollars are cost-effectively
targeted, individuals who are eligible for Medicare,
Medicaid or who have an employed spouse with coverage,
are not eligible for this program.
While low-income workers would certainly be helped by
this benefit, over half of participants would come from
families who previously had incomes over $30,000, for a
family of four.
Coverage for Families of
Workers Who Are
In-Between Jobs
Helps to assure that Kassebaum-Kennedy protections against preexisting conditions are not placed at risk because of breaks in
insurance coverage. It achieves this goal by helping working
families retain their health coverage through premium assistance
during a time in which they lose much of their income.
�Gives States theflexibilityto provide coverage in ways that best
meets the needs of their populations. States would have
flexibility to administer their own programs, (e.g., COBRA, a
private insurance product. Medicaid, or an alternative means of
coverage).
Voluntary Purchasing
Cooperatives
Small businesses have more difficulty providing health care
coverage for their workers because they have higher per capita
costs due to increased risk and because of extraordinarily high
administrative costs.
The President's budget will make it easier for small businesses to
provide health care coverage for their employees, by allowing
them to band together to reduce their risks, lower administrative
costs, and improve their purchasing power with insurance
companies.
His budget proposes to empower small businesses to access and
purchase more affordable health insurance through the use of
voluntary health purchasing cooperatives. This will be
accomplished by providing $25 million a year in grants that States
can use for technical assistance, by setting up voluntary
purchasing cooperatives, and by allowing these purchasing
cooperatives to access to Federal Employees Health Benefit Plans.
�HIGHLIGHTS OF THE PRESIDENT'S CHILDREN'S HEALTH INITIATIVES
In 1995, more than 10 million American children had no health insurance. Eighty percent
(8 million) of the ten million uninsured children have a parent who is a worker. Many uninsured
children have parents who earn too much for Medicaid but too little to afford private coverage,
and an estimated three million children are eligible, but not enrolled in Medicaid. The President's
plan helps these groups of uninsured children by working with States, communities, advocacy
groups, providers, and businesses to expand coverage. Combined with the scheduled Medicaid
phase-in of older children, HHS estimates that the President's plan would provide coverage for
as many as five million children by the year 2000.
Assistance for Children Whose
Parents Are In-Between Jobs
The President's plan includes an initiative to assist workers
who are in-between jobs and their families maintain health
coverage. The program will cost $9.8 billion over five
years, and will help an estimated 3.3 million Americans,
including 700,000 children.
This initiative provides ftinding to States to cover the
children of workers who are temporarily in-between jobs.
The program would help those families who had employerbased coverage in their prior jobs.
The plan would give States flexibility to administer their
own programs (e.g., through Medicaid, COBRA, or an
independent program).
Grants to States to Expand
Children's Coverage
The President's plan provides $750 million a year in grants
to States ($3.8 billion over FY 1998-2002) that will build
on successfiil State children's programs like those in
Pennsylvania, Washington, Minnesota, and Florida, to
identify and provide coverage for uninsured children.
Under the President's plan, States could work with insurers,^
providers, employers, schools, and others to develop
;
innovative programs to provide coverage to children.
^
In addition to covering children who fall through the gaps,
these new State grants may help identify and enroll children
eligible for Medicaid.
�Investments to Expand
Medicaid Coverage
The President's plan invests in Medicaid to provide better
coverage for eligible children. It:
Provides one year of continuous Medicaid coverage to
children. The President's budget give States the option to
extend 12 months of continuous Medicaid coverage to all
children who are determined eligible for Medicaid.
Currently, many children receive Medicaid protection for
only part of the year. This is because Federal law requires
that a family that has a change in income or some other
factor affecting eligibility report it immediately, possibly
making them ineligible for Medicaid.
This provision will benefit families who will have the
security of knowing that their children will be covered by
Medicaid for a full year. It will also help States by reducing
administrative costs, and managed care plans, by enabling
them to better coordinate care.
Encourages outreach. The President's plan proposes to
work with the States, communities, advocacy groups,
providers, and businesses to extend Medicaid coverage to
the three million children who are eligible for Medicaid but
are not currently enrolled.
�The President's F Y 1998 Budget Health Care Reform Proposals
Preserving and Strengthening Medicare
»
Saves approximately $100 billion over 5 years ($138 billion over six years), modernizes the
program, and extends the life of the Trust Fund to 2007.
Restraining Growth jn the Prpgrain
*•
Constrains payments to health plans and providers, such as managed care, hospitals, nursing
homes, home health care.
••
Extends current law that sets Part B premium at 25 percent of program costs.
Combatsfraudand abuse by enacting new program integrity provisions and by repealing the
provisions Congress enacted last year that weaken fraud and abuse enforcement.
Improving Benefits
••
Invests in preventive health care such as diabetes management, colorectal screening, annual
mammograms without copayments, and increases reimbursement rates for certain immunizations
to protect seniors from pneumonia, influenza, and hepatitis.
Establishes a new respite care benefit to assist families of Medicare beneficiaries with
Alzheimer's and related diseases.
••
Phases down excessive outpatient copayments to the traditional 20 percent level.
»•
Adds Medigap protections to increase the security of Medicare beneficiaries.
Modernizing Medicare
Provides more choices by establishing new private health plans options (such as preferred provider
organizations and provider sponsored organizations).
••
Establishes market-oriented purchasing for Medicare including: new prospective payment systems
for home health care, nursing home care, and outpatient services; competitive pricing authority;
and expanded "centers of excellence" to improve quality and reduce costs.
Addressesflawsin Medicare's current payment methodology for managed care, which combined
with a new national minimumfloor,will reduce geographical variation in rates.
Protecting and Preserving Medicaid
»•
Savings and Investments. The President's proposal saves, on net, about $9 billion over five
years. It would save about $22 billion overfiveyears, but at the same time, it makes about $13
billion in investments in Medicaid, including proposals to expand coverage for eligible children,
and changes to last year's welfare reform law.
�Per Capita Cap. To stabilize Medicaid growth, the plan includes a "per capita cap," which would
constrain the rate of increase in Federal matching payments per beneficiary.
DSH. Under the President's plan, Federal payments for disproportionate share hospitals (DSH)
would be tightened and States would have the flexibility to target these payments to a range of
essential community providers.
Improved State Flexibility. The plan contains a number of reforms, including: repealing the
"Boren amendment" for hospitals and nursing homes; eliminating the Federal waiver process for
States opting for managed care; and eliminating a Federal waiver for States moving populations
needing long-term care from nursing homes to home- and community-based care.
Medicaid and Medicare for Workers with Disabilities. The plan enables SSI beneficiaries with
disabilities to keep their Medicaid when they return to work. It also includes a demonstration
program that allows certain SSDI beneficiaries receiving Medicare benefits to maintain their
coverage when they return to work.
Expanding Coverage for Workers Who Are In-Between Jobs
•
The President's plan includes an initiative to help provide health care coverage for workers who
are in-between jobs and their families. This initiative would help an estimated 3.3 million
Americans, including 700,000 children. This initiative invests $9.8 billion over five years.
»
•
The plan helps working families continue health insurance coverage, building on KassebaumKennedy's protections against pre-existing conditions.
The plan gives States the flexibility to provide coverage in the way that best meets the needs of
their populations.
Expanding Health Care Coverage for Children
Children Whose Parents are In-Between Jobs. This initiative will provide health care coverage
for 700,000 children whose parents are in-between jobs.
Grants to States to Expand Childrens' Coverage. The President's budget provides $750
million a year ($3.75 billion over five years) to States to develop innovative programs to provide
coverage to children.
^
Investments in Medicaid to Expand Coverage. The plan expands coverage for children by
investing in Medicaid. It:
Gives States the option to extend one year of continuous Medicaid coverage to all children
who are determined eligible for Medicaid.
—
Proposes to work with States and the private sector to reach out to the three million
children who are enrolled but not eligible for Medicaid.
�HIGHLIGHTS OF THE PRESIDENT'S MEDICARE REFORM PLAN
Medicare Savings
Approximately $100 billion over 5 years; $138 billion over 6
years.
Medicare Trust Fund
Extends the solvency of the Trust Fund to 2007 through a
combination of scorable savings and programmatic and
structural changes.
Beneficiary Provisions
Extends current law that sets Part B premium at 25 percent of
program costs. This policy achieves $10 billion in savings
over 5 years. The Part B premium would go below this
percentage without this change after 1998; the expenditures
associated with the reallocation of some home health
expenditures are excluded from this calculation.
Invests in preventive health care to improve seniors' health
status and reduce the incidence and costs of disease. The plan
covers colorectal screening, diabetics management, and
annual mammograms without copayments, and it increases
reimbursement rates for certain immunizations to ensure that
seniors are protected from pneumonia, influenza, and
hepatitis.
Establishes a new Alzheimer's respite benefit starting in 1998
to assist families of Medicare beneficiaries with Alzheimer's
and related diseases.
Buys down excessive outpatient copayments to the traditional
20 percent level. Because of a flaw in reimbursement
methodology, beneficiaries now in effect contribute a 46
percent copayment. Our policy will prevent further increases
in copayments and reduce the copayment to 20 percent by
2007.
�Adds Medigap protections (such as new open enrollment
requirements and prohibitions against the use of pre-existing
condition exclusions) to increase the security of Medicare
beneficiaries who wish to opt for managed care but fear they
will be unable to access the Medigap policy of their choice if
they decide to return to the fee-for-service plan. (This
provision is consistent with bipartisan legislation pending
before Congress.)
Provides new private plan choices (through new PPO and
Provider Service Organization choices) for beneficiaries.
Provider Impact
Hospitals
Through a series of traditional savings (reductions in hospital
updates, capital payments, etc.), achieves about $33 billion in
savings over 5 years.
Establishes new provider service organization (PSOs), which
will allow hospitals (and other providers) to establish their
own health care plans to compete with current Medicare
HMOs.
Establishes a new pool of funding, about $11 billion over 5
years for direct payment to academic health centers to ensure
that academic health centers are compensated for teaching
costs. This is funded by carving out medical education and
disproportionate share (DSH) payments from the current
Medicare HMO reimbursement formula.
�Managed Care
Through a series of policy changes, the plan will address the
flaws in Medicare's current payment methodology for
managed care. Specifically the reforms will create a national
floor to better assure that managed care products can be
offered in low payment areas, which are predominantly rural
communities. In addition, the proposal includes a blended
payment methodology, which combined with the national
minimum floor, will dramatically reduce geographical
variations in current payment rates. Medicare will reduce
reimbursement to managed care plans by approximately $34
billion over 5 years. Savings will come from three sources:
(1) Because HMO payments are updated based on projections
of national Medicare per-capita growth, when the traditional
fee-for-service side of the program is reduced, HMO
payments are reduced. The savings from this is $18 billion
over five years;
(2) The elimination of the medical education and DSH
payments from the HMO reimbursement formula (these funds
will be paid directly to academic health centers). Savings from
this proposal are $9 billion over five years; and
(3) A phased-in reduction in HMO payment rates from the
current 95 percent of fee-for-service payments to 90 percent.
A number of recent studies have validated earlier evidence
that Medicare significantly overcompensates HMOs. The
reduction does not start until 2000 and it accounts for a
relatively modest $6 billion in savings over 5 years.
Home Health Care
Saves about $14 billion over 5 years through the transition to
and establishment of a new prospective payment system.
�Home Health Expenditure Home health care has become one of the fastest growing
Reallocation
components of the Medicare program, growing at double digit
rates. Originally designed as a post-acute care service under
Part A for beneficiaries who had been hospitalized, home
health care has increasingly become a chronic care benefit not
linked to hospitalization. The President's proposal restores
the original split of home health care payments between Parts
A and B of Medicare. The first 100 home health visits
following a 3-day hospitalization would be reimbursed by Part
A. All other visits - including those not following a
hospitalization ~ would be reimbursed by Part B.
The restoration of the original policy will not count toward
the $100 billion in savings in the President's plan. The policy
avoids the need for excessive reductions in payments to
hospitals, physicians, HMOs, and other health care providers
while helping to extend the solvency of the Part A Trust
Fund.
See additional provisions under Fraud and Abuse which save
$1.3 billion over five years.
Physicians
Saves about $7 billion over 5 years through a modification of
physician updates. This reduction is relatively small because
Medicare has been relatively effective in constraining growth
in reimbursement to physicians.
Skilled Nursing Facilities
Saves about $7 billion over 5 years through the establishment
of a prospective payment system.
Fraud and Abuse
Saves about $9 billion over 5 years through a series of
provisions to combat fraud and abuse in areas such as home
health care, by requiring insurers to provide information
about insurance coverage of beneficiaries, and by repealing •
the provisions Congress enacted last year that weaken fraud
and abuse enforcement.
�Structural Reform
Brings the Medicare program into the 21st century by:
(1) Establishing new private health plan options (such as
PPOs and Provider Service Networks) for the program;
(2) Establishing annual open enrollment for all Medicare plans
within independent third-party consumer consulting.
(3) Establishing market-oriented purchasing for Medicare
including the new prospective payment systems for home
health care, nursing home care, and outpatient hospital
services, as well as competitive bidding authority and the use
of centers of excellence to improve quality and cut back on
costs;
(4) Adding new Medigap protections to make it possible for
beneficiaries to switch back from a managed care plan to
traditional Medicare without being underwritten by insurers
for private supplemental insurance coverage. This should
encourage more beneficiaries to opt for managed care because
it addresses the fear that such a choice would lock them in
forever.
Rural Health Care
The plan will have a very strong package of rural health care
initiatives, including continuation and improvement of sole
community hospital, Medicare dependent hospital, and rural
referral center protections, the expansion of the Rural Primary
Care Hospital program that allow for designation of and
reimbursement to facilities that are not full-service hospitals,
and the modification of managed care payments to ensure they
are adequate for rural settings. The rural hospital investment
alone is $1 billion over 5 years.
Medicare for Workers'
with Disabilities
The President's budget authorizes a demonstration which
enables SSDI beneficiaries to return to work without losing
their health care coverage. Under the demonstration, certainSSDI beneficiaries who return to work would be able to
maintain their Part A coverage.
�Distribution of Medicare Savings
FY 1998 President's Budget
FY 1998 - FY 2002
3^ '
4^
/
�THE PRESIDENT'S LATEST MEDICARE PROPOSAL
DEMONSTRATES HIS COMMITMENT TO REAL REFORM AND
MEETS THE REPUBLICANS HALFWAY.
Republican
1996
Proposal
President's
Current
Proposal
President's
1996
Proposal
$158 Billion
$138 Billion
$116 Billion
1
6-YEAR
2
3
1
1996 Proposal (April 1996 baseline). Six-year period is FY 1997-FY 2002. (Medicare savings stream as reported in the Senate Budget Resolution
Report, 5/13/96).
2
3
HCFA Actuaries' Estimates. Six-year period is FY 1998-FY 2003. The additional savings come from a range of policy changes, but
the most notable increase in savings comes from managed care and home health care.
1996 Proposal (April 1996 baseline). Six-year period is FY 1997-FY2002. ("CBO's Estimates of the President's Budgetary Proposals" in "The
Economic & Budget Outlook: FY 1997-2002").
�HIGHLIGHTS OF THE PRESIDENT'S MEDICAID REFORM PLAN
Medicaid Savings and
Investments
The President's plan saves approximately $9 billion net of
new investments over 5 years.
Through a combination of policies to reduce and target
spending on disproportionate share hospitals (DSH) more
effectively and establish a per-beneficiary limit on future
Medicaid growth, the plan would save $22 billion over five
years.
Roughly two-thirds of the savings comes from a reduction in
Disproportionate Share Hospital (DSH) payments and
roughly one-third from the per capita cap.
In addition, the President's plan invests $13 billion in
improvements to Medicaid, including health initiatives to
expand coverage for children, changes to last year's welfare
reform law, and new policies to help people with disabilities
return to work.
Guarantee of Coverage
The 37 million children, pregnant women, people with
disabilities, and older Americans who are currently covered
by Medicaid would retain their Federal guarantee of health
care coverage for a meaningful set of benefits.
Per Capita Cap
Even though the overall Medicaid baseline has fallen over the
past few years. Medicaid spending growth is still expected to
increase by over 8 percent annually after the year 2000. To
stabilize Medicaid growth, the President's budget would set a
per capita cap on Medicaid spending. The cap would .
'
constrain the rate of increase in Federal matching payments
per beneficiary.
. >>'' •
;
The per capita cap protects States facing population growth or
economic downturns because it ensures that Federal dollars
are linked with beneficiaries.
�DSH Payments
Federal DSH payments would be tightened without
undermining the important role these funds play for providers
that serve a disproportionate number of low-income and
Medicaid beneficiaries.
Improved State Flexibility
The President's plan incorporates the highest-priority State
flexibility requests advocated by the National Governors'
Association. It:
Repeals the "Boren amendment" for hospitals and
nursing homes, to allow States more flexibility to
negotiate provider payment rates;
Eliminates Federal waiver process for States opting
for managed care; and
Allows States to serve people needing long-term care
in home- and community-based settings without
Federal waivers, and a number of other initiatives.
Improves Quality
Standards
The President's plan maintains existing Federal standards and
enforcement for nursing homes and institutions for people
with mental retardation and developmental disabilities.
Quality standards for managed care systems would be
updated and enhanced.
Expanded Coverage for
Children
The President's plan includes measures to enhance coverage
for Medicaid-eligible children. It:
•
Provides continuous coverage for children: The
President's budget provides States with the option to
extend 12 months of continuous Medicaid coverage,
guaranteeing more stable coverage for children and
reducing the administrative burden on Medicaid
officials, providers, and families.
•
Encourages outreach to help more children receive
Medicaid: The Administration will work with States
to develop innovative ways to reach and sign up for
Medicaid some of the 3 million children who are
eligible for Medicaid but are not currently enrolled.
�Modifications to Welfare
Reform Law
The President's plan includes provisions to ameliorate some
of the effects of the welfare reform law, including:
•
•
Exempting immigrant children and disabled
immigrants from the bans on Medicaid benefits for
immigrants, and from the new "deeming"
requirements that mandated that the income and
resources of an immigrant's sponsor be counted when
determining program eligibility.
•
Extending from 5 to 7 years the exemption from the
Medicaid bans and deeming requirements for refugees
and asylees.
•
Provision to Help Workers
with Disabilities
Exempting disabled immigrants from the ban on SSI
benefits to ensure they retain their Medicaid benefits.
Retaining Medicaid coverage for disabled children
currently receiving Medicaid who lose their
Supplemental Security Income (SSI) benefit because
of changes in the definition of childhood disability.
The President's plan recognizes that many people with
disabilities want to work but they face significant barriers.
The plan would help people with disabilities return to work
risking their health care coverage. As a State option, SSI
beneficiaries with disabilities who earn more than certain
amounts could keep Medicaid. They would contribute to the
cost of coverage on their income rises.
�HIGHLIGHTS OF THE PRESIDENT'S INITIATIVES TO MAINTAIN AND EXPAND
WORKERS' COVERAGE
Because most Americans have employment-based health insurance, health care coverage is often
jeopardized for workers who change jobs. In fact, over 50 percent of the uninsured lost their health
insurance due to a job change. Many of these uninsured Americans are the spouses and children of
workers. The President's initiative will provide temporary premium assistance to families with workers
who are in-between jobs. For millions of these workers and their families this assistance could make it
possible for them to maintain their health care coverage while looking for another job. This initiative is
fully paid for within the President's FY 1998 balanced budget plan. In addition, to assist small businesses
- which often have more difficulty providing and maintaining health care coverage for their workers ~ the
President has proposed to help States create voluntary purchasing cooperatives.
Funding
Invests $9.8 billion over the budget window and is paid for in the
President's FYI998 balanced budget.
Eligibility
Helps an estimated 3.3 million Americans in 1998, including
about 700,000 children.
A full subsidy would be provided up to 100% of the
poverty level for and would be phased out at 240% of the
poverty level.
To assure that limited federal dollars are cost-effectively
targeted, individuals who are eligible for Medicare,
Medicaid or who have an employed spouse with coverage,
are not eligible for this program.
While low-income workers would certainly be helped by
this benefit, over half of participants would come from
families who previously had incomes over $30,000, for a
family of four.
-
Coverage for Families of
Workers Who Are
In-Between Jobs
Helps to assure that Kassebaum-Kennedy protections against preexisting conditions are not placed at risk because of breaks in
insurance coverage. It achieves this goal by helping working
families retain their health coverage through premium assistance
during a time in which they lose much of their income.
�Gives States the flexibility to provide coverage in ways that best
meets the needs of their populations. States would have
flexibility to administer their own programs, (e.g., COBRA, a
private insurance product, Medicaid, or an alternative means of
coverage).
Voluntary Purchasing
Cooperatives
Small businesses have more difficulty providing health care
coverage for their workers because they have higher per capita
costs due to increased risk and because of extraordinarily high
administrative costs.
The President's budget will make it easier for small businesses to
provide health care coverage for their employees, by allowing
them to band together to reduce theirrisks,lower administrative
costs, and improve their purchasing power with insurance
companies.
His budget proposes to empower small businesses to access and
purchase more affordable health insurance through the use of
voluntary health purchasing cooperatives. This will be
accomplished by providing $25 million a year in grants that States
can use for technical assistance, by setting up voluntary
purchasing cooperatives, and by allowing these purchasing
cooperatives to access to Federal Employees Health Benefit Plans.
�HIGHLIGHTS OF THE PRESIDENT'S CHILDREN'S HEALTH INITIATIVES
In 1995, more than 10 million American children had no health insurance. Eighty percent
(8 million) of the ten million uninsured children have a parent who is a worker. Many uninsured
children have parents who earn too much for Medicaid but too little to afford private coverage,
and an estimated three million children are eligible, but not enrolled in Medicaid. The President's
plan helps these groups of uninsured children by working with States, communities, advocacy
groups, providers, and businesses to expand coverage. Combined with the scheduled Medicaid
phase-in of older children, HHS estimates that the President's plan would provide coverage for
as many as five million children by the year 2000.
Assistance for Children Whose
Parents Are In-Between Jobs
The President's plan includes an initiative to assist workers
who are in-between jobs and their families maintain health
coverage. The program will cost $9.8 billion over five
years, and will help an estimated 3.3 million Americans,
including 700,000 children.
This initiative provides funding to States to cover the
children of workers who are temporarily in-between jobs.
The program would help those families who had employerbased coverage in their prior jobs.
The plan would give States flexibility to administer their
own programs (e.g., through Medicaid, COBRA, or an
independent program).
Grants to States to Expand
Children's Coverage
The President's plan provides $750 million a year in grants
to States ($3.8 billion over FY 1998-2002) that will build
on successful State children's programs like those in
Pennsylvania, Washington, Minnesota, and Florida, to
identify and provide coverage for uninsured children.
Under the President's plan. States could work with insurers, ^
providers, employers, schools, and others to develop
J..^innovative programs to provide coverage to children.
In addition to covering children who fall through the gaps,
these new State grants may help identify and enroll children
eligible for Medicaid.
�Investments to Expand
Medicaid Coverage
The President's plan invests in Medicaid to provide better
coverage for eligible children. It:
Provides one year of continuous Medicaid coverage to
children. The President's budget give States the option to
extend 12 months of continuous Medicaid coverage to all
children who are determined eligible for Medicaid.
Currently, many children receive Medicaid protection for
only part of the year. This is because Federal law requires
that a family that has a change in income or some other
factor affecting eligibility report it immediately, possibly
making them ineligible for Medicaid.
This provision will benefit families who will have the
security of knowing that their children will be covered by
Medicaid for a full year. It will also help States by reducing
administrative costs, and managed care plans, by enabling
them to better coordinate care.
Encourages outreach. The President's plan proposes to
work with the States, communities, advocacy groups,
providers, and businesses to extend Medicaid coverage to
the three million children who are eligible for Medicaid but
are not currently enrolled.
�The President's F Y 1998 Budget Health Care Reform Proposals
Preserving and Strengthening Medicare
Saves approximately $100 billion over 5 years ($138 billion over six years), modernizes the
program, and extends the life of the Trust Fund to 2007.
Restraining Growth in the Program
»
•
Constrains payments to health plans and providers, such as managed care, hospitals, nursing
homes, home health care.
••
Extends current law that sets Part B premium at 25 percent of program costs.
Combatsfraudand abuse by enacting new program integrity provisions and by repealing the
provisions Congress enacted last year that weaken fraud and abuse enforcement.
Improving Benefits
••
Invests in preventive health care such as diabetes management, colorectal screening, annual
mammograms without copayments, and increases reimbursement rates for certain immunizations
to protect seniors from pneumonia, influenza, and hepatitis.
•
>
Establishes a new respite care benefit to assist families of Medicare beneficiaries with
Alzheimer's and related diseases.
••
Phases down excessive outpatient copayments to the traditional 20 percent level.
»
•
Adds Medigap protections to increase the security of Medicare beneficiaries.
Modernizing Medicare
Provides more choices by establishing new private health plans options (such as preferred provider
organizations and provider sponsored organizations).
Establishes market-oriented purchasing for Medicare including: new prospective payment systems
for home health care, nursing home care, and outpatient services; competitive pricing authority;
and expanded "centers of excellence" to improve quality and reduce costs.
*•
Addressesflawsin Medicare's current payment methodology for managed care, which combined
with a new national minimumfloor,will reduce geographical variation in rates.
Protecting and Preserving Medicaid
*
Savings and Investments. The President's proposal saves, on net, about $9 billion over five
years. It would save about $22 billion overfiveyears, but at the same time, it makes about $13
billion in investments in Medicaid, including proposals to expand coverage for eligible children,
and changes to last year's welfare reform law.
�»
•
Per Capita Cap. To stabilize Medicaid growth, the plan includes a "per capita cap," which would
constrain the rate of increase in Federal matching payments per beneficiary.
»
•
DSH. Under the President's plan, Federal payments for disproportionate share hospitals (DSH)
would be tightened and States would have the flexibility to target these payments to a range of
essential community providers.
*
•
Improved State Flexibility. The plan contains a number of reforms, including: repealing the
"Boren amendment" for hospitals and nursing homes; eliminating the Federal waiver process for
States opting for managed care; and eliminating a Federal waiver for States moving populations
needing long-term care from nursing homes to home- and community-based care.
*•
Medicaid and Medicare for Workers with Disabilities. The plan enables SSI beneficiaries with
disabilities to keep their Medicaid when they return to work. It also includes a demonstration
program that allows certain SSDI beneficiaries receiving Medicare benefits to maintain their
coverage when they return to work.
Expanding Coverage for Workers Who Are In-Between Jobs
»
•
The President's plan includes an initiative to help provide health care coverage for workers who
are in-between jobs and their families. This initiative would help an estimated 3.3 million
Americans, including 700,000 children. This initiative invests $9.8 billion over five years.
•
The plan helps working families continue health insurance coverage, building on KassebaumKennedy's protections against pre-existing conditions.
+
The plan gives States the flexibility to provide coverage in the way that best meets the needs of
their populations.
Expanding Health Care Coverage for Children
Children Whose Parents are In-Between Jobs. This initiative will provide health care coverage
for 700,000 children whose parents are in-between jobs.
Grants to States to Expand Childrens' Coverage. The President's budget provides $750
million a year ($3.75 billion over five years) to States to develop innovative programs to provide
coverage to children.
^
Investments in Medicaid to Expand Coverage. The plan expands coverage for children by
investing in Medicaid. It:
—
Gives States the option to extend one year of continuous Medicaid coverage to all children
who are determined eligible for Medicaid.
—
Proposes to work with States and the private sector to reach out to the three million
children who are enrolled but not eligible for Medicaid.
�HIGHLIGHTS OF THE PRESIDENT'S MEDICARE REFORM PLAN
Medicare Savings
Approximately $100 billion over 5 years; $138 billion over 6
years.
Medicare Trust Fund
Extends the solvency of the Trust Fund to 2007 through a
combination of scorable savings and programmatic and
structural changes.
Beneficiary Provisions
Extends current law that sets Part B premium at 25 percent of
program costs. This policy achieves $10 billion in savings
over 5 years. The Part B premium would go below this
percentage without this change after 1998; the expenditures
associated with the reallocation of some home health
expenditures are excluded from this calculation.
Invests in preventive health care to improve seniors' health
status and reduce the incidence and costs of disease. The plan
covers colorectal screening, diabetics management, and
annual mammograms without copayments, and it increases
reimbursement rates for certain immunizations to ensure that
seniors are protected from pneumonia, influenza, and
hepatitis.
Establishes a new Alzheimer's respite benefit starting in 1998
to assist families of Medicare beneficiaries with Alzheimer's
and related diseases.
Buys down excessive outpatient copayments to the traditional
20 percent level. Because of a flaw in reimbursement
methodology, beneficiaries now in effect contribute a 46
percent copayment. Our policy will prevent further increases
in copayments and reduce the copayment to 20 percent by
2007.
�Adds Medigap protections (such as new open enrollment
requirements and prohibitions against the use of pre-existing
condition exclusions) to increase the security of Medicare
beneficiaries who wish to opt for managed care but fear they
will be unable to access the Medigap policy of their choice if
they decide to return to the fee-for-service plan. (This
provision is consistent with bipartisan legislation pending
before Congress.)
Provides new private plan choices (through new PPO and
Provider Service Organization choices) for beneficiaries.
Provider Impact
Hospitals
Through a series of traditional savings (reductions in hospital
updates, capital payments, etc.), achieves about $33 billion in
savings over 5 years.
Establishes new provider service organization (PSOs), which
will allow hospitals (and other providers) to establish their
own health care plans to compete with current Medicare
HMOs.
Establishes a new pool of funding, about $11 billion over 5
years for direct payment to academic health centers to ensure
that academic health centers are compensated for teaching
costs. This is funded by carving out medical education and
disproportionate share (DSH) payments from the current
Medicare HMO reimbursement formula.
�Managed Care
Through a series of policy changes, the plan will address the
flaws in Medicare's current payment methodology for
managed care. Specifically the reforms will create a national
floor to better assure that managed care products can be
offered in low payment areas, which are predominantly rural
communities. In addition, the proposal includes a blended
payment methodology, which combined with the national
minimum floor, will dramatically reduce geographical
variations in current payment rates. Medicare will reduce
reimbursement to managed care plans by approximately $34
billion over 5 years. Savings will comefromthree sources:
(1) Because HMO payments are updated based on projections
of national Medicare per-capita growth, when the traditional
fee-for-service side of the program is reduced, HMO
payments are reduced. The savings from this is $18 billion
overfiveyears;
(2) The elimination of the medical education and DSH
payments from the HMO reimbursement formula (these funds
will be paid directly to academic health centers). Savings from
this proposal are $9 billion overfiveyears; and
(3) A phased-in reduction in HMO payment rates from the
current 95 percent of fee-for-service payments to 90 percent.
A number of recent studies have validated earlier evidence
that Medicare significantly overcompensates HMOs. The
reduction does not start until 2000 and it accounts for a
relatively modest $6 billion in savings over 5 years.
Home Health Care
Saves about $14 billion over 5 years through the transition to
and establishment of a new prospective payment system.
�Home Health Expenditure Home health care has become one of the fastest growing
Reallocation
components of the Medicare program, growing at double digit
rates. Originally designed as a post-acute care service under
Part A for beneficiaries who had been hospitalized, home
health care has increasingly become a chronic care benefit not
linked to hospitalization. The President's proposal restores
the original split of home health care payments between Parts
A and B of Medicare. The first 100 home health visits
following a 3-day hospitalization would be reimbursed by Part
A. All other visits - including those not following a
hospitalization ~ would be reimbursed by Part B.
The restoration of the original policy will not count toward
the $100 billion in savings in the President's plan. The policy
avoids the need for excessive reductions in payments to
hospitals, physicians, HMOs, and other health care providers
while helping to extend the solvency of the Part A Trust
Fund.
See additional provisions under Fraud and Abuse which save
$1.3 billion over five years.
Physicians
Saves about $7 billion over 5 years through a modification of
physician updates. This reduction is relatively small because
Medicare has been relatively effective in constraining growth
in reimbursement to physicians.
Skilled Nursing Facilities
Saves about $7 billion over 5 years through the establishment
of a prospective payment system.
Fraud and Abuse
Saves about $9 billion over 5 years through a series of
provisions to combat fraud and abuse in areas such as home
health care, by requiring insurers to provide information
about insurance coverage of beneficiaries, and by repealing the provisions Congress enacted last year that weaken fraud
and abuse enforcement.
�Structural Reform
Brings the Medicare program into the 21st century by:
(1) Establishing new private health plan options (such as
PPOs and Provider Service Networks) for the program;
(2) Establishing annual open enrollment for all Medicare plans
within independent third-party consumer consulting.
(3) Establishing market-oriented purchasing for Medicare
including the new prospective payment systems for home
health care, nursing home care, and outpatient hospital
services, as well as competitive bidding authority and the use
of centers of excellence to improve quality and cut back on
costs;
(4) Adding new Medigap protections to make it possible for
beneficiaries to switch back from a managed care plan to
traditional Medicare without being underwritten by insurers
for private supplemental insurance coverage. This should
encourage more beneficiaries to opt for managed care because
it addresses the fear that such a choice would lock them in
forever.
Rural Health Care
The plan will have a very strong package of rural health care
initiatives, including continuation and improvement of sole
community hospital, Medicare dependent hospital, and rural
referral center protections, the expansion of the Rural Primary
Care Hospital program that allow for designation of and
reimbursement to facilities that are not ftill-service hospitals,
and the modification of managed care payments to ensure they
are adequate for rural settings. The rural hospital investment
alone is $1 billion over 5 years.
Medicare for Workers'
with Disabilities
The President's budget authorizes a demonstration which
enables SSDI beneficiaries to return to work without losing
their health care coverage. Under the demonstration, certain
SSDI beneficiaries who return to work would be able to
maintain their Part A coverage.
�Distribution of Medicare Savings
FY 1998 President's Budget
FY 1998 - FY 2002
4?
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^
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^
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�THE PRESIDENT'S LATEST MEDICARE PROPOSAL
DEMONSTRATES HIS COMMITMENT TO REAL REFORM AND
MEETS THE REPUBLICANS HALFWAY.
Republican
1996
Proposal
President's
Current
Proposal
President's
1996
Proposal
$158 Billion
$138 Billion
$116 Billion
1
6-YEAR
2
3
-V-'.'.J. •
1
1996 Proposal (April 1996 baseline). Six-year period is FY 1997-FY 2002. (Medicare savings stream as reported in the Senate Budget Resolution
Report, 5/13/96).
2
3
HCFA Actuaries' Estimates. Six-year period is FY 1998-FY 2003. The additional savings come from a range of policy changes, but
the most notable increase in savings comes from managed care and home health care.
1996 Proposal (April 1996 baseline). Six-year period is FY 1997-FY2002. ("CBO's Estimates of the President's Budgetary Proposals" in "The
Economic & Budget Outlook: FY 1997-2002").
�HIGHLIGHTS OF THE PRESIDENT'S MEDICAID REFORM PLAN
Medicaid Savings and
Investments
The President's plan saves approximately $9 billion net of
new investments over 5 years.
Through a combination of policies to reduce and target
spending on disproportionate share hospitals (DSH) more
effectively and establish a per-beneficiary limit on future
Medicaid growth, the plan would save $22 billion over five
years.
Roughly two-thirds of the savings comes from a reduction in
Disproportionate Share Hospital (DSH) payments and
roughly one-third from the per capita cap.
In addition, the President's plan invests $13 billion in
improvements to Medicaid, including health initiatives to
expand coverage for children, changes to last year's welfare
reform law, and new policies to help people with disabilities
return to work.
Guarantee of Coverage
The 37 million children, pregnant women, people with
disabilities, and older Americans who are currently covered
by Medicaid would retain their Federal guarantee of health
care coverage for a meaningful set of benefits.
Per Capita Cap
Even though the overall Medicaid baseline has fallen over the
past few years, Medicaid spending growth is still expected to
increase by over 8 percent annually after the year 2000. To
stabilize Medicaid growth, the President's budget would set a
per capita cap on Medicaid spending. The cap would .
constrain the rate of increase in Federal matching payments ••
per beneficiary.
S' " .
The per capita cap protects States facing population growth or
economic downturns because it ensures that Federal dollars
sire linked with beneficiaries.
�DSH Payments
Federal DSH payments would be tightened without
undermining the important role these funds play for providers
that serve a disproportionate number of low-income and
Medicaid beneficiaries.
Improved State Flexibility
The President's plan incorporates the highest-priority State
flexibility requests advocated by the National Governors'
Association. It:
Repeals the "Boren amendment" for hospitals and
nursing homes, to allow States more flexibility to
negotiate provider payment rates;
Eliminates Federal waiver process for States opting
for managed care; and
Allows States to serve people needing long-term care
in home- and community-based settings without
Federal waivers, and a number of other initiatives.
Improves Quality
Standards
The President's plan maintains existing Federal standards and
enforcement for nursing homes and institutions for people
with mental retardation and developmental disabilities.
Quality standards for managed care systems would be
updated and enhanced.
Expanded Coverage for
Children
The President's plan includes measures to enhance coverage
for Medicaid-eligible children. It:
•
Provides continuous coverage for children: The
President's budget provides States with the option to
extend 12 months of continuous Medicaid coverage,
guaranteeing more stable coverage for children and
reducing the administrative burden on Medicaid
officials, providers, and families.
•
Encourages outreach to help more children receive
Medicaid: The Administration will work with States
to develop innovative ways to reach and sign up for
Medicaid some of the 3 million children who are
eligible for Medicaid but are not currently enrolled.
�Modifications to Welfare
Reform Law
The President's plan includes provisions to ameliorate some
of the effects of the welfare reform law, including:
•
•
Exempting immigrant children and disabled
immigrants from the bans on Medicaid benefits for
immigrants, and from the new "deeming"
requirements that mandated that the income and
resources of an immigrant's sponsor be counted when
determining program eligibility.
•
Extending from 5 to 7 years the exemption from the
Medicaid bans and deeming requirements for refugees
and asylees.
•
Provision to Help Workers
with Disabilities
Exempting disabled immigrants from the ban on SSI
benefits to ensure they retain their Medicaid benefits.
Retaining Medicaid coverage for disabled children
currently receiving Medicaid who lose their
Supplemental Security Income (SSI) benefit because
of changes in the definition of childhood disability.
The President's plan recognizes that many people with
disabilities want to work but they face significant barriers.
The plan would help people with disabilities return to work
risking their health care coverage. As a State option, SSI
beneficiaries with disabilities who earn more than certain
amounts could keep Medicaid. They would contribute to the
cost of coverage on their income rises.
�HIGHLIGHTS OF THE PRESIDENT'S INITIATIVES TO MAINTAIN AND EXPAND
WORKERS' COVERAGE
Because most Americans have employment-based health insurance, health care coverage is often
jeopardized for workers who change jobs. In fact, over 50 percent of the uninsured lost their health
insurance due to a job change. Many of these uninsured Americans are the spouses and children of
workers. The President's initiative will provide temporary premium assistance to families with workers
who are in-between jobs. For millions of these workers and their families this assistance could make it
possible for them to maintain their health care coverage while looking for another job. This initiative is
fiilly paid for within the President's FY 1998 balanced budget plan. In addition, to assist small businesses
- which often have more difficulty providing and maintaining health care coverage for their workers — the
President has proposed to help States create voluntary purchasing cooperatives.
Funding
Invests $9.8 billion over the budget window and is paid for in the
President's FYI998 balanced budget.
Eligibility
Helps an estimated 3.3 million Americans in 1998, including
about 700,000 children.
A full subsidy would be provided up to 100% of the
poverty level for and would be phased out at 240% of the
poverty level.
To assure that limited federal dollars are cost-effectively
targeted, individuals who are eligible for Medicare,
Medicaid or who have an employed spouse with coverage,
are not eligible for this program.
While low-income workers would certainly be helped by
this benefit, over half of participants would come from
families who previously had incomes over $30,000, for a
family of four.
Coverage for Families of
Workers Who Are
In-Between Jobs
Helps to assure that Kassebaum-Kennedy protections against preexisting conditions are not placed at risk because of breaks in
insurance coverage. It achieves this goal by helping working
families retain their health coverage through premium assistance
during a time in which they lose much of their income.
�Gives States the flexibility to provide coverage in ways that best
meets the needs of their populations. States would have
flexibility to administer their own programs, (e.g., COBRA, a
private insurance product, Medicaid, or an alternative means of
coverage).
Voluntary Purchasing
Cooperatives
Small businesses have more difficulty providing health care
coverage for their workers because they have higher per capita
costs due to increased risk and because of extraordinarily high
administrative costs.
The President's budget will make it easier for small businesses to
provide health care coverage for their employees, by allowing
them to band together to reduce their risks, lower administrative
costs, and improve their purchasing power with insurance
companies.
His budget proposes to empower small businesses to access and
purchase more affordable health insurance through the use of
voluntary health purchasing cooperatives. This will be
accomplished by providing $25 million a year in grants that States
can use for technical assistance, by setting up voluntary
purchasing cooperatives, and by allowing these purchasing
cooperatives to access to Federal Employees Health Benefit Plans.
�HIGHLIGHTS OF THE PRESIDENT'S CHILDREN'S HEALTH INITIATIVES
In 1995, more than 10 million American children had no health insurance. Eighty percent
(8 million) of the ten million uninsured children have a parent who is a worker. Many uninsured
children have parents who earn too much for Medicaid but too little to afford private coverage,
and an estimated three million children are eligible, but not enrolled in Medicaid. The President's
plan helps these groups of uninsured children by working with States, communities, advocacy
groups, providers, and businesses to expand coverage. Combined with the scheduled Medicaid
phase-in of older children, HHS estimates that the President's plan would provide coverage for
as many as five million children by the year 2000.
Assistance for Children Whose
Parents Are In-Between Jobs
The President's plan includes an initiative to assist workers
who are in-between jobs and their families maintain health
coverage. The program will cost $9.8 billion over five
years, and will help an estimated 3.3 million Americans,
including 700,000 children.
This initiative provides funding to States to cover the
children of workers who are temporarily in-between jobs.
The program would help those families who had employerbased coverage in their prior jobs.
The plan would give States flexibility to administer their
own programs (e.g., through Medicaid, COBRA, or an
independent program).
Grants to States to Expand
Children's Coverage
The President's plan provides $750 million a year in grants
to States ($3.8 billion over FY 1998-2002) that will build
on successful State children's programs like those in
Pennsylvania, Washington, Minnesota, and Florida, to
identify and provide coverage for uninsured children.
Under the President's plan, States could work with insurers,
providers, employers, schools, and others to develop
innovative programs to provide coverage to children. [
In addition to covering children who fall through the gaps,
these new State grants may help identify and enroll children
eligible for Medicaid.
(
�Investments to Expand
Medicaid Coverage
The President's plan invests in Medicaid to provide better
coverage for eligible children. It:
Provides one year of continuous Medicaid coverage to
children. The President's budget give States the option to
extend 12 months of continuous Medicaid coverage to all
children who are determined eligible for Medicaid.
Currently, many children receive Medicaid protection for
only part of the year. This is because Federal law requires
that a family that has a change in income or some other
factor affecting eligibility report it immediately, possibly
making them ineligible for Medicaid.
This provision will benefit families who will have the
security of knowing that their children will be covered by
Medicaid for a full year. It will also help States by reducing
administrative costs, and managed care plans, by enabling
them to better coordinate care.
Encourages outreach. The President's plan proposes to
work with the States, communities, advocacy groups,
providers, and businesses to extend Medicaid coverage to
the three million children who are eligible for Medicaid but
are not currently enrolled.
�HS
H
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U.S. D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
February 6,1997
n
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Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status ofchildren. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven — are uninsured.
Most of them are members of working families. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives of Pediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up tofivemillion children.
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
fonner employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches — like those
initiated in Florida and Pennsylvania - to help working families purchase private insurance for
their children. States will receive $3.75 billion over the nextfiveyears to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid — that's a total increase of 1 million insured children.
Trffff
�HS
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n
£7
U.S. D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
February 6,1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because ofthe work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven — are uninsured.
Most ofthem are members of workingfamilies. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives ofPediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up tofivemillion children
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
former employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches — like those
initiated in Florida and Pennsylvania — to help working families purchase private insurance for
their children. States will receive $3.75 billion over the next five years to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid - that's a total increase of 1 million insured children.
###
�HS
H
in
U.S. D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
February 6,1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children — one in seven — are uninsured
Most of them are members of working families. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives ofPediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up tofivemillion children
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
fonner employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches — like those
initiated in Florida and Pennsylvania - to help working families purchase private insurance for
their children. States will receive $3.75 billion over the nextfiveyears to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid - that's a total increase of 1 million insured children.
mm
�HS
H
n
r
U.S. D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
February^ 1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's major first term accomplishments
was improving the health status ofchildren. Today, because of wise investments in
public health and medical research, and because ofthe work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And, teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven — are uninsured.
Most ofthem are members of workingfamilies. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives of Pediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up to five million children
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Woricers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to six months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
former employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches — like those
initiated in Florida and Pennsylvania — to help working families purchase private insurance for
their children. States will receive $3.75 billion over the nextfiveyears to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid — that's a total increase of 1 million insured children.
M4£4£
TTJTJT
�HS
H
n
n
U.S. D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
February 6,1997
Contact:
HHS Press Office
690-6343
President Clinton's Children's Health Initiative
Overview: One of the Clinton Administration's majorfirstterm accomplishments
was improving the health status of children. Today, because of wise investments in
public health and medical research, and because of the work of countless citizens:
Childhood immunization rates are at an all-time high and infant mortality rates are at a
record low. More than 80 percent ofpregnant women are getting prenatal care in their
first trimesters. And teen pregnancy rates, teen birth rates and preventable childhood
diseases are on the decline. These are great victories for American families, but we can
and must do even more.
Today, an estimated 10 million American children - one in seven - are uninsured
Most of them are members of working families. And, when you compare them to
children with insurance, they are almost twice as likely not to have seen a physician
during the past year. [Archives ofPediatrics and Adolescent Medicine. 1995].
President Clinton recently announced a new children's health initiative that will
extend health care coverage to up tofivemillion children.
The Children's Health Initiative
The new children's health initiative announced by President Clinton has three parts:
Children at Risk Because Their Parents Change Jobs
•
Workers Between Jobs. In America, 700,000 uninsured children are in families in which the
principal wage earner is temporarily unemployed. President Clinton's initiative will provide
annual grants to states to cover these families' health insurance premiums for up to sue months
while they seek employment This assistance may be used to purchase coveragefromthe worker's
former employer (through COBRA) or other private plans, at states' discretion.
Children Whose Parents Earn Too Much For Medicaid But Too Little For Private Coverage
•
State Partnership Grants. Many uninsured children have parents who earn too much for Medicaid
but too little for private coverage. To help reduce the number of uninsured children, the President's
initiative will provide annual grants to states to develop innovative approaches - like those
initiated in Florida and Pennsylvania — to help working families purchase private insurance for
their children. States will receive $3.75 billion over the next five years to support these efforts.
�-2-
Children Eligible For Medicaid But Not Enrolled
•
Medicaid Continuous Eligibility. Today, one million children move on and off Medicaid during
the course of a year as their parents change jobs, movefromwelfare to work, or remarry. The
President's plan allows states to extend one year of continuous Medicaid coverage to children who
have been determined to be eligible for Medicaid. This would reduce administrative burdens on
states, families, and health care plans who now have to determine eligibility more frequently.
•
Medicaid Outreach. There are an estimated three million poor children who are currently eligible
for Medicaid, but are not enrolled. When these children become sick, their parents often end up
taking them to hospital emergency rooms for care. We will work actively with the states,
communities, advocacy groups, providers, and businesses to identify and enroll these children.
•
Adolescents age 13-18. Current law expands Medicaid coverage to reach poor children between
the ages of 13 and 18. In each of the next four years, an estimated 250,000 teens will be added to
Medicaid - that's a total increase of 1 million insured children.
###
�Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
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502 11310-2 X i t ^ x j e * * * * * * * * * * * * *
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
POTUS Children's Health Initiative
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-013-010-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/2df27e0369bc3240121060115c7e64bc.pdf
28ab3e928bbacaa06bbdae1c276003a8
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Subject File
OA/ID Number:
9480
FolderlD:
Folder Title:
NAFTA [North American Free Trade Agreement] /HEALTH CARE
Stack:
Row:
Section:
Shelf:
Position:
S
59
3
10
3
�10/06/03
18:01
E
C
MSfifef 202^1220404
O
N
O
M
I
C
DEPSEC TREAS
S T R A T E G Y : H E A L T H C A R E and NAFTA
This Administration's goal is to increase living standards for us and our children. To
accomplish this we must eliminate the "investment deficit" which President Clinton
described thousands of times during the campaign. Higher investment means higher
incomes for our citizens.
In the summer, we attacked a piece of the "investment deficit" - the shortfall of
private business investment - with our deficit reduction program. $500 billion less
borrowed bytfiegovernment means $500 billion more forfinancingprivate business
investments. We also began to invest in our workforce through training and
education and to invest in opportunity by turning welfare into a hand-up rather than
a hand-out.
But now the focus is on the other two key elements of our investment program :
NAFTA and health care. The latter is essential to stop the grossly inefficient
allocation of economic resources reflected by the 1 % of GDP that we now spend on
4
health care - much higher than comparable countries. NAFTA is essential because
only withfreetrade - only if Americans can sell goods on open international markets
- can we boost export-related investment.
You all know the problems with our health care system. Right now there is too little
competition and costs are not under pressure. And, too few consumers pay a
meaningful share of their health care bills, and so they do not shop around for
efficient providers. Our plan will change this. The share of payroll which most
businesses devote to health care premiums will fall. And the destructive shift of
uncompensated care costs to the private sector will end. The result will be enormous
public and private savings. Controlling these costs willfreeup business cash flow
for more investment, for higher wages, and for hiring more workers.
NAFTA will be a tough political fight. But it is a treaty that makes sense for the
United States. Our investments yield much larger dividends in the form of
productivity increases and real wage gains if our producers can sell their goods on
open world markets. NAFTA is an important step toward providing our industries
with enhanced access to foreign markets.
The first major piece of our program to boost investment in America, deficit
reduction, has been accomplished. The Administration is now focusing on the next
two additional initiatives to eliminate the investment gap : health care reform to raise
economic efficiency by containing the costs of the health care sector, and NAFTA to
boost export related investment.
12003
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
NAFTA [North American Free Trade Agreement] /Health Care
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-013-009-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/a46cb7e46a004f0e443000c65b14f392.pdf
d923cc979e90351f1bd1de6397afa917
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Misc. Subject Files
OA/ID Number:
10813
FolderlD:
Folder Title:
[The Role of Advertising in the Health Care Reform Debate]
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
2
3
�THE ANNENBERG SCHOOL FOR
FAX COVER SHEET
COMMUNICATION
US I V ER S I T Y of P E N N S Y L V A N I A
3620 Wtlmii Sntet Philidftlphi*, Penmylvuiii 19104-6220
FAX
PHONE
(215) 898-2024
(215) 898-7041
DATE
TOTAL PACES PAXBDt_
(Including cover page)""
"7
^
ATTN:
TAX*
FRON 1
Tito 7104704®* '
�EMBARGOED UNTIL NOON EST JULY 18,1994
THE ROLE OF ADVERTISING IN THE HEALTH CARE
REFORM DEBATE
PART ONE
A PRELIMINARY REPORT OP RESEARCH FUNDED BY
THE ROBERT WOOD JOHNSON FOUNDATION
THE ANNENBERG PUBUC POLICY CENTER
OF THE UNIVERSITY OF PENNSYLVANIA
KATHLEEN HALL JAMIE SON, DIRECTOR
GRADUATE RESEARCH TEAM:
SHANNON KOKOSKA
DOUG RIVUN
MELINDA SCHWENK
TOM TEMPERIO
FOR INFORMATION CONTACT:
KATHLEEN HALL JAMIESON, ANNENBERG SCHOOL FOR COMMUNICATION,
3620 WALNUT, PHILA PA 19104
PHONE 213-898-7041
JAMIESON IS DEAN OF THE ANNENBERG SCHOOL AND DIRECTOR OF THE ANNBNBERQ PUBLIC POLICY CENTER
OF THE UNIVBRSTTY OF PENNSYLVANIA.
HER PUBLISHED WORKS INCLUDE: PACKAGING THE PRESIDENCY! A HISTORY AND CRITICISM OF PRESIDENTIAL
CAMPAIGN ADVERTISING (OXFORD 19S4;lMS):ELOQUENCB IN AN ELECTRONIC AOS (OXFORD. 1988);
DIRTY POLITICS (OXFORD . 1992).
THE HEALTH CARE REFORM MEDIA WATCH TEAM AT ANNENBERG IS STUDYING THE WAYS IN
WHICH ADVERTISING, NEWS, POLLS, TALK SHOW RADIO, AND TELEVISION PROGRAMMING
AFFECT POLITICAL LEARNING.
THE MATERIAL GENERATED BY THE PROJECT IS AVAILABLE UPON REQUEST.
�July 18 1994
We are witnessing the largest,roostsustained advertising campaign to shape a public policy
decision in the history of the Republic. To date, a total of forty nine groups have pledged in
excess of $50,000,000 to produce and air more than 60 different broadcast ads and print and
distribute more than lOO pieces of print including ads, direct mail, and brochures. In the five days
since we closed our analysis of the ads,fivenew broadcast ads and 4 print ads have been unveiled,
By mid October, the dollar amount spent on producing and gaining an audience for ads will exceed
that expended on ads by Bush and Clinton combined in 1992.
Ostensibly an effort to influence the public, the ad campaigns are more clearly an effort to
persuade print and broadcast reporters that the sponsors are players worthy of coverage and to
persuade legislators, particularly those whose votes can be swung on key committees, that the risk
exceeds the advantage in opposing their interests.
Summary of Findings
Since the President's State of the Union Address:
*
MOST OF THE BROADCAST
HEALTH CARE REFORM ADS HAVE
CONCENTRATED ON ATTACKING A POSITION RATHER THAN ARGUING FOR
ONE ALTERNATIVE OR THE OTHER (see Table IA).
*
MOST HAVE URGED THEIR AUDIENCE TO CALL FOR INFORMATION OR CALL
CONGRESS WITH A MESSAGE (See Table IB).
*
TELEVISED ADS WERE AIRED NATIONALLY ONLY IN NEWS STORIES ABOUT
HEALTH CARE REFORM, WHAT REPORTERS DESCRIBED AS NATIONAL BUYS
WERE PLACEMENTS ON CNN AND CNN HEADLINE NEWS. THE "NATIONAL"BUYS
ON CNN REACH 66% OR 62 MILLION HOUSEHOLDS, MISSING THE ONE OF
THREE HOUSEHOLDS NOT WIRED FOR CABLE.
*
CONCENTRATION OF PRINT, BROADCAST. AND RADIO BUYS IN NEW YORK AND
WASHINGTON DC SUGGESTS THAT THE PRIME AUDIENCE FOR THE MAJORITY
OF THE CAMPAIGNS WAS MEMBERS OF CONGRESS AND REPORTERS (See Charts
7-9).
*
HIAA'S 'HARRY AND LOUISE" ADS WERE A PUBLIC RELATIONS TRIUMPH
WHICH PROPELLED AN OTHERWISE SMALL PLAYER INTO THE CENTER OF
PRESS COVERAGE AND THE DEBATE, A PROCESS FACILITATED BY WHITE
HOUSE ATTACKS ON THEM (See Chart 17).
*
MOST PRINT AND BROADCAST COVERAGE OF THE ADS FOCUSED ON
DESCRIBING THEM OR MAPPING THEIR STRATEGY RATHER THAN ASSESSING
THEIR FAIRNESS OR ACCURACY (See Charts 4C and 16).
*
MOST BROADCAST REPORTS AIRED ADS FULL SCREEN THEREBY MAGNIFYING
THEIR POWER AND INCREASING THE LIKELIHOOD THAT VIEWERS WOULD
CONFUSE THEM WITH NEWS.
�Pundits are fond of noting that a voter can cast one of four votes, a vote for or against one
candidate or the other. In the health care reform debate, the majority of ads -those of Democrats
and Republicans, conservatives and liberals alike-invite opposition based in fear rather than support
based on argument. In other words the ads undercut more often than they build a case for an
alternative. Reporters who see their task as covering "what's out there" give air time and print space
to the assaults.
Scholars have expressed concern about the increasing negativity of press coverage of politics.
What these lamentations overlook is the fact that campaigns themselves-both for elective office and
in the public policy arena-are often negative. One could of course argue that the press should
nonetheless feature what case building exists. In reporting on advertising this is not the case.
Because reporters consider controversy newsworthy, attack ads draw press attention; positive
ads building a case for one alternative or another are largely ignored. When an ad includes both
case building and attack, its attacks will attract press notice,
News coverage dramatically increases an ad's audience and , in the process, legitimizes the
sponsor as a serious player in the policy debate. Both of these factors create an incentive for ad
producers to create ads that attack rather than support a plan. The ad that gained the largest
number of seconds of free network news time (84 seconds-see Chart 10)) with the smallest time
buy ($60,000) was an attack ad produced by the Project for a Republican Future.
Taken as a whole, the broadcast and print ads have invited the public to see the debate as
bickering among self-interested partisans. All in all, ad McNuggets aren't very nourishing. So in a
move reminiscent of the 1992 campaign, many of the broadcast and print ads include toll free
numbers to call for additional food for thought, or urge a call to Congress or your member of
Congress and provide the number.
But pool their packets and you still won't have the sort of direct comparison and contrast
that eases decision making. The reason is simple. The wish and hit lists of the various groups don't
overlap much. There is one exception. The Kaiser-League of Women Voters effort included a
number (1-800-FACTS-94) to call for additional information and head-to-head comparison of the
existing proposals.
Part of the reason such a field guide is needed is that there isn't a clear public give-and-take
between the White House and those whose ads say "Yes but.."to reform. In February, as HIAA
was opposing mandatory alliances, Clinton's ad was warning about the efforts of special interests
and identifying his plan with "security, quality, and choice".
OK, a viewer might ask, but what about the question raised by Harry in the HIAA ads.
What if our plan mm out of money? A Ciintonite would argue that that's unlikely to happen. In
a structure based on current insurance practice, plans would be required to have significant reserve
funds.
Moreover, the purchasing alliances should bring costs down and, if successful, would hold
costs under the caps. If that mechanism fails, the plan has a provision for short-term borrowing to
ensure the specified benefits with a readjustment of premiums to follow.
�But rather than telling Harry what's actually in the Clinton plan, the next ad on CNN
assures him that the hair of lithe young models who use a salon shampoo sways sensuously as they
luxuriate in wheatfieldswith their lovers.
Meanwhile, the sort of communication bypass perfected by George Bums and Gracie Allen
occurred between Clinton and HIAA. Both agreed that unresponsive, costly bureaucracy was the
problem. There was only one catch. They disagreed on whose bureaucracy to blame. Harry and
Louise saw it as the "bureaucracy" of "these "newmandatory government health alliances," Clinton
as insurance companies "writing thousands and thousands of different policies, charging old people
more than young people and saying who cannot get health insurance."
Of course, those who saw the HIAA spot weren't likely to catch that soundbite from
Clinton's Shreveport speech, and vice versa. But seeing both wasn't of much help anyway. We didn't
hear how and whether the Clinton plan would work. Nor did we leam that HIAA is on record
saying that, if other insurers would go along, its members would cover those now barred by existing
illness. The upshot instead was that HIAA doesn't like Clinton's alliances and Clinton doesn't like
insurance companies. Slaps passing in the night.
As a form of advocacy, ads have a place. But not as a substitute for public deliberation.
WHOSE AD IS THIS?
It is not difficult to discern the interests behind an ad bearing a disclaimer of a party (e.g.,
the Republican or Democratic National Committee), a party-identified group (Project for a
Republican Future), an industry group (e.g., the National Restaurant Association, the American
Hospital Association or the Pharmaceutical Manufacturer's Association) or a union (AFL-CIO).
And most are familiar with the AARP ( American Association of Retired Persons) and the AMA
(American Medical Association).
Some of the campaigns make their objectives clear in their title but not the identity of those
putting up the money ( e.g.,Single Payer Across the Nation or the Coalition for Jobs and Health
Care).
To the list of sponsors whose identity is not clearly telegraphed by their name we would add
Empower America, the Health Care Reform Project, Citizens for a Sound Economy, Alliance for
Managed Competition, Families USA, and Christian Coalition. What, one might ask, distinguished
the American Conference for Health Care Workers from America's Health Care Workers
Coalition? The Campaign for Health Security from the Corporate Health Care Coalition. Who
speaks through The Independent Institute, the National Center for Policy Analysis?
In presidential campaigns, the message often reveals the messenger even before the
mandated disclaimer appears on the screen. "Why Voters Don't Trust Clinton" say the words on the
screen. In Fall 1992, it's a safe bet that this is a Bush ad. With only three major candidates running
and Perot not engaging in direct spot ad attacks on Clinton, one can reasonably infer the Bush
campaign has produced the ad.
One can do the same with the DNC ad showing Clinton speaking about health care reform
(paid for by the Democratic National Committee), and one declaring "The Clinton Health Plan.
�Everything about your health care is at risk" (created by the Project for the Republican Future). The
messages bespeak both messenger and motive.
Nor is there any doubt about why the Catholic Church is passing out postcards to
parishioners. If you believe that abortion is murder, you probably don't want to pay for it as part
of Clinton's health plan. So, parish priests urged Catholics to send Congress 18.9 million postcards
saying "Please don't force m to pay for abortions against m conscience."
e
y
Equally unsurprising is the fact that the American Association of Retired Persons' ads
advocate that health reform include long-term care.
Less clear is who is behind the TV ad arguing that it is as silly to go half way to health care
reform as it would have been to send a man half way to the moon. The spot urges "Health Security
for Every American-Nothing Less."
Among the health care plans that couldflythat banner at the time the ad aired were three:
a Republican bill (known as Chafee-Thomas), and two Democratic ones-the Canadian style single
payer bill of Wellstone-McDermott and Clinton's. Thefineprint at the end simply credits the ad
to the Healthcare Reform Project, a coalition of consumer, health, and senior citizens groups,
instigated by Democratic Senator Jay Rockefeller,
Nor is the motivation for the most extensive and expensive of the ad campaigns transparent,
In The Health Insurance Association of America's (HIAA) campaign, actors playing the folks next
door suggest that Congress should find a way to health reform that covers all without "forced"
insurance purchasing groups and premium caps ("What If our health care plan runs out of money?").
Unsaid by Libby, Louise, and Harry is that the alliances and caps in Clinton's reform
package could prove fatal to the HIAA's 2SO or so mid-sized and smaller insurers. In Clinton's
world of managed competition, HIAA sees survival of the biggest as likely. Consistent with that
view, ads for the nation's largest group of health care insurers, tbe BlueCross BlueShield
Association don't focus on caps or alliances. Instead they say simply, "Make Health Care Reform
a Reality This Year."
Parishioners are to the Catholic Church what patients are to the AMA. Brochures in
doctor's waiting rooms echo print ads in warning that "Government and insurance companies could
end up determining which types of treatment are appropriate for patients like you." "Would you
rather trust your life to an M.D. or an MBA?" asks an AMA ad.
Unmentioned in the AMA's 1.6 million dollar blitz is the fact that Clinton's cost
containment would cut the income of at least some of the AMA's 300,000 doctors who on
average, according to AMA figures, earned $177,000 in 1992. So, the AMA favors spending gpals
not Clinton's spending caps.
Of course, what's good for the AMA, HIAA, the Pharmaceutical Manufacturers Association,
AARP or any of the other advertisers may in fact be good for the country. One might argue, for
example, that high salaries permit doctors to recoup the cost of their education while also creating
incentives for the brightest and best to enter the profession. But that's not an issue engaged in the
ads.
�Deliberation thrives both on full-disclosure and on accurate information about the nature
of the problem and the proposed solutions. Knowing who is bringing us the message is important
in assessing the substance of that message. Where neither the message nor the disclaimer of an ad
reveal that information, reporters can perform an important public service by providing it. Among
other things, this means adding a section to adwatches identifying the origins, size, and agenda of
the sponsor. The New York Times failed to do this in a July 17 analysis of the advertising in the
health care reform debate. Included in the piece were transcripts and analysis of two ads, one from
AARP , the other from Citizens for a Sound Economy. Nothing in the article provided background
on the groups, a lapse more important with the lesser known Citizens for a Sound Economy.
In some cases, knowing who instigated or supports the group provides the needed cues. So
for example, the Health Care Reform Project would not have been formed were it not for the work
of Democratic Senator Jay Rockefeller; Empower America is led by former Bush cabinet members
and prospective presidential contenders Jack Kemp and William Bennett; the National Center for
PoUcy Analysis is chaired by former Delaware governor and one-time presidential aspirant Pete
DuPont. And at the head of the Project for a Republican Future is fonner Quayle aide William
Kristol.
Since DuPont appears in the Center's ads, his link to the group is apparent. But the
ideological cues one might gather from knowing who is working with the other groups are not
present in the ads or evident from their disclaimers. The profile found in the appendix is a
preliminary attempt to identify the groups trying to influence the debate through ads and to specify
their stated goals.
SELECTIVE DISTORTION IN ADS + STRATEGY COVERAGE BY PRESS
When an individual or group claims that its position has been distorted in an advocacy ad,
the public will leam who is telling the truth only if the press helps. If reporters cover the exchange
without examining accuracy, there is no penalty for distortion in ads and the public's understanding
of the issue is not advanced. An exchange between South Carolina Governor Carroll Campbell and
the DNC in early February is illustrative,
"The Republicans" says the announcer of a Democratic National Committee TV ad /'First
they said there was no recession. Now they say there is no health care crisis. They just don't get it"
Is it only Republicans who just don't get it? And does the claim apply to all Republicans?
To the consternation of the White House, the notion that there isn't a health care crisis entered the
national debate on the decidedly Democratic lips of New York's Senator Daniel Patrick Moynihan.
The claim was taken up by Republican Minority leader Senator Bob Dole of Kansas. Moynihan then
specified that the crisis was in coverage and cost.
But a number of Republicans took essentially the same position. Among them, newly elected
Republican Governor Christine Todd Whitman and Governor Carroll Campbell. "There's a health
insurance crisis," said Whitman on one of the Sunday shows. "There's a crisis for people who don't
have health care, And there is a crisis in the financing. There's not a crisis in the whole medical
system," South Carolina Governor Carroll Campbell noted on another interview program. It would
take a Medieval metaphysician to divine the difference between Campbell's claim that the one
repeated by the first lady to the effect that we have the best health care and the stupidist way of
�financing it. Campbell was in other words among those who added precision to the debate and in
the process articulated the problem in terms one would assume Clinton partisans would applaud.
But rather than correcting the ad's misstatement of Campbell's view and explaining the
importance of identifying the precise areas of need, most news stories reduced the exchange to the
level of partisan bickering, what I call " e said/she said" journalism. So , for example, the Wall
h
Street Journal headed its coverage, "Democrats' Ad for Health-Care Reform Distorts Governor's
Position, GOP Says" (WSJ 2/16/94/B5). After initially treating the exchange as charge and counter
charge without offering arbitration. The Washington Post broke from " e said/she said" coverage
h
to print Campbell's actual words and to editorialize against the DNC's distortion of them. The ad's
producer, Mandy Grunwald, was given space to reply on the Washinfrton Post's op-ed page.
By intercutting Republicans saying " o crisis" with statistics supposedly documenting the
n
nature and scope of the problem, the DNC ad also Implies that Clinton but not the Republicans
would solve the identified problems. One intercut says "Eighty one million Americans pay more or
are denied coverage because of 'pre-existing conditions'." But all of the major plans-Republican and
Democratic alike- bar insurers from denying coverage because of existing illness. So, on this issue,
at least, the Republicans [and Democrats] do get it. The difference at that point in the debate was
whether a plan would permit insurers to charge more for those with existing illness. Premised on
community rating, the Clinton plan would not.
In their preoccupation with the charges and counter charges about the DNC's use of
Campbell's words, print reporters neglected to make an important correction carried in broadcast
ad watches done by Brooks Jackson on CNN and Lisa Myers on NBC. It spoke to the questions,
What is the problem? How many people are affected by it? Contrary to the claim of the ad, 81 are
" trisk"of losing coverage or of paying more. But 81 million are not affected in that way now.
a
Part of the reason is evident in the Clinton's statement about the problem in his State of
the Union Address. "Iknow there are people here who say there's no health care crisis....Tell it to
the 81 million Americans with those pre-existing conditions. Those folks are paying more or they
can't get insurance at all or thev can't ever chanpe their jobs because thev or someone in their
family has one of those nre^xistine conditions." (emphasis mine)
But those invoking the name Republican aren't guilt free by any means. An ad produced for
the Project for the Republican Future and aired in the wake of the State of the Union address
claims that "Everything good about your health care is at risk." Its evidence is drawn from a
controversial article in the New Republic. Among the assertions printed on the screen in the spot
is one that says "you will have to settle for one of the low-budget health plans selected by the
government." There's only one thing wrong with that statement. It's not true. Clinton's plan requires
the health care purchasing alliances that it would establish to offer all plans certified by the state,
including at least one traditional 'fee-for-service plan.'
Of what help was the press? The Washington Post's story said that the quote is drawn from
an article " y one of the plans leading critics." Yes, but, Is she correct? The New York Times
b
simply summarized the ad (2/1/94 A14).
The ad also asserts that "There will be rationing...", a claim that appears as well in a print
ad by The Christian Coalition. Proponents of the Clinton plan could respond, What's new about
�that? Those in managed care plans have restricted access to such things as experimental treatments
and high-tech tests and non-emergency surgery. And those without insurance implicitly ration by
waiting until conditions worsen and then seeking treatment in emergency rooms. But instead of
using tbe claim in the ad as a basis for examining the nature and extent of existing and future
rationing, reporters let the claim stand.
The producers and the press could also tell us which plans meet the needs addressed by the
ads. AARP ads for example close by saying "Let'sGet it Right. Let's Include Long Term Care." Two
plans include long term care coverage that meets AARP's expectations, the Wellstone-McDermott
single payer plan and the Clinton plan. By urging inclusion of long term care, the ad invites the
assumption that it is currently missing in all of the plans under serious consideration.
DIFFERENCES BETWEEN AD CAMPAIGNS TO ELECT A PRESIDENT AND THIS
ONE TO INFLUENCE PUBLIC POLICY
* Presidential general elections are usually two sided and tied to a person who will or won't
be elected; public policy debates are multi-sided and not tied to a specific person whose credibility
is also at issue.
* Federal financing ensures that each major party candidate will have the resources to make
the case for his election while also responding to claims in his opponent's ads; in the health care
reform debate the sides are less evenly matched.
* Presidential debates give the country tbe opportunity to compare the candidates head to
head; there is little opportunity for head to head comparison of alternatives in a public policy
debate. The one debate that has occurred-an experiment in the House in March -failed to produce
engagement because the Democrats refused to defend some provisions of the Clinton plan such as
mandatory purchasing alliances.
* In 1992 adwatches became a staple of reporting in both print and broadcast; there has been
little adwatching of the health care reform ads. As a result most of the misleading claims in health
care reform ads have gone unconected.
In the debriefings that followed the 1992 campaign, reporters and editors applauded the
advent of adwatches. Campaign consultants revealed that media scrutiny of their work had increased
the care with which claims were made. With the exception of Brooks Jackson of CNN and Lisa
Myers of NBC-the broadcast media have not produced comparable adwatches in the health care
reform debate.
More often treatment of ads has concentrated on their strategy. "While the ad plays
effectively onraanypeoples' fears," notes a "scorecard" in Sunday's New York Times of an ad by
Citizens for a Sound Economy, "its Darth Vader tone works against it. It has an overblown quality
that slips dangerously close to the tone of a spoof. But it closes on a strong point, appealing to
viewers' pragmatism with a warning that Congress should just fix what is broken in the health care
system instead of embarking on a top-to-bottom overhaul" (7-17-94, p. 16). Such analysis is helpful
to readers planning a career in political consulting.
�Those trying to evaluate the plans moving forward in Congress would be better served if the
reponer had contextualized and then evaluated claims in the ads that included "What most
politicians are proposing would mean a big bureaucracy. Tax increases. Loss of jobs. Waiting lines.
Limiting your right to choose doctors. Rationed medical care..,"
A small percent (See Tables 3 and 4C) of the writing about advertising has focused on its truth,
fairness and accuracy. At the same time, two of the four major networks more often than not aired
ad segments in news full- screen with minimal indication that what the viewer was seeing was an
ad not a statement by the reporter or network.
SIMILARITIES
*In recent presidential campaigns, candidates have learned the advantages of targeting
material to so-called swing states. As a result, 20 states received the bulk of the Clinton advertising
in 1992. In the health care reform debate, advertising has been concentrated in the District of
Columbia and the districts and states of key legislators. This means that large segments of the
electorate do not see ads for either. It means as well that ads don't necessary respond to the claims
in opposing ads. The engagement which is the hallmark of useful argument is sacrificed in the
process.
�TABLE OF C N E T
OTNS
A Profile of Reported Media Buying
pp. 1 -10
Distribution of Ade/Radio-TV
Table 1
P. 11
Attack Ads—Pro and Con Clinton
Table 2
P. 11
Articles Addressing
Table 3
P. 11
Attack Ads—Pro and Con Insurance Industry
Tsbla 4
P.11
TV News Stories Using Ad Footage
Table 42
P.12
Treatment of Ads in TV News Stories
Table 4C
P.12
Ads in Newspapers
Chnr': 5
P. 13
Ads in Newspapers by Date
Charr S
P. 14
TV Ads by State
Wnrt- 7
P. 15
Radio Ads by State
Chart d
P. 16
Print Ads by State
Chart n
**
P. 17
Seconds of Ads in TV News
Char: 10
P. 18
News Ads by Network
Charr
n
P. 19
Z of Broadcast News Ads Pro-Con Clinton
Chart i.':
P. 20
Ads aired Full Screen
Ch
13
P. 21
Adwatches
Chart 14
P. 22
Articles on Ads
Chart 15
P. 23
Articles on Ads by Paper
Chart 15
P. 24
Agenda Setting Effect of Harry and Louise
Chart 17
P. 25
Accuracy in Ads
�Ad Is Coded Positive if 50% oi More Argues For An Alternative,
Negative if 50% or More Argue Against an Alternative
Neither
Argues For an
Alternative
10
Argues Against an
Alternative
32
Table IB
Action Recommended by Ads
No Specific Action
16
Other Specific
Action
Call Congress
without Telephone
Number
9
Call Congress with
Telephone
Number
10
�Table 1
Table 2
Diitribution of Adi • Radio / TV
Attack Adi - Pro A Anti Clinton by \imt
00 NOT MBKHON
SUNTOM/C.
(M)
IUI _ .
ATTACK CUNTON
'KAN
(10
Table 3
Table 4
Attack Ads • Pro A Aatt iuiraacs eonpaaies
PercenUge of ArtkiM oo Htettfc Cart Reform
AdvordMnonO whkfc Address Ad Cltins'
Aeciracy, Jtoury IS - July 12,19M
MNOTATTA
Ml
tnwvevcm
1 AC
�TV News Stoi Using Ad Footage
Jan ry 2 July 12
\
\ Descnptive/
i Strategic
j Good Morning
America
World News
Tonifiht
Nitfhtlme
CBS This
VJoAiinu
CBS Evening
News
Today
NBC Nightly
News
MacNeil/Lchrer
CoJuran Tot»U
He Said/She Said
Addresses
Accuracy
4
0
0
7
1
0
1
2
1
0
0
0
8
1
0
2
I
0
0
I
2
16
0
1 I
4
|2
! 30
Row Totals
13
5
1 4
| 37
TABLE 4
C
Treatment of Ads in TV News Stories, January
25 - July 12
DESCRIPTIVE /
STRATEGIC (30)
81%
HE SAID/SHE
SAID (8)
1t%
ADDRESSES
ACCURACY (1)
3%
1
i
�Chart
page 13
>
Health Care Ads in Newspapers
OQ
Jan. 25-July 12,1994
/
^
*
V
<? J
&
�pafct;
it
Chart 6
Health Care Ads in Newspapers
go
The Washington Post. NY Ttmas. USA Today, WaHSt. Journal, Chicago Tribune. LA Tunes, DaUas Morning News, PhOa. Daily
News, PMa. Inquirer, Phita. Tribune
^ ^ . O ^ ^
1
From Jan. 25 -Jufy 12,1994
1
1
<W~>
*>
Congressional work, periods and recesses: Feb 12-21 Uaahingtou Lincoln Uork Period
March 28-April 10 Caster Distruet Work Period
May 27- June 7
r i a l Day District Work Period
July l - l o July 4th Work Period
�page 1!>
Chart 7
No. of madia buys per state:
0
Si
HI 2
•
==
4
| 5 or more
�Chart 8
Wash.. D.C.
(2)
No. of media buys per state:
2
mm 4
5 or more
�page 17
chart
9
�^ta
Chart
10
Seconds of Hea th Care Ads "n News
January 15 - July 12, 1994
CBS 3/17
CBS 1/26
ABC. NBC. CBS.
ABC 5/23
ABC 3/t
PBS
PBS 2/16
�page 19
chart 11
totals
in seconds
ABC
PBS
CBS
NBC
Robert Wood Johnson Heafiti Cam Rekmn Prajscl
The Annenberg School lor Communication
Universiiy of Permsytvania
7/94
�page ZU
Chart 12
Percent of Broadcast News Ads For or Against
the Clinton Plan
Jan. 15 - July. 13,1994
Pro-Clinton
Anti-Clinton
64.7%
Robert Wood Johnson H e a * Care Reform Project
Tlie Annenberg School (of Communication
University oi Pennsylvania
7/94
�Sponsor: Christian Coulltion
In this instance, "Good Morning America" has crested a broadcast ad fron
print and radio material. Since disclaimers usually appsar at the
bottom of the screen in televised ads, the visual placement of the A C
B
logo suggests that the network has sponsored this ad.
CBS EventogN w / a 2 , 9 4 8 o a n Empower America
eaMy 019*poo
Of the ads shown In news (nevs/ads), this one produced tht highset shortterm recall. Tht power of the ad-segaant ia magnified by tha fact that CBS
chose to run it full-screen.
�JUL 13 'ZA i£:52PM U P ANNENBERG SCHOOL 215 6982024
/
page 22
P. 24
Chart 14
By coneraat, adwatches by Lisa Myers (NBC—above) and Brooks Jackson (CNH—below)
us^^gua^e^^to^e^force^^
the ads' distortions,
And by airing opposing ads simultaneously, NIGHTLINE alalalied the power of both
and coatextualised thea as ads-for-analysis aot ads-a»-a-vehicle-to-persuade.
�page 23
Chart 15
Number of AiUctea/Potitical Cartoons on
Health Care Reform Advertisements
by Newspaper
January 25 -July 12,1994
V&V3\
yuane
an-ffM
arune mum
tfMft*
Washington Foal
2
i
3
0
i
1
0
0
1
0
i
i
New Yak Times
2
i
0
i
1
1
0
0
0
o
e
0
f
USA Today
2
t
2
2
2
1
0
0
0
i
2
1)
ttaUSftssUiri
0
0
1
0
1
0
0
0
0
0
i
0
s
CtncagD Trtxve
0
0
0
1
1
1
0
0
1
0
i
0
s
0
0
0
0
2
0
0
0
1
e
0
0
3
0
0
1
0
0
1
0
0
1
0
0
1 LA T««e
Dallas Manilla
*
NMB
Phila OaAf Navts
0
1
1
0
2
1
0
0
0
0
0
1
8
PMainquirat
1
1
3
0
0
1
0
0
0
ft
1
0
7
1 PMa Triune
a
0
a
0
0
0
0
0
0
o
0
0
0
{sMirt**
7
5
ti
4
10
7
0
0
4
•
1
s
57
^
These papers ham not ye! beenracawad« A9C.
UrtonftyofPemqlMria
JtfylSJSM
�Chart 16
Number of Articles/Political Cartoons on
Health Care Reform Advertisements by Newspaper
Which Address Ad Claims' Accuracy
January 25 - July 12,1994
k"
1
Articles
Mentioning
Disputes Over
Ad Claima'
Accuracy (He
Said/She Said)
Articles
Specifically
Treating Ad's
Accuracy
Articles with
Descriptive or
Strategic
Treatment of Ads
Newspaper
Total # of
Ad Articles
Wash. Post
11
3
2
4
N.Y. Times
6
2
1
3
USA Today
13
4
0
9
Wall Street Jml
3
2
0
1
• 5
2
0
3
LA. Times
3
1
0
2
1 Dallas Mom
1
News
3
2
0
1
Phila Daily
News
6
Phila Inquirer
7 •
Phila Tribune
Chicago Trib
0
3
I
3
0
• 0
0
0
57
24
4
9
J
Axmeibarg SchoolfcrCcmnumicaticn
Unfrantty ct Ptarayhrania
July 15,1994
�Agenda setting Effect of Harry & Louise on Articles
About Advertising
y name
ARTICLES /
CARTOONS
MENTIONING
HARRY A LOUISE
(33)
58%
ARTICLES/
CARTOONS WITH
H M n r i LOUISE IN
HpUNElTEXT
ARTICLES/
CARTOONS NOT
MENTIONING
HARRY & LOUISE
(24)
42%
ARTICLES/
CARTOONS
WITHOUT HARRY A
LOUISE IN
HEADLINE 4 TEXT
(48)
21%
KMEDT1.XLS
�EMBARGOED UNTIL NOON EST JULY 25, 1994
THE R O L E
O F ADVERTISING IN T H E
HEALTH C A R E R E F O R M D E B A T E
PART TWO
ACCURACY
A PRELIMINARY REPORT
OF RESEARCH FUNDED BY
THE
ROBERT WOOD JOHNSON
FOUNDATION
THE ANNENBERG PUBUC POUCY CENTER
OF THE UNIVERSITY OF PENNSYLVANIA
KATHLEEN HALL JAMIESON, DIRECTOR
phone:215-898-7041
�STUDY FINDS HEALTH REFORM ADS FOCUS ON FEAR NOT FACT
July
25,
1994
On July 18th the media watch team of the Annenberg
School
for Communication
of the
University
of Pennsylvania
released
the first
of three studies
of the role of
advertising
in the health
care.reform
debate.
That study
concluded
that an unprecedented
amount of
money ($50,000,000)
had been committed
to produce,
air and print
an unprecedented
number
of ads whose prime purpose was influencing reporters and legislators rather than the
public as a whole.
It indicated
as well that the majority
than favored
some facet
of reform with more ads explicitly
than supporting
i t . It concluded
that press
coverage
of
fairness
or accuracy
but on describing
them and mapping
of the ads had opposed
rather
objecting
to the Clinton
plan
the ads had focused
not on
their
their
strategies.
Our second r e p o r t examines the accuracy and f a i r n e s s o f 125 p r i n t and 73 b r o a d c a s t ads
d i s t r i b u t e d between September 8, 1993 and J u l y 18 1994. The p r i n t ads were assembled f r o m
The Washington Post. The New York Times, The Chicago T r i b u n e ,
The D a l l a s Morning News,
The Los Angeles Times,
USA Today, The P h i l a d e l p h i a I n q u i r e r , R o l l C a l l ,
National
J o u r n a l , and Congressional Q u a r t e r l y .
1
Broadcast ads were gathered by surveying
the Washington
DC media market,
CNN, and
Headline
News, checking
our lists
against
those of TV and Radio Reports,
monitoring
ISO hours of
talk radio nationwide
and contacting
sponsors
whose campaigns
were announced
in
Healthline,
in wire stories,
or mentioned
in any of the 1800 stories
which we have
coded
to date on health
reform.
A list
of the sponsors
of the ads can be found in Appendix
1.
When a radio ad simply
repeats
the words found in a television
ad by the same sponsor
we
have coded only the television
ad.
Our third
broadcast
study,
ads.
to be released
Monday August
l , will
assess
the
effectiveness
of
the
The analysis
was completed
by a thirteen
member media watch team under the direction
of
Kathleen
Hall Jamieson
at the Annenberg
School
for Communication
of the University
of
Pennsylvania
under a grant from the Robert
Wood Johnson
Foundation.
Jamieson
is the
author
of Packaging
the Presidency:
A History
and'Criticism
of Presidential
Campaign
Advertising
(Oxford,
1984, 1988),
Eloquence
in an Electronic
Age (Oxford,
1988),
and Dirty
Politics
(Oxford , 1992)
These findings
reflect
the
the views of The Annenberg
Foundation.
conclusions
School
for
of the study's
author
and are not represented
Communication
or of The Robert
Wood
Johnson
as
Douglas R i v l i n served as the g r a d u a t e s t u d e n t c o o r d i n a t o r o f t h i s f a c e t o f the media watch
p r o j e c t . C h r i s F e r r i s and Sean Aday p r o v i d e d r e s e a r c h s u p p o r t . Annenberg P r o f e s s o r Joseph
Cappella i s s u p e r v i s i n g the p r o j e c t ' s f i e l d experiments on what t h e p u b l i c i s l e a r n i n g
f r o m p r i n t and b r o a d c a s t coverage o f h e a l t h c a r e . A r e p o r t o f these f i n d i n g s w i l l be
released August 15.
Those responsible
for advertising
at Roll
27 to July
11 that publication
printed
196 ads;
during
the same period.
Congressional
Quarterly,
1
Call report
that
National
Journal
50.
from
January
printed
36
�SUMMARY OF FINDINGS
The study
analyzed
individuals.
ads
(125
*
More than one out of four
of the broadcast
ads were
on next
page).
(28i)
found
*
An ad is considered unfair,
misleading
or false
if it includes
one or more of
the following
moves: makes a false
claim;
takes evidence
from
context,
exaggerates
the size of the existing
problem
or the probable
e f f e c t of
proposed
change,
invites
false
inferences,
omits key details
that
invalidate
the claim,
or impugns
the integrity
of
opponents.
*
The analysis
reveals
that,
in
their
sponsors
in other
settings.
debate
occurring
elsewhere.
*
The ads
*
are
side
The ads are more
primary
motivator
*
more
likely
print
and
73 broadcast)
of the print
to be unfair,
the
to invite
main,
In other
false
of
the
by
86
ads and more than one half
misleading,
or false
(See
(59%)
charts
the ads reflect
the claims
made by
words,
ads tend to synthesize
the
inferences
A high percent of the ads impugns the good will
other
*
198
than
to
and integrity
misstate
facts.
of those
on the
issue.
likely
to provoke
in ads on all
anxiety
sides.
than
to provide
reassurance.
Fear
is
the
The ads opposing
the Clinton
plan focus
on five
fears:
increased
taxation,
rationing
(e.g.,waiting
lines),
big bureaucracy-government
control,
diminished
choice
of plan/doctor,
and massive
job loss.
The claims
that the Clinton
plan
will
produce
rationing
and diminish
choice
play on public
ignorance
by
positing
an outcome
that is a characteristic
of the status
quo.
Ads justifying the Clinton plan
focus
on five
fears:
loss of coverage,
inability
to afford
coverage,
denial
of access
to
needed
care,inability
to purchase
costly
prescriptions,
inability
to purchase
needed
long
term care.
These claims
underplay
the ability
of the uninsured
and
underinsured
to
secure
treatment
through
the nation's
emergency
rooms.
*
With a few exceptions,
assertions
occur not
older
Americans.
the most histrionic
in print
or broadcast
claims
are
conservatives
not
the
or
and demonstrably
ads but in direct
Questionable
Republicans,
*
When pro-Clinton
ads distort,
it is by overstating
the extent
of
the
problem
(e.g.,by
magnifying
the numbers hurt by current
insurance
practices
and exaggerating
the rate at which medical
costs
are growing)
or by
asserting
that the Republican
alternatives
will
do nothing
to help
individuals.
*
When the anti-Clinton
ads distort,
it is by exaggerating
the e f f e c t of
the
Clinton
plan on jobs
("millions
of jobs lost"),
choice
(eliminate
fee-for
service
medicine),individual
well-being
(Clinton
plan equals
"involuntary
euthanasia"),
and existing
law ("Clinton
plan= Abortion
on
demand").
*
Republican
affordable
*
The single
payer alternative,
which is the frequent
topic
of discussion
on talk radio,
is addressed
by only a handful
of
positive
ads and not directly
attacked
by any of the ads
arguing
against
some facet
of
reform.
fail
to answer the
absence
of universal
of Democrats
to
*
ads on portability
portability
in the
unique property
liberals.
false
mail addressed
or
question,
how can you
coverage?
achieve
�Proportion of Misleading Print Ads
(125 Total)
Proportion of Misleading Broadcast Ads
(73 Total)
�Comparison of Misleading Broadcast and Print Ads
Broadcast
68%
Incidents of Misleading Broadcast and Print Ads
(As a Proportion of 35 Misleading Print Ads,
43 Misleading Broadcast Ads)
465%
Pais* Claims
Fear Appeals
Omission
Exaggeration
Out of
Context
False
Impugn
Integrity
�CATEGORIES
False
Claims
Playing
Fears
about
Fears
Sins
of
choice
Loss
Get
Less
Omission
P-
10.
Problem/Prospects
Claims
Inviting
Job
Pay More,
Exaggerating
Taking
P- 4.
Fears
of Massive
of
ANALYSIS
P- 4.
on Unwarranted
Fear
FOR
P-
11
Context
P-
11.
from
False
Inferences
About
Bureaucracy
About
P- 11.
Rationing
About
Impugn
Sponsors
Community
Integrity
of Ads
of
Rating
Opponents
Analyzed
P- 13.
PP . 15
�FALSE
CLAIMS
With
not in print
example,
a
stripped
of
controlled
a few exceptions,
the most histrionic
and demonstrably
false
assertions
occur
or broadcast
ads but in direct
mail addressed
to older Americans.
So,
for
letterto senior
citizens
from the Seniors
Coalition
asks,
"Do you want to be
your Medicare
benefits
and pressured
to enroll
in Bill
Clinton's
Governmenthealth
care plan?"
A pamphlet
by the American
Council
for Health
Care
Reform
tells readers that they will face "jail time if you buy extra
that
the
Clinton
plan
will
care."
It
indicates
as
well
end
" p r i v a c y f o r a l l Americans. A w a l l e t s i z e d ' h e a l t h s e c u r i t y c a r d ' would be
i s s u e d a t b i r t h . I n s i d e the p l a s t i c c a r d would be a p o w e r f u l m i c r o computer c h i p
capable o f h o l d i n g 1600 pages o f d e t a i l s about vou - - e . g . , a l e a r n i n g d i s a b i l i t y i n
4th grade,
treatment f o r hemorrhoids, p s y c h i a t r i c care, a charge of drunk
d r i v i n g . . . and much more. T h i s i n f o r m a t i o n c o u l d be used b y the government t o
e v e n t u a l l y c o n t r o l e v e r y aspect o f vour l i f e . You would be r e q u i r e d t o show t h i s
c a r d t o anyone ' a u t h o r i z e d ' bv the f e d e r a l government t o m o n i t o r vour a c t i v i t i e s , o r
add t o the i n f o r m a t i o n i n the c a r d . "
A mailing
"traditional
from
the United
fee-for-service
Seniors
Association
says that the Clinton
medicine
impossible
to
obtain."
plan
would
make
Although
fewer and farther
between,
clear
distortion
does characterize
a few of
the
print
and broadcast
ads. National
Right
to L i f e ' s TV ad claiming
that
"The Clinton
Health
Plan= Abortion
on Demand" is false.
The Clinton
plan 's coverage
of abortion
occurs
within
the structure
provided
by Roe v. Wade, a ruling
that circumscribes
access
to
abortion
in the third
trimester.
Also untrue
is the group's
print
claim that
"The Clinton
Plan Equals
Involuntary
Euthanasia."
"This is the euthanasia
aspect
of the Clinton
plan,"
says a National
Right
to
Life print
ad. "If forcing
your child
or grandmother
to die against
her will
by
e f f e c t i v e l y making it impossible
for you to obtain
health
insurance
that will prevent
her
death and by claiming
her 'quality
of l i f e ' is inadequate,
isn't
involuntary
euthanasia,
what
is?"
Unwarranted
fear
that medical
access
will be denied
is a theme in two other
ad
campaigns, as well. In one, a desperate mother, her crying child audible in the background
pleads into the phone that she needs to see a doctor. "We're sorry ," says a recorded
voice
," the government
health
care center
is now closed.However,if
this is an
emergency,
you may call
1-800-GOVERNMENT."
The radio ad by Americans
for Tax Reform suggests
that
under the Clinton
plan individuals
will have to secure
government
permission
before
seeing
a doctor.
That is not true.
Similarly
false
is a Citizens
for a Sound Economy ad in
which
a government
gatekeeper
tel^s
a mother,
"Under health
reform...we
[gatekeepers]
will
decide
who, when, or even if you need to see a
doctor."
PLAYING
ON UNWARRANTED FEARS
CHOICE
under reform.
reform plan.
Many of the
Most claim
Examples
of
ads address
the choice
of doctors,
plans
or treatments
that individuals
will
lose the right
to choose under the
these claims
and pro-Clinton
counter
claims
include:
available
Clinton
American
Academy of Orthopaedic
Surgeons
-- Print
(Washington
Post "Specialty
care
works for millions
of people")"Health
care reform may place
limits
on
patient's
access
to specialty
care.
Reform may also place
limits
on their
freedom
to
obtain
treatment
from any physician
they choose.
America's
orthopaedic
surgeons
want
Congress
to put patients
first
by protecting
timely
patient
access
and
physician
choice."
Christian
Coalition
-- Radio
("Know the
facts
about
the
Clinton
health
care
plan")
�Announcer:
"Did you know that a government bureaucrat could decide when your f a m i l y
receives health care and whether you can choose your own doctor."
Woman.-
"you mean a bureaucrat could come between me and Dr. Michaels.
been treating
my family
for
years..."
Citizens
for
a Sound
Economy
--Radio
phone)
--
Man:
(Answering
Woman:
You will
("Gatekeeper")
"Hello.
This is Mrs. Baylor.
Dr. Murray right
away."
Man:
not
"Gatekeeper!"
see Dr. Murray.
Empower America
-- Radio "Health
Bennett:
"...By
now we all know
Huge tax increases,
millions
of
choice
of doctors
and treatment.
choice
and
control..."
Democratic
National
Committee
-Announcer:
He's
My son has an ear ache
Dr. Johnson
will
Care" (Bill
Bennett)
about President
Clinton's
lost
jobs,
rationed
care
In short,
we pay more,
TV ("Fighting
for
and needs
see you next
to
see
week."
health
care
bill.
and limits
on our
get less,
and
lose
Seniors")
"[The C l i n t o n s ] a r e f i g h t i n g t o p r e s e r v e and s t r e n g t h e n M e d i c a r e . New
coverage o f p r e s c r i p t i o n d r u g s .
The b e g i n n i n g s o f l o n g - t e r m c a r e .
Older Americans continue t o see the doctors they choose..."
Health Care Reform Project
--TV
("Imagine")
"Imagine
there's
a health
reform plan:
that guarantees
covered;
provides
a choice
of doctors
and health
plans;
prescription
drugs..."
everyone
covers
will always
be
home care and
Robert D. Reischauer,
Director
of the Congressional
Budget O f f i c e , summarized
of health
plans
under the Clinton
reform proposal
before
the Health
and the
Subcommittee
of the House Energy Committee
(2/10/94):
the
choice
Environment
"Consumers
would normally have access to a choice of health plans of different types
-- including at least one fee-for-service
plan -- that would be offered
through
the
alliance
in the area in which they
lived."
If the doctor
you now see does not participate
in a plan which does business with the
alliance in which you participate, seeing
that doctor
will be more expensive
and might be
more d i f f i c u l t . Your alliance
may only do businesses
with certain
hospitals
in your
area.
However,
because
of
people
will be able
the availability
of fee-for-service
medicine
to see any doctor
or go to any hospital
they
for a higher
choose.
price,
most
What i s m i s l e a d i n g about the a d s ' c l a i m s about c h o i c e under the C l i n t o n p l a n i s t h a t t h e y
make the assumption t h a t c h o i c e i s u n l i m i t e d t o d a y . Most Americans r e c e i v e t h e i r h e a l t h
coverage through t h e i r employers. Most employers do not o f f e r an u n l i m i t e d range o f
h e a l t h care p l a n s . Some do n o t o f f e r f e e - f o r - s e r v i c e p l a n s .
An i n c r e a s i n g number o f
Americans p a r t i c i p a t e i n managed care arrangements and HMOs which l i m i t the d o c t o r s ,
health care f a c i l i t i e s , and sometimes the treatments a v a i l a b l e t o them.
This point was made by CBO Director
Committee
(2/9/94).
He said,
"the vast
President's
majority
plan
Reischauer
in
testimony
of Americans
would have more
than they currently
have...Most
before
the Senate
Finance
in the way of choice
under
the
of us can only choose
those
plans
�that our employers put in front of us. Often our employer puts one plan in front of
us and says this is it or nothing. In the environment created by the President's
plan...my choice is not affected hy where I
work."
MASSIVE JOB LOSS. Claims ahout j o b loss under the C l i n t o n plan i n c l u d e :
P a t r i c k Buchanan -- P r i n t -- " L e t t e r t o Friends"
The C l i n t o n plan would " c r i p p l e " business and cost jobs.
Christian Coalition -- Print -- "Don't
Let A Bureaucrat
In This
Picture"
"...One survey found that 51 percent o f small businesses would e l i m i n a t e jobs
or close t h e i r doors i f slapped w i t h a h e a l t h care p a y r o l l tax. Other studies
found that a plan s i m i l a r t o the President's could cause up t o one m i l l i o n
people t o loose t h e i r jobs, and put a t o t a l o f 7.5 t o 18 m i l l i o n jobs a t
risk.
Christian Coalition -- Radio -- "Know The Facts About The Clinton
Care
Plan"
"Did you know the Clinton
plan includes
the largest
payroll
American
history.
This job-killing
tax could put more than
out of
work..."
Citizens
for a Sound
"...What
increases.
most
Citizens
for a Sound
Economy
politicians
Loss of jobs.
-- TV -- Untitled
are proposing
Waiting
Economy
-- Radio
Universal
coverage
will result
jobs,
waiting
lines..."
Citizens
for a Sound
Economy
for Jobs
tax increase
one million
House
Shot)
would mean big bureaucracy.
lines...."
-- Untitled
(Universal
Tax
Coverage)
-- Radio
and Health
-- Untitled
new taxes
"
Care
- Print
will
(DRI/McGraw
destroy
more
- "Dear Members
Hill
Study)
than
900,000
of
Congress..."
"...We
are united
in the belief
that the employer
mandate
is a payroll
that would cause devastating
job loss,
wage reductions,
and would do
harm to the ability
of American
business
to grow and
prosper..."
Democratic
National
in
people
in "...a big bureaucracy, tax increases, loss of
"...Without
the spending
limits,
American
jobs by the year 2000...
Coalition
(White
Health
Committee
-- TV --
tax
great
"Hawaii"
"...Twenty
years
ago, Hawaii began insisting
that employers
pay part of
employees'
health
benefits,
and all employees
contribute
as well.
The
The highest
health
care coverage
in the nation.
Business
is thriving.
are
healthier..."
Empower America -- Radio -- "Health Care" ( B i l l
Bennett;
"...By now, we all know about President
Clinton's
health
increases,
millions
of lost
jobs,
rationed
care..."
Farmers and Ranchers
(A coalition
and Ranchers
Speakout..."
of several
their
result?
People
groups)
care
bill.
Huge
-- Print --
"Farmers
tax
�"Increasing costs for the farmer and rancher will
employee and fewer
Huffington
"...The
raises
for
jobs
Senate
provided
Moss,
M.D.
"[My proposal]...can
--
("November
away your
jobs..."
Print
lead
right
20th...")
to choose
-- Dear Mr.
your
Association
"...Congress
can pass
bad s t u f f 'til
later.
Restaurant
Hut
-- TV --
a health
care bill
Like tax increases
Association
"...President
Clinton's
health
mine and many others
across
Pizza
It
accomplish your stated goal of universal healthcare but
Restaurant
National
own doctor.
President...
without bankrupting the country, penalizing
enterprise
sacrificing
the high quality
of
healthcare..."
National
to lower wages for the
agriculture."
Untitled
-- TV --
Clinton
plan takes
taxes and destroys
Gene Richard
by
-- Print -- "Where an $11 pizza
or
"Katie"
now, but they can push
and people
loosing
TV -- Untitled
plan will
America..."
and employment,
eliminate
costs
(Godfather's
jobs
in
o f f all
the
their-jobs..."
Pizza)
restaurants
like
$19."
"At these prices,
fewer people
can afford
pizza.
That means less
demand
pizza,
which means we build
fewer restaurants,
and that means we employ
people...Mandates
increase
costs,
increase
inflation,
and
increase
unemployment."
Most of the ads that address
the e f f e c t s of health
care reform
on employment
predict
that jobs will be lost
if the President's
health
reform proposal
is
Claims range from "millions"
or "massive"
to the most commonly cited
number
jobs lost.
The exception
is a DNC spot that cites
Hawaii's
experience
with
for
fewer
and
jobs
enacted.
of
900,000
health
reform.
The Congressional
Budget O f f i c e ' s comprehensive
analysis
of the Clinton
plan
disputes
projections
of massive
job loss.
It does however predict
that the overall
e f f e c t on job
creation
and unemployment
will be negligible.
CBO predicts
that some employers
not now
offering
health
insurance
will have to pay more under the Clinton
plan with its
employer
mandate.
This could cause these employers
to trim payrolls
by laying
o f f workers
or
reducing
real wages.
Conversely,
some employers
who presently
provide
health
insurance
coverage
to their
workers
will
see their
premium costs
decrease.
This could allow them to
increase
their
work forces.
In testimony
before
the Subcommittee
on Health
and the
Environment
of the House Committee
on Energy,
CBO Director
Robert
D. Reischauer
said:
2
"businesses'
costs
for
health
care
would
be significantly
reduced,
both
because the [President's]
proposal would provide substantial subsidies to
firms and because it would limit the growth of premiums. For example, the
total premiums employers pay for active workers would drop by about $20
billion in the year 2000...
Although
overall
costs
would go down, for some employers
-- particularly those
that do not currently o f f e r health
insurance
-- costs
would increase.
Changes
in costs
could also be pronounced
among firms
that currently
offer
insurance.
2
An Analysis of the Administration's Health Proposal; Congressional Budget
O f f i c e ; February 1994; pp. 53-55.
�They would r i s e f o r some businesses - - e s p e c i a l l y those w i t h young and
r e l a t i v e l y h e a l t h y work f o r c e s - - as a r e s u l t o f the p r o v i s i o n s f o r community
rating.
Conversely, businesses t h a t now f a c e h i g h h e a l t h c a r e c o s t s - because they a r e s m a l l and have l i t t l e c l o u t i n the i n s u r a n c e m a r k e t , have
o l d e r o r s i c k e r work f o r c e s , o r h o l d s u b s t a n t i a l r e s p o n s i b i l i t i e s f o r r e t i r e e s
would see lower costs."
3
Other e f f e c t s of reform,
such as reductions
in the budget
deficit
could stimulate
economic
growth.
While it is impossible
to predict
the exact
impact
of reform
on
employment,
the loss of "millions"
of jobs is
unlikely.
further
That is not to say that individuals
will not lose jobs.
CBO predicts
that certain
sectors
of the economy will be adversely
affected
by reform,
while others
may benefit.
In
this
scenario,
some
will
lose their
jobs.
However,
the aggregate
e f f e c t of a
Clinton-style
health
reform
would not be a massive
net loss of jobs,
especially
in the
long-run.
PAY MORE. GET LESS
When phrased
as a claim about taxation,
it is fair
to say that the Clinton
plan
requires
increases.
Taxes on cigarettes
will be raised
and the individual
and
employer
mandates
and payroll
taxes are forms of taxation.
But at the level
of the individuals
who
are the target
of the ad, the claim that we will pay more to get less
is
misleading.
In one of the Empower America ads, William
Bennett
says:
" . . . B y now we a l l know about P r e s i d e n t C l i n t o n ' s h e a l t h c a r e b i l l .
Huge t a x
i n c r e a s e s , m i l l i o n s o f l o s t j o b s , r a t i o n e d care and l i m i t s on our c h o i c e o f
d o c t o r s and t r e a t m e n t .
I n s h o r t , we pay more, g e t l e s s , and l o s e c h o i c e and
control..."
Most individuals will pay less for health insurance under Clinton's proposed health
reform. According
to Lewin-VHI,
by the year 1998, the first
year that all states
would be
participating
in the Clinton
health
reform plan,
overall
health
spending
by
households:
"would be reduced by about $26.2 b i l l i o n . . . F a m i l y premium payments would be
reduced b y about $25.9 b i l l i o n and d i r e c t payments f o r c a r e (copayments,
uncovered s e r v i c e s ) would decrease b y about $15.8 b i l l i o n .
These s a v i n g s
would be o f f s e t by i n c r e a s e d t a x payments o f about $15.5 b i l l i o n , about twot h i r d s o f which would be due t o an i n c r e a s e i n tobacco taxes under the A c t . "
4
Except, perhaps, for the heaviest smokers
who will be paying
more per pack of
cigarettes
under the tax structure
embodied
in the Clinton
plan and in the bills
reported
out of
Congressional
committees,
average
individual
spending
on health
care will be
reduced.
Younger and healthier
people
will
tend to pay more under reform,
because
of
community
rating.
However,
the old and sick will
tend to pay less,
and cost containment
and premium
caps will
o f f - s e t the higher
rates
paid by some
individuals.
The business
community
will
see lower health
care costs
per worker once the reform
is
fully
in place.
Some businesses
will
see costs
increase
significantly
in the
short-run,
especially
those
that do not currently
insure
their
workers,
or those employers
with
particularly
young or healthy workforces.
This increase
in spending
will be o f f s e t
somewhat by a lowering
of insurance
costs
for some companies
already
covering
their
workers,
those with particularly
old or sick workers,
and those
that are too small
to
enjoy
the lower rates
of the proposed
purchasing
pools.
$142.9 billion
in
federal
subsidies
for small businesses
will also o f f s e t some of the increases
in business
expenses
Testimony of Dr. Robert
D. Reischauer,
Director
of the
Budget O f f i c e , before
the Subcommittee
on Health and the Environment,
on Energy,
U.S. House of Representatives,
February
10, 1994.
3
Congressional
Committee
The Financial Impact of The Health S e c u r i t y A c t : Lewin-VHI;
December, 1993; p. ES-9.
4
8
�for health care.
By the y e a r 2000, Lewin-VHI e s t i m a t e s t h a t b u s i n e s s e s w i l l be spending $28.9 b i l l i o n more
on h e a l t h care than under c u r r e n t law.
T h i s i s l a r g e l y due t o the i n c r e a s e d number o f
workers who w i l l be covered by t h e i r employers under r e f o r m .
Premiums p a i d by businesses
f o r each i n d i v i d u a l worker are l i k e l y t o be l o w e r under r e f o r m .
The r a t e o f i n c r e a s e o f
these premiums w i l l be s i g n i f i c a n t l y below what would be expected w i t h o u t r e f o r m , due to
premium caps and other cost containment measures.
5
The claim about "less" care is also suspect. The Hay/Huggins
group
testified
before
the
U.S. Senate
Committee
on Labor and Human Resources
(2/4/94)
that the benefits
in
the
standard
benefits
package
in the President's
plan are slightly
better
than the
average
package
of benefits
available
to workers
today.
This is due mainly
to the inclusion
of
preventive
health
services and mental health benefits. Both of these factors
make
the
Clinton
basic
benefits
package
(as proposed,
and once fully
implemented
in 2001)
somewhat
more valuable
than the average
plan offered
today by medium and large
companies
(Clinton
plan in 77th percentile^, and significantly
above the average
of those plans
offered
by
smaller
companies
(85th percentile
for firms
with less
than 100 employees).
These
data,
which Hay/Huggins
generated
for the Congressional
Research
Service,
are based on the 1993
Hay/Huggins
Benefits
Report,
an annual report
conducted
for the past 25
years.
On the other
side of the health
care debate,
the claim of pay more and receive
less
has
also been used.
Single
Payer Across
the Nation
used these words in a print
ad to
describe
the Clinton
plan in relation
to the Single
Payer plan,
currently
being considered
by
Congress.
The Service
Employees
International
Union also used these words to
describe
what would happen if universal
coverage
were not adopted
by
Congress.
At this moment,
it is impossible
to tell
what the final
basic
benefits
package
will
look
like,
if reform
indeed passes.
Until
the House and Senate
Leadership
craft
the
final
floor
packages,
floor
debate
takes place,
conference
committees meet, and a final
package,
if any, is sent to the President
for signature,
issues
such as the benefits
package
and
the financing
mechanisms
will be open to speculation.
However,
based on
available
evidence
at the time the Empower America
spot was first
aired,
the claim that we will
pay
more and get less does not seem to be supported
by the
data.
SINS
OF
OMISSION
A print
ad by the Christian
Coalition
claims
that
"The Clinton
plan would
force
small businesses
to pay 80 percent
of health
care premiums
through
a mandated
7.9%
payroll
tax."
The ad fails
to indicate
that the Clinton
plan provides
subsidies
for
small
businesses
and that the 7.9* is a percent that cannot be exceeded
not a mandated
percent
required
of all
(see p. 1071 of Clinton
plan).
Indeed
the payments
of those with
fewer
employees
and lower average
wages are capped at a lower percent.
So , for example,
those
employing
fewer than 25 employees
at an average
annual per employee
wage of under
$12,000
pay no more than 3.5%
"The Republicans
came up with a plan that's
not universal.
I t ' s not going to help me
as a farmer.
I t ' s not going to help the small businessman...",
says a farmer
in a DNC ad.
But by making voluntary
purchasing
alliances
available
and giving
tax deductibility
to
individuals
who pay their
own premiums,
the Republican
plan
will help the farmer and the
small
businessman.
A DNC ad says that Clinton's
plan would "strengthen
Medicare."
Since it would
give
seniors
prescription
drug coverage
and a start
at community
based long term care that may
be true.
But what the ad doesn't
say is that Clinton
would pay for these new benefits
with
$124 billion
cut from projected
increases
in Medicare
spending
over the next five
years.
An ad sponsored
by the AFL-CIO reports,
"First
They Said There Was No Health
Care
Crisis:
Now They Say The Solution
is Taxing Health
Care Benefits."
Unmentioned
is the
fact
that not all benefits
would be subject
to taxation
under the plan voted out by the
Senat
Ibid.;
pp..
ES-6-7.
�Finance Committee. That committee's bill.would raise $14- $17 billion over five years by
taxing
high-benefit
plans.
A recent
HIAA ad more accurately
says,
"Congress
may put a
benefits
tax on any plan they think
is too good."
An AMA ad t h a t asks "Would you r a t h e r t r u s t y o u r l i f e t o an MD o r an MBA?" c r e a t e s a
f a l s e c h o i c e t h a t i g n o r e s t h e r o l e t h a t MBAs a l r e a d y p l a y i n d e c i s i o n s about access t o
health care.
And when HIAA ("Harry and Louise")
object
to the billion
dollar
bureaucracy
and tens
of thousands
of government
bureaucrats
in the Clinton
plan,
they aren't
indicating
the
cost of the insurance
bureaucracy
the plan would replace. Nor are they revealing that
Clinton's
plan would reduce paperwork
which some estimates
suggest
now consumes f i f t e e n
cents
of every health
care
dollar.
Some ads imply that their
proposal
solves
a problem
when available
evidence
suggests
that it would not. In an RNC ad Senate
minority
leader
Robert
Dole says that we can solve
portability
without
Clinton's
proposed
reform.
The ad f e a t u r i n g Dole i s one o f s i x produced by the Republican National Committee
d e a l i n g w i t h p o r t a b i l i t y - - o r the a b i l i t y t o m a i n t a i n a p a r t i c u l a r h e a l t h insurance plan
when you lose your j o b o r change jobs. A number o f them show a man discussing h i s new j o b
on the phone w i t h h i s wife.
AD:
Honey, bad news. They o f f e r e d me the new j o b , but they won't insure me...my
diabetes.
I'm locked
into my old job.
I n each o f the ads, a prominent Republican lawmaker such as Senate M a j o r i t y Leader
Robert Dole o f Kansas responds.
DOLE: Yes we can make h e a l t h i n s u r a n c e p o r t a b l e now, w i t h o u t t h e C l i n t o n government r u n
health care system. Congress
simply
needs to change the law so you can change
jobs
and keep continuous
coverage.
Working together,
Republicans
and Democrats
can f i x
health
care without
a big new bureaucracy.
Let's
get it
done.
Representatives Bob Michel and Newt Gingrich, and Senators Phil Gramm and Dave
are among the other Republicans
seen in different
versions
of the same ad.
Durenberger
All of the major health care plans currently under consideration by the U.S.
Congress
address
insurance
portability
when you change jobs.
While insurance
portability
alone might solve
some of the problems
of the estimated
thirty-seven
million
Americans
who
lack health insurance at some point during the year, it does not address the question of
insurance costs. According
to a report
by the Kaiser
Foundation
and the Johns
Hopkins
School of Hygiene
and Public
Health,
cost is the primary
reason
why fifty-nine
percent
of
those without
insurance
lack coverage.
Three percent
say they lack insurance
because
of
exclusions
based on prior
illness.
Since Dole's
proposal
provides
that someone who had coverage
in a job can carry
it
for 18 months,
this is not a solution
for those out of work longer
than that.
More
important,
the ad does not indicate
how the worker is going to pay for the coverage?
In
other words, the question one must answer here is, in the absence of universal coverage,
how does one ensure portability that is
affordable?
Similarly
the ad for the National
Center
for Policy
Analysis
featuring
former
Delaware governor
Pete DuPont assumes
that under the proposed
Medical
Savings
Account,
"you'll
control
your health
care dollars".
Another
of the Center's
ads says "With one of
these
[Medical
Savings
Accounts]
the money would be there when you need i t . At year's
end,
you could keep what you don't
spend,
and if you changed jobs,
your Medical
Savings
Account
would move with you." But what if you lack the discretionary income needed to set up a
Medical
Savings
Account?
EXAGGERATING
THE SIZE
CLINTON
PLAN
OF THE PROBLEM
In the third
week of October,
ad claiming
that Clinton's
"mandates
Americans
their
jobs."
The evidence:
AND THE PROBABLE
EFFECTS
OF THE
the Republican
National
Committee
aired an
on small business ...would cost up to 3
million
a study by the Employment
Policies
Institute.
But the
10
�c i t e d study d i d n ' t address the C l i n t o n p l a n . Indeed, i t had been w r i t t e n the'summer before
that plan was revealed and was sponsored by a l o b b y i s t f o r several f a s t food chains. I t s
estimate was based on the cost o f an employer mandate i n the absence o f Clinton's
purchasing co-operatives and small business subsidies, both o f which w i l l reduce the cost
of the mandate to small business.
Next out of the camera were 8000 copies o f video d i s t r i b u t e d to s t a t e p a r t y workers
i n November by the Democratic National Committee. I n i t . President C l i n t o n says that i n
the absence o f reform "Everyone i s going to have to pay a n a t i o n a l h e a l t h care b i l l that
i s going up three times f a s t e r than i n f l a t i o n . " Medical costs had been going up but a t 2.3
times not three times the i n f l a t i o n r a t e .
The DNC also exaggerated the extent o f the problem when one o f i t s ads noted i n
February a t "Eighth-one m i l l i o n Americans pay more or are denied coverage because o f pree x i s t i n g c o n d i t i o n s . " What the c i t e d study had s a i d was that eighty-one m i l l i o n have a
" p r e - e x i s t i n g c o n d i t i o n " . Although t h e i r p r e - e x i s t i n g c o n d i t i o n may p u t them a t r i s k ,
these people have not n e c e s s a r i l y been denied coverage o r r e q u i r e d t o pay more.
Another category of ads exaggerates the risk to individuals
under the status
quo or
under proposed
reform.
Under the Clinton
plan "[e]verything
good about your health
care
is
at risk
" says an ad by The Project
for a Republican
Future.
The claim is
implausible.
But so too is an AARP claim that in the- current
system
every family
is at risk
of
losing
health
benefits.
The AARP ad tells
the story
of a family
with pre-existing
health
conditions
that had
trouble
getting
insurance
and have experienced
job-lock.
The husband has a heart
condition
and has not been able to find a better
job because
"other
companies'
health
plans
won't
touch me."
The announcer
concludes
the spot with the claim that
"every
family is at risk
of losing
health
benefits."
This overstates
the situation
facing
America's
families.
As even President
Clinton
has noted
four groups do not have to worry about losing
their
health
care benefits:
the
rich,
the poor,
the elderly,
and the incarcerated.
The rich can generally
afford
health
care services,
even if they should
lose health
insurance
for some reason.
The poor
are
eligible
for Medicaid
and other programs
designed
to deliver
health
care to
low-income
individuals
and families.
The elderly
qualify
for Medicare,
and health
care is
available
to those who are in jail.
The President's
point,
in his speech
to Pennsylvanians
in
the
Courthouse
Square in Greensburg
(7/15/94),
was that
"hard-working
middle
class
people
who
have obeyed the law, paid
[their]
taxes,
and played
by the rules..." are at risk of
losing
insurance
benefits.
So contrary
to the AARP claim everv family is not at
risk.
TAKING
CLAIMS
FROM
CONTEXT
The DNC video distributed in November identified 44 groups and individuals
who had
supposedly
endorsed
the principles
underlying
the White House plan.
Among them was George
Bush's
Secretary
of Health
and Human Services,
Louis Sullivan.
Although
Sullivan
favored
reform,
he had not endorsed
the Clinton
plan.
"That's
a misappropriation
of my good name
for purposes
to which I.have
not agreed,"
he told CNN (11/25/93).
The DNC apologized
and
sent a corrective
letter
to those who had received
the
video.
In February
the DNC drew attention
again,
this
time for editing
a statement
by
South
Carolina
Governor
Carroll
Campbell
to say that there was no health
care crisis
when what
he had said was that we shouldn't
say that there
is no
crisis.
INVITING
FALSE
INFERENCES
The f a l s e i n f e r e n c e most o f t e n i n v i t e d by the ads opposing f a c e t s o f the C l i n t o n
p l a n i s t h a t something a w f u l w i l l occur i n the f u t u r e when i n f a c t i t c h a r a c t e r i z e s the
s t a t u s quo. These ads p l a y on p u b l i c i g n o r a n c e about the c u r r e n t system. The a s s e r t i o n
that there w i l l be r a t i o n i n g assumes that there i s not now r a t i o n i n g . The claim that you
w i l l no longer have u n l i m i t e d choice i n doctor, plan, o r treatment , assumes that your
current choice i s l i m i t l e s s . The claim t h a t you don't want a bureaucrat t o come between
11
�you and your doctor
assumes
that there
is not already
a bureaucrat there. Those who
project
a future
of limited
choice,
rationing,
and intrusive
bureaucrats
should begin
by
acknowledging
the realities
of the status
quo and then assume the burden of arguing
that
there will be less
choice,
more bureaucracy,
and more rationing
or rationing
of a
different
sort
than there otherwise
would be. None of the ads assumes
that
burden.
BUREAUCRACY The word "bureaucracy"
strikes
fear in the hearts
of all
Americans.
This fact is not lost
on health
care reform
advertisers.
The purest
form of
invoking
fears
of bureaucracy
under the Clinton
reform plan comes from the American
Council
for
Health
Care Reform.
Their
television
ad says,
in
part:
Scene:
[A man with
Announcer:
his
feet
up on an o f f i c e desk]
'.'This
is a Washington
bureaucrat.
He's the one who made the hammer
$600 at the Pentagon.
The one who simplified
your income tax forms,
put the tags on all those
mattresses.
Now Congress
care....
is
C a l l Congress.
rushing
to put
him in charge
Say no t o b u r e a u c r a c y .
of your
cost
and
health
Say no t o Congress'
e l e c t i o n year gamble w i t h your health care..."
HIAA's now famous "Harry and Louise"
ads attribute
"tens of thousands
of new
bureaucrats"
and "another
billion
dollar
bureaucracy"
to the WHite House plan.
These are typical
of
many ads that are critical
of the Clinton
plan.
"With all the talk about health
care
reform,
chances
are your biggest
worry is that government
will put a bureaucrat
between
you and your doctor,"
says an ad from the National
Center
for Policy
Analysis.
The fault
with these claims
does not lie in their
accuracy.
Will there be a
bureaucracy?
Yes, particularly
if Clinton's
mandatory
health
alliances
had survived
the
Congressional
committee
process.
Would the alliance
structure
have involved
tens of thousands
of
people
and billions
of dollars?
Undoubtedly.
Was such a scenario
substantially
different
from
the current
one?
Not
necessarily.
Today, insurance
companies
employ tens of thousands
of people
not directly
involved
delivery
of health
care.
Billions
of dollars
are involved.
In e f f e c t , they are
bureaucratic
structures.
Estimates
place
the amount of money paid for health
care
goes to administrative
costs
at about f i f t e e n cents
on the
dollar.
What these
ads fail
to address
is
whether
health
reform
will
create
a
in
the
that
bureaucracy
substantially different from or worse than the one already in place. Instead, these ads
generally play on the fear invoked
and usable
knowledge
to the debate
choice
among competing
proposals.
by the word "bureaucracy"
and do not contribute
which citizens
or lawmakers
can use to make an
real
informed
RATIONING. It is impossible
to determine
whether
President
Clinton's
proposed
health
care reform
will
result
in additional
rationing
of health
care services.
The
basic
argument
supporting
the rationing
hypothesis
is that spending
limits
and/or
cost
containment
will
stretch
the health
care system,
causing
delayed
access
to care and
rationing
of scarce
medical
services.
However,
many health
reform
advocates
argue
that
the current
health
system
amounts
to rationing
of scarce
medical
services
to those
without
insurance
coverage
or access
to medical
care.
They note as well that those currently
with
coverage
are denied
access
to those services
unspecified
in the benefits
package.
The problem
with claims
that rationing
will
occur is the presumption
that it is not
now occurring. Audiences are invited to fear something that most of the insured and all of
the uninsured are probably now experiencing in some form. Those arguing that
rationing
will occur should instead argue that there will be more rationing or rationing of a
different sort than that which characterizes
CRISIS
the current
CREATED BY COMMUNITY RATING
12
system.
�To make sense of the claim that the HIAA ad on community
rating
invites
a
false
inference,
one needs
to recall
that for years
after
Listerine
dropped
the claim
that
"Listerine
kills
germs on contact",
studies
continued
to show that audiences
believed
that
the Listerine
ads were making that claim.
If for eleven
months viewers
of CNN and
local
audiences
in key states
have heard "Harry and Louise"
taking
exception
to facets
of the
Clinton
plan,
it is likely
that they will
continue
to hear the couple's
claims
in
that
context.
A recent
HIAA ("Harry
, Louise
and Pat" )
invites the false inference that the
community rating experience
in New York is equivalent
to what can be expected
under
the
Clinton
health
reform plan.
Although
the ad does not mention
the Clinton
plan by name,
those familiar
with the characters
"Harry and Louise"
are aware that the changes
they
have
sought
to this point
are to the Clinton
plan.
So whether
HIAA ihtended
it or not , it
is
reasonable
for viewers
to infer
that the actors
are implying
that Pat's
experience
of
community
rating
will be replicated
under the Clinton
plan's
community
rating.
The
television
ad reads,
in
part:
Harry:
"Louise,
Louise:
"Everyone
whatever.
Text:
New York
Pat was just
News Dav, March
"My health
dollars
a
Harry:
"More than
Wall
Street
me his
pays the same, no matter
Does it
work?"
Pat:
Text:
telling
insurance
year."
"Yeah,
covered
Harry:
"Congress
their
has community
age,
even
if
they
rating."
smoke
or
1993.
went
from
twelve
hundred
to thirty-two
hundred
double!"
Journal.
Pat:
12,
state
May 27,
thousands
now than
1994.
dropped
their
before..."
can do better
than
insurance.
I mean we actually
have
fewer
that."
The viewer
is invited
to assume that community
rating
as conceived
in the
Clinton
health
reform plan would have the same problems
as the community
rating
reform
in New York
State.
Community rating,
which forces
insurance
companies
to charge people
in the same
community
or region
the same rates
for coverage,
a f f e c t s different
people
in
different
ways.
Costs for younger,
healthier
people
went up significantly
in New York, according
to
the articles
in HIAA's ad.
Because
they were now being charged
the community
rate,
younger people
no longer
received
a discount
for their
relative
youth or good
health.
Conversely,
older New Yorkers
had their
insurance
premiums
reduced
because
they were no
longer paying
more for being older,
in poorer
health,
and therefore
more likely
to
utilize
health
care services.
Many younger
New Yorkers,
facing
higher
rates,
decided
to drop
their
health
insurance.
This is leaving
insurance
companies
that cover New Yorkers
with
an increasingly
older
and sicker
pool of clients.
Some insurance
companies,
according
to
the New York Newsdav article,
are choosing
not to renew policies
in New York when
they
come due.
These two pressures,
younger
people
choosing
to drop out, and
insurance
companies
choosing
to stop insuring
New Yorkers,
are driving
down the number of
insured
individuals
in New York.
Where New York S t a t e d i d n o t r e q u i r e p e o p l e t o c a r r y h e a l t h i n s u r a n c e , the C l i n t o n
r e f o r m p l a n does.
Under i t , young p e o p l e would n o t be a b l e t o o p t o u t o f community
rating.
The m a t e r i a l s HIAA d i s t r i b u t e d t o the p r e s s when the s p o t was r e l e a s e d i n d i c a t e
t h a t t h i s d i f f e r e n c e e x p l a i n s a g r e a t d e a l about t h e New York e x p e r i e n c e .
According to
the Wall S t r e e t J o u r n a l a r t i c l e c i t e d by HIAA, the New York S t a t e e x p e r i e n c e argues
a g a i n s t the type o f i n c r e m e n t a l r e f o r m t h a t many o r g a n i z a t i o n s opposed t o the C l i n t o n p l a n
have proposed.
I n o t h e r words, i f community r a t i n g i s t o be implemented, r e q u i r e d
u n i v e r s a l coverage ought t o accompany i t .
13
�Though HIAA has stated
in print
advertising
that it supports
universal
coverage
an employer
mandate
that fact
is unmentioned
in this ad. Presumably
HIAA favors
age
adjusted
community
rating
if any community
rating
is required
by reform
and does so
if an employer
mandate and universal
coverage
survive
the
process.
Artful
use of
("Harry and Louise")
Louise
and
Harry:
Louise:
'that's
Harry:
Louise:
the rhetorical
ad broadcast
question
can also
in October
included
invite
false
the following
"The government
caps How much the country
it.'"
"So what if our plan runs out of
money?"
"There's
Got to be a Better
Way."
The Clinton
plan includes
out of money and if they
can spend
an elaborate
set of precautions
do that benefits
will nonetheless
on health
even
An HIAA
between
care
to ensure
that plans
be
delivered.
THE DEADLY CLINTON PLAN. Not all of the false
inferences
ad by Empower America
shows an EKG monitor
bouncing
frantically
ill
e f f e c t s of the Clinton
plan.
At the ad's end, the EKG goes
person
on the monitor
has been killed
by the Clinton
plan.
ADS IMPUGNING THE GOOD WILL AND INTEGRITY
inferences.
dialogue
with
and
won't
says
run
are driven
by words. A TV
as an announcer
posits
f l a t , implying
that
the
OF THE OTHER
SIDE
Another
category
of ad implies
that the other
side is composed of scoundrels
intent
on making the world worse for everyone
but themselves.
The insurance
industry
is
the
most frequent
object
of disdain.
"Hi", says a speaker in a Families USA radio ad. "We're
the insurance industry. We've been doing a pretty
good job.
Our red tape and paperwork
is
good for you. Our fine print
is good for you. And we're getting
pretty
darn tired
of
people
like you whining
when we drop your coverage
or boost your premiums
sky high.
So
trust
us. You don't
need health
reform."
"Hey, if you don't
trust
them,"
says a second
speaker,
"if you want health
reform,
call Families
USA." The Health
Care Reform
Project's
television
ad, "Barrels,"
discusses
insurance
industry
lobbyists
and PACs spreading
"over
$14 million"
around Washington
to "kill
real health
care reform."
The ad goes on to say
that insurers
want to continue
"jacking
up rates
and reducing
benefits."
The AIDS
Action
Council
ran a print
ad in the New York Times with the
headline:
Confused
planned
about
it!
health
care
reform?
That's
just
the
way the
insurance
industry
"They call
it health
insurance
because
it stops
when you get sick,"
notes
the ad.
The Group Health Association
of America
also accuses
"those
with a vested
interest
in
maintaining
the failed
elements
of the old system"
with attempting
to limit
the
availability
of HMOs under reform.
An AARP ad claims
that the special
interests
"don't
care if you are trapped
in your job by a health
condition...if
you have trouble
paying
for
outrageously
priced
drugs."
"Insurance
companies,
drug companies
and the
medical
establishment
are standing
in the way of the United States
having
the best health
care
system
in the world...,"
says a print
ad for the Campaign for Health
Security,
supporters
of a single
payer plan.
"They're
more interested
in their
profits
than our health
care."
But others
assume the ill
will
of their
opponent,
as well.
"Who wants to make
health
care worse for women?" asks a NARAL ad. "Anti-Choice
Politicians."
14
�xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
APPENDIX ONE
Sponsors
of Broadcast
Ads
Analyzed
AARP
Americans
for Tax
Reform
American
Council
for Health
Reform
American
Hospital
Association
Campaign for Health
Security
Citizens
for a Sound
Economy
Clinton,
Bill
and
Hillary
Democratic
National
Committee/National
Health
Care Campaign/Iowa
Party
Empower
America
Health
Care Reform
Project
Health
Insurance
Association
of
America
HealthRIGHT
Huffington
for Senate
(Michael
Huffington,
R-CA
candidate)
ILGWU
Kaiser
Foundation/LWV
Ed Fund
National
Center
for Policy
Analysis
National
Restaurant
Association
National
Right
to Life
Committee
PMA
Planned
Parenthood
Federation
of America,
Inc.
Project
for the Republican
Future
Republican
National
Committee
Rock the
Vote
Santorum
for Senate
(Rick Santorum,
R-PA
candidate)
Single
Payer Across
the
Nation
Thomason,
Harry
Sponsors
of Print Ads
Analyzed
Access
Health
AFL-CIO
AIDS Action
Council
Alliance
for Managed
Competition
Alliance
to end childhood
lead
poisoning
American
Academy of Family
Physicians
American
Academy of Orthopaedic
Surgeons
AARP
American
Chiropractic
Association
American
College
of
Cardiology
America's
Consumer-Owned
Rural Electric
Co-ops
America's
Health
Care Workers
Coalition
American
Hospital
Association
American
Medical
Association
American
Renewal
Baxter
Health
Care
Corporation
Baylor
Health
Care
System
Blue Cross Blue Shield
Plans of
Pennsylvania
Blue Cross Blue Shield
of National
Capital
Area
Buchanan,
Patrick
California
Dental
Assoc.
State
Democratic
C a l i f o r n i a Wellness Foundation
Cajnpaigrn for Health
Security
Christian
Coalition
Coalition
for Effective
National
Medical
Liability
Reform
Coalition
for Health
Insurance
Choices
(HIAA
sponsored)
Coalition
for Jobs and Health
Care
Communications
Workers of
America
15
(INCLUDES HIAA & PMA)
�Corporate Health
Care
Coalition
Delta
Dental
Democratic
National
Committee
E-Z-EM
Inc.
Farmers & Ranchers
(A coalition
of several
groups)
George Washington
University
Medical
Center
Group Health Association
of
America
Harkin/Hatfield
Medical
Research
Fund
Health
Care Reform
Project
Health
Partners
of
Philadelphia
Independent
Institute
Independent
Insurance
Agents
of
America
Kaiser
Found/'LWV Ed Fund
Kaiser
Permanente
Kodak
Medical
Rehabilitation
Education
Foundation
Moss, Richard
Gene, MD (independent
doctor)
NARAL
National Association o f Health Underwriters
National Association of Retail Druggists
N a t i o n a l A s s o c i a t i o n o f the S e l f - e m p l o y e d
National Education Association
National Health
and Human Services
Employees
Union
(1199)
National
Kidney Cancer
Association
National
Right
to Life
Committee
Organizations
Opposed to Taxation
of Health
Care
Benefits
Paralyzed
Veterans
of.America
Patient
Access
to Specialty
Care
Coalition
PMA
Pharmaceutical
Research
Manufacturers
Association
Pizza Hut
Planned Parenthood
Federation
of
America
Principal
Financial
Group
Prudential,
The
Service
Employees
International
Union
Single
Payer Across
the
Nation
Small Business
Coalition
on Health
Care
Reform
VISA
Brougher
Visiting
Nurse Service
of New York
UNNAMED COALITION (employers,
insurers,
AARP, providers,
advocates,...)
UNNAMED COALITION (pharmaceutical
co.s,
employer
groups,
insurance
groups)
UNNAMED COALITION (Principal
Financial
Group, other
financial
groups,
insurers)
UNNAMED COALITION (Asthma and Allergy
Foundation,
other
allergy/asthma/immunology
groups)
16
�APPENDIX B
TOTAL HEALTH CARE REFORM ADS BY MEDIUM
(198 Total Ads)
Radio (16)
8%
Print (125)
65%
Number of Mentions of Key Words by Medium
25 - r
20 - •
15 - •
10 - •
5 ••
�Number of Sponsors Advertising by
Medium -- 86 Sponsors Total
(Note: Some groups advertised in more than one medium)
Print (68)
Radio (9)
TV (25)
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Health Care Reform
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2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
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Clinton Presidential Records
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William J. Clinton Presidential Library & Museum
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Paper
Dublin Core
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Title
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[The Role of Advertising in the Health Care Reform Debate]
Creator
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First Lady's Office
Maggie Williams
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2194630
42-t-2194630-20060810F-Seg2-013-008-2015
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2006-0810-F Segment 2
Is Part Of
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Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
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Format
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-
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e4809194728d458a2cb6dfff5eea7e06
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Misc. Subject Files
OA/ID Number:
10813
FolderlD:
Folder Title:
OTHER INFORMATION: [HEALTH SECURITY ACT SECTION BY SECTION ANALYSIS]
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
2
3
�Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
�December 1993
�
Dublin Core
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Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
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Clinton Presidential Records
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Other Information: [Health Security Act Section by Section Analysis]
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First Lady's Office
Maggie Williams
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2194630
42-t-2194630-20060810F-Seg2-013-007-2015
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Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
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Clinton Presidential Records: White House Staff and Office Files
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5fa3c61688e0313f319dce2e47568f31
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FOIA Number:
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FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
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First Lady's Office
Series/Staff Member:
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Misc. Subject Files
OA/ID Number:
10813
FolderlD:
Folder Title:
Other Information: [Committee to Preserve the White House]
Stack:
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59
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3
��THE
WHITE H O U S E
WASH INGTON
FOR IMMEDIATE RELEASE
FEBRUARY 17, 1995
CONTACT:
LISA CAPUTO
NEEL LATTIMORE
KAREN FINNEY •
202-456-2960
EAST ROOM WORK COMPLETED
WASHINGTON, DC — The Committee f o r t h e P r e s e r v a t i o n o f The White
House today announced t h e c o m p l e t i o n o f r e n o v a t i o n work t o t h e
f i r e p l a c e m a n t e l s and baseboards, and t h e a d d i t i o n o f t h r e e area
rugs t o t h e White House's East Room.
The East Room, scene o f many h i s t o r i c White House e v e n t s , was
designed by a r c h i t e c t James Hoban, as t h e " P u b l i c Audience Room."
I t i s t h e l a r g e s t room i n t h e White House and t r a d i t i o n a l l y
c o n t a i n s l i t t l e f u r n i t u r e . The East Room i s used f o r l a r g e
g a t h e r i n g s , such as dances, c o n c e r t s , weddings, p r e s s conferences
and b i l l
signing-ceremonies.
Mantels and Baseboards
I n accordance w i t h t h e recommendations made t o t h e Committee
f o r t h e P r e s e r v a t i o n o f t h e White House i n 1990, t h e m a n t e l s and
baseboards i n t h e East Room have been s t r i p p e d o f t h e f a u x marble
p a i n t i n g t o r e v e a l t h e i r t r u e r e d ("rouge a n t i q u e " ) c o l o r , seen
b e f o r e o n l y i n t h e u n p a i n t e d h e a r t h s and t o r c h e r e bases. T h i s
Vermont marble was i n s t a l l e d i n t h e room i n 1951 d u r i n g t h e
Truman Renovation, r e p l a c i n g a d i f f e r e n t r e d marble i n s t a l l e d i n
1902.
I t was m a r b l e i z e d i n w h i t e i n 1961 and t h e n m a r b l e i z e d i n
w h i t e , s i e n a , and b l a c k (mantels) o r j u s t s i e n a (baseboards) i n
1979.
Rugs
A new s e t o f t h r e e rugs has been p l a c e d on t h e East Room
f l o o r . The Committee f o r t h e P r e s e r v a t i o n o f t h e White House
recommended i n 1990 t h e commissioning o f rugs t o complement t h e
d e s i g n and s c a l e t h e p l a s t e r w o r k o f t h e c e i l i n g . The rugs a r e
made o f l o o p p i l e wool i n c o l o r s d e r i v e d p a r t l y from r u g d e s i g n s ,
1769-1776, by noted E n g l i s h d e s i g n e r Robert Adam. A p a l e green
was s e l e c t e d f o r t h e f i e l d w i t h g o l d d e t a i l s ( t o complement t h e
d r a p e r i e s ) and a reddish-brown (rouge a n t i q u e ) o u t e r b o r d e r ( t o
complement t h e exposed marble o f t h e mantels and baseboards).
Rugs were l a s t used i n t h e East Room i n 1902.
The l a r g e c e n t e r r u g (23'4 x 30'7 1/2) f e a t u r e s a g o l d
f l u t e d c e n t e r m e d a l l i o n w i t h s c r o l l s and p a l m e t t e s on a p a l e
green f i e l d framed by Greek key bands and c l a s s i c a l b o r d e r s .
The s m a l l e r end rugs (15'10-16' x 23'4) f e a t u r e an o c t a g o n a l
p a r t i a l l y f l u t e d c e n t e r m e d a l l i o n framed by a s i m i l a r f i e l d ,
key bands, and c l a s s i c a l b o r d e r s . A supplemental end r u g was
a l s o a c q u i r e d f o r f u t u r e use.
-MORE-
�PAGE 2 OF 2
These rugs, woven i n 1994 by Edward Fields, Inc., New York,
have been donated by the White House Endowment Fund.
EAST R O RUGS, wool, 1994, New York,
OM
made by Edward Fields, Inc.
Center - 23'4 x 30 7 1/2; ends - IS'lO-lS' x 23M.
Three pieces in Adamesque s t y l e , largely derived from the
1951 plasterwork of the East Room c e i l i n g ; colors derived
from Robert Adam rug designs, 1769-1775.
Gift of The White House Endowment Fund.
,
###
�ESTIMATE OF EXPENDITURES FOR THE EAST ROOM:
ESTIMATE
CARPET
MARBLE WORK
FLOOR WORK
$259,330.00
$14,680.00
$1,380.00
OVERTIME
(EXECUTIVE RESIDENCE STAFF)
$2,000.00
NATIONAL PARK SERVICE
$1,000.00
TOTAL:
$278,390.00
�THE WHITE H O U S E
WASH I NGTON
EAST ROOM
The East Room, scene of many h i s t o r i c White House events, was
designated by architect, James Hoban, as the "Public Audience
Room." I t normally contains l i t t l e furniture and t r a d i t i o n a l l y
i s used for large gatherings, such as dances, after dinner
entertainment, concerts, weddings, funerals, award presentations,
press conferences, and b i l l signing ceremonies.
History;
1800
- When John and Abigail Adams moved into the White
House, t h i s room was incomplete. The laundry was
hung in t h i s room.
1801
- Thomas Jefferson had the south end of the room
partitioned into two rooms to create a bedroom and
an office for h i s secretary, Meriwether Lewis,
later co-leader of the Lewis and Clark expedition.
1829
- Room f i r s t f u l l y decorated under Andrew Jackson.
1861
- During the C i v i l War, Union troops quartered in
t h i s room for a time.
1873
- Under Ulysses S. Grant, room decorated in
Victorian style referred to as "Steamboat Gothic."
1902
- Under Theodore Roosevelt, room redecorated by
McKim, Mead and White in c l a s s i c a l r e v i v a l s t y l e .
1952
- Paneling and c e i l i n g modified during the Truman
Renovation.
State Occasions:
February 24, 1902
- Dinner honoring Prince Henry of
Prussia (Theodore Roosevelt
Administration)
April 22, 1980
- Luncheon honoring King Baudouin and
Queen Fabiola of Belgium (Jimmy Carter
Administration)
October 4, 1994
- Dinner honoring President Nelson
Mandela of South Africa ( B i l l Clinton
Administration)
�Weddings:
P r e s i d e n t i a l daughters -
E l i z a b e t h T y l e r , 1842
N e l l i e Grant, 1874
A l i c e Roosevelt, 1906
J e s s i e Wilson, 1913
Lynda Johnson, 1967
Lying i n S t a t e :
Seven of e i g h t p r e s i d e n t s who died i n o f f i c e have l a i n i n
s t a t e i n the E a s t Room. President James A. G a r f i e l d , 1881,
was the exception.
-
William Henry Harrison, 1841
Zachary Taylor, 1850
Abraham L i n c o l n , 1865
William McKinley, 1901
Warren G. Harding, 1923
F r a n k l i n D. Roosevelt, 1945
John F. Kennedy, 1963
Other f u n e r a l s included three f i r s t l a d i e s - L e t i t i a C h r i s t i a n T y l e r , 1842
- C a r o l i n e L a v i n i a S c o t t Harrison, 1892
- E l l e n Louise Axson Wilson, 1914
Also of I n t e r e s t :
- President Dwight D. Eisenhower takes oath of o f f i c e to
begin h i s second term on Sunday, January 20, 1957.
Inauguration a t U.S. C a p i t o l held on Monday, January 21.
- President Lyndon B. Johnson s i g n s the C i v i l Rights Act,
J u l y 2, 1964.
- Gerald R. Ford i s sworn i n as President, August 9, 1974.
Prime M i n i s t e r Menachem Begin of I s r a e l and President
Anwar Sadat of Egypt signed the Camp David accords,
e s t a b l i s h i n g a framework f o r peace i n the Middle E a s t ,
September 17, 1978.
�THE EAST R O
OM
Office of the Curator
June 1994
ARTWORK
William McKlnlev by Harriet Anderson Stubbs Murphy (1852-1935)
o i l on canvas, 1902. One of the few p o r t r a i t s i n the White
House Collection painted by a woman. The a r t i s t signed i t ,
however, with her husband's name.
U.S. Government purchase.
903.1413.1
Martha Dandridoe Custis Washington (Mrs. George Washington)
by Eliphalet F. Andrews (1835-1915)
o i l on canvas, 1878. Head i s believed to be modeled after a
Gilbert Stuart portrait painted i n 1796. President Hayes*
niece, Emily Hastings, posed for the hands.
U.S. Government purchase.
878.1289.1
Georoe Washington by Gilbert Stuart (1755-1828)
o i l on canvas, 1797. One of several r e p l i c a s painted by the
a r t i s t of h i s original commissioned by Senator William
Bingham i n 1796 (the second r e p l i c a , the "Lansdowne"
p o r t r a i t now on exhibit a t the National P o r t r a i t G a l l e r y ) .
I t i s the only object known to have remained i n the White
House since 1800. On August 24, 1814, during the War of
1812, while preparing to f l e e the White House before B r i t i s h
troops approached Washington, Dolley Madison ordered the
p o r t r a i t taken away for safekeeping. The frame was broken,
as i t was bolted to the wall, and the painting was removed
i n t a c t . The canvas was not cut from the stretcher and
r o l l e d up. The painting was returned to the White House i n
1817.
U.S. Government purchase.
800.1290.1
Theodore Roosevelt by John Singer Sargent (1856-1925)
o i l on canvas, 1903. Painted from l i f e i n the White House
i n the year after the Theodore Roosevelt Renovation
introduced the Georgian s t y l e to the East Room.
President Roosevelt i s depicted, having Just descended the
s t a i r s , by one of the foremost p o r t r a i t i s t s of h i s day.
In a l e t t e r written to h i s son, Kermit, Roosevelt indicated
that the landing of the "big s t a i r s " was selected as the
painting s i t e because the a r t i s t f e l t the l i g h t was best
there.
U.S. Government purchase.
903.1328.1
�-2-
FURNISHINGS
North Wall
CORNICES, s e t o f seven ( t h r e e each on n o r t h and s o u t h w a l l s ,
e l o n g a t e d s i n g l e on east w a l l ) , g i l d e d c h e r r y , 1902,
purchased f r o m L. M a r c o t t e & Company, New York.
T i e d oak branches on arched c e n t e r .
Among t h e f u r n i s h i n g s o r d e r e d by McKim, Mead & White f o r t h e
Theodore R o o s e v e l t Renovation, 1902.
902.3041.1-6
902.3042.1
TORCHERES, s e t o f f o u r (two each on n o r t h and s o u t h w a l l s ) ,
g i l d e d m e t a l and c u t g l a s s , c.1902, purchased from
L. M a r c o t t e & Company, New York.
E l a b o r a t e c l a s s i c a l m o t i f s on s h a f t ; f r u i t and s h e l l
pendants; g l a s s w o r k s i m p l i f i e d d u r i n g t h e Kennedy
administration.
Among t h e f u r n i s h i n g s o r d e r e d by McKim, Mead S White f o r t h e
c
Theodore Roosevelt Renovation, 1902.
902.1297-1300
BENCHES, e i g h t from a s e t o f t h i r t e e n , g i l d e d mahogany, c.1902,
purchased f r o m L. M a r c o t t e & Company, New York.
L o u i s XVI r e v i v a l s t y l e ; s p i r a l - t u r n e d l e g s ; s a l t i r e
stretcher.
Among t h e f u r n i s h i n g s o r d e r e d by McKim, Mead & White
f o r t h e Theodore Roosevelt R e n o v a t i o n , 1902; made f o r t h e
East Room i n two s i z e s - two s m a l l each on n o r t h and s o u t h
w a l l s (903.553, 559, 562-3), two medium (903.555, 560) on
east w a l l .
The two l a r g e on e a s t w a l l (903.557-558) were
medium benches extended d u r i n g t h e Truman Renovation.
East W a l l
MANTELS, s e t o f f o u r (two each on e a s t and west w a l l s ) ,
r e d marble, 1951, designed by Lorenzo Winslow, c a r v e d by
Standard A r t Marble & T i l e Co.
Vermont "Rouge a n t i q u e " marble ( m a r b l e i z e d w h i t e 1961-1979;
w h i t e , s i e n a , b l a c k 1979-1995; m a r b l e i z i n g removed 1995).
Made f o r t h e Truman Renovation.
P51.B02260.1-4
ANDIRONS, f o u r p a i r s , g i l d e d b r a s s , c.1902,
purchased from L. M a r c o t t e & Company, New York.
L o u i s XVI s t y l e ; u r n w i t h ram's head h a n d l e s .
Among t h e f u r n i s h i n g s o r d e r e d by McKim, Mead & White f o r
the Theodore Roosevelt Renovation, 1902.
903.1313, 1316, 1319, 1326
WINE COOLERS, f o u r from a s e t o f s i x , g i l d e d s i l v e r , 1809-10,
London, made by Paul S t o r r .
M e d i c i shape; c l a s s i c a l b a c c h a n a l i a n p r o c e s s i o n ;
s a t y r masque handle mounts.
Bequest o f Mrs. Margaret Thompson B i d d l e .
958.4147.1-6
�-3-
East Wall (continued)
CANDELABRA, p a i r , cut glass and brass,
l a t e 18th-early 19th century, England.
G i f t o f White House Furnishings Committee
and Mrs. H a r r i e t B. P r a t t .
929.1352.1
929.1373.1
MIRRORS, set o f four (two each on east and west w a l l s ) , g i l d e d
wood and glass, 1952, made by Knipp & Company, Baltimore.
Wrapped reeds; surmounting spread-winged eagle.
I n s t a l l e d during the Truman Renovation.
P52.H02259.1-4
SCONCES, p a i r , g i l d e d bronze, c.1835, France.
G r i f f i n t o r s o ; set w i t h two p a r t i a l l y g i l d e d p a i r s i n the
Blue Room; bear stamp of King Louis-Philippe's Chateau de
Neuilly.
Anonymous donation.
962.245.7-8
West Wall
CANDELABRA, p a i r , g i l d e d bronze, c.1817, Paris.
C l a s s i c a l woman on p l i n t h .
Among the French f u r n i s h i n g s purchased by President James
Monroe i n 1817; designated f o r the " S i t t i n g room o r Parlor"
(Red Room).
817.1503-1504
CANDELABRA, p a i r , g i l d e d bronze, c.1817, Paris,
a t t r i b u t e d t o ( P i e r r e - P h i l i p p e ) Thomire & Company.
C l a s s i c a l woman on globe atop p l i n t h w i t h m a r t i a l mounts.
Among the French f u r n i s h i n g s purchased by President James
Monroe i n 1817; designated f o r the "large oval room"
(Blue Room).
817.1423-1424
WINE COOLERS, two of four, g i l d e d s i l v e r , 1806-07, London,
made by William P i t t s .
C l a s s i c a l bacchanalian procession; horsehead handle mounts.
Bequest of Mrs. Margaret Thompson Biddle.
958.4148.1-4
CHANDELIERS, set of three, cut glass and g i l d e d brass, c.1902,
purchased from E.F. Caldwell & Company, New York.
Bohemian glass; twenty-four e l e c t r i c candle arms,
twenty-nine i n t e r i o r l i g h t s ; shortened and m o d i f i e d during
the Truman Renovation.
Among the f u r n i s h i n g s ordered by McKim, Mead & White f o r the
Theodore Roosevelt Renovation, 1902.
902.3055-3057
RUGS, wool, 1994, New York, made by Edward F i e l d s , I n c .
Center - 23'4 x 30'7 1/2; ends - 15'10-16' x 23'A.
Three pieces i n Adamesque s t y l e , l a r g e l y derived from the
1951 plasterwork of the East Room c e i l i n g ; c o l o r s derived
from Robert Adam rug designs, 1769-1775.
G i f t of The White House Endowment Fund
�THE
WHITE HOUSE
WAS
FOR IMMEDIATE RELEASE
JANUARY 31, 1995
page 1 of 2
H I N GTO N
CONTACT: LISA CAPUTO
NEEL LATTIMORE
KAREN FINNEY
202-456-2960
THE COMMITTEE FOR THE PRESERVATION OF
THE WHITE HOUSE ANNOUNCES COMPLETION OF
BLUE R O RENOVATIONS AND REFURBISHING
OM
WASHINGTON, DC — The Committee f o r The Preservation o f The White
House today announced the completion o f the renovation and
r e f u r b i s h i n g of the White House's Blue Room. The r e f u r b i s h i n g
was governed by the h i s t o r i c French objects purchased by
President James Monroe i n 1817.
The process f o r the renovation
and r e f u r b i s h i n g o f the Blue Room began i n 1990 when the
committee recommended t h a t the room be r e f u r b i s h e d .
F i r s t Lady H i l l a r y Rodham C l i n t o n serves as honorary c h a i r o f the
committee and was a c t i v e l y involved i n the r e f u r b i s h i n g p r o j e c t .
Mrs. C l i n t o n f i r s t met w i t h the Committee i n November o f 1993.
Working w i t h a committee of h i s t o r i a n s , curators and designers,
the F i r s t Lady took an a c t i v e approach i n the renovation process.
The F i r s t Lady reviewed the committee's recommendations f o r the
sapphire blue f a b r i c and the gold w a l l covering, and met w i t h the
White House curators t o discuss f a b r i c samples, t e x t u r e s and the
importance o f maintaining the period s t y l e o f the room.
The Blue Room i s one of three oval rooms i n the White House and
i s located on the State Floor. The room, seen by 1.2 m i l l i o n
v i s i t o r s a year, was l a s t r e f u r b i s h e d i n 1972.
The draperies and
f u r n i t u r e upholstery had become s o i l e d , worn and sun damaged and
needed t o be replaced, as d i d the badly worn mid-nineteenth
century Chinese carpet which has been i n the room since 1975.
The sapphire blue f a b r i c used f o r the draperies and f u r n i t u r e
covering i s s i m i l a r i n c o l o r t o f a b r i c used i n the room i n the
1800's. The s i l k upholstery f a b r i c r e t a i n s the gold eagle
medallion on the c h a i r backs which was adapted from the d e p i c t i o n
of one o f the Monroe-era c h a i r s i n a p o r t r a i t o f President James
Monroe. The Monroe-era f u r n i t u r e , c o n s i s t i n g o f seven o r i g i n a l
c h a i r s and four reproductions and a sofa, was upholstered by
Nelson Beck o f Washington, DC. (The p o r t r a i t of President James
Monroe by John Vanderlyn i s owned by the C i t y o f New York and
hangs i n the C i t y H a l l . )
The blue s a t i n draperies have a blue and gold tape adapted from
the wallpaper f r i e z e . The drapery valances are blue and gold.
The s i l k f a b r i c s were made by Scalamandre S i l k s , I n c . , o f New
York, New York. The draperies are the same design as t h e
previous draperies
-more-
�Blue Room - Preservation Committee
page 2 of 2
which were derived from an e a r l y 19th century French source. The
c u r t a i n s were constructed by Nelson Beck o f Washington, DC.
The w a l l s have been hung w i t h a l i g h t gold paper, which has
a l t e r n a t i n g c l a s s i c m o t i f s i n a darker gold. The design i s
adapted from an e a r l y 19th century American paper i n t h e
c o l l e c t i o n o f the Society f o r the Preservation o f New England
A n t i q u i t i e s i n Boston, Massachusetts. The borders are adapted
from two e a r l y 19th century French papers i n the c o l l e c t i o n o f
the Cooper Hewitt National Design Museum, the Smithsonian
I n s t i t u t i o n , i n New York. The upper border i s a blue drapery
swag w i t h gold c l a s s i c a l m o t i f s ; t h e lower border along the c h a i r
r a i l has a blue and gold p a t t e r n w i t h r o s e t t e s . The w a l l paper
was made by Brunschwig & F i l s o f New York, New York.
The room has been painted and g i l d e d t o r e f l e c t the s t y l e o f
f i n i s h found i n an American room o f the f i r s t quarter o f the 19th
century. The wainscoting, door surrounds and window r e v e a l s ,
received extensive conservation t o r e d e f i n e t h e i r d e t a i l i n g . The
woodwork has been painted white w i t h a rubbed p a i n t f i n i s h g i v i n g
the wood a " p o r c e l a i n " appearance. The faux marble painted on
the baseboards has been removed t o r e v e a l the white marble
i n s t a l l e d i n the Truman era. The acanthus leaves i n the cornice
and i n the c e i l i n g medallion have been g i l d e d , as have the three
l i n e s o f molding i n the cornice.
A major component of the p r o j e c t was the p r e s e r v a t i o n and
conservation o f the h i s t o r i c f u r n i s h i n g s i n the room and o f t h e
e a r l y 19th century American "looking glass" which hangs over t h e
mantel. This p a r t o f the p r o j e c t involved r e p a i r s and p a r t i a l
r e g i l d i n g o f the items. Retained i n the room are the French
g i l d e d bronze clock and a mahogany center t a b l e . Two 19th
century p i e r t a b l e s and two pieces o f s c u l p t u r e - the marble
busts of Christopher Columbus and Amerigo Vespucci - were added
to the room.
A carpet, based on e a r l y 19th century designs, i s being made f o r
the room and i s expected t o be i n s t a l l e d i n the room t h i s s p r i n g .
The carpet i s being made by the Stark Carpet Company o f New York,
New York.
###
attached: committee l i s t
EDITOR'S NOTE: The Blue Room w i l l be o f f i c i a l l y unveiled on
February 17 a t the meeting o f the Committee f o r the Preservation
of the White House. There w i l l be a press preview o f the room
and a opportunity t o t a l k w i t h the F i r s t Lady and the i n d i v i d u a l s
i n v o l v e ^ i n the renovation and r e f u r b i s h i n g p r o j e c t a t t h a t time.
Space f o r t h i s press preview i s l i m i t e d . Please contact t h e
F i r s t Lady's Press O f f i c e i f you would l i k e t o cover t h i s event 202-456-2960.
�THE WHITE HOUSE
WASHINGTON
COMMITTEE FOR THE PRESERVATION OF THE WHITE HOUSE
Executive Order 11145, March 7, 1964
HILLARY RODHAM CLINTON, Honorary C h a i r
MEMBERS BY EXECUTIVE ORDER
ROGER G. KENNEDY
Chairman
D i r e c t o r , N a t i o n a l Park S e r v i c e
REX W SCOUTEN
.
C u r a t o r , The White House
I . MICHAEL HEYMAN
S e c r e t a r y , Smithsonian
EARL A. POWELL, I I I
D i r e c t o r , The N a t i o n a l G a l l e r y o f A r t
J. CARTER BROWN
Chairman, Commission
GARY J. WALTERS*
C h i e f Usher, The White House
JAMES I . McDANIEL
Secretary
A s s o c i a t e Regional D i r e c t o r
f o r White House L i a i s o n ,
N a t i o n a l Park S e r v i c e
Institution
o f Fine A r t s
MEMBERS BY PRESIDENTIAL APPOINTMENT
MRS. LEONORE ANNENBERG
Former U.S. C h i e f o f P r o t o c o l
LESLIE GREENE BOWMAN*
Curator o f Decorative A r t s ,
Los Angeles County Museum o f A r t
WENDY COOPER*
Curator o f Decorative A r t s ,
The B a l t i m o r e Museum o f A r t
MRS. JANE ENGELHARD
�-2JONATHAN FAIRBANKS
Curator of American Decorative A r t s
and Sculpture, Museum of F i n e A r t s , Boston
MARK HAMPTON*
I n t e r i o r Designer
KAKI HOCKERSMITH*
I n t e r i o r Designer
JANICE M. JOHNSON
WILLIAM KLOSS
Art H i s t o r i a n and Author
RICHARD MOE
President, National T r u s t f o r H i s t o r i c
Preservation
RICHARD NYLANDER*
Chief Curator,
S o c i e t y f o r the P r e s e r v a t i o n of
New England A n t i q u i t i e s
JOHN L. RICHARDSON
Attorney
J . THOMAS SAVAGE, JR.
Curator, H i s t o r i c Charleston Foundation
JOHN WILMERDING
Professor i n American Art,
Princeton U n i v e r s i t y
CONSULTANTS TO THE COMMITTEE
BETTY C. MONKMAN*
A s s o c i a t e Curator,
MARGARET A. WILLIAMS
A s s i s t a n t t o the P r e s i d e n t and
Chief of S t a f f t o the F i r s t Lady
*
Blue Room Subcommitte Members
(
The White House
�FOR IMMEDIATE RELEASE
January 31, 1995
page 1 OF 2
WHITE HOUSE ENDOWMENT FUND ANNOUNCES COMPLETION OF
BLUE R O RENOVATIONS AND REFURBISHING
OM
WASHINGTON, DC — The White House Endowment Fund i s pleased t o
announce t h e i r p a r t i c i p a t i o n and support i n t h e completion of the
renovation o f t h e Blue Room o f the White House.
Renovating and r e f u r b i s h i n g of the Blue Room began on January 3,
1995. Work done i n the Blue Room includes r e p l a c i n g t h e w a l l
paper, drapes and f u r n i t u r e f a b r i c , r e p a i n t i n g t h e room, and t h e
preservation and conservation of h i s t o r i c objects i n t h e room.
The Blue Room p r o j e c t i s the f i r s t major White House renovation
p r o j e c t funded e x c l u s i v e l y by the White House Endowment Fund.
The Blue Room w i l l be o f f i c i a l l y reopened on February 17, 1995 a t
the bi-annual meeting o f the Committee f o r The Preservation o f
the White House.
The White House Endowment Fund was established i n 1990 as a nonp r o f i t c h a r i t a b l e organization and s u b s i d i a r y o f t h e White House
H i s t o r i c a l Association t o r a i s e a $25 m i l l i o n endowment. The
purpose of t h i s endowment i s t o support, i n p e r p e t u i t y , t h e
preservation and conservation of t h e p u b l i c rooms o f t h e White
House, and the a c q u i s i t i o n o f objects f o r the White House
c o l l e c t i o n of f i n e and decorative a r t s .
The estimated cost f o r the renovation and r e f u r b i s h i n g o f t h e
Blue Room i s $358,358.80. Funds s u f f i c i e n t t o underwrite t h e
cost of t h e p r o j e c t were made a v a i l a b l e through t h e investment
proceeds accrued from the Endowment Fund's c u r r e n t p r i n c i p a l of
$12 m i l l i o n .
The Chief Usher and Curator of The White House are authorized t o
request support from the endowment f o r a l l p r o j e c t s . The Board
of D i r e c t o r s of the White House Endowment Fund i s responsible f o r
r a i s i n g the endowment and approving expenditures w i t h i n an amount
s p e c i f i e d f o r spending each year. C o n t r i b u t i o n s made t o t h e
White House Endowment Fund are t a x - d e d u c t i b l e t o the maximum
extent allowed by law.
-more740 JACKSON PLACE, NW • WASHINGTON, D.C. 20503 • 202/789-1145
FAX 202/789-0440
�Blue Room - Endowment Fund
page 2 of 2
The Chair of the White House Endowment Fund i s Mrs. Nancy M.
Folger. More than one hundred and f i f t y individuals,
corporations, and private foundations have contributed to the
White House Endowment Fund.
For additional information contact: Mr. Neil Horstman, Executive
Vice President, White House H i s t o r i c a l Association - 202-737002 5, or, Mrs. Nancy M. Folger, Chair, the White House Endowment
Fund - 202-789-1145.
###
Attached:
L i s t of suppliers
EDITORS NOTE: The Blue Room w i l l be o f f i c i a l l y unveiled on
February 17, 1995 at the meeting of the Committee for the
Preservation of the White House. There w i l l be a press preview
of the room and an opportunity to t a l k with the F i r s t Lady and
the individuals involved in the renovation and refurbishing
project at that time. Space for t h i s press preview i s limited.
Please contact the F i r s t Lady's Press Office i s you would l i k e to
cover t h i s event - 202-456-2960.
�WHITE HOUSE ENDOWMENT FUND
BOARD OF DIRECTORS
Mrs. Nancy M. Folger, Chair
Mrs. Earle M. Craig, J r . ,
Mrs. Anne Fisher
Mrs. Graham Gund
Mr. George B. Hartzog, J r .
Mrs. Suzanne V. Hascoe
Mr. Roger Horchow
Mrs. Linda Johnson Rice
Mrs.
Mr.
Thomas McLarty
A. Paul
Prosper!
Mrs. W i l l i a m D. Ruckelshaus
Mr. A l f r e d R. Stern
Ms. Susan P. Thomases
Past Chair and c u r r e n t member
�1995 BLUE ROOM RENOVATION
ESTIMATES OF EXPENDITURES
SUPPLIERS
$ 24,215.00
WALLPAPER ( m a n u f a c t u r e )
Mr. Thomas M a r s h a l l
Brunschwig & F i l s
(914) 684-5800
$ 13,133.80
WALLPAPER ( i n s t a l l a t i o n )
Mr. Robert K e l l y
WRN A s s o c i a t e s
(413) 243-3489
$112,000.00
FABRIC
Mr. and Mrs. Edwin B i t t e r
Scalamandre S i l k s , I n c .
(718) 361-8500
(Adriana)
UPHOLSTERY ( l a b o r )
DRAPERY ( l a b o r )
$ 38,250.00
$ 15,000.00
Mr. Nelson Wurz
Nelson Beck o f Washington, I n c .
(202) 387-4114
GILDING WORK ( f u r n i t u r e )
$ 25,000.00
Mr. Thorn G e n t l e
Thorn G e n t l e C o n s u l t a n t s
(802) 694-1475
PAINTING & ARCHITECTURAL GILDING
$ 61,560.00
Mr. Brandon Thompson
Interiors
(703) 519-8870
MARBLE WORK
Mr. D a n i e l E r r i g o
U.S. Marble & G r a n i t e
(301) 595-7400
$
3,500.00
�-2REIMBURSEMENT TO THE U.S. GOVERNMENT
( l a b o r and other support)
S 17,200.00
ESTIMATED COST FOR CARPET
$ 48,500.00
ESTIMATE TOTAL
$358,358.80
�THE WHITE HOUSE
WAS H I N GTO N
O f f i c e of the Curator
January 19 95
THE BLUE R O
OM
History
White House a r c h i t e c t James Hoban's 1792 plans f o r the
"President's House" noted that the f i r s t f l o o r oval room was t o
be the most elegant of the formal State Rooms. For John Adams
and Thomas Jefferson, however, the room served as the p r i n c i p a l
entrance, i t s windows opening t o wooden s t a i r s which l e d t o the
south grounds.
I t was not u n t i l 1809 that the room became the p r i n c i p a l
formal drawing room of the White House when i t was completely
f u r n i s h e d by Dolley Madison and Benjamin Latrobe. The Madisons
received t h e i r guests there on New Year's Day i n 1810 i n what was
then c a l l e d the "Oval Drawing Room." Among the o b j e c t s which
D o l l e y Madison had removed t o s a f e t y before evacuating the house
i n 1814 were the red v e l v e t draperies hanging i n t h i s room.
In the r e f u r n i s h i n g of the house a f t e r the f i r e of 1814,
the Monroes ordered mahogany f u r n i t u r e f o r t h i s room, but the
purchasing agents i n France s u b s t i t u t e d a 53-piece s u i t e ^ o f
g i l d e d f u r n i t u r e made i n Paris by Pierre-Antoine Bellange.
Although most of t h i s s u i t e was s o l d a t a u c t i o n i n 1860,
e i g h t o r i g i n a l pieces have been r e t u r n e d t o the room since 1961.
The room was known by i t s shape - " E l l i p t i c a l " , "Oval", or
" C i r c u l a r " - u n t i l the c o l o r was changed t o blue i n 1837 under
M a r t i n Van Buren. I t then became the "Blue Room," although i t
was c a l l e d the "Violet Blue P a r l o r " under the Grants and the
"Robin's Egg Blue Room" a f t e r Chester A r t h u r ' s r e d e c o r a t i o n .
The room has been the scene o f many f a m i l y c e l e b r a t i o n s .
Two of President Hayes' c h i l d r e n were c h r i s t e n e d there i n 1877.
In 1886, the only President t o be married i n the White House,
Grover Cleveland, was j o i n e d i n marriage t o h i s former ward,
Frances Folsom, i n a Blue Room ceremony. I n t h i s century Woodrow
Wilson's daughter, Eleanor, was a l s o married i n the room.
Although special meetings, luncheons, and dinners have been
h e l d i n the room, throughout the years i t has continued t o be
used f o r the purpose f i r s t intended - the formal r e c e p t i o n room
of the White House. I t i s here t h a t the President and h i s w i f e
o f t e n receive guests during State receptions and where the
c r e d e n t i a l s of f o r e i g n ambassadors have been presented t o the
President. The f i r s t Chinese d e l e g a t i o n t o present c r e d e n t i a l s
�-2-
to an American President was received by President Hayes i n the
Blue Room i n 1878.
Since 1961 (excepting 1962 and 1969), the
p r i n c i p a l White House Christmas t r e e has been placed i n the
center o f the room.
The room was r e f u r b i s h e d i n 1963 (Kennedy), u t i l i z i n g the
three o r i g i n a l Bellange c h a i r s (one arm, two side) which had been
reacquired f o r the White House c o l l e c t i o n i n 1961-62 and eleven
reproductions (seven arm, four side) made i n 1962.
A l l of the
c h a i r s were upholstered i n a aquamarine s i l k w i t h a cream-colored
eagle medallion based on the u p h o l s t e r y on an oval-back Monroeera c h a i r depicted i n a p o r t r a i t o f President Monroe by John
Vanderlyn (City of New York). Since many White House w a l l s i n
the e a r l y 19th century were p a i n t e d o r papered i n l i g h t c o l o r s ,
the dark blue w a l l c l o t h from the Truman Renovation was replaced
with a striped off-white fabric.
The room was r e f u r b i s h e d again i n 1972 (Nixon). The
u p h o l s t e r y design was modified on a new s i l k f a b r i c o f a deeper
c o l o r used on the Bellang£ c h a i r s , which now included three
a d d i t i o n a l o r i g i n a l armchairs and the berg^re. New draperies
based on early-19th-century French sources were i n s t a l l e d .
The w a l l s were covered w i t h a wallpaper derived from a French
fragment, c.1800, probably made by Jacquemart et Benard. The
c e i l i n g medallion and cornice were replaced, based on examples
from l o c a l houses contemporary w i t h the Monroe White House.
In 1975, an oval blue Chinese rug was acquired, complementing
the shape of the room. I n 1981, one o f two o r i g i n a l curved-frame
Bellange sofas, acquired i n 1978, was added t o the room's
furnishings.
For the 1995 r e f u r b i s h i n g , the Committee f o r the
Preservation o f the White House s e l e c t e d a darker, sapphire blue
f o r the s i l k upholstery f a b r i c which repeated the previous gold
eagle medallion design derived from a c h a i r i n the p o r t r a i t of
President Monroe. The d r a p e r i e s , r e t a i n i n g the 1972 design
d e r i v e d from early-19th-century French sources, are o f a p l a i n
sapphire s a t i n trimmed w i t h a blue and g o l d tape adapted from
the wallpaper f r i e z e and topped by blue and gold valances.
A l l f a b r i c s were made by Scalamandre S i l k s , Inc., New York.
The w a l l s have been hung w i t h a l i g h t gold ground paper,
bearing a l t e r n a t i n g c l a s s i c a l medallions i n a darker gold,
adapted from an early-19th-century American paper, probably
copied from a French paper, i n t h e c o l l e c t i o n of the Society
f o r t h e Preservation o f New England A n t i q u i t i e s i n Boston.
The borders are adapted from two early-19th-century French papers
i n the c o l l e c t i o n of the Cooper Hewitt N a t i o n a l Design Museum,
the Smithsonian I n s t i t u t i o n , i n New York. The upper border i s
a blue drapery swag w i t h gold c l a s s i c a l m o t i f s ; the lower border
along t h e c h a i r r a i l has a blue and g o l d p a t t e r n w i t h r o s e t t e s .
This wallpaper was made by Brunschwig & F i l s , New York. French
papers were used i n the White House throughout the 19th century.
In f a c t . President Monroe ordered f i v e cases of paper from France
i n 1817.
�-3-
A carpet based on e a r l y - 1 9 t h - c e n t u r y designs i s being made
f o r the room. (The mid-19th-century Chinese carpet which had
been i n the room since 1975 was badly worn and had t o be
replaced.) The new carpet i s expected t o be i n s t a l l e d i n A p r i l .
The room has been p a i n t e d and g i l d e d . t o r e f l e c t the f i n i s h e s
i n an American room o f t h e f i r s t quarter o f t h e 19th century.
The acanthus leaves and three l i n e s i n the cornice have been
g i l d e d , as have the leaves and p e a r l s i n the c e i l i n g medallion.
[There i s documentation o f a r c h i t e c t u r a l g i l d i n g i n the White
House as e a r l y as 1817 (the Cross H a l l ) and 1830 (the East
Room)]. The wainscoting, door surrounds, windows and reveals,
which have received extensive conservation r e d e f i n i n g t h e i r
d e t a i l s , have been p a i n t e d white and rubbed t o a " p o r c e l a i n "
f i n i s h . The faux marble p a i n t on the baseboards has been removed
t o reveal the white marble i n s t a l l e d i n the Truman era.
The White House Endowment Fund has c o n t r i b u t e d the funds t o
pay f o r the 1995 renovation and refurbishment of the Blue Room.
�-4-
ARTWORK
N o r t h Wall
Boston Harbor by F i t z Hugh Lane (1804-1865)
o i l on canvas, 1854.
Lane, a s e l f - t a u g h t Massachusetts
a r t i s t , i s n o t e d f o r h i s l u m i n i s t m a r i t i m e scenes p a i n t e d i n
the 1850s.
The g e n e r a l calm o f t h i s p o r t view, c e n t e r i n g
on the d i s t a n t Massachusetts S t a t e House, i s p a r t l y
d i s r u p t e d by t h e steamboat s l i c i n g t o t h e f o r e g r o u n d .
G i f t o f Mr. and Mrs. Lew Wasserman.
963.507.1
Amerigo Vespucci and C h r i s t o p h e r Columbus
by Giuseppe C e r a c c h i (1751-1801)
marble, c.1815. These b u s t s , w i t h a t h i r d o f George
Washington, were modeled c.1790-1794 b u t c a r v e d by t h e
Pisani b r o t h e r s i n Florence a f t e r Ceracchi's death.
A l t h o u g h h i s voyages were preceded by t h o s e o f Columbus,
o n l y Vespucci r e a l i z e d t h a t t h e y b o t h had encountered a
new c o n t i n e n t , w h i c h l a t e r would be named f o r him.
Purchased f o r t h e White House i n 1817 d u r i n g t h e Monroe
administration.
817.3753.1
817.1507.1
W i l l i a m Howard T a f t by Anders Zorn (1860-1920), Swedish
o i l on canvas, 1911. P a i n t e d a t t h e White House.
P r e s i d e n t T a f t i s d e p i c t e d i n t h e B l u e Room, s e a t e d i n one
of the 1902 a r m c h a i r s , a g a i n s t t h e d a r k b l u e c l o t h - c o v e r e d
w a l l and w h i t e woodwork o f t h e Theodore R o o s e v e l t
Renovation.
U.S. Government purchase.
912.1415.1
Bovs Crabbing by W i l l i a m Ranney (1813-1857)
o i l on canvas, 1855. T h i s scene o f c a r e f r e e youths e n j o y i n g
a p o p u l a r p a s t i m e , perhaps Ranney's b e s t work, e x e m p l i f i e s
the American genre s t y l e . Ranney i s known f o r p a i n t i n g s o f
l i f e on t h e w e s t e r n f r o n t i e r and s p o r t i n g scenes o f h u n t i n g
and f i s h i n g i n t h e v i c i n i t y o f h i s New J e r s e y s t u d i o .
G i f t o f The C h a r l e s E. M e r r i l l T r u s t .
972.940.1
East W a l l
James Monroe by Samuel F i n l e y Breese Morse (1791-1872)
o i l on canvas, c.1819. Morse, an a r t i s t and i n v e n t o r ,
s t a y e d a t t h e White House i n 1819 and p a i n t e d a b u s t - l e n g t h
l i k e n e s s o f Monroe used l a t e r by t h e a r t i s t t o c r e a t e a
f u l l - l e n g t h p o r t r a i t commissioned by C h a r l e s t o n , South
C a r o l i n a , w h i c h hangs today i n i t s C i t y H a l l .
The Monroe
f a m i l y o r d e r e d a head s t u d y which i s b e l i e v e d t o be t h i s
portrait.
G i f t of Michael S t r a i g h t .
965.587.1
�-5-
South W a l l
E l i z a b e t h K o r t r i q h t Monroe (Mrs. James Monroe)
a t t r i b u t e d t o John V a n d e r l y n (1775-1852)
o i l on canvas, 1816 o r 1820. V a n d e r l y n a l s o p a i n t e d
p o r t r a i t s o f James Monroe.
On l o a n from Thomas J. and W i l l i a m K. Edwards.
L74.88.1
James Madison by John Vanderlyn (1775-1852)
o i l on canvas, 1816. Commissioned by James Monroe,
Madison's S e c r e t a r y o f S t a t e and a f r i e n d o f t h e a r t i s t ;
descended i n t h e Monroe f a m i l y .
G i f t o f Mrs. V i n c e n t A s t o r , t h e George Brown Foundation,
I n c . , The Charles W. Engelhard F o u n d a t i o n , The Ruth P. F i e l d
Fund, I n c . , Laurence R o c k e f e l l e r , and t h e White House
H i s t o r i c a l Association.
968.627.1
Thomas J e f f e r s o n by Rembrandt Peale (1778-1860)
o i l on canvas, 1800. L i f e p o r t r a i t p a i n t e d i n P h i l a d e l p h i a
w h i l e J e f f e r s o n was Vice P r e s i d e n t .
Became the p r o t o t y p e
f o r many American and European e n g r a v i n g s and t h e most
p o p u l a r 1 9 t h c e n t u r y image o f J e f f e r s o n .
G i f t o f Mr. and Mrs.- Paul M e l l o n .
962.395.1
John Adams by John Trumbull (1756-1843)
o i l on canvas, c.1792-93.
P a i n t e d w h i l e Adams was V i c e
P r e s i d e n t , commissioned by C h i e f J u s t i c e John Jay.
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n . 986.1582.1
West W a l l
John T y l e r by George P.A. Healy (1813-1894)
o i l on canvas, 1859. Based on an e a r l i e r l i f e p o r t r a i t .
Documents on t a b l e i l l u s t r a t e h i s a d m i n i s t r a t i o n ' s
accomplishments, n o t a b l y , r a t i f i c a t i o n o f t h e N o r t h e a s t e r n
Boundary T r e a t y , t h e a n n e x a t i o n o f Texas, and a t r e a t y o f
peace w i t h China. Crumpled i n h i s l e f t hand, i s a copy o f
the National I n t e l l i g e n c e r , suggesting h i s displeasure w i t h
what had been t h e a d m i n i s t r a t i o n ' s o f f i c i a l paper.
U.S. Government purchase.
859.1403.1
�-6-
FURNISHINGS
North
Wall
PEDESTALS, c o n c r e t e , 1931, Washington, by John E a r l y .
P l a i n c l a s s i c a l c i r c u l a r form; made f o r these b u s t s .
U.S. Government purchase.
931.1420.1 & .1508.1
East W a l l
SIDE CHAIR, g i l d e d wood, 1962, American.
R e p r o d u c t i o n o f o r i g i n a l B e l l a n g e c h a i r s , from s e t o f
e l e v e n (7 arm, 4 s i d e ) p l a c e d i n t h e Blue Room i n 1962 and
g r a d u a l l y r e p l a c e d w i t h o r i g i n a l c h a i r s as r e - a c q u i r e d .
G i f t o f Charles F r a n c i s Adams.
962.179.9
PIER TABLE, mahogany, marble, and g l a s s , c.1810, France.
Mahogany columns on round s h e l f p r o j e c t i o n s ; w h i t e marble
t o p ; drawer.
G i f t o f Mr. and Mrs. C. Douglas D i l l o n .
961.33.1
ARGAND LAMPS, p a i r , c u t g l a s s and b r a s s , c.1810-1815, England.
O r i g i n a l l y o i l - b u r n i n g w i t h b r i g h t e r , more smoke-free flame
t h a n e a r l i e r lamp forms; c u t g l a s s c a s i n g o f o i l f o n t .
G i f t o f t h e Janet N e f f C h a r i t a b l e T r u s t .
972.836.1-2
STAND, one o f p a i r , g i l d e d bronze, c.1817, France.
Shallow b a s i n ; t h r e e paw-footed l e g s topped by seated
s p h i n x e s ; (see west w a l l ) . Among t h e French f u r n i s h i n g s
purchased by P r e s i d e n t James Monroe i n 1817; d e s i g n a t e d t o
accompany t h e p l a t e a u i n t h e " d i n i n g room."
817.3677-78
VASE, one o f a p a i r , p o r c e l a i n , c.1817, P a r i s ,
by P i e r r e Louis Dagoty.
Scene o f t h e B y z a n t i n e g e n e r a l , B e l i s a r i u s , c a r r y i n g a
y o u t h . Among t h e French f u r n i s h i n g s purchased by P r e s i d e n t
James Monroe i n 1817; d e s i g n a t e d f o r t h e " S i t t i n g room o r
P a r l o r " (Red Room).
817.1375.1
SCONCES, two p a i r s ( w i t h p a i r on west w a l l ) , bronze and g i l d e d
bronze, c.1835, France.
G r i f f i n t o r s o ; s e t w i t h e n t i r e l y g i l d e d p a i r i n East Room;
bear stamp o f King L o u i s - P h i l i p p e ' s Chateau de N e u i l l y .
Anonymous d o n a t i o n .
962.245.3-6
LOOKING GLASS, g i l d e d wood and g l a s s , c.1815, p r o b a b l y New York.
Eglomis£ ( r e v e r s e - p a i n t e d g l a s s ) s i d e p a n e l s and upper panel
w i t h eagle. Suggestive o f overmantel m i r r o r (a drawing
s u r v i v e s ) designed f o r t h i s room by Benjamin L a t r o b e i n 1809
b u t d e s t r o y e d i n t h e f i r e o f 1814.
G i f t o f t h e Janet N e f f C h a r i t a b l e T r u s t .
972.859.1
�-7-
East W a l l
(continued)
MANTEL, marble, c.1810-1815, p r o b a b l y France.
S t y l i z e d c a r y a t i d s s u g g e s t i v e o f t h e 1817 mantels i n t h e
Green and Red Rooms; on f r i e z e , head o f Medusa, whose face
would t u r n t h e b e h o l d e r t o s t o n e .
G i f t o f t h e Janet N e f f C h a r i t a b l e T r u s t .
972.850.1
FIREBACK, c a s t i r o n , c.1812, marked "Mark R i c h a r d s / P h i l a d " .
Decorated w i t h s t a r b u r s t r o s e t t e s .
G i f t o f Mr. and Mrs. Edward V. Jones.
972.856.1
ANDIRONS, p a i r , brass, c.1883, American.
Urn w i t h r i n g - t u r n e d f i n i a l w i t h b a l l t i p ; double b l o c k
p l i n t h ; s p u r r e d c a b r i o l e l e g s on b a l l - a n d - c l a w f e e t .
A c q u i r e d f o r t h e Blue Room d u r i n g t h e T i f f a n y r e d e c o r a t i o n .
U.S. Government purchase.
883.1990.1-2
FIRE TOOLS (shovel and t o n g s ) , b r a s s and i r o n , c.1790-1800,
p r o b a b l y New York.
Acorn f i n i a l s .
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n . 980.1432.3-4
FIRE SCREEN, brass and i r o n , c.1800, American.
Three-fold.
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n . 980.1434.1
FRUIT COOLERS, p a i r , p o r c e l a i n , c.1824, France.
I n i t i a l s "WCE" f o r Massachusetts Governor W i l l i a m C. E u s t i s ,
t o whom t h e y were p r e s e n t e d by t h e Marquis de L a f a y e t t e
d u r i n g h i s v i s i t t o t h e U n i t e d S t a t e s , 1824-1825.
G i f t o f Grafton Minot.
962.311.1-2
MANTEL CLOCK, g i l d e d bronze, c.1817, P a r i s ,
case made by Deniere e t M a t e l i n .
F i g u r e o f t h e C a r t h a g i n i a n g e n e r a l , H a n n i b a l (247-183/182
B.C.) w i t h mounts commemorating v i c t o r i e s over t h e Romans.
Among t h e French f u r n i s h i n g s purchased by P r e s i d e n t James
Monroe i n 1817; d e s i g n a t e d f o r t h e " S i t t i n g room o r P a r l o r "
(Red Room).
817.1362.1
�-8-
East W a l l
(continued)
SEAT FURNITURE, g i l d e d beechwood, c.1917, P a r i s , made by
Pierre-Antoine Bellange.
Four a r m c h a i r s ( u s u a l l y f l a n k i n g
f i r e p l a c e ) , one bergelre ( l a r g e r a r m c h a i r w i t h c l o s e d arms i n c e n t e r window w e l l ) , two s i d e c h a i r s ( s o u t h w a l l ) and
s o f a (west w a l l ) , were p a r t o f a s u i t e purchased f o r t h e
" l a r g e o v a l room" by P r e s i d e n t James Monroe i n 1817.
A l t h o u g h Monroe had o r d e r e d mahogany f u r n i t u r e , t h e
p u r c h a s i n g agents i n France s u b s t i t u t e d g i l d e d f u r n i t u r e ,
a s e t o r i g i n a l l y c o n t a i n i n g 18 a r m c h a i r s , 18 s i d e c h a i r s ,
2 s o f a s , 2 b e r g e r e s , 4 s t o o l s , 6 f o o t s t o o l s , 2 screens, and
1 p i e r t a b l e . Most o f t h e f u r n i t u r e remained i n t h e Blue
Room u n t i l 1860, a t which t i m e a l l b u t t h e p i e r t a b l e now
i n t h e Entrance H a l l was s o l d a t a u c t i o n under P r e s i d e n t
James Buchanan and r e p l a c e d w i t h V i c t o r i a n f u r n i t u r e .
Armchairs:
G i f t o f Miss C a t h e r i n e Bohlen.
.961.14.1
G i f t o f National Society o f Colonial
Dames o f t h e X V I I Century.
963.510.1
Anonymous d o n a t i o n .
973.950.1 & 973.956.1
Bergere:
Anonymous d o n a t i o n .
972.838.1
Side c h a i r s : Anonymous d o n a t i o n .
962.226.1 & 962.227.1
Sofa:
G i f t o f t h e Edison I n s t i t u t e .
979.1394.1
OCCASIONAL TABLE, mahogany and marble, l a t e 18th c e n t u r y , France.
Oblong; marble t o p ; brass t r i m .
G i f t o f John Loeb.
962.447.1
GUERIDON ( c i r c u l a r t a b l e ) , g i l d e d bronze and marble,
l a t e 1 8 t h c e n t u r y , P a r i s , stamp o f Adam W e i s w e i l e r .
By a German c r a f t s m a n i n P a r i s who was p a t r o n i z e d by
Queen Marie A n t o i n e t t e .
G i f t o f t h e Janet N e f f C h a r i t a b l e T r u s t .
972.861.1
South W a l l
ARMCHAIR, g i l d e d wood, 1962, American^
R e p r o d u c t i o n o f o r i g i n a l B e l l a n g e c h a i r s , from s e t o f
e l e v e n (7 arm, 4 s i d e ) p l a c e d i n t h e Blue Room i n 1962 and
g r a d u a l l y r e p l a c e d w i t h o r i g i n a l c h a i r s as r e - a c q u i r e d .
G i f t o f Charles F r a n c i s Adams.
962.179.4
PIER TABLE, mahogany, marble, and g l a s s , c.1815, New York,
l a b e l e d by Charles-Honore Lannuier.
Mahogany columns on square s h e l f p r o j e c t i o n s ; w h i t e marble
top.
G i f t o f Robert Knox.
961.168.1
ARGAND LAMPS, p a i r , c u t g l a s s and brass, l a t e 1 8 t h c e n t u r y ,
London, made by Johnston, Brookes & Co.
Diamond-cut spheres as f o n t and p e d e s t a l .
G i f t o f t h e Janet N e f f C h a r i t a b l e T r u s t .
STAND (see east w a l l )
972.864.1-2
�-9-
South W a l l
(continued)
VASE, one o f p a i r , p o r c e l a i n , c.1817, P a r i s ,
by P i e r r e L o u i s Dagoty.
P a i n t e d scene o f t h e Greek p o e t , Homer, w i t h a y o u t h .
Among t h e French f u r n i s h i n g s purchased by P r e s i d e n t James
Monroe i n 1817; d e s i g n a t e d f o r t h e " S i t t i n g room o r P a r l o r "
(Red Room).
817.1374.1
West W a l l
OCCASIONAL TABLES, p a i r , mahogany and m a r b l e , l a t e 1 8 t h c e n t u r y ,
France.
Oblong; marble t o p ; brass t r i m .
G i f t o f t h e Janet N e f f C h a r i t a b l e T r u s t .
972.860.1-2
BOUILLOTTE LAMPS, p a i r , g i l d e d bronze, c.1790-1800, France.
G i f t o f John Loeb.
962.445.1-2
SOFA, (see e a s t w a l l ) , g i l d e d beechwood, c.1817, P a r i s ,
made by Bellang£.
Curved frame t o accommodate c o n t o u r o f t h e w a l l .
ARMCHAIRS, two, g i l d e d wood, 1962, American.
Reproductions of o r i g i n a l Bellange c h a i r s , from set of
e l e v e n p l a c e d i n t h e Blue Room i n 1962 and g r a d u a l l y
r e p l a c e d w i t h o r i g i n a l c h a i r s as r e - a c q u i r e d .
G i f t o f Charles F r a n c i s Adams.
962.179.1, 6
Center
CENTER TABLE, mahogany and marble, c.1817, France.
C i r c u l a r ; w h i t e marble t o p .
Among t h e f u r n i s h i n g s purchased by P r e s i d e n t James Monroe i n
1817; d e s i g n a t e d f o r t h e " S i t t i n g room o r P a r l o r " ( R e d Room).
817.170.1
PUNCH BOWL, p o r c e l a i n , c.1760, Chinese E x p o r t .
"Famille rose" d e c o r a t i o n .
White House A c q u i s i t i o n Fund.
971.691.1
CHANDELIER, g i l d e d wood and c u t g l a s s , c.1815-1820, France.
E i g h t e e n l i g h t arms on r i n g w i t h p a l m e t t e s ; f e a t h e r crown.
G i f t o f J. L l o y d Hyde.
962.249.1
WALLPAPER, s i I k - s c r e e n e d paper, 1995, New York, made by
Brunschwig & F i l s .
Gold m e d a l l i o n - p a t t e r n e d ground paper adapted from an e a r l y 1 9 t h - c e n t u r y American paper, p r o b a b l y a f t e r a French paper;
d r a p e r y swag t o p b o r d e r and c l a s s i c a l r o s e t t e bottom b o r d e r ,
b o t h i n g o l d and a s a p p h i r e b l u e , a f t e r e a r l y - 1 9 t h - c e n t u r y
French papers.
G i f t o f t h e White House Endowment Fund.
�
Dublin Core
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Title
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Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
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William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Other Information: [Committee to Preserve the White House]
Creator
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First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-013-006-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/3b0983d93cedc42dfd697b2a35db21ca.pdf
fe051bab5b0c48e25b0cbf1c0236c1ab
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Misc. Subject Files
OA/ID Number:
10813
FolderlD:
Folder Title:
Other Information: [Committee for the Preservation of the White House]
Stack:
Row:
59
Section:
Shelf:
Position:
2
3
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
001. list
SUBJECT/TITLE
DATE
Committee for the Preservation of the White House; RE: Addresses
and phone numbers [partial] (2 pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Misc. Subject Files)
OA/Box Number:
10813
FOLDER TITLE.
Other Information: [Committee for the Preservation o f the White House]
2006-0810-F
dbl788
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Inforniation Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute [(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes |(b)(7)ofthe FOIA|
b(8) Release would disclose inforniation concerning the regulation of
financial institutions |(b)(S) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE H O U S E
WASHINGTON
COMMITTEE FOR THE PRESERVATION OF THE WHITE HOUSE
Honorary C h a i r , HILLARY RODHAM CLINTON
Member
MRS. LEONORE ANNENBERG
Member
MS. LESLIE GREENE BOWMAN
Member
MS. WENDY COOPER
Member
MRS. CHARLES W ENGELHARD, JR.
.
Member
JONATHAN FAIRBANKS
Member
MS. NANCY M. FOLGER
Member
MARK HAMPTON
Member
MS. KAKI HOCKERSMITH
Member
MS. JANICE M. JOHNSON
Member
WILLIAM KLOSS
Member
RICHARD MOE
Member
RICHARD NYLANDER
Member
JOHN L. RICHARDSON
Member
J . THOMAS SAVAGE, JR.
Member
JOHN WILMERDING
D i r e c t o r , National Park S e r v i c e
Curator,
The White House
ROGER G. KENNEDY
Chairman
REX W. SCOUTEN
S e c r e t a r y , Smithsonian I n s t i t u t i o n
I . MICHAEL HEYMAN
D i r e c t o r , National G a l l e r y of A r t
EARL A. POWELL, I I I
Chairman, Commission of F i n e A r t s
J . CARTER BROWN
Chief Usher, The White House
GARY J . WALTERS
A s s o c i a t e Regional D i r e c t o r
for White House L i a i s o n
National Park S e r v i c e
JAMES I . McDANIEL
Executive S e c r e t a r y
�-2-
C o n s u l t a n t s t o t h e Committee;
A s s o c i a t e C u r a t o r , The W h i t e House
A s s i s t a n t t o t h e P r e s i d e n t and
C h i e f o f S t a f f t o t h e F i r s t Lady
BETTY C. MONKMAN
MARGARET A. WILLIAMS
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. list
SUBJECT/TITLE
DATE
Committee for the Preservation of the White House; RE: Addresses
and phone numbers [partial] (2 pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Misc. Subject Files)
OA/Box Number:
10813
FOLDER TITLE:
Other Information: [Committee for the Preservation of the White House]
2006-0810-F
dbl788
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b(1) National security classified information |(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information |(a)<l) of the PRAj
Relating to the appointment to Federal office |(aX2) of the PRAj
Release would violate a Federal statute |(aX3) of the PRAj
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRAj
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�ZiooQ
THE WHITE HOUSE
WASHINGTON
COMMITTEE FOR THE PRESERVATION OF THE WHITE HOUSE
MEMBERS BY PRESIDENTIAL APPOINTMENT
The Honorable Leonore Annenberg
"Sunnylands"
P.O. Box 98
Rancho Mirage, C a l i f o r n i a
92270
(619)
770-0808
Ms. L e s l i e Greene Bowman
Curator and Department Head
Decorative Arts
Los Angeles County Museum of A r t
5905 Wilshire Boulevard
Los Angeles, C a l i f o r n i a 90036
(213)
857-6004
Ms. Wendy Cooper
Curator of Furniture
Winterthur Museum and Library
Winterthur, Delaware 19735
(302)
888-4850
(617)
369-3270
Mrs. Charles W. Engelhard, J r .
Mr. Jonathan Fairbanks
Katharine Lane Weems Curator of
American Decorative Arts and Sculpture
Museum of Fine Arts
465 Huntington Avenue
Boston, Massachusetts 02115
Ms. Nancy M. Folger
Ms. Kaki Hockersmith
Clinton Library Photocopy
�-2-
Mr. William Kloss
Art H i s t o r i a n and Author
Mr. Richard Moe
President
National Trust for H i s t o r i c Preservation
1785 Massachusetts Avenue, N.W.
Washington, D.C.
20036
(202) 673-4105
Mr. Richard Nylander
Chief Curator
Society for the Preservation of
New England A n t i q u i t i e s
Harrison Gray O t i s House
141 Cambridge S t r e e t
Boston, Massachusetts
02114
(617) 227-3956
Mr. John L. Richardson
Mr. J . Thomas Savage, J r .
Curator
H i s t o r i c Charleston Foundation
P.O. Box 1120
Charleston, South Carolina 29402
(803) 724-8481
Mr. John Wilmerding
Christopher Binyon Sarofim
'86 Professor i n American Art
104 McCormick H a l l
Princeton U n i v e r s i t y
Princeton, New Jersey 08544-1018
(609) 258-3781
Clinton Library Photocopy
�THE WHITE H O U S E
WASHINGTON
COMMITTEE FOR THE PRESERVATION OF THE WHITE HOUSE
MEMBERS BY EXECUTIVE ORDER
Mr. Roger G. Kennedy
D i r e c t o r , National Park S e r v i c e
P.O. Box 37127
Washington, D.C. 20013-7127
(202) 208-4621
Mr. Rex W. Scouten
Curator
The White House
Washington, D.C. 20500
(202) 456-2550
Mr. I . Michael Heyman
Secretary, Smithsonian I n s t i t u t i o n
1000 J e f f e r s o n Drive, S.W.
Washington, D.C. 20560
(202) 357-1846
Mr. E a r l A. Powell, I I I
D i r e c t o r , The National G a l l e r y of A r t
4th and C o n s t i t u t i o n Avenue, N.W.
Washington, D.C. 20565
(202) 737-4215
Mr. J . C a r t e r Brown
Chairman, Commission of Fine A r t s
1201 Pennsylvania Avenue, N.W.
S u i t e 621
Washington, D.C. 20004
(202) 347-1906
Mr. Gary J . Walters
Chief Usher
The White House
Washington, D.C. 20500
(202) 456-2650
Mr. James I . McDaniel
A s s o c i a t e Regional D i r e c t o r
White House L i a i s o n
National Park S e r v i c e
National C a p i t a l Region
1100 Ohio Drive, S.W.
Washington, D.C. 20242
(202) 619-6344
�COMMITTEE FOR T H E PRESERVATION
O F T H E WHITE H O U S E
1 1 0 0 OHIO DRIVE, S.W.
W A S H I N G T O N , D.C. 2 0 2 4 2
Meeting of September 29, 1995
Agenda
12:30 p.m.
Tea and Pastries in the Blue Room
1:00 p.m.
Business Meeting in the Map Room
I.
Chairman's opening remarks
II.
Approval of the minutes of the meeting of February 17, 1995
III.
White House Sculpture Garden
IV.
Cross Hall and Grand Staircase Project
V.
Replacement of Red Room carpet and State Dining Room carpet
VI.
Reframing program
VII.
Recognition of contributions to the work of the Committee for the
Preservation of the White House
VIII. Committee members' forum
IX.
Manoogian loans
X.
New acquisitions
XI.
Decorative ails book and CD-ROM
XII.
Adjournment
�C O M M I T T E E FOR T H E P R E S E R V A T I O N
O F T H E WHITE H O U S E
1 l O O O H I O D R I V E , S.W.
W A S H I N G T O N , D.C. 2 0 2 4 2
MINUTES OF THE FEBRUARY 17, 1995 MEETING
OF THE
COMMITTEE FOR THE PRESERVATION OF THE WHITE HOUSE
At 1:00 p.m. the Committee was called to order in the White House Visitor Center, 1450
Pennsylvania Avenue, N.W., Washington, D.C. Members present included:
Honorary
Chairman Mrs. Hillary Rodham Clinton, Chairman Roger Kennedy, Leslie Greene Bowman, J.
Carter Brown, Wendy Cooper, Jonathan Fairbanks, Mark Hampton, Kaki Hockersmith, Janice
Johnson, William Kloss, Richard Moe, Richard Nylander, Earl A. Powell, I I I , John
Richardson, J. Thomas Savage, Jr., John Wilmerding, Rex W. Scouten, Gary J. Walters,
James I . McDaniel, Betty C. Monkman (Consultant), and public guest, Murray White.
Members not present:
Engelhard, Jr.
Mrs. Leonore Annenberg,
I . Michael Heyman, Mrs. Charles W.
Staff present: Bill Allman, Lydia Tederick, Angela Kondon, Daniel Shanks, and Capricia
Marshall.
Just prior to the business meeting, the Committee had lunch in the National Park Service staff
area at the visitor center and inspected the exhibits and facilities that will shortly be opened to
the public.
I.
Chairman's Opening Remarks
Chairman Kennedy noted the location of this meeting as the newest facility being opened by the
National Park Service to serve White House visitors.
II.
Approval of the minutes of the meeting of September 29. 1994
The minutes were approved as submitted by the Executive Secretary. Chairman Kennedy also
encouraged Committee members to become familiar with the work on the White House
Comprehensive Design Plan, and informed the Committee that a planning newsletter discussing
the various alternatives will be available in March, 1995. Mr. Kennedy explained that the White
House Comprehensive Design Plan "has very important long-term consequences, not just for the
President's Park, but also to the whole life of this part of the city."
�III.
White House Sculpture Garden
J. Carter Brown reported that the second in the series of four exhibitions of sculpture in the First
Lady's garden will be taking place in rotation. This exhibit will be in place from April through
the end of the summer. The exhibit will open in coordination with the Association of Art
Museum Directors. The exhibit's curator, Mr. Townsend Wolfe, Director of the Arkansas Art
Center, will be coordinating this region's exhibit. The southeast is the area being showcased.
In the fall, the western region exhibit will be under the leadership of Peter Marzio, the Director
of the Museum of Fine Arts, Houston. The last exhibit will be from the Northeast, with Marsha
Tucker of New York serving as curator. Mrs. Clinton thanked the members for their
involvement in the success of this project.
IV.
Renovation of the East Room
Gary Walters reported that the work in the East Room has been completed. The faux marble
paint has been removed. The mantle and baseboard marble have been polished, and the carpets
produced by Edward Fields Carpets are in position.
V.
Refurbishing of the Cross Hall
Gary Walters advised that following the last Committee meeting, the subcommittee members
(consisting of Mark Hampton, Kaki Hockersmith, Leslie Bowman, Leonore Annenberg, Wendy
Cooper and Tom Savage), along with other interested Committee members, were asked to take
a look at the Cross Hall carpet on the first floor. There was a general consensus that the color
should be something similar to the existing color. There was discussion about the possibility of
changing the borders.
In the interim, an offer was received from Lacy Champion Carpets of Georgia, which is willing
to work with the Committee on coloration, design and anything else asked of it. The firm is
willing to donate a first piece of carpet, if the second piece would be paid for at their cost. Gary
asked if members who are interested in seeing the samples would meet back at the White House
following this meeting. They would not necessarily be looking at color today, but judging the
quality of the sample submitted by Lacy Champion.
VI.
Renovation of the Blue Room
Mrs. Clinton thanked everyone who labored so hard on behalf of the project. She has just come
from a meeting with the White House Endowment Fund Board, where she personally expressed
her appreciation for this refurbishing project. Ms. Betty Monkman was singled out by Mrs.
Clinton for her tireless efforts in coordination of the renovation project. She looks forward to
having all members see the completed room.
�Mrs. Clinton asked Betty Monkman to point out some of the changes made in the room. The
French 18th century tables were not put back in the room. Instead, two 19th century pier tables
(one French and one American that matched the center mahogany table) were used.
Two marble busts, Christopher Columbus and Amerigo Vespucci that Monroe had brought into
the house in 1817 are being used in the room, but have been temporarily displayed on concrete
pedestals. She asked for the Committee's input on whether some nice marble pedestals should
be obtained, and if so, what color should they be. While the carpet yarns have been dyed, the
carpet has not been woven yet. It is expected to be completed and installed in late spring.
In place of the painting of Baltimore Harbor which was on loan, Boys Crabbing by William
Ranney was taken from storage and hung. The owner of the Baltimore Harbor painting^ was not
willing to give it, and the Committee has agreed not to purchase it. All remaining paintings from
the room have been put back in place.
Ms. Monkman had spent time at the Scalamandre Mill on Long Island, and had been so
impressed with the process used to weave the Blue Room fabric that she had a photographer
capture some of the process to share with the Committee. At this point, Ms. Monkman narrated
a slide presentation. The members were able to see some of the intriguing work accomplished
with the new technology they applied, while seeing how the mill maintained their old world
craftsmanship and quality.
Chairmen Kennedy had a surprise presentation for Mrs. Clinton, a gift of acanthus leaf
bookends. He called upon Betty Monkman to describe the bookends. They are taken from the
molds of the cornice in the room that have been gilded. And the blue fabric presented is from
the draperies. The white ceramic finish is of the new painted wood surface. Mrs. Clinton
expressed her sincere appreciation.
VII.
New Business
A.
New acquisitions
1.
Portrait of Dolley Madison - Betty Monkman advised that the frame from
the portrait was cleaned slightly to remove some dirt. Three people from the
Pennsylvania Academy, along with the Academy's President, Mr. Gresham Riley,
will be attending the afternoon reception. A press release will be going out this
afternoon telling of the acquisition of the portrait from the Academy.
2.
Portrait of Mrs. James Monroe - Betty Monkman reported that a second
appraisal has been received on the Monroe portrait. The first appraisal, done by
Christie's, came in at about $30,000, while the second appraisal done by Robert
Schwartz of Schwartz in Philadelphia came in recently at about $75,000. Mr.
Schwartz mentioned that there is very little market for a painting like this as very
few Vanderlyns have sold in recent years.
The owners of the portraits are two brothers, and they have been offered $50,000
�for the painting. The offer was not accepted as one of the brothers feels it is
worth a tremendous amount of money. A second offer has not been made.
Betty is seeking input from the Committee on how to approach the owners so that
a decision can be make. The floor was open to discussion. Mr. Wilmerding
asked if the brothers have a figure in mind. They have not mentioned an amount
but have given an indication they feel it worth much more than has been offered.
Mr. Hampton wondered if they propose to take it away or leave it on display.
The feeling is they will leave it on display.
Mr. Wilmerding suggested offering a partial gift/partial sale, where they
could receive a set price but take an additional tax deduction. He believes that it
would be irresponsible to offer more than any of the official appraisals.
Another possibility was suggested by Mr. Fairbanks, who proposed buying half
from the one brother willing to sell, and work out the problem over time with the
other brother. The matter was tabled for future discourse and strategy.
B.
Report on carpet replacement - Betty Monkman reminded the Committee that
although Mr. Walters had spoken about the need for replacement carpet in the
Cross Hall, she would like the Committee to be aware of other needs within the
house. While it is not necessarily under the purview of the Committee, there are
other historic areas in the house that will need attention in the near future.
The carpet in the Lincoln bedroom, which is the Brussels carpet installed in 1952
at the time of the Truman renovation, will need to be replaced in the not too
distant future. Members have documents in their packet showing the original
design pattern used during the Lincoln administration.
Mr. Kennedy opened the floor to discussion. Following some question and
answer time, Mr. Wilmerding asked what the next step is - do we go ahead?
Mr. Kennedy asked Ms. Monkman what must be done next?
Since this is in the private quarters of the First Family, Mrs. Clinton should be
involved. When asked how she feels about it, she thinks it's perfect to go ahead
with investigation of replacement. Mr. Savage asked if the original carpet, as the
Brussels carpet, would be duplicated? Ms. Hockersmith mentioned that the same
colors should be used, in light of it being in the bedroom. Mr. Nylander
suggested John Burrows, who had helped with other design and access to carpets
in the past. The final consensus was that Betty should move ahead with sketches
and inquiries.
�VIII.
Committee Member's Forum
Mr. Brown inquired about the catalog numbers assigned to the White House collection, as in 962.
Ms. Monkman explained the numbering system. For example, 962— indicates the object was
acquired in 1962, 862 would mean acquisition in 1862, etc.
Mr. Walters brought before the Committee a suggestion for consideration. While the Committee
has a certificate that is used for recognition of donors of objects where there is no appropriate
certificate that can be used to thank someone for their time and expertise to the White House.
Mr. Wilmerding pointed out that a standard or some level of determining what constitutes
substantial service or time and/or effort in recognition is appropriate. It is possible to use a
similar type certificate, and just change the wording. Mr. Scouten agreed that it will be
important to set a standard.
Mr. McDaniel mentioned that the original certificate was designed by a collaboration between
the White House calligraphers and National Park Service artists. Perhaps they could do some
mock-ups to present at the next meeting.
Mrs. Clinton asked if there is any type of recognition for members of the Committee when they
rotate off and no longer serve. She is interested in having some type of recognition established.
Mr. Walters and Mr. McDaniel will work together on ideas surrounding these suggestions.
Ms. Angela Kondon, a staff member from the Curator's office, is leaving the area. Her help
with the Committee during her time in that position has been greatly appreciated, and she was
thanked by the Committee.
The next meeting will be in September. A date will be determined, and members will be
advised. Any members who have time before the afternoon reception were invited to continue
their tour of the White House Visitor Center where park rangers would be stationed to answer
questions.
The meeting adjourned at 2:00 p.m.
Respectfully submitted,
James I . McDaniel
Executive Secretary
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Final Checklist: August 31, 1995
Scott Burton (1939-1989)
Granite Settee, 1982-83
Granite
36 x 65 x 35 inches
Dallas Museum of A r t , Purchased through a grant from
the N a t i o n a l Endowment f o r the A r t s w i t h matching funds
from Robert K. Hoffman, the Roblee Corporation, Laura
L. Carpenter, Nancy M. 0'Boyle and an anonymous donor,
1983.
Deborah B u t t e r f i e l d (born 1949)
Hina, 1990-91
Bronze
80 x 28 x 112 inches
C o l l e c t i o n of the Modern A r t Museum of Fort Worth,
Purchase made p o s s i b l e by a G i f t from Web Maddox T r u s t .
Joseph Havel (born 1954)
Exhaling Pearls, 1993
Patinated bronze
130 x 55 x 33 inches
The Museum of Fine A r t s , Houston, museum purchase w i t h
funds provided by the Caroline Wiess Law Accessions
Fund, I s a b e l l and Max Herzstein, Isabel Wilson, Nona
and Richard B a r r e t t , and f r i e n d s of the a r t i s t .
Jesus B a u t i s t a Moroles (born 1950)
Moon Ring 3, 1982
Texas g r a n i t e
79 1/4 x 46 x 16 inches
From the C o l l e c t i o n of The Old J a i l A r t Center, Albany,
Texas.
Georgia O'Keeffe (1887-1986)
A b s t r a c t i o n , 1945/1978-80
White lacquered bronze
36 x 36 x 18 inches
The Georgia O'Keeffe Foundation, Abiquiu, New Mexico.
M a r t i n Puryear (born 1941)
Decoy, 1990
Cast i r o n
40 1/2 x 110 1/2 x 109 1/2 inches
The Los Angeles County Museum o f A r t , Purchased w i t h
funds provided by the A r t Museum Council and t h e
F l i n t r i d g e Foundation, 1991.
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Joel Shapiro (born 1941)
U n t i t l e d , 1982
Bronze
72 x 70 x 30 inches
The Museum o f Contemporary A r t , Los Angeles, The Barry
Lowen C o l l e c t i o n .
Robert Therrien (born 1947)
No T i t l e , 1985
Bronze
90 x 32 inches diameter
The Museum of Contemporary A r t , Los Angeles, Anonymous
gift.
W i l l i a m Tucker (born 1935)
Track, 1981
M i l d s t e e l , 93 x 24 x 84
The Denver A r t Museum, G i f t of Mr. and Mrs. Richard
Miller.
Adolph Weinman (1870-1952)
R i s i n g Sun, 1915
Bronze
56 x 54 x 19 inches
The Museum of Fine A r t s , Houston, Anonymous g i f t .
Adolph Weinman (1870-1952)
Descending N i g h t , 1915
Bronze
54 x 54 x 19 inches
The Museum of Fine A r t s , Houston, Anonymous g i f t .
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
Scott Burton
(b. Greensboro, Alabama, 1939 - d. New York, New York 1989)
Scott Burton was an innovator whose work challenged the distinctions between
fine art and applied arts, sculpture and furniture design. He received a B.A. from
Columbia University in 1962 and a M.A. in literature from New York University in
1963. A writer and critic for such publications as Art News and Art in America, Burton
began to explore Performance Art in the 1970s; his performances were characterized by
stage-like tableaux of found pieces of furniture. In 1975 he first exhibited furniture
from his performance pieces independent of actors and from there he began to fabricate
his own designs. Burton's aesthetic was shaped by the primary forms and intellectual
rigor of Minimalist art of the 1960s. At the same time, he adopted the functionalist
ideals of early Modernist architectural and furniture designs, and his sculptures were
created to be used as social and democratic objects. By the mid-1980s Burton was
established as one of this country's most prominent public artists, with commissioned
permanent installations in Baltimore, Houston, London, New York, and Toronto,
among other cities. Scott Burton died of AIDS at the age of 50.
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
Deborah Butterfield
(b. San Diego, California, 1949 - lives in Bozeman, Montana)
Deborah Butterfield has devoted her career to exploring the image of the horse,
probing both the formal and symbolic implications of the motif. She received a B.A.
from the University of California, Davis, in 1972 and a M.F.A. from the same
institution the following year. Fascinated by horses since childhood, Butterfield
created her first sculpture of a mare in 1973, using plaster over a steel armature. Over
the following two decades, Butterfield has employed a broad range of materials as she
has extended the series through numerous variations. While clearly anti-naturalistic,
Butterfield's horses maintain a remarkable sense of realism. Integral to her working
method is her ongoing experience of training horses; her sculptures are animated by an
intimate knowledge of natural posture and movement. At the same time, Butterfield is
acutely aware of the tradition of equine sculpture, where typically stallions are used to
symbolize masculine and martial power. In contrast, Butterfield's horses evoke themes
of nurturing and protection as the artist seeks a spiritual identity with her subject.
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
Joseph Havel
(b. Minneapolis, Minnesota 1954 - lives in Houston, Texas)
Joseph Havel is a master of poetic allusion, balancing found materials and
exquisite craftsmanship to create wittily animated abstract sculptures. He received a
B.F.A. from the University of Minnesota in 1976 and a M.F.A. from Pennsylvania
State University in 1979. Shortly after completing his studies, Havel moved to Texas
and his early work drew inspiration from the rural landscape. Building upon the
tradition of Surrealist assemblage, Havel used familiar implements, tools, and
fragments of furniture to reflect the common vernacular of the region. In more recent
years Havel has concentrated on less localized images, creating works which conflate
multiple references. In 1986 he cast his first sculpture in bronze, a medium which has
played a key role in the evolution of his work. Direct casting techniques allowed Havel
to continue to incorporate everyday objects into his work while the tensile strength of
the medium permitted a new dynamism in his compositions. Over the past decade
Havel has continued to work in bronze as well as more in ephemeral materials.
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
Jesus Bautista Moroles
(b. Corpus Christi, Texas, 1950 - lives in Rockport, Texas)
Jesus Bautista Moroles creates totemic granite sculptures which evoke ancient
cultures. He received a B.F.A. from North Texas State University, Denton, in 1978
following studies at the U.S. Air Force Electronics School, Biloxi, Mississippi and El
Centra College, Dallas. In 1979-80 he lived in Italy, studying classical stonecutting
techniques in Pietrasanta, near Carrara. Returning to Rockport, on the Texas Gulf
Coast, Moroles began to work in the variously colored granites of the region, and
granite has continued to be his chief material over the past fifteen years. Using stateof-the-art stonecutting techniques, from rough-cut to highly polished surfaces, Moroles
manipulates granite with extraordinary authority, creating works which appear to
contradict the mass and weight of the material. Moroles has completed numerous
public commissions and monumental examples of his work can be found in
Birmingham, Houston, and New York, among other cities.
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
Georgia O'Keeffe
(b. Sun Prairie, Wisconsin, 1887 - d. Santa Fe, New Mexico 1986)
Georgia O'Keeffe is among the pioneering figures of American art. Following
studies at the Art Students League, the University of Virginia, and Columbia
University's Teachers College, she began a teaching career which ultimately took her
to Canyon, Texas. In 1915 she created a series of extraordinary abstract compositions
that captured the attention of Alfred Stieglitz, photographer and gallery owner, who
immediately promoted O'Keeffe through exhibitions and writings. The two formed a
friendship following their first meeting in 1916 and in 1918 O'Keeffe took up residence
in New York, where she became Stieglitz's companion. Over the following three
decades she divided her time between the East Coast and the Southwest. This division
is reflected in her work, which celebrated both urban and desert landscapes. In 1949
O'Keeffe made New Mexico her permanent home, living in Abiquiu and Ghost Ranch,
north of Santa Fe. While best known for her paintings and exquisite drawings,
O'Keeffe created several abstract sculptures at different stages in her career. These
works echo the imagery of her paintings, suggesting organic and blossoming forms.
O'Keeffe died at the age of 98; as much as any artist of this century she shaped the
course of American modernism.
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
Martin Puryear
(b. Washington, D.C. 1941 - lives in upstate New York)
Martin Puryear draws upon ethnography, popular culture, and history as sources
for his brilliantly evocative sculptures. He received a B.A. from the Catholic
University of America, Washington, D.C. in 1963, and he spent the following two
years with the Peace Corps in Sierra Leone, West Africa. He continued his studies at
the Swedish Royal Academy of Art, Stockholm and received his M.F.A. from Yale
University in 1971. While in Africa he became fascinated by the ongoing traditions of
local craft, building, and labor that spanned more than a thousand years, and many of
the techniques of his subsequent work were based on his African experience. Through
his studies at Yale, Puryear assimilated the history of modernism, from the first
decades of this century to Minimalism. Typically his sculptures evoke man-made tools
and forms found in nature. By reducing these forms to simple and elemental shapes,
Puryear creates archetypal images that appear to be timeless. Puryear has created
public installations in Chevy Chase, Chicago, New York, and San Francisco among
other cities. In 1989 he was invited to represent the United States at the Sao Paulo
Bienal, Brazil.
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
Joel Shapiro
(b. New York, New York, 1941 - lives in New York, New York)
Joel Shapiro takes architecture and the human figure as points of reference in
his wittily reductive sculptures. He received a B.A. from New York University in
1964 and a M.A. from the same institution in 1969, after having spent two years with
the Peace Corps in India. His first works from the early 1970s emphasized the process
of assembly, and were made up of units which appeared to be arranged haphazardly.
In the mid-1970s he began to create a series of small-scale geometric sculptures, using
recognizable and ordinary images such as houses, chairs, and tables; by 1980 the
human figure had become a dominant motif in Shapiro's work, and over the following
decade, the artist has continued to experiment with the figure, frequently working on a
monumental scale. Using simple block forms, Shapiro creates figures which look like
puppets or sculptor's models. Typically they are presented with limbs akimbo in
asymmetrical and gravity-defying positions. These deceptively simple works unite both
constructivist and figurative traditions with extraordinary sophistication. Shapiro has
created public installations in Berlin, Los Angeles, New York, and Washington, D.C.
among other cities.
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
Robert Therrien
(b. Chicago, Illinois, 1947 - lives in Los Angeles, California)
Robert Therrien invests common geometric forms with visual wit and a sense of
play. He received a B.F.A. from Brooks Institute, Santa Barbara, in 1970 and a
M.F.A. from the University of Southern California, Los Angeles in 1973. By the mid1970s he established a basic lexicon of forms from which he created an extended series
of sculptures varying in scale, material, and color. Rendered both as reliefs and as
freestanding sculptures, the geometric purity of the compositions ally these works with
Minimalist aesthetics. At the same time, these works can be read as familiar images,
such as a church, a snowman, a bent dunce's cap, or a keyhole, recalling the bold
simplicity of children's book illustrations.
�THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
William Tucker
(b. Cairo, Egypt, 1935 - lives in upstate New York)
William Tucker creates abstract sculptures that combine formalist concerns with
an astute sense of material. Born in Egypt to English parents. Tucker was raised in
England. He attended Oxford University from 1955 to 1958, completing his studies at
the Central School of Art and Design and at St. Martin's School of Art in London. He
emigrated to the United States in 1978 and became an American citizen in 1986. In the
1960s and 1970s his work was essentially analytic in nature, characterized by a spare
geometry. As his work evolved into the early 1980s, his compositions were pared
down to reductive armatures and delicate silhouettes. His work of these years exploited
the tensile strength of his materials, typically steel or wood. In the mid 1980s,
however. Tucker began to work in bronze, plaster, and clay. The malleability of these
materials prompted a shift in his sculpture, which assumed a new mass and weight.
Tucker published a History of Modem Sculpture in 1974, as well as numerous articles.
�10
THE MUSEUM OF FINE ARTS, HOUSTON
"Twentieth Century American Sculpture at The White House"
Artists' Biographies
Adolph Weinman
(b. Karlsruhe, Germany, 1870 - d. Port Chester, New York, 1952)
Adolph Weinman is among the last generation of sculptors identified with the
American Renaissance. After a childhood in Germany, he emigrated with his family to
the United States in 1880. He attended Cooper Union and the Art Students League; he
completed his studies under Augustus Saint Gaudens. By 1900 he had established a
career as a popular sculptor of figures and decorations for public monuments; he was
also active as a medalist. Among his most celebrated works are the fountain figures of
"Rising Day" and "Descending Night" he created for the 1915 Panama-Pacific
International Exposition in San Francisco to celebrate the opening of the Panama
Canal. His public commissions in Washington, D.C. include the decoration of the
pediment of the Thomas Jefferson Memorial, the monumental frieze for the Supreme
Court Room, Supreme Court Building, and the facade decorations of the Post Office
Department Building.
�THE WHITE HOUSE
WASH INGTON
REFRAMING PROJECT
P a i n t i n g s which have been reframed;
Sargent - The Mosquito Net (Green Room)
Church - Rutland F a l l s , Vermont (West Wing Lobby)
Whittredge - Crossing the R i v e r P l a t t e (Roosevelt Room)
Richardt
- Independence H a l l ,
Philadelphia
(Green Room)
Roesen - S t i l l L i f e w i t h F r u i t and S t i l l L i f e w i t h F r u i t ,
Goblet, and Canary (Red Room)
Cropsey - Autumn Landscape ( P r e s i d e n t ' s Dining Room)
Hassam - F l a g Day (The Oval O f f i c e )
Thompson - Cannonading on the Potomac (West Wing Lobby)
September 29, 1995
�THE WHITE H O U S E
WAS
HIN G T O N
REFRAMING PROJECT
Suggestions f o r second phase:
Eakins - Ruth
(Second F l o o r Corridor)
Harnett - The C i n c i n n a t i Enquirer ( L i b r a r y )
C a s s a t t - Young Mother and Two C h i l d r e n (Second F l o o r Corridor)
B r i c h e r - C a s t l e Rock, Nahant, Massachusetts (Yellow Oval Room)
Melrose - New York Harbor and the B a t t e r y (Yellow Oval Room)
Healy - The Peacemakers
(The Treaty Room)
Heade - F l o r i d a S u n r i s e (East S i t t i n g H a l l )
Heade - S a i l i n g o f f the Coast (East S i t t i n g H a l l )
Prendergast - Revere Beach
( E l e v a t o r Foyer, Second F l o o r )
B i e r s t a d t - Storm Clouds (Yellow Oval Room)
Chase - Shinnecock H i l l s . Long I s l a n d
(Yellow Oval Room)
The Prendergast, B i e r s t a d t and Chase frames w i l l be g i f t s
the framer.
September 29, 1995
from
�THE WHITE H O U S E
WAS HIN GTON
OBJECT FOR CONSIDERATION
OBJECT: Princeton Landscape [title given by Eleanor Axson SayreJ
Artist: Ellen Louise Axson Wilson (1860-1914)
(Mrs. Woodrow Wilson)
Medium: Oil on canvas
Origin: American
Date: c. 1913
Inscriptions: Signed lower right: E.A. Wilson.
Measurements: 12 x 16 in.
Description: Impressionist rendering of an autumn scene.
Frank Aucella, Assistant Director of the Woodrow Wilson House, has suggested that this
painting may have been created during Mrs. Wilson's stay in Cornish, New Hampshire
in 1913.
Condition: Painting and frame are in good condition.
Provenance: Descended in family to Eleanor Axson Sayre (granddaughter of the artist).
Exhibited, "Ellen Axson Wilson: First Lady and Artist,"
January 8 - May 1, 1993, Woodrow Wilson House, Washington, D.C, and
May 15 - October 31, 1993, Woodrow Wilson Birthplace and Museum,
Staunton, Virginia, #48 (titled, Woods and Fields in Autumn).
Owner: Eleanor Axson Sayre
Cost:
To be presented as a gift.
�Artist represented in the White House collection? No
Comments:
Approval (please sign):
OR
Disapproval (please sign):
Date:
The Committee for the Preservation of the White House
�THE WHITE HOUSE
WASHINGTON
P r i o r t o her marriage, E l l e n Louise
Axson Wilson, f i r s t w i f e o f P r e s i d e n t
Woodrow W i l s o n , s t u d i e d f o r a b r i e f p e r i o d
at t h e A r t Students League i n New York.
A f t e r her t h r e e daughters were grown, she
resumed her s t u d i e s w i t h t h e O l d Lyme A r t
Colony.
With the assistance o f the
prominent New York a r t d e a l e r , W i l l i a m
Macbeth, Mrs. Wilson e n t e r e d s e v e r a l
j u r i e d e x h i b i t i o n s . Examples o f h e r work
were e x h i b i t e d a t t h e Chicago A r t
I n s t i t u t e , t h e Pennsylvania Academy o f
Fine A r t s , t h e N a t i o n a l Academy o f Design,
and t h e N a t i o n a l A s s o c i a t i o n o f Women
A r t i s t s i n New York. I n February 1913, a
one-woman show was h e l d a t t h e A r t s and
Crafts Guild i n Philadelphia. A review
t h a t appeared i n The New York Times (Feb.
20, 1913) s t a t e d : "Mrs. Wilson's
p a i n t i n g s show h e r t o be a r e a l l o v e r o f
n a t u r e and t h e possessor o f a f i n e f a c u l t y
for interpreting i t .
�THE WHITE H O U S E
WASHINGTON
WHITE HOUSE ACQUISITIONS
W i l l i a m J. C l i n t o n A d m i n i s t r a t i o n
February 17, 1995 - September 29, 1995
FINE ARTS
Portraits
BARBARA PIERCE BUSH, 1925- .
H e r b e r t E. Abrams, 1921. O i l on canvas, 1994, 38 x 31 7/8.
G i f t o f Robert E. and E l i z a b e t h W Krueger.
.
995.1753.1
GEORGE HERBERT WALKER BUSH, 1924- .
H e r b e r t E. Abrams, 1921- . O i l on canvas, 1994, 50 1/4 x 40 1/8
G i f t o f Robert E. and E l i z a b e t h W Krueger.
.
995.1752.1
Other P a i n t i n g s and P r i n t s
WILLIAM HENRY POWELL ( a t t r i b u t e d ) , 1823(?)-1879.
Emigrant Scene; o i l on canvas, c.1837, 37 x 6 1 .
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n .
995.1745.1
DOCUMENTARY MATERIALS
DRAWING, w a t e r c o l o r on paper, 1927, New York, T i f f a n y S t u d i o s .
Design f o r 1927 Green Room r u g ; l o w e r r i g h t quadrant w i t h
P r e s i d e n t i a l Arms as o v a l c e n t e r m e d a l l i o n , executed as
c i r c u l a r m e d a l l i o n on e x t a n t r u g 927.1574.1; s c r o l l s on green
f i e l d ; t i e d l a u r e l as m e d a l l i o n frame and b o r d e r .
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n .
995.1755.1
DRAWING, w a t e r c o l o r on paper, 1927, New York, T i f f a n y S t u d i o s .
Design f o r 1927 Red Room r u g ; f u l l image w i t h Great Seal
as c i r c u l a r c e n t e r m e d a l l i o n , e x e c u t e d as P r e s i d e n t i a l Arms
on e x t a n t r u g 927.1576.1; s c r o l l s on r e d f i e l d ; t i e d l a u r e l
as m e d a l l i o n frame and b o r d e r .
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n and CG. Sloan S
c
Co., I n c .
995.1756.1
�-2-
FURNITURE
SIDE CHAIRS, two p a i r s , maple, c.1877, New York,
p r o b a b l y made by R.J. Horner.
I m i t a t i o n bamboo; from a s u i t e used i n t h e bedroom o f P r e s i d e n t
and Mrs. R u t h e r f o r d B. Hayes.
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n .
995.1746.1-4
CERAMICS
DESSERT/FRUIT PLATE, p o r c e l a i n , 1879-1880, Limoges, France,
made by H a v i l a n d & Co., d e s i g n e d by Theodore R. Davis.
From t h e RUTHERFORD B. HAYES S t a t e S e r v i c e ; l e a f - s h a p e d ;
"The S t u d i o " , New J e r s e y beach bathhouse used by Davis.
G i f t o f Mr. and Mrs. M i l t o n B. A l l m a n .
995.1750.1
TEA PLATE, p o r c e l a i n , 1873, Limoges, France,
made by H a v i l a n d S Co.
c
From t h e Grant r e - o r d e r o f t h e ABRAHAM LINCOLN S t a t e S e r v i c e ;
s o l f e r i n o " r o y a l p u r p l e " r i m ; e a g l e emblem a t c e n t e r .
G i f t o f W i l l i a m G. Allman.
995.1749.1
GLASSWARE
ICE CREAM PLATE, c u t g l a s s , 1892-1906, made by C. D o r f l i n g e r &
Sons, White P l a i n s , Pa., o r T.G. Hawkes, C o r n i n g , New York.
From t h e BENJAMIN HARRISON S t a t e S e r v i c e o r r e - o r d e r s ; Russian
p a t t e r n ; P r e s i d e n t i a l arms on r i m .
G i f t o f W i l l i a m G. Allman.
995.1751.1
METALWARE
TIEBACKS, s e t o f e i g h t , g i l d e d b r a s s , c.1825-1850, American.
H o l l o w c a s t o v a l p l a t e ; hook t h r o u g h s h i e l d framed by s t a r - s t u d d e d
d r a p e r y ; spread-winged eagle perched on d r a p e r y r o d ; oak leaves
frame sun r a y s dependent from t o p screw h o l e .
White House A c q u i s i t i o n Fund.
985.1754.1-8
�-3-
TEXTILES
QUILT, s i l k , v e l v e t , and o t h e r f a b r i c s , c.1893-1904,
Washington, D.C, made by A.E. Kennedy f i r m .
P a t t e r n e d patchwork face made o f f r a g m e n t s from d e c o r a t i v e work
done f o r t h e White House by A.E. Kennedy, c. 1893-1904; m e d a l l i o n c e n t e r e d diamonds; b o r d e r o f s t r i p s .
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n .
995.1747.1
PILLOW CASE, s i l k , v e l v e t , and o t h e r f a b r i c s , c.1893-1904,
Washington, D.C, made by A.E. Kennedy f i r m .
Random patchwork face made o f f r a g m e n t s from d e c o r a t i v e work done
f o r t h e White House by A.E. Kennedy, c.1893-1904.
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n .
995.1748.1
�RUG,
Modern, 1995, wool, 23.7 x 33.1 o v a l , H e n d e r s o n v i l l e ,
N.C.,
made by S t a r k Carpet C o r p o r a t i o n .
R e g e n c y - s t y l e adapted from n e o c l a s s i c a l E n g l i s h d e s i g n c.1815;
b l u e f i e l d covered w i t h g o l d r o s e t t e s ; l a r g e c i r c u l a r c e n t e r
m e d a l l i o n w i t h c e n t r a l w r e a t h framed by f o u r w h i t e e l l i p t i c a l
r e s e r v e s d e f i n i n g l y r e - f i l l e d b l u e s p a n d r e l s ; b e l l f l o w e r bands
frame r e s e r v e s and b o r d e r w i t h g o l d acanthus cups, anthemia, and
s c r o l l s matching the medallion center.
G i f t of t h e White House Endowment Fund.
P95.T03733.1
Design secured f o r one-time a d a p t i v e use t h r o u g h J. R. Burrows
Company, Rockland, Massachusetts, American r e p r e s e n t a t i v e o f
Woodward Grosvenor, K i d d e r m i n s t e r , England.
Made by S t a r k Carpet C o r p o r a t i o n , whose Washington, D. C. s t a f f
p r o v i d e d d e s i g n a s s i s t a n c e . Woven a t S p i n n i n g Wheel Rugs,
H e n d e r s o n v i l l e , N.C.
Cost - $50,500.
I n s t a l l e d i n t h e Blue Room on J u l y 5, 1995.
�TIHE W I E
HT
FOR IMMEDIATE RELEAflB
JULY 12,
1995
H UE
OS
WASH I KIOTO N
CONTACT I
LIflA CAPtff0
MEBL LATTZJIORS
KAREN PXNNBY
202-456-2960
BLUB ROOM RE7QRBI8HINQ COMPLETED WITH THE
IN8TALIATIOK OF CARPET
WASHINGTON, D — A new oval carpet was installed in the Blue
C
Rodm of the white House ati July 5, 1995. The installation of the
carpet completes the refurbishing of the Blue Room. The
ref urbishing project began in January of 1995. The wool carpet
hae a blue field with gold rosettes and an eight foot center
nedallion with classical notifs of scrolls, vines, flowers and
lyies in cream, gold, red and blue. The motifs are repeated in
the blue and gold border.
Tlie design of the carpet, measuring 23.6 feet x 33.1 feet, was
adapted from an original cesign for a neoclassical English carpet
of Woout 1815, the period of the furnishings acquired by
President James Monroe fo; • the Blue Room. The design of the
c^rbet i s owned by Woodward Grosvenor & Co Ltd. in England.
Woodward Grosvenor k Co Ltd. is represented in the United States
by J.R. Burrows Company ir Rockland, Massachusetts. The
needlepoint weave carpet was made by the Stark Carpet Corporation
apd loomed in Henderson, North Carolina. The cost of the carpet
was $50,500.
Renovating and refurbishing of the Blue Room began January 3 of
1995. Work done in the Bl^e Room included replacing the wall
paper, drapes and furniture fabric, repainting the room, and the
preservation and conservation of historic objects in the room.
Thisi Blue Room is one of three oval rooms in the White House and
i s located on the State Floor. The room, seen by 1.2 million
visitors a year, was last refurbished in 1972. The draperies and
furniture upholstery had bacome soiled, worn and sun damaged and
needed to be replaced, as lid the badly worn mid-nineteenth
century Chinese carpet whi sh had been in the room since 1975.
i
i!
thft Blue Room renovation/refurbishing i s the f i r s t major White
House project funded exclusively by the White House Endowment
Fund. The White House Endowment Fund was established in 1990 as
a non-profit charitable onjanization to raise a $25 million
endowment. The purpose of the endowment i s to support, in
perpetuity, the preservation and conservation of the public rooms
f the White House, and the acquisition of objects for the White
ouee collection of fine and decorative arts.
S
^DITOR'S NOTEt The renovated Blue Room, without the carpet, was
officially unveiled on February 17, 1995 at a meeting of the
Committee for the Preservation of The White House.
�
Dublin Core
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Title
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Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
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The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Other Information: [Committee for the Preservation of the White House]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-013-005-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/c7d62d13d81822038ec8c6c86453e92d.pdf
3740790ad757b9b0fb626abffbe1b109
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Misc. Subject Files
OA/ID Number:
10813
FolderlD:
Folder Title:
Other Information: [A Comprehensive Design Plan for the White House]
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
2
3
�mm
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P
isfi"'" *
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4
.Mm
�9*
OR THE PRESERVATION
THE WHITE HOUSE
1100 OHIO DRIVE, 8. W.
WASHINGTON, D. C. 20242
TO:
MEMBERS
FROM:
EXECUTIVE SECRETARY
SUBJECT:
MATERIALS FOR THE MEETING OF THE COMMITTEE
SEPTEMBER 29, 1994
We have enclosed f o r your review an agenda f o r the meeting of the
Committee a t 1:00 p.m. on Thursday, September 29, a t the White
House. We have also included a b r i e f i n g package on the White House
Comprehensive Design Plan, a long range plan being developed by the
National Park Service f o r the White House and i t s environs.
Chairman Kennedy wanted you t o be aware of t h i s p r o j e c t .
At the meeting we w i l l discuss the i n t e r p r e t a t i o n of the White
House C o l l e c t i o n . I t has been suggested t h a t a book be published
on t h e subject of White House decorative a r t s . D i f f e r e n t ways of
i n t e r p r e t i n g such a subject might be worth e x p l o r i n g . Perhaps some
of us or our colleagues have experience w i t h CD-ROM, photo disk,
video or other media i n the i n t e r p r e t a t i o n of museum c o l l e c t i o n s .
We have also included a "Committee Members* Forum" on the agenda.
I f you have ideas, suggestions or proposals on any subject, we
would c e r t a i n l y welcome an opportunity t o hear from you.
SPECIAL NOTE: Members of the Blue Room Subcommittee w i l l meet a t
12:45 p.m. t o review the renovation recommendations.
Other
i n t e r e s t e d members are welcome t o j o i n t h i s discussion. Members of
t h i s sub-committee are: L e s l i e Greene Bowman, Wendy Cooper, Mark
Hampton, Kaki Hockersmith, Betty Monkman, Richard Nylander, Gary
Walters, and members of the Curator's O f f i c e .
We look forward t o seeing you on September 29 and, i f we can be of
any service t o you, please give us a c a l l a t (202) 619-6344.
�COMMITTEE FOR THE PRESERVATION
OF THE WHITE HOUSE
1100 OHIO DRIVE. 8. W.
WASHINGTON. D. C. 20242
Meeting o f September 29, 1994
Agenda
I.
Chairman's
opening remarks
II.
A p p r o v a l o f t h e minutes o f t h e meeting o f
February 24, 1994
III.
White House S c u l p t u r e
IV.
Renovation o f t h e Blue Room
V.
Funding
s u p p o r t from t h e White
House H i s t o r i c a l
A s s o c i a t i o n and i t s s u b s i d i a r y , t h e White House Endowment
Fund
VI.
Replacement
VII.
White House V i s i t o r Center
VIII.
Committee Members' Forum
IX.
New Business
Program
o f t h e East Room c a r p e t
A.
B.
Appointment o f a subcommittee on t h e r e f u r b i s h i n g
o f t h e Cross H a l l
C.
Red Room c a r p e t replacement
E.
Report on HVAC r e n o v a t i o n
D.
I n t e r p r e t a t i o n o f White House d e c o r a t i v e a r t s
F.
X.
Proposal t o a c q u i r e p o r t r a i t o f Mrs. James Monroe
New a c q u i s i t i o n s
Adjournment
Tea t o f o l l o w i n t h e Green Room w i t h a showing o f new
acquisitions
�Comprehensive Design Plan for the White House
National Park Service
U.S. Department of the Interior
Background
The White House is unique among our national treasures in that it is functional as well as symbolic.
George Washington selected the site, and the White House has been the official residence and office
of every President since John Adams. Presidents such as Jefferson, Jackson, Lincoln and Theodore
Roosevelt walked and shaped the grounds. Others, such as Truman and Kennedy, assured its continued
existence as a national symbol. The White House itself is significant architecturally, and it is an
incomparable public museum of the U.S. Presidency. The surrounding park lands, referred to as
President's Park, are integral to the planned cityscape of Washington, D.C. As a symbol, the White
House has no equal in national imagery.
There is no contemporary plan to guide the management or logistical operations of the White House and
President's Park, and actions in recent years have been largely in reaction to surrounding urban,
national and even international pressures. The agencies involved in managing and operating the area
agree that the time has come for comprehensive planning for the White House and President's Park.
In Fiscal Year 1992, Congress authorized funding to develop a Comprehensive Design Plan for the
White House. The National Park Service (NPS) is the lead agency for this planning effort. Since
spring 1992, an interdisciplinary NPS planning team has been working with the 12 stewardship and
oversight agencies that have responsibilities at the site to complete the data collection phase of the
planning.
The goal of the completed plan will be to serve both the people and the Presidency. The plan will
protect the historic site while making site operations over the next 20 years smoother and more efficient.
Solutions will be developed to improve the educational experience for visitors, as well as to make the
site safer and more accessible. Actions proposed in the plan will be associated with many different
agencies and may also involve public/private joint ventures.
Executive Committee
The following stewardship and oversight agencies for the site are involved in the planning. They serve
on the Executive Committee for the project, working with the NPS throughout the planning process.
Executive Office of the President
Executive Residence at the White House
White House Military Office
Department of the Treasury
U.S. Secret Service
General Services Administration
National Park Service
District of Columbia
Commission of Fine Arts
National Capital Planning Commission
Advisory Council on Historic Preservation
Pennsylvania Avenue Development Corporation
Action
The data collection and issue identification phases of the planning have been completed. During issue
identification over 26 workshops were held with agencies and organizations, and a four day public
involvement activity was held on the Ellipse to gather issues and reactions from visitors. Development
of alternatives began in October, 1993, with working group meetings where subject matter experts from
the public and private sector met to develop desired futures describing what the study area should be
like in the year 2015. The desired futures were used to develop conceptual alternatives. The individual
actions in the alternatives are now being developed and checked for feasibility. The Executive
Committee is now exploring implementation and financing strategies and the development of design
guidelines to accompany the final plan. A completed plan is scheduled for December, 1995.
Fall, 1994
�COMPREHENSIVE DESIGN PLAN FOR THE WHITE HOUSE
NATIONAL PARK SERVICE
EXECUTIVE COMMITTEE
Role and Function
The Executive Committee of the Comprehensive Design Plan for the White House is composed
of the leadership of those governmental stewardship and oversight agencies and federally
chartered organizations who have official responsibilities within the study area known as the
White House and President's Park.
Executive Committee members work with the Director of the National Park Service in this
planning process to help develop and guide the Comprehensive Design Plan for the White
House. Each member brings the responsibilities, concerns and relevant expertise of their agency
to the project. Members of the Executive Committee help develop and carry out an
implementation strategy for the final plan.
Together the Executive Committee seeks to serve the presidency and the people through the
development of a Comprehensive Design Plan which ensures that the resources of the site are
protected while safe and efficient services are provided for those who live, work and visit there.
This planning process stems from the long range concerns of the stewardship and oversight
agencies about the ability of the area to accommodate present and future use. Planning began
in the spring of 1992 and a completed plan is expected by December, 1995. This project
involves opportunities for public review and comment at the issue identification, draft plan and
final plan stages.
The
Comprcbenstvc
Design Plan
for the
White House
�COMPREHENSIVE DESIGN PLAN FOR THE WHITE HOUSE
NATIONAL PARK SERVICE
EXECUTIVE COMMITTEE
Members
Members of the Executive Committee for the Comprehensive Design Plan for the White House
are:
Chair:
Mr. Roger G. Kennedy
Director
National Park Service
Members:
Honorable Jodie Torkelson
Deputy Assistant to the President for
Management and Administration
The White House
Honorable Lloyd Bentsen
Secretary
U.S. Department of the Treasury
Honorable Alphonso Mauldon, Jr.
Deputy Assistant to the President
and Director,
White House Military Office
Mr. Roger W. Johnson
Administrator
General Services Administration
Honorable Sharon Pratt Kelly
Mayor
District of Columbia
The
Comprehensive
Design Plan
for the
White House
�Comprehensive Design Plan for the White House
Executive Committee Members
(continued)
Mr. Gary Walters
Chief Usher
The Executive Residence
The White House
Mr. Eljay B. Bowron
Director
U.S. Secret Service
U.S. Department of the Treasury
Mr. J. Carter Brown
Chairman
The Commission of Fine Arts
Mr. Glen T. Urquhart
Chairman
National Capital Planning Commission
Ms. Cathryn Buford Slater
Chairman
Advisory Council on Historic Preservation
Mr. Richard A. Hauser
Chairman
Pennsylvania Avenue Development Corporation
Mr. Robert G. Stanton
Regional Director, National Capital Region
National Park Service
Fall, 1994
2
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Design Plan
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White House
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�COMPREHENSIVE DESIGN PLAN FOR THE WHITE HOUSE
The National Park Service is preparing a plan to guide the future management and use of the
buildings and grounds at the White House, aiming to better serve the public and the Presidency
and to protect the historic character of this national treasure. The White House is unique among
our national monuments in that it is functional as well as symbolic. As one of several agencies
entrusted with management responsibilities at the White House, the National Park Service
recognizes its dual responsibilities to
•
effectively and efficiently accommodate the overlapping and increasingly complex
functions of the Executive Residence, the Executive Office, and a "living" museum
•
preserve the historic character of the monumental buildings and landscapes that have
come to symbolize the stability and continuity of our democratic form of government
Meeting all the expectations for the physical environment of the White House demands a
visionary, comprehensive design plan to guide the development and operation of the site. The
plan will be accomplished through an interagency, multidisciplinary team of highly qualified,
senior-level professionals capable of meeting the special needs of planning for the White House.
A working partnership among all the affected agencies and representatives of the national interest
will be critical to the success of this effort. The products will include comprehensive design
plan for the White House and surrounding President's Park and plan supplements establishing
guidelines for site design and operations. The entire effort is scheduled to be accomplished over
approximately three years at a projected cost of $1.9 million.
FALL, 1994 STATUS REPORT
A multidisciplinary core planning team has been formed by the National Park
Service. The extensive first phases of data collection and issue identification are
almost complete. Data collection included documentation of existing conditions,
a traffic study, an administrative history, and a cultural landscape evaluation.
Additionally, a three-dimensional model has been developed for the site on a
computer-aided design (CAD) system. Ongoing contact with the stewardship and
oversight agencies has been maintained throughout the process.
Issues at the site were identified in a series of 26 workshops held between April
and October 1993. Over 70 agencies and organizations were invited to attend the
workshops. A public involvement activity was held on the Ellipse for four days
to gather issues and reactions from visitors. Work on alternatives began in
October, 1993, when 80 public and private sector subject matter experts
developed desired futures for the study area. The desired futures were used to
form conceptual alternatives. Actions in the alternatives are now being developed
and checked for feasibility. An Executive Committee, composed of the
congressional ly chartered stewardship and oversight agencies at the study area,
continues to guide the planning process. The Executive Committee is now
exploring implementation and financing strategies and the development of design
guidelines to accompany the final plan. A final plan is scheduled to be completed
by December, 1995.
�COMPREHENSIVE DESIGN PLAN FOR THE WHITE HOUSE
PROJECT HISTORY
The White House was first envisioned as an integral part of a great federal city. The architecture
was to be monumental, with a Greek theme symbolizing democracy and large public parks
providing the appropriate setting. Sweeping vistas would connect the executive and legislative
government buildings. President George Washington chose the site for the city and Pierre
L'Enfant drew the plan. The history of the White House illustrates a strong sense of destiny and
sensitivity to this design over two centuries of decision-making through 41 Administrations.
The site selected by L'Enfant for the President's "palace," a prominent ridge of land
overlooking the Potomac River, became the first piece of property acquired for the federal city.
A lively debate soon ensued over the design of the structure itself - whether it should be palatial
or more practical. The ultimate decision established a strong precedent: the President would live
in a house, not a palace, recognizing in the true spirit of democracy that the property belonged
ultimately to the citizens. Balancing dignity with practicality and public access became a
recurring issue at the White House. Abigail Adams decided that the First Family's laundry
should be hung in the East Room rather than airing it in public. President Thomas Jefferson
decided that an outhouse was inappropriate. Striking a balance between functional needs and an
appropriate image for the White House remains a challenge to this day.
In 1814 the British burned the White House. President James Madison determined that it would
be rebuilt exactly as it had appeared before, making it a symbol of the stability and the
continuity of American democratic government and establishing a strong precedent for
maintaining the historic character of the site. In 1851 an eminent designer, Andrew Jackson
Downing, designed the first formal landscaping plan for the entire White House reservation,
including the Ellipse on the south, and established a framework for that area that has been
retained in part to this day. When new office buildings were finally seen as imperative, the
Treasury Building (1869) and Executive Office Building (1886) were constructed on the sites of
preexisting structures, attempting to avoid additional impacts on the open spaces critical to
L'Enfant's plan.
Faced yet again with a critical shortage of space, President Theodore Roosevelt reviewed the
work of the McMillan Commission and decided in 1901 to add the West Wing to the White
House to accommodate the Executive Office. Again, full attention was given to preserving the
historic character. The West Wing was designed to be unobtrusive, and the attention to detail
included lowering the delivery roads so they would not intrude on the historic scene. When the
East Wing was added in the 1940s, it mirrored the scale of the West Wing. Also during the
Franklin Roosevelt Administration, the Olmsted Brothers comprehensively reviewed the
landscape history of the site. Placing "the utmost importance" on strengthening the
"long-established landscape qualities of great dignity and appropriateness," they reclaimed
L'Enfant's grand vistas, which had been somewhat obscured by Victorian fussiness and
overmature vegetation.
�The last major decision affecting the architectural character of the White House was President
Harry S. Truman's decision to solve the severe structural problems that hadfirstbecome
apparent in the 1920s. The reconstruction of the White House during Truman's Administration
created an opportunity to meet additional space requirements with extensive underground
construction, thus avoiding any further exterior alteration.
Changing conditions over the past half century have presented major new challenges for the
stewards of the White House. Many problems have been solved as they have arisen. However,
the lack of comprehensive planning has resulted in a piecemeal approach to problem solving.
This has not been sufficient to protect the integrity of the WTiite House from encroachment by
surrounding urban land uses. Nor has it adequately accommodated the functional needs of the
Executive Office and Residence or the needs of visitors who come in ever-increasing numbers
from throughout the nation and the world to tour the White House.
The wide-ranging issues facing the site today include addressing the needs of visitor use and
education, cultural and natural resource protection, special events, site operations, maintenance
and facility development, transportation and parking, security, state and diplomatic functions,
the Executive Residence and Executive Office, and support facilities.
In October 1989 the National Park Service, convinced that comprehensive planning was crucial
to protect the character of the White House and to satisfactorily deal with myriad competing
activities, presented a proposal for a comprehensive design plan to the many organizations with
responsibility at the White House and President's Park. The proposal was strongly supported,
and Congress provided funding to begin the planning process infiscalyear 1992.
�COMPREHENSIVE DESIGN PLAN FOR THE WHITE HOUSE
RESOURCE ISSUES AND TOPICS
The following topics will be addressed in the Comprehensive Design Plan for the White House. We
would appreciate hearing about your issues and concerns in each topic area during the upcoming issue
workshop. Questions pertaining to each topic are included to stimulate, but not limit, your thoughts.
RESOURCE CONSERVATION AND PROTECTION: What steps need to be taken to protect and
maintain the multiple onsite cultural and natural resources? These resources, which include the
White House and other significant buildings, monuments, and memorial plantings in the White
House gardens, are subject to active use and intensive management.
EXECUTIVE RESIDENCE: What support functions are needed to provide a home for the President
— a place that offers privacy, comfort, and recreation for the First Family?
OFFICE SUPPORT SERVICES: What support functions are needed to ensure smooth and efficient
operations of the White House as the Office of the President?
OFFICIAL FUNCTIONS: What support systems are necessary to successfully accommodate ceremonial
activities involving heads of state and dignitaries?
SECURITY: What measures need to be taken to ensure protection for the First Family, employees,
guests, and visitors?
SPECIAL EVENTS: What support functions are needed for onsite Federal or privately sponsored
activities and demonstrations that involve groups of varying sizes?
VISITOR USE AND SERVICES: How should visitors experience the White House and President's
Park? Specific issues involve the level of interpretation, recreational opportunities on adjacent
parklands, educational opportunities, safety concerns, concessions, and support facilities.
TRANSPORTATION: What modes of transportation, local and regional routes, and parking space
requirements are needed to accommodate daily users, as well as activities such as special events
and state functions?
SITE CHARACTER: What elements within the landscape make that area or space special?
SITE OPERATIONS AND MAINTENANCE: What daily or periodic functions must take place to
meet the needs of site users, to preserve the cultural and natural resources, and to optimize visitor
experiences?
SITE MANAGEMENT: What are the interrelationships between the agencies that cooperatively manage
the site (that is, the stewardship agencies), as well as between the stewardship agencies and other
agencies, groups, and organizations with interests and involvement in the site? How can these
cooperative interrelationships be optimized?
�Omts Gatharln^
Workshop
Workgroup
Workgroup
Public Review
Public Review
i Develop
Interpretive
Theme*
• Develop
i|nltl«t«
ProJ«ct
Stmrt-up
EKl0tln«
i Formulate
Alternative*
Condition*
i Prepare
Draft Plan / EI5
• Approve
Plan / E I S
• Prepare
Final Plan / E l d
• Gather Dete
i Define
furpoee &
Significance
I
Spring 9 2
i
Winter 93
i Peelred
Futures
+
Fall 9 3
Planning Process
Winter 94
Winter 95
Spring 9 5
9
&
The
Comprehensive
Design Plan
for the
White House
�COMPREHENSIVE DESIGN PLAN FOR THE WHITE HOUSE
PROJECT SCHEDULE AND BUDGET
Task
Project Definition and Start-up
Brief key participants and verify the areas needing data collection
and research.
Technical Information Gathering
Research and prepare existing conditions description, administrative
history, evolution of the historic landscape, transportation conditions,
CAD model.
Task Directive
Dak
April 1992
June 1992 - April 1993
August 1992 - April 1993
Define the scope of the plan and outline the planning process.
March 1993
Notice of Intent Issued
Announce beginning of scoping and intent to prepare the comprehensive
design plan and an environmental impact statement.
Issue Identification
Identify the issues and concerns of the stewardship agencies,
organizations, groups, and the general public about the study area.
Guiding Principles Established
Develop planning assumptions, purpose and significance of the
study area, interpretive themes and desired futures.
April 1993 - June 1993
December 1992 - June 1993
Alternatives Development
Based on the guiding principles, develop a range of feasible design
concepts for the study area.
June 1993 - March 1994
Draft Plan/EIS Development
Select a preferred alternative and develop a draft plan. Document
compliance with environmental regulations in an EIS.
March 1994 - April 1995
Draft Plan/EIS Review and Revisions
Publish the draft plan/environmental impact statement and hold public
meetings to discuss the project with the public. Publish the final EIS and
record of decision.
Approved Plan/EIS
Final Plan and Plan Supplements Published
April - December 1995
December 1995
February 1996
A total of $1.9 million has been estimated for this project. Funding has been appropriated in the amount
of $754,100 for fiscal year 1992 and $496,000 for fiscal year 1993.
�COMPREHENSIVE DESIGN PLAN FOR THE WHITE HOUSE
PLANNING TEAM
The following team approach will provide an opportunity for executive level input and review by the
heads of all the agencies with operating responsibility in the study area while taking advantage of a
diverse and highly specialized work force to address the variety of complex issues. An executive
committee of agency heads and other key participants will provide pohcy guidance, review, and
recommendations. An interagency planning team of senior-level professionals from the National Park
Service, other participating agencies, and private consultants will provide project definition and prepare
the plan.
INTERESTED
AGENCIES,
ORGANIZATIONS
AND
INDIVIDUALS
EXECUTIVE
COMMITTEE
Chaired by Director
Ntboiul Park Scrrice
T
I
PROJECT
COORDINATOR
Located in
Waahington, D.C
PROJECT
TEAM CAPTAIN
Located at the
Natioiul Park Scrrice
Denver Scrrice Center
National Park
Service Staff
Participating
Agency Staff
APRIL 1992
Private
Consultants
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Other Information: [A Comprehensive Design Plan for the White House]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-013-004-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/c89dd7c74311dab8705c9d9b1c439cc5.pdf
a3f6043c594ca6e671906ab1f93b4430
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Misc. Subject Files
OA/ID Number:
10813
FolderlD:
Folder Title:
OTHER INFORMATION: [2]
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
2
3
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001. memo
Jennifer O'Connor to David Watkins et al.; RE: Meeting today with
Staff of House Appropriations Treasury, Postal Subcommittee (1
page)
03/12/1993
P5
002. list
Working Group 17 - Bioethics; RE: Addresses, SSN's, DOB's, and
phone numbers [partial] (5 pages)
n.d.
P6/b(6)
003a. letter
EE. Richard Brown to Ira Magaziner; RE: Address and SSN [partial]
(1 page)
02/15/1993
P6/b(6)
003b. paper
Stouffer Mayflower Hotel; RE: Address and phone numbers [partial]
(1 page)
02/13/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Misc. Subject Files)
OA/Box Number:
10813
FOLDER TITLE:
Other Information [2]
2006-0810-F
dbl787
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act - |5 U.S.C. SS2(b)|
PI National Security Classified Information [(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute [(a)(3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(bX2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(bX6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA]
C Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�-2-2-93
'K
\'
-''
AY
v •,
-/
V
4
T a l k i n g P o i n t s on H e a l t h Care Task Force
(Prepared by L i s a , Maggie, Vince and Steve)
- H i l l a r y Clinton i s t h ^ chair o f t h e President's HealtmCare
Task Force.
The ITask f o r c e c o n s i s t s o f Cabinet members; f r o m t h e
Departments o f Defense, Commerce, Labor, HHS, and V e t e r a n s
A f f a i r s as w e l l as t h e OMB D i r e c t o r , t h e P r e s i d e n t ' s Domestic and
Economic P o l i c y a d v i s o r s , t h e C h a i r o f t h e C o u n c i l o f Economic
A d v i s o r s and t h e P r e s i d e n t ' s Senior A d v i s o r f o r P o l i c y
Development/
- I r a Magaziner w-febl l e a d a! w o r k i n g group which w i l l p r o v i d e
i n f o r m a t i o n t o t h e H e a l t h Care Task Force. The ^ a s k ^ o r c e
-^feESTi-will r e v i e w i n f o r m a t i o n from t h e w o r k i n g group and make
recommendations t o t h e P r e s i d e n t .
I
-The w o r k i n g group v a 2 c - S ~ c o n s i s t o f ^niTTTIllilil^ government
r3f=*£
employees t 6nQsjt-o^-'whQro~hava been.-salected t o s e r v e on - t h e -The w o r k i n g group w i l l c o n s u l t w i t h a wide range o f c i t i z e n s ,
r e p r e s e n t i n g t h e p u b l i c and p r i v a t e s e c t o r s .
-On January 25, the President announced the formation of -bis "^V
r-feySS&al Health Care Task Force and defined its mission.
V^,
-The Prgs^^^BBtes- WSSSSmm^^s^^y-Qsaze Task Force i s p l a n n i n g t o
h o l d p u b l i c meetings.
Those meetings have n o t been scheduled.
Note: I n response t o t h e q u e s t i o n : Does FACA a p p l y t o t h e Task
Force?
I n t h e o p i n i o n o f t h e Counsel t o t h e P r e s i d e n t , i t does
not.
I n response t o t h e q u e s t i o n : D i d t h e Task Force v i o l a t e FACA?
1. I n t h e o p i n i o n o f t h e Counsel t o t h e P r e s i d e n t FACA does n o t
apply.
2. The Task Force has n o t met, n o r t a k e n any a c t i o n t o d a t e .
Note: ONLY USE POINT THREE I F PRESSED.
3. The p a r t i c i p a t i o n o f t h e £irst Lady, does n o t c r e a t e "a
p r e s i d e n t i a l a d v i s o r y committee" s u b j e c t t o t h e A c t .
I n response t o t h e q u e s t i o n :
group? ^he—w.QEkjjig j j r o u p _ ^ ^
/\JD
Does FACA a p p l y t o t h e w o r k i n g
�^i B=»^baA<y-but>-4^a^-deteoi^ation^ wil 1 be,^ade^a^^Eszyaxk.
ses.
t
NOTE: TRY TO AVOID QUESTIONS ON FOIA.
I n response t o any questions on FOIA: Any requests under FOIA
w i l l be reviewed^at the time t h a t they are made.
^fi*
U
UJ>
'^<-
C
^ ^ (
�Administration
Carolyn Gatz
Position:
Location:
Payroll:
Communications l i a i s o n
OEOB
Commerce/120 days
C h r i s t i n e Heenan
Position:
Liaison w i t h communications, p u b l i c l i a i s o n and
intergovernmental
Location:
OEOB
Payroll:
Domestic Policy
Jennifer Klein
Position:
Drafting
Location:
OEOB
Payroll:
Greg Lawler
Position:
Location:
Payroll:
Volunteer (would l i k e t o keep)
D r a f t i n g / l e g i s l a t i v e negotiating
OEOB
(resume sent t o Bernie Nussbaum f o r Counsel's
office)
Lynn Margherio
Position:
Policy Development
Location:
OEOB
Payroll:
Domestic Policy
Denise Ricketson
Position:
Administration
Location:
OEOB
Payroll:
HHS
Assistant
M a r j o r i e Tarmey
Position:
Special Assistant
Location:
OEOB
Payroll:
HHS
P o l i c y Assistant (Simone Rueschemeyer or equivalent)
Position:
Location:
Payroll:
Commerce/120 days (Can we renew?)
Secretary
Position:
Location:
Payroll:
Detailee from another agency
�-3P o l i c y Experts
Gary C l a x t o n
Position:
Location:
Payroll:
Insurance Reform
HHS
HHS f u l l t i m e h i r e ( d e t a i l t o Task Force)
Judy Feder
Position:
Location:
Payroll:
Deputy S e c r e t a r y / l i a i s o n t o t h e Task Force
HHS
HHS f u l l t i m e h i r e ( d e t a i l t o Task Force)
Roz Lasker
Position:
Location:
Payroll:
Q u a l i t y and I n f o r m a t i o n system
HHS
HHS f u l l t i m e h i r e ( d e t a i l t o Task Force)
Risa Lavizzo-Mourey
Position:
Quality
Location:
HHS
Payroll:
HHS f u l l t i m e h i r e ( d e t a i l t o Task Force)
L o i s Quam
Position:
Location:
Payroll:
Underserved and r u r a l
OEOB
HHS c o n t r a c t
Paul S t a r r
Position:
Location:
Payroll:
General Communication o f t h e p l a n
OEOB
HHS c o n t r a c t
Robyn Stone
Position:
Location:
Payroll:
Long Term Care
HHS
HHS f u l l t i m e h i r e ( d e t a i l t o Task Force)
W a l t e r Zelman
Position:
Location:
Payroll:
issues
New Systems Development
OEOB
HHS c o n t r a c t ( c o n t r a c t may extend u n t i l end o f
year)
�-4Communications
B o o r s t i n , Bob
Position:
Location:
Payroll:
Communications D i r e c t o r
OEOB
White House
Cohen, Steve
Position:
Location:
Payroll:
National Press
OEOB
White House
Jones, Arthur
Position:
Location:
Payroll:
Deputy Press S e c r e t a r y / 2nd Spokesperson - HHS
OEOB
White House
Scheduling
Muscatine, A l l i s o n (not h i r e d y e t )
Position:
Speechwriter
Location:
OEOB
Payroll:
White House
O f f i t , Meg
Position:
Location:
Payroll:
S p e c i a l t y Press
Department of A g r i c u l t u r e (Can we d e t a i l ? )
P r u n t i , Meeghan
Position:
Researcher
Location:
OEOB
Payroll:
White House
Solomon, Jason
Position:
Communication Aide
Location:
OEOB
Payroll:
White House
Slot/News A n a l y s i s
(on loan from a Department Slot/News A n a l y s i s
(on loan from a Department)
Slot/News A n a l y s i s
(on loan from a Department)
Slot/Researcher
(on loan from a Department)
Susannah Wellford, Commerce)
�-5Consultants
Begala, Paul — DNC
Greenberg, Stan — DNC
Grunwald, Mandy — DNC
Scheduling
Hayes, C h a r l o t t e
Position:
Surrogate Scheduling/Minority Outreach
Location:
OEOB
Payroll:
White House/VP
Hoffman, Alan
Position:
Surrogate Scheduling
Location:
OEOB
Payroll:
HHS ( h a l f / t i m e )
Holton, Dwight
Position:
Surrogate Scheduling/Coordinator
Location:
OEOB
Payroll:
White House/Deputy Chief of S t a f f O f f i c e
M o f f e t t , J u l i a ??
Position:
Event/Principles
Location:
OEOB
Payroll:
White House/Communication
Drafting
B u d e t t i , Peter
Position:
Drafter
Location:
Payroll:
HHS
Rosenbaum, Sara
Position:
Drafter
Location:
Payroll:
Through contract w i t h HHS/Renegotiated
( i n Sara's contract Greg Lawler)
•Rowland, Diane
Position:
Drafter
Location:
Payroll:
Kaiser Foundation VP through John Hopkins - free
�-6Legislative
E d e l s t e i n , Steve
Position:
Data Bank P r o j e c t
Location:
OEOB
Payroll:
120 Days/White House
Jennings, Chris
Position:
Legislative Strategist
Location:
OEOB
Payroll:
HHS
Correspondence
Slot/Correspondence
Position:
D i r e c t o r of Health Care Correspondence
Location:
Payroll:
(Included i n budget submitted t o David Watkins)
Slot/Correspondence
(on loan from a Department)
Slot/Correspondence
(on loan from a Department)
Slot/Correspondence
(on loan from a Department)
Slot/Correspondence
(on loan from a Department)
�-7Public Liaison/Political/Intergovernmental
Mike Lux
Position:
Location:
Payroll:
I n t e r e s t Group Coordinator/Outreach
OEOB
White House/Public Liaison
Molly Brostrom
Position:
I n t e r e s t Groups
Location:
Payroll:
John Hart
Position:
Location:
Payroll:
Liaison t o the Governors
OEOB
White House/Intergovernmental
Karen P o l i t z
Position:
Location:
Payroll:
Liaison t o I n t e r e s t Groups
HHS
HHS
Barbara Wooley
Position:
I n t e r e s t Groups/Health
Location:
OEOB
Payroll:
HHS 120 day
Slot/Business
Position:
Location:
Payroll:
L i a i s o n t o business
OEOB
Slot/Mayors
Position:
Location:
Payroll:
Liaison t o Mayors
OEOB
Slot/Counties/State L e g i s l a t o r s
Position:
L i a i s o n t o county and s t a t e o f f i c i a l s
Location:
Payroll:
�-8Additional Requests
Jock G i l l
Position:
Location:
Payroll:
Computer/technical assistance
Stan Gorsky
Position:
Location:
Payroll:
Telephone/technical
assistance
AT&T
Additional positions
P o l i c y A s s i s t a n t (Susan O t r i n or equivalent)
Position:
Location:
Payroll:
Rick M i l l e r (or equivalent)
Position:
Business negotiations
Location:
OEOB
Payroll:
J e f f Davis (or equivalent)
Position:
Attorney/Negotiations and l e g i s l a t i v e d r a f t i n g
Location:
OEOB
Payroll:
�THE WHITE
HOUSE
WASHINGTON
March 29, 1993
Scott C. Waterbury
Atlanta Sound & Lighting
2368 John Glenn Drive
Atlanta, Georgia 30341
Dear Mr. Waterbury:
This l e t t e r serves at notice of intent to pay for services
rendered i n support of the March 29, 1993, Presidential Health
Care Task Force Public Hearing. Payment w i l l be rendered upon
submission, review, and approval of the invoice.
A l l inquiries related to t h i s matter should be addressed to
Jennifer O'Connor in my office.
Sincerely,
\
W. David Watkins
Assistant to the President for
Management and Administration
�THE WHITE
HOUSE
WASHINGTON
March 29, 1993
Dr. Steven Joel Trachtenberg
President
George Washington University
2121 I Street, N.W.
Washington, D.C. 20052
Dear Mr. Trachtenberg:
This l e t t e r serves at notice of intent to pay for services
rendered i n support of the March 29, 1993, Presidential Health
Care Task Force Public Hearing. Payment w i l l be rendered upon
submission, review and approval of the invoice.
A l l inquiries related to t h i s matter should be addressed to
Jennifer O'Connor i n my o f f i c e .
Sincerely,
David Watkins
Assistant to the President for
Management and Administration
�M E M O R A N D U M
March 23,
1993
Maggie Williams
Lynn Margherio X2315
Health Care Reform Task Force
Elaine Holland from the Department o f Education has contacted us
t o express Secretary Riley's i n t e r e s t i n becoming a member o f the
Health Care Reform Task Force.
Their j u s t i f i c a t i o n i s t h a t given the education-related h e a l t h
concerns (immunization, school-based c l i n i c s , e t c . ) , t h e
Department has a r o l e t o play i n the h e a l t h reform e f f o r t .
Given t h a t t h e Task Force has not y e t met, i t may not be a
problem t o add Secretary R i l e y .
On t h e other hand, there were decisions made regarding r e l e v a n t
departments when t h e Task Force was f i r s t formed, and perhaps
Education's i n p u t would best be sought i n f o r m a l l y . I'm also not
aware o f how, i f a t a l l , the c o n s t i t u t i o n and membership o f t h e
Task Force was impacted by the judge's opinion on t h e law s u i t ,
and whether adding t o the Task Force now poses any l e g a l issues.
Another problem w i t h adding Secretary R i l e y now would be t h e
d i f f i c u l t p o s i t i o n i t could put us i n i f other Cabinet-level
o f f i c i a l s then sought membership on the Task Force.
One suggestion o f a way t o include the Department would be t o
i n v i t e t h e Secretary t o attend the Task Force's p u b l i c hearing on
Monday, March 29. Mrs. C l i n t o n ( i f she i s able t o make i t ) , I r a
and Carol w i l l be j o i n e d on the dias by Cabinet members on t h e
Task Force throughout t h e day. Mrs. Gore, who i s not a member o f
the Task Force, w i l l also be present during t h e discussions o f
mental h e a l t h r e l a t e d t o p i c s . Perhaps we could i n v i t e Secretary
R i l e y t o attend discussions regarding primary or preventive care.
Please advise me on the approach we should take.
Thanks.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. memo
SUBJECT/TITLE
DATE
Jennifer O'Connor to David Watkins et al.; RE: Meeting today with
Staff of House Appropriations Treasury, Postal Subcommittee (1
page)
03/12/1993
RESTRICTION
P5
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Misc. Subject Files)
OA/Box Number: 10813
FOLDER TITLE:
Other Information [2]
2006-0810-F
dbl787
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA)
National Security Classified Information [(a)(1) of the PRA|
Relating to the appointment to Federal office [(a)(2) of the PRA)
Release would violate a Federal statute [(a)(3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRAj
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
��April 6, 1993
MEMORANDUM FOR DAVID WATKINS
FROM:
MARJORIE TARMEY
SUBJECT:
TRAVEL EXPENSES
Several members of the Ethics Working Group (7 of the
32 members) are expecting to be reimbursed for t r a v e l
expenses, they include:
Adrienne Asch
E l l i o t Dorff
Joan Mclver Gibson
Lawrence Gostin
Carol Levine
Bernard Lo
P i l a r Ossorio
Thus far, we have assisted them i n getting the best
travel rates possible through Worldwide Travel. As we
approach the end of the Working Group Process we w i l l
need to set up a procedure to both reimburse as well as
identify the source of the money.
I f we expect HHS to pay their travel expense we w i l l
need to be sure that they are on the roster of DHHS
Special Government Employees. I suggest that these
expenses come from the $50,000 travel budget that was
included i n the recent Budget M m that I sent to you.
eo
Please l e t me know how to handle t h i s matter.
cc: Maggie W i l l i a m s /
I r a Magaziner
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. list
SUBJECT/TITLE
DATE
Working Group 17 - Bioethics; RE: Addresses, SSN's, DOB's, and
phone numbers [partial] (5 pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Misc. Subject Files)
OA/Box Number:
10813
FOLDER TITLE:
Other Information [2]
2006-0810-F
dbl787
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency |(b)(2) of the FOIAJ
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((bX6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)of the FOIAJ
National Security Classified Information |(a)0) of the PRAj
Relating to the appointment to Federal office [(aX2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRAj
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRAj
C Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�CL
8
P
WORKING GROUP 17 - B I O E T H I C S
ADDRESS
NAME
DOB
SS #
CL
PHONE #
C
O
c
o
Nancy Dubler
Director, Department o f
Epidemiology and Social
Medicine - D i v i s i o n o f
Bioethics
Co-Leader
Monteflore Med.
Ctr.
Bronx, N.Y.
718-920-6226
Marian Secundy, Ph.D.,
Co-Leader, Professor
Howard University
Prog, i n Medical Ethics
Adrienne Asch
Assoc. Prof. Boston Unlv.,
School o f Social Work
Ronald Bayer
Columbia University
School of Public Health
Dan Brock Ph.D.
Professor of P h i l , and
Biomedical Ethics
Director of Center f o r
Biomedical Ethics
Arthur Caplan, Ph. D.
Univ. o f Minnesota
Dierctor, Center f o r
Biomedical Ethics
D.C.
202-805-6397 W
o
W 617-359-3757
H mmm^em-'f^m
F 617-35^-5612
W 212-305-1957
H ma^^pKjis^]
F 212-3055-6832
W 401-863-2718
H \m&?.mz-^
F 401-8^-2719
F 612-62S-6800
1
G
�Norman Daniels , Ph.D.
Tufts U n i v e r s i t y ,
Prof, of Philosophy
E l l i o t Dorff, Rabbi,Ph.D.
Provost and Professor
of Philosophy
Univ. of Judaism
o
o
o
W 617-495-2261
W 310-4^5-9777
F 617-41^-9053
0.
H mmms^W*
F 310-4*1-1278
c
o
Annette Dula Ph.D.
V i s i t i n g Scholar
Univ. of Colorado
R o c k e r f e l l e r Fellow
O
W 301-49i6-7005
Gary E l l i s , PhD
O f f i c e f o r Protection from
Research Risks
,
H m^:mmm m
F 301-4CK2-2071
W 617-6^-2270
Zeke Emmanuel
F 617-632-2267
A b i g a i l Rian Evans, Ph.D.,
Princeton Theolology
Seminary, Director of
F i e l d Education, Assoc.
Prof, of Prac. Theology
ro
T
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609-9204-2973 F
rv^js^-;.'^,.-^...--^
Monseignor Charles J.Fahey
Senior Assoc. Third Age
Center
Fordham Univ. N.Y.,N.Y.
W 212-6a6-6299
Len Fleck
Prof., Michigan S t a t e
517-35S-755CL W
F ^ii2-9a-2334
517-3^-3289 F
�Norman Post
Universiy of Wisconsin
-
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608-2^-8562 W
, ^
H
o
o
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908-2^-0440 F
CL
Joan Mclver Gibson, Ph.D
Director, Center f o r
Health Law and E t h i c s
Univ. of New Mexico
School of Law
W, 5 0 5 - 2 ^ - 8 1 6 6
F 505-2^7-7064
ro
.g
Lawrence Gostin J.D.
Executive Director
Amer. Society of Law,
Medicine, and E t h i c s
W 617-2^-4990,
Pat King, J.D.
Professor, Georgetown
Univ. School of Law
F 617-43^-7596
W 202-662-9085
s*f
*"
!
~
-
F 202-6(K2-9444
W 202-456-2316
J e n n i f e r Klein, J.D.
Task Force Liason
John Lantos
Assoc. Director,
C l i n i c a l Center, Chief
of Medical S t a f f : LaRabida
Hospital
^
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a-
312-363-6700 W
312-363-7160 F
H
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Carol Levine
Exuc. Dir., The Orphan
Project Fund f o r the C i t y
of N.Y.
W 212-92g-5290
Bernard Lo, M.D.
Director, Prog, i n Medical
E t h i c s , U n i v e r s i t y of
C a l i f . , San Franciso
W 415-47^-5370
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212-9^-5675
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�B i l l May
Cary M. McGuire Univ.
Prof, of E t h i c s
Southern Methodist
W 214-768-3782
Alan Meisel, J.D.
Prof, of Law
Director of Center for
Medical E t h i c s
Univ. of Pittsburgh
W 412-646-1384
Mathy Mezey, Ed.D., R.N.,
Independence Prof of Nurs.
Educ. N.Y.U.
W 212-99B-5337
Steven Miles, M.D.,
Associate Professor of
Medicine, Center for
Biomedical E t h i c s
W 612-347-8794
Robert Murray, M.D.
Professor, P e d i a t r i c s and
Medicine, Chief, D i v i s i o n
of Medical Genetics
W 202-8QS-6340
Laurence 0'Connel1, Ph.D.,
S.T.D.
President,CEO the
Park Ridge Center
W 312-266-9515
P i l a r Ossorio, Ph.D.
Post Doctoral Associate
Yale Univ., School of Med.
W 203-785-7573
Ruth P u r t i l o
Professor, C l i n i c a l
E t h i c s , Creighton Univ.
Center of Health Policy
and E t h i c s
F
H
W
F
o
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F 2l4-7ei-4l24
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F 212-995-3143
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F 312-2(36-6086
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203-785-3864
Mg«SS.-s
402-2g)-2011
402-2d&-5735
�Q.
Cheryl Sanders
Associate Professor,
School of Divinty
Howard University
D.C.
W 202-829-7638 |
H ^^mmmmm
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O
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F 202-8dfe-0711
Richard Turman
OMB
W 202-395-4926
Marjorie Gehan
Policy Assistant
W 202-4^-2597
c
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F 202-4^-7739
O
Theresa P i c i l l o , R.N.
Policy Assistant
W 202-4Ea|-2597
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F 202-4S5-7739
�April 6, 1993
MEMORANDUM FOR DAVID WATKINS
FROM:
MARJORIE TARMEY
SUBJECT:
TRAVEL
Early i n February the F i r s t Lady requested that our o f f i c e
set up some meetings for her with some noted Health Care
Experts. I forwarded invoices from some of those
individuals who requested reimbursement to Catherine
Cornelius of your office as you instructed.
Professor E. Richard Brown has joined us as a member of the
Working Group. He was also among those experts who briefed
the F i r s t Lady and he has asked me on several occasions
about being reimbursed for those expenses.
I have not heard from the other participants.
Please l e t me know how to handle this issue.
cc:
Maggie W i l l i a m s ^
I r a Magaziner
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003a. letter
SUBJECT/TITLE
DATE
EE. Richard Brown to Ira Magaziner; RE: Address and SSN [partial]
(1 page)
02/15/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Misc. Subject Files)
OA/Box Number:
10813
FOLDER TITLE:
Other Information [2]
2006-0810-F
dbl787
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(bX2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes |(bX7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
National Security Classified Information 1(a)(1) of the PRA)
Relating to the appointment to Federal office [(a)(2) of the PRA)
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Coo oC
UNIVERSITY OF CALIFORNIA, LOS ANGELES
BERKELKY
• DAVIS • IRVINE • LOS ANGELES - RIVERSIDE
• SAS DIECO
UCLA
SANTA BARBARA . SANTA CRl'Z
• SAN FHANCISCO
saioouoF rvBLic: HEALTH
:
l(K33 L E CONTE AVENl E
Fax:(310)825-5960
February 15,1993
Ira Magaziner
Old Executive OfFice Building, room 216
17th Street and Pennsylvania Ave
Washington, DC 20500
Dear Ira:
Please reimburse me for travel expenses to attend the meeting with Ms. Clinton, per your
invitation.
My expenses include air fare, $1,300; hotel, $140.25; breakfast, $15.08; ground
transportation in DC, $26; and ground transportation in LA, $49. I am enclosing receipts for all
expenses. My social security number \^iMMM0MM Please send a checkforthe total $1,530.33 - to my home: ^ B ^ f / ^ ^ ^ W S ^ f i
Thanks very much.
E. Richard Brown, Ph.D.
Professor
Clinton Library Photocopy
�308 Westwood Plaza
Los Angeles, CA 90024
DATE ' •
Telephone (213) 825-9131
Telephone (213) UCLA-FLY
FAX (213) 206-3212
TR/VEL SERVICE
DISTRIBUTE TO
SOLD TO
DR E. RICHARD BROUN
HCOP
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003b. paper
SUBJECT/TITLE
DATE
Stouffer Mayflower Hotel; RE: Address and phone numbers [partial]
(1 page)
02/13/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Misc. Subject Files)
OA/Box Number:
10813
FOLDER TITLE:
Other Information [2]
2006-0810-F
dbl787
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [S U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bKU of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAJ
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
National Security Classified Information [(a)(1) of the PRA]
Relating to the appointment to Federal office [(a)(2) of the PRAj
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�HOTEL
STOUFFER
BROWN,
ARRIVAL
RICHARD MR.
DEPARTURE
NC. IN PARTY
RATE
ACCT NO.
1275682
ROOM NO
2/12/93
2
3
4
5
2/12/93
2/12/93
2/12/93
2/13/93
6
7
2/13/93
2/13/93
8
2/13/93
9
2/13/93
125.00
721
AMOUNT
DESCRIPTION
DATE
1
2/12/93
2/13/93
1
LOCAL/LOCAL TOLL/721/2130668006/1/4
23:17/&iffi(feM£l
ROOM/721/1/1/4
ROOM TAX/721/1/1/4
OCCUPANCY TAX/721/1/1/4/OCC/TAX ONE ROOM
LONG DISTANCE/721/2130690020/1/4
08:48A ^P^bKg)-^' I
CAFE PROMENADE/721/45/1/1/094919
LOCAL/LOCAL TOLL/721/2130722025/1/4
10:17/l^R6/(b)(6jl
LOCAL/LOCAL TOLL/?21/2130729008/1/4
10:25/|??P6/(g?(6)^|
VISA/MASTER CHARGE/721/670273/1/4
C/O CLERK-JDS TIME-11:11
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125.00
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15.08
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158.33.00
* BALANCE DUE *
ACCOUNTS PAST 30 PAYS SUCJrCT TO SERVICE CHARGE OF 1 1/2% PER MONTH (ANNUAL RATE OF ' S ' * !
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�From
To _
Driver
Cab No.
TV
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THE SUM OF $
SURCHARGE.
FOR CAB SERVICE RENDERED
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't-jW-rrec a: ou' oftice a: 700N Virgil ave., Los Anceies. Ca &0029
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LOWEST RATES IN L A .
�EXECUTIVE OFFICE OF THE PKFLSIDENT
OFFICE OF ADMINISTRATION
�DRAFT
O T 28
C
1993
Roger C. Altman
Deputy Secretary
Department of Treasury
Washington, D. C. 20220
Dear Mr. Altman
This w i l l confirm our agreement t h a t the Department of the
Treasury, w i l l provide a d m i n i s t r a t i v e funding, i n the amount of
$
during f i s c a l year 1994 t o support the
i n t e r d e p a r t m e n t a l team responsible f o r c o o r d i n a t i n g e f f o r t s
i n c l u d i n g p u b l i c awareness on behalf of the President's h e a l t h
care reform proposals. No p o r t i o n of these funds w i l l be used t o
support p u b l i c i t y or propaganda a c t i v i t i e s p r o h i b i t e d by s e c t i o n
of the Treasury Appropriations Act of 1994 Pub. L No.
, or a c t i v i t i e s p r o h i b i t e d by the "Anti-Lobbying Act, " 18
USC sec. 1913.
The Treasury Department w i l l be a c t i v e l y i n v o l v e d i n t h i s
i n t e r d e p a r t m e n t a l e f f o r t and has a primary i n t e r e s t i n the
success of the c o o r d i n a t i n g team's work. Health care i s the
s i n g l e most important economic reform of the A d m i n i s t r a t i o n , and
implementation of the President's program i s of v i t a l i n t e r e s t t o
Treasury.
Escalating h e a l t h care costs, i f l e f t unchecked, w i l l
prove a serious t h r e a t t o the economy. w i t h o u t t h i s reform,
h e a l t h care costs w i l l continue t o eat up more and more of the
Federal budget, and w i l l erode e f f o r t s t o r e i n i n the d e f i c i t .
We understand t h a t the Treasury Department i s authorized t o
provide t h i s support pursuant t o 31 US sec.1346 (b) and 1535.
The Treasury department w i l l be the sole agency p r o v i d i n g
appropriated funds f o r the expenses of t h i s interdepartmental
team.
The Executive O f f i c e of the President, O f f i c e of Policy
Development, w i l l administer t h i s program and w i l l provide a
monthly b i l l i n g by object class t o the A s s i s t a n t Secretary f o r
Management, Department of the Treasury.
DRAFT
�Please confirm your agreement t o the terms s e t f o r t h above
by s i g n i n g t h i s l e t t e r below and r e t u r n i n g a signed copy t o David
Watkins.
Sincerely,
David Watkins
A s s i s t a n t t o the President f o r Management and
Administration
Andrea Rutledge
Fund Manager, O f f i c e of P o l i c y Development
Roger C. Altman
Deputy Secretary
Department of the Treasury
Date
�DRAFT
INTERAGENCY AGREEMENT
BETWEEN
THE OFFICE OF POLICY DEVELOPMENT (OPD)
EXECUTIVE OFFICE OF THE PRESIDENT
AND
DEPARTMENT OF THE TREASURY
I.
BACKGROUND:
On June 1, 1993, the White House established
the interdepartmental team responsible for coordinating e f f o r t s
including public awareness on behalf of the President's health
care reform proposals. The Treasury Department w i l l be a c t i v e l y
involved in t h i s interdepartmental e f f o r t and has a primary
i n t e r e s t in the success of the coordinating team's work.
The Treasury Department i s primarily responsible for funding the
a c t i v i t i e s of the interdepartmental coordinating team. Because
of location, the Office of Policy Development w i l l be providing
administrative services for the Department.
I I . AUTHORITY:
This agreement i s entered into under the
authority of 31 U.S.C. Sec. 1346(b), of the Economy Act of 1932,
as amended, 31 USC 1535, and the authorizing l e g i s l a t i o n of the
two agencies.
III.
GOODS/SERVICES TO BE PERFORMED:
Under t h i s interagency agreement, the Office of Policy
Development agrees to provide administrative support to the
interdepartmental coordinating team. These costs w i l l not exceed
$
i n F i s c a l Year 1994. The Department agrees to reimburse
OPD for i t s expenditures in providing the administrative support.
IV. PERIOD OF AGREEMENT:
This agreement commences October 1,
1993, and w i l l remain i n e f f e c t u n t i l September 30, 1994.
The
paragraphs herein and in the l e t t e r from David Watkins and Andrea
Rutledge to Roger C. Altman attached as an exhibit hereto,
memorialize the understandings, terms and agreements pursuant to
which each involved organization s h a l l act. This agreement may
be modified with the advance written consent of both p a r t i e s .
'RAFT
�- 2V.
PROGRAM/TECHNICAL LIAISON OFFICERS;
DEPARTMENT OF THE TREASURY
OFFICE OF POLICY DEVELOPMENT
Name: Roger C. Altman
Deputy Secretary
U.S. Department of the Treasury
Washington, DC
(202) 622-1070
Andrea Rutledge
Office of Administration
The Executive Office of
the President
Washington, DC 20500
(202) 395-3133
Joshua Steiner
Chief of S t a f f
(202) 622-0016
Division
Jurg Hochuli
Acting Director, F i n a n c i a l
Management
(202) 395-3793
VI.
FINANCIAL PROVISION;
The Executive Office of the
President, Office of Policy Development w i l l b i l l the Department
of the Treasury monthly, the t o t a l amount of which w i l l not
exceed $
for expenditures incurred pursuant to t h i s
agreement. At t h i s time, OPD w i l l provide an account of
expenditures against t h i s agreement to DO.
�- 3CUSTOMER AGENCY:
DEPARTMENT OF THE TREASURY
DEPARTMENTAL OFFICES
F i n a n c i a l Management D i v i s i o n
1500 P e n n s y l v a n i a Avenue, N
W
A c c o u n t i n g Branch, Room 1434
Washington, DC 20220
A t t n : Kathryn Melvin
(202) 622-0820
ALC: 201-01-0001
SERVICING AGENCY:
THE EXECUTIVE OFFICE OF THE
PRESIDENT
OFFICE OF ADMINISTRATIVE
Washington, DC 20500
A t t n : ' Andrea R u t l e d g e
(202) 395-3133
ALC: 11-01-0003
J
A p p r o p r i a t i o n s Symbol: 1132200
D i v i s i o n : -601 ,
CUSTOMER AGENCY APPROVALS:
SERVICING AGENCY APPROVALfS):
Signature
Joshua L. S t e i n e r
Chief o f S t a f f
Signature
Jurg Hochuli
Aeting Director
F i n a n c i a l Management
Signature
Roger C. Altman
Deputy S e c r e t a r y
Date
Date
w
Date
Division
Signature
Date
Patsy Thomasson
Special Assistant t o the
P r e s i d e n t and D i r e c t o r ,
Office of Administration
�DRAFT
FY 1994 B u d g e t E s t i m a t e — H e a l t h C a r e C o m m u n i c a t i o n s — J 1 0 6 E
28-Oct-93
Communications
Personnel (10,11)
Full-Time Permanent
Benefits
Subtotal Personnel
Travel (21.0)
Subtotal Travel
Trans, of Things (22.0)
Subtotal Trans, of Things
Rent, Comm., Util. (23.0)
Rent to GSA
Phone System Installation
Phone Equipment Leases
Phone Equipment Purchases
Phone Service
Long Distance
Postage
Office Equip. Leases
Other Rent
Subtotal Rent, Comm, Util.
Correspondence
TOTAL
$0
$0
$90,000
$20,700
$0
$110,700
$40,000
$0
$40,000
$0
$110,700
$1,000
$0
$1,000
$0
$40,000
$85,000
$0
$21,000
$9,000
$24,000
$500
$0
$5,000
$25,000
$169,500
Printing (24.0)
DPS
GPO
Graphic Design
Subtotal Printing
$20,000
$500,000
$25,000
$4,000
$15,000
$50,000
$9,000
$4,000
C
$120^
$22,000
$14,750
$18,000
$500
$100,000
$0
$0
$280,250
$449,750
$200,000
$100,000
$50,000
Other Services (25.0)
Media Training
Satellite/Teleproduction
Issue Paper Dev.
PC Maintenance
Commercial ADP Svcs.
Court Reporting/Stenographer Svc.
Copier Maintenance
File Server Maintenace
Subtotal Other Services
$1,000
Supplies (26.0)
Office Supplies
Computer Supplies
Software Licenses
LAN Software
Subtotal Supplies
Furn/Eguipment (31.0)
Furniture purchase
< File Server
PCs/Memory Upgrades
Printers
Office Equip. Purchase
Subtotal Furn/Equipment
$350,000
$627,000
$10,000
$5,000
$5,000
$0
$350,000
$2,000
$1,000
$500
$3,500
$630,500
$5,000
$15,000
$5,400
$20,000
$25,400
$0
$75,000
$0
$0
$0
$4,700
$2,000
$4,000
$4,950
$10,850
$26,500
$45,400
$101,500
$75,000
TOTAL
$1,393,200
$335,650
$1,728.850
�D r a f t #1
1/6/93
ASSISTANTS TO THE PRESIDENT
Assistant to the President and Chief of Staff
Mack McLarty
Assistant to the President (new)
Bruce Lindsey
Assistant to the President and Deputy *
Chief of Staff
[Harold Ickes]
Assistant to the President for Scheduling (new)
& Advance
Marcia Hale
Assistant to the President for National *
Security Affairs
Tony Lake
Assistant to the President for (new)
Domestic Policy
Carol Rasco
Assistant to the President
for Economic Policy
(new)
Robert Rubin
Assistant to the President for Communications *
G. Stephanopoulos
Assistant to the President for Legislative *
Affairs
Howard Paster
Assistant to the President and Staff Secretary *
[Tom Donilon]
Assistant to the President for *
Intergovernmental Affairs
[Norm Rice -B,
Emanuel]
Assistant to the President for Public Liaison *
[Alexis Herman]
indicates position exists in President Bush's EOP
(new)
indicates position does not exist in President
Bush's EOP
�D r a f t #1
1/6/93
ASSISTANTS TO THE PRESIDENT
Assistant to the President for Political Affairs *
[Rahm Emanuel
Craig Smith, Jeff
Watson - BI
Assistant to the President and Chief of Staff (new)
for the First Lady
Maggie Williams
Assistant to the President and Director of *
Presidential Personnel
[Bill Dalev. Alexis
Hemnan, Mark Gearan]
Assistant to the President for Management *
and Administration
David Watkins
Assistant to the President for Science, *
Technology and Director, Office of Science
and Technology Policy
Counsel to the President *
John H. Gibbons
�Shlrtay 3»flawt, Special Au^ctant to th« Pr*»Id«n( for Dom«rdc potcy
NATIONAL ECONOMIC COUNCIL
^-Pob RubJn. Awlmnt to th« Prtdd^nt for Economic PoUcy
Q w * Sp^rfJng, 0«puty Auircsnt to th« Prttid«rrt for Economic Policy
W. Bowman Cuttor, Deputy A««lrtant to tht Pr^aidont for economic Poflcy
NATIONAL SECURITY COUNCIL
Anthony Uka, Aaairtam to th« PriaJdvn for National Sacurfty Afftlra
Sarwly B«rg«r, Deputy Auictant to tha Praaldant for Ntdonal Sftcuriry Afftlrt
FUncy Sockrborf Spodd A«<l»tant to th« Prasldant for Nrfonal Sacurity Affalra and Staff
Director, National Security Councfl
4
SENIOR ADVISOR FOR POUCY DEVELOPMENT
Ira Mage/Jner
OFFICE OF COMMUNICATIONS
Qeoqje Stephenopouioa, Aa«irunt to the Prealdent and Director of Ccmmunicationa
Deo Ose Myara, Deputy Aaaiatant to the Prow dent and Preaa Secretary
Rlchi Seldmen, Depvty A«*Jet«nt to the President end Deputy Dtrecror of Communlcatlona
Davkl Dreyer. Deputy Aaslatant to the President end Director for Planning
Jeff BTer. Deputy A aetata nt to the Preddem end Director for Medte Affaire
Bob Boorvdn. Special AtsUtant to the Prealdent for Policy Coortfnedon
Mlched Waidman. Speclel Aufttart to the President for Poflcy Coordination
David Kusnet, Special AttlrtiM to tho President for Speechwrttng
Anne Wafkar. Special Aaebtant to the President and Director of Research
Keith Soykln, Special Autaant to the President and Director of News Analyua
, LEOISLATTVE AFFAIRS
-^-Howard Paster. Asaiartam to the President and Director for Legislative Affaire
Susan Brophy, Deputy Assistant to the President and Deputy Director of Legislative Affaire
Steve Richetti, Special AaaUtant to tho Prealdent for Legislative Affaire
SCHEDUUNQ AND ADVANd
^ M a r d a Hale, Assistant to the Prealdent and Director of ScheduOng end Advance
taebeOe Rodriguez Tapla. Deputy Assistant to the Presidem and Deputy Director
PUBLIC LIAISON
-^-AJaxis Herman, Assistant to the Prssldent and Director of Public Liaison
�OTHER DESIGNEES
^
^
Central Intelligence Agency:
Domestic Policy Council:
Foreign Intelligence Advisory Board:
National Economic Council:
National Security Council:
Office of Science and Technology.
\1P
^^^^^ " ^ ^ A
The Honorable R. James Woolsey
The Honorable Carol Rasco
Admiral (Ret.) William Crowe, Jr.
The Honorable Robert Rubin
The Honor?.bie Anthony Lake
Thi Honcr.^le John H. Gibbins
�Tab 3
* 48. Assistant to the President and Chief of Staff (new)
for the First Lady
Maggie Williams
y 49.
-QBepwy Assistant to the President for White House .(new)
CSAJO^
Social Functions and Social Secretary to the
First Lady
Ann Stock
* 49a.
"
50.
. Special Assistant to the President (new)
for White House Social Functions and
Deputy Social Secretary to the First Lady
- q}i(pti!yo^5si§f&Qtjfc>-the-?r^
(new)
DirgctQt^f Special Rrojects for the
RfstLady (?) ^QAM
& 51.
X"
' <?'
- Deputy Assistant to the President and Press (new)
Secretary to the First Lady
52. Assistant to the President and Director of *
Presidential Personnel
53.
- Deputy Assistant to the President and Deputy *
Director of Presidential Personnel
54.
Special Assistant to the President and *
Associate Director of Presidential
Personnel
55.
><
Lisa Caputo
Special Assistant to the President and *
Associate Director of Presidential
Personnel
56. Assistant to the President for Management *
and Administration
57.
58.
59.
- Deputy Assistant to the President for *
Management and Administration and
Director of the Office of Administration
. Special Assistant to the President for *
Management and Administration and
Director of White House Operations
- Deputy Assistant to the President and *
Director of the White House Military Office
60. Chair, Council Of Economic Advisors *
David Watkins
�Mlka Lux, Spftdd AuirUnt to tho Proottott for PubTic Uoloon
Amy Zl$ook, ped Aulfl&m to tha Pf«a*d«nt lor Pubflc Ualson
^POLITICAL AFFAIRS
/pRahm Emartuai, Aaalatant to tho Proddont and Director of Pofiticat Affalra
Joan Baogett, Deputy Aeafetant to the Preeident and Deputy Director of Political Affairs
Batne Welee. Speclel Asalatsm to the Preiident of PoRHcal Affaire
�INTEftQOVtRNMENTAl AFFAIRS
fV-flagirn Montoya, Aaaiatant to tho PrMld«m end Otractor for Int«rgovomm«ntal Affafra
Jaff Wauon, Doputy Aaafftant to tho Pretidtnt md Deputy Director of Inttrgovernmental
Affaire
OFFICE OF THE VICE PRESIDENT
-^f Roy Neal, Chlef-of-Staff
Thurgood MarehaK. Jr., Legleletive Affaire Coordinator
Greg Simon, DomeetJc Poflcy Advisor to the Vice-President
Me He Romach, Communlcatfone Director
Leon Fuerth, Assistant to the Vice-President for National Security Affairs
Jack Quinn. Co una*I to the Vice Prealdent
Kade McQinty, Special Awietant to the Pre si da nt for the Environment
-30-30.3$.
�Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
�NEWS
Kathleen Chapman, Editor
H I L L A R Y C L I N T O N FAN C L U B - Board
of Directors:
Tove Head, President
Kathleen Chapman, Newsletter Editor
Diane Hardcastle, Treasurer
Donna McGrath, Secretary
Carrie Phillips, Administration
Cyndi Phillips - Memberships
Suzy Shure, Director of Publicity
Jay Myerson, Counsel
Hillary Rodham Clinton
The inauguration is over. The endless articles about
Hillary Clinton's clothes, hairstyles, and influence
are now less visible. The President is providiing
plenty of grist for the journalistic mill, and the world
is boiling with frontpage stories so that even second
pages and third pages are full of unpleasantness of
major importance.
With the resumption of her full name,
Hillary Rodham Clinton is back at work on issues,
happy to leave the limelight and the public politicing
to her husband. According to her long-time friend
and campaign staffer, Peggy Richardson, Hillary
plans to keep a low profile over the next few months.
It seems an impossible task to keep a low profile as
First Lady, but she is succeeding by avoiding the
headlines and deemphasizing her role. For example,
at the news conference announcing her appointment
as the new health czar, she was seated rather than
standing either beside or behind her husband as new
appointees being announced are wont to do, clearly
seeking to downplay attention to herself. The first
news story she authorized was to a food writer.
News coverage of her meetings with Hill leaders on
the health issue has been restrained ~ no
highpowered news conferences. By maintaining a
very low-key attitude while pursuing decidedly highprofile projects, this First Lady continues to project a
solid, non-threatening reputation provoking
comments such as, "Hillary Rodham Clinton len[t] a
new aura of legitimacy and influence to the
Congressional Caucus for Women's Issues . . .
VOL. 1 - ISSUE 3
1993
merely by showing up for an hour-long chat about
health care reform." (Lloyd Grove, Washington Post
Staff Writer) It certainly is refreshing to have a First
Lady for whom professional respect is so high that
she lends "legitimacy and influence" to a
Congressional policy group simply by showing up.
With these signs of business as usual for
Hillary Rodham Clinton, the health czar (who also
happens to be married to the President), come the
hope that we will be able to look back on the health
care issue and say, as has been said of so much of
her work, "She worked hard and competently and
built a political consensus" which got the job done.
OUR HILLARY CONTACT - PEGGY
RICHARDSON
Our contact on Hillary's staff since August has been
Peggy Richardson, a Washington, D C. tax attorney,
who was recently named to head the IRS. Ms.
Richardson met HRC through the American Bar
Association. Like her, she has fully committed
herself to career and family. She was the first
woman "Supergrade" in the Chief Counsel's Office
of the Internal Revenue Service. She left the IRS in
1977 to join the law firm Sutherland, Asbill and
Brennan where she has been a partner specializing
in tax and insurance regulatory law. At the same
time, she has served as parent rep for her daughter's
school class and continues to serve on the Governing
Board for the school. In addition she has found time
to serve on the Development Board for the Hospital
for Sick Children and maintain an active role in her
church.
Squeezing me into her very busy calendar,
Ms. Richardson was very generous with her time.
She had been on the phone with Hillary just before I
arrived and we spent some time talking about
Hillary's role as a model for women in transition.
The conversation turned to children rather
naturally as Peggy Richardson, like Hillary Clinton,
has a teenaged daughter. She, like many women, has
worried whether her daughter would not be better off
if she stayed home. A news story about a teenager
�February 12, 1993
MEMORANDUM FOR DAVID WATKIN
MARK G
FROM:
MAGGIE W]
SUBJECT:
Additional Staff for Correspondence Payroll
Per our conversation, t h i s memorandum i s to confirm that two
additional individuals should be added to the Correspondence
Office. Both s a l a r i e s are set at $12,500.
Lori Azim started on Monday, February 8, 1993 and the second
individual has not o f f i c i a l l y accepted the offer. I w i l l provide
that individual's name to you as soon as the d e t a i l s have been
confirmed.
I f your understanding i s different from t h i s , please l e t me know.
�February 22, 1993
MEMORANDUM FOR DAVID WATKINS
Assistant to the President for
Management and Administration
FROM:
MAGGIE WILLIAMS
SUBJECT:
Correspondence Staffing
Per your request, the following individuals have been hired as
temporary s t a f f for a maximum of 60 days each to the
Correspondence Office:
Name
Annual Salary
Starting Date
Lori Azim
Sharon Scott
$12,500
$12,500
Feb. 8, 1993
Feb. 18, 1993
Please c a l l me i f you have questions (x6266).
cc:
Mark Gearan
�NAME:
David C. Wilhelm
TRANSITION POST:
CAMPAIGN POST:
P o l i t i c a l Director
National Campaign Manager
EDUCATION:
B.A.,
M.A.,
Ohio University (Phi Beta Kappa)
Kennedy School, Harvard
David Wilhelm was the National Campaign Manager for the Clinton/Gore
Campaign, directing the f i r s t Democratic Nominee to the White House since
1976. He i s on leave from The Strategy Group (where he i s President), a
public a f f a i r s consulting firm based i n Chicago, I l l i n o i s .
Wilhelm managed the successful reelection campaign of Chicago Mayor
Richard M. Daley i 1991, with a winning margin of more than two-to-one. He
also managed the 1989 campaign i n which Daley was elected Mayor of Chicago
for the f i r s t time.
Wilhelm served as the campaign director of Senator Paul Simon's
successful 1984 bid for the United States Senate.
Wilhelm held a top
position i n the Presidential Campaign of Senator Joseph Biden, J r . , and has
served on the s t a f f of Senator Howard Metzenbaum.
Wilhelm has also earned a reputation as a leading advocate for economic
policies which benefit middle and lower income families. He i s the former
Director of Citizen for Tax Justice, a Washington, DC based think tank on
federal, state and local tax policy issues. His a r t i c l e s have appeared in
The New York Times and newspapers across the country. He has appeared as a
guest on The Today Show. The MacNeil-Lehrer Report, and other public a f f a i r s
shows.
Wilhelm and h i s wife, Deegee, reside i n Chicago.
(DOE: 11/17/92)
�E WHITE H O U S E
WAS
HIN GTO N
MEMORANDUM TO THE PRESIDENT
FROM:
Bruce Lindsey/
DATE:
February 3, 1993
RE:
FEDERAL COMMUNICATIONS COMMISSION—ACTING CHAIR
METHOD OF DESIGNATION:
President-
The c h a i r o f t h e FCC i s designated by t h e
DISCUSSION: The p o s i t i o n of c h a i r o f t h e FCC i s vacant. I t i s
important t o designate an a c t i n g c h a i r p r i o r t o t h e next meeting
of t h e commissioners, scheduled f o r February 11, 1993.
Congressman D i n g e l l (Michigan) has requested t h a t t h e s e n i o r
Democratic commissioner, James H. Quelle, be designated as a c t i n g
c h a i r , pending appointment of two new commissioners and
d e s i g n a t i o n of a permanent c h a i r . Further i n q u i r y supports t h i s
request. While i t i s c l e a r t h a t i n t h e absence of a d e s i g n a t i o n
the President, t h e remaining commissioners could designate Mr.
Quello as i n t e r i m c h a i r , d e s i g n a t i o n of an a c t i n g c h a i r by you
•ould e s t a b l i s h your i n t e r e s t i n t h e agency and support Mr.
d u e l l o ' s r o l e as c h a i r .
RECOMMENDATION: I recommend t h a t you approve t h e appointment o f
James H. Quello, of Michigan, t o be A c t i n g Chairman, Federal
Communications Commission.
Approve
Disapprove
Continue search
Appoint
instead.
�Name
Level
Sponsor
Department
Specific Job
Alvarez, Aida
Sub-cabinet
HRC Office
DEPARTMENT OF TRANSPORTATION Dir., Federal Highway Administration
CG
Sub-cabinet
HRC Office
DEPARTMENT OF THE TREASURY
CG
Sub-cabinet
HRC Office
EXECUTIVE OFFICE OF THE
Public Affairs
Camp. Rec.
CG
PRESIDENT
HRC Office
Anderson, Phyllis
CG
Atlas, Lawrence
Sub-cabinet
Lindsey-HRC Office
DEPARTMENT OF COMMERCE
Dep. Sec.
Sub-cabinet
Anthony, Sheila
Lindsey-HRC Office
DEPARTMENT OF COMMERCE
General Counsel
Asst. Sec, Legis. & Govt. Affairs
Commiss, Patent/Trdemk Office
Senior
HRC Office (Verveer) DEPARTMENT OF HEALTH AND
HUMAN SERVICES
HRC Office (Verveer) DEPARTMENT OF THE TREASURY
HRC Office (Verveer) IEXECUTIVE OFFICE OF THE
PRESIDENT
Senior
Senior
Babb, Tony
Senior
Baca, Polly
Sub-Cabinet
Beck, Ronna Lee
Sub-cabinet
Sub-cabinet
HRC Office
Smith, C.-HRC
Office
DEPARTMENT OF STATE
Fl
Fl
OMB
Fl
AID-Dep. Admin./Reg. Admin.
CG
DEPARTMENT OF THE TREASURY
HRC Office (Verveer)
Raymar/HRC Office EXECUTIVE OFFICE OF THE
PRESIDENT
(V
CG
General Counsel/Inspector Gen.
VF
HRC Staff
VF
Staff of Counsel to Pres.
Gen. Counsel/Inspector Gen.
Bellamy, Carol
Senior
HRC Office
Senior
HRC Office
Senior
HRC Office
Bianchi, Dominic
Other
HRC Office
Blinken, Donald
Ambassador
Eli/HRC
DEPARTMENT
DEPARTMENT
DEPARTMENT
DEPARTMENT
DEPARTMENT
OF STATE
OF THE TREASURY
OF TRANSPORTATION
OF STATE
OF STATE
AMBASSADOR
Byrnes, Maureen
Sub-Cabinet
Sperling-HRC Office DEPARTMENT OF ENERGY
Sub-Cabinet
Burton, Bill
From, A.-HRC Office DEPARTMENT OF ENERGY
DEPARTMENT OF HEALTH AND
HRC Office
Sub-cabinet
HUMAN SERVICES
Coggins, Paul
Sub-Cabinet
From/HRC Office
Sub-cabinet
HRC Office
DEPARTMENT OF JUSTICE
Off. of Asst. Sec. for Health & Pub. Hea
DEPARTMENT OF JUSTICE
Coleman, William
Argentina
Hungary
Deputy Secretary
Asst. Sec. for Internal./Domestic Polic
Deputy Secretary
01/21/93
DEA Adminstrator
Fl
CG
CG
CG
NC
Fl
Fl
Page
�Name
Level
Cooper, Mano
Sub-cabinet
Department
Sponsor
"RRCTSFFICI—
^mmrnsrsTKri
Specific Job
Camp.
Director of Protocol
HRC Office
DEPARTMENT OF JUSTICE
NC
Other
HRC Office
DEPARTMENT OF EDUCATION
CG
Other
Darwin, Missy
Senior
Senior
D'Amato, Anthony
HRC Office
HRC Office
DEPARTMENT OF STATE
Stephanopoulos/HRC DEPARTMENT OF HEALTH AND
Deaver, Amanda
NC
DEPARTMENT OF STATE
Protocol Office
CG
aids experience
CG
Office of the Asst. Secy for Legislation
NC
Special Asst to the Asst. Secy for healt
Spec Asst. to Dep Asst. Secy for Media
Dep. Att. Gen.
Asst. Sec.
WH Counsel
CG
Counsel's office
VF
HUMAN SERVICES
Entry
HRC-Office
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Senior
HRC Office
HRC Office
Senior
HRC Office
Sub-cabinet
HRC Office
Sub-cabinet
Friedman, Paul Richard
HRC Office
HRC Office
EXECUTIVE OFFICE OF THE
PRESIDENT
EXECUTIVE OFFICE OF THE
PRESIDENT
DEPARTMENT OF JUSTICE
DEPARTMENT OF STATE
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
(Verveer) DEPARTMENT OF JUSTICE
Senior
HRC Office
HRC-Marshall
VF
HRC Office
DEPARTMENT OF JUSTICE
Senior
HRC
HRC
CG
DEPARTMENT OF JUSTICE
Senior
DEPARTMENT OF JUSTICE
EXECUTIVE OFFICE OF THE
PRESIDENT
CG
Dep. Att. Gen.
Assc. AG./Legal Counsel
Legis. Affairs/Civil Rights Division
NC
NC
HRC Office
He«wek*^la^y
VF
CG
enior
Greenfield, Helaine
VF
General Counsel
EXECUTIVE OFFICE OF THE
PRESIDENT
Senior
(^Ger^r^Nancy
CG
VF
HRC Office
Gauldin, Mike
Gerhardt, Michael
DEPARTMENT OF JUSTICE
HRC Office
Senior
Fine, Elizabeth
Sub-cabinet
Sub-cabinet
Eakeley, Douglas
CG
01/21/93
Senior
Wilhelm-HRC Office DEPARTMENT OF TRANSPORTATION Dep. Asst. Sec/Off. - Govt. Affairs
CG
Senior
JuraflorKathy
Wilhelm-HRC Office DEPARTMENT OF COMMERCE
CG
Dep. Asst. Sec. for Intergov. Affairs
Dtr./Off. of Public Affairs
Page
Rec.
�Name
Level
Sponsor
Jurado, Kathy
Senior
Wilhelm-HRC Office DEPARYMENY OF HEALTH AND
HUMAN SERVICES
Senior
Wilhelm-HRC Office EXECUTIVE OFFICE OF THE
PRESIDENT
Senior
Wilhelm-HRC Office DEPARTMENT OF COMMERCE
Senior
Wilhelm-HRC Office DEPARTMENT OF EDUCATION
ENVIRONMENTAL PROTECTION
HRC Office
Kandaras, Cheryl
Senior
Department
Specific Job
Camp.
Dep. Asst. Sec. for Leg Aff.
CG
Dep. Asst. Sec. for Pub. Aff.
Cong. Liaison
CG
Communications Officer
Dep. Asst. Sec./WH Liaison
Dep. Asst. Sec./Legis. & Intergovt. Affa
Dept. Asst. Sec. for Leg. Cong. Aff.
CG
CG
CC
AGENCY
Watson-HRC Office
DEPARTMENT OF COMMERCE
Travel and Tourism
CG
Senior
Watson-HRC
DEPARTMENT OF STATE
Office of Protocol
CG
Senior
Kravitz, Joyce
Watson-HRC Office
DEPARTMENT OF HEALTH AND
Senior
CG
HUMAN SERVICES
U.S. INFORMATION AGENCY
Senior
Senior
HRC Office Watson NATIONAL FOUNDATION ON THE
ARTS AND THE HUMANITIES
Nat Endowment for the Arts
CG
Senior
Martin, Roger Dean
Watson/HRC Office
HRC
Pub. Aff, Press (Outreach)
CG
Other
FEDERAL DEPOSIT INSURANCE
Sperling-HRC Office CORPORATION
EXECUTIVE OFFICE OF THE
Sperling-HRC Office PRESIDENT
Other
DEPARTMENT OF COMMERCE
Other
Sperling-HRC Office
Other
Sperling-HRC Office DEPARTMENT OF LABOR
CG
CG
OMB
CG
Confidential Asst.-Off. of Sec.
Confidential Asst.-Off. of WH Liaison
Confidential Asst.
CG
CG
HRC Office
CG
Sub-cabinet
Smith, C/HRC Office DEPARTMENT OF THE TREASURY
Fl
Sub-cabinet
McFadden, Nancy
Montoya, Regina T.
Mottur, Ellis
Sub-Cabinet
Smith, C/HRC Office DEPARTMENT OF COMMERCE
DEPARTMENT OF COMMERCE
Lux/HRC Office
Nicholl, David
Senior
HRC
Fl
Commerce, Under Sec. for Technology
FEDERAL COMMUNICATIONS
Fl
COMMISSION
Patterson, Walter
Senior
HRC Office
DEPARTMENT OF HEALTH AND
Peck, Robert
Sub-cabinet
HRC Office
DEPARTMENT OF DEFENSE
Sub-cabinet
HRC Office
DEPARTMENT OF DEFENSE
CG
HUMAN SERVICES
01/21/93
Asst.
Asst.
Asst.
Asst.
Sec.
Sec.
Sec.
Sec.
of
of
of
of
Army/Manpwr & Res Affairs
Def./Force Mgmt. & Personn
Army/Civil Works
Army/lnstallations,Log.&En
NC
NC
Page
Rec.
�Name
Level
Department
Sponsor
Sub-cabinet
HRC Office
EXECUTIVE OFFICE 6P Y H £
PRESIDENT
Sub-cabinet
HRC Office
DEPARTMENT OF DEFENSE
Pelrine, Alicia
Senior
HRC Office
Pennington, Jill
Senior
HRC Office
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
EXECUTIVE OFFICE OF THE
PRESIDENT
Peck. Robert
Specific Job
Camp.
OMB-Assc. Dir. for Econ & Govt.
NC
Sec. of Army
Undersec. of Army
Asst. Sec. of Def., Reserve Affairs
Health care reform
NC
Spec. Asst. in Off. of Public Liaison
Rec.
CG
NC
Spec. Asst./lntergovt. Affairs
Spec. Asst./Spec. proj./events
Other
HRC Office
DEPARTMENT OF LABOR
CG
Other
Sperling-HRC
DEPARTMENT OF THE TREASURY
CG
Other
Prunty, Meeghan
HRC Office-Sperling DEPARTMENT OF COMMERCE
HRC Office-Sperling DEPARTMENT OF HEALTH AND
Other
CG
CG
HUMAN SERVICES
Radd, Victoria
Senior
HRC Office
Senior
HRC
Senior
Steinkamp, Richard
CG
DEPARTMENT OF COMMERCE
EXECUTIVE OFFICE OF THE
PRESIDENT
CG
HRC Office
Scheppach, Ray
Shapiro, Isaac
DEPARTMENT OF JUSTICE
HRC
Other
HRC Office
HRC Office
Stovall, Janis
HRC Office
HRC Office
Studley, Jamienne S.
Senior
HRC Office
Senior
HRC Office
Tilley, Kim
Senior
HRC Office
NC
OMB
CG
SECURITIES AND EXCHANGE
COMMISSION
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
NATIONAL SERVICE COMMISSION
NATIONAL FOUNDATION ON THE
ARTS AND THE HUMANITIES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
DEPARTMENT OF EDUCATION
(Verveer) DEPARTMENT OF HEALTH AND
HUMAN SERVICES
VF
VF
VF
CG
CG
Dep. Asst. Sec./Legis./Cong. Relations
CG
Spec. Asst. to Sec.
Senior
01/21/93
HRC Office (Verveer) DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Exec. Asst. to Sec. & WH Personnel Liais
Mgr./Special Initiatives
CG
Page
HR
�Department
Name
Level
Sponsor
Townsend, Kathleen Kennedy
Sub-cabinet
HRC Office
Sub-cabinet
HRC Office
ACTIGN
DEPARTMENT OF LABOR
Asst. Sec. for Employment; Training
Sub-cabinet
HRC Office
DEPARTMENT OF JUSTICE
Asst. Att. Gen. for Programs
CG
CG
Specific Job
Camp.
Director
Other
HRC Office
DEPARTMENT OF STATE
Other
HRC Office
DEPARTMENT OF JUSTICE
Trevelyan, Stuart E. D.
Other
HRC Office
DEPARTMENT OF EDUCATION
Westmoreland, Timothy Mark
Senior
HRC Office
EXECUTIVE OFFICE OF THE
PRESIDENT
Senior
HRC Office
NATIONAL COMMISSION ON
ACQUIRED IMMUNE DEFICIENCY
NC
Wilkie, Carter
Senior
HRC Office
EXECUTIVE OFFICE OF THE
PRESIDENT
CG
Yates, John
Other
Hart, J./HRC Office
Trahern, Joseph
01/21/93
CG
Health Policy
NC
CG
Page
�s
Required Buzzword: OFL C l i n t o n , H
BUHL,B.
D'ALEMBERTE,T
KLUGHEIT,Mark
SCHWARTZ,He rm
COGGINS,Paul
HARBOUR,Chery
MCLARTY,Mary
V
10
COPELAND,Ha ro
HOFFMAN,Alan
RICHARDSON,Ma
�Bfi
-Hf^ Task. Hre^/Vodtsfa
- TEA ^
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�<L&> -
ULUJb
�Hittaiy C/ nton's Meefngs of the M nds
Shuttling B t e n 2 Worlds, First Lady Pulls Health Plan Togethei
ew e
By Dana Priest
BFMtSuSVMttr
As President Clinton's point-person on national
health care overhaul. Hillary R d a Clinton has
o hm
spent the last three months shuttling between two
seemingly contrasting worlds—from high-level parlays behind closed congressional doors to public torums in the high school gymnasiums o mediumf
sized towns.
. .
But she has played essentially the same role in
both worlds—the intent listener, the assiduoua
notetaker, the patient and down-to-earth^explainer,
the political calculator. And in both worlds, she haa
gotten largely positive reviews-perhaps rating
more highly than her husband at the end of his administration'sfirst100 days.
In public, with "real people," Clinton's willingness
to endure hour u o hour of heartfelt tales of medpn
ical and financial w e has w n hearts across the
o
o
country.
..
.
In Congress, where m n were suspicious and
ay
resentful of the powerful First Lady, she has won
respect. "Oh, she's good, in terms of understanding
the operation of politics." said Rep. Fortney Pete
tT M M NNTOttrMt—THC IMS MU ION POST
M T
3Urk (D-Csiif.). chainaan of ty* Ways and Cliatoa «allt herself a "ficihutor"forhealth overtaui
See HEALTH, A14, CoL 1
Two Worlds of
ment-financed, Canadian-style health care m d t
d e!
HEALTH, Fo Al
rm
She has convened 50 separate meetings with m m
e Means health subcommittee and a critic of elements of of Corigresa^l with House members and Ifr.
bers
the administration's health proposals.
with senators. M n fijrrteenMpartiaao ntherings on
ay
"She says 'Yes, Congressman,' and 'That's a g o Capitol Hill,; some are Democratic, briefingfcothere
od
point. Congressman,' and 'We want to d something on been tete-a-tetes with individualtewhtorsin her
o
have
that. Congressman,' " said a Capitol HiU aide w o ath West Wing office at the White House. PW tuneajjfir
tended several briefings. "
met with Repubhcan-oniy gnwpa, u& Wwmnl oc&£
Perhaps most importantly for the cause she is pro-sions she has Invited congressional Jeadearott 11681*
moting. 61 percent of those surveyed this week in a care to dine at the White House with her and her haa*?
,• • •
Wuhingux Port-ABC Boll said they had at least a band.
" o d amount" of cooftdence the health care task force Her personalized knack for "speaking to politicians aa,
go
a politician," as another Hill aide put it, has been appar*'
would come u with a g o plan for the country.
p
od
ent
For those w o charged early on that she had neither to a number of la wmakera. She hugged House Ways h
the training nor the experience to take the chairman-and Metns Committee Chairman Dan Rostenkowski (DIII)
ship of such a huge and complicated endeavor, Clinton at the end of one meeting andflatteredHouse Energy and Commerce Committee Chairman John D. Dincounters that she neither pretends nor seeks to be an
gell
expert Tm not an actuary, and I'm not ad economist," (D-Mkh.) with reference to his father't legislatkm
during another. f hfilpre Stark's wife get a gov*
she srid in a recent interview.
She said that her o n opinions on what should be ernment job dealing witn ctukirciu, / "
w
done are less important than the views she is gathering NaCall of her message Ma beeil pmlllv*. Clinton also
from others. "If asked, I have opinions," she said. "Buthaa HilL " some bad-news battoona durkkg betlegislator I floated e have to be serious^sfte toMow visits ta .
the
W
view myself as a facilitator... a translator * {. involvedw o suggested that "sin". •taica^yiijJwftfce easiest
- rh
ia kind of developing theae concepts in ways that peopfc*''
way
lWfbiB
can unkrataod and relate to, and ia going out into the tofinancethe plan. Sin taxetf ^ sai&'Pinigfanotb^T.:
raise ( O the monejr we heed," ihe
aT
countn and bringing back reahworiti inforroatioa,* noter visit, she safaf the administration m y dediis (Q limit . *
a
only for ttie president, butforlite 500 economists, eth- tax deducttbffity of health benefits a m v stronfly> »
the
oe
^
idats, sociologists and government regulators w o sit opposed by labor unions.-...
h
in cramped rooms in Washington crunching the num- "I watched her say that before we can deal with unibers and molding the outlines of the revisions.
versal access we hate to deal with costs, and I thought,
If some Americans remain unaware of the health care
okay, she haa her Ifead screwed on straight," Mid Jack
taskforceand the pending revisions, it is not for lack of
Strayer, a lobbyist of the CouncilforAffordable Health
trying on HiUary* Clinton's part Exceptforthe two laaurance, a gcouirof small and mkWxed companies
weeks she apaat in Little Rock, Ark., before her father oppose m n elements of the CUnton plan.
to
ay
died, she haa devoted much of her time to the presi- Whether the presence of a First Lady with a patient
dent's goal of having a comprehensive health care pro- and a sympathetic shoulder wfll count for m c
ear
uh
posal by late May.
when the huge congressional battles lawmakers anticTraveling the country to pitch the general philosophyipate over health care overhaul begin remains to b
e
and broad outlines on a plan still under development,
seen. " e haven't yet gotten to the contentious issues,"
W
she has visited nine states, holding daylong town meet- Sen. John Chafee (R.I.), a leading Republican o
said
n
health issues. "I don't think anyone has been taken in b
y
ings infive.During the same period the president, with
the fact they're dealing with the wife of the president of
a much mOre-tkffuse agenda, has visited 13 states.
the
„
Hillary Clinton has held substantive talks with a num- United States."
ay
ber of interest groups—including the AFL-CIO, nurses' At the same time, m n remain convinced that she is
the
associations, Indian leaders—as well as with the leading far left-*and perhaps more powerful—side of the
intellects of the market-based " a a e competition" Clinton partnership, determined to impose something
m n gd
See HEALTH. Al&,CflU
theory embraced b the president, and of the governy
v
f5
Ok
gt,
u
�8/30
This does not need a response. I t ' s a thank
you to HRC f o r her participation i n a
East Room event having something to do with
the DC school system. Another l e t t e r w i l l
follow which w i l l require a response so we
need to watch f o r i t .
�TIIK AMKMCAN AHrilllKCTUUAI. FOUNDATION
,
.-X
.V
\..niiiiii I
August 2, 1993
/ w
.„
K.M.nn- I A I A
(
Mrs. Hillary Rodham Clinton
The White House
Washington, DC 20500
Dear Mrs. Clinton:
We continue to be most appreciative of your hospitality during the recent East
Room ceremony during which our Educational Resource Kit commemorating the
200th Anniversary of the White House was presented to the Superintendent and
Principals of the District of Columbia school system. Your gracious remarks and
participation in utilizing the software program (with Socks) was enjoyed by all.
The American Architectural Foundation is most pleased to have worked with the
White House Historical Association, White House Staff, and sponsors of the
program to make these exciting kits available to our local school system.
We understand that you and The President have provided updated opening and
closing comments for the video tour of the White House. We would like to
update the timeline poster to include the Clinton administration, as the District of
Columbia Public Schools intends to utilize the materials in the 1993-94 school year.
We will submit the updated information for your approval in the near future.
We have just received an unsolicited inquiry from a major educational materials
distributor who would like to consider reproducing the revised timeline poster with
an eye toward major national distribution in the fall of this year. This adds great
credibility to our perception of the significant opportunity for enhancement of
public education in the areas of social studies, history, math, science, art, and
language skills through interest in the architectural icon which is the Presidential
Residence and through the influence of the First Family.
We hope that you will look favorably on these possibilities.
i?:tr. N.-w Ymk Au-
N
W
\VM*liiii»iiiii. DC •JOOIK.-r.J'ij
i.h'i.i
• •jo'j.d-jd.Tr.do
-
l-'iicsimil.- 2(»2.<> Jf>.742t>
�August 2, 1993
Mrs. Hillary Rodham Clinton
Page 2
I have not forgotten your expressed interest in the effects of good design on the
healing process in medical facilities that were mentioned in our comments at the
White House. We are continuing in our discussions with Dr. Jonas Salk in the
Forum for the Enhancement of Human Health and Weil-Being Through
Architecture and will give you an update concerning our Findings in the near
future.
Again, thank you so much for your wonderful hospitality and for spending a
significant amount of time from your busy schedule with the educators and
sponsors who were gathered in the White House for our presentation.
Sincerely yours,
Norman L. Koonce, FAIA
President
NLK:bjm
copy: Rex W. Scouten, Hon. AIA
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Other Information: [2]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-013-003-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/f4f74fdd665e5f10d7864a8a5c4348af.pdf
4fe5a7b5d2ca15557d2fc26e347fb0e7
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Misc. Subject Files
OA/ID Number:
10813
FolderlD:
Folder Title:
OTHER INFORMATION: [1]
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
2
3
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001. list
Committee for the Preservation of the White House; RE: Addresses
and phone numbers [partial] (3 pages)
n.d.
P6/b(6)
002. memo
Marjorie Tarmey to Steve Pigeon; RE: Salary Levels (1 page)
04/06/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Misc. Subject Files)
OA/Box Number: 10813
FOLDER TITLE:
Other Information [ 1 ]
2006-0810-F
dbl786
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information [(aXl) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute |(aX3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�BACKGROUND
(Prepared
The
Committee
f o r May 10, 1990 Business Meeting)
f o r the Preservation
o f t h e White
House was
e s t a b l i s h e d by Executive Order 11145 on March 7, 1964.
To f u l l y understand the reasons f o r t h i s Executive
Order, we must
f i r s t acknowledge P u b l i c Law 87-286 o f September 22, 1961. I t was
t h i s a c t o f Congress which e s t a b l i s h e d t h e "museum character" o f
the p r i n c i p a l c o r r i d o r on the ground f l o o r and t h e p r i n c i p a l p u b l i c
rooms on the f i r s t
f l o o r of t h e White House. Although i t d i d n o t
o f f i c i a l l y designate
the White House as a n a t i o n a l monument, t h e
1961 law mandated t h a t the White House be administered pursuant t o
the
Act o f 1916.
This
1916 Act was t h e l e g i s l a t i o n
e s t a b l i s h e d the N a t i o n a l Park Service and i t s stewardship
the p r e s e r v a t i o n and i n t e r p r e t a t i o n
and
n a t i o n a l parks.
which
role i n
o f our n a t i o n ' s h i s t o r i c
I n 1961, t h e i n t e n t
o f f i c i a l l y extended t o the White House.
of this
sites
legislation
The 1961 law also s t a t e d
t h a t " . . . a r t i c l e s o f f u r n i t u r e , f i x t u r e s and d e c o r a t i v e o b j e c t s o f
the White House when declared by t h e President t o be o f h i s t o r i c
or a r t i s t i c
acquired
interest,
by the White
together w i t h s i m i l a r
... o b j e c t s as are
House i n t h e f u t u r e when
declared, s h a l l t h e r e a f t e r be considered
property o f the White House."
similarly
so
t o be i n a l i e n a b l e and the
I t i s t h i s language which
e s t a b l i s h e d a White House museum c o l l e c t i o n .
clearly
P u b l i c Law 87-286
stemmed from the e f f o r t s of Mrs. Kennedy t o recognize the "museum
�character" of the White House and her accomplishments i n f u l f i l l i n g
the
s p i r i t of t h i s l e g i s l a t i o n are well-known.
However, many o f us may not be aware o f Mrs. Johnson's concern t h a t
past e f f o r t s and c o n t r i b u t i o n s t o the p r e s e r v a t i o n and i n t e r p r e t a t i o n o f the White House c o n t i n u e through f u t u r e a d m i n i s t r a t i o n s .
President and Mrs. Johnson
who, l i k e many Presidents and F i r s t
Ladies before, and who were t o f o l l o w ,
commitment t o the White
shared a deep sense o f
House as a n a t i o n a l
symbol,
and were
dedicated t o ensuring i t s p r e s e r v a t i o n f o r f u t u r e generations. I t
was through t h i s , concern t h a t Executive Order 1114 5 of March 7
1964 e s t a b l i s h e d t h e Committee
f o r t h e P r e s e r v a t i o n o f t h e Whit<
House.
There are two major o b j e c t i v e s o f t h e Executive Order:
The f i r s t was t o permanently e s t a b l i s h t h e p o s i t i o n o f
"Curator f o r the White House.
The Curator i s d i r e c t l y
responsible f o r the care and p r e s e r v a t i o n o f t h e White
House museum c o l l e c t i o n ,
which today c o n s i s t s o f over
40,000 f i n e and d e c o r a t i v e a r t o b j e c t s (such as G i l b e r t
S t u a r t ' s p o r t r a i t o f George Washington and the Blue Room
f u r n i t u r e t h a t was o r i g i n a l l y acquired d u r i n g the Monroe
�administration).
Today Mr.
Rex
Scouten, the c u r r e n t
White House Curator, i s r e s p o n s i b l e f o r overseeing the
daily
p r e s e r v a t i o n and care o f t h i s t r u l y m a g n i f i c e n t
collection.
The
second
objective
of t h i s
Executive
Order
was
to
e s t a b l i s h the Committee f o r the P r e s e r v a t i o n o f t h e White
House. /This Committee i s composed o f the D i r e c t o r o f the
National
Park Service
committee),
the Curator
(who serves
as chairman o f the
and Chief Usher o f the White
House, the Secretary of the Smithsonian, the Chairman o f
the Commission o f Fine A r t s , the D i r e c t o r o f t h e N a t i o n a l
Gallery
of A r t
(which
form
the e x - o f f i c i o
committee
members) and members appointed by the P r e s i d e n t o f the
United States. The Committee f o r the P r e s e r v a t i o n o f t h e
White House was a c t i v e from 1964 t o e a r l y 1981.
From
1981 t o 1990 the e x - o f f i c i o members were c o n s u l t e d on an
i n f o r m a l basis as necessary t o advise the P r e s i d e n t and
White House Curator on matters p e r t a i n i n g t o proposed
acquisitions
t o the White House Museum C o l l e c t i o n and
proposed changes t o the p r i n c i p a l rooms on the ground and
f i r s t f l o o r s of the White House.
�v
1
WHITE HOUSE HISTORICAL ASSOCIATION
740 Jackson Place. N.W.
Washington. D.C. 20503
(202) 737-8292
BOARD OF
5 AND
OFFICERS
Robert L. Breeden
George M Elsey
.
James I . McDaniel
J. Carter Brown
Joy Carter Sundlun
Chairman/CEO (Executive Advisor to the President,
National Geographic Society)
President (Former President, American Red Cross)
Secretary (Associate Regional Director,
National Park Service)
Treasurer (Chairman, Oonmission of Fine Arts)
Assistant Treasurer (National Council, Friends of the
Kennedy Center for the Performing Arts)
OIHER DIRECTORS
Robert Mccormick Adams Secretary, the Smithsonian Institution
Nash Castro
Fomer General Manager, Palisades Interstate Park
Commission, N.Y.-N.J.
Clark M. Clifford
Partner, Clifford & Wamke, Attorneys at law
Dorothy M. Craig
Chairman, The White House Endowment Fund
G. Franklin Edwards
Former Professor, Department of Sociology, Howard
University
Carson M. Glass
Attorney; former partner, Clifford & Wamke
Gilbert M Grosvenor
.
President and Chairman of the Board, National Geographic Society
George B. Hartzog, Jr. Attorney; fonner Director, National Park Service
Roger Horchow
Chairman, Horchow Collection, Neiman Marcus Group
of General Cinema Corporation
Author; Musicologist; Lecturer, The Kennedy Center f
Elise K. Kirk
the Performing Arts
Architect; founding partner, Pei Cobb Freed & Partne
I. M.-Pei
Director, The National Gallery of Art
Earl A. Powell I I I
Director, National Park Service
James M Ridenour
.
Washington Contributing Editor, Time Magazine
Hugh S. Sidey
Leonard L. Silverstein Partner, Silverstein and Mullens, Attorneys at Law
Alfred R. Stem
Partner, Kingston Investors Corp.
DIRECTORS EMERITI
John Walker and Conrad L. Wirth
EXECLnTVE VICE PRESIDENT
Bernard R. Meyer
11/10/92
�The Committee f o r the P r e s e r v a t i o n o f t h e White House i s charged
with
a d v i s i n g the D i r e c t o r
o f the N a t i o n a l Park
Service
with
executing h i s r e s p o n s i b i l i t i e s under the Act o f September 22, 1961,
f o r the p r e s e r v a t i o n and the i n t e r p r e t a t i o n o f t h e museum character
of the p r i n c i p a l c o r r i d o r and rooms on the ground f l o o r such as the
Vermeil Room and the L i b r a r y , and on the f i r s t f l o o r such as the
Blue, Green and State Dining rooms.
This i s a r e s p o n s i b i l i t y the
D i r e c t o r shares w i t h a l l the members o f t h i s Committee.
Two c u r r e n t p r o j e c t s which i l l u s t r a t e t h i s r e s p o n s i b i l i t y are the
White House V i s i t o r Survey and the White House Drawings Index.
The
v i s i t o r survey, being conducted by the U n i v e r s i t y of Idaho f o r the
N a t i o n a l Park Service, i s i d e n t i f y i n g who v i s i t s the White House,
where they come from and what s e r v i c e s they r e q u i r e .
Data from
t h i s survey i s being used t o improve programs, p u b l i c a t i o n s and
services f o r our v i s i t o r s .
The video tape which you have i n youi
packet i s a 13-minute sample o f the data we have received so f a r
The
White
computerized
House
Drawings
Index
is
a
project
to
create
index o f a l l White House a r c h i t e c t u r a l , e n g i n e e r i n
and landscape plans no matter where they are l o c a t e d .
Funded b
both the White House H i s t o r i c a l A s s o c i a t i o n and the N a t i o n a l Par
Service, t h i s e f f o r t has catalogued more than 8,000 plans d u r i r
�the
past 2 years and should be complete by the end o f 1990. The
r e s u l t i n g index has already been proven v a l u a b l e t o designers and
researchers working on White House p r o j e c t s .
The committee i s also t o serve as an advisory committee t o t h e
President
on matters
pertaining
t o t h e White
c o l l e c t i o n by making recommendations
House
museum
as t o works o f a r t and " t h e
a r t i c l e s o f f u r n i t u r e , f i x t u r e s , and d e c o r a t i v e o b j e c t s ... which
s h a l l be used or displayed i n t h e p u b l i c rooms o f the White House
and as t o the decor and arrangements best s u i t e d t o enhance t h e
h i s t o r i c and a r t i s t i c
It
i s o f paramount
values o f t h e Whit3 House."
importance t h a t t h e committee undertakes i t s
r e s p o n s i b i l i t i e s t o ensure t h e p r e s e r v a t i o n o f t h e White House f o r
the
over one m i l l i o n American c i t i z e n s and v i s i t o r s from f o r e i g n
nations who v i s i t t h e White House each year, keeping a l i v e t h e
legacy o f t h i s unique e d i f i c e .
time o f great p o l i t i c a l
accompanying
And j u s t as i m p o r t a n t l y , i n t h i :
and s o c i a l changes
i n our w o r l d , as th<
r e p o r t t o the 1961 l e g i s l a t i o n
stated,
"the Whit
House symbolizes, not only t o our n a t i o n b u t t o people throughou
the
w o r l d , the American i d e a l o f r e s p o n s i b l e self-government."
From Mrs. Johnson's A WHITE HOUSE DIARY we can share a glimpse <
her
vision
f o r the Committee,
f o r she wrote,
"Even
i ft
r e s t o r a t i o n could be considered 90 % f i n i s h e d , h i s t o r y w i l l kee
�on moving.
Other people w i l l come and l i v e i n the White House,
and i f we can do anything t o p e r p e t u a t e what has been done and move
forward
t h a t i s my great a m b i t i o n . "
and Mrs. Bush share these f e e l i n g s .
[page 7 9 ] . The President
This was c l e a r l y demonstrated
by the President's s i g n i n g Executive Order 12692 o f September 29,
1989, renewing the c h a r t e r f o r the Committee
f o r the P r e s e r v a t i o n
of the White House.
The White House today continues t o r e f l e c t the v i s i o n
o f our f i r s t
President George Washington, who recognized the importance o f the
President's
president
House as
Theodore
a symbol
Roosevelt i n 1908
I n s t i t u t e of A r c h i t e c t s , "
'eye
o f the new
of guardianship
1
democracy.
conveyed
t o the
And
as
American
the duty o f p r e s e r v i n g a p e r p e t u a l
over t h e White House..." t o continue t o
ensure t h a t i t m a i n t a i n s the "...beauty, d i g n i t y and s i m p l i c i t y of
i t s o r i g i n a l plan..."
are charged w i t h today.
of
pride
This i s what t h e members o f t h e committet
The White House continues t o be a source
f o r the American
people.
As
we
approach
the 20 Ot:
anniversary of the White House, the Committee f o r t h e P r e s e r v a t i o
of the White House shares i n t h i s o b l i g a t i o n f o r the p r e s e r v a t i c
of t h i s important n a t i o n a l symbol.
�Executive Order 11145
PROVIDING FOR A CURATOR OF THE WHITE
HOUSE AND ESTABLISHING A COMMITTEE FOR
THE PRESERVATION OF THE WHITE HOUSE
WHEREAS the White House, as the home of the
highest elective officer of the United States
-symbolizes the American ideal of responsible selfgovernment
-is emblematic of our democracy and our national
purpose
-has been intimately associated with the personal and
social life of the Presidents of the United States and
many of their official acts
-occupies a particular place in the heart of every
American citizen, and
WHEREAS certain historic rooms and entrance-ways
in the White House
-possess great human interest and historic significance
-traditionally have been open to visitors
-have provided pleasure and patriotic inspiration to
millions of our citizens
-have come to be regarded as a public museum and the
proud possession of all Americans, and
WHEREAS the Congress by law (Act of September
22. 1961), (75 Stat. 586) has authorized the care and
preservation of the historic and artistic contents of the
White House and has given the President certain
responsibilities with regard thereto:
NOW THEREFORE, by virtue of the authority vested
in me as President of the United States, it is ordered as
follows:
Section 1. (a) There shall be in the White House a
Curator of the White House. The Curator shall assist in
the preservation and protection of the articles of
furniture, fixtures, and decorative objects used or
displayed in the principal corridor on the ground floor
and the principal public rooms on the first floor of the
White House, and in such other areas in the White
House as the President may designate.
(b) The Curator shall report to the President and shall
make recommendations with respect to the articles,
fixtures, and objects to be declared by the President,
under section 2 of the Act of September 22. 1961, to be
of historic or artistic interest.
Sec. 2. there is hereby established the Committee for
the Preservation of the White House, hereinafter
referred to as the "Committee." The Committee shall
be composed of the Director of the National Park
Service, the Curator of the White House, the Secretary
of the Smithsonian Institution, the Chairman of the
Commission of Fine Arts, the Director of the National
Gallery of Art, the Chief Usher of the White House,
and seven other members to be appointed by the
President. The Director of the National Park Service
shall serve as Chairman of the Committee and shall
designate an employee of that Service to act as
Executive Secretary of the Committee. Members of the
Committee shall serve without compensation.
Sec. 3. (a) The Committee shall report to the President
and shall advise the Director of the National Park
Service with respect to the discharge of his
responsibility under the Act of September 22, 1961, for
the preservation and the interpretation of the museum
character of the principal corridor on the ground floor
and the principal public rooms on the first floor of the
White House. Among other things, the Committee shall
make recommendations as to the articles of furniture,
fixtures, and decorative objects which shall be used or
displayed in the aforesaid areas of the White House and
as to the decor and arrangements therein best suited to
enhance the historic and artistic values of the White
House and of such articles,fixtures,and objects.
(b) The Committee shall cooperate with the White
House Historical Association, a nonprofit organization
heretofore formed under the laws of the District of
Columbia.
(c) The Committee is authorized to invite individuals
who are distinguished or interested in the fine arts to
attend its meetings or otherwise to assist in carrying out
its functions.
Sec. 4. Constant with law, each Federal department
and agency represented in the Committee shall furnish
necessary assistance to the Committee in accordance
with section 214 of the Act of May 3, 1945, 59 Stat.
134 (31 U.S.C. 691). The Department of the Interior
shall furnish necessary adminstrative services for the
Committee.
Lyndon B.Johnsoi
Tlie WJiite House.
March 7. 1964
Continued u n t i l September 30, 1993 by Executive Order 1277A of September 29,
�Executive Order 11145
PROVIDING FOR A CURATOR OF THE WHITE
HOUSE AND ESTABLISHING A COMMITTEE
FOR THE PRESERVATION OF THE WHITE
HOUSE
WHEREAS the White House, as the home of the
highest elective officer of the United States
—symbolizes the American ideal of responsible selfgovernment
— is emblematic of our democracy and our national
purpose
— has been intimately associated with the personal
and social life of the Presidents of the United States
and many of their official acts
—occupies a particular place in the heart of every
American citizen, and
WHEREAS certain historic rooms and entranceways in the White House
— possess great human interest and historic significance
—traditionally have been open to visitors
—have provided pleasure and patriotic inspiration
to millions of our citizens
—have come to be regarded as a public museum
and the proud possession of all Americans, and
WHEREAS the Congress by law (Act of September
22. 1961), (75 Stat. 586) has authorized the care and
preservation of the historic and artistic contents of the
White House and has given the President certain
responsibilities with regard thereto:
NOW, THEREFORE, by virtue of the authority
vested in me as President of the United States, it is
ordered as follows:
SECTION 1. (a) There shall be in the White House
:i Curator of the White House. The Curator shall
assist in the preservation and protection of the articles
of furniture, fixtures, and decorative objects used or
displayed in the principal corridor on the ground floor
and the principal public rooms on the first floor of the
White House, and in such other areas in the White
House as the President may designate.
(b) The Curator shall report to the President and
shall make recommendations with respect to the
articles, fixtures, and objects to be declared by the
The White House,
March. 7, 1964.
President, under section 2 of the Act of September 22,
1961, to be of historic or artistic interest.
SEC. 2. There is hereby established the Committee
for the Preservation of the White House, hereinafter
referred to as the "Committee '. The Committee shall
be composed of the Director of the National Park
Service, the Curator of the White House, the Secretary
of the Smithsonian Institution, the Chairman of the
Commission of Fine Arts, the Director of the National
Gallery of Art, the Chief Usher of the White House,
and seven other members to be appointed by the
President. The Director of the National Park Service
shall serve as Chairman of the Committee and shall
designate an employee of that Service to act as Executive Secretary of the Committee. Members of the
Committee shall serve without compensation.
SEC. 3. (a) The Committee shall report to the
President and shall advise the Director of the National
Park Service with respect to the discharge of his
responsibility under the Act of September 22, 1961,
for the preservation and the interpretation of the
museum character of the principal corridor on the
ground floor and the principal public rooms on the
first floor of the White House. Among other things,
the Committee shall make recommendations as to the
articles of furniture, fixtures, and decorative objects
which shall be used or displayed in the aforesaid areas
of the White House and as to the decor and arrangements therein best suited to enhance the historic and
artistic values of the White House and of such articles,
fixtures, and objects.
(b) The Committee shall cooperate with the White
House Historical Association, a nonprofit organization
heretofore formed under the laws of the District of
Columbia.
(c) The Committee is authorized to invite individuals who are distinguished or interested jn the fine
arts to attend its meetings or othemise to assist in
carrying out its functions.
SEC. 4. Constant with law, each Federal department
and agency represented on the Committee shall furnish necessary assistance to the Committee in accordance with section 214 of the Act of May 3, 1945
59 Stat. 134 (31 U.S.C. 691). The Department of th(
Interior shall furnish necessary administrative s e r v ^
for the Committee.
Lyndon B. Johntor
�Executive Order 11565
AMENDING EXECUTIVE ORDER NO. 11145 WITH RESPECT TO THE
MEMBERSHIP OF THE COMMITTEE FOR THE PRESERVATION OF THE
WHITE HOUSE
By virtue of the authority vested in me as President of the United States, Executive Order
No. 11145 of March 7, 1964, "Providing for a Curator of the White House and Establishing
a Committee for the Preservation of the White House,"is hereby amended by substituting the
following for section 2:
"Sec. 2. There is hereby established the Committee for the Preservation of the White House,
hereinafter referred to as the 'Committee'. The Committee shall be composed of the Director
of the National Park Service, the Curator of the White House, the Secretary of the
Smithsonian Institution, the Chairman of the Commission of fine Arts, the Director of the
National Gallery of Art, the Chief Usher of the White House, and so many other members
as the President may from time to time appoint. The Director of the National Park Service
shall serve as Chairman of the Committee and Shall designate an employee of that Service to
act as Executive Secretary of the Committee. Members of the Committee shall serve without
compensation."
Richard Nixon
The White House.
October 13. 1970
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. list
SUBJECT/TITLE
DATE
Committee for the Preservation of the White House; RE: Addresses
and phone numbers [partial] (3 pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Misc. Subject Files)
OA/Box Number:
10813
FOLDER TITLE:
Other Information [1]
2006-0810-F
dbl786
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Inforniation Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the KOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA|
National Security Classified Information [(a)(1) of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA]
Release would violate a Federal statute 1(a)(3) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�CooQ
COMMITTEE FOR THE PRESERVATION OF THE WHITE HOUSE
Dr. Robert McCormick Adams
Secretary, Smithsonian Inst.
100 Jefferson Drive, S.W.
Washington, D.C. 20560
Mr. J. Carter Brown
Director Emeritus,
National Gallery of Art
1201 Pennsylvania Ave., N. W.
Suite 621
Washington, D.C. 20004
Mr. J. Carter Brown
Chairman, Commission of Fine Arts
Pension Building, Suite 312
Judiciary Square
5th and F Streets, N.W.
Washington.D.C. 20001
Ms. Wendy Cooper
Curator of Decorative Arts
The Baltimore Museum of Art
Art Museum Drive
Baltimore. MD 21218
(202) 357-1846 (ofc)
(202) 347-1906 (ofc)
fMvei^mf^Wl (home)
(202) 504-2200 (ofc)
(410) 396-6328 (ofc)
mmmmthome)
Mrs. Earle M. Craig, Jr.
MWftVM Oiome)
Mrs. Charles W. Engelhard
(home)
Mr. Johnathan Fairbanks
Katharine Lane Weems Curator
of American Decorative Arts
and Sculpture
Museum of Fine Arts
465 Huntington Avenue
Boston, MA 02115
(617) 267-9438 (ofc)
mmmmmthom*)
Clinton Library Photocopy
�Mr. Mark Hampton
ail) 753-4110 (ofc)
(home)
Mr. William Kloss
Art Historian and Author
(home)
mmmwm
Mr. James 1. McDaniel
Associate Regional Director
White House Liaison
National Park Service
National Capital Region
1100 Ohio Drive. S.W.
Washington. D.C. 20242
(202) 619-6344 (ofc)
Mr. Richard Nylander
Curator of Collections
Society for the Preservation
of New England Antiquities
Harrison Gray Otis House
141 Cambridge Street
Boston, MA 02114
(617) 227-3956 (ofc)
(home)
Mr. Earl "Rusty" A. Powell, III
Director,
National Gallery of Art
1201 Pennsylvania Ave., N. W.
Washington. D.C. 20004
(202) 842-6001 (ofc)
Mr. James M. Ridenour
DireaoY, National Park Service
P.O. Box 37127
Washington, D.C. 20013-7127
(202) 208-4621 (ofc)
Mr. Rex W. Scouten
Curator
The White House
Washington. D.C 20500
(202) 456-2550 (ofc)
TMwfeWmv (home)
Mr. Gary J. Walters
Chief Usher
The White House
Washington, D.C. 20500
(202) 456-2650 (ofc)
(home)
Clinton Library Photocopy
�Mr. John Wilmerding
Christopher Binyon Sarofim
'86 Professor in American Art
104 McCormick Hall
Princeton University
Princeton, N.J. 08544-1018
v
l*. t
Clinton Library Photocopy
^
�THE WHITE HOUSE
WASHINGTON
OMMITTEE FOR THE PRESERVATION OF THE WHITE HOUSE
MEETING OF NOVEMBER 8, 1993
11:00am
New Committee Members a r r i v e v i a t h e n o r t h w e s t g a t e
(Annenberg, Bowman, Hockersmith, Moe, Savage)
(Ms. C o n w i l l and Mr. Powell w i l l n o t a t t e n d )
B r i e f i n g o f Committee R e s p o n s i b i l i t i e s
Tour o f P u b l i c Rooms
11:45am
Former Committee Members a r r i v e
12:00pm
Working Luncheon - Blue Room
1)
approve minutes o f September 1992 meeting
2)
m o t i o n - Mrs. C l i n t o n t o be Honorary
o f t h e Committee
3)
m o t i o n - B e t t y Monkman and Maggie W i l l i a m s
t o be c o n s u l t a n t s t o t h e Committee
4)
D o l l e y Madison p o r t r a i t
5)
B a r r a Foundation c h a i r s
6)
Cross Hall furniture—
7)
Blue Room r e f u r b i s h i n g
carpet, wallcovering, draperies,
8)
L i b r a r y overmantel
l^jukd/i^^
fabric
East Room c a r p e t
9)
Chair
placement
10)
Recent a c q u i s i t i o n s
11)
Entrance H a l l d r a p e r i e s
12)
Grand S t a i r c a s e and Cross H a l l c a r p e t
New Business
Funding sources and f i n a n c i a l s t a t u s r e p o r t
Library
Reproduction proposal
Loan P o l i c y
Set d a t e f o r n e x t meeting
v
�THE WHITE
HOUSE
WASHINGTON
COMMITTEE FOR THE PRESERVATION OF THE WHITE HOUSE
MEMBERS
Member
MRS. LEONORE ANNENBERG
Member
MS. LESLIE GREENE BOWMAN
Is'"
MS
Member
. KINSHASHA HOLMAN CONWILL
Member
MS. WENDY COOPER
Member
MRS. CHARLES W ENGELHARD, JR.
.
Member
JONATHAN FAIRBANKS
Member
MARK HAMPTON
Member
IS. KAKI HOCKERSMITH
Member
WILLIAM KLOSS
Member
RICHARD MOE
Member
RICHARD NYLANDER
Member
/
\/ J.
Member
JOHN WILMERDING
D i r e c t o r , National Park S e r v i c e
Curator,
THOMAS SAVAGE, J R .
The White House
S e c r e t a r y , Smithsonian I n s t i t u t i o n
D i r e c t o r , National G a l l e r y of A r t
ROGER G. KENNEDY
Chairman
REX W SCOUTEN
.
ROBERT MCCORMICK ADAMS
EARL A. POWELL, I I I
Chairman, Commission of Fine A r t s
J . CARTER BROWN
Chief Usher, The White House
GARY J . WALTERS
A s s o c i a t e Regional D i r e c t o r
f o r White House L i a i s o n
National Park S e r v i c e
JAMES I . MCDANIEL
Executive S e c r e t a r y
�THE WHITE
HOUSE
WASHINGTON
COMMITTEE FOR THE PRESERVATION OF THE WHITE HOUSE
MEETING OF NOVEMBER 8, 1993
11:00am
B r i e f i n g o f Committee R e s p o n s i b i l i t i e s
Tour o f P u b l i c Rooms
12:00pm
Working Luncheon - Blue Room
1)
Approve minutes o f September 25, 1992 meeting
2)
Committee business
3)
Proposed
6)
Cross H a l l
7)
Blue Room r e f u r b i s h i n g
8)
East Room c a r p e t
9)
L i b r a r y overmantel placement
acquisitions
furniture
10)
Report on r e c e n t a c q u i s i t i o n s
11)
Entrance H a l l d r a p e r i e s
12)
Grand S t a i r c a s e and Cross H a l l c a r p e t
New Business
Funding sources and f i n a n c i a l s t a t u s
Proposed changes t o t h e L i b r a r y
Reproduction proposal
Set d a t e f o r n e x t meeting
report
�-V
O
THE BARRA FOUNDATION, INC
September 1, 1993
Mr. Rex W. Scouten, Curator
The White House
Washington, DC 20500
Dear Rex:
The Directors of The Barra Foundation have authorized me to
o f f e r as a g i f t to the Permanent Collection of the White House the
two Philadelphia Chippendale mahogany side chairs from President
Washington's o f f i c i a l residences, which have been on loan since
1972.
Information regarding chairs used by President Washington i n
his official residences i n Philadelphia and New Y o r k , and the
provenance of these two chairs has been documented i n the enclosed
r e p o r t . You will note that the preponderance of evidence supports
the historical assertion on the labels attached to the slip seats.
(Three copies of the report are p r o v i d e d . )
As you know, we have been advised by your conservator,
Robert Mussey, that the continuous use of the chairs will
jeopardize their i n t e g r i t y as historic a r t i f a c t s . Therefore, the
g i f t must be made with the condition that the chairs be displayed
but not used on a regular basis as they have been i n the Map
Room.
We hope that the President's Staff will be able to f i n d an
appropriate location f o r the chairs so that the President and
First Lady can accept them f o r the benefit of f u t u r e generations
of Americans as presidential treasures revealing our cultural
heritage.
We shall look f o r w a r d to hearing from you i n due course.
Please advise us i f we can be of assistance.
Sincerely y o u r s ,
Robert L . McNeil, J r .
President
RLMJr:ghf
Encs.
H200 FLOURTOVVN AVENUE WYNDMOOR, PA. 19118 TELEPHONE (215) 233-5115 • (215) 836-1030
�T O PHILADELPHIA MAHOGANY SIDE CHAIRS
W
FROM
PRESIDENT WASHINGTON'S OFFICIAL RESIDENCE IN PHILADELPHIA
�EXECUTIVE SUMMARY by C h a r l e s F. Hummel
The report that f o l l o w s f u l l y documents and corroborates the
information presented here i n summary form:
>
The two P h i l a d e l p h i a s i d e c h a i r s bear l a b e l s p r i n t e d about
1839 that i n d i c a t e the c h a i r s were owned by P r e s i d e n t Washington
i n h i s o f f i c i a l New York and P h i l a d e l p h i a r e s i d e n c e s and were
l a t e r owned by two P h i l a d e l p h i a n s , Peter Hinkle and William
Gardner, before 1839.
>
The f i r s t o f f i c i a l r e s i d e n c e of P r e s i d e n t Washington i n New
York C i t y was "newly f u r n i s h e d " f o r h i s use i n 1789.
>
Congress authorized and paid f o r a q u a n t i t y of f u r n i t u r e i n
1789 f o r President Washington's r e s i d e n c e .
Congressional
Among the
accounts were payments to Thomas B u r l i n g of New
York f o r mahogany f u r n i t u r e that included s i x t y - e i g h t s i d e c h a i r s
in s i x sets.
>
Thomas B u r l i n g ' s i n v o i c e of 1789 i n d i c a t e s that the c h a i r s
purchased f o r P r e s i d e n t Washington's use were " p l a i n " .
>
As one of s e v e r a l trustworthy a r t i s a n s i n New York C i t y
f o l l o w i n g the B r i t i s h evacuation of 1783, B u r l i n g enlarged h i s
r e t a i l operation t o meet the needs of the new U.S. c a p i t a l
�personnel.
I t was not uncommon f o r f u r n i t u r e to be shipped from
one c o a s t a l production center to another c i t y .
Philadelphia
f u r n i t u r e , therefore, could have been shipped to B u r l i n g as p a r t
of a
>
sub-contract.
The " p u b l i c " f u r n i t u r e purchased by Congress moved to
President Washington's second New York residence and was moved
again to h i s t h i r d o f f i c i a l r e s i d e n c e
i n P h i l a d e l p h i a during the
summer of 1790.
>
Before r e t u r n i n g to Mt. Vernon i n 1797, Washington s o l d the
French f u r n i t u r e that he had purchased from the Count de
Moustier.
>
I t i s b e l i e v e d that during
P r e s i d e n t Adams's a d m i n i s t r a t i o n ,
some of the " p u b l i c " f u r n i t u r e purchased by Congress f o r
President Washington was s o l d between 1797 and 1800.
>
The two c h a i r s described
i n t h i s report were purchased by
Peter Hinkle between 1797 and 1800. They were then acquired by
William Gardner, who was probably a nephew of Hinkle,
>
Following
i n 1839.
i n h e r i t a n c e of these two c h a i r s by a Dr. Robinson
and Mrs. Catherine M o r r e l l , the c h a i r s were purchased by
Ferdinand K e l l e r , a P h i l a d e l p h i a antiques
dealer.
�>
W.W.
I n 1903, Ferdinand K e l l e r s o l d one of the two c h a i r s to a
Frazier.
The other c h a i r of the p a i r was sold to a B. Frank
Clyde.
>
I s r a e l Sack, I n c . , obtained the c h a i r s from the Reginald
Lewis estate s a l e (Parke Bernet, 1961) and from John S. Walton
( a l s o i n 1961).
They were sold by the Sack firm to L a n s d e l l
K.
C h r i s t i e i n that y e a r .
>
The c h a i r s were a c q u i r e d by The B a r r a Foundation, I n c . , at
the L a n s d e l l K. C h r i s t i e s a l e (Sotheby Parke-Bernet,
1972).
�I.
DESCRIPTION OF CHAIRS AND LABELS
Pair
of side
chairs
Washington
Cherry
and Adams in
Street
of
Chair
southern
splat
with
opposed
bear
of/the
of his
U.S.
in New York
Street."
ca 1760-1785.
with
flat
arches
manufacturer
States
became/the
property
on each
chair.
dealer,
Later
sign
and
and
ears;
and
triple-
unadorned
feet.
in
in Philadelphia
of America
GARDNER/A.D. 1839."
and antiques
flat
"THESE CHAIRS/Were
HINKLE/and
the
arches
in ball-and-claw
labels:
1789
Vase-shaped
rail
with
in
in
Mahogany
crest
ending
"at
3
Street
Government
"Gothic"
rail
e f f e c t s by/PETER
when they
owner/WILLIAM
present
United
residences:
interlaced
scalloped
printed
the
in Beekman
c-scrolls,
Presidents
and 190 High
GEORGE WASHINGTON/While residing
president
decease
by
by
official
1770-1800)
seat
used
in New York,
Chapel,
legs
been
three
Philadelphia,
front
cabriole
chairs
of/GEN.
sale
the
pine.
stiles;
pendant;
first
purchased
(active
quatrefoil;
fluted
Both
near
yellow
pierced
the
Possibly
Thomas Burling
the
to have
and 39 Broadway
Philadelphia.
from
believed
possession
as
and were/purchased
kept
of
the
labels
Ferdinand
by him until
at
a
his
present
from
Keller,
the
are
furniture
also
�RUFUS PORTER, 1792-1884.
The President's House; watercolor on plaster, c.1824,
32 3/4 x 51 1/8. North view of Residence and terraces,
possibly based on drawing by George Catlin, c.1820;
three buildings to each side, inaccurately representing the
four executive department buildings which then shared the s i t e ;
triumphant r i s i n g sun i n background; folk a r t overmantel mural
removed from New Hampshire tavern.
Gift of the White House H i s t o r i c a l Association.
992.1717.1
�THE
WHITE
HOUSE
WASHINGTON
WHITE HOUSE ACQUISITIONS
W i l l i a m J. C l i n t o n A d m i n i s t r a t i o n
January 20, 1993 - November 8, 1993
FINE ARTS
Portraits
JOHN TYLER,
a f t e r Mathew B. Brady ( p h o t o g r a p h ) , c.1823-1896.
wood e n g r a v i n g , f r o m Frank L e s l i e ' s I l l u s t r a t e d Newspaper,
F e b r u a r y 16, 1861, 9 7 / 8 x 6 1/8 (page - 16 1/2 x 11 1/4).
E n t i t l e d , Hon. John T y l e r , E x - P r e s i d e n t o f t h e U n i t e d S t a t e s and
P r e s i d e n t o f t h e Peace C o n v e n t i o n Now S i t t i n g i n Washington.
G i f t o f Ed H o t a l i n g .
993.1731.1
DANIEL WEBSTER, 1782-1852.
Unknown a r t i s t .
Marble, p o s s i b l y m i d - 1 9 t h c e n t u r y ,
5 3/4 x 3 5/8 x 2 7/8. G i f t o f Mr. and Mrs. John L. Sanders
i n honor o f Stephen Neal Dennis.
993.1726.1
White House Scenes
a f t e r C. BUNNELL, d a t e s unknown.
Washington. D.C. - The White House K i t c h e n - P r e p a r i n g D i n n e r ;
wood e n g r a v i n g , f r o m Frank L e s l i e ' s I l l u s t r a t e d Newspaper,
A p r i l 6, 1889, 6 9/16 x 8 7/8 (page - 15 13/16 x 11 5/16).
East v i e w w i t h f o u r male c h e f s a t i s l a n d b e f o r e w a l l ovens.
G i f t o f Ed H o t a l i n g .
993.1731.1
JOSEPH PENNELL, 1860-1926.
The White House, by N i g h t ; i n k , wash, and gouache on paper
mounted on b o a r d , c.1881-1884, 16 x 20. N o r t h f r o n t ;
used as i l l u s t r a t i o n f o r "The White House" by E.V. Smalley,
The C e n t u r y Magazine. A p r i l 1884.
G i f t o f t h e White House H i s t o r i c a l A s s o c i a t i o n .
993.1724.1
a f t e r THURE DE THULSTRUP, 1848-1930.
a f t e r W.M. ROUZEE, d a t e s unknown.
A 'Powwow' a t t h e White House; h a n d - c o l o r e d wood e n g r a v i n g ,
from Harper's Weekly, January 22, 1881, 11 x 9 1/8
(page - 15 7/8 x 11 1/16). Cover; P r e s i d e n t and Mrs. Hayes s e a t e d
i n East Room b e f o r e rows o f s e a t e d I n d i a n s and o n l o o k i n g crowd.
G i f t o f Gordon S. Freesman.
993.1729.1
�-2-
a f t e r UNKNOWN ARTIST.
A P r e s i d e n t i a l Reception at the White House. Washington.;
hand-colored wood engraving, from Harper's Weekly,
March 13, 1858, 9 3/8 x 13 5/8 (page - 15 5/8 x 10 1/2).
President Buchanan i n the East Room. Signed JRC"(?) i n plate
lower l e f t . G i f t of Gordon S. Freesman.
993.1728.1
n
MANUSCRIPTS
LETTER, written on personalized Executive Mansion note stationery
by FRANCES FOLSOM CLEVELAND, undated (1886-89 or 1893-97).
Requests a i d of "a few young ladies to a s s i s t . . . at my Public
Reception... i n the Blue Parlor".
G i f t of James J . Cunningham and Family.
993.1725.2
MEMORABILIA AND EPHEMERA
CALLING CARD, partly printed, signed on reverse by
ROSE ELIZABETH CLEVELAND, s i s t e r and hostess (1885-86) for
President Grover Cleveland, January 18, 1886.
G i f t of James J . Cunningham and Family.
993.1725.1
INVITATION, partly printed, to Senator John Ruggles of Maine
for a Christmas Eve "Evening Party" at the White House,
probably 1835 under President Andrew Jackson.
White House Acquisition Fund.
993.1723.1
CERAMICS
DESSERT PLATES (one deep, one f l a t ) , porcelain, 1817, Paris,
made by Pierre Louis Dagoty and Edouard D. Honore.
Amaranth band with decorative reserves of Agriculture, Commerce,
Arts, Sciences, and Strength; American eagle emblem at center.
From the JAMES MONROE state dessert service.
Bequest of Jacqueline S. Davis.
993.1727.1-2
GLASSWARE
GOBLET, engraved and cut ruby-stained glass, c.1840-1860,
Bohemia. Engraved southwest view e n t i t l e d "The President's
House./ Washington.", a f t e r popular prints from H. Brown
drawing, c.1831; red-trimmed clear faceted bowl and foot.
G i f t of the White House H i s t o r i c a l Association.
993.1721.1
TANKARD, engraved ruby-stained glass, c.1840-1860, Bohemia.
Southwest view, e n t i t l e d "The Presidents House Washington",
after popular prints from H. Brown drawing, c.1831; C - s c r o l l
handle. G i f t of the Gordon Freesman Family.
993.1722.1
�-3-
TEXTILES
Rugs
MODERN, wool, 1993, New York, by Scalamandre, 30.3 x 23.2.
Oval; dark blue f i e l d centering f u l l - c o l o r Presidential Coat-ofArms encircled by f i f t y white s t a r s and gold rope band; green
olive branches and gold l a u r e l wreathes on border with rope
banding. G i f t of an anonymous donor.
993.1732.1
�THE WHITE HOUSE
WASHINGTON
November 8, 1993
SUGGESTED SUB-COMMITTEE ASSIGNMENTS
I f you have a g r e a t e r i n t e r e s t i n another area, you a r e
encouraged t o make a change.
FINE ARTS
Leonore Annenberg
Kinshasha Holman Conwill
Jane Engelhard
William Kloss
E a r l Powell
John Wilmerding
DECORATIVE ARTS
Robert McCormick Adams
L e s l i e Greene Bowman
Wendy Cooper
Jonathan Fairbanks
Richard Moe
DESIGN
C a r t e r Brown
Kaki Hockersmith
Mark Hampton
Richard Nylander
Thomas Savage
�Addendum to Collections Policy REPRODUCTION OF WHITE HOUSE OBJECTS
To protect the dignity and uniqueness of the White House and i t s
c o l l e c t i o n s , no reproductions or copies of White House objects
s h a l l be made for personal use or commercial sale. Nor s h a l l
White House a r c h i t e c t u r a l motifs or objects be adapted or
redesigned for use i n any form or medium.
�THE WHITE HOUSE
WASHINGTON
REFRAMING PROJECT PRIORITIES
Sargent - The Mosquito Net
Church - Rutland F a l l s , Vermont
Whittredge - C r o s s i n g the R i v e r P l a t t e
R i c h a r d t - Independence H a l l i n P h i l a d e l p h i a
Roesen - S t i l l L i f e w i t h F r u i t and S t i l l L i f e w i t h F r u i t , Goblet,
and Canary
E a k i n s - Ruth
Harnett - The C i n c i n n a t i Enguirer
C a s s e t t - Young Mother and Two C h i l d r e n
Thompson - Cannonading
on the Potomac
Cropsey - Autumn Landscape
Prendergast -Revere Beach
Chase - Shinnecock H i l l . Long I s l a n d
B i e r s t a d t - Storm Clouds
B r i c h e r - C a s t l e Rock, Nahant, Massachusetts
Melrose - New York Harbor and the B a t t e r y
Healy - Peacemakers
Heade - F l o r i d a S u n r i s e
Heade - S a i l i n g o f f the Coast
Homer - Surf a t Prout's Neck
�^
THE WHITE
HOUSE
April 18, 1994
Ms. Kinshasha Holman Conwill
Director
The Studio Museum in Harlem
144 West 125th Street
New York, New York 10027
Dear Kenshasha:
Although 1 am disappointed to learn of your resignation as a
member of The Committee on the Preservation of the White House, I
understand fully, with your having accepted the nomination for the
Board of the Institute of Museum Services. Your contributions to the
discussions regarding the Blue Room and other matters before the
Committee were greatly appreciated.
The Board of the Institute of Museum Services is fortunate to
have someone of your experience and knowledge and will certainly
benefit from your service. With gratitude and best regards, I am
Sincerely yours,
Hillary Rodham Clinton
cc:
Rex Scouten
Margaret Williams
I
�The
Studio
Museum
March 29, 1994
in
ar em
Honorable Hillary Rodham Clinton
First Lady
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C. 20500
S H
M
Dear Mrs. Clinton:
ANN 1 vAfn^ A H V
I am writing with regret to let you know that I have resigned as a member of The
Committee on the Preservation of the White House.
BOAM) O TKUSTEKS
K
Chorles E Innns
Cboimon
Monlynn A. Davis
hrsl Vic« Chmmon
MOIOI i Ihomos, Ji.
I would like to thank you for appointing me and for the pleasure of sitting on the
committee. As you might know, I had been offered and accepted a nomination
for the Board of the Institute of Museum Services. Shortly after accepting this
nomination I was notified by your staff that I could not serve on two (2) federal
boards or committees.
Second Vice (honmon
Sondia Grymet
lieosuiei
Wane Dulton Btown
Seddoiy
Aimcnd P Armnn
.
Oi leon Banks
I Mai Bond, li
lanet (arlei
fvelyn Cunninghom
Goidon i. Davis
Welvin ld*aids
leroy M. fyles
louis Gon;
Di Hemy louis Gates, ]i
Arfliui J Humphry. Ji
Bemnc (oi lei Huniei
Moonyene S Jackson, [sq
Hoiley Jones
Geoige L. Knox
Nancy L. lone
Michael I. lomoi
Hemy W McGee. IN
Joel Molley
Conne Petley
Williom Pickens, III
Bobby Shod
Chniles A. Shoilei, Ii.
Pcilniio I. Smalley
Ule Stebich
Michael Wmslon
I would also like to extend thank you's to the members of The Committee for the
Preservation of the White House and wish them the best in all future endeavors.
Thank you again for your nomination and the honor of serving on the committee.
Sincerely,
Kinshasna Holman Conwil!
Director
KHC/swp
Hon luis Cancel
Commissionei of Cultural Affans
CI-OIIICIO
kmshnsho Holmon Conwil
Duel lo-
1 4 W s 125th St, N w York, N 10027 • 2 2 864-4500 • F x #666-5753
4 et
e
Y
1
o
�GREENBERG
RESEARCH
INC
n
515 SECOND STREET NE
WASHINGTON DC 20002
TEL 202 547-5200
F X 202 544-7020
A
TO:
The White House
FROM:
Greenberg Research
RE:
Public Opinion on the Clinton Health Care Plan
DATE:
February 17, 1994
DETERMINED TO BE AN
ADMINISTRATIVE MARKING
INITIALS: ^
DATE: I<>/°*SI0
A majority of Americans continue to support the President's health care plan according
to most recent media surveys. Americans are even more supportive of the principles and goals
of the health care initiative, suggesting that some voters may be withholding judgement until they
know more about the plan.
Every survey completed since the President's State of the Union Speech shows a strong
majority in favor of the plan (with the exception of Time/CNN ~ see below). A few surveys
done before the speech show somewhat less support for the plan but still show strong support
for reform. The following table summarizes recent polls:
POLL
DATE
SUPPORT
OPPOSE
ABC/Washington Post
Feb. 4-8
51
41
CNN/USA Today/Gallup
Jan. 28-30
57
38
Harris Poll
Feb. 2-6
59
34
Los Angeles Times
Jan. 15-19
48
33
NBC/Wall Street Journal
Jan. 15-18
42
39
Time/CNN
Feb. 10
43
42
The Time/CNN poll is the only survey conducted since the State of the Union that shows
less than majority support for the Clinton health plan. However, it is essential to note that
question order biased the results (confirmed by Schneider at CNN). The plan question was
preceded by questions on small business, taxes, and understanding of current proposals.
�Other results in this poll demonstrate support for reform and for Clinton: 63 percent
think the government should guarantee health care for all Americans; a majority believe Clinton
is doing a good job "providing leadership on health care reform"; a plurality believe Congress
should pass the Clinton plan with minor changes and 72 percent think Congress should pass
some version of the Clinton plan. Two-thirds have confidence in the Clinton Administration to
make the health care system better, and more people indicate they have "a lot of confidence"
in the Administration compared to any other organization or institution tested.
Support for Principles and Goals of the Clinton Plan
There is no debate among the general public as to whether reform is necessary. More
than half, 52 percent, say fundamental changes are needed and another 38 percent say we need
to completely rebuild the health care system. Only 9 percent say the health care system
works pretty well and only minor changes are necessary (CBS News/New York Times).
Republicans who say there is no crisis are clearly on a different page than the American people.
Overwhelming majorities support the key principles of the President's plan:
•
Three-quarters (74 percent) support a federal lawrequiringall employers
to provide health insurance to full time employees (ABC/Washington
Post).
•
79 percent support a health care reform package that guarantees every
American private health insurance that can never be taken away
(CNN/USA Today/Gallup).
•
By almost 2-to-l, Americans prefer a plan that provides universal
coverage (even with limits on choice of doctors) over a plan that does not
provide universal coverage and does not limit choice (61 to 35 percent,
ABC/Washington Post).
Almost two thirds (63 percent) think the federal government should
guarantee health care for all Americans (Time/CNN).
More Americans prefer an employer mandate system (40 percent) than
either a single payer plan (19 percent) or an individual mandate (17
percent) (Robert Wood Johnson Foundation, 2/94).
Universal coverage is essential: 73 percent say the president should veto
a bill that does not guarantee coverage for every American.
�Below are highlights from recent polls for ABC, CBS, NBC, and the New York Times:
•
ABC: The latest ABC/Washington Post poll shows majority support for
the health plan (51 to 41 percent) and overwhelming 74 percent support
for an employer mandate. A solid majority of 61 percent would prefer
a system that provides universal coverage but limits choice of doctors
over a system with free choice of doctors but without universal coverage.
•
CBS/New York Times: The latest CBS/New York Times poll was
conducted before the State of the Union and does not ask a straight-up
favor/oppose questionregardingthe health plan. Instead, it asks if the
plan "is fair to people like you" which shows the public split. Other
questions in the poll, however, demonstrate broad public support for
reform with 90 percent believing either that fundamental changes are
needed or the system must be completely rebuilt. By 3-to-l (including
nearly a majority of Republicans), those interviewed think the
Democratic party is more likely to improve health care, and a plurality
believe that the Clinton plan will make health care in the U.S. better.
•
NBC: The most recent NBC/Wall Street Journal poll was also conducted
before the State of the Union. Although it shows just 42 percent in favor
of the plan, 19 percent are undecided. By more than 2-to-l, respondents
agreed that "it will not be possible to control health care costs and cover
all Americans without a complete overhaul of our current health care
system." In addition, 60 percent believe that Congress should pass the
Clinton plan, either as is or with major changes. Finally, 67 percent
think that overhauling the health care system should be an "absolute
priority" for the Clinton Administration and for Congress this year.
�m
GREENBERG
RESEARCH
INC
515 SECOND STREET NE
WASHINGTON DC 20002
TEL 202 547-5200
F X 202 544-7020
A
TO:
White House Communications
FROM:
Joe Goode and Stan Greenberg
DATE:
January 26, 1994
RE: STATE OF THE UNION DIALS
President Clinton's State of the Union speech was a considerable success with 29
Perot and 21 weak Clinton voters who watched and dialed the speech in Dayton, Ohio.
Clinton's mean favorable thermometer score jumped from 53 before the speech to 66
afterward, and 68 percent of respondents felt better about Clinton based on what they heard
in the speech.
The President registered especially strong gains on character traits:
He shares your values
A steady leader
Fights for the middle class
Cares about people like you
Makes you feel confident
+42
+32
+24
+22
+22
In addition, perceptions of Clinton's job performance on specific issues all showed
considerable gains: handling the economy (+24), handling crime (+22) and handling the
deficit (+18). The percentage of those who said the country is moving in the right direction
jumped 12 points to a plurality 42 percent after the speech.
Perhaps the most encouraging movement was on health care. Although Clinton and
Perot voters showed some difference in how they dialed this issue (see below), support for
the health plan gained an astounding 34 points, moving from just 36 to 70 percent in favor.
Those who believe the health care plan will help their family climbed from 38 percent to
56 percent. Postcards written to Clinton after the speech, however, reveal that many of
these voters still have reservations about the plan, and they remain unconvinced that it will
not hurt their families.
�a
State of the Union Dial Group
The postcards also show that the speech had a remarkably positive impact on the
participants. The President clearly connected with the people watching and spoke about the
issues they care about, particularly health care and crime. However, the postcards also
reveal some skepticism about whether Clinton can or will accomplish the goals outlined in
the speech, and ultimately, the support of many of these voters hinges on action:
"Let's just make it happen!"
"You certainly are a charismatic speaker. I hope you can implement the things
spoken of in your State of the Union address..."
"You had a moving speech tonight. Don't mess up and not follow through."
"Talk is cheap. Prove yourself."
�State of the Union Dial Group
THE SPEECH
Crime and Family Values
Voters had positive responses to many items in the speech, but registered their
strongest approval when the President talked about crime and restoring responsibility and
values in families. The largest jump and high point of the evening came when Clinton
endorsed the "3 strikes" idea:
"...those who commit crimes should be punished (+5) and those who commit
repeated violent crimes should be told when you commit a third violent crime
you will be put away (continued rise) and put away for good, three strikes and
you are out." (Clinton/Perot voters big joint spike to mean 82)
During the crime discussion, voters registered some of their sharpest jumps of the
evening:
"...there is no sporting purpose on earth that should stop the United States
Congress from banning assault weapons that outgun police and cut down
children." (+10 on both sides, mean spike to 75)
"...put aside partisan differences and pass a strong, smart, tough crime bill."
(big spike +12 to 72 from both)
"We must give our people, especially our young people, something to say yes
to." (joint big spike from 60 to 72 on both sides)
"We can't renew our country until we realize that governments don't raise
children, parents do." (+10 for both, to 71 mean)
Accomplishments and the Economy: Perot Voters Skeptical
The differences between Perot and Clinton voters are most pronounced in this and
the health care section. Perot voters are simply unwilling to acknowledge, or don't believe,
the list of Clinton accomplishments. There is a 15 point gap on the initial outline of
accomplishments (reduce deficit, higher taxes on wealthy [big spike among Clinton voters],
Brady bill) with Perot voters unmoved at 50.
�State of the Union Dial Group
The gap continues through motor voter and college loans, but Perot voters start to
increase on high tech investment and family leave and finally get close to 60 on breaking
gridlock: "all passed, all signed into law, with not on single veto" (but Clinton voters are still
considerably higher).
Even when Clinton talks about cutting spending, reducing the deficit and cutting
government employees, Perot voters remain unconvinced. Nothing illustrates this gap more
than on the Truman quote:
"...first time since Harry Truman that we have had three years of declining
deficits and proved once again the buck stops here." (Clinton voters peak to
75, Perot voters at 58)
Trade. Investment. Retraining & Education: Close the Gap
As the speech turned to opening world markets and preparing American workers for
their economic future, Perot voters closed the gap and for the first time dialed ahead of
Clinton voters on some occasions. While the trade discussion lacked intensity, Perot voters
were more responsive than Clinton voters:
"We did more to open world markets to American products than in any time
in the last two generations." (This is the first time that Perot voters catch up
to and slightly exceed Clinton voters - although the mean is only in the high
50s.)
The concepts of investment and high technology excited both groups, particularly the
information highway - where again Perot voters moved ahead of Clinton voters. In contrast
to the initial section, Perot voters stayed at a steady mean of above 60 for most of this
discussion. Highlights:
"...we must invest in the environmental technologies of the future, which will
create jobs." (both Perot and Clinton voters bump up)
"We must also work with the private sector.Jnto a national information super
highway by the year 2000." (Perot voters gradual rise up to 69)
"...unless we also give our people the education and training skills they need
to seize the opportunities of tomorrow." (10 point spike for both Clinton and
Perot voters, sending mean to 68)
�m
"...are our children learning all they need to know to compete and win in the
State
global economy?" (both jump 6 points, mean spike to 70) of the Union Dial Group
"...it's time to stop ignoring them [non college bound] and start empowering
them." ( Perot voters spike to match Clinton voters at 68)
"...reemployment not unemployment must become the center piece of our
economic renewal." (both spike, mean to 70)
• Perot voters are skeptical of Clinton's accomplishments.
• Both are responsive to calls for investment, retraining and overhauling
unemployment system.
• Clinton voters have low interest in foreign policy. This is the only area
where Perotians actually often dial higher than Clinton voters in many parts
of the discussion, although this is because Clinton voters rarely break 60.
Welfare Reform: Second only t Crime
o
Not surprisingly, Clinton's call for welfare reform was exceedingly popular with both
Clinton and Perot voters. Perhaps the most interesting aspect of this discussion is how
responsive Clinton voters are. Perot voters dialed this section in the low to mid 60s
throughout, but Clinton voters were usually in the low to mid 70s. Highlights:
"...so must we also revolutionize our welfare system. It doesn't work, it defies
our values as a nation." (big spike [ + 10] among both up to 70)
"...we can't penalize those who stay together." (Perot voters to low 60s,
Clinton voters in mid 70s)
"...these people want a better system and we ought to give it to them."
"...we'll no longer give you a check to set up a separate household, we want
you to stay together."
"...track you across state lines and if necessary make you work to pay off what
you owe"
"People who bring children into this world cannot and must not walk away
from them."
�e
g
State of the Union (joint
"...make welfare what it ought to be, a second chance not a way of life."Dial Group
mean spike to 73)
Health Care Reform: M r Popular with Clinton Voters
oe
The gap between the two groups opens up again as Clinton argues why there is a
health care crisis, but both groups register a gradual 8 point rise throughout the discussion.
The gap actually widens as Clinton describes the problems of doing nothing, opening to
about 14 points on "our people will have less care, fewer choices and higher bills." (Clinton
voters are in the mid 70s at this point, Perot voters in the low 60s).
It is also during this discussion that the biggest drop of the evening was recorded on
"people who smoke should pay more for a pack of cigarettes" (-8).
There was actually very little variance during the health care discussion, with Clinton
voters steady at 70 throughout and Perot voters at 60. It is important to note that Perot
voters rarely dropped below 60, and their considerable support for the program after the
speech argues that Clinton made an impact.
Voters were most responsive to the following:
"...and most of all the right to choose a plan and to choose your own doctor."
(first Perot movement up 5)
"Medicare should be protected and prescriptions covered." (Perot voters close
gap to high 60s)
"...every time the special interests were powerful enough to defeat it, but not
this time." (big Clinton spike [ + 13], slight Perot one)
"I think we need to give every hard working, tax paying American the same
health care security they have already given us." (second biggest combined
jump of the evening [+16] to 72)
"...veto the legislation, send it back here and start all over again." (small spike
+5], mean to 65, bigger with Clinton voters)
�7
a
State of the Union Dial Group
Foreign Policy; Little interest
The foreign policy discussion was fairly flat throughout, although some lines
registered strong jumps (below). The section was more notable for the number of times
Perot voters exceeded Clinton voters and for dialing almost equal to Clintonites for almost
the entire discussion. Again, the mean rarely broke 60.
"Russia's strategic nuclear missiles will no longer be pointed at the United
States, nor will ours be pointed at them." (+8 to mean of 64)
"...comprehensive ban to stop all nuclear testing." (mean spike to 69)
"We must not cut defense further." (Perot voters higher at about 65 to 63)
�POSTCARDS TO PRESIDENT CLINTON
January 25,1994
I think you are doing as good of a job as Congress will allow you! And I think you do care
about the working class of Americans.
I think your on the right track but I saw gridlock on the faces of some of our elected
Senators. Good Luck. You've changed their minds before, let's do it again with your plans
for our future, [sic]
Enjoyed your State of the Union Address. I hope the health care reform does not make
people like me, that have good health insurance provided by the workplace, have to start
paying a percentage of their wages. As for the gun bill, I approve, although as having
hunters in the family, I don't want guns outlawed, [sic]
Your speech this evening was very inspiring and I hope Congress will enact the necessary
legislation. Especially health care and the crime bill. I think that 3 times you're out is too
much. Twice would be sufficient.
Hang in there and stay tough on all issues! Especially health care and on the violence
reforms. Would like to see all things started now or, like everything in life, to have been
started yesterday, since that is the American way. We definitely need more jobs and welfare
reform. Fast! Thanks.
I think you should get the troops out of the hostile areas now. I also think you should reinstate the Capital Punishment Law to be effective immediately. "Ifa man steals your horse,
hang him!" "Eyefor an eye." Put prayer back into all schools! Nationwide! Don't put off
the "Death Row" inmates so long, dispose of them immediately. P.S. I think it is very rude
of the "chamber" to keep interrupting you while you speak. Why don't they sit down and
be quiet! They can clap when you are finished.
I agree that unemployment system must be overhauled. The present system penalizes those
willing to go to work when there is a pay discrepancy. As someone who has been there,
I am aware of the drawbacks. Keep trying.
I do not like the way you are handling the deficit. I believe it is a mistake to increase taxes
on gasoline. Gasoline affects the economy drastically. If people do not drive, tires are not
sold, hotels/motels loose business, turnpike revenues drop.
I want you to take more interest in the health care for the mentally ill. I am hearing it
doesn't look good that it will be in the new health care plan.
�Postcards to President Clinton
As you have always said, "Our young people are our future leaders." I would like to
encourage you to come to Dayton, Ohio (Stebbin High School) to observe the best
AFJROTC Unit in our state and nation. They have maintained State Championship for 6
years and National awards. Please contact them at your convenience, [sic]
Just give the people the facts and then act on those facts.
If you really mean what you have said, I'm 100% behind you. Our country needs a lot of
changes.
Please, clean house in Washington. We don't need lobbests, we don't need professional
politicians. Two term limits would be a good plan. Thanks, [sic]
Clean up the environment. Create jobs. Cut down on crime.
Your State of the Union was very well presented. To try to do so many things at one time
seems a little tricky and can easily cause a problem in other areas. Hopefully, all you hope
for will be for the best and not make us into a police state or worse.
There are other long-term, chronic medical conditions than AIDS. Those other conditions
have existed much longer than ten years. Cures and/or medical help could certainly give
long-term benefits to families.
What's happening Bill? Keep up the good work. Let's shrink the deficit and keep the
prospect of change going.
Those of us who pay a large % of our pay for health care, 15 to 20%, should not have to
pay more. And cut the deficit to zero as soon as possible. If we had no National Deat, we
could pay for (illegible) and healthcare and not borrow any more, [sic]
I am in favor of educating our children. We need to find a better way offtindingour
educational system. I am getting tired of always having a school levy hanging over our
heads. The children are the ones that are getting cheated by always cutting staff or sports,
band, etc.
�Postcards to President Clinton
There are many young couples with no children earning less than $20,000 per year who get
no breaks (tax) at all. The so called Entitlements for Fed. Employees Retirement that have
taxes paid on them cannot be recovered (since 1987). Why can that not be rescinded so all
retirement monies invested can be reclaimed, also why can a widow only get 55% of
deceased spouses retirement. Her expenses are much more without him. Health care
should be a person's choice. Also low (realistically) income working people should not have
insurance the same as welfare people, [sic]
It seems to me for thefirsttime in twelve years, we have someone in the White House the
care for the elders and the poor, [sic]
Mr. President, if the health bill is not passed, the country will go to hell in a hand basket.
Your ideas seemrightbut you are going to fast in some of the budget cuts. More thought
should go into defense cuts and should not go as fast as they are going and hurting the
economy.
I am reacting very positively to your State of the Union address. It seems,finally,that
someone is trying to do something about causes rather than symptoms. I can only
encourage you to continue in this. You have dramatically changed my opinion of your
ability as a President, and, as a solid high-tech middle class worker. I hope to continue to
be pleasantly surprised.
You had a moving speech tonight. Don't mess up and not follow through.
After watching your speech tonite I feel real encouraged with your plans for the future but
most of all I agree, we should all get back to the basics of love, morals and God. [sic]
I think you are a demogoge. You will say many things to obtain favor and disclose your
intent only briefly. Stop making deals so much. You support pork barrell type Congress
people and the whole country pays for the waste, [sic]
The health care plan will be nice for many of my friends, but its going to end up costing me
more money, which is taking food out of my children's mouths.
I like was el here tonight. Because you tell the truth I would I to do. Thank you. [sic]
�Postcards to President Clinton
Your Brady Bill "Law" sucks. Blacks are killing blacks. White are killing whites. Separate
them -- see who is doing the most killing and take their guns away. People should be
responsible for their own actions. Don't blame someone else for your screw up. Drugscrack, cocaine are doing the killing. Be tough on these offenders. You don't see people
killing each other over a joint of pot, do you?
Stick to everything you said tonight, but eliminate abortion.
Please continue to listen to "the everyday people". Follow up on what you say. Continue
to take care of us here on "the home front". Our taxes don't stretch far. Don't be so
generous to other countries. Keep three strikes you're out in the forefront. Build more
prisons if needed. Keep us safe.
Cut out foreign aid and give the money back to the American people.
I think you should be more specific in costs of these programs. Also creating jobs is fine.
But what you're not saying is are these jobs part-time jobs or are they full-time jobs with
decent pay?
Your speech enlightened me. Two things I think are of the utmost importance is: parents
should help their children and get rid of the drugs.
I enjoyed your speech on 1/25/94. It makes me feel what you have said is important. I
hope that these changes are the best for the people of the United States. I will try to do
my part as a human being to make things better then what they are now. I wish you the
best of luck in the next three years as President of the United States.
I Ustened to your state of the Union speech tonight and will certainly keep you in my
prayers. I liked a lot of issues you say is going to be or be changed. Please don't let this
speech be like a union contract that steps around, good for some that have friends in the
union and nothing for most, [sic]
Stop the compromises. Advitize what the congress is doing, make sure that the butheads
know they are responsible to us, the people, not the special interest groups and lobres. I
can believe in you, but the system has problems. We need term limits and a line item veto
to cut the pork. Thank you. [sic]
�Postcards to President Clinton
As a manager of a convenience store the proliferation of guns and violent crime concerns
me greatly. I have been robbed perhaps thirty times in six years, usually by repeat
offenders, and many times soon after a conviction of a perpetrator, I would be contacted
concerning my feelings over a robber who had applied for a little jewel called "shock
probation", which I am sure you are familiar with. Also, recently I spent a week in
Washington, D.C. and the sense of history, nobility and grandeur I experienced was
disturbed only by the terrible stories I had heard of the city's crime rate and by the scene
of a violent street person who had honest citizens, including myself, looking for places to
hide in broad daylight. Our nation's capitol should not project this image to her many
visitors.
Talk is cheap. Prove yourself.
I watched the Presidential address tonight and everything you talked about I would very
much like to see happen. It makes me wonder how much is a dream or will it ever be a
reality.
Excellent speech! Health care reform and crime bill are right on the mark. You expressed
perfectly the way I feel and are fighting for the things I, as an American, deserve! I'm
proud of you.
I feel you should know that lots of people though they may agree with what you say have
reservations regarding your ability and confirmation when it comes to carrying them our.
I believe you are sincere and committed and it's a long time since I've felt that way about
the guy with your job.
Your State of the Union address covered many things people truly care about. However,
though I'm in agreement with many of your ideas there are issues you have not clarified,
ones that will affect my family especially. I believe government should help (but not
control) health care issues and reform. , As it stands now, your proposed policy will hurt my
family more; my husband being deaf and myself disabled, we're not asking for special
treatment, just a fair chance and we'll be losing what little we have. HMO is what we'll be
forced into, we'll have to pay more and we can't afford what we have now.
For years, I've listened to speeches from politicians and asked, "Wait a minute buddy, what
world do you hve in?" The sentiments you shared with the country tonight could have been
heard across a back fence anywhere in America. It looks like your health care program will
cost me personally because of the type of corperate coverage I currently enjoy, but I don't
agree with everything across the back fence either. It is a pleasure for a change to watch
a man work who is serious about doing something. The rhetoric has become so stale, [sic]
�Postcards to President Clinton
I don't know ifl believe in what you are telling us. But I will trust you and support you all
the way. God bless you in trying to make this a better world in which we live.
Let's just make it happen.
If you do what you said on your State of the Union address tonight, then I think you will not
only get up out of a bad economy but you will rank as one of the top presidents of modem
times.
You certainly are a charismatic speaker. I hope you can implement the things spoken of
in your State of the Union address, especially in the areas of education, crime and health
care. You do seem to be a politician who wants to cross party lines and work together with
all parties to move forward in these areas. God bless you and good luck. I'm praying for
you, America and the world.
�GREENBERG
RESEARCH
INC
515 SECOND STREET NE
WASHINGTON DC 20002
TEL 202 547-5200
FAX 2Q2 544-7020
To:
The White House Communications Team
From:
Kathy Mountcastle, Greenberg Research
Date:
August 4, 1994
RE: PRESIDENT'S PRIME TIME PRESS CONFERENCE
A Preliminary Report
President Clinton had a favorable impact on Chicago voters who watched and dialed
last night's press conference . Voters left the press conference feeling more confident about
the President and the job he is doing, and Clinton's post conference mean thermometer
score rose 23 points to a remarkable 71 degrees. Overall, the President registered
significant gains in pre and post conference questioning:
1
% Shift
Clinton Favorability
+23 degrees
Handling crime
+ 23 "approve"
Job performance
+ 22 "excellent/good"
Health care proposals
+ 22 "favor"
Honest and trustworthy
+18 "describes well"
Fights for the middle class
+16 "describes well"
Handling the economy
+16 "approve"
Makes you feel confident
I
+16 "describes well"
|
This dial group was conducted in suburban Chicago with 50 respondents. Half of the participants indicated they will vote for
Qinton in 1996 but were not strongly favorable toward him, 11 indicated they will vote for Perot, and 14 are still undecided. The group
consisted of 15 Qinton women voters, 10 Qinton men, 2 Perot women voters and 9 Perot men, 10 undecided women voters, and 4
undecided men.
�3
President's Prime Time Press Conference
Several of the themes that have come through in previous dial groups were also
evident last night:
Clinton scores with confidence. The dials registered quick gains on Clinton's most
emphatic responses: "I disagree with your characterization of the Mitchell bill"; "I said
we would cooperate fully and we have. I have said repeatedly we did nothing wrong
and I didn't." The voters also liked having enough confidence to admit uncertainty:
"I don't know enough about the issue to give an intelligent answer."
Clinton scores with putting people first. Almost any mention of putting people first
or working for ordinary citizens registered gains: "Putting the American people first
which is something I think should be done"; "make government work for ordinary
citizens again"; "All I can do is show up for work every day and ... try to make this
the home office of the American Association for Ordinary Citizens and if I keep
doing that I think the future will take care of itself... and that's what I will work for."
Perot voters still skeptical about Clinton accomplishments. Perot and undecided
voters lagged significantly behind Clinton voters when Clinton spoke about the
Administration's accomplishments.
Clinton scores with humor. Voters liked injections of humor such as Clinton's
response to the question about why he does not do more press conferences.
Crime
Clinton registered his biggest gains of the press conference when discussing the crime
bill in his opening remarks. Both Clinton and non-Chnton voters spiked 10 points with the
mention of 100,000 more police on the streets (mean score to 76) and continued to climb
from there with 3 strikes and you're out (77), the ban on deadly assault weapons (81),
tougher sentences for violent criminals and more prisons (83), and more for prevention
programs "to give our young people something to say yes to as well as something to say no
to" (86). This was the single highest point of the evening.
The Economy
The voters showed positive movement during Clinton's discussion of his national
economic strategy and the economic accomplishments of his Administration. However, nonClinton voters were more skeptical of his accomplishments and remained 10 to 15 points
below CUnton voters.
�President's Prime Time Press Conference
Clinton registered his biggest gains on his call to "empower individual citizens to take
personal responsibility for their futures" (70) and "make government work for ordinary
citizens again" (72). After dropping 10 points at the mention of the passage of his economic
plan last year (59), voters responded positively to the economic accomplishments: 255 billion
in spending cuts (64); raised taxes on wealthiest (64); cut taxes for 15 million working
families (62); cut taxes for small business (64); college loans at lower interest rates (67);
deficit down for three years in a row for thefirsttime since Harry Truman was president
(70); 4 million new jobs (70); and first time in a decade all 50 states will experience
economic growth next year (71). However, throughout this discussion, Clinton voters dialed
about 15 points higher than non-Clinton voters. During discussion after the press conference,
about half of the participants indicated that they were not aware of many of these
accomplishments.
The voters (both Clinton and non-Clinton) also reacted very favorably to the
President's response to the question on whether deficit cutting had gone too far: "we have
increased spending on the things which are critical to our future" (75); and "...firstwe had
to get our economic house in order. You cannot keep spending money you don't have and
expect to get ahead of the game" (75).
Health Can?
When Qinton moved from the economy to health care during his opening remarks,
the dials dropped back to 50. Yet after the initial drop, these voters (especially the Clinton
voters) liked what he had to say about the issue, particularly on protection for small business
(69); reasonable phase-in time (70); choice of your own plan (72); free market to restrain
growth in premiums (74); and private insurance guaranteed for everyone (77); and his
description of the Hawaii plan (70-75).
The dials registered a steady drop as Clinton discussed the debate coming up in
Congress, but they spiked again as he pressed for bipartisanship: "put aside partisanship and
think of the American people. This is a fight for the American people we also have to win"
(up 10 points to 74, Clinton much higher than Perot/undecided). His call for bipartisanship
showed gains later in the press conference as well: "What I favor is now for ourfriendson
the other side of the aisle and all of the Democrats to get together, think about the interests
of the American people, and come up with a program that solves the problem.... I think it
is terribly important in this debate ... to keep our eye on the central reality here which is
how do we solve the problem?" (72).
Clinton voters dialed higher than non-Clinton voters throughout most of the health
care discussion. However, they both spiked on Clinton's response to the question on
�71
a
President's Prime Time Press Conference
prenatal care (73).
From the post conference discussion and the postcards, it is clear that these voters
want health care reform. They really want Bill Clinton to succeed on this issue, although
they still are uncertain aboutfinancingand individual cost. Nonetheless, they believe that
reform will be good for the country. Participants in the discussion made it clear that they
will be very angry at Congress if health care reform is not passed, and they will blame
Congress, not Bill Clinton. Most of the postcards mentioned health care, and most gave
credit to Clinton for trying to bring about reform.
Whitewater
There was a significant gap between Clinton and non-Clinton voters during most of
the Whitewater discussion. Non-Clinton voters remained close to 50, while Clinton voters
showed positive movement. The most effective statement on Whitewater was also Clinton's
most forceful: " I said we would cooperate fully and we have. I have said repeatedly we did
nothing wrong and we didn't. And I have continued to work for the welfare and interests
of the American people. ...They will have to make up their mind when all the dust clears
what they think the impact is" (69).
In pre-conference questioning, 40 percent found recent Whitewater stories troubling,
and 34 percent didn't trust what Clinton is saying. In the post questioning, this fell to 26
percent for both questions. Participants in the discussion believed that this issue has been
far overblown and is a "smokescreen" for Republicans playing politics.
Foreign Affairs
Most of the foreign policy discussion was fairly flat but with gradual positive
movement. In one notable instance, Clinton voters dropped at the mention of "forcibly
removing dictators" while the Perot/undecided voters registered a gain.
The high point regarding foreign affairs (and one of the high points of the evening)
was clearly Clinton's final statement on international cooperation and Haiti: "We need a
U.N. mission in Haiti that the U.S would be part of... It would not necessarily be the U.S.
doing it - in fact it could not be ~ it would be a United Nations mission as envisaged by
the United Nations and the resolution it adopted" (77).
�m
A Sampling of Postcards
President's Prime Time Press Conference
The following is the text of some of the postcards to President Clinton:
After watching your press conference tonight I realized even more that you are trying your
best to keep the American people, your ideas, suggestions, and hopefully, your final
confirmations will be enjoyed by all for many years.
It's nice to have a president who appears to be able to relate to a common American
person. I appreciate your forthrightness and your honest sincerity. While I don't agree with
all of your stands; I don't expect to. Keep trying to do the right things and things will turn
out for the best (at least we hope so!).
I agree there should be health care reform now. It is now up to the Congress to do this at
this present session. We should not invade Haiti because of our past record on such
operations in foreign countries without full participation by the UN. Whitewater has wasted
too much valuable time by the Congress since you already stated that you did nothing
illegal. Crime and gun control should be important because of the crumbling American
family.
I want to commend you on all that you're trying to do for the people of this country,
including health reform. I really hope and pray that this bill passes, but I do have several
concerns, one concern is that, will the American working class have to pay more money for
health reform or will we still (the tax payer) have to pay for all other people that don't have
the coverage, like all the years before? I can only hope that this country can get back on
its feet again. I don't understand why our country always has to get in the fight and help
all other nations? We don't have the time, money & lives to lose all the battles. Please be
an honest person and help all the people.
I would like to know how health care will actually be paid for (cost structure). Also you
should address public more often, just to let them know you're actively looking out for their
welfare.
�AA
REVISED 4/2
ESTIMATED BUDGET MAY THROUGH JUNE 15
PERSONNEL
$32,204
TRAVEL
$50,000
PRINTING
$59,800*
HEARINGS
$55,000"
TOTAL
$197,004.
* PARTIAL
"$20,000. REPRESENTING PRE MAY 1 ESTIMATED COST FOR THE MARCH 29
TASK FORCE MEETING.
�PERSONNEL
$25,574
SPECIAL ASSISTANT
SPECIAL ASSISTANT
SPECIAL ASSISTANT
2 ENTRY LEVEL POSITIONS/INTAKE CENTER 2@
TELEPHONE OPERATOR/SECRETARY
CORRESPONDENCE/SECRETARY
$6730 "
$6057
$6057
$6730
$3365
$3365
$32,204.
�TRAVEL
$50,000
THE FIRST LADY TRAVELS WITH 8 PEOPLE AT A COST OF APPROXIMATELY
$400 PER PERSON. THE $50,000 REPRESENTS APPROXIMATELY 15 DAY
TRIPS OR 125 TRIPS AT $400 A TRIP.
�PRINTING
52,000 PAMPLETTES
$ 4,300
150 PAGE BOOK @ $1.25
PER BOOK, 10,000 COPIES
$12,500
PROTOTYPE INSURANCE FORM $ ?
PRESIDENT'S CONTRACT
WITH THE PEOPLE
500,000
$43,000
$59,800.
PRINTING BUDGET I S BASED ON PRELININARY DISCUSSIONS WITH
COMMUNICATIONS.
�HEARINGS
$55,000
THE MARCH 29TH GW TASK FORCE HEARING
$20,000.
1/2 DAY HEARING WITH SELECTED PROVIDERS
$10,000.
TASK FORCE MEETING WITH THE PRESIDENT
$25,000.
$55,000.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. memo
SUBJECT/TITLE
DATE
Marjorie Tarmey to Steve Pigeon; RE: Salary Levels (1 page)
04/06/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Misc. Subject Files)
OA/Box Number:
10813
FOLDER TITLE:
Other Information [ 1 ]
2006-0810-F
dbl786
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
National Security Classified Information |(aXl) of the PRA|
Relating to the appointment to Federal office |(aX2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�-2Administration
Carolyn Gatz
Position:
Location:
Payroll:
Communications l i a i s o n
OEOB
Commerce/120 days
C h r i s t i n e Heenan
Position:
L i a i s o n w i t h communications, p u b l i c l i a i s o n and
intergovernmental
Location:
OEOB
Payroll:
Domestic P o l i c y
Jennifer Klein
Position:
Drafting
Location:
OEOB
Payroll:
Greg Lawler
Position:
Location:
Payroll:
Volunteer (would l i k e t o keep)
D r a f t i n g / l e g i s l a t i v e negotiating
OEOB
(resume sent t o Bernie Nussbaum f o r Counsel's
office)
Lynn Margherio
Position:
P o l i c y Development
Location:
OEOB
Payroll:
Domestic P o l i c y
. Denise Ricketson
j Position:
Administration
Location:
OEOB
Payroll:
HHS
Assistant
M a r j o r i e Tarmey
Position:
Special Assistant
Location:
OEOB
Payroll:
HHS
P o l i c y A s s i s t a n t (Simone Rueschemeyer or equivalent)
Position:
Location:
Payroll:
Commerce/120 days (Can we renew?)
Secretary
Position:
Location:
Payroll:
Detailee from another agency
�-3Policy Experts
Gary Claxton
Position:
Location:
Payroll:
Insurance Reform
HHS
HHS f u l l time h i r e ( d e t a i l t o Task Force)
Judy Feder
Position:
Location:
Payroll:
Deputy S e c r e t a r y / l i a i s o n t o the Task Force
HHS
HHS f u l l time h i r e ( d e t a i l t o Task Force)
Roz Lasker
Position:
Location:
Payroll:
Q u a l i t y and Information system
HHS
HHS f u l l time h i r e ( d e t a i l t o Task Force)
Risa Lavizzo-Mourey
Position:
Quality
Location:
HHS
Payroll:
HHS f u l l time h i r e ( d e t a i l t o Task Force)
L o i s Quam
Position:
Underserved and r u r a l issues
Location:
OEOB
Payroll:
HHS c o n t r a c t
Paul S t a r r
Position:
Location:
Payroll:
General Communication of the plan
OEOB
HHS c o n t r a c t
Robyn Stone
Position:
Location:
Payroll:
Long Term Care
HHS
HHS f u l l time h i r e ( d e t a i l t o Task Force)
Walter Zelman
Position:
Location:
Payroll:
New Systems Development
OEOB
HHS c o n t r a c t (contract may extend u n t i l end of
year)
�-4Communications
B o o r s t i n , Bob
Position:
Location:
Payroll:
Communications
OEOB
White House
Cohen, Steve
Position:
Location:
Payroll:
N a t i o n a l Press S c h e d u l i n g
OEOB
White House
Jones, A r t h u r
Position:
Location:
Payroll:
Deputy Press S e c r e t a r y / 2nd Spokesperson - HHS
OEOB
White House
Director
Muscatine, A l l i s o n (not h i r e d y e t )
Position:
Speechwriter
Location:
OEOB
Payroll:
White House
O f f i t , Meg
Position:
Location:
Payroll:
Specialty
Press
Department o f A g r i c u l t u r e
(Can we d e t a i l ? )
P r u n t i , Meeghan
Position:
Researcher
Location:
OEOB
Payroll:
White House
Solomon, Jason
Position:
Communication A i d e
Location:
OEOB
Payroll:
White House
QafarAfcfa*
9 ^ 6 0
Slot/News A n a l y s i s
(on loan from a Department Slot/News A n a l y s i s
(on loan from a Department)
Slot/News A n a l y s i s
(on loan from a Department)
Slot/Researcher
(on loan from a Department)
-[{0
Susannah Wellford, Commerce)
�-5consultants
Begala, Paul — DNC
Greenberg, Stan — DNC
Grunwald, Mandy — DNC
Scheduling
Hayes, Charlotte
Position:
Surrogate Scheduling/Minority Outreach
Location:
OEOB
Payroll:
White House/VP
Hoffman, Alan
Position:
Surrogate Scheduling
Location:
OEOB
Payroll:
HHS ( h a l f / t i m e )
Holton, Dwight
Position:
Surrogate Scheduling/Coordinator
Location:
OEOB
Payroll:
White House/Deputy Chief of S t a f f O f f i c e
M o f f e t t , J u l i a ??
Position:
Event/Principles
Location:
OEOB
Payroll:
White House/Communication
Drafting
B u d e t t i , Peter
Position:
Drafter
Location:
Payroll:
HHS
Rosenbaum, Sara
Position:
Drafter
Location:
Payroll:
Through contract w i t h HHS/Renegotiated
( i n Sara's contract Greg Lawler)
•Rowland, Diane
Position:
Drafter
Location:
Payroll:
Kaiser Foundation VP through John Hopkins - free
�-6Legislative
E d e l s t e i n , Steve
Position:
Data Bank P r o j e c t
Location:
OEOB
Payroll:
120 Days/White House
Jennings, Chris
Position:
Legislative Strategist
Location:
OEOB
Payroll:
HHS
Correspondence
Slot/Correspondence
Position:
D i r e c t o r o f Health Care Correspondence
Location:
Payroll:
(Included i n budget submitted t o David Watkins)
Slot/Correspondence
(on loan from a Department)
Slot/Correspondence
(on loan from a Department)
Slot/Correspondence
(on loan from a Department)
Slot/Correspondence
(on loan from a Department)
�-7Public
Liaison/Political/Intergovernmental
Mike Lux
Position:
Location:
Payroll:
Interest Group Coordinator/Outreach
OEOB
White House/Public Liaison
Molly Brostrom
Position:
Interest Groups
Location:
Payroll:
John Hart
Position:
Location:
Payroll:
Liaison to the Governors
OEOB
White House/Intergovernmental
Karen P o l i t z
Position:
Location:
Payroll:
Liaison to Interest Groups
HHS
HHS
Barbara Wooley
Interest Groups/Health
Position:
Location:
OEOB
Payroll:
HHS 120 day
Slot/Business
Position:
Location:
Payroll:
Liaison to business
OEOB
Slot/Mayors
Position:
Location:
Payroll:
Liaison to Mayors
OEOB
Slot/Counties/State Legislators
Position:
Liaison to county and state o f f i c i a l s
Location:
Payroll:
�-8Additional Requests
Jock G i l l
Position:
Location:
Payroll:
Computer/technical assistance
Stan Gorsky
Position:
Location:
Payroll:
Telephone/technical
assistance
AT&T
Additional positions
P o l i c y A s s i s t a n t (Susan O t r i n or equivalent)
Position:
Location:
Payroll:
Rick M i l l e r (or equivalent)
Position:
Business n e g o t i a t i o n s
Location:
OEOB
Payroll:
J e f f Davis (or equivalent)
Position:
Attorney/Negotiations and l e g i s l a t i v e d r a f t i n g
Location:
OEOB
Payroll:
�
Dublin Core
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Title
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Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
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Title
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Other Information: [1]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-013-002-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/98095e62800a542a8bdadb39c14a28bc.pdf
3bd12cc4317fd181598a1a8530782cb2
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
Stack:
Row:
Section:
Shelf:
S
59
4
1
Position:
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001. letter
To: Mrs. Clinton; RE: Name, address, and phone number [partial] (2
pages)
n.d.
P6/b(6)
002. letter
Shirley Dewe Zundell to First Lady Hillary Clinton; RE: Address
[partial] (2 pages)
02/14/1995
P6/b(6)
003. letter
Joann Rossall to Hillary Rodham Clinton; RE: Address and personal
[partial] (2 pages)
n.d.
P6/b(6)
004. paper
Howard D. Meek; RE: Address [partial] (2 pages)
2/12/1995
P6/b(6)
005. letter
Cabrini Cahill to Mrs. Clinton; RE: Address [partial] (2 pages)
03/06/1995
P6/b(6)
006. letter
Freddy Bosco; RE: Address [partial] (2 pages)
02/21/1995
P6/b(6)
007. letter
M. L. Blatt to Hillary Rodham Clinton; RE: Addresses [partial] (3
pages)
To: Hillary Rodham Clinton; RE: Name and address [partial] (2
pages)
03/06/1995
P6/b(6)
03/07/1995
P6/b(6)
Brenda Slavin to First Lady Hillary Clinton; RE: Personal (2 pages)
03/07/1995
P6/b(6)
008. letter
009. letter
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [aXS) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
��THE WHITE H O U S E
W A S H I N G T O N
March 10, 1995
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS
CHIEF OF STAFF FOR THE FIRST LADY
FROM:
ALICE PUSHKAR
DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
WEEKLY MAIL REPORT FOR FIRST LADY'S
CORRESPONDENCE
The mail t h i s week did not contain any s t a t i s t i c a l l y
significant issues l e t t e r s . Therefore, we are enclosing some
interesting l e t t e r s on various topics including, AIDS, school
lunch programs, senior c i t i z e n s , the media and American History
books. I n addition, we are sending you copies of two l e t t e r s we
received today concerning Gulf War Syndrome. W f e e l that these
e
l e t t e r s are a r e s u l t of the recent press report that you were
meeting with veterans to discuss t h i s condition. The o r i g i n a l s
are being forwarded to Melanne Verveer for handling. Next week,
we w i l l be sending the monthly wrap up which w i l l include a
statistical/numerical analysis, the Agency Liaison Report, and
the Greetings Report, as well as representative l e t t e r s .
****************************************
Questions from e a r l i e r mail reports
W are drafting a response for child welfare l e t t e r s
e
adapting your speech to the Child Welfare League as text. L i s s a
Muscatine has given us materials to prepare t h i s response.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
SUBJECT/TITLE
DATE
To: Mrs. Clinton; RE: Name, address, and phone number [partial] (2
pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
National Security Classified Information |(aXl) of the PRA|
Relating to the appointment to Federal office [(aX2) of the PRA]
Release would violate a Federal statute |(aX3) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aXS) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6)of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�HOoO
Dear Mrs. Clinton,
I want to thank you foi^j of the wonderful work you have done on behalf of the children
of America. As a child who has experienced drug abuse, domestic violence and the death
ofa parent to AIDS, I am grateful that there were public programs available to help my
family work throughjfi<Solimc,a of crjjjn«i Mv mother was able to sober UP before I was
removedfromour home. Myfatherwas treated in one of the many public university
hospitals when he became ill,freeof charge. Public schools provided me with what I
consider afirstrate education, not only teaching me about the fundamentals but also about
life in the real world. The public schools allowed me to graduate valedictorian of my class
a year and a half early. I currently attend a public university where I am a dean's scholar
studying psychology, so that perhaps I can give back to the community that supported me
for so long.
l
I hope that you will not forget the children. We need people like youfightingon our
behalf. 1 currently work at the Special Needs Clinic at Cohimbia-Presbyterian Hospital in
New York where I spend one day a week with children affected by substance abuse and
AIDS. I look at these children andrealizehow easily it could be me. I grew up in a
white, middle-classfamilyin Alabama, with two sucessful parents with college degrees.
But underneath h all, we were no better off than these children and their families. Each
week I leave grateful for all I have and for how far I have come. I also leave angry that
children are the ones who are suffering.
With the AIDS plague well into its second decade of existence, the number of children
affected by AIDS is multiplying at alarming rates. Since being appointgdJo the Child—
T
M ^ i y ? ^ff'e nf A » y i W l n ^ » n 1 ««lr f * . An AIDS my friendTand I have created
n
mr
thc-KidsjCare AIDS Network aresourceorganization for youth dedicated to raising
awareness and money tor ffiefight against AIDS, We feel that by empowering the youth
ofAmerica, we can accomplish anything. We can put an end to AIDS so that no more
children will have to hide behind the stigma that surrounds the disease.
I believe in you, and 1 believe in your husband. People like you believed in me and helped
me prove that the system can work. You are good people. Please continuefightingfor
the children. They are good people too. Thank you for all of your time and consideration.
If there is anything I can do for you, please call.
. Sincerely.
Clinton Library Photocopy
�National Youth Leadership Conference on AIDS
"Lighting the Flame of Hope"
July I. 1994
age 17
There are 45,000 AIDS orphans in the United States. When my father died in March of
1988,1 became part of the statistic. In May of 1988,1 wrote the following letter:
Dear Daddy,
I am trying to pretend that I am writing you a letter and that you are just on a long
trip. Sometimes I dream that you will come back soon and bring me presents. But I know
that you are not and that's what makes me so sad.
Mom and I are doing ok. She cries when I cry. I hate to see her sad, but at the
same time I am glad to see that she really loves you. Because you divorced when I was so
little I don't really remember you living together as man and wife. She tells me stories
about when you were young. Every once in a while Ifindher staring at me. She says that
you are alive in me and that there are so many things that we do alike. I love that thought.
I am part of you and that makes me so proud. I want to hold on to these things. I get
scared that as time moves on that they will slip away. Every time mom point out a
similarity, I try my best to remember exactly what it is. That's what scares me the most;
the thought of forgetting you. I don't think that a day goes by that I dont think about you.
Sometimes it seems as if I am talking to a character in a book because I know you but I
can't touch you or see you. Daddy, I love you so much. I hate that you are not here to
see me grow up. I know you'd be real proud of me. I made the honor role again and won
an achievement award and a speech competition. Our topic was "Destiny: Choice Not
Chance". It was hard to write about because I would not have chosen my destiny. But
the more I thought about it, the more I came to understand what it meant. We each have
choices that we can make and none of my choices were responsible for anything that
happened to you. I have a choice about what I want to do with my life and I am choosing
to move on. I hope that my choices will make you proud. I am so grateful to have been a
part of your life. I have learned so muchfromyour life and even morefromyour death. I
miss the life I'll never know. Sometimes I hurt so bad I can hardly stand it. But each day
the pain gets less and less. I am strong. You taught me to be strong. I am going to make
it daddy. I'm not going to give up. I cherish every moment we had together. I know that
you are with me everywhere I go. I feel lucky to have a special someone who I know is
watching over me and is on my side.
I love you for who you are. Who you are has made me who I am. I don't blame
you for having AIDS and I am not ashamed of you. I am ashamed of myself for not being
strong enough to tell people. Maybe one day I will tell the world. Maybe one day there
will be a cure. You are my daddy and I am your little girl. That is the way it will always
be.
I love you.
Clinton Library Photocopy
�It took me a long time to accept my father's death. But acceptance comes with
understanding. We must each come to accept our lives just as they are today before we
are able to move on. The stigma that surrounds AIDS could be eliminated if everyone in
America was educated about AIDS so that they could UNDERSTAND what it is; then
perhaps the public would be able to ACCEPT the threat that this disease poses, and
ACCEPT those who are infected. For such a long time AIDS defined who my father was
to me. I suppose that in the grand scheme of things, how my father died is irrelevant.
What matters is that he is gone; all I have now is the wisdom that he taught me and the
memories that we had together.
In just a few days we will all be gathered around, gazing into the sky to celebrate the birth
of our nation. For me, thesefireworksnot only represent the explosive energy of life but
the pain that is caused by death. When fireworksfirstascend to the sky the noise hurts
your ears and the smoke bums your eyes. But when the noises stop and the smoke begins
to clear then you are left with a skyfilled"with beautiful colors. The past six years have
beenfilledwith a lot of anger and tears, but now I am able to enjoy the memories.
In life we are given choices which not only affect our lives but the lives of those around
us. These choices are a gift. Think, grow and leam so that you can make the choices that
you can be proud of. Choose to live; choose to leam; choose to dream. We are each
blessed with a voice. You can choose to use that voice to make a difference; write a
letter, hold a hand, wear a ribbon. There is no such thing as a small contribution. In
growing up, I encourage you to hold on to the idealistic spirit of youth; to believe that
there is good in the world, to believe that you can make a difference, to believe in
miracles.
AIDS is a virus that harbors deadly germs such as fear and ignorance which is holding our
nation hostage. When my father died, no one spoke of his death because everyone was
afraid of how it would be perceived. Now I know I have nothing to fear; I have done
nothing wrong. There is still no cure for AIDS; however, there is a cure for fear and
ignorance: education and action. If you execrate stigma, demand justice, reject prejudice,
and embrace honor, so will those around you.
If I were to right a letter to my father today, I would tell him that I love him, that I know
I'll never forget him, that I am making good choices and that I am now able to tell the
world.
The noises are getting softer and the smoke is starting to clear. I know that my father is
smiling at mefromheaven and today 1 am able to smile back.
In leaving the conference, I encourage you all to remember your choices, to remember
your voice, to remember our dreams and to remember thefireworks.. . even the ones that
only you can see.
�Kids Care AIDS Network
What is the mission of the Kids Care AIDS Network?
© to unite young peoplefromacross the country who are
concerned about AIDS
© to provide young people with appropriate resources to make a
difference in the fight against AIDS
© to showcase successful efforts of young people in order to
inspire and encourage others to get involved
© to raise funds to further combat the epidemic
What does the Kids Care AIDS Network do?
Since "awareness is the consequence of active participation," the
Kids Care AIDS Network seeks to involve young people in AIDS
related projects to increase their knowledge and level of
responsibility.
Kids Care AIDS Network will deal with each young person
individually to help them develop an AIDS awareness or
fiindraising project ideal for their school, club, or community.
Kids CAN will draw on the interests and talents of the young
person to create a project that will be exciting and enjoyable, and
therefore, successful. This will create a sense of ownership. With
ownership comes responsibility and healthier lifestyles. With
ownership also comes leadership; young people and their healthier
lifestyles become models for others to follow.
�How does the Kids Care AIDS Network do this?
© relationships with other AIDS organization
Kids CAN develops relationships with AIDS organizations in
specific areas (Broadway Cares/Equity Fights AIDS, Design
Industries Foundation Fighting AIDS, Arthur Ashe Foundation,
etc.) that call on particular skills and talents. Kids CAN will then
work with both the resource organization and the participating
youth to create an appropriate program.
© Kids CAN is a resource center
Young people contact Kids CAN for information, ideas, advice,
and encouragement to create fim, educational project.
© kids are resources
Kids CAN can put kids in touch with other kids who have
successfully completed similar projects. Kids become resources
for other kids.
© newsletter
All kids who work with Kids CAN become a member. Kids CAN
publishes a newsletter that is sent to all members. The network
showcases successful projects to affirmate their accomplishments
and to provide other kids with ideas and encouragement.
�Kids Care AIDS Network
Founders' bio
Jed Cohen, 18
Jed began acting at the age of nine when he landed the title role in the Little Prince This
led to appearances with numerous opera companies and the role of the boy soprano in The
Music of Andrew Lloyd Webber. Jed also appeared in the International tour of H e
Sound of Music with Debbie Boone. He originated the role of Colin in the world premier
of The Secret Garden in Virginia . Last year he returned to the show on Broadway, this
time as Dickon. This year he joined the national tour in the same role. Movie goers might
remember him as the curly dark-haired cousin in the smash-hit Home Alone and Home
Alone II. Jed is a senior at the Professional Children's School in Manhattan. He will
attend Harvard in the fall of 1995.
Kristin Fogg, 19
Kristin is a classically trained pianist and leric soprano. In high school, Kristin established
an AIDS awareness program in her high school in New Jersey. This past year Kristin
performed off-Broadway with the Village Light Opera and was the youngest person to
sing with the opera at Carnegie Hall. While studying voice in New York, Kristin worked
at Broadway Cares/ Equity Fights AIDS where she was the assistant producer of the
Easter Bonnet Competition which raised 1 million dollars. Kristin currently attends the
opera program at the Indiana University.
Lauren Gaffney, 15
Lauren began her acting career at the prestigious Papermill Playhouse where she
performed in Show Boat. This led to Annie Warbucks where she played the title role for
3 years. In between re-writes she found time to perform in the off-Broadway show H e
Good Times are Killing Me and The Sound of Music at Lincoln Center. The book, A Very
Young Actress was also written about Lauren. She was the founder of the Kids Care
Concert which raised over $28,000 dollars. Her work with Kids Care earned her the New
York City service award in May of 1994. Lauren is afreshmanin high school.
Elyzabeth Gregory Wilder, 17
Elyzabeth has appeared at the Alabama Shakespeare Festival, the Young Actors' Theatre
in New York, and the Hampton Playhouse in New Hampshire. This spring Elyzabeth
made her New York debut with the lead in the off-Broadway play. And the Tide Shall
Cover the Earth. She has won numerous oratorical competitions and received the
Optimist Club Award for Character Achievement. Her work in the AIDS community has
led to invitations to speak at the New York showing of the NAMES quilt and the National
Youth Leadership Conference on AIDS in Washington, DC. She is currently a dean's
scholar SUNY Purchase.
�^01dfil»a'^-»2s-^GIprv
I
il JJSA G
llForUiiddimoonlv
Hillary Clinton
do The Office of the First Lady
1600 Pennsylvania Ave. NW
Washington, D.C. 20500
iMMilnuhhlimll^nlh
li USAG
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�F e b r u a r y 14,
1995
F i r s t Lady H i l l a r y C l i n t o n
The W h i t e House
W a s h i n g t o n , DC 20500
Dear Ms.
Clinton:
I am becoming v e r y f r u s t r a t e d w i t h t h e u n f a v o r a b l e media c o v e r a g e
of P r e s i d e n t
C l i n t o n and h i s p r o g r a m s , and I am
w r i t i n g t o you
with
my t h o u g h t s
because I b e l i e v e a l e t t e r
t o you
may more
l i k e l y be p e r s o n a l l y r e c e i v e d t h a n a l e t t e r t o t h e P r e s i d e n t .
A l t h o u g h I am n o t i n v o l v e d i n p o l i t i c s nor w i s h t o be, I do t r y
to
keep a b r e a s t
of c u r r e n t e v e n t s .
As I l i s t e n t o t h e news
r e p o r t s , i t seems t o me t h a t t h e R e p u b l i c a n s have t h e
upper hand
when
i t comes t o media r e l a t i o n s .
They know how
t o get t h e i r
message a c r o s s .
I t seems t o me t h a t t h e P r e s i d e n t
needs h e l p i n
g e t t i n g h i s message a c r o s s .
As
I watch the evening
news, I am
r e a d y and w i l l i n g t o l i s t e n t o t h e P r e s i d e n t ' s message, b u t i t i s
overshadowed by t h e
Republican viewpoint.
L e t me
g i v e you
an
e x a m p l e . Today,
t h e main
e v e n t was t h e
crime b i l l .
For
days
leading
up t o t h e
passage o f t h e
new c r i m e b i l l
i n t h e House,
s u p p o r t e r s were
everywhere espousing
t h e i r views.
I t was
the
topic
of the
day.
The P r e s i d e n t ,
however, was
at a
meeting
discussing
EDUCATION.
I agree
that
Education i s
important,
however, t o d a y
a l l spokespeople
f o r the
President
and
the
P r e s i d e n t h i m s e l f needed t o be t a l k i n g a b o u t f u n d i n g f o r
adding
more p o l i c e o f f i c e r s .
The momentum i s l o s t when t h e f o c u s i s n o t
t o t a l l y on t h e t o p i c a t hand.
My husband and I have t r i e d t o a n a l y z e why i t i s so d i f f i c u l t f o r
P r e s i d e n t C l i n t o n t o g e t h i s message a c r o s s .
We r e c a l l
media
relations
under p r e v i o u s
Presidents,
and i t seems t h a t i f a
P r e s i d e n t has s t r o n g s p o k e s p e o p l e a r o u n d him, t h e y
can speak f o r
him.
Today, J a n e t Reno spoke f o r t h e P r e s i d e n t on t h e need f o r
additional
police officers.
However, we
do
not
o f t e n hear
c a b i n e t members or o t h e r s i n t h e A d m i n i s t r a t i o n s p e a k i n g f o r t h e
President.
I d o n ' t even know who t h e W h i t e House P r e s s S e c r e t a r y
is!
Years
l a t e r , we
remember t h e
names Ron Z i e g l e r and J o d y
Powell.
I f I heard
t h e names f r o m o t h e r
a d m i n i s t r a t i o n s , I'd
probably
recognize
t h o s e as
well.
But
not f r o m
the C l i n t o n
Administration.
How o f t e n does t h e P r e s s S e c r e t a r y appear on t h e
n i g h t l y news?
Same goes f o r t h e
S e c r e t a r y of
State.
Warren
C h r i s t o p h e r i s n o t someone who
can d e l i v e r t h e message!
Who i s
the
P r e s i d e n t ' s messenger f o r t h e
Budget? Maybe t h e r e i s one,
b u t I d o n ' t know who
i t i s . The b u d g e t d e f i c i t i s a m a j o r i s s u e
and someone r e p r e s e n t i n g
the P r e s i d e n t should
be on t a l k
shows
and s p e a k i n g
a b o u t i t e v e r y day.
T h a t ' s t h e o n l y way
to get a
message a c r o s s .
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
SUBJECT/TITLE
DATE
Shirley Dewe Zundell to First Lady Hillary Clinton; RE: Address
[partial] (2 pages)
02/14/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [S U.S.C. SS2(b)|
PI National Security Classified Information [(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute 1(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(bX2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the KOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�I b e l i e v e i n most of P r e s i d e n t C l i n t o n ' s programs, and f o r t h e
c o u n t r y ' s sake, I hope t h e y succeed. I know you a r e d o i n g your
v e r y b e s t t o a s s i s t t h e P r e s i d e n t - more t h a n
the p u b l i c should
expect
from any F i r s t Lady.
In this
l e t t e r I hope I made my
point that
the President
needs more s t r o n g spokespeople around
him t o g e t h i s message a c r o s s t o t h e p u b l i c .
Thank you f o r a l l t h e work you have
United States a b e t t e r place t o l i v e .
Sincerely
done t o
t r y and make
the
yours.
Clinton Library Photocopy
�my
A
O
o
3
TJ
ZT
a
o
o
o
3
i,.t.((l,.,.t.t,fl,..it....H.I
l
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. letter
SUBJECT/TITLE
DATE
Joann Rossall to Hillary Rodham Clinton; RE: Address and personal
[partial] (2 pages)
ad.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number. 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - 15 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute [(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA)
Release would violate a Federal statute 1(a)(3) of the PRAj
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRAj
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�c! ^
Mrs. Hillary Rodham Clinton
The White House
Washington, D.C, 20500
Dear Mrs. Clinton:
I am the Chair of the 39th District Democratic Party in the state of
Washington. I have been asked by the senior population to write this letter.
I have received many phone calls from distraught seniors that arc afraid they
will lose their HUD rental subsidies, their Food Stamps, Medicaid and will
end up paying more for Medicare and having it cover less. I am also a senior
widow that makes do onljilllber month, I pay rent, utilities and pay for
my prescriptions. I would love to be given the opportunity to return to work
and raise mvself above the novertv level
Loo3~}
These people that I am referring to have worked hard all their lives —
they are not welfkre deadbeats. They grew old during a period when many
women did not work. When a man worked for thirty years on the same job
he left with a gold watch and a $200. a month pension to suppliment his
social security. There were no 401 K's, there were no IRA's back then. If
a man worked hard and was lucky he may have had his home paid for and a
modest savings. Probably 65% of the seniors living under poverty level in
our area are widows. Many of them, like myself were left quite penniless
after their husbands died of an extended illness, which devoured their assets.
I have talked to our stat^opresentatiyes and ouiestate Senator about
the possibility of the state picking up the rental jrelief program, food stamps
and medicaid. They unanimously agreed that our state did not have the
income to sponsor these programs, and even if they did they would "probably
only extend benefits to families with children. This cannot be allowed to
happen—we have been honest, contributing members of society all our lives,
we were faithful voters and tax-payers — our government shouldn't turn
their backs on us now. Since Washington state is no longer represented by a
large Democrat monopoly we are having alot of trouble getting our freshman
republican legislators to take us seriously when we encourage them to vote
no on the balanced budget amendment and to protect these programs for
seniors.
We are depending on the President to take care of the seniors, the
disabled and the poor in this country. I hope he will use his veto power if he
Clinton Library Photocopy
�hastg,, because we^redependingjonhim,. -,The balanced budget amendment
should not bejjutjoa vote until the ^erican; pcopl^know.c^ctly what the
budget cuts will be. the RepubUcan party wants to balance the budget on
the backs of seniors and the poor.
We have over 1500 seniors living in HUD subsidized units in our
district — they are all living on incomes below poverty level. Putting these
people oul on the slreel, making Uicm choose between their prescriptions
and food will not benefit this country.
You're not old enough to remember the shame of this nation during
the depression, when children were taken awayfromloving parents because
they had no money to support them. I can remember my grand-parents
worst fears — that they would somehow wind up in an Old Folks Home or
the Poor House. 1 know younger people think that these are terms that were
thought upforsome old black and white movie, but they were very real
places — for our country to even consider going back to this situation is
disgraceful.
I know you and tho President arc compassionate people and will do
your best to care for the citizens of this country.
Sincerely,
Joann Rossall
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. paper
SUBJECT/TITLE
DATE
Howard D. Meek; RE: Address [partial] (2 pages)
2/12/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIAj
b(3) Release would violate a Federal statute [(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information [(bX4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�loo'O
A different
perspective
What manner o f man i s t h i s ?
A man who d o e s n ' t s t r i k e b a c k .
Even when a t t a c k e d p e r s o n a l l y ,
time a f t e r time, a f t e r time.
A man who, r a t h e r t h a n j o i n i n t h e p e r s o n a l
fueds,
Keeps t a l k i n g a b o u t i s s u e s , a n d more i s s u e s . . .
Vhat k i n d o f man i s t h i s ?
What k i n d o f man c a n g r i n and b e a r i t ,
When he i s r i d i c u l e d d a i l y - - f o r a l l s o r t s o f t h i n g s :
Even t a l k i n g t o o l o n g f S e r i o u s t a l k , m i n d y o u ,
=About c r i t i c a l p r o b l e m s t h a t b e s e t o u r c o u n t r y ;
tad a b o u t h i s p l a n s t o a t t a c k t h o s e p r o b l e m s .
A man who b e l i e v e s that_EVERYONE's i d e a s , a n d
Contributions are important.
Wiat k i n d o f man I S t h i s ?
What k i n d o f man i s i t , who c o n s t a n t l y
t u r n s t h e o t h e r cheek?
Even when t h e y j o k e a b o u t h i s d a u g h t e r - an i n n o n c e n t l i t t l e g i r l who has
n e t f e r done a n y t h i n g t o harm a n y o n e .
Or when t h e y r i d i c u l e h i s w i f e , a n d say a l l
manner o f e v i l a g a i n s t h e r . . .
T e l l i n g crude j o k e s ; f a n t a z i i n g about h e r
nude i n c e n t e r f o l d s !
(What k i n d o f p e o p l e w o u l d do s u c h t h i n g s ? ! ) .
What k i n d o f P r e s i d e n t a n d F i r s t L a d y ,
in spite o f a l l t h i s ,
Vbuld t a k e t h e h i g h r o a d , a n d r e f u s e t o r e t u r n
evil f o r evil?
Or g e t a n g y , a n d s a y s p i t e f u l t h i n g s ?
Who, when c a l l e d v i l e names, i n v i t e s t h o s e
w i t h unclean l i p s
To come i n t o t h e i r h o u s e , a n d r e c e i v e
forgiveness?
What k i n d o f f i r s t f a m i l y , i n d e e d l
I s i t p o s s i b l e t h e y a r e t h e same p e o p l e
tede t h e ^ t a r g e t s " o f so much r u m o r and i n n u e n d o ?
Whose l i v e s a n d w o r k seem so i n c o n g r u o u s t o t h a t image?
Vhose c h a r a c t e r a n d o p e n n e s s a r e i m p u g n e d d a i l y ?
Viiat i n n e r compass k e e p s t h e s e p e o p l e s t a b l e a n d s u r e .
A m i d s t t h i s f r e n z y o f a c c u s a t i o n and a t t a c k ?
1
-cont d
Clinton Library Photocopy
�A different
perspective...
Page 2
What m a n n e r o f P r e s i d e n t , c r i t i c i z e d f o r
b e i n g t o o " p o l i t i c a l " , and " u n p r i n c i p l e d " ,
R i s k s h i s own p o p u l a r i t y o v e r a n d o v e r a g a i n
by f i g h t i n g f o r t h e p o o r , t h e d i s a d v a n t a g e d ,
and t h o s e w i t h o u t a d v o c a t e s .
What k i n d o f man w o u l d r e t u r n a g a i n a n d a g a i n
t o t h e t o u g h i s s u e s - - a n d go w h e r e no man h a s
gone b e f o r e ?
What k i n d o f man i s THAT?
P e r h a p s t h i s i s a man d i f f e r e n t f r o m t h a t i m a g e .
A man whose p l u m b l i n e r u n s d e e p ,
and keeps h i m s t e a d y a m i d s t t h e s t o r m s .
Wiat k i n d o f man i s t h i s - ?
P e r h a p s w e ' r e b e g i n n i n g t o see
The t h n n d e r o f c r i t i c i s m b e c o m e s l e s s o m i n o u s
and s l o w l y r o l l s i n t o t h e d i s t a n c e . . .
b o u n c i n g o f f empty w a l l s .
Still,
some s a y t h i s
man
s h o u l d "go"!
B u t when he s p e a k s a g a i n , I t h i n k
T h i s k i n d o f man I n e e d t o k n o w .
I'll
H o w a r d D.
2-12-95
listen.
Meek
now;
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005. letter
SUBJECT/TITLE
DATE
Cabrini Cahill to Mrs. Clinton; RE: Address [partial] (2 pages)
03/06/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - [5 U.S.C. 552(b)]
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA)
National Security Classified Information [(a)(1) of the PRA]
Relating to the appointment to Federal office [(a)(2) of the PRA]
Release would violate a Federal statute [(a)(3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(aX6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�.
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Clinton Library Photocopy
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�Mrs. Clinton defends
lunch program
• Arlington, Va.
Hillary Clinton joined the firstgrade lunch bunch here Wednesday
at Long Branch Elementary School
as Democrats f anned out to protest
GOP efforts to cut federal nutrition and education programs.
Her ckrdboard tray laden with a
sloppy Joe, yogurt, applesauce and
an apple, the first lady planted herself at a table of youngsters to chat
about everything from Socks the
cat to the difficulties of double
rope-jumping.
Clinton sfcved her discussion of
the federal school lunch program
for reporters afterward.
"I think it's important we put the
faces of children on these programs and in this debate," she
said.
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
006. letter
SUBJECT/TITLE
DATE
Freddy Bosco; RE: Address [partial] (2 pages)
02/21/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�• • President's?
Dan,
1995
Hear me please.
Dear Hillary,
for J am.
you have more to say than they will let
certain
you.
When you spoke at the Democratic
Convention,
I took note: a vote for him is a vote for her:
We need a brilliant,
sensitive,
lovely woman
to take the wheel. She knows who we are. She
takes note o f , the. plight
of so many. She can
speak for the greatest
number without
taking
us to lunch. Tfe are not numbers to her.
We are so many, silently
suffering
the
loss,
of a voice.
You went to bat for us. They
wouldn't, let you play.
We groaned. They are
not ready for us. It is still
a Hollywood
scenario
to be American,
a Mad Ave
exercise.
Diane Arbus. saw us. It killed
her to do i t .
I pray they haven't
stuffed
you back with
the cooks and the cookies.
Our culture
is
insane.
You are not lost,
to me. I think of what
Archie said to Edith,
to wit:
"Stifle."
But you can't keep an original
mind in
partnership
with a: true heart stifled
forever.
How are you, in there? Swept away? Kept
in an eddy ofthe
river,
off where the
water striders
play on the surface?
I look
for you in the paper. We are fans, more than
fans. We look to you. You know who we are.
again.
You know who you are. We need your voice
Freddy Bosco
Poet Laureate
of
Denver
Clinton Library Photocopy
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
007. letter
SUBJECT/TITLE
DATE
M. L. Blatt to Hillary Rodham Clinton; RE: Addresses [partial] (3
pages)
03/06/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b( 1) National security classified information |(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIA]
b(3) Release would violate a Federal statute [(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRAJ
Relating to the appointment to Federal office [(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information ((aX4) of the PRAj
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(aX6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�V
M. L. BLATT
Loon"
March 6, 1995
Ms. H i l l a r y Rodham C l i n t o n
The White House
Washington, DC
Dear Ms. C l i n t o n ,
I f e e l somewhat s e l f conscious about t h i s l e t t e r since
I am by nature a somewhat suspicious person, and am
t h e r e f o r e concerned t h a t you might t h i n k I have an odd
interest.
Nonetheless, l i f e i s too short t o worry about the r a m i f i cations o f a short l e t t e r t h a t u l t i m a t e l y may b r i n g some
very s p e c i a l j o y t o your f a m i l y .
Through an o l d f r i e n d and colleague i n the a d v e r t i s i n g
business, I learned o f two books BOTH HAND LETTERED AND
HAND ILLUSTRATED by a Mr. Sam Fink o f Great Neck, Long
I s l a n d , NY, published by Random House.
Somewhere I heard you have c o l l e c t e d books on American
History and I could not r e s i s t the temptation t o t e l l
you about these.
Mr. Fink, now about 80 years o l d and long r e t i r e d , a t
the coaxing of our f r i e n d Mr. Bahm, and f o l l o w i n g the death
of h i s w i f e , f i n i s h e d the books, one on the C o n s t i t u t i o n ,
the other, The Gettysburg Address he had been preparing f o r
years.
Though i n short supply, they are a b s o l u t e l y d i v i n e and
not t o be missed.
I am not an agent, not a salesperson, o r anyone who
would b e n e f i t from the purchase o f e i t h e r o f these
books. I do, however, know what i s s p e c i a l about
people, t h e i r c r a f t s , very unique books and t h i s country.
Hence, t h i s l e t t e r .
E i t h e r by my personal note (or yours) t o Mr. Fink,
or to me wherein I would send the request t o Mr.
Darwin Bahm, [ ^ y ;^^,P6/(b)(6HMathe man most r e -
Clinton Library Photocopy
�Ms. H i l l a r y R. C l i n t o n
March 6, 199 5 -
Pg.2
sponsible f o r coaxing Mr. Fink, they would probably be
a v a i l a b l e . To my knowledge, there i s nothing anywhere
t h a t has ever been done t h a t could a c t u a l l y add t o what
we already accept as b r i l l i a n t documents.
I f you l i k e , I would be happy t o persue these f o r you
e i t h e r through Mr. Fink h i m s e l f , or Mr. Darwin Bahm,
'l^g^
the f r i e n d of Mr. Fink and
or you may persue them y o u r s e l f .
Whatever your d e c i s i o n , I am happy t o help or f o r you t o
know t h a t e i t h e r o f the above mentioned gentlemen would be
too.
Neither of them know I have w r i t t e n t o you.
I t ' s q u i t e a r a r e pleasure, t h a t so l i t t l e can add so
much too a l l our complicated l i v e s . These books have.
I hope they can add t o your l i v e s too. I r e a l l y know
who hard you are working t o make mine b e t t e r f o r which
I thank you.
Blatt
Clinton Library Photocopy
�M . L. BLATT
Q
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CT
—1
0)
•2
Tl
O
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8
TJ
><
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008. letter
SUBJECT/TITLE
DATE
To: Hillary Rodham Clinton; RE: Name and address [partial] (2
pages)
03/07/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office |(aX2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [aXS) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA]
b(l) National security classified information [(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(bX2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes [(bX7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�v.!
March 7,
1995
H i l l a r y Rodham C l i n t o n
The White House
Washington, D.C.
Dear Mrs. C l i n t o n :
I applaud your recent e f f o r t B i n focusing a t t e n t i o n i n your
husband's a d m i n i s t r a t i o n on the i l l n e s s e s of Persian Gulf War
veterans.
An i l l n e s s w i t h s i m i l a r symptoms--prolonged and
unexplained
f a t i g u e , muscle p a i n , and d i f f i c u l t y c o n c e n t r a t i n g - - i s chronic
f a t i g u e syndrome. Untold numbers of Americans s u f f e r from t h i s
i l l n e s s - - b y most estimates, f a r more than the 40,000 who s u f f e r
g u l f war i l l n e s s e s - - b u t l i t t l e f e d e r a l funding i s a v a i l a b l e f o r
serious research. I speak from personal experience, because both
my w i f e and I have had CFS f o r more than f i v e years and w h i l e we
are among the f o r t u n a t e ones who continue t o work and remain as
a c t i v e as p o s s i b l e , many others are f a r more d i s a b l e d . And d e s p i t e
p a i n f u l l y slow progress i n our own c o n d i t i o n , we continue t o be
severely r e s t r i c t e d i n our d a i l y a c t i v i t i e s .
Please l e n d your voice t o f i n d i n g a way t o p r o v i d e increased
funding t o combat t h i s t e r r i b l e i l l n e s s . I know how d i f f i c u l t i t
i s i n the c u r r e n t p o l i t i c a l c l i m a t e t o j u s t i f y spending on human
needs, but m i l l i o n s of Americans look t o you because of your
compassion and unique leadership r o l e .
S i n c e r e l y yours;
P6/(b)(6)
Clinton Library Photocopy
�¥0.
I'.I-JI'.V.-'.'.
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Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
009. letter
SUBJECT/TITLE
DATE
Brenda Slavin to First Lady Hillary Clinton; RE: Personal (2 pages)
03/07/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
2006-0810-F
dbl810
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)]
PI National Security Classified Information [(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA)
P3 Release would violate a Federal statute |(aX3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
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William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Folder 3 [General Correspondence]: March 10, 1995 - Mail Report
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-013-001-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 13
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Preservation-Reproduction-Reference
Date Created
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5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/4a32446870dfd311476b3a25062ac755.pdf
992c0139905fea79e8936b222ee0c202
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: March 3, 1995 - Mail Report
Stack:
Row:
Section:
Shelf:
59
4
1
Position:
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001. letter
Michael Ashanin to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/21/1995
P6/b(6)
002. envelope
Lydia T. Ashanin; RE: Address [partial] (1 page)
01/21/1995
P6/b(6)
003. envelope
Lanora Morgan; RE: Address [partial] (1 page)
01/25/1995
P6/b(6)
004. letter
Dorothy Kelly to Mrs. Clinton; RE: Address [partial] (3 pages)
01/29/1995
P6/b(6)
005. email
F. Alan Garten to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/23/1995
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Schedulinn Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 3, 1995 - Mail Report
2006-0810-F
dbl805
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Inforniation 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute [(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial inforniation [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
b(l) National security classified information |(bXI) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(bX6)of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE
HOUSE
WAS H INGTO N
March 3, 1995
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS
CHIEF OF STAFF FOR THE FIRST LADY
FROM:
ALICE PUSHKAR
DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
WEEKLY MAIL REPORT FOR FIRST LADY'S
CORRESPONDENCE
T h i s weeks r e p o r t focuses on t h e r e c e n t m a i l you have
r e c e i v e d about t h e i s s u e o f proposed c u t s i n f e d e r a l and s t a t e
funding o f t h e Corporation f o r Public Broadcasting.
You have
r e c e i v e d a t o t a l o f 29 l e t t e r s about t h i s i s s u e . Twenty f o u r
w r i t e r s were a g a i n s t c u t s i n f u n d i n g , and f i v e a r e i n f a v o r o f
t h e proposed c u t s .
I.
Demographics
A. A g a i n s t Cuts
California
Maryland
New York
Louisiana
Maine
Michigan
Ohio
Colorado
Florida
Wisconsin
Vermont
Minnesota
New Mexico
Texas
Virginia
Connecticut
Illinois
5
2
2
1
1
1
1
1
1
1
1
1
2
1
1
1
1
�B. I n Favor o f Cuts
Florida
Connecticut
Idaho
Pennsylvania
Ohio
II.
1
1
1
1
1
Content
W r i t e r s who opposed c u t t i n g funds f o r P u b l i c
B r o a d c a s t i n g c i t e reasons such as; PBS i s n o t e l i t i s t and low
income f a m i l i e s who cannot a f f o r d c a b l e t e l e v i s i o n and a r e n o t
" c u l t u r a l l y e l i t e " e n j o y p u b l i c programming; commercial
t e l e v i s i o n i s t o o v i o l e n t ; government s h o u l d n o t be i n v o l v e d i n
t h e p u b l i c s e c t o r , l o c a l networks need t o be p r o t e c t e d from
governmental i n t e r f e r e n c e , c o n t r o l ; Congress does n o t a p p r o p r i a t e
enough monies f o r t h e a r t s ; commercial b r o a d c a s t i n g serves
commercial purposes w h i l e p u b l i c b r o a d c a s t i n g serves t h e p u b l i c
and n o t f o r p r o f i t b r o a d c a s t i n g i s o r i e n t e d t o s p e c i a l i n t e r e s t s .
W r i t e r s who were i n f a v o r o f c u t t i n g funds f o r P u b l i c
B r o a d c a s t i n g c i t e reasons such as; t h e f e d e r a l government s h o u l d
n o t be i n v o l v e d i n t e l e v i s i o n b r o a d c a s t i n g a t t h e t a x p a y e r s
expense; PBS s h o u l d be f i n a n c e d t h r o u g h p r i v a t e e n t e r p r i s e ;
p e r c e i v e d abuses o f P u b l i c B r o a d c a s t i n g ; s u g g e s t i o n s f o r
a l t e r n a t i v e use o f t h e money; l i b e r a l i n d o c t r i n a t i o n .
We have i n c l u d e d samples o f b o t h t h e p r o and
letters with this report.
con
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
SUBJECT/TITLE
DATE
Michael Ashanin to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/21/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 3, 1995 - Mail Report
2006-0810-F
dbl805
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information |(aXI)of Ihe PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified inforniation |(bXI) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�£0013
January 21. 1995
Mrs. Hillary Rodham Clinton
The White House
Washington DC 2()5<X)
Dear Mis. Clinlon:
I am writing to express my support for continued federal funding for the
Corporation for Public Broadcasting because it provides fair and non-biased coverage of
world events, insightful documentaries which can not be found on commercial television,
and wonderful educational programs for children. Cutting the funding for public
broadcasting would be very detrimental to American society and would result in domination
over the air waves by commercial interests. Please use your influence to ensure that
funding for CPB is not cut.
Sincerely yours.
1
Michael Ashanin
Clinton Library Photocopy
�SECOND
STREET
GALLERY
BOARD OF DIRECTORS
Paul Wright
President
Allison Innes
Wee President
Pamela Cole Friedman
Secretary
Beatrice M. Segal, C.P.A.
Treasurer
Caroline
General
B. Nunley
Counsel
J e a n Baum
C a r y Brown-Epstein
Brenda Brown-Grooms
William Chapman
Ruth C r o s s
Miriam B. deOlloqui
Cheryl T. Duke
Willcox Dunn
Elizabeth Graham
J e s s i e Hook
Bob Hughes
Amy Lemley
T h e r e s a Munt
Robert Reed
Richard T. Spurzem
Jerome Stokes
ADVISORY BOARD
William J . Kehoe
Sally Mann
Thomas A. McOuecnoy
Susan M o l d e n h a u e r
Gabe S i l v e r m a n
Roger B. Stein
Chica Tenney
DIRECTOR
Sarah Sargent
201 Second Streot NW
Charlottesville, VA 22902
804-977-7284
January 12, 199S
Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue, NW
Washington, DC 20500
Dear Mrs. Clinton:
It is in reference to the proposed cuts to the National Endowment for
the Arts' (NEA) budget that I am writing you. In the face of so much
adverse publicity regarding the NEA, I want you to hear, from my
perspective, about the positive side of the NEA.
I am the Director of Second Street Gallery which is located in
Charlottesville, Virginia. We are a small non-profit arts organization A
whose mission is to educate the public about contemporary art through
exhibitions, lectures and workshops. We endeavor to present the best
of the best. The product we offer is original and innovative creative
work by artists from around the country. And since in the best art, it is
the object that has autonomy over other considerations, we seek out
artists whose primary concern is for the visual rather than the literary.
For this reason, we do nol feature the most shocking or provocative,
not because we are squeamish, but simply because so often that genre
of art has little aesthetic merit and exists solely to shock and provoke.
We make our decisions from an aesthetic point of view, selecting art
which not only transcends its time period but which will stand up to
the test of time.
Among the manifold benefits that art bestows on a culture is its
unifying force which can establish a commonality of humankind. Art's
ameliorating power should never be underestimated. It can be a
powerful instrument for change: Il elevates, moves, and inspires us,
and challenges our notions of self and our role in the world. To not
recognize this power is to disregard the whole history of art and its
effect on civilization.
As a cultural institution, Second Street Gallery occupies a preeminent
position having been recognized, in 1991, by the NEA as one of two
model "outposts" galleries in ihe nation, offering the highest quality
programming in a non-metropolitan center. To my mind, it is truly
remarkable that a city the size of Charlottesville has an independent
non-profit gallery the caliber of Second Street. This is what the NEA
has made possible.
�SECOND
STREET
GALLERY
BOARD OF DIRECTORS
Paul Wright
President
Allison Innes
Wee President
Pamela Cole F r i e d m a n
Secretary
BeaUice M. Segal, C.P.A.
Treasurer
Caroline
General
B. Nunley
Counsel
J e a n Baum
C a r y Brown-Epstein
Brenda Brown-Grooms
William C h a p m a n
Ruth C r o s s
Miriam B. deOlloqui
Cheryl T. Duke
Willcox Dunn
Elizabeth Graham
J e s s i e Hook
Bob Hughes
Amy Lemley
T h e r e s a Munt
Robert Reed
Richard T. Spurzem
Jerome Stokes
ADVISORY BOARD
William J . K e h o e
Sally M a n n
T h o m a s A. M c Q - j e c n e y
Susan M o l d e n h a u e r
Gabe Silverman
Roger B. Stein
Chica Tenney
DIRECTOR
Sarah Sargent
I am particularly proud that in littie Charlottesville its citizens and
visitors have access to contemporary art that one would expect to find
in the Museum of Modern Art in New York or the San Francisco
Museum of Modern Art. However, to our credit, we tend to feature
the unknown, undiscovered artists, while larger institutions focus on big
established names. Such dynamic cultural vibrancy in the "outposts" of
America should make all its citizens proud. And, again, it is the NEA
which has made this possible.
It is unfortunate thai in this country as compared with others, our
cultural resources are greatly undervalued. Elsewhere, art and artists
are revered and the general populace has a working knowledge of its
particular heritage. Unlike many Americans, they realize that it is the
cultural aspects which add richness and vitality to a nation. And, it is
the cultural elements such as art and music which ultimately endure,
being passed down through the generations. These survivors of history
tell us the most about the past. Anyone who doubts this should take as
an example the oldest man-made product, namely the wall paintings
from the caves in Lascaux.
Today there is a crisis in terms of the arts on both the federal and
local level which puts the future of institutions such as Second Street
Gallery in jeopardy. 15,000 visitors per year are drawn to our
downtown Charlottesville location, clearly demonstrating that the
citizens of this community want access to contemporary art. Yet, when
it comes to arts support, the state of Virginia ranks an appalling 47th
in the nation, and I struggle daily to get funds to keep our doors open
so that we can continue to present not only the highest quality
contemporary art to the public, but also continue to provide dynamic
and much needed educational outreach programs for our underserved
and troubled youth. The reduction in arts funding causes many vital
and importam organizations to cut back or close down altogether
leaving in their absence, communities bereft of art and its many
benefits.
It has been said that art is a luxury and to support organizations such
as the NEA is in effect to support the rich. However, the vast majorit;'
of artists are poor, subsidizing their art through other means. Their
artistic expression is inspired by a powerful almost intuitive force to
communicate the language of human experience. Art has been created
from the dawn of civilization in every culture and is basic to human
existence. We can only hope, that in the difficult times ahead, that its
creation will continue undiminished into the future.
Sincerely,
201 Second Street NW
Charlottesville, VA 22902
804-977-7204
Sarah Sargent (Wellesley, 1079)
Director
�.lanuarv 2 1.
Mrs. Hillary Rodliam Clinlon
The Wlmc House
Washinjuon DC 2()5(K)
Dear Mrs. Clinlon:
PLEASE do nol lei lunding for the Public Broadcasting Sysiem be cut. PBS
television and radio is the only good, slimulaling, menially challenging and crealive media
lhat we have. Americans deserve to have at least one source of news, arts, nature, history
and educational learning thai is nol dependent upon advertising revenue. I have a Masters
Degree in Journalism, and 1 can tell you that the work lhat is produced through ihe PBS
system is almost always highly regarded.
Please do whal ever you can lo stop Newi Gingrich and his gang from taking PBS
away from the American people. We deserve to have one source of excelleni programing.
I am a middle class working woman, and I do nol generally speaking, lap into any of
govermenl bene! its that my lax dollars pay for. PBS is one of the few ihings lhat I think my
tax dollars should support. Why can't ihey cut the defense budget, instead.
Sincerely yours.
Lydia V. Ashanin
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. envelope
SUBJECT/TITLE
DATE
Lydia T. Ashanin; RE: Address [partial] (1 page)
01/21/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams ( M a i l Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 3, 1995 - Mail Report
2006-0810-F
dbl805
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA)
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�o
o
su,
5'
o
3
0)
TI
=r
O
O
8
�January
24,
1995
Hillary
Clinton
1600 P e n n s y l v a n i a Ave
W a s h i n g t o n , DC 20505
Your i d i o t i c s t a t e m e n t d i r e c t e d t o w a r d Mr. G i n g r i c h ,
"Leave B i g B i r d a l o n e " , was t r u l y i n c r e d i b l e .
Whether
you a r e n a i v e o r n o t I do n o t know, b u t I do a g r e e t h a t
you a r e s t u p i d .
The f e d e r a l g o v e r n m e n t s h o u l d n o t be i n v o l v e d i n t e l e v i s i o n
b r o a d c a s t i n g a t t a x p a y e r s e x p e n s e . The p r o g r a m s c a n s e l l
commercial a d v e r t i s i n g j u s t l i k e every o t h e r network.
I don't care i f i t ' s a s m a l l percentage o f t h e budget going
t o f u n d t h i s p r o g r a m . I t ' s NOT THE GOVERNMENT'S BUSINESS!!!
We, t h e v o t e r s , e l e c t e d t h e GOP t o f u l f i l l
t h e C o n t r a c t W i t h America..BUTT OUT!!!!!
Ve r y
Mrs.
sincerely,
Vicki
Case
•As*' •''/;; •"
v
v
•i (• u -
t h e pledges i n
�/ /
-Mr I_ISA\_
,:y-STA.
�. . . AND KlNSI.KV, TOO
Kinsley thus agreed wilh longiime PUS
Washington Week in Review hosi Paul
Duke, who said, " I ' d like public hioadcaMing 10 be able lo air its educational ami cultural programming wiihoul any ledeial funding whatsoever."
Congress should "jusi say no" to the rich
and powerful special interesis who are lobbying lor public broadcasling, now headed
by none oiher than WF.TA Prcsidem Sharon
Rockefeller, who held a pro-PRS rally al ihe
Women's Nalional Deniocralie Club in
Washingion, D . C , on December 12.
(Rockefeller pays herself $125,000 a year
Irom her station's federally subsidized budget, while her family's eslimaied worth is
over $200 million.)
To listen lo some CPB supporters, one
would think the nation had been in the dark
ages until the bright light of CPB cast oul ihe
darkness in 1967. Yet, somehow, the nation
made it well into the 20ih Century without
taxpayer-funded lelevision. Congress should
ask Barney, Big Bird and Co. to try iheir luck
in the free market as we head into the 21st.
Mrs.
Clinton:
Why are you c r y i n g a l l i g a t o r t i r e s over
g e t t i n g r i d o f B i g B i f d . No one i s
t r y i n g t o g e t r i d o f B i g B i r d . A l l they
want i s f o r B i g B i r d t o be p r i v a t e l y
taken c^re o f by p r i v a t e e n t e r p r i s e .
Why i n t h e w o r l d should t h e f e d e r a l
money send m .ney t o PBS when i t can
be f i m m ^ c e d more e f f e c t i v e l y by
p r i v a t e e n t e r p r i s e s cs shov/ by ";ne
enclosed a r t i c l e . V/hat do you have
against private enterprise/
.(-..• Y
�1
i-itur-rVifnfiWTri- ^-^
New congress should give CPB the hook
KY I . A U K K N C i ; . I A K V 1 K
reprinted from Human Event:,
lion i neon ii 111; I louse Speaker No wi
Ginyncli (l\-CiA) tulil the Nalional
llmpowermcni 'I'elevision audieneethal ho woukl like lo' /eiooul
the Corporation lor I'uMie IJrnaikasnni;''
during CIMi's December < pledge drive, lob>
byists lor the radio and television system
swifily sliilicd into liiyli geai. using laii
meJiis and loul lodelend lliis ta,\payei-subsidi/ed liberal propaganda machine.
The "Save CPB"campaign, shrilly w aged
over CPB subsidized st.uions. was in direct
violation ol' the 1467 Public Broadcasling
Act, which eslablishod the corporation and
requires strict adherence to balance and objeelivily in all mailers ol public controversy
by CPB grant recipients.
But oven bias in violation olihc law is not
even ihe main issue The plain lac! is lhat the
CPB-Mibsulwed public hroadcaslin;j sysiem.
mcUulmi: National Public Radio (NI'Rl and
the Public BioaJcasiiiie Service (PBS), is
unbelievably rich and doesn't need die $300
million il receives annually in laxpavei dollars.
A recent Seattle 'l imes ai licle aboul publie lelevision siation KCTS was headlined
"KCTS Pleads Povoitv While Silling on I 'at
Wallet." WGBI I in Boston has 1.000 employees and an annual budgei ol $130 million, including an interest in the
l.oarningsmnh chain ol stores and the $77million annual revenues ol ihe "Signals and
Wireless" oalalogs n publishes wilh MmneM.Ha Public. Radio.
Louis Rukeysei s newslolier, based on his
' Wall Siieel Week" program lealiiicd on
public broadcasling stations across the conntry. is estimated lo be woilh $ 10 mi I lion. Ken
Burns' PBS program on ihe Civil War inspired the public to buy $50 million in relalcd
merchandise. And Tod Turner llioiighi PBS
home-video rights wcie so valuable, ho |KIILI
$20 million lor ihein.
Pi.i.ADiNt; Pooit Mourn
Nonolholoss. ihe Association ol' Public
Television Siaiions. alarmed by the ihought
ol no longer dipping into the public trough,
sent a memoiandum lo its member stations
"urging supporters of public lelevision lo
write |llioir| members of Congress" lo shoot
down the Gingrich pioposal Now Yoik's
Channel 13. WNI'iT. bogged viewers of iis
pledge drive to respond i o Republican al lacks
by giving money to WNIiT.
Shamelessly, WIZTA. Washingion. D C s
PBS lelevision slalion. used its annual beg-aihon lo slave oil poiemial spending cms.
openly allying ilself with ullia-hbei al lobbymggroups responsible lorihc \ icious assaults
against bolh Clarence Thomas and Robert
Boik.
Top W i r i ' A slalion execulive Neil
Mahrer, using People for ihe American Way
(PAW) maloiial, suggested to viewers thai
ihe Gingrich proposal would shut down the
Public Broadcasling .Service. His solulion:
Send WliTA more money. A spokesman for
PAW lau.'!' referred loGmgnch's nmposal as
a form of "ouliui aLellinic cleansing "
Of course, both PAW and Mahrei wore
indulging in scare tactics. The now spoakei
was not proposing shuiiing down public
broadcasling. He was - and is - simply advocating ihe elimination ofa federal subsidy.
Without ihe $300 million in lederal tax
money from CPB, the public broadcasling
system in this country, alas, will have just a
palliy $1.3 billion left to spend annually
Gingrich's proposal amounts to less than
a 2Y < rediiciion in lotal spending for public
( 7<
broadcasling, hardly enough to shin the system down. The public broadcasting folk, in
laci, could make vast savings by doing what
private corporations are being forced to do.
downsize.
Indeed, the public broadcasling system
presently spends 75 cents out of every dollar
on administrative overhead, according to a
siudy by ihe liberal 2()th Ceniuiy Fund. One
oul of four siaiions is duplicative and unnecessary, SL'VS the oe.lgoing cl'.a.niKUi ol mc
Telecommunications subcommitioe. Deniocralie Sen. Daniel Inouye (Haw;:ii)
l i V K N . | O I . Kl.NNLDV 1)1'HUHIS AIUH I
T W I ' A Y I - ' K SlllJSIDII S . . .
r.vvn Democratic Rep. Joseph Kennedy
(Massacliusotlsl - admilledly folloumg ihe
Novembei S election reiurns - appears lo
have recognized dial the CPB subsidy is nol
sacrosanct, lolling a local paper in Ins Mass.iCIHISOIIS district that "something is morally
wrong wilh the way we're spending mono)'
I think everything should be on the table."
l-chotngGingrich's remarks that non-iaxpaycr-subsidized cable channels and entrepreneurial nelworks like Nalional I'impowe.ruient Television are the wave of the fulure.
Kennedy added thai technoKigioal developmenls may have rendered PHS obsolete.
"There are so many channels on my cable
bos," said Kennedy. " I can'! keep up wilh i l . "
He added. " I ' m not 100'/; cc nam thai when
we look at the lull list of pi ion lies lhat | public
hio.idcaslingl becomes a huge pnoiily."
( )II CNN's Crossfire lasi week. Rep. Joel
llellov (R-CO) and aclor Paul Soivino debaled public lundmg. Sorvmo said ihe $300
million speni on imblic broadcasling by the
lederal govemmeu! was a "drop in die
buckei" compared lo the sums spent ou oiher
programs. I lefley reioried that $300 million
- nearly a third ofa billion dollars, alter all was "a lot of money to most people across
lliis coiinli v." and that ihe taxpayers should
lie saved ihe expense.
Ye! oven conservative hosl Pal Buchanan
indicated that he'd go along with lederal
funding ol children's programs. Bui there's
no reason Scsaine Street, for instance, can't
be funded commercially,considering itshigh
laimgs. and the truth of il is thai Barney, Big
Bud and tho like have made a lol of public
broadcasling insiders personally rich.
C'hildien's Television Workshop, Inc.
(CTW). which prod uces Sesame Street, geneiates almost a billion dollars a year in merchandising and ancillary revenues, neiting
over .$100 million as direct income (o the
company. CTW has some $58 million in a
stock and bond portfolio and pays top executives over a half-million dollars each annually. Barney is a close second, grossing $500
million in merchandise and netting some $50
million annually.
Sorvino also took the tack lhat the poor
needed subsidized TV lo raise their cultural
level (all hough l ho re are plenty of studies'hal
show dial cluUhen can raise ib.oir cullural
level by not watching TV). But Rep. Hefley
i cspoiided dial you can get cullural programming ilu-migh eable. ^inee "almos! everyone
has cable lodav."
Sorvino shot back. " I have relatives who
cannot afford cable, mdudiug my father
who's on a pension."
Soi'Miio's alliiude underscores precisely
whai's wrong with the Hollywood eliie. A
movie slai who has appeared m films like
Goodfellas, Sorvino - apparently unwilling
to allend to his father's needs - demands dial
the ordinary working cm/.en pay I'or his dad's
viewing pleasure.
Sorvino u as so unconvincing an advocate
that libeial hosi Michael Kinsley confessed
al die end ol ihe debaio. " I do. aelually, have
some problems with public funding I'or public broadcasling li is son of a subsidy lo
people like mc."
P"
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. envelope
DATE
SUBJECT/TITLE
01/25/1995
Lanora Morgan; RE: Address [partial] (1 page)
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 3, 1995 - Mail Report
2006-0810-F
dbl805
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose inforniation compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOI A|
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial inforniation 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRIM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�\
CL
O
O
O
8
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C
.OIciGlon'
Mrs. H i l l a r y C l i n t o n
Wife o f the President
of the United States
White House
Washington,
D ^ f f i f f l
'
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O
�DONALD J. WEISS & ASSOCIATES PC
ATTORNEYS AND COUNSELORS AT LAW
DONALD J. WEISS*
CLARA A. RANKIN * *
FAX: (610)891-9194
PHONE: (610) 891-9192
THE WEISS BUILDING
202 SOUTH AVENUE
MEDIA. I'A 19063
I . I . . M ( I'.i.v.iliiin) • K.Mlitn
• • A l s o Mi-inliL-i NJ H : I I
January 27, 1995
Mrs. H i l l a r y Rodham C l i n t o n
The White House
1600 Pennsylvania Avenue
Washington, DC 20006
Dear Mrs. C l i n t o n :
Attached i s an a r t i c l e I r e c e n t l y read. I f the conunents
a t t r i b u t e d to you are true, you a r e more out of touch with r e a l i t y
than I had previously imagined.
Read the a r t i c l e and you w i l l
l e a r n something. I am on the Board of D i r e c t o r s of my l o c a l l e g a l
a s s i s t a n c e corporation and devote a great deal of my personal time
to l e g a l a i d and pro bono work. I f I had to choose between c u t t i n g
back on the funding for PBS or c u t t i n g back on the funding for
l e g a l a s s i s t a n c e , there i s no doubt t h a t l e g a l a s s i s t a n c e performs
a f a r greater s e r v i c e to the community i n need than PBS and other
federally-funded programs.
We have come to a c r i s i s i n t h i s
country where there i s not enough money to do everything we a l l
want to do and we have to decide where to c u t back. There i s no
question that the c u t t i n g back should s t a r t with PBS and a national
endowment for the a r t s and my f e e l i n g s are i d e n t i c a l to those of
the author of t h i s a r t i c l e . Wake up and get i n the r e a l world!
Very t^ru ly yours
'
/
/
.
•
Donald J . W e i s s / Esquire
DJW/ejc
c : \ per con a 1.. d j w \ h i 1 l . i ry
Enclosure
cc:
Senator Newt G i n g r i c h (w/encl.
G i l Spencer
Rush Limbaugh (w/encl.)
v
( hvj'\ - tA>
�Gil Spencer
'Artists' worth starving
Newt Gingrich has a gun to Big Bird's
head, a knife to Barney's ribs, and Hillary
Clinton is horrified.
" I wish he would leave Big Bird alone,"
she recently told a gathering of Democratic
National Committee members eliciting, we
are told, "thundering cheers."
Which, I suppose, means that Mrs.
Clinton and her friends in the Democratic
party believe that the producers of Sesame
Street and Barney, though multimillionaires, deserve continued federal subsidies.
Well, they can believe that if they wish.
But the idea that an industry as big as
Barney ($500 million in merchandizing
sales a year) will disappear from the airwaves if it isn't taxpayer-subsidized strikes
some as, well, preposterous. As is the notion that if our government quits funding
the National Endowment for the Arts,
somehow Americans will be denied much
wonderful art.
Recently Washington Post Columnist Richard Cohen tried to make the case for
government funding for the "arts."
"The reason the arts or public broadcasting need government help," Cohen writes,
"is that quality is not only expensive, it is
almost always unprofitable."
Quality, unprofitable?
Somebody ought to notify the Japanese
or the Ford Motor Car Co. which has made
' Quality Job 1."
A word about quality.
It was after the devastation of World
War I I the Japanese took to heart the proquality philosophy of American business
guru W. Edwards Deming. Dr. Deming
held that it isn't quality that's expensive,
it's lack of quality that's expensive.
For example, if you make widgets and
your quality controllers don't pass 30 out of
100 of them, the problem isn't that you are
throwing away 30 lousy widgets. The problem is that you made those 30 lousy in the
first place.
When it comes to purchasing lousy, low
quality art, manufactured by an insular
and politicized "artistic community," America has shelled out too much.
Consider the funding for the "performance artist" who inserted a speculum into
her vagina and invited audience members
to come on stage and to take a peek at her
cervix with a flashlight.
Consider the federal funding of three
Wyoming "artists" who painted 70 cows in
a pasture with feminists' slogans.
Consider the funding of an exhibit ialled
Dinner Party, which consisted of a triangular table with 39 place settings of vaginas
on dinner plates.
Mr. Cohen observes "one's generation's
outrage can sometimes become another's
beloved classic." This is true. But is the
day when Dinner Party becomes a "beloved
classic" one to look forward to?
As for "quality" broadcasting, the much
ballyhooed PBS special "America's War on
Poverty" which aired last week was greeted with a spectacular yawn by the TV
viewing public. And rightly so. I t was an
info-mercial for the kind of mewling liberal
government that America's voters finally
wised up to last November.
When Mr. Cohen talks about the unprofitability of "quality" art and programming,
what he is really talking about is its unpopularity. Such thinking is sweet for selfprofessed artists, who can then assert their
own lack of popularity among the masses
es proof of the high "quality" of their work. There is much on PBS I rather like. But
I am confident that i f all funding for the
Corporation for Public Broadcasting, some
$285 million a year (an amount Mr. Cohen
calls "wee"), were cut off, the best of its
programs would quickly find homes on
other channels and what didn't would
hardly be missed.
Compared to the "artists" who receive
grants from the National Endowment for
the Arts, the poobahs at PBS come off as
downriglit humble. But then anyone would.
Members of the America's most arrogant
lobby (George Will's phrase) have treated
the NEA as their own private taxpayerfunded play pen. They see grants awarded
them as well-deserved entitlements and
they get furious with any politician who
suggests it may be time for them to get
their snouts out of the public trough.
Such suggestions bring howls of "censorship," as if anyone's right to free speech
requires the federal government to pay
them for exercising it.
How dare mere politicians pass judgment
on the work of their brethren, they say. We
are your cultural superiors and not only do
we deserve every tax dollar given us, we
deserve more, much more.
If philisfines like Jesse Helms and Newt
Gingrich are allowed to decide what art
gets funded and what doesn't then how
will important film projects like "Sister
Serpents F—s a Fetus" (an NEA grant recipient) get their fair share of taxpayer dollars?
- Oh! You haven't seen it? Neither have I .
But it was advertised on a poster thusly:
"For all you folks, who consider a fetus
more valuable than a women, have a fetus
cook for you, have a fetus affair, go to a
fetus house to ease your sexual frustrations."
Gingrich's gun isn't pointed at Big Bird's
head. It's pointed at Sister Serpents'.
He should fire when ready.
G'l Spencer's column appears Monday,
Werinesrlnv anri frv.v~..
�'„
202 SOUTH AVENUE
MEDIA. PENNSYLVANIA 19063
/••-'•' P ".
M
A
... /
'
:
21 • 3 0 ^ / - Q - W ^ ¥ r S j ^ S
' • •'.7
Mrs. H i l l a r y Rodham C l i n t o n
The White House
1600 Pennsylvania Avenue
Washington, DC 20006
I,,I,IIIM ||...II....II
!
OldGlorv
IMI-ii
IMIN:!!,,,,..!
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
SUBJECT/TITLE
DATE
Dorothy Kelly to Mrs. Clinton; RE: Address [partial] (3 pages)
01/29/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 3, 1995 - Mail Report
2006-0810-F
dbl805
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl)of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�n
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Clinton Library Photocopy
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005. email
SUBJECT/TITLE
DATE
F. Alan Garten to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/23/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: March 3, 1995 - Mail Report
2006-0810-F
dbl805
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXI) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�. r:
s
From AlanGarten@aol.com Mon Jan 23 13:22:29 1995
Received: by WhiteHouse.Gov (5 . 65/fina/mjr-120691) ;
i d AA15675; Mon, 23 Jan 95 13:22:29 -0500
Received: from mail02.mail.aol.com/152.163.172.66 v i a smap
Received: by mail02.mail.aol.com
(1.38.193.5/16.2) i d AA15307; Sat, 21 Jan 1995 23:18:17 -0500
Date: Sat, 21 Jan 1995 23:18:17 -0500
From: AlanGarten@aol.com
Message-Id: <950121231314_1737686@aol.com>
To: p r e s i d e n t
Subject: Mrs. C l i n t o n and Big B i r d
Dear Mrs. H i l l a r y Rodham C l i n t o n :
I j u s t read your comments about Big B i r d and squirming Republicans.
Big B i r d
and Barney are g r e a t . They are popular and i t i s time t o l e t them paddle
t h e i r own canoe. I t i s time t o take t h e programs on p u b l i c broadcasting t h a t
are commercially v i a b l e and l e t them pay t h e i r own way. The r e s t o f t h e
l i b e r a l i n d o c t r i n a t i o n t h a t i s being broadcasted using my t a x money can go by
the wayside.
As f a r as book deals go, how about A l Gore's book? Are you advocating t h a t
no p u b l i c o f f i c e holder can Iwrite a book or take an advance from a p u b l i s h e r ?
This i s a l o t t o do about n o t h i n g .
Just keep up t h e good work Ifrs. C l i n t o n . With p u b l i c comments l i k e these you
can be assured of a Republican l a n d s l i d e i n 1996.
Sincerely,
C
!
V.--':
.L'.V"
:
Clinton Library Photocopy
�
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Health Care Reform
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2006-0810-F
Description
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<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
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Clinton Presidential Records
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William J. Clinton Presidential Library & Museum
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Folder 3 [General Correspondence]: March 3, 1995 - Mail Report
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First Lady's Office
Maggie Williams
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2194630
42-t-2194630-20060810F-Seg2-012-021-2015
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2006-0810-F Segment 2
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Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
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Clinton Presidential Records: White House Staff and Office Files
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8cbf26cb95faa2014f41e1142031ee5e
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: February 21 - 24, 1995 - Mail Report
Stack:
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Section:
Shelf:
Position:
s
59
4
1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001. letter
Jan Proctor to Hillary Clinton; RE: Address [partial] (1 page)
02/06/1995
P6/b(6)
002. letter
Suzanne G. Anker to Hillary Clinton; RE: Address [partial] (1 page)
02/14/1995
P6/b(6)
003. letter
Thomas C. Berg to Ms. Clinton; RE: Personal and address [partial] (2
pages)
02/14/1995
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]:February 21 - 24, 1995 - Mail Report
2006-0810-F
dbl806
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classi Tied Information |(a)(l) of Ihc PKA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information |(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(a)(6)of the PRA|
b(l) National security classified inforniation |(b)(l)of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
inforniation 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE
HOUSE
WASH I NGTON
February 24, 1995
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS
CHIEF OF STAFF FOR THE FIRST LADY
FROM:
ALICE PUSHKAR
DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
WEEKLY MAIL REPORT FOR FIRST LADY'S
CORRESPONDENCE
This weeks report focuses on the l e t t e r s you have received
in regard to the nomination of Dr. Henry Foster for Surgeon
General. Sixteen of the twenty-four l e t t e r s you received on t h i s
topic support the nomination and eight are opposed.
I.
Demographics
In the Pro-Foster category, you received eleven l e t t e r s from
females, eight from males, and five writers were unidentifiable
as to gender. The age of writers ranged from 71 to 30. Two
writers identified themselves as Afro-American. Two writers
identified themselves as Democrats, one was the daughter of a
conservative Republican. The states you received these l e t t e r s
from included California, New York, Florida, Virginia, North
Carolina, Alaska, Alabama, Kentucky, Texas, I l l i n o i s and
Connecticut.
II.
Content
Writers who supported the nomination cited reasons including
the following: the Christian right must not dictate the agenda
for our nation; the President needs to prove that he w i l l not
capitulate when problems a r i s e ; our nation has to value women and
children to the same degree we value an unborn fetus; Dr. Foster
has special qualifications which are important i n today's world
(e.g. experience working with teens with AIDS, childhood
�pregnancies, e t c . . . ) ; a l l abortions are regrettable, but
sometimes necessary and abortion i s legal.
Writers who opposed the Foster nomination cited reasons
including the following: abortion i s murder (Christian Right);
Dr. Foster i s an "abortionist", with l i t t l e regard for human
l i f e ; opposition to forced s t e r i l i z a t i o n of the mentally
handicapped; Dr. Foster can't be open-minded because of
a c t i v i t i e s in Planned Parenthood.
We have included samples of both the pro and con l e t t e r s
with t h i s report, and a poignant account by a teacher of a c l a s s
for physically handicapped students from Winston-Salem, North
Carolina.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
SUBJECT/TITLE
DATE
Jan Proctor to Hillary Clinton; RE: Address [partial] (1 page)
02/06/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]:February 21 - 24, 1995 - Mail Report
2006-0810-F
dbl806
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information |(a)(l)of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute |(aX3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4)of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Cooi
February 6, 1995
Mrs. H i l l a r y C l i n t o n
The White House
1600 Pennsylvania Avenue
Washington, D. C. 20500
Dear Mrs. C l i n t o n :
This l e t t e r deals w i t h t h e appointment of Dr. Henry Foster as
our next Surgeon General.
I hope you can impress President
C l i n t o n w i t h t h e importance o f remaining s t r o n g l y i n support
of h i s nominee. There are"several reasons. Those a r e :
1.
Dr. Foster has s p e c i a l q u a l i f i c a t i o n s f o r today's
needs, e s p e c i a l l y those t h a t make him f e e l comf o r t a b l e t a l k i n g w i t h teenagers about AIDS and
childhood pregnancies.
2.
The C h r i s t i a n Right must not d i c t a t e nor s e t t h e
agenda f o r our n a t i o n . I f t h a t i s allowed t o happen,
women and c h i l d r e n w i l l s u f f e r f o r generations t o
come.
3.
The President has t o prove t o t h i s country t h a t he
w i l l not cave i n when the going gets tough. This
i s a good one t o d i g i n h i s heels and f i g h t back.
I g r e a t l y admire you, and I hope t h a t you w i l l not f e e l i t i s
a necessity t o change who you are and what i s important t o you.
I am 71 years o l d , born i n t h e month o f t h e famous i n t r o d u c t i o n
of the f i r s t ERA Amendment i n Congress (thanks t o A l i c e P a u l ) ,
and b e l i e v e I was a f e m i n i s t from t h e day of my b i r t h . My heroes
are A l i c e Paul, Susan B. Anthony, Eleanor Roosevelt, and many
others l i k e you who have been responsible f o r b u i l d i n g bridges
f o r women and c h i l d r e n , who have faced s p e c i a l r i s k s w i t h c l a s s ,
c o n v i c t i o n and courage, and remained t h e i r own person although
the temptation must have been great at times t o be someone else
more molded t o s o c i e t y ' s e x p e c t a t i o n s . I am a product of t h a t
more d i f f i c u l t path and r e g r e t not one moment of t h a t process.
Thank you f o r l i s t e n i n g , and be assured t h a t you have my u n q u a l i f i e d support and a f f e c t i o n .
Most s i n c e r e l y .
Jan Proctor
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
SUBJECT/TITLE
DATE
Suzanne G. Anker to Hillary Clinton; RE: Address [partial] (1 page)
02/14/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]:February 21 - 24, 1995 - Mail Report
2006-0810-F
dbl806
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b))
PI
P2
P3
P4
b(l) National security classified information [(bXO of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
National Security Classified Information 1(a)(1) of the PRA)
Relating to the appointment to Federal office 1(a)(2) of the PRA)
Release would violate a Federal statute 1(a)(3) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�February 14,1995
Mrs. Hillary Clinton
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20500
Dear Mrs. Clinton:
Please encourage President Clinton to withdraw his nomination of Henry Foster
as the U S. Surgeon General.
As a pro-life advocate, I do not want someone who has admitted to killing as many
as 700 innocent babies as our Surgeon General. Furthermore, I feel that Henry
Foster's involvement as a member of Planned Parenthood's board of advisors
would prevent himfrombeing open minded to listening to arguments against
abortion-on-demand.
Surely there are other doctors who would be a better health advocate and perform
the duties of Surgeon General in a manner that protects the most vulnerable
among us.
Sincerely,
ikec
COO
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. letter
SUBJECT/TITLE
DATE
Thomas C. Berg to Ms. Clinton; RE: Personal and address [partial] (2
pages)
02/14/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]February 21 - 24, 1995 - Mail Report
2006-0810-F
dbl806
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXI) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: February 21-24, 1995 - Mail Report]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-020-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/6992906d20f5202210197e3feac20f26.pdf
95c430bd50d6b9db3243113700361abd
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: January 1995
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
1
1
�OFFICE OF FIRST LADY'S CORRESPONDENCE
MAIL REPORT WORKSHEET
FOR THE MONTH ENDING JANUARY 31. 1995
ANAL\ 'SIS OF INCOMING MAIL
MAILROOM SCHEDULE
OTHER
HRC CC
Mon
1022
59
15
99
47
Tue
1823 296
68
Wed
720
75
0
124
Thu
841 148
18
68
Fri
1454 199
29
58
Sat
761 107
0
0
TOTAL
6621 884
109
417
DAILY AV ERAGE
334.63
DAY
ANALYSIS OF OUTGOING MAIL
ANSWER
OFFICES
NRN
HRC CC
Mon
216
64
19
0
Tue
356 166
426
1800
Wed
646
0
347
0
Thu
918 177
36
600
Fri
449 214
37
0
Sat
0
0
0
0
TOTAL 2585
621
865
2400
DAILY AV ERAGE
294.14
DAY
ANALYSIS OF WORK-IN-PROCESS
Previous In Process
7124
+ Incoming
8031
= To be Processed
15155
- Outgoing
6471
8684
= TOTAL IN-PROCESS
IN PROCESS
Unread
Coded
Data Entered (text pending)
Data Entered (text clearing)
Cards Pending
Problems
TOTAL IN-PROCESS
0
6687
1476
521
8684
TOTAL
1195
2234
919
1075
1740
868
8031
TOTAL
299
2748
993
1731
700
0
6471
�ANALYSIS OF FIRST LADY'S CORRESPONDENCE
INCOMING MAIL FOR THE MONTH OF JANUARY
10
-
4
2 m
1993
1994
1995
�ANALYSIS OF FIRST LADY'S CORRESPONDENCE
ANSWERED MAIL FOR THE MONTH OF JANUARY
2 U
,
0 -
1993
r
r:
,1.,,
;
- -l.j
r
....
1994
Becuase of the inauguration there is no data for January 1993.
�OFFICE OF FIRST LADY'S CORRESPONDENCE
MAIL DISTRIBUTION REPORT
FOR THE MONTH ENDING JANUARY 31, 1995
Percent
ISSUES
NRNs
SUPPORT
AGENCY LIAISON
REQUEST
SERVICE OFFERED
HEALTH CARE REFORM
MAIL FROM CHILDREN
CHELSEA
SCHEDULING
STAFF
UNFAVORABLE
TRANSLATIONS
OTHER PEOPLE'S MAIL
VIP
PERSONAL
SECRET SERVICE
GIFTS
PRESS
OTHER
GREETINGS/MESSAGES
PERSONNEL
IDEAS
TAPES
TOTAL
21.20%
19.41%
10.18%
7.97%
6.82%
5.98%
5.67%
4.51%
3.99%
2.41%
2.31%
1.68%
1.57%
1.15%
0.94%
0.94%
0.84%
0.52%
0.52%
0.52%
0.31%
0.31%
0.21%
0.00%
100.00%
02/03/95
�OFFICE OF FIRST LADY'S CORRESPONDENCE
MAIL ANALYSIS FOR THE PERIOD ENDING JANUARY 31, 1995
m ISSUES
m TRANSLATIONS
m NRNs
m OTHER PEOPLE'S MAIL
m SUPPORT
m VIP
•
AGENCY LIAISON
m PERSONAL
REQUEST
SECRET SERVICE
SERVICE OFFERED
GIFTS
HEALTH CARE REFORM
MAIL FROM CHILDREN
m PRESS
OTHER
CHELSEA
m GREETINGS/MESSAGES
SCHEDULING
Ml
m PERSONNEL
m STAFF
C3
02/03/95
UNFAVORABLE
m IDEAS
�OFFICE OF FIRST LADY'S CORRESPONDENCE
MAIL DISTRIBUTION REPORT
FOR THE MONTH ENDING JANUARY 31, 1995
Percent
ISSUES
Newt's Mother
Image
Other
Abortion
Multi Issues
Health, Women
Children's Issues
Orphanage
School Prayer
Welfare Reform
Hunting/Fishing
Foreign Affairs
Drugs/Substance Abuse
Tax Reform
Deficit/Balance Budget
Minority Issues
Environment
Immigrants/Immigration
Education
G.A.T.T.
Government Reform
Crime and Violence
FDA
Health, General
Total
37.62%
34.65%
3.47%
3.47%
3.47%
2.48%
1.98%
1.98%
1.49%
1.49%
1.49%
1.49%
1.49%
0.99%
0.99%
0.50%
0.50%
0.50%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
100.00%
02/03/95
�OFFICE OF FIRST LADY'S CORRESPONDENCE
ANALYSIS OF ISSUES FOR THE PERIOD ENDING JANUARY 31, 1995
m Newt's Mother
m Welfare Reform
m Image
m Hunting/Fishing
@ Other
@ Foreign Affairs
•
m Drugs/Substance Abuse
Abortion
>B Multi Issues
• • Tax Reform
<m Health, Women
•
• i Children's Issues
m Minority Issues
H Orphanage
im School Prayer
02/03/95
Deficit/Balance Budget
Environment
En Immigrants/Immigration
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: January 1995
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-019-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/864e2c9c45fab1e15479f045254235bb.pdf
bcd94e404ed9870869242dccc5b6282b
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Support]: Thank You / Support
Stack:
Row:
s
59
Section:
Shelf:
Position:
1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001a. letter
Hillary Rodham Clinton to Martha Valdez; RE: Address [partial] (1
page)
11/24/1993
P6/b(6)
001b. letter
Martha I. Valdez to Hillary Rodham Clinton; RE: Address [partial] (1
page)
09/29/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Thank You / Support
2006-0810-F
dbl819
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 5S2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial inforniation 1(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl)of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of (he FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4)of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
D O C U M E N T NO.
A N D TYPE
001 a. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Martha Valdez; RE: Address [partial] (1
page)
11 /24/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Thank You / Support
2006-081 O-F
dbl819
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Krccdom of Inforniation Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b ( l ) National security classified information | ( b X l ) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
inforniation 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
National Security Classified Inforniation 1(a)(1) of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA)
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
November 24, 1993
Ms. Martha Valdez
Coo\oTj
Dear Ms. Valdez:
Thank you for your thoughtful letter. I am pleased
that you feel I am a role model for you. Your dedication
in pursuing your career goals while at the same time
providing for your family's needs i s commendable.
Congratulations on your recent accomplishment in receiving
a degree in Public Accounting.
Thank you also for expressing your support of the
Administration's work on health care reform. The Health
Security Act w i l l guarantee every American a comprehensive
package of benefits that can never be taken away. Your
support i s invaluable to the President as h i s
Administration works toward meaningful and lasting change
in our health care system.
Thank you again for writing and I wish you continued
success in a l l of your future endeavors.
Sincerely yours,
Miliar ' Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. letter
DATE
SUBJECT/TITLE
Martha I. Valdez to Hillary Rodham Clinton; RE: Address [partial] (1
page)
09/29/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Thank You / Support
2006-0810-F
dbl819
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Inforniation Act - |5 U.S.C. SS2(b)|
PI National Security Classified Information |(aXl)of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA)
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3)of the F01A|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the KOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
b(8) Release would disclose inforniation concerning the regulation of
financial institutions |(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�jtertha I . Valdez
September 29, 1993
Mrs. H i l l a r y Rodham C l i n t o n
The Whitehouse
Washington, D.C.
Dear H i l l a r y :
I would l i k e t o express my most s i n c e r e c o n g r a t u l a t i o n s on your
recent work on H e a l t h Care.
You have become a g r e a t r o l e model f o r t h e f u t u r e g e n e r a t i o n s o f
America.
I have a 13 year o l d s i s t e r , and 3 nieces t h a t
h o p e f u l l y w i l l f o l l o w your f o o t steps and become as educated as
you are. H i l l a r y you are n o t o n l y f i g h t i n g f o r h e a l t h care, you
are s e t t i n g an example o f t h e p o t e n t i a l t h a t women have. I t i s
r e f r e s h i n g t o see a F i r s t Lady who i s n o t j u s t an e x t e n s i o n o f
her husband , b u t i s an accomplished p r o f e s s i o n a l i n her own
right.
I am a s i n g l e mother o f a 4 year o l d boy, as such I am t h e s o l e
p r o v i d e r i n my household. I attended school a t n i g h t and
r e c e n t l y graduated w i t h a degree i n P u b l i c Accounting. I know
t h a t w i t h hard work a person can accomplish whatever he/she s e t s
out t o do. However, I don't have t h e power t o reach as many
l i v e s as you do t o s e t an example, and t h a t i s why I am g r a t e f u l
t h a t you a r e our F i r s t Lady.
Clinton Library Photocopy
�THE WHITE HOUSE
WASH INGTON
November 24,
1993
Mr. John F. Higgins
Children's Television Workshop
Corporate Communications Division
One Lincoln Plaza
New York, New York 1002 3
Dear Mr.
Higgins:
Thank you for your thoughtful l e t t e r and photograph of
me.
I agree that the warm rosy look of the photograph
exemplifies "Sesame Street."
I t was a pleasure meeting you during my recent v i s i t
to the Sesame Street studio. Sesame Street i s a wonderful
t e l e v i s i o n program for children, emphasizing educational
development and emotional growth through an enjoyable,
engaging format.
I appreciate the words of encouragement offered in
your l e t t e r . I wish you continued success both in law
school and in a l l your other future endeavors.
Once again, thank you for your support. I t means a
great deal to me.
I wish you the best of luck as you apply
to law school next year.
Sincerely yours.
Hillary Rodham Clinton
�IF
��ONE LINCOLN PLAZA • NEW YORK. NY 10023 • (212) 595-3456
CHILDRGfl'S
TflGJISION
VRSO
OHH P
JOHN F. HIGGINS
Promotion Coordinator
Corporate Communications
DIRECT DIAL: (212) 875-6524 • FAX: (212) 875-6114
�C ID G '
HL R HS
TGLCVllSIOh
ONE LINCOLN PLAZA
NEWYORK, NY 10023
(212) 595-3456
10.18.93
Mrs. Hillary Rodham Clinton
The White House
Washington, DC 20050
Dear Mrs. Clinton:
I had the distinct pleasure of meeting you when you visited the Sesame Street studio;
in fact, I am delighted to have taken a photograph with you and 3 other Children's
Television Workshop colleagues. To say that meeting you, shaking your hand, and
sharing a moment with you is a "high point" renders me guilty of understatement. Like
many other people, I am a staunch advocate of what you and the President are doing
for America, and the world.
Enclosed please find a snapshot I took of you with Big Bird and Rosita. No doubt you
will receive copies of professional quality photographs, however this picture of you is
special to me as its hazy glow and warmth is reminiscent of what a pleasure it was for
me to meet you. Friends and family with whom I have spoken of your visit agree that
your gracious and affable manner - your style and easy grace - is clearly visible in this
photograph.
Thank you so much for finding the time to visit us on Sesame Street. As a side note, I
will be applying to law school in the next year and I am committed to working in the
health care field; thank you for providing the beacon to follow as I pursue my dream.
With deepest respect, I am...
John F. Higgins
Promotion Coordinator
Corporate Communications Division
© I993 HENSON.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: Thank You/Support
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-018-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/a9613e85bacfa632b447c50f5bdc4752.pdf
b7fa2361d3fd23d2a5e0ee5f375754ce
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Thank-You Folder
Stack:
Row:
Section:
Shelf:
s
59
4
1
Position:
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001. letter
Tabatha Yeatts to Hillary Rodham Clinton; RE: Address [partial] (2
pages)
10/15/1994
P6/b(6)
002. envelope
Patricia M. Blakely; RE: Address [partial] (1 page)
10/25/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Thank-You Folder
2006-0810-F
dbI809
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)l
PI National Security Classified Information |(a)(t) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXOof the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOI A|
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose inforniation compiled for law enforcement
purposes |(bX7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
��Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
SUBJECT/TITLE
DATE
Tabatha Yeatts to Hillary Rodham Clinton; RE: Address [partial] (2
pages)
10/15/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Thank-You Folder
2006-0810-F
dbl809
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [aXS) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�October 15, 1994
mmm,
..
.
Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue
Washington, DC 20500
Dear Ms. Clinton:
I wrote to you on May 26th to express my concerns about the
inadequateness of the process by which my husband, who works for
the government, received his health benefits. We will have them
as of tomorrow (October 16, 1994), six months later than we
expected.
My husband, Ben Lonske, was called in to Personnel two weeks ago
because someone in Washington had sent word to look into his case
and to apologize to him. We could not figure out how someone in
Washington would have heard of us except through the letter I
sent you.
I just wanted to write to thank you and your staff for taking an
interest in our situation. One of the most frustrating things
about this whole experience has been the feeling that no one
cared what happened to us, and i t was really nice to hear that
someone did.
Thanks again.
Sincerely,
Tabatha Yeatts
Clinton Library Photocopy
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�L A L' M E D
S C U L P 1r
u R iE
P /i R K
\i I - - (i I i; I
November 7,
1994
Mrs. H i l l a r y C I i nton
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20500
Dear Mrs. C I i nton:
On b e h a l f of Laumeier S c u l p t u r e Park and over 350,00 v i s i t o r s and
f r i e n d s I would l i k e t o thank you f o r honoring us by i n c l u d i n g our
S c u l p t u r e , A u r e l i a I i n "The F i r s t Lady's S c u l p t u r e Garden".
Laumeier S c u l p t u r e Park i s a r e l a t i v e l y new adventure i n
contemporary a r t , and your support of our e f f o r t s has had an
a s t o n i s h i n g e f f e c t on our c o n s t i t u e n c y . The p r i d e and excitement
of The White House honor i s only equaled by our own enthusiasm f o r
the park and i t s program. I t i s i m p o r t a n t t o emphasize t h a t our
p a r t n e r i n t h i s e n t e r p r i s e has been, at a Federal l e v e l . The
N a t i o n a l Endowment f o r the A r t s as w e l l as The I n s t i t u t e of Museum
S e r v i c e s . Without t h e i r support d u r i n g the l a s t decade, t h i s
achievement would not have been p o s s i b l e .
So t h a t you might know more about Laumeier, I am i n c l u d i n g
catalogues and i n f o r m a t i o n about our program.
With deep a p p r e c i a t i o n and very best wishes.
Since r e l y
yours,
Beej Ni e remga rterf-Sm
Di r e c t o r
v
Enclosures
several
�THE WALL STREET JOURNAL TUESDAY, OCTOBER IS, 1994
A18
LEISUM&ARTS
What's New at the White House? It's the Art, Stupic
Washington
It is a perfect moment in a place that
hasn't had too many of them lately.
Sun beats down on the lush White
House grass in the elegant rectangle
known as The Jacqueline Kennedy Garden. The spherical tops of the topiary holly
trees flourish formally, as does the hardyorange, pruned to a Japanese standard of
off-center fragility and bearing dozens of
little fruit. A light breeze rushes through
reminding us it's fall-and setting the
bright steel paddles of the Calder stabile
into languid rotation.
There are 11 other pieces of 20th-century American sculpture carefully placed
between the hollies, vertical like the trees
and in scale with them. This is definitely
not the way Jackie 0. left her garden. Indeed, the very presence of "modem" art
in these purlieus had been ruffling some
members of the press invited for a preview
last week. Hearing one man's drooling
cynicism on the way over to the garden. 1
shuddered at the prospect of another Clinton scandal in the making. What would it
be called? Bronzewater?
Who knows? The New York Times and
several other journalistic practitioners of
lese president didn't send reporters or critics, perhaps out of fear that the poor guys
couldn't help falling into the reflexive Clinton-bashing that the Times's News of the
Week in Review section had wrung its
hands over the previous Sunday. Or maybe
the opening of "Twentieth Century American Sculpture at The White House"
wasn't news precisely because no editor
had any reason to think it would be anything more than a dandy little show. The
headline on the stories that didn't get written could have been: White House Embraces 20th Century: Modem Art of Our
Grandparents' Time Finally Gets Foot in
Door, Living Sculptors Too.
This is, according to White House insiders, only the second time the art of this
century has been formally exhibited at the
White House. The first was a show of
paintings by Andrew Wyeth welcomed by
Richard Nixon.
Behind this apparent boycott of contemporary art is a strong and respectable
sensitivity about the 19th-century purity of
the White House interior. The Committee
for the Preservation of the White House
stands guard against philistine redecorations that would destroy the much redecorated building's authenticity. There is also
a full-time curator looking out for the interests of millions of Americans who love
the place the way they think it has always
been and don't believe a Jackson Pollock
would fit in the East Room next to the
Gilbert Stuart portrait of George Washington saved from British arson during the
War of 1S12 by Dolley Madison.
So it was deft and sensible of Hillary
Rodham Clinton to propose a series of outdoor sculpture shows, because there would
be nothing awkward about keeping them
discreetly outside the house but still on its
grounds. A million tourists passing by a
window wall at the edge of the garden will
get a generous glimpse of the show before
it ends in January. The show's curator, /
George W. Neubert, director of the Sheldon Memorial Art Gallery and Sculpture
Garden at the University of Nebraska
(Lincoln), chose works big enough to see
through the glass clearly.
Actually, two bronzes by Paul Manship
stand inside the house on either side of the
garden door. Manship was born in Minnesota in 1885 and is therefore legitimately
a 19th-century artist. His "Diana" firing
an arrow across the entryway at his "Actaeon" (both from the Minnesota Museum
of American Art in St. Paul) represents
both the very tail end of the 19th-century
American renaissance and the beginning
of sculpture here in this century. Manship,
who lived until 1966, was a powerful influence on younger American sculptors, and
just inside the garden is a heroically opulent female nude from the Milwaukee Art
Museum by Manship's famous student,
the French immigrant master Gaston
Lachaise.
The rest of the sculptures do not flow
down the century with such ideal linkage.
With only 12 slots to fill, Mr. Neubert, an
ebullient and massive former college
nose guard from Texas, left out dozens of
obvious choices, notably David Smith.
Still, he managed to cover a lot of bases.
From the Columbus Museum of Art, he
impohed "Tropical Tree III," a black
steel Louise Nevelson. From the Chicago
Institute of Art, he borrowed a narrow
aluminum blade called "Curve VIII" by
Ellsworth Kelly.
Moving further forward in time, beyond
abstraction. Mr. Neubert shows the return
of the human figure with "Walking Man,"
Critique
By Raymond Sokolo^
a grimly realistic George Segal (1988) from
the Walker Art Center in Minneapolis. An
even more recent swing toward a classicizing approach is on view with Manuef
Neri's "Aurelia Number 1" Irom the
Laumeier Sculpture Park and Museum in'
St. Louis: a stark white full-size female in,
marble (1992).
As it happens, Mr. Neubert's two most
stunning choices came from his own museum. Both works are by living women,
one fairly young, the other still active in
old age. Judith Shea, born in 1 4 and
9S
trained as a clothing designer, is at the
cutting edge of sculpture today, but her
"Shield" makes sensuous allusions to two
traditional forms. A weathered-green
bronze female torso, it almost might have
been excavated from an ancient Mediterranean archaeological site, but it also
bears an eerie resemblance to a dressmaker's dummy, headless, armless and
legless. It floats free, like a piece of fabric.
The other statue from Nebraska is a
Louise Bourgeois, which the octogenarian
doyenne of American sculpture made in
1947. "Observer" is a semiabstract human
figure, all narrow bronze rectangles
painted white and assembled with nuts
and bolts, a humanoid Stonehenge, solid
but also so carefully balanced that the
"arms" swing barely perceptibly in the
wind. The flat "hat" on the featureless
square head gives this otherwise solemn
piece a jaunty air.
Tourists will look out on Mr. Neubert's
highly selective ' anthology of modern
American sculpture and see a small troop
of vertical beings alternating with
sculpted trees, backed up by the White
House rear lawn with a much larger vertical sculpture in the distance, the giant
obelisk of the Washington Monument. One
doubts that this happy accident was part
of the planning that began in January
when Mrs. Clinton met with the White
House preservation committee. That early
discussion, in the immediate aftermath
of the successful public reaction to the
temporary installation of a de Kooning
painting in the White House, led to committee member and former.director of the
National Gallery J. Carter Brown's demarche to the Association of Art Museum
Directors, who agreed to support the
multi-institution lending program. The
Iris and B. Gerald Cantor Foundation provided funding.
So no tax dollars have been diverted to
installing modern art at the White House,
and it is hard to imagine anyone eager or,
in fact, able to find fault with this show.
Mr. Neubert has skirted the wilder shores
of contemporary art, but his choices are all
first-rate, and they tacitly include artists
from the major minorities: women, a
black, a Chicano and even a Holocaust survivor. No doubt one or more of the sculptors is gay. The terse labels don't go into
this kind of thing, nor does the work itself
announce a political program.
Mrs. Clinton herself has also scrupulously avoided obtruding any nonartistic
agenda. After a string quartet of women in
dress uniforms from the U.S. Marine Band
played Handel. Haydn and Vivaldi at a
champagne reception in the garden, the
first lady told a crowd nf around 100 people
mostly drawn from the Midwestern lending museums that she had always liked
sculpture, even before her first date with
the president in the sculpture garden of
the Yale Art Gallery. She likes contemporan' art in general, she said, and this
looked like a good way to bring it to her
doorstep and give it a broad new audience.
"Art," she said, "isn't a luxury." If that
was spin control, the administration could
use a lot more like it.
�ST. LOUIS POST-DISPATCH
*
WEDNESDAY, OCTOBER 12, 1994
Midwestern Sculpture
In White House Debut
By Charlotte Grimes
words. So Hillary Clinton added: " I
think conversation about art and its
WASHINGTON — Over the next impact on our lives is so impprtant
few months, the thousands of tourists today, because there is a lot change
visiting the White House will amble going on in our world." Art can help
through the East Wing's connecting us make sense of that, she said. 'Then
hallway, peer through its windows again, maybe not.
into a serene garden laid out by Ja"I'm sure," she conceded with a
queline Kennedy Onassis and catch a laugh, that "there will be some who
glimpse of two pieces of St. Louis:
will say, 'Oh, my daughter could do
• "Five Rudders," Alexander Cal- that. 'Mabel, look at this.' "
der's spinning black blades above a
But, she added, " I think even that
red base that has beguiled a genera- is provocative."
tion of Washington University
The this and the that, in this case,
students.
include a pinch-waisted metal sheet
• "Aurelia," a
:
from the imagighostly woman
nation of Ellssculpted by Maworth Kelly
I think conversation called "Curve
n u e1 N eri ,
plucked from about art and its impact
V I I I " and a
among Laumeier on our lives is so
round-hipped
Sculpture Park's
evocation of a
important today ... .9 f
abstractions.
woman by GasAnd maybe,
ton Lachaise
HILLARY RODHAM CLINTON
j u s t maybe,
^^^^^^^^^^
called, of course,
those two sculp''Standing
tures and the 10 others from Mid- Woman."
western collections might open visiMrs. Clinton opened the First Lators' eyes to something not usually dy's Garden, opposite the Rose Garassociated with Washington: the den, in a champagne reception. A
power and beauty of art, creativity cool breeze spun Calder's black
and imagination.
blades, with "Five Rudders" in a
In the center of the Red Room on prominent place on the jade grass at
Tuesday, Hillary Rodham Clinton the garden's eastern edge. "Aurelia"
conjured up the image herself — the stood, like a sentinel of change,
hordes of Americans, with brochures among autumn's potted bronze mums
in hand telling them that just outside with the other sculptures in what in
is a sculpture from, say, their home . the spring had been a flower bed.
state of Missouri or Nebraska.
Mrs. Clinton's creation of the ex"And they'll try to figure out what hibit got rave reviews from St. Louis'
it is and that will immediately create art-world representatives. "This is a
a connection with the sculpture that dream — an absolute dream," said
might not otherwise have been Beej Nierengarten-Smith, director of
there," she said, on a euphoric riff the Laumeier Sculpture Park.
Judith M. Aronson, board presisuitable to a woman whose first date
with her husband was in a sculpture dent of St. Louis' Regional Art Comgarden and who describes sculpture mission, had almost'missed the moas a childhood love. "Some will may- ment. The White House computers
be see contemporary sculpture for temporarily could not identify her.
the first time, which may create a Once inside the garden, though, she
whole new idea about what art is and was in her element, proclaiming that
what sculpture is. Some may see a Hillary Clinton's effort said more
particular piece that speaks to than "the million words" to show
art's importance.
them."
"It says if it's important here, it
At the very least, she said, "It will
should be important everywhere,"
cause conversation as people go
Aronson said. "That's my shtick —
down the hall."
oh, is that my shtick! Art is, after all,
This is the Clinton administration,
remember. "Conversation" and the best that man has thought and
"change" are now White House-hold done."
Post-Dispatch Washington Bureau
�Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
�LAUMEIER SCULPTURE PARK
MAG
Fall 1994
A Publication for Members
ol Laumeier Sculpture Park
Laumeier Commissions Manuel Neri SculptureSculpture Goes from Laumeier to the White House
Manuel Neri, Laumeier's newest commissioned artist, visso named for the Roman road that passes near his studio in
ited the park in September to present his idea for a sculpture Carrara, Italy.
in honor of Aurelia Schlapp and her bequest to the park.
In an exhilarating and yet sad moment in September, Neri
Neri's concept for Laumeier is a 6-foot marble sculpture of the presented his Aurelia concept for Laumeier. Exhilarating
female form, which reflects another and lesser known aspect
because it was the realization of the start of the figurative
of the direction of Laumeprogram at Laumeier,
ier's collection- -the human
sad because George
figure.
Schlapp had died two
Neri, a founding member
weeks prior to the preof the informal "San Fransentation.
cisco Figurative School"
Already the Laumeier
won his first award in sculp"Aurelia" has gone on to
ture in I953 and by I987 had
fame.
achieved numerous other
The recent establishawards, exhibitions, and
ment of a sculpture discommissions.
play for the White House,
Neri had a solo exhibias conceived by First
tion, Manuel Neri: Drawings
Lady Hillary Clinton, will
and Bronzes, at Laumeier
include the Neri sculpin 1983 and was part of the
ture. The goal of the exgroup exhibition, Forgotten
hibition is to encourage
Dimension: A Survey Of
an understanding of the
Small Sculpture In Califordevelopment of contemnia Now. Neri was repreporary art in America.
sented in St. Louis in the
George Neubert, direcearly 1980s by the Okuntor of the Sheldon MeThomas Gallery, owned by
morial Art Gallery and
Sissy Thomas and BarSculpture Garden in Linbara Okun. Manuel's busicoln, Nebraska, reness manager, Anne Kohs,
quested the "Aurelia" for
visited Laumeier in 1982,
the "First Lady's Garden"
Manuel Neri and Laumeier director, Dr. Beej Nierengarten-Smith
was impressed with the park with maquette for "Aurelia," a sculpture commissioned by Laumeier
exhibition at the White
and saw it as a potential
House because he convenue for Neri. Anne introduced
siders it "Neri's finest recent
Beej Smith, Laumeier's director, to Manuel at his now famous work." doining such well-known institutions as The Museum
"church" studio north of San Francisco in the early eighties. of Contemporary Art in Chicago and Walker Art Center,
Neri's prestigious background and work with the human Laumeier is pleased to join the exhibition. The lending instifigure combined to make him an important artist for the tutions will be honored at a White House reception in midLaumeier collection. However, it was not until Aurelia Schlapp October. Attending the reception will be founding Chairman
left her bequest to Laumeier in 1993 that the potential of the Adam Aronson, dudith Aronson, chairman of Regional Arts
project was possible. Working with Aurelia's husband George Commission, Director Dr. Beej Nierengarten-Smith and James
Schlapp and Adam Aronson, founding board chairman and B. Smith, M. D. With this commission and exhibition Laumeier
a close friend of the Schlapps, it was decided that Manuel again takes a leadership position in influencing public taste in
should be commissioned to create a female figure in marble contemporary art.
for a site installation in the park. Coincidentally Manuel was
creating a series of female figures called "Aurelia" at the time,
�Laumeier Sculpture Park
UPCOMING EVENTS FOR 1994
September 30 Trash Class
5:30 pm Hands-on opportunity for visitors to create works from
recycled materials.
FALL CLASSES IN THE EDUCATION
DEPARTMENT
Printmaking without a Press
Leam printmaking that you can do at homel This class will investigate simple printmaking processes that don't require a lot of equipment. Areas covered: cardboard, monoprint, collograph, and woodcut/linoleum cut printing. Ages: 14 to adult. Teacher: Karen Kassen
Mondays and Wednesdays, October 3 - 26, 6 to 8:30 pm
Cost: $110 plus $25 for materials
Closing party for the Recycle/Reuse exhibition, 5:30 to 7:30 pm
Through October 2
Recycle/Reuse
Fun and functional objects and jewelry made from recyclable
materials and trash. The Artisan Gallery.
Through October 2 Creative Solutions to Ecological
Issues
Drawings, prints, and photographs by 8 artists who have proposed
creative solutions to such problems as water pollution, deforestation, and waste management. Organized and circulated by the
Council for Creative Projects of New York. Main Gallery
October 11 - November 13 L u i s Valencia a n d Tarascan
Indian Folk A r t The colorful, religious, comic, even semi-erotic
hand-molded figures and plaques of Luis Valencia and the devil
and skeleton ceramic vignettes of the folk tradition celebrate
Mexican art and the Day of the Dead. The Artisan Gallery
October 16 Nature Walk: Autumn Colors Walk
1-2 pm. Enjoy the brilliance of autumn leaves on this nature walk.
Free
October 22 "The Day of the Dead" Festival
4th annual celebration of Mexican All Souls' Day at Laumeier.
"Outdoor'Warketpl^ce; festival 'of Mexican crafts, demonstrations,
dance, food, and music. Hours: 12 to 8 pm Admission: $3 adults,
$2 children; members are free.
October 22,1994-January
15,1995
Muertos de Gusto!
Day of the Dead: Memory and Ritual
'Thrilled to Death" exhibition features colorful traditional and
contemporary sculpture, drawings, folk art, and paintings by 10
Mexican artists and folk artisans. Organized by The Mexican Fine
Arts Center Museum, Chicago. Main Gallery
Contemporary Clay Whistle Making
Techniques of old, sounds of the present: forms, figures, or animals
disguise the hidden hollow chamber of clay. Clay whistles have
been popular in many cultures including the ancient Americas.
Students will learn simple methods of making their own creations in
clay and sound. Ages: 14 to adult. Teacher: Patty Holzen
Saturdays, October 1 - November 5, 10 am to noon
(note: no class on October 22)
Cost: $55 plus $15 for materials
Tile Making: A Ceramic Experience
An individual and collaborative effort! From ancient Rome to contemporary St. Louis, tile making has its roots in many ages and
cultures. This class will explore and reinvent methods of ceramic tile
making both on an individual level arid through a group installation.
Ages: 14 to adult. Teacher: Patty Holzen
Tuesdays and Thursdays, October 4 - 2, 6:30 to 8 pm
Cost: $66 plus $15 for materials
Form and Function: Furniture
Participants will build a functional piece of furniture! An investigation
into materials, construction techniques, color theory, texture, and
painting. Ages: 14 to adult. Teacher: Tim Hahn
Saturdays, October 1 - November 5, 1 to 3:30 pm
(note: no class on October 22)
Cost: $70 plus $30 for materials
Kids and Clay
A basic hand-building class. Learn simple clay building techniquespinch pots, coil building, and animal forms. Works will be fired and
glazed. Ages: 8 to 13. Teacher: Patty Holzen
Tuesdays and Thursdays, October 4 - 27, 6:30 to 8 pm
Cost: $66 plus $15 for materials
I REC1STRATIOM-FAU TERM. OCT. I THROUGH MOV. 5.1994
I
November 20 Nature Walk: The Decomposers
1-2 pm. Learn what really happens under the rocks, soil, and
fallen trees that keeps the forest in balance. Free
November 22,1994-January
15,1995 Ornament Art
For all your Santa needs, a wide variety of Christmas ornaments
and a unique selection of jewelry, glass and ceramic pieces.
The Artisan Gallery
LAUMEIER SCULPTURE P A R K A N D M U S E U M
I Participant's N a m e :
_Age:
' G u a r d i a n ' s N a m e (itapplicable)
I Address:
State:
I City:
Zip:
I H o m e Phone.
Work P h o n e :
December 3 Nature Walk: Winter Stargazing
8-9 pm. Learn winter constellations and folklore. Free
Emergency Phone:
Class Title/s;
1
O'Member
Amount Paid:
• O c h e c k O v i s a OMastercard
I Expiration Date:
_
I Signature:
I Please call 821-1298 for more information
*Members receive a 10% discount
ONon-Member
Card #
�& Donations
r '-"s"^^:-' \ i
MEMBERSHIPS
:
Cheryl Sharpe
Mr. arid Mrs. Warren Vaupef
Mr. and Mrs: Paul Arenberg
Mr and Mrs Louis Simchowitz
May 1994
.
.
. Joseph S. von Kaenel
- ; , • Mr.;and'Mrs; Richard Wi Balzer , p. * Dr and Mrs Robertas 'Smith ,,
Mr and Mrs Claude"Abrams
Mr arid Mrs W Maffitt Bates ' * ' '
Mr. arid MrsfHarlah Stembaum'T :
David D Alpers
Esther W.Watel
Nancy M. Bender
William M. Stern '
Kelly Avant
v Arthur R. Weber
; George E. Berry
Malcolm B. Sturgls
..Mr. and.Mrs.Keith Baizer:..
r-lprii Wickenhau^r * ^ ^•'Jv'^"V " , Lawrence^Biondi, S.J..
Mr. and Mrs -Alfred E. Weber
Mark Baker,
. ^rbawRbKlfirig Williams'"'i''"Mr. and Mrs: Les Borowsky <•-•,
Roseann M. Weiss
.Georgeann; Bauer
Dr. and Mrs. Saul Boyarsky
Mr. and Mrs. Louis I. Zorensky
" Arline Younger' :„;,/,',
Mr. and Mrs. Laurance P. Berrl
Barbara Bradshaw
Scott Berstem
Mr. and Mrs. Carlo Bruno
Stacy Block
Laumeier Sculpture Park grateMary Reid Brunstrom
'
fully acknowledges the followMr. and Mrs. John A. Blumenfeld : . Arthur E. Ansehl
Suzanne Burack
Marvin Bank
ing Individuals, foundations, and
Dr. and Mrs. Isaac Bomuk
James R. Burmeister
. :\
:M. Joyce.Barries r y .
Drs. Ronald Botto and Patricia Nihill
corporations for their generous
Mr. and Mrs. Richard E: Butler
Mr arid Mrs: Philip H. Barron " '
Laura Bram
support.
Mrs. R. Walston Chubb
Mr: arid Mrs: Greg Berdy
Mr. and Mrs. Brad Brown
DONATIONS
Mr. arid Mrs. Elliott Chubb
Robert J. Boston
Mr. and Mrs. Peter H. Bunce
May t - August 3 1 , 1994
Elizabeth Crow
Mr. arid Mrs. Dale Brannan
Mr. and Mrs. Paul J. Bussmann
Harmon J; Barton, Jr.
Cpt and Mrs. Erwiri Breihari
Mr. and Mrs. Robert A. Dennis
Stephanie Carver
Council of American Embroiderers
, Mr. and Mrs. Frank J. Bush, Jr.
Eagar T. Farmer
Mr. and Mrs. William Claypool
Edison Brothers Stores
Dr. and Mrs. William Campbell .
John H. Ford
Sandy Coblitz
Eriterprise Leasing
Mr. and Mrs. William S. Cassilly
Mr. and Mrs. Jeff Gambaro
, Jean N. Coleman
. Honore M. Hughes, Ph.D.
•• - •
Elizabeth Clayton "
Mr. and.Mrs:, Robert Graham
Mr. and Mrs. Robert Crowe
Jordan Charitable Foundation
Martee Combs
Jean C. Hamilton
Mrs. Olita L. David
Rotary Club of Crestwood
Debra Corson •
Ruth A. Hardin
Dr. Andrew C; Dickler
Southwest Bank
Freda Counceller
John M. Harney
W: Dean Eckert
*
Target Stores
Julia Coyle
Mrs. Hank S. Iglauer
. Mr. and Mrs. Jack E. Edlin
Union Electric Company
Mr. and Mrs. Ronald M. Jeanmougm
Mr. arid Mrs. Irvin W. Dagen
Mr. and Mrs. William Emerson
Mr. and Mrs. David Jordan
Wanda J. Darr
Shirley Emmenegger
IN-KIND CONTRIBUTIONS
Mr. and Mrs. Bob Kenny
Wilbert E; Diet
- David Fischhoff
Dr. and Mrs. David M. Kipms
Mr. and Mrs. John Dubinsky
May 1 - August 31, 1994
Mr. and Mrs. John Flaherty
Jerry Kopp
Roger Duncan
Brentwood Plastics
Mr. and Mrs. Norman Flax
Wanda Laks
Joan and Jacob M. Fiala
. Business Response, Inc. :
Mr. and Mrs. Robert M. Forman
Nicole Laplante
Mr. arid Mrs. Hans H. Fischer
Butler's Pantry
Mr. and Mrs. Gary Fox
Mr. and Mrs. John Longmire
Mrs. P.A. Fitzgerald •
Gerber Landscaping
Mr. and Mrs. Leonard Glaser
Silas B. McKinley, Jr."
Mr. arid Mrs. Bernard Frank,!
Home Quarters Warehouse
Dons Goldman
Mr: and Mrs. Edwin B: Meissner, Jr. « Lenco Contracting ,
> Dr.Md'Mre. Mari/in Gerristein
,
Mr. and Mrs. Neil Grossman •
Mr. and Mrs. Ted Melsheimer
Mr. and Mrs. David Grebler ; "
Millman Lumber Company
Mr. and Mrs. Harold C. Hanke
I E Millstone
Mr. and Mrs. Edwin Grossman
George McCue
Joan Hanlen
Mary E. Mohan
Kati Guerra
Southside Roofing
Suzanne E. Hearnes
Mrs. Hubert C. Moog
. • Mr. arid, Mrs. Ronald' Haake :
Sunnen,, Ine
• . -v
• <.
Stephen W; Hiatt
Norma Nest
Mr. and Mrs. James A.sHageman
Winter Brothers Material Company
Nancy T. Hinds
Dr. Richard J. Nissen
Mr. and Mrs. Jeffrey Hartenstine
Paul Hoar
Mr. and Mrs. Frank E. Nutt
Mr. and Mrs. Jay.P. Heiken
MATCHING GIFTS
Dr. Gregory R. Hoeltzel
Betsy O'Henn
Mr. arid Mrs." Peter A.: Hummel '
Lonlee Hyde
May 1 - August 31,1994
Mr. & Mrs. Francis Edmund Hunter
Mr and Mrs. Brian K. Owens
David Kaplan
Mantz Inc.
•
William R. Piper
Mr. and Mrs: Doug Kassabaum . ^ Simon I g i e l n i k l , : : .
• Dr/and Mrs.'James Jiiriker
"
Mr. and Mrs. Pierce Rhodes Mr. and Mrs. Kenneth Keim
TRIBUTES
Richard Katz? • . *
.. Mr. and Mrs. Kevin Ross
George M Kerwm
May 1 -August 31, 1994
Mr. and Mrs. James Keller
Peter E. Sargent
Michael Kohn
' • Crosby Kemper - "y".- • - < • • ' ' ' • Mr. and Mrs. Warren Sauer
In Honor of
Mark Kronemer . . . .
Mr. and Mire. Wiiliam S! Knowles ^ • Mr. and Mrs. Kenneth J. Shaver > , Ann Bauer's Birthday •
Dr.-and Mrs.- David Lagunbff'
:
Dr. arid Mrs. Erwin J. Kolb •' ''
Marilyn and Jerry Bauer
R S Shelor
Soma Lansche
Helen and Julian Seeherman
Drs. Mark and Cassandra Weaver
Mr. and Mrs. Alois J. Koller, Jr.
Kim G. Leighton
Samuel and Joyce Kram
Dr. and Mrs. Samuel Wells
i.w.:: .••Mari<;Le^ansi , 4.'»iti '.->
Mr and Mrs Sal Lormo,
, Martin and Margie Jaffa .
• • Mr." arid-Mre?N6rm"ah;l:"ei'gh
' Lisa Zoia'
Mr and Mrs. Paul K. Lux
Gerald and Marilyn Rezmk
••'-•.> • Lewis A. Levey ' " f y t u y
Rhona Lyons
Rosalyn Kllng's 60th Birthday
Mr. arid Mrs. Marvin L. Levinson :
August 1994
Marcella W. MacDermott
JoAnn and Harlan Steinbaum
Barbara Katz Abrams
••••
- Mr. arid Mrs''Michael McCallum::: « Mr^rid Mrs^Antonib Lorisiraisfi,.
James J; Burkemper
. ; • Nancy Kranzberg's Birthday ,
Eleanor McGuire'
*
Mrs. Tevis H. Mellish
.'" •
' " Susan A. Cejka
Mr. and Mrs. Paul McNeely
Nancy Sachar
> Mr. arid Mrs. Jack Mercurio ; : ^.
Ann H Dragues
Mr.and.Mrs:':Michael:Meade,"f.r?..*'
';.v:V'-i:Jdftn.W6s%i ^;\ /%
••.;:'• Julie C Edison .
,
- M' Richard Meyer
; '
In memory, of
•
v •• Jbari^Murphy:^:,--;;?,*;:- v^;"
Mr. and Mrs; Chester L. Fox
VictorS Migneco
Robert King
, . Mr. and Mrs. Timothy.O'Sullivan •}
Michael Freund
Mr. and Mrs. Patrick Moore
Karen and Allen Tamaren-i£•<•:•:., Mr.»arid Mre^Richafd palrrier
-Audreys Gooch y
*Z
. . Karen Morgan -,
:
Memonal Tree.'
; ;' „
Rabbi & Mrs.''Jerome W. Grollman"
Dr 'Julia Muller and Earl
James W. Singer, Jr. " '
V.":Y- :SharniBher;Prak&h.^^^":''ii'
',: Mr. and Mrs. Thomas R. Guignon
Shreckengast
Ken and Nancy Kranzberg
:•'^'ir:;Su8m;E^iyiherchi;^.^' ii*'= -j.'•
Lee Roy Handler
,
Mr. and Mrs. Steve Murphy
Beej and Jim Smith
;:«>vsMr;-ahdsMrsi'Lduls;R§Ri^
Mr and Mrs^ Daniel Heagney^ < ; i ' Laumeier Board of Trustee'sKane Outman \
i..
'
Dr. and,:Mre7Simon:Horenstein .
> Patricia-Pautler V " ^
r,
Memorial Tree
Mr. and Mrs. John Isaacs III
•>»
" Mr;:and Mrs.'Gordon Philpott
Mr and Mrs Gunther N Kohn - > •
< nu. anujviia. uu rowoi»
.
. ' Mr and Mrs William Robertson
SMr-. and Mrs: Bob Powers
Rick Ramin**£.tte
% A'* * "- i ' l ^ Mre Henry,Royal' ^ *; r f ', Dr." and'Mfsf Samuel Kram ^
Mr.aribMreVRusseirRbWs--' .
Carliri ScanlanT- ^
*'
Mr' and Mrs 'Jerome T Loeb " *
Mr and Mrs Frank Roth
Carl and Fay Simons
• Mr: & Mrs. Robert W.,Michelmanri
y
Milton.Rothschilda.
« '
^ , Mr and.Mre, Jay^Sosna". ' , „ - , ,^EleanorJ' Moore,, ^ ,
__ .._-iv_«t ""-• -^ n
"* Mr. and.Mre. Henry Ordower' " "
aMr.-and.MrsfHarveyiSaligman«^/ 'KJamesC«Thompson,'Union
Mr. and Mrs. Stephen Peters
'Electric Company
Mr. and Mrs. Larry Schnelle
William Julius Polk, Jr
James M Usdan
Mr. and Mrs. Frederick Stnley, Jr.
Mr and Mrs Elnar S.
>;Mr.iaridiMrs. nTimothy weisn i; , ,. Mr and Mrs 'Elnar S Ross t <
jjJohn Moore.Swan Corp.«John Moore^wan Gor|3.- ". . .Mr -ana^iwrs il *imotnyf i l Welsh^ ^
h J » « i j & l ™»S
u
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,-;Mr*and Mrs Alan'Tfavis"f^-{ |";',TMr'and Mrs.*John Willhoftl- * .
-Cynthia Love RothV*.'
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. envelope
SUBJECT/TITLE
DATE
Patricia M. Blakely; RE: Address [partial] (1 page)
10/25/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Thank-You Folder
2006-0810-F
dbl809
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information |(aXl)of the PRA|
P2 Relating to the appointment to Federal office |(a)<2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial inforniation 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes |(bK7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: Thank-You Folder
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-017-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/9f4e48e119e2e56c8fcd6c2cb2c171e0.pdf
9d1c147f041ae525008e683c1ff16a76
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Republican / Conservative Support
Stack:
Row:
59
Section:
Shelf:
Position:
1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001. letter
Claudette Lewis to Newt Gingrich; RE: Address [partial] (1 page)
01/04/1995
P6/b(6)
002. letter
Jane D. Ward to Mrs. Clinton; RE: Address [partial] (1 page)
01/05/1995
P6/b(6)
003. letter
Jarman Stallings to Hillary Clinton; RE: Address [partial] (1 page)
01/06/1995
P6/b(6)
004. letter
Elaine B. Tutman to Mrs. Clinton; RE: Address [partial] (1 page)
01/09/1995
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Republican/Conservative Support
2006-0810-F
clbl817
RESTRICTION CODES
Presidcnlial Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. SS2(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose inforniation compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office [(aX2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRAj
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
DATE
SUBJECT/TITLE
Claudette Lewis to Newt Gingrich; RE: Address [partial] (1 page)
01/04/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Republican/Conservative Support
2006-0810-F
dbl8l7
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. S52(b)|
PI National Security Classified Inforniation |(a)(l) of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRAj
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRAj
b(l) National security classified information 1(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical inforniation
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�y
January 4, 1994
Mr. Newt Gingrich
Speaker of the House
House of Representatives
Washington, D.C. 20515
Dear Mr. Speaker:
This morning on the news it was reported that you had described Mrs. Clinton as
"a bitch." As I understand it, your Mother stated this in a yet-to-be-aired interview. I
further understand that you have issued as statement saying you have the "highest
regard for Mrs. Clinton." Either your Mother is a liar or you are and I'm betting that your
Mother has more integrity than you do.
I have never written to a person in your position regarding anything other than
legislation that I favored or an opinion on national policy. However, I cannot believe that
you, or any person in your position, would have the audacity to insult Mrs. Clinton in this
way. I don't believe I have ever been as angry over an utterance by a public official.
As a Republican I have tried to gloss over your comments in the past but this time
I take this comment as a personal affront to every woman who has ever had an opinion
on anything, to every woman who has ever been outspoken on an issue, to every woman
who has ever taken a risk and to every woman who has ever "stepped out of line."
How dare you be so insulting to an entire gender of citizenry of this country. You
owe every woman in this country an apology but you owe Mrs. Clinton much more than
that. A "public statement" from your office just won't do it this time.
Sincerely,
y
ulaudette Lewis
cc: Mrs. Hillary R. Clinton
Clinton Library Photocopy
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
DATE
SUBJECT/TITLE
Jane D. Ward to Mrs. Clinton; RE: Address [partial] (1 page)
01/05/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Republican/Conservative Support
2006-0810-F
dbl817
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute [(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRAj
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA]
b(l) National security classified information |(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes |(bX7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�7^
-y*-^>
y^^^y^^t^O-
"i^c
^<^*c^
'-t^-t^^
rfSc-A^.-'L-J
1
It-^idu^
•filijjti^ijj?:;)
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. letter
SUBJECT/TITLE
DATE
Jarman Stallings to Hillary Clinton; RE: Address [partial] (1 page)
01/06/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Republican/Conservative Support
2006-0810-F
dbl817
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 5S2(b)|
PI National Security Classified Inforniation 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information [(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�January 6,
1995
Mrs. H i l l a r y C l i n t o n
The White House
Washington,DC
Dear Mrs. CIi nton .
Please see the attached copy of my l e t t e r to Jesse Helms.
I owe you an apology. I know you are not aware that I did
you a grievous wrong, but I d i d . You see, I voted f o r Jesse
Helms in 1972, and again i n 1978. I have not voted f o r him
since, n o r " w i l l I ever vote f o r him again; nevertheless, I
am s t i l l g u i l t y of helping to send a h y p o c r i t i c a l s e l f - c e n t e r e d
hate monger to the US Senate; and f o r t h i s I am s i n c e r e l y sorry
Please accept my most sincere apology.
Respectful 1y ,
Jarman S t a l l i n g
too 20
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
DATE
SUBJECT/TITLE
Elaine B. Tutman to Mrs. Clinton; RE: Address [partial] (1 page)
01/09/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Republican/Conservative Support
2006-0810-F
dbl817
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Inforniation Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRAj
b(l) National security classified information 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Januar y 9,
"S5
Dear M r s . C I i n t o n :
I
hope
this
l a t e s t round
of
hoopla
ro:
comrm.'iits by No wt,!>
G i n g r i c h ' s mother is
not do mora 1 i z i ng y o u .
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R e p u b l i c a n and
I t h i n k the
new S p e a k e r ' s a t t i t u d e
and demeanor
are a p p a l l i n g and h i s m o t h e r ' s comments r e g r e t t a b l e .
Many of us consider yuu a s i n c e r e and i n t e l l i g e n t person. Your
e f f o r t s t o use your education, knowledge and s k i l l s
f o r the
b e n e f i t of the country are appreciated.
Keep your chin up.
With best wishes,
E1 aine B.T u tma n
Clinton Library Photocopy
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: Republican/Conservative Support
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-016-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
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Clinton Presidential Records: White House Staff and Office Files
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William J. Clinton Presidential Library & Museum
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5/27/2015
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PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Representative Letters: Welfare
Stack:
Row:
Section:
Shelf:
S
59
4
1
Position:
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001a. letter
Beverly Voran to Hillary Rodham Clinton; RE Address [partial] (1
page)
12/11/1994
P6/b(6)
001b. envelope
Beverly Voran; RE: Address [partial] (1 page)
12/12/1994
P6/b(6)
002. letter
Eva Nicholson to First Lady Hillary Clinton; RE: Personal (9 pages)
11/15/1994
P6/b(6)
003a. letter
Muriel Deppman to Mrs. Clinton; RE: Personal and address [partial]
(2 pages)
12/08/1994
P6/b(6)
003b. envelope
RE: Address [partial] (1 page)
n.d.
P6/b(6)
004a. letter
Stephanie Dorsey-Jiles to Hillary Clinton; RE: Address, phone
number and personal [partial] (1 page)
12/06/1994
P6/b(6)
004b. envelope
Stephanie Dorsey-Jiles; RE: Address [partial] (1 page)
12/06/1994
P6/b(6)
005a. letter
Nellie Rampmeyer to Mrs. Clinton; RE: Address [partial] (1 page)
n.d.
P6/b(6)
005b. envelope
N.R. Rampmeyer; RE: Address [partial] (1 page)
11/02/1994
P6/b(6)
006a. letter
Eugene Zak to Mrs. William Clinton; RE: Address [partial] (1 page)
01/06/1995
P6/b(6)
006b. envelope
RE: Address [partial] (1 page)
01/06/1995
P6/b(6)
007. envelope
Kim Jones; RE: Address [partial] (1 page)
10/12/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Kreedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Inforniation |(aXI)of the PRA|
P2 Relating to the appointment to federal office 1(a)(2) of the PRA)
Pi Release would violate a Federal statute |(aX3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
008. letter
SUBJECT/TITLE
DATE
Julie Nobles to Mr. President and Mrs. Clinton; RE: Address, phone
number, and personal [partial] (1 page)
12/21/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information |(aXI)of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3)of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)orthe FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Jim Roberts
PO Box 16329
Baltimore, MD 21210
December 18, 1994
Hillary Rodham Clinton
The White House
Washington, DC 20500
Dear Ms. Clinton,
I was glad to read in the news when you were in Hawaii that you and the President made
statements suggesting you had recently read /Vo Ordinary Time. That book does much to
put many things into proper perspective.
I would like to commend to you and the President the book Hidden History by Daniel
Boorstia,-.former Librarian of Congress and the best American
his^iarr'("p'erfraps-evef-)-,
which summarizes his most important thoughts about American history and political culture.
Every chapter is enlightening, but one is particularly relevant to a major current political
debate: welfare.
Chapter 16, From Charity to Philanthropy, when combined with one's personal knowledge
of American history suggests a new approach to the debate on the welfare system. Boorstin
explains the difference between philanthropy in America and Europe as resulting from the
very way our country grew. Semi-autonomous communities formed and took care of themselves before government arrived to manage the functions for which the communities wanted
government. Hence, Americans prefer to pursue philanthropy through the community or
organizations, rather than through the State or personally, as is done in Europe. In a
broader view, America still functions primarily on the local, or community, level through
semi-autonomous organizations.
Add to this our knowledge that the urban poor, being primarily black and thus descendents
of slaves, did not participate in this process of community building, and so it is not part
of their culture today. The urban poor cannot integrate themselves into American society
without a change from the present chaos, and the associated welfare system, to a commitment
and allegiance to community building.
This view explains two things: (1) the urban black family crumbled primarily because of a
lack of community, not vice versa, and (2) the current welfare system, which strengthens the
relationship of the person and family to the government rather than to the community, cannot
work and is in fact destructive over the long term. The welfare system must be changed
from the present practice of almsgiving, European style, to one of building self-supportive
communities.
�I believe you and the President or Vice-President could do much were you to oppose Gingrich's destructive ideas with more positive ones along these lines.
Warm regards,
_3 w
Jim Roberts
roberts@stsci.edu
4
S
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Box 16329
.
f;2y St one y Spring LM" • • •
BaltiBiore, M : i 2 l 0
D
n i ^ f u ^oil^riA Clt^-W
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
SUBJECT/TITLE
DATE
Beverly Voran to Hillary Rodham Clinton; RE Address [partial] (1
page)
12/11/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Deverty Voran
December 11, 1994
Hillary Rodham Clinton
The White House
Washington, DC
Dear Ms Clinton,
Why are the women in government allowing the men in government
(including Democrats) to define the welfare debate when i t ' s
women's lives that are at stake? I'm completely disgusted to
think that these guys are going to decide the fate of women and
children on welfare when most of them have no idea what they're
talking about.
The Los Angeles Times today reported that President Clinton would
be holding a summit "with governors, local o f f i c i a l s and members
of Congress, aimed at hammering out agreement on broad principles
for welfare reform." I notice that those particular groups have
few women represented. What about including women and children
whQ^ara-jjiLJgeUEare, women andL-dblldren who h^ve been on welfare
ao^-WQmgSLwhq. work -in the^jgOXar^^SYStem?^ I f you want experts on
the subject, tHat's wKere I would start".*
'
Sincerely,
Beverly Voran
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. envelope
SUBJECT/TITLE
DATE
12/12/1994
Beverly Voran; RE: Address [partial] (1 page)
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute [(a)(3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aXS) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes |(bX7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)of the KOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Deverty Voion
PM
*\
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v
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n
o
(5
"D
o
o
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• .1.lllu.tt.l.tl.„ll.....ll,l
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
SUBJECT/TITLE
DATE
Eva Nicholson to First Lady Hillary Clinton; RE: Personal (9 pages)
11/15/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the KOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003a. letter
SUBJECT/TITLE
DATE
Muriel Deppman to Mrs. Clinton; RE: Personal and address [partial]
(2 pages)
12/08/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)]
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�J, Dec, 94
Dear Mrs Clinton,
I hope you are able to find the time to read this, i t i s very important to me. I am writing to you rather than your husband because you
are a mother and understand the relationship between a mother and
her child better than a man could.
I. am very upset anout a l l this orphanage talk I aT. hearing from the
Republicans. I t doesnt make sense. The word "orphanage" makes me
think of Oliver Twist and Jane Eyre. I thought the United States
was way past that.
I t does'nt add up economics-wise. Why pay an
institution $100 a day to do a lousy job raising a child when the
mother could do i t much better than an institution for a $400 grant
and a few food stamps? What I am seeing i s anger at unwed mothers
and a desire to punish them. What about the fathers? I am seeing
nothing about making the men support these babies. Babies that began
with the help of a man. Women do not get pregnant alone. Somebody
is forgetting this.
What would institution l i f e do to a child?
What kind of adults would an institution create?
I find i t very ironic that the people who are for this orphanage
idea oppose legal abortion.
During the teen years there are strong biological forces that make
young people want to pair off. Formerly people married at 15 and 16,
but society opposes that new, but the strong desire remains. I t follows
that young people have sex i f there i s no restraint. Contraceptives
dont always work, including sterilization....! have a 10 year old son
whose father had undergone a (failed) vasectomy. I became pregnant
a second time three years later while engaged, (birth control failure)
We decided not to marry and went our seperate ways. According to
Republican policy I am lewer than pond scum for my lifestyle. But
didnt I read somewhere that Nancy Reagan, the most moral and decent
of a l l women, was pregnant with Patty when she married Ronald Reagan?
What i f Ronnie would have run out on her and her family refused to
help her? Where would she be?
In no way do I encourage young women to have babies outside of marriage,
i t s d i f f i c u l t enough to raise a family, let alond doing i t alone, and
in poverty. M m m m f t * m m B m I am a l i t t l e atypical, however.
I had my f i r s t child at age 26, not 16, and I have worked for years
prior to that and finished two years of junior college. I am also a
very skilled welder and have worked making stoves and other metal
things. I dont work outside the home ^ s ^ ^ m K m r n K t ^ ^ ^ ^ i m S m
Y nn
cottage industry thing going
m m m ^ m m m m m \ I have a c b t t ^ e 'industry t h g g o i n g
I
^
making fance quilts i n my living room that I sell or trade for things
we need. My grant i s reduced because I work.
L
Clinton Library Photocopy
U
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J
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2.
^/U»^P6/<bU6).>n/"MM Who i s going to decide vrfio i s f i t or unfit:?
Guys like Newt Gingrich, Oliver North and Jerry Falwell? I f I
had my l i f e to do over again I would do thing differently,bhbtnnow
with these kids I have to look forward, and do what I can for them
to raise them right and to become productive members of society,
and I don't need any "help" from the Republicans.
I voted for your husbahd last time, and I w i l l again hoping he can
prevent these lunatics from carrying out these diabolical, Nazi-like
plans against unfortunate women and innocent children.
Sincerely,
Muriel Deppman
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003b. envelope
DATE
SUBJECT/TITLE
RE: Address [partial] (1 page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |S U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes |(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�UH
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004a. letter
SUBJECT/TITLE
DATE
Stephanie Dorsey-Jiles to Hillary Clinton; RE: Address, phone
number and personal [partial] (1 page)
12/06/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act - |5 U.S.C. S52(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIAj
b(3) Release would violate a Federal statute [(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�1
^MJ^
cember 6
l
L oo -t<x
3
J ^V r
Mrs. H i l a r y C l i n t o n
1600 P e n n s y l v a n i a Ave.
Washington, DC 20500
Dear Mrs. C l i n t o n :
I'm w r i t i n g t h i s l e t t e r t o you i n hopes
l e a d me i n t h e r i g h t d i r e c t i o n .
t h a t you as a women can
I am g o i n g t o g i v e you a b r i e f h i s t o r y o f m y s e l f , so you may have
a b e t t e r u n d e r s t a n d i n g o f what I'm a s k i n g y o u .
I am 26 years old. I have 2 son's ages 6 & 8, I'm married to a
wonderful man, I have worked since I was 15 1/2. I had my first
son when I was 17 years old and the second when
I was 20.
I
have lived on my own since I was 18. I will have been married 2
years on January 14. 1995. My life story is one that I'm sure
Ricki Lake would love to get her hands on, however, that is not
something that is productive, so I pass. To shorten the story I
will run through some of the bad times gu a ck 1 y.
W^^^^jmSj^miVJ .
1
This i s
a l l very hard
t o t h i n k about a g a i n , b u t I f e e l t h a t
i f I could
h e l p someone who t h i n k s t h a t t h e y have h i t r o c k b o t t o m and have
know where t o go, t h a t t h e y can make i t . I went t h r o u g h P r o j e c t
i n 1991
for
lack of
Indepents
t r a n s p o r t i o n which, lead t o being
late catching rides.
g ^ f r ^
I have so much more
g i v e and I f e e l t h a t ' s why I'm on t h i s e a r t h t o h e l p young a d u l t s
or teenagers
make i t t h r o u g h
t h e r e m i s t a k e s and maybe
help
p r e v e n t some. I f e e l h e l p i n g o t h e r s w i l l i n t h e end h e l p m y s e l f
t o d e a l w i t h these f e e l i n g s t h a t I keep p u s h i n g back i n my mind,
because I know t h a t
I have success and I want everyone t o f e e l
l i k e I do about t h e m s e l v e s .
no m a t t e r
how much someone knocks
them down.
Clinton Library Photocopy
�And i n Saving cti i of t h a t .
i would l i k e you TO t e l l me what you
t h i n k I should do or r a t h e r how t o pursue t h i s .
1 would
like to
meet you i n person., so t h a t you can see t o r y o u r s e l f t h a t 1 am a
w o r t h w h i l e person.
Thank you f o r yciur a s s i s t a n c e i n advance.
Si ncere1y,
�Employment o
adds a new loc
T
Margaret GurofT
W{
mi
he textbook's red cover ' p ^ f f f i ^
lin
is fading to a frazzled . ^ l e m r a l ^ t f a i h m g ^ A ^ g i ^ i e , mi
pink. It. spine is bound '
with strapping tape, and you
an
have to turn pages to leam the ..the^rentaliofficel'in^her'apart- wi
title: "Nurses' Handbook of f'tnent^complex? '
pi;
Obstetrics."
V^nlil«feilliam^
en
Cynthia Williams has been
reading this book for 34 years.
i mi
" I always wanted to go into ^ n i ^ e p e & t i ^ ^ i & ^ ^ ' ^ ^ ^ ^ f cn
nursing, but my parents ' ^ ^ ^ ^ j ^ j ^ i ^ l l w o u l B ^ t r U ' ' f i e Hn
couldn't afford i t , " says Wil- ^ f ^ ^ ^ ^ ^ t ^ l f l & T ^ i f ^ w a s y be
liams, 45, who received the text \{j. dmng^Dore^isaysf^''' '
ag
c
L:,JL
J
ba
from a childhood neighbor
"Nursing was what I always
thought I would do."
Jo
Despite her aspirations, Wilg<
liams didn't apply to nursing
$:•
school when she graduated from
And with a second location al
high school. Instead, she says, opening up, more Howard coun- 2(
she martied and had children. In tians needing these services can ct
1983, after her divorce, com- be helped, according to Todd W
plications surrounding the birth Brace, a manager at ETC.
se
of her fourth child forced Wil" I can't tell you how excited
liams to apply for welfare.
I am about" the center's second oi
But now, after receiving wel- location. Brace says. By hiring
fare for eight years, Cynthia an additional job counselor,
Williams is studying to be a "we'll have the expertise to do h(
nurse. Her Howard Community a lot more one-on-one career Pi
College tuition is paid by the , planning," Brace says. "And w
Employment and Training^
Center, a state agency that helps
displaced workers re-join the
work force.
"It bothers me that I had to
J
;
-
--
"iM^iiibM^
who earned A's
her!fu?Usemester of college this
spring. ^i'But I felt I had no
1
ChOlCe^ •: V , ^ ^ , . ^
:
Williams<was one of eight*
Empldymentaiid Training
Center alumni honored . this :
week for success in the face of
obstacles. The awards ceremony
also marked the opening of the
center's new offices, in the
Hickory Ridge building near the
college. Williams and the other
honorees were clients at ETC's
primary location on Rumsey
Road.
Others honored for their success were Karen Elberskirch,
who is studying to be a medical
secretary; Van Nguyen, an immigrant who has taken a job
where English is required; Scott
Harold, who has worked at the
Cedar Lane School; Jane
Dlouhy, who has become an
honor high school student
through the' Maryland's Tomorrow program, Ernestine Scroggins, who is studying to become
a geriatric nursing assistant; and
Yvonne Baumgartner, who
works as a full-time cook for
three priests.
.^Stephanie;gD!diwyiM23;^M;
r
1
1
Iwelfarfc^to^Vvorkfprogram^^rojj,. „
gecfMndeDendenceS:asia«snnneliV
Independence; Jafsnnngw
j'toiherlownundependence -
Page 42 THE COLUMBIA FUER Augu
S
ulfp ot.byM«*yMcAnbt«r
h
in clerical skills the
Stephanie a job in the rental office^
&
r i a ^ - t ^ a - filing system
�Withdrawal/Redaction Marker
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DOCUMENT NO.
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004b. envelope
SUBJECT/TITLE
DATE
Stephanie Dorsey-Jiles; RE: Address [partial] (1 page)
12/06/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
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and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOI A]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
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b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOI A|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�CT N V DtU
O
JAN PEH MAH
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JAN !-fcb MAH ATM MAf ,
1 2 3 4 6 6 7 8 < 10111213 141516 171(519 2023 22 <
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2:
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MRS. STEPHANIE DORSEY-JILES
Omnibus 1 8 s 29 ^
80
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7
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•a
MRS. HILARY CLINTON
1600 PENNSYLVANIA AVE.
WASHINGTON, D 205U0
C
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PERSONAL
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lnl.m...,l,l,l!„.ll..ml!.l
�A/
"^<Z~~
CIMEOW LIBRARY PHOTOCOPY
�Withdrawal/Redaction Marker
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DOCUMENT NO.
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SUBJECT/TITLE
DATE
Nellie Rampmeyer to Mrs. Clinton; RE: Address [partial] (1 page)
n.d.
RESTRICTION
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COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
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PI
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�7
^ J / ^
I oo 6a:
Clinton Library Photocopy
�By JOSEPH PERKINS
midst as youth violence.
depri
Ived of the statys that nor"It's clear now," says Jackson, mam
loarffyipQlSES
asm. husbands and fathers.
"There is one unmistakable les- "we must look inward in order to go
Ive
son In American history: A commur onward."
portlv rendsa clear message to
Sociey
nity that allows a laree number of
The most needful group of black
voung men-nrgPo^ up lOtoltcn Amdrieans are young black men.
famiftgsr-^ujmiMaltkl by"womt>n. They arc the logical target <f the
j y v.___ _
o
never acqulr any stable, reiajinn^ revolution Jackson talks about.
shig^o_ffial^ autnority*"Tiftvpr Arguably , among all the subpopulaacquiring any sefof rational gxpec- tions In America, none .is further
tations atout thfi luture- thai com- removed from the Social main- thingiT
'
the luture
tnunity~asgS"
stream. None is more alienated in BiaclTon-black
and
iolen
Crime, VlQlgnce, unrest" diisortler...
from the norms and values of Jackson laments^ that Moynihan
arc very near to inevitable. ~~--" broader society.
warned about, owes to the feelings
This theSls" is pretty much
The failure of the black commu- of all too many young black men
aeqepted wisdom in 1994. But when nity, of American society, as a that their lives simply donH matter
it was put forward id 1965, in a whole, to deal squarely with the very. much. They teal they; hayfi.
monograph entitled "The Ndgfd special problents of young black nothing to lose.
"^
Family: The Case for National men has given rise to a rash of disWhat JSdlcson and therestof the *
Action," it was almost unanimously turbing trends. :
civil rights establishment should
denounced by the civil rights estabMore than one in four black
lishment/ Its author, Daniel Patrick mates between the ages of 16 and 24 concern themselves with is bring-'
yowiBIUUWH meri mto the"
Moynihan, was accused'ol "blaming 1 jobless, twice the rate- of white trtrepffi; " f ehcan^cietyT^ar
6
o
the victim."
males. Nearly one in four black means *
~
awfly with poverty
How ironic, then, to See Jieslse men between ages 20 and 29 is
Jackson, a member of the very civil either in prison, on parole or on
rights,tetablishrtientthat rejected probation.
ppor men from
the Moynihan thesis back in the
The murder rate for black males
Nol
196fls come around to this W y oi agejiuPBTias nearly doubled_U3ter rather untu we see an ihcreasln,
a
than decreasing - num
lhink»ng nearly Uifet! docades uttw. Hili
tic*.'Mdt\Tmiflinn0j3cr thu oOvwHMirent famiiies ariionu the
But, sure enough, Jackson recently louding euUse of death for this ralilS-Sr the bjgcK pbftfrana"a
thered together assorted black grouf);. In fact, according to The greuteciiraji^^oF joliiie- black <
reu^curaji^^l
idens to undertake whal he calls a NewfertK/andJour.nal o/ Medicine, men growing up wi
"socia values redemptive yotingblack men living.JiL_poor sidirTg ovdr
•ram
revolution." '
.
I' - : •
mnor^city ~comipuniiiea_:are less hopete-seearreiid T3r tfie
In a recent published interview, likelyro reach age 40 than young nesSj the chaos and th^
Jacksori made a rather remarkable men living In Bangladesh.
on-black carnage.
declaration.
Thr reason sib'many young black
*I am rather convinced," he said,
men are nihilistic, why so many
"that the premier civil rights issue bend toward self-destruction, is
of this day is young violence in genbecause they have been njs
eral and black-on-black violence in
ized by American society.
By Jeffrey McQaain
particular. More young black people
year, the government speru_ ,
kill each other annually than the biilion or so on various poverty proCRANKLECKRAN-kol") twists or
sum total of lynchings in our grams. Almost all of it goes to supbends. For a
this
history.? *
port single mothers. Almost none of AaM wbr I^g op in spelli|ig withah
ehd^fcRANKLB
\
In years past, the civil rights it trickles down to poor men.
ANHJB. > ;;^ia^r^^4; ^;!*->^
leadership would ascribe this black
The rusiilt nf this imbalance in
pathology tp vestigial racism. They federal larRess is lhat nqor younp
Q. M grandmother often uses UPn
y
would mau-mau the government or hfack women are empowered at IHP
SOT Is tfifttreallya word?
the cari>orale sector or the white cxpcnaLaLBflor young Ilia '
g liliicEmfip. A
A.YoumavhearUPSOT
community. But Jackson and others Wclfill-n mnni dnfisn't nrii>d ^ haw,
In canversaUon, but Ufeftwun WH
now realize thflt » h'wck
part of formal EnglM. The past nai*
nity mtist. taJiia primary rpsponstbil- man arbund tito^lontt Unfio s»tn
tfeipleof UPSETfiouWbeUPSETlt- ^
ity for solving such problems jqits
self (The sleigh was upsef), bttt '.
Yotjng bllick men find that they.Mfi.
i
i [
l
:
r
t
:
S
1
:
th
u
�Withdrawal/Redaction Marker
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DOCUMENT NO.
AND TYPE
005b. envelope
DATE
SUBJECT/TITLE
N.R. Rampmeyer; RE: Address [partial] (1 page)
11/02/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA)
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P3 Release would violate a Federal statute 1(a)(3) of the PRA|
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b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOI \ |
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
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b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�u
J3 •'
m;
co •
rr
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JUL AUG SEP OCT . . . / CS!
JAN « 3 iWB APR M Y Jim JUL.JSOa' SEP OCT NOV D C
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DOCUMENT NO.
AND TYPE
006a. letter
SUBJECT/TITLE
DATE
Eugene Zak to Mrs. William Clinton; RE: Address [partial] (1 page)
01/06/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
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PI
P2
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b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
National Security Classified Information [(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA]
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�C Jf.nusry
l^QS
K r s . ••"illLf,Ti 0 L i n t o n
.'he " • ' l i t e Llouse
'''onhington D. C.
"e?tr y r s .
inton:
" o n c e r n i n g your commsnts f b o u t orpheneqes:
h£ve worked f o r t h e C h i l d Support r i v i s i o n of J u v e n i l e C o u r t
f o r t h i r t e e n yer-rs; p r i o r t o t h ? t T wss w i t h t h e p u b l i c s c h o o l s
f o r msny v e e r s .
r
'•'yny o f t h e c h i l d r e n of c a r e e r we I f ere mothers woulc] be much
b e t t e r o f f i n i n s t i t u t i o n s o r i n p r i v a t e plecement. Tn en
orp^?n?.ge t h e y w o u l i have r c l e f n p l 2 c e t o l i v e , oooc Tiecls,
?n£ some i n t e r e s t e d persons tc~-.ing cc.re o f them.
C o n t r a s t such P s e t - u p t o t h e f i l t h y homes, l e e k of m e E I s —
even t h o t h e mothers g e t money snd f o o d stfrnps t h e c h i l d r e n g e t
f r e e b r e r k f a s t s snd lunches f t s c h o o l , i f t h e y go, beceuse
t h e i r mothers a r e s t i l l i n bed w i t h t h e i r c u r r e n t b o y f r i e n d
whom t h e mother i s s u p p o r t i n g on h e r w e l f a r e g r a n t .
<^ne i l l e g i t i T . P t e c h i l d T can u n d e r s t a n d b u t t h e m a j o r i t y of t h e
w e l f a r e not hers ha v-i more t h a n one c h i l d , ? nd a n y o r ^ v o ra r d •or ^'-.ilc rt.--. -.-ouldn'r
n t t o see them i n t h e t y p e of hores
r o s t of them a r e b e i n g r a i s e d i n . /nd t h e s e c h i l d r e n i n t u r n
become w e l f a r e mothers i n t h e i r m i d d l e t e e n s .
u
Ve have encourages t h e s e c o n d i t i o n s by r e w a r d i n g t h e s e women w i t h
a d d i t i o n a l money each t i m e t h e y become p r e g n a n t . 'e work t o
s u p p o r t t h e s e people who, i n c i d e n t e l l y , u s u a l l y have t o r u n
o u t s i d e b e f o r e t h e i r case i s c a l l e d f o r a c i g a r e t t e o r t w o
w h i c h a r e f u r n i s h e d by t h e t a x p a y e r s .
T
I t ' s f i n e t o o f f e r i d e a l i s t i c statements
p r o b l e m as i t i s i n r e a l i t y .
7
but l e t ' s fece t h e
Respectfully,
Eugene Zak
Clinton Library Photocopy
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DOCUMENT NO.
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DATE
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01/06/1995
RE: Address [partial] (1 page)
RESTRICTION
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COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 5S2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office |(aX2) of the PRA|
Pi Release would violate a Federal statute [(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXI)of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIAj
b(7) Release would disclose inforniation compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�n
Mrs William Clinton
The White Honse
Washington jj. C.
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�To:
Mrs. H i l l a r y C l i n t o n
Dear Mrs. Clinton,
I hope t h i s l e t t e r finds you doing w e l l . I do not know how to
begin t h i s complaint, so I w i l l dive r i g h t i n . I am a store
checker i n a C a l i f o r n i a Supermarket. I have access t o many
i l l e g a l and l e g a l persons from Mexico and other countries. I
have witnessed many abuses of our welfare system and I have had
more than a b i r d s eye view at how these abuses are managed. I
know that every Halloween taxpayers are financing tons of candy
for the foodstamp r e c i p i e n t s . I also know that people on the WIC
program r e t u r n the products and exchange them f o r items that are
not on the l i s t of e l l i g b l e purchases.
The l i s t i s a long one
indeed. I could go on and on. I believe the worst abuse i s the
one where a woman w i l l remain single and claim t o be i n need of
s o c i a l help and f i n a n c i a l support while a l l the while t h i s has
been a calculated ploy t o access the system. She w i l l remain
single while a l l the while her and her b o y f r i e n d l i v e together
and have more c h i l d r e n and are i n f a c t enjoying the best of both
worlds, reaping the rewards of the working class taxpayers. They
purposefully remain single to ensure forthcoming b e n e f i t s . The
system works f o r these people a l l to w e l l .
Recently I had another shock t o my system when I discovered that
a mother of four c h i l d r e n who i s on welfare e n r o l l e d her c h i l d r e n
i n t o the p r i v a t e school that I had j u s t r e c e n t l y p u l l e d my c h i l d
out of. I had placed my only c h i l d i n p u b l i c school because we
could no longer a f f o r d the pleasure/luxury, of the p r i v a t e
school. I would l i k e t o know what program the government/my
government... has, that allows a welfare mother t o place her
c h i l d i n a p r i v a t e school while my c h i l d , who has two taxpaying
parents, can not a f f o r d the same.
To say that I am outraged i s probably an understatement.
I know
that you are a very busy person, but could you please take a
moment and t e l l me what i s being proposed about these abuses.
Where can Joe American be of help? I f e e l so powerless. The
welfare system i s such an easy target t o manipulate f o r your own
s e l f i s h purposes. I t i s such an easy way out t h a t , when I f e e l
t i r e d and fed up, I f e e l l i k e using i t myself!!. Sometimes i t
makes more sense t o kick back and l e t the government pay f o r
everything: the food, the medical, the housing. Gee, i t must be
nice. One lady t o l d me that she could never f i n d a j o b t h a t paid
for her medical and food l i k e the government does, so why bother.
You know what? She i s r i g h t . We are making human leaches a j o b
description.
Wanted....
�person w i l l i n g t o s i t around a l l day watching Oprah. Must be
w i l l i n g t o open envelope once a month and cash check. F e r t i l e
women a must. No experience required. Must enjoy junk food and
t o l e r a t e free medical exams.
What a l i f e ! !
Where do I sign up?
Yours t r u l y ,
Kim Jones
PS.. I know you only i n h e r i t e d t h i s problem. I r e a l l y only
wished to vent a l i t t l e steam. Please l e t me know i f I can do
anything more useful than j u s t complain.
I d i d vote f o r your
husband i n the e l e c t i o n and am proud that I d i d so. I believe i n
what you both stand f o r and look forward t o the f u t u r e .
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
007. envelope
SUBJECT/TITLE
DATE
Kim Jones; RE: Address [partial] (1 page)
10/12/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRAj
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |aXS) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy l(aX6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008. letter
SUBJECT/TITLE
DATE
Julie Nobles to Mr. President and Mrs. Clinton; RE: Address, phone
number, and personal [partial] (1 page)
12/21/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Welfare
2006-0810-F
dbl803
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information |(aXl)of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(5) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXI) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)ofthe FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�JULIE WATSON NOBLES ^
n
Deceiiber 21, 199
^
M
v
RE: Working Middle Class Single Mother/ ^ ^r,,' /[^
t/
ifatc I'/w;,
Dear Mr. President and Mrs. Clinton;
I em presently employed in the controversial JOBS program.
Yes, we indeed make sure welfare parents get job training or the
education for the future. The program i s working and develops
pride in APDC families.
But, now because of a funding shortage ray position will not))
be here aftet December 31, 1994.
I just can't explain to my
three daughters and 85 year old grandmother that 1995 will be
welfare^ bp^ind for us.
We were once in the system.
i6/(i3)(6p
and pulled out when I was
younger,
Recently I've mortgaged a home for my family and have risen
up take care of us a l l .
What's happening to this program that has proven to be
successful and productive? It truly can't be that my salary is
too high,
yearly.
Now. I am losing ray life and my
children's future.
My congressman's office told ne last week that a welfare
family cost the taxpayers $20,000 and up each year.
That
statment doesn't seem logical to me when my salary is half and
now I ' l l be back in this system I've spent so long to avoid.
I don't have a case worker, or child support worker or
medicaid worker which the government provides in this time of cut
backs.
If this program lessens in my town the result will be other
mothers filtering into the welfare system, as well as pe.
Doesn't i t make sense to fight for my Job and hold true in what
is working.
I <r desperate. I love my Job I've had since October 1990
aa
and I don't want to loose i t . Right now
1 need the most
prestigious person in this country to help. The money for our
program, I've been told, i s tied up in a middle organization. We
are non-profit and they are not, the money must available.
Please, I need to hear that we are not alone in America and
the only person who can help now i s you.
Advise at this time
would be greatly used.
determined to make i t .
1
tun
Julie Nobles
JWN
Clinton Library Photocopy
�
Dublin Core
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Title
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Health Care Reform
Identifier
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2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
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Clinton Presidential Records
Publisher
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William J. Clinton Presidential Library & Museum
Text
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Paper
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Folder 3 [General Correspondence]: Representative Letters: Welfare
Creator
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First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-012-015-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
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Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
Format
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5/27/2015
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https://clinton.presidentiallibraries.us/files/original/0fbe289e9c8b729fe7537e55863b42d1.pdf
464808c35a9f8700cf66aef3e44acfff
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Representative Letters: Orphanages
Stack:
Row:
Section:
Shelf:
S
59
4
1
Position:
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001. letter
To: Hillary Rodham Clinton; RE: Name, address, and phone number
[partial] (3 pages)
12/07/1994
P6/b(6)
002. letter
To: Hillary Rodham Clinton; RE: Name, address, and phone number
[partial] (2 pages)
12/07/1994
P6/b(6)
003. letter
Carol Lewis to Hillary Rodham Clinton; RE: Address [partial] (2
pages)
01/12/1995
P6/b(6)
004. paper
The Beginning; RE: Personal (1 page)
n.d.
P6/b(6)
005. letter
To: Honorable First Lady Rodham-Clinton; RE: Name and address
[partial] (3 pages)
12/05/1994
P6/b(6)
006. letter
To: Mrs. Clinton; RE: Name, address, and phone number [partial] (2
pages)
12/07/1994
P6/b(6)
007. letter
To: Hillary Rodham Clinton; RE: Name, address and phone number
[partial] (2 pages)
12/11/1994
P6/b(6)
008. letter
To: Hillary Rodham Clinton; RE: Name, address and phone number
[partial] (1 page)
12/11/1994
P6/b(6)
009. letter
To: Hillary Clinton; RE: Name, address, and personal [partial] (3
pages)
01/23/1995
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Orphanages
2006-0810-F
dbl804
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
Pi Release would violate a Federal statute 1(a)(3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified inforniation |(bXI) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
SUBJECT/TITLE
DATE
To: Hillary Rodham Clinton; RE: Name, address, and phone number
[partial] (3 pages)
12/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Orphanages
2006-0810-F
dbl804
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information |(aXl) of the PRAj
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXI) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�00/
December 7, 1994
Ms. H i l l a r y Rodham C l i n t o n
The White House
1600 Pennsylvania Avenue
Washington, D. C. 20501
Dear Ms. C l i n t o n :
Newt G i n g r i c h does not know what he i s t a l k i n g about r e g a r d i n g
orphanages.
I do. I speak from experience, not c o n j e c t u r e . Not
from a t h e o r y of "what we should do about them. " I was one o f them.
Contrary t o the stereotype t h a t G r i n g r i c h plays on, I am not black;
my mother was not on w e l f a r e a t t h e time; my f a t h e r d i d not abandon
his f a m i l y ; we were not poor. I am w h i t e , Jewish, my parents were
married t o each o t h e r , had been f o r years and were w e l l educated.
My f a t h e r h e l d degrees from t h e Sorbonne and t h e U n i v e r s i t y of
Rome. I s t i l l have i s degrees and medals f o r having won t h e Grand
P r i x i n Design i n P a r i s i n 1927 and t h e Gran Primo i n Rome t h a t
same year. They hang on t h e w a l l i n my very middle-class,
thoroughly American, non-counterculter, suburban home i n t h i s very
middle-class, thoroughly American, n o n - c o u n t e r c u l t e r , suburban
neighborhood on Long I s l a n d . Misfortune i s q u i t e democratic.
I was i n an orphanage, a very good one p r i v a t e l y r u n and
funded I'm t o l d , run by, I b e l i e v e , the Jewish Family Service, when
my f a t h e r was i l l and dying and u n t i l a f t e r he d i e d i n October,
1947. I was a s i c k l y , o f t e n h o s p i t a l i z e d l i t t l e g i r l , f r e q u e n t l y
s t r i c k e n w i t h pneumonia or p l e u r i s y , o r o t h e r i l l n e s s e s . I t
happened t h a t my mother became t o o d i s t r a u g h t and beleaguered by
her t r a g e d i e s and consequently p h y s i c a l l y and p s y c h o l o g i c a l l y
unable t o take care o f my t w i n s i s t e r , b r o t h e r and me as w e l l as
her husband s l o w l y and a g o n i z i n g l y dying of cancer. I am 55 years
old and s t i l l have nightmares about the t h i n g s t h a t happened t o me
i n t h a t very good p r i v a t e l y r u n and funded orphanage. My s i s t e r ,
b r o t h e r and I were separated and they, too, were put i n t o very good
p r i v a t e l y r u n and funded orphanages - o r "homes" as they were
c a l l e d . My b r o t h e r was 8 and my s i s t e r and I were 6.
This i s exceedingly p a i n f u l f o r me, b u t i n t h e hope o f
preventing present and f u t u r e c h i l d r e n from enduring what I and
other past c h i l d r e n bore, I w i l l g i v e you two examples.
1.
I was h o s p i t a l i z e d f o r a combination o f chicken pox
and pneumonia. Since these were communicable diseases
(as I learned l a t e r ) , I was i s o l a t e d and extremely
l o n e l y . Too young t o be able t o read and t e l e v i s i o n not
Clinton Library Photocopy
�yet h a v i n g been a v a i l a b l e , I was alone i n my room f o r
many hours a day. At one p o i n t , I guess towards t h e end
of my i l l n e s s , my mother brought my b r o t h e r and s i s t e r t o
see me.
My s i s t e r gave me her d o l l , which I p r o m p t l y
named J a n i c e , which i s my s i s t e r ' s name.
I treasured
t h a t d o l l and never l e t i t o u t of my s i g h t , s l e e p i n g w i t h
i t , h o l d i n g i t , c l i n g i n g t o i t . When I was w e l l enough,
and my f a t h e r ' s i l l n e s s and my mother's t r o u b l e s severe
enough, I suppose, I was t r a n s f e r r e d from t h e h o s p i t a l t o
t h e v e r y good p r i v a t e l y r u n and
funded
orphanage
because, as I understand i t , t h a t was a l l t h a t
was
available.
I d i s t i n c t l y remember t h e tremendous sense
of r e j e c t i o n and abandonment I f e l t .
I had t h o u g h t I
would be g o i n g home, as I had
a f t e r o t h e r such
h o s p i t a l i z a t i o n s , but i n s t e a d I was g o i n g t o what seemed
l i k e a c h i l d r e n ' s p r i s o n . The v e r y good p r i v a t e l y r u n
and funded orphanage I was p u t i n was r u n by Orthodox
Jews. The f i r s t t h i n g the matron, o r whatever she was,
d i d was t o t a k e my J a n i c e d o l l away from me because, she
s a i d , i t was a "graven image". I had, o f course, not t h e
s l i g h t e s t idea o f what a "graven image" might be, b u t i t
was v e r y c l e a r t h a t i t was something t e r r i b l e and t h a t I
was even more t e r r i b l e f o r h a v i n g one.
As a c h i l d , one does not have t h e v o c a b u l a r y t o
describe f e e l i n g s .
"Abandonment" and " r e j e c t i o n " are
words.
They do not d e s c r i b e adequately what a c h i l d
f e e l s . N o t h i n g can d e s c r i b e the emotions s u r r o u n d i n g my
"placement" as i t was c a l l e d o r o f h a v i n g t h a t d o l l t a k e n
from me.
I remember c l e a r l y t h e f i r s t n i g h t I was i n t h a t
v e r y good p r i v a t e l y run and funded orphanage.
As you
p r o b a b l y know, when c h i l d r e n are under g r e a t duress confused, f r i g h t e n e d , f e e l i n g "thrown away" as i t were t h e y r e a c t i n many d i f f e r e n t ways, one o f which i s t o
s t a r t w e t t i n g t h e bed.
That i s what happened t o me.
I
wet t h e bed. I was i n a d o r m i t o r y . I awoke i n t h e middle
of t h e n i g h t , confused, l o o k i n g around a n x i o u s l y f o r my
J a n i c e d o l l b e f o r e I remembered t h a t i t had been t a k e n
from me, my bed soaked, my nightgown soaked, e v e r y t h i n g
soaked. I got up and went t o t h e matron o r nurse o r
w h a t e v e r t h e h e l l she was
and,
c r y i n g w i t h c o l d and
embarrassment, I t o l d her t h e bed was wet and s m e l l y . She
laughed and t o l d me t o go back and sleep i n t h a t bed;
t h a t i t would t e a c h me not t o do i t a g a i n . I was perhaps
6 and a h a l f years o l d . She was an a d u l t . I d i d as she
s a i d . T h i s went on f o r some t i m e , I don't know how many
n i g h t s , which r e s u l t e d i n o t h e r c h i l d r e n ' s d e r i s i o n ,
which d i d n ' t h e l p .
As you know, t o o , a f t e r a w h i l e
u r i n e t u r n s t o ammonia and I ended up w i t h what I guess
c o u l d be c a l l e d a g e n e r a l i z e d , w o r l d - c l a s s d i a p e r r a s h .
E v e n t u a l l y , I stopped w e t t i n g t h e bed, so she was r i g h t ;
I l e a r n e d not t o wet t h e bed.
�These are o n l y two instances of what happened i n t h a t v e r y
good p r i v a t e l y run and funded orphanage.
There i s much d i s c u s s i o n about "recovered memories" and
whether they r e a l l y e x i s t . I b e l i e v e they do, but a l s o t h a t one of
the t h i n g s about some t e r r i b l e events i n c h i l d r e n ' s l i v e s i s t h a t
they cannot f o r g e t them, not t h a t they cannot remember them.
Newt G i n g r i c h i s a demagogue of the worst k i n d , the k i n d who
would put the most defenseless v i c t i m s on the a l t e r of h i s a m b i t i o n
as he d i d h i s own w i f e and daughters.
Having been one o f those
v i c t i m s , I want t o prevent others from becoming so t o f u r t h e r h i s
s e l f - s e r v i n g , crackpot t h e o r i e s .
P a r t i a l l y as a d i r e c t r e s u l t of my experience i n t h a t very
good p r i v a t e l y run and funded orphanage, n e i t h e r my s i s t e r , b r o t h e r
nor I have ever been r e l i g i o u s a l b e i t both my f a t h e r ' s and mother's
f a m i l y were. Indeed, my great g r a n d f a t h e r was a v e r y renowned
Talmudic commentator and I come from r a t h e r a long r a b b i n i c a l l i n e .
How i n the w o r l d one can expect people exposed t o such "care" a t
the hands of " r e l i g i o u s " people t o subscribe t o the t e n e t s of t h e i r
"caretakers" escapes me. As a " r e l i g i o u s i n s t r u c t i o n " e f f o r t my
placement i n t h a t very good p r i v a t e l y run and funded orphanage was
counterproductive i n the extreme.
A l b e i t I am not r e l i g i o u s , Newt G i n g r i c h and those who seem t o
be jumping on h i s bandwagon from t h e i r comfortable p o s i t i o n s have
put the f e a r of God i n t o me.
At t h i s p o i n t I have begun t o
subscribe t o the Hindu precept of r e i n c a r n a t i o n . I t r u l y b e l i e v e
t h a t G i n g r i c h may w e l l be the r e i n c a r n a t i o n of a combination of
Adolph H i t l e r and Joseph McCarthy.
Last week you s a i d you thought Gingrich's proposal t o wrench
poor c h i l d r e n from t h e i r f a m i l i e s and i n c a r c e r a t e them i n
orphanages was absurd and i n c r e d i b l e .
You are c o r r e c t on both
counts. But more, i t i s extremely dangerous as w e l l as c r u e l and
vicious.
I know from experience. Should i t ever come up f o r
serious c o n s i d e r a t i o n , I would be w i l l i n g t o t e s t i f y t o t h a t
e f f e c t . I do not agree w i t h a great deal of your or your husband's
p o l i c i e s , but t h i s p a r t i c u l a r issue, since i t concerns the w e l f a r e
of m i l l i o n s of c h i l d r e n , i s independent of o t h e r q u a r r e l s . I n
regard t o your o p p o s i t i o n t o the r e i n t r o d u c t i o n of orphanages aside from t h e i r provenly enormous economic cost - I agree t h a t the
p r i c e i s too high f o r innocent, t e r r i f i e d , d i s l o c a t e d , abandoned
c h i l d r e n t o bear. I t i s too much t o ask the blood of innocents t o
f u r t h e r the career of one amoral o p p o r t u n i s t .
Clinton Library Photocopy
�Ms. H i l l a r y Rodham C l i n t o n
The White House
1600 Pennsylvania Avenue
Washington, D. C. 20501
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
SUBJECT/TITLE
DATE
To: Hillary Rodham Clinton; RE: Name, address, and phone number
[partial] (2 pages)
12/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Orphanages
2006-0810-F
dbl804
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information |(aKl) of the PRAj
P2 Relating to the appointment to Federal office |(aX2) of the PRAJ
P3 Release would violate a Federal statute [(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified inforniation |(bXI) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOI A]
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�A.
December 7, 19 94
Ms. H i l l a r y Rodham C l i n t o n
The White House
1600 Pennsylvania Avenue
Washington, D. C. 20501
Dear Ms. C l i n t o n :
Newt G i n g r i c h does not know what he i s t a l k i n g about r e g a r d i n g
orphanages. I do. I speak from experience, not c o n j e c t u r e . Not
from a theory o f "what ve should do about them. " I was one o f them.
Contrary t o the stereotype t h a t G r i n g r i c h plays on, I am not b l a c k ;
my mother was not on w e l f a r e a t t h e time; my f a t h e r d i d not abandon
his f a m i l y ; we were not poor. I am w h i t e , Jewish, my parents were
married t o each o t h e r , had been f o r years and were w e l l educated.
My f a t h e r h e l d degrees from t h e Sorbonne and t h e U n i v e r s i t y of
Rome. I s t i l l have i s degrees and medals f o r having won t h e Grand
P r i x i n Design i n Paris i n 1927 and the Gran Primo i n Rome t h a t
same year. They hang on t h e w a l l i n my very middle-class,
thoroughly American, non-counterculter, suburban home i n t h i s very
middle-class, thoroughly American, n o n - c o u n t e r c u l t e r , suburban
neighborhood on Long I s l a n d . M i s f o r t u n e i s q u i t e democratic.
I was i n an orphanage, a very good one p r i v a t e l y r u n and
funded I'm t o l d , run by, I b e l i e v e , the Jewish Family Service, when
my f a t h e r was i l l and dying and u n t i l a f t e r he d i e d i n October,
1947. I was a s i c k l y , o f t e n h o s p i t a l i z e d l i t t l e g i r l , f r e q u e n t l y
s t r i c k e n w i t h pneumonia o r p l e u r i s y , o r o t h e r i l l n e s s e s . I t
happened t h a t my mother became t o o d i s t r a u g h t and beleaguered by
her t r a g e d i e s and consequently p h y s i c a l l y and p s y c h o l o g i c a l l y
unable t o take care of my t w i n s i s t e r , b r o t h e r and me as w e l l as
her husband s l o w l y and a g o n i z i n g l y dying o f cancer. I am 55 years
o l d and s t i l l have nightmares about the t h i n g s t h a t happened t o me
i n t h a t very good p r i v a t e l y r u n and funded orphanage. My s i s t e r ,
b r o t h e r and I were separated and they, too, were p u t i n t o very good
p r i v a t e l y r u n and funded orphanages - o r "homes" as they were
c a l l e d . My b r o t h e r was 8 and my s i s t e r and I were 6.
This i s exceedingly p a i n f u l f o r me, but i n t h e hope o f
p r e v e n t i n g present and f u t u r e c h i l d r e n from enduring what I and
other past c h i l d r e n bore, I w i l l g i v e you two examples.
1.
I was h o s p i t a l i z e d f o r a combination o f chicken pox
and pneumonia. Since these were communicable diseases
(as I learned l a t e r ) , I was i s o l a t e d and extremely
l o n e l y . Too young t o be able t o read and t e l e v i s i o n not
Clinton Library Photocopy
�yet having been available, I was alone in my room for
many hours a day. At one point, I guess towards the end
of my illness, my mother brought my brother and sister to
see me.
My sister gave me her doll, which I promptly
named Janice, which is my sister's name.
I treasured
that doll and never let it out of my sight, sleeping with
it, holding it, clinging to it. When I was well enough,
and my father's illness and my mother's troubles severe
enough, I suppose, I was transferre d from the hospital to
the very good privately run and funded orphanage
because, as I understand it, that was all that was
available .
I distinctly remember the tremendou s sense
of rejection and abandonme nt I felt.
I had thought I
would be going home, as I had after other such
hospitaliz ations, but instead I was going to what seemed
like a children' s prison.
Th~ very good privately run
and funded orphanage I was put in was run by Orthodox
Jews. The first thing the matron, or whatever she was,
did was to take my Janice doll away from me because, she
said, it was a "graven image". I had, of course, not the
slightest idea of what a "graven image" might be, but it
was very clear that it was something terrible and that I
was even more terrible for having one.
As a child, one does not have the vocabular y to
describe feelings.
"Abandonm ent" and "rejection " are
words.
They do not describe adequatel y what a child
feels. Nothing can describe the emotions surroundin g my
"placemen t" as it was called or of having that doll taken
from me.
2.
I remember clearly the first night I was in that
very good privately run and funded orphanage .
As you
probably know, when children are under great duress confused, frightened , feeling "thrown away" as it were they react in many different ways, one of which is to
start wetting the bed. That is what happened to me.
I
wet the bed. I was in a dormitory . I awoke in the middle
of the night, confused, looking around anxiously for my
Janice doll before I remembere d that it had been taken
from me, my bed soaked, my nightgown soaked, everything
soaked. I got up and went to the matron or nurse or
whatevert hehell she was and, crying with cold and
embarrassm ent, I told her the bed was wet and smelly. She
laughed and told me to go back and sleep in that bed;
that it would teach me not to do it again. I was perhaps
6 and a half years old. She was an adult. I did as she
said. This went on for some time, I don't know how many
nights, which resulted in other children' s derision,
which didn't help.
As you know, too, after a while
urine turns to ammonia and I ended up with what I guess
could be called a generalize d, world-cla ss diaper rash.
Eventuall y, I stopped wetting the bed, so she was right;
I learned not to wet the bed.
�These are o n l y two instances of what happened i n t h a t v e r y
good p r i v a t e l y run and funded orphanage.
There i s much d i s c u s s i o n about "recovered memories" and
whether they r e a l l y e x i s t . I b e l i e v e they do, but a l s o t h a t one of
the t h i n g s about some t e r r i b l e events i n c h i l d r e n ' s l i v e s i s t h a t
they cannot f o r g e t them, not t h a t they cannot remember them.
Newt G i n g r i c h i s a demagogue of the worst k i n d , the k i n d who
would put the most defenseless v i c t i m s on the a l t e r of h i s a m b i t i o n
as he d i d h i s own w i f e and daughters.
Having been one of those
v i c t i m s , I want t o prevent others from becoming so t o f u r t h e r h i s
s e l f - s e r v i n g , crackpot t h e o r i e s .
P a r t i a l l y as a d i r e c t r e s u l t of my experience i n t h a t v e r y
good p r i v a t e l y run and funded orphanage, n e i t h e r my s i s t e r , b r o t h e r
nor I have ever been r e l i g i o u s a l b e i t both my f a t h e r ' s and mother's
f a m i l y were. Indeed, my great grandfather was a v e r y renowned
Talmudic commentator and I come from r a t h e r a long r a b b i n i c a l l i n e .
How i n the w o r l d one can expect people exposed t o such "care" a t
the hands of " r e l i g i o u s " people t o subscribe t o the t e n e t s of t h e i r
"caretakers" escapes me. As a " r e l i g i o u s i n s t r u c t i o n " e f f o r t my
placement i n t h a t very good p r i v a t e l y run and funded orphanage was
counterproductive i n the extreme.
A l b e i t I am not r e l i g i o u s , Newt G i n g r i c h and those who seem t o
be jumping on h i s bandwagon from t h e i r comfortable p o s i t i o n s have
put the f e a r of God i n t o me.
At t h i s p o i n t I have begun t o
subscribe t o the Hindu precept of r e i n c a r n a t i o n . I t r u l y b e l i e v e
t h a t G i n g r i c h may w e l l be the r e i n c a r n a t i o n of a combination of
Adolph H i t l e r and Joseph McCarthy.
Last week you s a i d you thought Gingrich's proposal t o wrench
poor c h i l d r e n from t h e i r f a m i l i e s and i n c a r c e r a t e them i n
orphanages was absurd and i n c r e d i b l e .
You are c o r r e c t on both
counts. But more, i t i s extremely dangerous as w e l l as c r u e l and
vicious.
I know from experience. Should i t ever come up f o r
serious c o n s i d e r a t i o n , I would be w i l l i n g t o t e s t i f y t o t h a t
e f f e c t . I do not agree w i t h a great deal of your or your husband's
p o l i c i e s , but t h i s p a r t i c u l a r issue, since i t concerns the w e l f a r e
of m i l l i o n s of c h i l d r e n , i s independent of o t h e r q u a r r e l s . I n
regard t o your o p p o s i t i o n t o the r e i n t r o d u c t i o n of orphanages aside from t h e i r provenly enormous economic cost - I agree t h a t the
p r i c e i s too h i g h f o r innocent, t e r r i f i e d , d i s l o c a t e d , abandoned
c h i l d r e n t o bear. I t i s too much t o ask the blood of innocents t o
f u r t h e r the career of one amoral o p p o r t u n i s t .
Clinton Library Photocopy
�MARTIN
LEVIN
ATTORNEY AT L A W
200
M I L F O f i D POINT ROAD
MILFORD. CT 0 6 4 6 0
203-877-2586
December 6, 1994
Mrs. H i l l a r y Rodham C l i n t o n
The W h i t e House
1600 P e n n s y l v a n i a Avenue
W a s h i n g t o n , DC 20500
RE:
Orphanages
Dear Mrs.
Clinton,
For t h e p a s t f i v e y e a r s I have been r e p r e s e n t i n g abused and
n e g l e c t e d c h i l d r e n i n t h e S u p e r i o r Court For J u v e n i l e
M a t t e r s i n New Haven, C o n n e c t i c u t .
T h i s has been a f r u s t r a t i n g e x p e r i e n c e i n as much as t h e
C o n n e c t i c u t D e p a r t m e n t o f C h i l d r e n and F a m i l i e s (DCF) i s
h e l l b e n t on " r e u n i f i c a t i o n " o f t h e c o m m i t t e d c h i l d ( r e n )
w i t h the p a r e n t ; u s u a l l y the mother. U n f o r t u n a t e l y , i n t h e
o v e r w h e l m i n g number o f c a s e s , r e u n i f i c a t i o n does n o t w o r k !
I am w o r k i n g w i t h THIRD g e n e r a t i o n k i d s , whose m o t h e r s and
g r a n d m o t h e r s were DCF c h i l d r e n ! I t does n o t t a k e a g e n i u s t o
r e a l i z e t h a t i t i s t h e c h i l d r e n who s u f f e r t h r o u g h o u t t h i s
attempt a t r e u n i f i c a t i o n .
E n c l o s e d a r e a r t i c l e s f r o m t h e New York Times and W a l 1
S t r e e t J o u r n a l espousing the benef i t s o f orphanages,
i n c l u d i n g r e m a r k s made i n 1992 buyS e n a t o r D a n i e l P a t r i c k
M o y n i h a n . Over t h e p a s t two y e a r s I have become c o n v i n c e d
t h a t an answer t o t h i s p r o b l e m o f n e g l e c t e d and abused
c h i l d r e n i s t h e o r p h a n a g e s y s t e m , These c h i l d r e n s h o u l d be
f e d , c l o t h e d , s h e l t e r e d , m e n t o r e d and EDUCATED so t h a t t h e y
can become v i a b l e and c o n t r i b u t i n g c i t i z e n s and f i n a l l y
b r e a k t h e c y c l e o f DCF c h i l d r e n .
I a l s o b e l i e v e t h a t y o u do n o t r e a l l y know what i s g o i n g on
in the inner c i t i e s w i t h respect t o thec h i l d r e n . I i n v i t e ,
no, I c h a l l e n g e anyone who r e a d s t h i s l e t t e r t o come t o New
Haven and see what t h e r e a l w o r l d l o o k s l i k e ! Come i n t o t h e
C o u r t , r e v i e w t h e f i l e s and t h e n t e l l me how y o u t h i n k t h e
p r o b l e m c a n be r e s o l v e d .
F i n a l l y , I w i s h y o u and y o u r
Happy New Y e a r .
f a m i l y a M e r r y C h r i s t m a s and a
Sincerely,
Martin
cc:
S e n a t o r Thomas A. D a s c h l e
R e p r e s e n t a t i v e Newt G i n g r i c h
Levin
�Collapse of Inner-City Families
Creates America s New Orphans
9
Death, Drugs and Jail Leave Voids in Childhood
By JANE GROSS
Special loThe New York Tlmei
OAKLAND, Calif., March 28 — Marianne Nolle avoids saying "mom" or
"dad" In her ninth-grade math class,
referring instead lo "family" in deference to the many shamefaced children
who have been abandoned to other relatives, foster homes or institutions.
Sylvia Parker knows she will dial
multiple wrong numbers when she
tries to call a student's home, spending
hours if not days retracing the zigzag
path these children travel from parent
to grandparent to foster home and
sometimes back again.
And Carolyn Ayana has written a
song called "Gimme Back My Mama"
for her seventh-grade music class, hoping it will open discussion among students who avert their eyes and whisper
that everything is fine at home long
after .their parents are lost to crack or
s^aid: Senator Daniel Patrick Moynihan,
fftfw New York Democrat, who in 1989
o^roie a paper forecasting the explo-slSn of zero-parent families. "You get
* * f « w f u l shock if you go near it, so
'people avoid it. But custodial institulions are clearly on their way."
•".^Senator Moynihan added that crack
-nsxreating not only orphans but a need
\fer orphanages, in the same way that
•epidemics of diphtheria, influenza and
^tdbecculosis once did.
There is some dispute about how
jjpsvto count these children, who over"Kvheimingly live in neighborhoods
'tttfere drugs, AIDS and guns are ramTantand the zero-parent family is replacing the single-parent family as the
emblem of social distress. Their situations vary, but In all categories the
numbers of these new orphans are increasing.
gome are true zero-parent children,
living permanently with relatives, in
ffcigter homes or in institutions because
Children living in households
their parents are dead, incarcerated or
not headed i ^ a p m n l '
^ have disappeared. Many more are
youngsters who are shuttled from pillacto post, farmed out to a shifting cast
5 2»
o. £
9.7%
of'relatives while a drug-abusing or
vagabond parent is unable or unwilling
to care for them.
> 8.3%
According to the Federal Bureau of
*
the Census, 2.8 million children, or 4.5
6.7%'
•a
percent, of America's 63.8 million chiljj
dren were true zero-parent children in
a
1980, up from 3.5 percent 10 years
before. And the numbers are far worse
among black children: In 1980, 10.6
percent of them lived in parentless
1980
^ 0
1970
households, up from 9.4 percent in 1970.
i he 1990 census data on these children
is not yet available.
Sou/ce: Annie & Casey f „
Measuring the Problem
• Jpenter lor. tha Study of SocklPcHlcy, : ^:::; :
But some demographers are looking
for^ more inclusive description for the
The New vorn Times
messy way that families fall apart, a
• i^tfer statistical measure for this new vinced that they must be worthless or!
their parents would not have left them.
soda) problem,
locked in jail, and they are living with
^ficcording to the Kids Count Data They are unresponsive to threats that
grandma, auntie or a stranger.
i;t)f>k, an annual profile of American their misbehavior will land them in
Those teachers and their siudenis
i iuldrcn by the Annie \ i . Casey I own- (rouble, because Ihings already seem
tiro snuggling with a profound social
ilftQftn mid Ihc ( cnlcr for the Sludy of as had as they can gel.
prnhlc m, llic (llsliilcKi nlloi) of ihc Inner
NatAttl, I'ollcy, ncnrly I . of evei y 11 "People look al llirsc Idd.s aiid Ihink
1
cily family, which hus taken u terrible
ATfl^ricnn rhlVlrrn llvcil (n a Ixiiisctiold they're crn/y," said Nimcilc Sanders,
toll ui l-rick Junior High School here.
hutuk'd by someone other than a parent the mother of a ninth grader and president of the Parent Teachers AssociaThe principal and a school social work"tS ' P
percent in 1970.
er estimate lhat more than half the 750
Smother Is sometimes present in
youngsters at Frick live with neither a
'ifiB^ homes, but she is often a drug
mother nor a father.
addict or a teen-ager who comes and
gtjSE^hile someone else cares for her
Frick is rare among schools in trying
cMfctTQn. At a recent conference at the
to count how many of its children are
A f r i c a n Enterprise Institute these
without either parent. But experts say
hopeeholds were described as "family
high concentrations of these children,,
r itfigals," using the scientific jargon
America's new orphans, are" commoiv
fogsfribalanced atoms.
in schools in the inner city, where fasS^Frick Junior High and similar
thers have long been absent and moths'-tJgBls in inner-city neighborhoods,
ers have more recently disappeared
<liftsit|iistics are even more extreme.
into the nether world of crack.
ANfeljst two-thirds of the school's 750
tion at Frick, where an average meetpi^sfe^are new orphans.
In Every City
jggrty percent live in county foster ing draws a half-dozen parents. "Well,
"You could use expressions like, 'It's
hniflMis. At least half that many are society hasn't dealt them a fair hand.
with grandmothers or aunts. The person who's supposed to have
mushrooming' or 'growing exponeiv
Mai*^ more live with a drug-abusing taken care of them didn't. So they
tially,' but these, words aren't strong
mother one week and a weary relative develop an attitude. They gel hard."
enough," said Lois'G, Forer, a'retired
i ho next. The principal, Murphy Taylor, The teachers at Frick are scornful of
judge in Philadelphia and the author (if
said virtually all these children arc foster homes and say that most of them
a pi uvocative 1888 ariicle in Tht: Washblack. The Hispanic families, he said, are economic arrangements that do
ington Monthly calling for the return of
a i most always remain intact.
not nurture children. The children with
orphanages to help with the problem.
Mr. Taylor, a first-year principal relatives are loved, the teachers say,
"It's everywhere — New York, Los
who is black and a longtime foster but often poorly supervised because
Angeles, Chicago, Detroit, you name
parent, decided to learn where his stu- the grandmothers and aunts are ex'It."
ticiiis wuro living aftor he found that hausted, afraid to come out m night to
The phenomenon of children with n^j
many of them were routinely out of attend school events and unwilling to
control: fighting with classmates and hear bad news about the youngsters.
parents is prompting educators to rethink how to run schools th$? were' shoving or cursing teachers. This be- The children who move from house to
havipr, he knew, matched whal child house have no stability and bear the
meant to gerve nuclear families Even
development experts see in abandoned wounds of repeated rejection.
more tellingly, it is creating growing
ynuhg.sters.
The new orphans, particulary those
support for the idea of bringing back
the orphanages of the 19th and early
Scarred by years of abuse and neg- In foster homes, are ashamed and select, many of these children are angry cretive, never volunteering informa20tlt-centuries.
and disruptive, even after tlfey settle in tion about who they live with, refusing
"Yhis is still a high voltage subject,"
loving foster homes or wilh doting rides home and not inviting friends to
visit.
Hi andmothnrs. They arc distnistlul ol
Cmlnuwtl on Pane 20. Column I'
"They have a keen awareness of
adults, greedy for attention and con-, what a family should be like," said
• Ss S
9 0
U
f r o m
Sv5
6 7
Children growing
up with little
stability and lots
of anger.
:
o ue^
�Cheryl Vawter, a history teacher. "And Frick's youngsters.
they desperately want that."
Across the country, inner city
arc
tentatively making
Teachers usually have no idea who schools
students live with because ihe children changes because of the proliferation of
do not tell, different last names arc ihe. new orphans.
In some districts health services
norm, and such information is not routinely available ,or .changes so often have relocated to school buildings so
that school records'-cannoftte kept up that needy children will not have to
depend on absent or inattentive parto date.
Ms. Ayana, the music teacher, said ents to take them to a clinic. In many
she learned that one of her favorite junior high schools, including Frick,
students was living in a foster home students are moving from subject to
only after the girl arrived at school subject in intact classes to create a
with black-and-blue marks suffered sense of family.
from a beating. The police were then
In New York City, the Parents Assosummoned. Mrs. Vawter said she had a ciation handbook is being revised to
similar surprise after a student disap- explain that the term "parent" inpeared from the school. The girl, de- cludes "guardians and persons in paspite frequent references to her moth- rental relationships to children." And
er and father, had been living in a in the District of Columbia, the school
group foster home and had run away. board is considering residential
Disciplining these children is tricky. schools.
Miss Ayana showed why by citing a
"These kids can't fit into the boxes
typical exchange.
we've created," Mr. Taylor said. "And
TEACHER: "All right, Charles, I'm it's not their fault. Very dysfunctional
children need something significantly
going to call your mother."
STUDENT: "Go on ahead. I don't different, and it's up to us to figure out
what that is."
have no mother no way."
When the children are moving from
relative to relative, or their telephone
has been disconnected, they act up wilh
impunity. "They know you can't get in
touch," said Bob Kenney, a social studies teacher.
The 'Concentration Effect'
Schools like Frick have disproportionate numbers of orphans, just as
certain neighborhoods wind up overwhelmed by the most disadvantaged
people after the others flee. And the
results are much the same, said William Julius Wilson, a professor of sociology at the University of Chicago, who
coined the phrase "concentration ef-i
feet" to describe the corrosion of a:
community when only the most impoverished people remain.
At Frick, many of the more organized families have fled the chaos by
enrolling their children in magnet or
parochial schools. "This futher isolates
and stigmatizes these youngsters,"
said Toni Cook, a member of the Oakland Board of Education. "They don't j
get to mix and mingle with other
youngsters for whom the ball has
bounced right. They don't get lo see
how the grass can be greener."
Mr. Taylor, the principal at Frick, is
trying to lure the stable families back.
He took the 20 most disruptive children
from all three grades and moved them
to a satellite classroom in a nearby
church. The children seem to be doing
better with one teacher responsible for
them all day. And the main school
building is a less threatening place
wilh these disruptive students gone.
Mr. Taylor has also encouraged
more appealing activities for families,
including weeky math nights in the
computer laboratory so that the adults
can learn along with the children. He
also hopes to open the gymnasium on
nights and wpokends so that children
from other schools will play alongside
1
1
�Bring Back the Orphanage
By JAMES Q. WILSON
Orphanages are almost extinct in the
U.S., but orphans are not. More than
400,000 children now live in foster homes,
and unknown thousands more live nominally at home but actually as latch-key
children surviving on the mean streets of
America with no fathers, crack-abusing
mothers and drug-dealers as role models.
America once provided orphanages for
many children. In 1910, about 123,000 lived
in such places, or about three out of every
1,000 persons under the age of 21. Today
these institutions have almost disappeared. Most people think-wrongly, as we
shall see-that they vanished because they
had failed. Mention "orphanage" to someone and the image that springs to mind is
of Oliver Twist begging for another bowl of
gruel in a bleak prison.
The negative view of orphanages has
been reinforced by historians who, writing in the late 1960s and e^rly 1970s, reinterpreted the ]ate-19th-century impulse to
help children as a form of class-conscious
"social control." What previously had
been seen as a public-spirited effort to impart decent values was now seen as an effort to impose suspect (that is, "middleclass") values.
An especially sharp-edged version of the
social-control theory was set forth in Anthony Piatt's 1974 book, "The Child
Savers." A more nuanced but even more influential variant on the same theory was
David Rothman's 1971 "The Discovery of
the Asylum." These writings helped to convince a generation of scholars and activists
that prisons, asylums and orphanages were
institutions designed by the privileged
classes to ensure control over poor people.
facilities, offered good food and hygiene,
and supplied a better education than they
would have received elsewhere. Though
problems existed, they were grappled with
by public and private agencies that shared
the view that helping children was not the
same thing as indoctrinating them. Ms.
Zmora was able to trace the later lives of 45
graduates. Most did quite well, finding jobs
and becoming self-supporting.
Most of the youngsters in these institutions were not literally orphans. They
were, instead, children whose parents, owing to poverty or disorganization, could not
that of 26 girls who entered between 1887
and 1889 and finished their vocational
training, 23 got jobs in their fields.
Other orphanages were less devoted to
vocational training. At the Dolan School
for Irish youngsters, some children eventually returned to their families while others were "placed out" in foster families. It
was hard to be sure that the foster parents
took adequate care of their charges, and so
some of the latter ran away—sometimes
back to Dolan.
Some scholars, such as Michael Sherraden, have suggested that these institu-
For children, orphanages
were an alternative to living on
the street or with parents who
were unable to support them—
a way to get the benefits of middle-class life.
Atlantic Monthly article. But everywhere
the idea is in retreat because critics think
that such places just "warehouse" children (that was never true) and that a better alternative is to provide money that
will enable parents to take care of their
own children (that may have been true
once, but it isn't now).
Incompetent or abusive parents existed
when boarding schools flourished; they exist today. But today, unlike a century ago,
the ideology of "family preservation" has
intervened with its plausible but overly
broad message that a child is invariably
better off with his parents. It is an appealing idea and an inexpensive one to boot,
since supporting the child in his family or.
in a foster family is cheaper than caring
for him in an institution.
But not all families are worth preserving. Indeed, the dramatic increase in single-parent families suggests that there is a
declining number of true families worth
preserving. And the main current alternative to the biological parent-namely, foster-family care-has its own problems.
Many foster families simply cannot handle
the kind of children they are now getting.
And all foster families are hard to oversee
to ensure that the best interests of the
child are being served.
Need to Know More
We don't know as much as we should
about how well institutional care might
function under contemporary conditions.
Such evidence as exists suggests that troubled teenagers may do well while in boarding schools but do poorly when returned to
their families and communities. On the
other hand, very young children placed in
such schools before they become troubled
may (no one knows for certain) do as well
today as their predecessors did in tum-ofthe century Baltimore. Careful studies can
answer these questions.
^Poster care has an important role to
play-for some children. But for others institutional care is necessary. At least the
research of writers such as Nurith Zmora,
Michael Sherraden and Mary-Lou Weisman is making it harder to argue that'
boarding schools and orphanages are discredited alternatives.
adequately care for them and who were enrolled voluntarily. Half entered before
they were nine years old, and several before they were six; the average stay was
about five years, though a few stayed for
more than 10. The orphanages did not take
incorrigible children. In a sense, these institutions were not orphanages but boarding schools that charged no tuition.
Consider, for example, the Samuel
Ready School, founded in the early 1870s to
help orphaned girls of any religion, although most were Protestant. The school
was used by impoverished single mothers
as either a temporary shelter or a boardDecent Places
ing school for their daughters.
Today, however, a new group of historiThe Ready School was a pleasant place
ans has produced evidence that casts great in a parklike setting that provided its studoubt on the social-control view. A partic- dents with better surroundings than they
ularly good example by Nurith Zmora was had enjoyed at home. The food was adepublished this year under the title "Or- quate, but probably no more appealing than
phanages Reconsidered" (Temple Univer- any institutional fare. Of the first 40 girls to
sity Press). It examines three such institu- enter Ready, 29 completed their education
tions in Baltimore (one Catholic, one Jew- there and 11 were expelled or withdrawn by
ish, and one Protestant) out of the 28, all relatives. Of those finishing, most studied
privately run, that existed there in ISiO.
dressmaking or secretarial skills. The
Ms. Zmora's conclusions can be simply school devoted great efforts to finding jobs
stated: The orphanages were decent places for their graduates, mostly as clerks, dressrun by caring professionals who main- makers and teachers. It was not easy, betained close ties to the community. The cause growing up in an orphanage carried
tions were a way of coping with an important change in the labor market. Before 1870, children, even very young ones,
worked; after the 1870s, there was less demand for and much opposition to child labor, and the orphanages were an alternative to living on the street or with parents
who were unable to support them. The socalled orphanages were a way for children
to get the benefits of middle-class life despite having parents who had not entered
that status.
These institutions did not disappear because an enlightened public was shocked
by stories of abuse and neglect within their
walls. On the contrary, they were destroyed by their success and the ideology of
theirrivals.So popular did they become, so
great was the demand for places in them,
that private charities could no longer afford them and public agencies refused to
make up the difference. Social workers opposed them because they "broke up the
family," liberal refopners because they involved "social control," fiscal conservatives because they were too expensive.
Orphanages (or free boarding schools)
still exist, but in reduced numbers. Boys
Town is one that has not only survived but
Mr. Wilson is professor of management
prospered. Mary-Lou Weisman recently and public polio/ at UCLA and the author of.
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�An Orphan on Orphanages
"1^11
By RICHARD B. MCKENZIE
realize that we would not be where we are ment for kids who supposedly grew up the
At the start of the movie "Annie," Miss today had we not had the. opportunity to "hard way" in an era when only a minor
Hannigan-the decadent, overbearing grow up the way we did. With all the cur- fraction of high school students went on tp
house mother of 30 or so little girls-says, rent talk about "family values," critics college.
in obvious exasperation, "Why any kid must never forget that some families value ? I often watch the television program
would want to be an orphan is beyond very little. Sometimes, families work "Cops," and I am especially drawn to the
me."
much less well than even the worst of in- episodes involving domestic violence and
The stark contrast between the movie stitutions.
abuse of children. My heart goes out to the
version of life in the orphanage and the life
Besides, the popular images of orphan- children caught off to the side In the picAnnie comes to know with her adoptive fa- ages do not square with the many good tures. I know that many will remain mired
ther, the extravagantly wealthy Daddy things we had and were taught. We got In their unfortunate circumstances. Few
Warbucks, probably left many movie-go- structure and stability; We got security In, will have the opportunity that the kids at
ers convinced that Miss Hannigan was the knowledge that The Home would al- The Home had, to be catapulted into a to.right;no one in his or her right mind would ways be there, no mean advantage forchil- tally new environment and onto a totally
ever want to be an orphan. Social critics dren whose families had failed them. We new life course.
Miss Hannigan, you should have asked
continue to paint dreadful pictures of life had 1,500 acres of pastures and woods to
in homes for children, which give them li- roam, and we made dozens of lifelong a real orphan, not the ones cast in Hollywood or Washington: Life in a home i'or
cense to tag proposals to bring back or- "brothers and sisters."
phanages as "extreme" (columnist Ellen
I know many people, with unforget-. children cannot be perfect. If childmVs
Goodman's word).
table pictures of Miss Hannigan in their homes are ever reinvigorated, many reA funny thing has happened in the minds, harbor fears about workers in forms are obvious and needed. However,
emerging debate: No one has thought to homes for children. They, however, have people should understand that homes ."ot
ask us orphans, the childrpn who grew up never had the good fortune of meeting Al- children must remain a viable option 'or
in institutions, what we would prefer.
bert McClure and Rebecca Carpenter, the many children. Those of us who were there
I've spent a lifetime quietly listening highly religious leaders of The Home, share an array of experiences that chilto others disparage orphanages as cold who devoted their lives to making sure, dren from many families—the traditional
and loveless institutions where every as best they could, that we learned (al- ones and the publicly supported variants';•
child longs to be adopted. I know that this beit reluctantly and Imperfectly) the dif- can only envy.
description is out of date and out , of ference between right and wrong. The
whack, and should have no bearing on ' critics could not have known Mrs. Mac,
Mr. McKenzie is a professor in the Gradthe debate of how to help some of the one of the many house mothers with big uate School of Management at the University
least fortunate children among us. I was hearts, who, after I left The Home, sent of California, Irvine. He grew up at the Barthere. I grew up in a home with 150 or so . a birthday card every year until her , ium Springs Home for Children.
) i',
other girls and boys In North Carolina In death in the late 1980s.
the 1950s-and I'm damn proud of it, and
The critics have never had the opthankful!
portunity to sit in Frances Moore's sev-,
Life in The Home (which is what we enth-grade class. By her unbounded
called it) was no picnic. When we were force of character, she turned my life,
young, we got two baths and changes of and the lives of so many of my class- Peter R. Kann
Kenneth L. Burenga
President
clothes a week, regardless of whether we' mates, away from a destructive course Chairman & Publisher
needed more. We went barefoot to school to one that had prospects. She made us
until late November (which, until it got believe what then was surely a myth- Paul E. Stelger
Robert L. Ban tfy
cold, was a marked advantage). We went that It was «s, not our circumstances, Managing Editor ;
Editor
to bed In "sleeping porches" that were to- that would ultimately determine how far Byron E. Calame
Daniel Henninger
Deputy Ed ior,
tally unhealed. We worked hard for long we would go in life. Would you believe Deputy Managing Editor
Editorial J'ji'e
hours on the farm and in the shops, and we that after nearly four decades of her follacked a lot, not the least of which were the • lowing my career, she sent one of the
Paul C. Atkinson
daily hugs other children take for granted best Christmas gifts I have ever re- Danforth W. Austin
Vice President,
Vice President,
and the requisite level of encouragement ceived, a framed set of original verses Circulation
Advertising
to read and study.
'
in needlepoint on what it means to be
F. Thomas Kull Jr.
Charles F. Russell
Critics of orphanages stress what the successful-not the money kind, but the Vice President,
Vice President,
. Technology
children there did not have. Those of us kind that affects the heart and soul? Operations
who were there have a different perspec- Square that with the likes of Miss Hantive. We were, and remain, able to draw, nigan.
Published since 1889 by
Most critics would like the public to becomparisons between what we had at The
DOW JONES & COMPANY, INC.' '
Home and what we would have had out- lieve that those of us who went through orEditorial and Corporate Headquarters:
phanages were throttled by the experiside it.
If any of us had had a choice between ence. No doubt, some were. However, most v 200 Liberty Street, New York, N.Y. 10281.'
Telephone (212) 416-2000
growing up with Ozzie and Harriet or in have charged on. In many ways, we rep' 'f
The Home, each would surely have taken resent the best of what this country is Peter R. Kann, Chairman & Chief Executive
..Officer;
the former. However, we.either didn't, about-plumbers and nurses, ministers
have parents or left parents behind who and managers, teachers and baggage han- Kenneth L. Burenga, President 4 Chief Operating
Officer;
were not worthy of the roles they had as- dlers—in the main, good, well-meaning James H. Ottaway Jr., Peter G. Skinner,
,
Americans who have answered the call to , Carl M. Valenti, Senior Vice Presidents.
sumed. Those who-think that private or-,
phanages are "extreme" solutions to the' rise above expectations.
problems many children face do not apMost might be surprised to leam that
preciate the realistic options available to during World War II, when the military
many children. Few of us would have en- was turning down close to 40% of draftees
tertained adoption, and virtually all of us' from the general population, it rejected a
today shudder at the foster-care option. scant 1.4% of the boys from The Home. We
The dominant emotion for those of us gave more than our share. Moreover, of
who return each year to homecoming Is the boys and girls who graduated from Vice Presidents: William R. Clabby, Richard J. . ,i]
.^
neither hostility nor regret, but sheer high school in my class and the classes im- Levine, Dorothea Coccoli Palsho, Information
gratitude.
mediately before and after, more than 80% Services; Bernard T. Flanagan, Marketing; Karen y
Elliott House, International; Donald L Miller, .
We understand that we have not always now have college degrees, and a third have, Employee Relations; David E. Moran, Law, Kevir J.advanced degrees, no minor accomplish- Roche, Finance. Richard Myers, President, Ottaway'
set the world on fire. At the same time, we
;
T E W L SRE J U N L
H AL T E T O R A
;
•: •,
;
Newspapers; Julian B. Childs, Executive Vice
President, Telerate.
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DOCUMENT NO.
AND TYPE
003. letter
SUBJECT/TITLE
DATE
Carol Lewis to Hillary Rodham Clinton; RE: Address [partial] (2
pages)
01/12/1995
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COLLECTION:
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and his advisors, or between such advisors |a)(5) of the PRA|
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2201(3).
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�'oo
January 12,1995
Mrs. Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue NW
Washington, DC 20500
Dear Mrs. Clinton:
I have justfinishedreading the article that you wrote for the January 16 issue of
"Newsweek" magazine. I would like to compliment you for such an intelligent and
insightful discussion of this very serious problem. I hope that the article is widely read
(especially by the new Speaker of the House!) so that a large number of people can
consider carefully the important points that you bring up. I do not need to highlight any
one in particular; I agree with all of them.
This debate about removing childrenfromparents who cannot meet a time limit
to be able to support them highlights the "mean-spirited" attitude that seems to permeate
much of the new conservative Republican agenda. It is quite ironic that both President
Clinton and Speaker Gingrich might have fallen into this category early in their lives. Of
course, children would almost always be best off with their families. Of course, the
government must intervene when children are atriskof abuse or neglect. I am sure you
couldfindliterally millions of people who would testify that poor people can be (and are)
loving, responsible and caring parents. Unfortunately, it is especially difficult in this
time of the loss of the extended family for poor parents to do their job, but I am certain
that there are millions of parents out there who are doing it.
Columnist Art Buchwald's recent autobiography has sections describing his
experience as a child being sent to an orphanage; I was quite moved by it. When I
watched Speaker Gingrich make his patronizing remark on TV that you should rent the
movie "Boys Town", I wished that someone would have spoken up and told him to read
Art Buchwald's book.
Thank you for writing this important article. Ifrillysupport everything that you
said. I am sorry that you and the President are so often criticized in the media. I hope
that this negative media coverage will not discourage youfromworking on the difficult
problems that our country faces.
Sincerely,
Carol Lewis
Clinton Library Photocopy
�Carol Lewis
Mrs. Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue NW
Washington, DC 20500
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DOCUMENT NO.
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and his advisors, or between such advisors |a)(S) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
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C. Closed in accordance with restrictions contained in donor's deed
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Clinton Library
DOCUMENT NO.
AND TYPE
005. letter
SUBJECT/TITLE
DATE
To: Honorable First Lady Rodham-Clinton; RE: Name and address
[partial] (3 pages)
12/05/1994
RESTRICTION
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COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
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dbl804
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RR. Document will be reviewed upon request.
�The White House
1600 Pennsylvania Ave.
Washington, D.C.
20500
Honorable F i r s t Lady Rodham-Clinton,
I am i n agreement with you i n regards to orphanages for
unwanted children and others.
I think someone should put a sock i n the big mouth of the
soon to be Speaker.
I wonder why he didn't think about "the t r a i n children" of
the IQIO's. I almost became part of that group after
my Mother died when I was seven, but a neighbor took me
in and I worked for my room and board u n t i l I was sixteen
then I ran away. I didn't get a penny and I had to milk
cows, help with the harvesting of crops. I t was a hard l i f e .
Right now i n Texas there are people finding t h e i r s i b l i n g s
and t e l l i n g about the hard l i v e s they led. Some don't
even remember t h e i r o r i g i n a l names because they were under
two years old when they were put on the t r a i n i n New York
and New Jersey to be sent West.
President Reagan closed a l l the mental i n s t i t u t i o n s i n the
1980's because he believed i t was cheaper to take care
of these people i n regular homes and now we have s t r e e t s
f u l l of them.
Who i s going to pay for a l l these or^franages and who
i s going to operate them. The government?? Where w i l l the
Republicans borrow the money for t h i s ? And away we w i l l
go again l i k e the 1980's, borrow us into more debt 1
Let him t a l k himself into a hole.
Clinton Library Photocopy
�Sincerely,
Clinton Library Photocopy
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DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
006. letter
To: Mrs. Clinton; RE: Name, address, and phone number [partial] (2
pages)
12/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
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FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Orphanages
2006-0810-F
dbl804
RESTRICTION CODES
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financial information 1(a)(4) of the PRA|
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and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
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h(2) Release would disclose internal personnel rules and practices of
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purposes 1(b)(7) of the FOI A|
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2201(3).
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�n
Dear Mra. Clinton,
I was rmsed by foster pareats. Qod could have tearchedfteworld over and not
found any two better parents for me. When I was with them, Ifeltloved, wanted, safe and
sheltered Two of m childhood years were spent with m natural mother. Hiey were the
y
y
wont yean of ny childhood. I felt abandoned when she would take offfor days leaving us
kids alonetocare for ourselves or with a sitter that would take off and leave us alone. I felt
frightened when she brought drank men in with her to have sex in tbe same bed I was ia I
was sickened by the way most parents treated and talked to their kids in the neigjbbortiood
we were living ia It was nothing to hear a pareii tell their own child to get tbefiickout of
my face you little bastard I saw thera beaten and neglected. I remember a neighbor's month
old baby laying on a bare urine soaked mattress in only a diaper in a cold apartment crying
for a bottle and wannih. Its diaper was stuck to its raw bottom with cky B. M. I felt like
grabbing the infant and nimuqg away with it to get it to someone who would care for it
Ifinallyreturned to m foster parents when they turned off the electricity because
y
m natural mother ckank upfliemoney for tbe electric bill. It was tbe dead ofwinter, the
y
kind of day when everything was covered with a sheet of ice. Tlte trees were glistening 1
walked to a phone booth and made a collect call to m foster parents to come and get me. I
y
cool cfat take any more. We had only government issue peanut butter to eat for several days.
I was hnngry,fiigbteoed,cold abandoned, I didnt know wbere m m m was aod I wanted
y o
to go h m tom real home where m foster parents lived Tbey were tbere within tbe
o e
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hour.
It is a myth that people abuse drugs or alcoholtoforget the pain of poverty, its the
other way around Many of tbem are in poverty because they care more about getting high
than there kids or earning living. Its hard for people who havent experienced it to
imagine that its better for some kids nottobe with their natural parents, but I know it is. I
wasnt raised in an orphanage, but I know what its likefora childtolive in swaller with
neglect and abuse because a parent cared more about alcohol than them. At least in an
orphanage tbey can live like a human being instead of an animal and maybe even stand a
ttence offiningsome self-respect
88
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Sincerely,
Clinton Library Photocopy
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December 11,1994
Ms. Hillary Rodham Clinton
The White House
Washington, D.C. 20500
Dear Ms. Clinton,
I was eight years old, and every night I would lie awake listening to my
mother cry. She had no money, no husband-no help. What she did have was
a lot of pride, but there were times when she would have to beg the local
grocery store for a box of Lipton soup on credit so we could eat supper. She
wanted to work, but I was too young to be left alone.
Finally, a local priest suggested she put me into an orphanage: St. Joseph's
Home for Girls in Jersey City.
That first night I lay in my bed in the dark dormitory surrounded by 25 other
"orphan" girls, feeling devastated. I heard whispers and giggles-but no crying.
And once I had adjusted to a family of 100 girls, an esprit de corp developed.
The nuns were nurturing, we had three healthy meals a day-and we were
safe. I remember lots of Feast Days and parties, especially at Xmas time. The
charities, bless them, were very good to us. There must have been at least ten
Santas who came during the Xmas season-and I believed in every one of
them.
Sure, I wished we could live in a home like "Leave it to Beaver"^, but, except
for the stigma of being an "orphan," it was a good life. There was equanimty,
equality, and caring. Lots of other children in the same boat. I even learned to
use my "orphan" stigma to good advantage. When one of the charities took
us to Palisades Park for an outing, I got on lots of free rides by flaunting my
emblem with "St Joseph's Home for Girls" written on it.
When I saw on TV those nine children being taken out of a rat-infested hovel
where they ate dog food, I wondered where they would go, and why there
were no more orphanages to shelter them.
Now, I am not a Newt Gingrich fan, but I've got to go with him on this one.
And I'm shocked to hear you, of all people, the only voice of reason I've
heard in a long time, talk about orphanages in a Dickensian way. Do you
know anything about them or is it just an emotional reaction-the "orphan"
stigma again?
Had I not been an "orphan" for five years, I would never have seen the ice
capades, the circus, the rodeo, Coney Island, Rye Beach, etc. I would not have
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To: Hillary Rodham Clinton; RE: Name, address and phone number
[partial] (2 pages)
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COLLECTION:
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Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
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2006-0810-F
dbl804
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P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA|
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personal privacy 1(a)(6) of the PRA|
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C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
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RR. Document will be reviewed upon request.
�met some of the finest people I had ever known, the Sisters of St. Joseph's of
Peace. Of course, it had its down side: chores...and the "stigma."
Most urban families who are poor are poor because there is an alcohol or drug
problem. There are plenty of jobs out there-and I think we all know that.
Why keep a child in a deleterious environment? Because of a stupid stigma?
And why give parents money to indulge their addictions at the expense of
their children?
My best friend in St. Joe's was a girl named Rita. She was a true orphan; both
her parents had died. We envied her though. Every summer a family named
™ would take her away for the summer. One summer when we were
about ten, they sent her back a month early. A ring was missing from their
house. She had stolen it, they said, and sent her back in disgrace. Two weeks
later, they called the nuns asking if they would please return Rita to them;
they had found the ring in the back of the couch. They were sorry. Rita said
no, she would stay right where she was, thank you. Those people couldn't be
trusted. I would think foster care is pretty much that way. Are they doing it
for the money or out of kindness? If they're doing it for the money, what's
the sense? If it's out of kindness, like the ipp^M-so much for kindness. How
safe is that? We, at least, had safety in numbers.
All I'm asking is that you reconsider your position. Maybe ask a few ex"orphans" what they think.
Thank you for listening.
too
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December 11,1994
Ms. Hillary Rodham Clinton
The White House
Washington, D.C. 20500
Dear Ms. Clinton,
I was eight years old, and every night I would lie awake listening to my
mother cry. She had no money, no husband--no help. What she did have was
a lot of pride, but there were times when she would have to beg the local
grocery store for a box of Lipton soup on credit so we could eat supper. She
wanted to work, but I was too young to be left alone.
Finally, a local priest suggested she. put me into an orphanage: St. Joseph's
Home for Girls in Jersey City.
That first night I lay in my bed in the dark dormitory surrounded by 25 other
"orphan" girls, feeling devastated. I heard whispers and giggles-but no crying.
And once I had adjusted to a family of 100 girls, an esprit de corp developed.
The nuns were nurturing, we had three healthy meals a day-and we were
safe. I remember lots of Feast Days and parties, especially at Xmas time. The
charities, bless them, were very good to us. There must have been at least ten
Santas who came during the Xmas season-and I believed in every one of
them.
Sure, I wished we could live in a home like "Leave it to Beaver"'s, but, except
for the stigma of being an "orphan," it was a good life. There was equanimty,
equality, and caring. Lots of other children in the same boat. I even learned to
use my "orphan" stigma to good advantage. When one of the charities took
us to Palisades Park for an outing, I got on lots of free rides by flaunting my
emblem with "St Joseph's Home for Girls" written on it.
When I saw on TV those nine children being taken out of a rat-infested hovel
where they ate dog food, I wondered where they would go, and why there
were no more orphanages to shelter them.
Now, I am not a Newt Gingrich fan, but I've got to go with him on this one.
And I'm shocked to hear you, of all people, the only voice of reason I've
heard in a long time, talk about orphanages in a Dickensian way. Do you
know anything about them or is it just an emotional reaction-the "orphan"
stigma again?
Had I not been an "orphan" for five years, I would never have seen the ice
capades, the circus, the rodeo, Coney Island, Rye Beach, etc. I would not have
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008. letter
SUBJECT/TITLE
DATE
To: Hillary Rodham Clinton; RE: Name, address and phone number
[partial] (1 page)
12/11/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Orphanages
2006-0810-F
dbl804
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
Pi Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRAj
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency |(bK2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose inforniation compiled for law enforcement
purposes |(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�met some of the finest people I had ever known, the Sisters of St. Joseph's of
Peace. Of course, it had its down side: chores...and the "stigma."
Most urban families who are poor are poor because there is an alcohol or drug
problem. There are plenty of jobs out there-and I think we all know that.
Why keep a child in a deleterious environment? Because of a stupid stigma?
And why give parents money to indulge their addictions at the expense of
their children?
My best friend in St. Joe's was a girl named Rita. She was a true orphan; both
her parents had died. We envied her though. Every summer a family named
^(b)(6)i would take her away for the summer. One summer when we were
about ten, they sent her back a month early. A ring was missing from their
house. She had stolen it, they said, and sent her back in disgrace. Two weeks
later, they called the nuns asking if they would please return Rita to them;
they had found the ring in the back of the couch. They were sorry. Rita said
no, she would stay right where she was, thank you. Those people couldn't be
trusted. I would think foster care is pretty much that way. Are they doing it
for the money or out of kindness? If they're doing it for the money, what's
the sense? If it's out of kindness, like the | g | | | | - s o much for kindness. How
safe is that? We, at least, had safety in numbers.
All I'm asking is that you reconsider your position. Maybe ask a few ex"orphans" what they think.
Thank you for listening.
Clinton Library Photocopy
�1
'
' '
'i
5502 Vin Rose Lane
Vindianapolis, Indi%an4622%1333
. December 6, 1994
.
.
Mrs Hillary Rodham Glinfeon- The White. House
1600 Pennsylavania Avenue, N
W
Washington, D.C. 20500
• •'• ^ •'""V '"s
........
Dear Mrs Clinton,
Don't take so l i g h t l y your interpretation of orphanages, as gained
from a f i c t i o n a l movie. We are agroup orignally 816 kids who grew up i n
the Indiana Masonic Home (a home f o r the aged Mason, his widow or wife,
the orphan or Eastern Star).
A l l 816 turned out t o be good citizens, simply because of the training,
care and love we were given. Being well schooled i n a belief i n God and the
fundamentals of brotherly love, r e l i e f and t r u t h . We had children of a l l
denominations of protestantism, catholics (both Roman and Eastern) and Jews,
a l l l i v i n g harmoniously.
This brochure was printed about ten years ago, but i s s t i l l relevant,
taken from a speach, that I have delivered, so many times t o various groups
Masonic and non-Masonic touting what has been d6ne.
Childrens' Homes would run the gauntlet from good to bad, however a l l
the Masonic Homes throughout the country, though' not every state has one, a l l
are i n the catagory of the best of the best.
1
. I also make quite a number of speaches, "God and Country" type as the
other brochure shows, particularly t o schools-and.church groups.
But our youth need to leam Love of Country, Love of God and Love of
t h e i r Fellowman; i f not at home, nor at school, i n t h e i r daily lives. Parents
who don't care, really shouldn't have kids, but since they do and then neglect
t h e i r obligations t o their children, society has t o step i n eventually. Why not
sooner, when the youth can be saved and made a useful c i t i z e n , instead of
waiting u n t i l he i s on death row?
Very t r u l y yours.
^ohn D Gauld; President
Indiana Masonic Home Alumni Association
�Thomas
Jefferson
Other Patriotic Programs
Leam of the talents of the
FATHER OF THE DECLARATION
OF
INDEPENDENCE, his
thoughts on government and
aspirations for his beloved
country.
The Heroes of'76
Commemorative Programs for
NATIONAL HISTORIC
HOLIDAYS
Presenting
John Gauld's
A Walk Through American
Masonic History
Memorial Services
"My Hometown"
816 Brothers and Sisters
The Constitution
Programs
The Saints John
featuring
Fathers & Sons
Mothers & Daughters
Camp Followers
•
•
•
•
*
•
•
•
*
Leam the prices paid by some of
the other PATRIOTS who signed
the Declaration of Independence.
•
•
•
*
•
•
•
For booking information
contact:
John D. Gauld
5502 Vin Rose Lane
Indianapolis, IN 46226-1333
Telephone: (317) 546-6975
George Washington
Thomas Jefferson
Uncle Sam's
Parade of Flags
"Each of us know in our heart if we are
good Americans, fulfilling our obligations
to our forefathers but we are also obligated to the future generations of Americans."
John & Bea Gauld
Isn't I t GREAT
To Be An American!
�George
Washington
Uncle Sam's
Parade of Flags
from Bunker Hill to Today
The Parade of Flags is a unique and rewarding experience for all who see it.
It has been dubbed "the finest program of its kind"
and is both educational and entertaining.
The Parade of Flags is available for schools, clubs, veterans groups,
civic organizations, conferences, reunions, luncheons,
banquets and dinner meetings.
Imagine yourself in the drawing
room of Mount Vernon in April of
1775 and all the history that is
going to unfold.
Several programs are available
especially designed for ladies'
groups, lodges and military
organizations.
We are the Land of the Free
as long as we are the Home of the Brave.
�V!
1'
\
Clinton
1600 P ^ V C .
20500
�The Senior Citizens which made up the balance of the population
were Master Masons, Eastern Stars, Mason's wives or widows. I he
hometown has changed considerably over the 40 years plus. I lie
population now consists of about 328 guests. The farm has changed.
T here is no longer a dairy, ihe strawberry patch is no more, the apple
orchard is gone, horses and mules arc gone. No longer are there
crushed limestone paths curling through the circle. The playgrounds
are gone and the fountain we loved has been replaced. Though the
noises of happy children are stilled, it continues to be a safe haven for
the aged brothers and sisters of the Masonic Fraternity.
MY HOMETOWN
li\ John D. Ouulil VA'*
The former children are still drawn to their unique hometown to
renew acquaintances, re-live shared memories and to give thanks lor
all who made such a special hometown possible - the Indiana
Masonic Home.
" M y Hometown"
the words evoke nostalgia in each of us. For
those of us who spent the majority of our childhood years in a
Masonic Home, our very small hometown was quite different from
the norm.
M o h n ( i ; i i i l d leit I h c l l i u n c i n '43 lie w o u l d have y r a d i M l c i l i n '4S
J i i l m is I'asi M a s t e r o l M a r i o n I o d g c K & A M N o 35.
Our Chief of Police was a nightwatchman, our Mayor was the superintendent. We didn't even have a stop sign in town, although there
was a sign on the highway that bypassed it that read "Danger
Entrance." We did have one paved road that went in a circle, and two
cinder roads, one of which also went in a circle around the town. We
had no poverty, crime or hunger, although most everyone in town
had at one lime been hungry and dcslitute. However, we did have
many advantages.
I lie population was around 500, and 250 of these were kids! Can you
imagine a local where hall of the population is under 18? Can you
imagine what it would be like today if a bunch of kids descended on
an area where the other half were Senior Citizens? The old folks
would be horrilied but my hometown thought it was the greatest gift
ever. I hey were proud and pleased and even bragged about i l .
�Oh. we didn't always have kids in town. On November I , 1916 we got
our first; five kids moved in. all of them children of Brother Pleasant
Delp from over in Park County. They ranged in ages 3 to 12 years.
This caused a vast change and problems never encountered before in
our young city, but my hometown was ready and met the challenge.
Soon there were more children and later, a lot more.
Our school was opened in 1921 anil our own high school graduated
the first class in 1928. Graduating classes averaged around 16. but the
class of '34 had 27 graduates. By 1944 there were only live to graduate and soon it was necessary to close our own school forever. Our
grade school boys basketball team was coached by the principal, but
we never had a halftime chewing-out because she wasn't allowed in
the dressing room. But, as I remember, Clara Lambert made up lor
it. Oh, she really made up for it! We had a baseball team that won the
State title before there was an official State Champion. Our basketball team won the County Tourney, not once but twice, and both
times it made the headlines of the then, three big city Indianapolis
papers. One of our school teachers was also the school janitor and
most also doubled as Sunday School teachers. Some of the college
kids from over in the city helped with the Sunday School lessons held
in the gym. It was sometimes hard for us little kids to remember
which was which because we learned about Clod and Bible in grade
school and some science was taught in Sunday School with homework in both.
1
We received a good education, not only in the 3-r's (reading, riling
and rithmatic), we got a fourth 'r' as well; religion, and other areas.
We had woodworking, metal working and fabricating, automotive
mechanics and printing. We had one of the finest print shops of the
day and wc published important publications e.g.. a monthly magazine, other magazines, pamphlets, booklets and even hardbound
books. We also had a band and a girls orchestra, both organized
under the direction and watchful eye of Indiana's and Shrinedom's
own March King, Fred .lewell. We had a chorus of 60 voices. We had
movies every Saturday night and occasionally some group would
furnish a special one for us. I remember seeing motion pictures
before they were shown in the big theatre houses around the country.
We had our own heating and electric power plant at a time when
some of our relatives and friends didn't yet have electricity or inside
plumbing in their homes. We had a greenhouse where flowers were
grown to beautify the area, both inside and out. We had our own
hospital and even the old dog knew where to go when he was hurt; as
he did one night, howling until a nurse came out to take care of him.
We had our own daily and farm where crops were grown to help feed
ourselves and to be sold commercially. We had horses and mules;
and from those mules I learned that it isn't always the smartest one
that is on the back side of the plow.
For recreation we had playgrounds with slides and swings, fields for
baseball, football, horseshoes, tennis courts and places not unlike the
big city parks with trees and grass, benches, crushed limestone paths
and flowers from the greenhouse. We had a woods, a creek and
swimming holes and even a fancv swimming pool was available over
in the city w here all of we kids would turn out twice a week during
the summer months to learn to swim and to rest from our labors.
For we did labor. We children, both boys and girls manicured the
lawns, cleaned the school building, worked in the hospital helping
with the sick, helping with the cooking. We kids ran the movies,
planted the flowers, worked at the power plant unloading coal cars,
at the barn milking cows and tending the animals. In the fields we
planted and harvested crops. We waited on tables and delivered
supplies and picked up the trash for the town. We learned to cultivate, learned about electricity and heat, learned about plants and
animal husbandry and the mechanical skills. Probably the two occupations we boys were exposed to the most were printing and carpentry both during school hours and after school. The girls learned
dressmaking in school and put their skills to use making dresses for
the older women in the Main Building. Also, they cooked their meals
in their cottages.
I hc kids have grown up and moved away, some lo become generals,
admirals, politicans. printers, publishers, authors, teachers, president
of large corporations and a few mayors. Many have served their
Masonic lodges and chapters, their neighbors and their country.
Many have served the Grand Architect of the Universe as they
understand Him and a large number have answered the call to the
Cloth.
�TALES FROM PRISON
And Other True Stories
LOU TOROK 109237
E Ky Correctional Complex
Box 636
West Liberty KY 41472
By Lou Torok
As the nation debates the effectiveness of a return to the use
of orphanages to protect and rear homeless and dependent children...
a former orphan now in prison has written a searing book that; blows
the l i d off the sentimental view of orphanages held by most Americans.
Lou Torok was orphaned at eleven days of age and spent the next
sixteen years in St. Anthony's Orphanage in Toledo, Ohio and the
Mount Alverno School for Boys in Cincinnati, Ohio.
Almost from the
very beginning he r e c a l l s t e r r o r i z i n g acts of physical and sexual
abuse at the hands of those-who were supposed to protect and nurture
him.
The new book recounts nearly unbelieveable abuse that has caused
the author and hundreds of other children similarly abused in the same
institutions destructive emotional scars and behavioral problems that
have lasted for over a half century.
Now 67 and in prison, Torok hasbeen i n and out of prisons for
the past f i f t y years starting with San Quentin Prison, California; Maine
State Prison; the Ohio Penitentiary and the Eastern Kentucky Correctional
Complex.
His newest'book i s an attempt to help the public understand
the horrors of warehousing young children i n orphanages and to inform
them of the myth and i l l u s i o n of protection they represent.
While in prison in Ohio in 1971 he wrote "Straight Talk From
Prison" and "The Strange World of Prison" two books that are s t i l l i n
print.
He i s also the author of "A New World Prayer" which has been
widely printed throughout the world.
For information
New York
NY
contact, Jeff Herman, 500 Greenwich St., #501-C,
10013. Telephone 212/941-0540.
�r-V
-..V">.
m
13
m:
rn
Lou Torok
EKY Correctional Complex
BOX636, 109237 .
West Uberty, KY 41472
INMATE MAIL
LEXINGTON, KY . 40^
Hillary Rodham Clinton
THE WHITE HOUSE
1600 Pennsylvania Avenue
Washington DC 20500
illE^.h^TTT
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
009. letter
DATE
SUBJECT/TITLE
To: Hillary Clinton; RE: Name, address, and personal [partial] (3
pages)
01/23/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Representative Letters: Orphanages
2006-0810-F
dbl804
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute [(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�23 January
1995
Mrs H i l l a r y C l i n t o n
White House
Washington DC 20500
Dear Mrs C l i n t o n
DONAHUE JUST SAID IT
w i l l understand what
some of the 'shaping
h o s p i t a l s j u s t might
ALL.
"Nice going H i l l a r y ; some day they
you are doing .' I myself suspect t h a t
up" o c c u r r i n g i n insurance companies and
be due t o your campaign.
1
Your "Image" i s j u s t f i n e . The women vrho o b j e c t I air. sure
are i n my age bracket (79) or maybe one generation younger.
There, I am sure, i t i s pure jealousy. I do r e c a l l t h a t as a
young woman I d i d not e s p e c i a l l y admire Eleanor. Today I
know t h a t she was a remarkable woman. I would t h i n k t h a t
today's ambitious young women would t r y t o emulate you i n many
ways. As t o the Gingriches: i t must be " l i k e mother - l i k e
son" or"the apple does not f a l l from the t r e e " . Mother must
be excused; she i s 75 going on 100.
As t o orphanages - I have personal experience; my 8th t o 12th
years were spent i n i n s t i t u t i o n s :
(2 y r s )
I was youngest and smallest i n D i v i s i o n so during break T wound
up at the end of the j o h n - l i n e . I f t h e " r e t u r n t o ranks" b e l l
rang before my t u r n I was j u s t of luck! Imagine the r e s u l t s .
I do believe t h a t t h e r e was a hostage p r i e s t whose main comp l a i n t was the "once a day" break. (?Fr J e t h r o e ) .
(1 y r ) .
We had bedbugs; we had thousandleggers; we had cockroaches; we
had bugs i n our h a i r ; and who knows what surfaced at n i g h t .
_,
.
te{b)fe)ll
_ ,
,
(i yr)
"Here I got my hands warmed w i t h the back of a r u l e r by a Sr
St Sylvester. This then 11 yr o l d was out i n the March wind
scrubbing her desk w i t h a bucket of water laced w i t h Sal Soda.
The window above flew open, a hooded face appeared and an
angry voice said "Come i n here and I w i l l show you how t o scrub
a desk!"
'
Should anyone get serious about "Orphanages" I do hope you
w i l l f i g h t i t Mrs. C l i n t o n . There must be something b e t t e r .
over
Clinton Library Photocopy
�I t h i n k the suggestion t h a t the mother of a teenager should
continue t o house daughter and baby might be considered w i t h
Support only f o r the baby. T r a i n i n g f o r the daughter? Yes,
but " T r a i n i n g " i n i t s e l f needs i n v e s t i g a t i o n . There are too
many incompetents who pose as teachers s o l e l y f o r t h e extra
buck e x t r a c t e d from the Government.
Boys Town? H i t l e r must have used t h a t as an example when he
created a showplace "camp" f o r the Red Cross. Inspectors a l l
have t h e i r p r i c e .
Cy t o : Spkr Gingrich
Clinton Library Photocopy
�t-ii-rr t-4t-i o s o .i
Mrs H i l l a r y C l i n t o n
T^Q White House
Wash nc ' O O
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^RESEVv/ATION
�
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Health Care Reform
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2006-0810-F
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<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
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Clinton Presidential Records
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Folder 3 [General Correspondence]: Representative Letters: Orphanages
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First Lady's Office
Maggie Williams
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2006-0810-F Segment 2
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Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
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FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Newt Gingrich
Stack:
Row:
S
59
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Shelf:
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1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001. letter
Rebecca J. Smith to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/12/1995
P6/b(6)
002. letter
Jean M. Ansley to Mrs. Gingrich; RE: Address [partial] (1 page)
01/06/1995
P6/b(6)
003. letter
Barbara Brown to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/10/1995
P6/b(6)
004. letter
Carl E. King to Hillary Clinton; RE: Address [partial] (1 page)
01/04/1995
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Newt Gingrich
2006-0810-F
dbl808
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Kreedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute [(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXI)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
inforniation 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�o
H
o
M
o
w
PHCTOCOPY
PRESERVATION
�THE
WHITE HOUSE
W A S HIN G T O N
JANUARY 20, 1995
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS, CHIEF OF STAFF
FOR THE FIRST LADY
FROM:
ALICE J . PUSHKAR, DIRECTOR OF
CORRESPONDENCE FOR THE FIRST LADY
SUBJECT:
INTERIM MAIL REPORT
The mail t h i s week r e f l e c t s two d i s t i n c t areas of i n t e r e s t .
I . Mrs. G i n g r i c h ' s Comment
You have r e c e i v e d a t o t a l of 396 l e t t e r s t o date on t h i s s u b j e c t .
Of t h a t number 389 o f f e r e d you support and 7 were unfavorable.
Enclosed are examples of both types of l e t t e r . I n a d d i t i o n , we
r e c e i v e d two telephone c a l l s o f f e r i n g support.
One c a l l e r
i d e n t i f i e d himself as a Republican.
II.
Softening of Image
You r e c e i v e d 135 l e t t e r s on t h i s s u b j e c t t h i s week.
Overwhelmingly, the w r i t e r s asked t h a t you "stay the course" and
make no change "the women of t h i s nation need you a s you a r e . . . "
The numbers were 122 i n favor of no change of image and 13 i n
favor of change. Enclosed are examples of both types of l e t t e r .
RESPONSE
We propose answering the Image l e t t e r s with our Support Form
l e t t e r . A copy of the Support l e t t e r i s included with t h i s memo.
I n response t o the G i n g r i c h l e t t e r s , we would l i k e t o make a
s l i g h t change i n the t e x t of the Support l e t t e r . A copy i s
included. I f t h i s meets with your approval, w e ' l l get these
l e t t e r s out immediately.
�SUPPORT F R LETTER - A E D D VERSION
OM
MNE
Thank you for your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from individuals who share a vision
of a better l i f e for a l l Americans. I t i s rewarding as well to
hear from many l i k e you who know that r e a l i z i n g that v i s i o n w i l l
not always be easy. Your ideas and thoughts offer added
inspiration as the President works to ensure that every
American's future i s f i l l e d with courage, hope, and confidence.
I appreciate the interest and concern that your l e t t e r
conveys. Thank you for taking the time to write.
�SUPPORT F R LETTER
OM
Thank you for your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from individuals who share a vision
of a better l i f e for a l l Americans. A common belief i n family,
community, and country guides each of us as we work to r e a l i z e
the promise of America. Your ideas and thoughts offer added
inspiration as the President works to ensure that every
American's future i s f i l l e d with courage, hope, and confidence.
I appreciate the interest and concern that your l e t t e r
conveys. Thank you for taking the time to write.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
DATE
SUBJECT/TITLE
Rebecca J. Smith to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/12/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Newt Gingrich
2006-0810-F
dbl808
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |S U.S.C. 552(b)]
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAJ
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Rebecca J. Smith
January 12th, 1995
H i l l a r y Rodham C l i n t o n
The White House
1600 Pennsylvania Ave
Washington D.C.
N.W.
20500
Dear Mrs. C l i n t o n :
1 want t o commend you on your professionaJ and d i g n i f i e d
response to the recent media event i n v o l v i n g Connie Chung
^ and her i n t e r r o g a t i o n of Kathleen Gingrich.
A lesser person
would have used the sensationalism t o gain sympathy.
Your
response t o t h i s was one of pure c l a s s .
I t ' s an i n s p i r a t i o n to see a prominent p o l i t i c a l
figure,
such as y o u r s e l f , respond w i t h such decorum to t h i s trashy
media event.
Many would resort, t o name-calling and
mud-
s l i n g i n g i n response, but an i n v i t a t i o n t o coffee i s so much
more genteel and c i v i l .
I hope t h a t Kathieen and Newt Gingrich take you up on your
o f f e r so t h a t they may see, as the r e s t of the n a t i o n has,
that you t r u l y are the F i r s t Lady.
Si ncerely.
Rebecca J. Smith
Clinton Library Photocopy
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�Marketing
. Marketing Communications
P.O. Box 491, Bellcvuc, Washinj^on, USA 980(»9-()491 • Telephone: 206-867-9100
Monday, January 9, 1995
Mrs. Hillary Rodham Clinton
The White House
Washington, D.C.
Dear Mrs. Clinton:
I am often quick to criticize. You have been a frequent target of mine. I am slower to
praise. So, now is the time for me to thank you for your maturity and your response
to the Chung-Gingrich absurdity.
I doubt there are many among us who have not, from time to time, said in confidence
to family and friends things about others in less than complementary fashion. Those
are private opinions. While we might be disappointed to learn what some think of us,
we must nevertheless realize they hold those opinions . . . and have a right to hold
them. If there is a challenge, it is to overcome those opinions, and to change them.
You haven't converted me. But you have impressed me. And I feel better about it.
C. Norman Noble
�/- 6 - 9
Jin)
i<ZZ<tL
11 C X ' L X
( U ^ -
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
DATE
SUBJECT/TITLE
Jean M. Ansley to Mrs. Gingrich; RE: Address [partial] (1 page)
01/06/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Newt Gingrich
2006-0810-F
dbl808
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information [(aXU of the PRA|
P2 Relating to the appointment to Federal office [(aX2) of the PRAj
Pi Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial inforniation 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRAj
b(l) National security classified information |(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3)of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�•
January 6, 1995
Kathleen Gingrich, % Newt Gingrich
House of Representatives
Washington, D.C. 20515
T 005-1
Dear Mrs. Gingrich:
Re:
Connie Chung's interview and the wonderful fringe benefits I
Yesterday morning, as I was driving to the beauty shop, I was listening to a local
radio talk show. The host was t e l l i n g about Connie Chung's interview with you.
The overwhelming response of callers was outrage, indignation and disgust for
Chung - and sympathy for youl One caller said, A l o t of people feel the same way
about H i l l a r y ! One sweet sounding woman said, I don't know i f that was a slap at
H i l l a r y .. or at the dog! Words used about Chung included double-crossing & lying.
A caller on C-SPAN this morning said, "The real bitch i s Connie Chung i n a l l this
thing." A l o t of people would agree.
You obviously represent what's wonderful about people i n t h i s country. Connie
Chung represents the sleazy major media. The contrast i s clear - and you win!
You obviously are an honest, good, kind, moral, decent woman, a woman who would
never break her word and who would never l i e
and who would never expect
someone - especially some one l i k e Connie Chung - to double cross and l i e either.
What Connie Chung did to you i s rousing strong support f o r you .. and by extension
for Newt. Your innate goodness and trust i n people made you the unexpected tool
to prickle the bubble of the influence of Chung
and the major media! Chung
w i l l always be, forever a f t e r , "the woman who l i e d to Newt's mother and doublecrossed a confidence." She showed that the major media plays by a different set
of rules than heartland America. She deflated the influence of the major media!
She showed the anti-Newt bias of the major media!
That's helpful!
And actually - there's nothing wrong with Newt having a personal viewpoint about
someone! The wonderful, wonderful thing that stood out to me was how u n c r i t i c a l
both you and your husband were - and how u n c r i t i c a l Newt had been - of the
Clinton's. You a l l three showed yourself fine people.
I was proud of you and your husband Wednesday morning s i t t i n g there i n the House
gallery, principled and dignified and honorable, representing a l l that's good i n
t h i s country, seeing your son serving with the genuine goodness that most parents
prize for their children. He obviously has that rare talent to unite people! [most
people, anyway!!!!] Your son i s the catalyst for renewing America c i v i l i z a t i o n !
I send you my deep respect and appreciation and love and support.
Sincerely,
' (Mrs.) Jean M. Ansley
P.S. When CBS News President Eric Obar said of you that you had "volunteered an
unsolicited view," he l i e d . Chung had said, "Why don't you just whisper i t to me,
just between you and me." Chung s o l i c i t e d your response. Ober, i n defending
Chung, has helped reveal the true nature of the major media.
Copy:Connie Chung, Hillary Clinton, Eric Ober, David Kensinger % Brownback, Newt
Clinton Library Photocopy
r .
i
�4-A The Topeka Capital-Journal, Friday, January 6,1995
THE TOPEKA
CAPITAL-JOURNAL
P. Scott McKlbben
Maik E. Nusbaum
Anita Miller
Pete Goering
Karen Sipes
Jeff Jacobsen
Michael Ryan
Nancy Kindling
Ping Enrique:
Publisher
Managing E.ditoi
Managing EditorlNms .
Managing EditorlSports
Managing EditorlFtatures
Managing Editor!Photo
Editorial Page Editor
Community Board Member
Corr.munit) Board Member
EDITORIALS
ETHICS
Just between you and me
A
ll parties in the Connie
Chung-Kathleen Gingrich
incident have failed to
distinguish themselves —
especially Chung.
This must first be acknowledged: '
Newt Gingrich is now one of the most
powerful people in the world. And
most of us hardly know him.
Thus, virtually everything Newt
Gingrich thinks is news. And that's as
it should be.
This, too, must be recognized: As
the mother of one of the most powerful men in the world, Kathleen
Gingrich needs to understand that
much of what she says will now be
considered newsworthy — particularly when it illuminates how her son
thinks.
Despite all that, the lion's share of
the blame for the incident is Chung's.
The incident began when Mrs.
Gingrich pointedly told Chung during
a taped interview aired Thursday
night that " I can't tell you what
(Newt) said about Hillary."
What transpired was personallyoffensive and journalistically as
unethical as it gels.
"Why don't you just whisper it to
me, just betw een you and me." < 'Iniiijj,
told the imsiispecting .Mrs. Gingrich.
• Trust doesn't mean
much between gossiping
friends. K does among
professionals.
We all know what followed: Mrs.
Gingrich bluntly reported that her
son thinks ill of the president's wife.
It was an ambush, pure and simple.
Chung violated both journalistic
integrity and personal trust. She
essentially gave her word to Mrs.
Gingrich that she could speak in confidence— that what she said
wouldn't be repeated. "Just between
you and me" may not mean much
between gossiping friends. But
among professionals, and certainly
professional journalists, it is a
sacred covenant.
If CBS doesn't wish to distance
itself from Chung's breach, most
other journalists will. The fact is,
most journalists would walk over
crushed glass before betraying a
.source's confidence.
Mrs. Gingrich should recognize that
she is the mother of what is now the
nat ion's No. I newsmaker.
.And Ms. Chung should decide
whether she is truly a news gatherer.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. letter
SUBJECT/TITLE
DATE
Barbara Brown to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/10/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Newt Gingrich
2006-0810-F
dbl808
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl)of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute [(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9)of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�10. m^>
UiKiSfLi iZcdhOim GOtcnloiO-—
6
ibrary-^n^tc
Clinton Libra
:ocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
SUBJECT/TITLE
DATE
Carl E. King to Hillary Clinton; RE: Address [partial] (1 page)
01/04/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Newt Gingrich
2006-0810-F
dbl808
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA)
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRAj
Release would violate a Federal statute 1(a)(3) of the PRAj
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
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Clinton Presidential Records
Publisher
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William J. Clinton Presidential Library & Museum
Text
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Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Folder 3 [General Correspondence]: Newt Gingrich
Creator
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First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-012-013-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
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Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
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Clinton Presidential Records: White House Staff and Office Files
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William J. Clinton Presidential Library & Museum
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5/27/2015
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PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 3]
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001a. letter
Byron L. Camp to H.R. Clinton; RE: Address and personal [partial]
(1 page)
09/14/1994
P6/b(6)
001b. letter
Hillary Rodham Clinton to Byron Camp; RE: Address [partial] (1
page)
10/07/1994
P6/b(6)
002. letter
Ann Zuspann to Hillary Clinton; RE: Personal [partial] (1 page)
09/20/1994
P6/b(6)
003a. letter
Gail Simpson to Hillary Clinton; RE: Address [partial] (1 page)
09/16/1994
P6/b(6)
003b. letter
Hillary Rodham Clinton to gail Simpson; RE: Address [partial] (1
page)
10/07/1994
P6/b(6)
004a. letter
Mona F. Young to Hillary Rodham Clinton; RE: Address and phone
number [partial] (1 page)
09/16/1994
P6/b(6)
004b. letter
Hillary Rodham Clinton to Mona F. Young; RE: Address [partial] (1
page)
10/01/1994
P6/b(6)
005a. letter
Margarete Connolly to Ms. Clinton; RE: Address [partial] (1 page)
09/15/1994
P6/b(6)
005b. letter
Hillary Rodham Clinton to Margarete Connolly; RE: Address
[partial] (1 page)
10/03/1994
P6/b(6)
006a. letter
Carol Horstman to Hillary Rodham Clinton; RE: Address [partial] (1
page)
08/31/1994
P6/b(6)
006b. letter
Hillary Rodham Clinton to Carol Horstman; RE: Address [partial] (1
page)
10/07/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute [(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified inforniation 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAI
b(3) Release would violate a Federal statute 1(h)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose inforniation compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
007. letter
Lennie Sobanja to Hillary Clinton; RE: SSN [partial] (1 page)
08/17/1994
P6/b(6)
008a. letter
Anne Katherine Wilkinson to Hillary Clinton; RE: Address [partial]
(1 page)
09/15/1994
P6/b(6)
008b. letter
Hillary Rodham Clinton to Anne Katherine Wilkinson; RE: Address
[partial] (1 page)
10/07/1994
P6/b(6)
009a. letter
Ali B. Firouz to Mrs. Clinton; RE: Address and phone number
[partial] (1 page)
07/20/1994
P6/b(6)
009b. letter
Hillary Rodham Clinton to Ali B. Firouz; RE: Address [partial] (1
page)
10/07/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfTice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified inforniation [(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3)of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�PHOTOCOPY
PRESERVATION
�THE WHITE H O U S E
W A S HIN GTO N
September 10, 1994
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS
CHIEF OF STAFF FOR THE FIRST LADY
FROM:
ALICE PUSHKAR
DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
STATUS REPORT FOR FIRST LADY'S
CORRESPONDENCE
T h i s r e p o r t covers the time period from August 29 through
September 10, 1994. The report i n c l u d e s information about the
volume of m a i l r e c e i v e d and produced by the O f f i c e of F i r s t
Lady's Correspondence.
Attached are the d a i l y production r e p o r t s f o r the time
period, a p i e - c h a r t which represents a v i s u a l breakdown of your
i s s u e s - r e l a t e d mail, and f o l d e r s c o n t a i n i n g l e t t e r s which are
r e p r e s e n t a t i v e of those reviewed during the period.
During the f i r s t two weeks i n September, we r e c e i v e d 3015
p i e c e s of correspondence addressed t o you. The average number of
l e t t e r s r e c e i v e d d a i l y i n our o f f i c e has decreased from 330 t o
225. Approximately 415 l e t t e r s r e c e i v e d by our o f f i c e were
forwarded t o the Health Care Reform Information Center. Another
563 l e t t e r s were forwarded t o other o f f i c e s . Approximately 1500
l e t t e r s r e q u i r e d no response. We responded t o 955 l e t t e r s during
the f i r s t two weeks i n September.
As of September 10, 1994, approximately 1956 coded l e t t e r s
await a response and approximately 584 l e t t e r s are i n the data
entry.and proofing stages.
ANALYSIS OF THE MAIL
No Response Necessary
Agency L i a i s o n
Health Care Reform
Support
Issues
32.1%
20.5%
13.0%
7.4%
6.0%
�Requests
Press
Children's
Other People's
Scheduling
Other
VIP
Secret Service
Translations
Unfavorable
Gifts
Personal
Greetings/Messages
4.2%
2.3%
3.3%
1.9%
1.9%
1.9%
.1.4%
0.9%
0.9%
0.9%
0.5%
0.5%
0.5%
Following i s a breakdown o f t h e issues-related mail reviewed
during the time p e r i o d :
Foreign A f f a i r s
Health Related (other than HCRIC)
K i l l i n g o f Japanese i n New York
Immigration
Abortion
Children
Aging
Cairo Population P o l i c y
Family Values
Social Spending
Elder Abuse
23.1%
7.7%
7.7%
7.7%
7.7%
7.7%
7.7%
7.7%
7.7%
7.7%
7.7%
For your i n f o r m a t i o n and review, we have attached copies o f
l e t t e r s representing common themes i n the correspondence.
We
have prepared responses t o these l e t t e r s subject t o your
approval.
The Health Care f o l d e r contains two l e t t e r s . The f i r s t
l e t t e r i n the Health Care f o l d e r i s from a senior c i t i z e n who
l i v e s i n Bainbridge I s l a n d , Washington. He w r i t e s o f becoming
bankrupt and l i v i n g a t the poverty l e v e l i n order t o care f o r h i s
w i f e of s i x t y years who died o f Alzheimer's disease i n 1993. He
w r i t e s of the need f o r h e a l t h care reform i n our country and
expresses h i s support f o r your e f f o r t s . The i n d i v i d u a l response
t o t h i s l e t t e r incorporates the h e a l t h care h e a r t f e l t language
which you approved, as w e l l as a reference t o h i s hometown,
Scranton, Pa. The i n d i v i d u a l response t o t h i s w r i t e r i s being
sent t o you w i t h the signature space l e f t blank f o r you t o sign
personally.
The second l e t t e r i n the Health Care f o l d e r i s from a
Professor i n the Department o f Anthropology a t Indiana U n i v e r s i t y
i n Bloomington. He w r i t e s t o thank you f o r the education you
have given the American people about the need f o r h e a l t h care
reform. He r e l a t e s t h e s t o r y of h i s f a t h e r , a small businessman,
who died penniless a t f i f t y - f o u r years of age due t o the h e a l t h
�care costs resulting from a d e b i l i t a t i n g i l l n e s s . The individual
response to t h i s writer i s being sent to you with the signature
space l e f t blank for you to sign personally.
The Issues folder contains three l e t t e r s . The f i r s t l e t t e r
in the Issues folder i s from a woman who l i v e s in Midway, Utah.
She writes about the importance of basic values in our country
and the need to educate our c i t i z e n s to take positive action
towards improving the quality of our health and ultimately our
l i v e s . The individual response to t h i s writer i s being sent to
you with the signature space l e f t blank for you to sign
personally.
The secend l e t t e r in the Issues folder i s from the President
of Women to Women International, a non-profit educational
organization located in Santa Barbara, California. She writes
that she i s on a mission to St. Petersburg, Russia for which she
i s leading a delegation of twelve American women who are s k i l l e d
in a variety of areas. The purpose of the mission, as she
describes i t , i s to educate Russian women about the basic
elements of business and to provide professional expertise
through a series of workshops presented by the American women.
The individual response to t h i s writer i s being sent to you with
the signature space l e f t blank for you to sign personally.
The third l e t t e r in the Issues folder i s from a man who
l i v e s in New York City. He writes about the picture of you and
Chelsea wearing bicycle helmets which was printed in the New York
Times. He expresses concern that you were wearing the helmets
incorrectly. The individual response to t h i s writer i s being
sent to you with the signature space l e f t blank for you to sign
personally.
The Support folder contains four l e t t e r s . The f i r s t l e t t e r
in the Support folder i s from a woman who l i v e s in Bellingham,
Washington. She writes of being troubled by the recent Newsweek
a r t i c l e portraying you as discouraged with the health care reform
project, of her own frustrations within the health care system,
and of her support for your e f f o r t s . The individual response to
t h i s writer i s sent to you with the signature space l e f t blank
for you to sign personally.
The second l e t t e r in the Support folder i s from a woman who
l i v e s in West Palm Beach, Florida. She writes of her support for
you and encourages you to continue to work on the issues
important to the people of t h i s country. This writer w i l l
receive the Support form l e t t e r .
The third l e t t e r in the Support folder i s from the recipient
of the Eleanor Roosevelt award of the Democratic Women's Forum.
She was in the audience during your presentation at Kathleen
Brown's Luncheon at the St. Francis hotel on September 8. She
compares the press coverage of you and the President with the
coverage of Franklin and Eleanor Roosevelt. She encloses a
�catalogue w i t h a cover model chosen, she believes, because of her
resemblance t o you. The i n d i v i d u a l response t o t h i s w r i t e r i s
being sent t o you w i t h the signature space l e f t blank f o r you t o
sign personally.
The f o u r t h l e t t e r i n the Support f o l d e r i s from a Republican
who l i v e s i n Norcross, Georgia. She w r i t e s of her respect and
support f o r you. This w r i t e r w i l l receive the Support form
letter.
The Thank-You f o l d e r contains one l e t t e r from a man who
l i v e s i n Grand Marais, Minnesota who serves as a h e a l t h insurance
counselor f o r Cook County, Minnesota. He thanks you f o r your
help i n o b t a i n i n g a waiver from the O f f i c e of Personnel
Management t o continue h i s h e a l t h insurance coverage i n t o
retirement.
The Children's f o l d e r contains one l e t t e r from an e i g h t h
grade student who attends the Coleytown Middle School i n
Westport, Connecticut. She w r i t e s of a recent Social Studies
class p r o j e c t i n which the students discussed how t o i n v e s t i n
themselves by t a k i n g p a r t i n a c t i v i t i e s t h a t w i l l be b e n e f i c i a l
to t h e i r f u t u r e s . She asks how you invested i n y o u r s e l f when you
were younger. The i n d i v i d u a l response t o t h i s w r i t e r i s being
sent w i t h a l i t h o g r a p h of you, and the signature space has been
l e f t blank f o r you t o sign personally.
Follow-Up To Last Report
Included are the photographs and the l e t t e r t h a t you wanted
to sign p e r s o n a l l y . Your new autopen wheel has a r r i v e d .
However, I'm not s a t i s f i e d w i t h the look of the signature and so
I've asked t h a t p a r t s of i t be re-worked.
In regard t o your question on the numbers we're using i n the
Health Care H e a r t f e l t l e t t e r , we've checked w i t h Melanne, Meeghan
Prunty and J e n n i f e r and they f e e l comfortable w i t h the numbers i n
the context of t h i s l e t t e r .
�1ft
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
SUBJECT/TITLE
DATE
Byron L. Camp to H.R. Clinton; RE: Address and personal [partial]
(1 page)
09/14/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 5S2(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(b)(6) of the FOIA]
b(7) Release would disclose inforniation compiled for law enforcement
purposes [(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
National Security Classified Inforniation 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRAj
Release would violate a Federal statute 1(a)(3) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial inforniation 1(a)(4) of the PRAj
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Byron L. Camp
Septembers, 1994
Mrs. H. R. Clinton
The White House
Washington, D C.
Dear Mrs. Clinton,
A cousin in Scranton, Pa. sent me a newspaper picture of you standing beside the picture of the
Harrison Ave. viaduct, in Scranton, which picture, I understand, is temporarily in the third floor
corridor of the White House. This brings back fond memories as this bridge is the scene of my
first job. During the summer of 1918, as I remember it, I was water boy for the labor force at the
huge wage of a dollar a day. At the time, my father was construction engineer for the Anthracite
Bridge Co. of Scranton. Pa. I also got to ride in the first car to cross the bridge, an FB Chevrolet
driven by my uncle, somewhat of a family affair, I suppose. Well, so much for that.
I have been following your efforts to bring some measure of health care to the American people.
It is badly needed as health care costs are out of control. In June I had ai^fH^Pfi/(H)(6V w^.aiand
CT^ff)(6ft?ro«S^»l
I do not have all the bills in yet but they are in the
tens of thousands of dollars. Thanks to Medicare and some private insurance I will get some
help. My wife, after 60 years of marriage, died of Alzheimers disease in 1993. It was necessary
to put her in a convalescent center the last 22 months of her life. It cost me about $60,000.00 for
that time, and I could get no help from any source I was able to do it by living at a poverty level
myself. There is no help until you are bankrupt. Our health system needs revamping and I
sincerely hope you can come up with the answers.
!
I think the President is trying to do a good job, but he can not do it with the media bashing going
on. It also looks like the Congress is out for their own benefit, and ignoring the people. As a
registered Republican I am not proud of my party and have written to some of our
representatives that I will not vote for any incumbent running for relection. I do not think our
founding fathers intended for our representatives to have the job for life.
Having spoken my little piece, I wish you and the President good fortune, and a more
cooperative Congress in the future
Sincerely
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001 b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Byron Camp; RE: Address [partial] (1
page)
10/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�T H E WHITE H O U S E
WASH I NGTON
October 7,
1994
Mr. Byron Camp
Coolb~\
Dear Mr. Camp:
Thank you for w r i t i n g to me.
I enjoyed your
reminiscences about the Harrison Avenue viaduct.
Scranton
has an important place i n the h i s t o r y of the Rodham family.
I am touched that you chose to share your personal
experiences. The hardship and f r u s t r a t i o n you describe
i l l u s t r a t e exactly why t h i s nation needs health care
reform. Each month two m i l l i o n Americans lose t h e i r
insurance, and at some point during the year 58 m i l l i o n
Americans go without insurance. Quality affordable health
care i s needed not only for those Americans who have no
insurance, but for a l l Americans, including those whose
insurance f a i l s them when they need i t most. President
Clinton and h i s administration continue i n t h e i r commitment
to strengthen what i s r i g h t about the current system and
repair what i s wrong.
me.
Thank you again for sharing your personal story with
My thoughts and prayers are with you.
Sincerely yours.
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�INDIANA UNIVERSITY
t
September 17, 1994
Hillary Clinton
The White House
Washington, D C.
Dear Mrs. Clinton:
DP RMN O
EA T E T F
ATRPLG
N H OO O Y
I am writing to thank you for the wonderful education that you have given to
the American people and their political representatives. It's a long and
enduring struggle and you are far from being defeated. Whatever reform
eventually passes through Congress will be largely due to your efforts.
I am personally dependant to a great extent on my health insurance.
Fortunately, I am part of a health plan that provides generous coverage.
Otherwise, I would have been financially wiped out some time ago and as a
result denied basic health services.
I know the other side of the coin through the experience of my father who
passed away forty years ago after a debilitating illness that lasted for nine
years. My father, a small businessman, was slowly beaten down by doctor and
drug bills so that when he died at age fifty-four he did not have a single penny
to leave his family. Fortunately for me he had struggled to provide me with an
education, but his own life was in ruins.
I was left with a smoldering anger at the injustice and inhumnity of a callous
and exploitive health system. You fought to intoduce a sense of justice and
decency and I and countless others are grateful to you. Please don't take
seriously the crticisms of the politicians and members of the press who have
never had the heart or the vision to struggle to improve the conditions of life
for common people.
Sincely yours.
Jerome R. Mintz
Professor
Student Buildins; 1 0
3
Bloomington, Indiana
47405-6101
812-855-2555
812-855-1041
812-855-1203
Telex: 272279
Fax: 812-855-4358
�THE WHITE H O U S E
WAS
H I N GTO
N
October 1, 1994
Professor Jerome R. Mintz
Department of Anthropology
Indiana University
Student Building 130
Bloomington, Indiana 47405-6101
Dear Professor Mintz:
Thank you for your thoughtful l e t t e r . I am touched
that you chose to share your personal experiences with me.
The hardship and frustration you describe i l l u s t r a t e
exactly why t h i s nation needs health care reform.
Each
month two million Americans lose t h e i r insurance, and at
some point during the year 58 million Americans go without
insurance. Quality affordable health care i s needed not
only for those Americans who have no insurance, but for a l l
Americans, including those whose insurance f a i l s them when
they need i t most. President Clinton and h i s
administration continue in their commitment to strengthen
what i s right about the current system and repair what i s
wrong.
me.
Thank you again for sharing your personal story with
My thoughts and prayers are with you.
Sincerely yours.
Hillary Rodham Clinton
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Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
DATE
SUBJECT/TITLE
Ann Zuspann to Hillary Clinton; RE: Personal [partial] (1 page)
09/20/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRAj
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOI A|
b(8) Release would disclose inforniation concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical inforniation
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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�THE WHITE
HOUSE
WAS HIN GTO N
October 7, 1994
Ms. Ann Zuspann
P.O. Box 657
Midway, Utah 84049
Dear Ms. Zuspann:
Thank you for your thoughtful l e t t e r . I t i s a
pleasure to hear from individuals who share a vision of a
better l i f e for a l l Americans.
Your ideas and those of other Americans are an
important source of information for President Clinton as he
and h i s administration work towards meaningful and lasting
change i n our country.
I appreciate the interest and concern that your l e t t e r
conveys. Thank you again for taking the time to write.
Sincerely yours,
H i l l a r y Rodham Clinton
�WOMEN TO WOMEN INTERNATIONAL
1298 Orchid Drive Santa Barbara CA 93111 (805) 964-6688 FAX: (805) 964-3336
fflfc^Pl
^ J ^ v
J ' * ^ '
September 22, 1994
Ms H i l l a r y Rodham C l i n t o n
1600 Pennsylvania Ave.
Washington DC 20500
Dear Ms Rodham C l i n t o n ,
Hello. As you read t h i s , I am on an e x c i t i n g and wonderful mission i n
St. Petersburg, R u s s i a . I am leading a delegation of twelve American
women from a c r o s s our country who possess a v a r i e t y of p r o f e s s i o n a l —
s k i l l s . T h i s i s a g i a n t step i n my global dream which grew out of an
exchange program I p a r t i c i p a t e d i n t o the former S o v i e t Union i n 1991.
At that time, American women met with various S o v i e t women who
expressed t h e i r f e a r s over and over t h a t , as the S o v i e t Union was
moving towards g r e a t e r economic freedoms, they would be t h e ones
s u f f e r i n g the g r e a t e s t hardships. During our d i s c u s s i o n s , I sensed
t h a t these women needed information and encouragement t o help them
meet tl^ose c h a l l e n g e s .
In order t o help f u l f i l l t h i s need, I founded Women t o Women
I n t e r n a t i o n a l , a non-profit educational organization. The i n t e n t was
to o f f e r the experience and e x p e r t i s e of American businesswomen t o our
s i s t e r s of a f o r e i g n land. Women t o Women I n t e r n a t i o n a l o f f e r e d i t s
f i r s t seminars on t h e E n t r e p r e n e u r i a l Woman i n R u s s i a and Ukraine i n
1992. Not only d i d t h e Russian, Ukrainian, and American women enjoy
the conferences, but we a l s o r e c e i v e d tremendous media r e c o g n i t i o n
because we were women t a l k i n g t o women about business. Such a forum
was unheard of i n t h e former Soviet Union country u n t i l t h a t time.
This year hundreds of Russian women have been i n v i t e d t o attend a
s e r i e s of workshops presented by American p r o f e s s i o n a l women i n S t .
Petersburg and Moscow. We w i l l cover the b a s i c elements of b u s i n e s s
and p r o f e s s i o n a l know-how. We b e l i e v e our c o n t r i b u t i o n can impact the
l i v e s of women i n R u s s i a s i g n i f i c a n t l y which may i n turn i n f l u e n c e
world harmony among nations and the people of the world.
"
There i s always an element of u n c e r t a i n t y as to the success of each
t r i p , but there i s always a tremendous amount of encouragement and
support behind our e f f o r t s . I wanted you to be aware of these
endeavors and I w i l l l e t you know of our accomplishments when we
return i n October.
>
Your good wishes and encouragement a r e appreciated a s twelve women
attempt t o make a d i f f e r e n c e i n the l i v e s of many Russian women.
Sincerely,
Michel N e l l i s ,
President
�THE WHITE HOUSE
WASHINGTON
October 7, 1994
Ms. Michel N e l l i s
President
Women To Women International
1298 Orchid Drive
Santa Barbara, C a l i f o r n i a 93111
Dear Ms. N e l l i s :
Thank you for your thoughtful and compelling l e t t e r .
I t i s a pleasure to receive l e t t e r s from individuals who
are committed to helping others.
I commend your efforts to offer educational programs
to women throughout the world. I hope your t r i p to
St. Petersburg proves a wonderful and enlightening
experience for both you and the women of that region who
attend your workshops.
Please accept my best wishes for a successful t r i p .
Sincerely yours,
H i l l a r y Rodham Clinton
�il
•->•
iu'j
mm,
Levine Mandelbaum
Neider Wohl
Cemlied Public Accounianis
230 Park Avenue. New York. New York 10169
Telephone (212) 949-0900
Fax (212) 983 -6513
Septembers, 1994
M's. Hillary Clinton
White House
1600 Pennsylvania Avenue
Washington, DC
Dear M's. Clinton,
As an avid bicyclist I viewed the picture of you and Chelesa in the New York Times,
wearing your biking helmets in a manner that would be almost useless to either of you had
you taken a spill. This display also sets a poor example for the causal biker, who would
follow your path as the nations first family.
In order to be effective a helmet should fit firmly, with little possible movement should
you fall.
Please take care on your future rides. I hope you all had a great time at the Vineyard.
Sincerely, from a registered Democrat.
Mark A. Levine
MALrn
�THE WHITE HOUSE
W A S H IN G T O N
October 7, 1994
Mr. Mark A. Levine
230 Park Avenue
New York,-New York 10169
Dear Mr. Levine:
Thank you for your recent l e t t e r regarding bicycle
helmets. I appreciate your concern. Wearing the helmet
and protecting myself from the sun i s not always easy. I'm
determined to keep at i t u n t i l I get i t right.
I t i s always a pleasure to hear from a fellow bicycle
enthusiast. I hope you w i l l continue to be involved i n
promoting public safety and awareness.
Thank you again for taking the time to write.
Sincerely yours,
H i l l a r y Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003a. letter
DATE
SUBJECT/TITLE
Gail Simpson to Hillary Clinton; RE: Address [partial] (1 page)
09/16/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl8l4
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Inforniation Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the F01A|
b(3) Release would violate a Federal statute |(bX3) of the FOI A|
t>(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the KOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAI
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the KOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�September 16,1994
Mrs. Hillary Qinton
The White House
1600 Pennsylvania Ave.
Washington D.C. 20500
Dear Mrs. Clinton;
I a writing in support of your efforts on behalf of health .care reform, and your active role in this
m
administration in general I was troubled to read the recent account in Newsweek magazine that
portrayed you as discouraged with the health care reform project and intending to play a less visible
part in the White House in the future. Despite what is said in the media, there are many of us who
have been inspired~and encouraged by your participation in your husband's administration and are
angered by the obstacles you have been presented with.
Like most Americans I have had many bad experiences with the medical insurance industry, and
have been extremely frustrated with tne bureaucracy, paperwork, and unfairness of policies,
especially considering the very high profit margin in that business. I support the idea of a singlepayer plan and universal coverage. I don't think insurance companies should be allowed to legally
reject applicants because of pre-existing conditions. When I workedforthe State of Illinois, as an
employee I paid for a medical insurance plan that simply ceased paying providers months before
tbefiscalyear was up due to mismanagement of funds, leaving the doctors with the task of
handing the job over to collection agencies. This played havoc with people's credit ratings, as
many got unexpected bills for services that were actually covered but had not been paid, even up to
a year later. As a citizen I don't mind paying taxes for services, but I want those services rendered
less ineptly, and I can't believe that turning the ^ b over to the federal government would make
o
things any worse than they are now. Asforthe idea of choice in doctors: this is an overrated
concept If I understand it correctly, the people who could afford it could still pay for whatever
doctor or treatment they wished, and the people who couldn't would go to whatever doctors their
insurance plan provided - for the affluent the situation is the same, and for the less-affluent the
situation is improved.
At anyrate,I have admired your efforts as First Lady and have been heartened by the way you've
redefined that role. The attacks on you only prove that women in positions of authority are amply
still too threatening to the power structure, and I sincerely believe that someday, looking back,
people will be amazed at the difficulty of assimilating such an idea. Please don't be discouraged you still have many supporters out here and we are counting on you.
With regards.
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to gail Simpson; RE: Address [partial] (1
page)
10/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act - \5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXI) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the KOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
National Security Classified Information 1(a)(1) of the PRAj
Relating to the appointment to Federal office |(aX2) of the PRAj
Release would violate a Federal statute 1(a)(3) of the PRAj
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
C Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASH
INGTON
October 7, 1994
Ms. Gail Simpson
Loos
Dear Ms. Simpson:
Please accept my apologies for the delay in responding
to your letter. I have received an unprecedented amount of
mail and i t has been d i f f i c u l t for me to respond as
promptly as I would l i k e . Your words of encouragement and
support mean a great deal to me.
I t i s a pleasure to hear from individuals who share a
vision of a better l i f e for a l l Americans. A common belief
in family, community, and country guides each of us as we
work to realize the promise of America. Your ideas and
thoughts offer added inspiration as the President works to
ensure that every American's future i s f i l l e d with courage,
hope, and confidence.
I appreciate the interest and concern that your letter
conveys. Thank you for taking the time to write.
Sincerely yours.
Hillary Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004a. letter
SUBJECT/TITLE
DATE
Mona F. Young to Hillary Rodham Clinton; RE: Address and phone
number [partial] (1 page)
09/16/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(I) National security classified information [(bKU of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the KOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the KOIA]
b(7) Release would disclose information compiled for law enforcement
purposes |(b)(7)ofthc FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA)
C Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�• • r -•
Mona % young
C oo^a^
SeptemBer 16,1994
ttittary Rpdham Cdnton
'Ihe White House
'Washington, i f . C.
Dear Mrs. Ctinton,
I f&ow that you uittproBabty never read this, But! have to ttil
you that there is indeed support for you andaltyou have done to
develop health care reform for Americans. I read that you are
exhausted, and Bitter aBout the unholy political war which has Been
waged against you, andthatyou are aBout to retreatinto a lesser role.
'Please, Mrs. Clinton, retreat only long enough to regain your
strength, and then come Bacf^sninging. America cannot afford to lose
your zeal and your Brilliance. ¥0 those who say, 7 didn't vote for
Hillary Clinton/' tm sure they didn't votefor'BillClinton either.
Secondly, anyone who votedfor'Bill Clinton without flowing they
were voting for you as well are too naive to Be allowed to vote at all.
you may well Be die reason your husBand is 'President I know that
when I votedfor 'Bill, I rejoiced that I could vote for Hillary as well.
your intelligence and your character must Se your sword and
shield now. JZs an American, I Beg you not to let character assassins and
political dirty tricf^s Bring you down. There are so many of us who need
you to reassert your leadership.
you should (qtow that dozm the line many of us lool^to you to run
for the Presidency outright Let this Baptism offirestrengthen you and
prepare you for that time.
with all honor and respect,
J
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Mona F. Young; RE: Address [partial] (1
page)
10/01/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRAj
b(l) National security classified information |(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIAj
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
C Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE
HOUSE
WASH I NGTON
October 1, 1994
Ms. Mona F. Young
Dear Ms. Young:
Thank you for your thoughtful letter. Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from individuals who share a
vision of a better l i f e for a l l Americans. A common belief
in family, community, and country guides each of us as we
work to realize the promise of America. Your ideas and
thoughts offer added inspiration as the President works to
ensure that every American's future i s f i l l e d with courage,
hope, and confidence.
I appreciate the interest and concern that your letter
conveys. Thank you for taking the time to write.
Sincerely yours,
Hillary Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005a. letter
SUBJECT/TITLE
DATE
Margarete Connolly to Ms. Clinton; RE: Address [partial] (1 page)
09/15/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl8l4
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIAI
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOI A]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�MARGARETE CONNOLLY
September 15, 1994
Dear Ms. C l i n t o n ,
You d i d a m a s t e r l y p r e s e n t a t i o n a t K a t h l e e n Brown's l u n c h eon a t t h e S t . F r a n c i s h o t e l on September 8.
As t h e widow o f a newspaper man who worked f o r 40 y e a r s on
the d a i l y papers i n San F r a n c i s c o , and who had g r e a t i n t e g r i t y , I am embarrassed by t h e g e n e r a l tone o f t h e p r e s s i n
re you and t h e P r e s i d e n t .
My f i r s t v o t e
difference i n
l i n Roosevelt
I am t h e 1994
the D e m o c r a t i c
was c a s t f o r F r a n k l i n R o o s e v e l t .
I see l i t t l e
t h e press coverage around E l e a n o r and F r a n k t h a n I see t o d a y . I'm d e l i g h t e d t o say t h a t
r e c i p i e n t o f t h e Eleanor R o o s e v e l t award o f
Women's Forum.
H a p p i l y , a gauge o f r e a l i t y i s i l l u s t r a t e d by t h e cover on
the e n c l o s e d b o o k l e t . When a model i s chosen f o r her l i k e ness t o y o u , we know t h a t b u s i n e s s i s g e t t i n g t h e word as t o
how women i n t h i s c o u n t r y a c t u a l l y f e e l .
With
love,
Hon. H i l a r y Rodham C l i n t o n
The White House
Washington, D.C, 20500
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Margarete Connolly; RE: Address
[partial] (1 page)
10/03/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)]
PI
P2
P3
P4
b(l) National security classified information |(bXI)of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical inforniation
concerning wells 1(b)(9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA]
Release would violate a Federal statute 1(a)(3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA|
C Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE
HOUSE
WASHINGTON
October 3, 1994
Ms. Margarete Connoll
Loo5b3
Dear Ms. Connolly:
Thank you for your thoughtful letter and your kind
words of support. I also want to take this opportunity to
congratulate you on being the recipient of the Eleanor
Roosevelt award of the Democratic Women's Forum. I too, am
an admirer of the former F i r s t Lady, and I commend you on
your achievement.
I t i s a pleasure to receive a letter from an
individual who has witnessed first-hand the significant
changes that have taken place in this country over the past
half century. Someone who shares a vision of a better l i f e
for a l l Americans. I'm flattered by your opinion that I
resemble the young woman on the cover of the booklet.
Thank you again for writing. Your continued support
w i l l be invaluable as the President and his administration
continue to work towards meaningful and lasting change in
our country.
Sincerely yours,
Hillary Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
006a. letter
SUBJECT/TITLE
DATE
Carol Horstman to Hillary Rodham Clinton; RE: Address [partial] (1
page)
08/31/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)l
PI National Security Classified Information |(aXl)of the PRA|
P2 Relating to the appointment to Federal office |(aX2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information |(a)(4)of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aXS) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�August 31, 1994
Hillary Rodham Clinton
The White House
Pennsylvania Avenue
Washington, D.C.
Dear Mrs. Clinton:
News sources say you are discouraged, disillusioned and dismayed at the public reaction
to your work on healthcare reform. You've been booed and even burned in effigy.
As a Republican of long standing, you probably consider me to be the opposition. But,
Ifeel the principles you stand for have no political boundaries. I want you to know that
you have my respect and thanks for your tremendous efforts and seemingly endless
energy. I am embarrassedfor those who have stooped so low to further their own selfish
causes and needs.
I hope you willfindthe strength to continue your efforts. Maybe in some small way this
letter will serve to give you some of the encouragement you deserve, and maybe before
long more Americans will come forward with the appreciation you and the President need
so badly.
Very sincerely.
Carol Horstman
Clinton Library. Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
006b. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Carol Horstman; RE: Address [partial] (1
page)
10/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act - |5 U.S.C. SS2(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXI)of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose inforniation compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIA]
National Security Classified Information 1(a)(1) of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA]
Release would violate a Federal statute 1(a)(3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE
WHITE HOUSE
WASH I NGTON
October 7, 1994
Ms. Carol Horstman
Dear Ms. Horstman:
Thank you for your thoughtful letter. Your words of
encouragement and support mean a great deal to me.
I t I s a pleasure to hear from Individuals who share a
vision of a better l i f e for a l l Americans. A common belief
in family, community, and country guides each of us as we
work to realize the promise of America. Your ideas and
thoughts offer added inspiration as the President works to
ensure that every American's future i s f i l l e d with courage,
hope, and confidence.
I appreciate the interest and concern that your letter
conveys. Thank you for taking the time to write.
Sincerely yours,
Hillary Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
007. letter
SUBJECT/TITLE
DATE
Lennie Sobanja to Hillary Clinton; RE: SSN [partial] (1 page)
08/17/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl8l4
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXl)of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIA]
National Security Classified Information |(aHI) of the PRA|
Relating to the appointment to Federal office |(aX2) of the PRA]
Release would violate a Federal statute |(aX3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aXS) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�M i: ? . H i i 1 a r y C l i n t on
Wn: r.e House
1600 P e n n s y l v a n i a Avenue
Washington, D.C. 20000
Attention:
A l i c e J. Pushkar
D i r e c t o r o f Correspondence f o r F i r s t Lady
Dear Mrs. C l i n t o n . ,
You have t h e magic t o u c h ! Thank you f o r your h e l p i n
o b t a i n i n g a w a i v e r f r o m O f f i c e o f Personnel Management t o
c o n t i n u e my h e a l t h i n s u r a n c e coverage i n t o r e t i r e m e n : . You
can o n l y imagine t h e r e l i e f I f e e l t o have t h e coveracte. I t
would have t a k e n a l l my p e n s i o n ! s m a l l because I worl'ed
o n l y summers f o r U.S. Customs S e r v i c e ) t o pay f o r coveraae
as an i n d i v i d u a l , so I would have bought some k i n d of.
c a t a s t r o p h i c i n s u r a n c e o r moved t o Canada. The l a s t war a
d r a s t i c t h o u a h t , b u t we do have land t h e r e .
1
I have w r i t t e n a l l my s e n a t o r s and r e o r e s e n t a t ] ve t o sunoor*-.
u n i v e r s a l coverage or a t t h e v e r y least, comprehensive
medical coverage f o r everyone.
A n y t h i n g e l s e I can do. I
w i l l be happy t o do. I do s e r v e as a h e a l t h i n s u r a n c e
c o u n s e l o r f o r Cook County, M i n n e s o t a .
Again, thank you, thank vou, thank you.
3 i ;i c e r e: v .
^ r - j i s i f i i i i coon \.
a.:-; ':•',•"> w
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008a. letter
SUBJECT/TITLE
DATE
Anne Katherine Wilkinson to Hillary Clinton; RE: Address [partial]
(1 page)
09/15/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)l
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOI Aj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose inforniation compiled for law enforcement
purposes |(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical inforniation
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Anne Katherine Wilkinson
September 15, 1994
Mrs. Hillary Clinton
The White House
1600 Pennsylvania Avenue,
Washington, DC
Dear Mrs. Clinton:
I am writing this as an 8th grader. I go to school at Coleytown Middle School in
Westport, CT. In my Social Studies class we have just finished talking about "investing in
ourselves." Or, in other words, taking part in activities that will "pay off" in our future."
I am constantly "investing." I LOVE to read!!! I have read many books, including Gone
With the Wind, Anne of Green Gables (and all the sequals), and many, many, others. I also play
the piano, the violin, I sing, bake, write, etc. Ever since I visited the National Zoo I have
wanted to work there as a zoo keeper, zoologist, or a zoo doctor.
I would very much like to know how you "invested in yourself" as you were growing up.
I thank you for, and will eagerly await, your reply.
Sincerely yours,
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008b. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Anne Katherine Wilkinson; RE: Address
[partial] (1 page)
10/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 5S2(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASH INGTON
October 7, 1994
Miss Anne Katherine Wilkinson
LooZb}
Dear Miss Wilkinson:
Thank you for writing to me about your recent school
project. I enjoy receiving letters from young people about
the subjects that interest them.
I think i t i s important for young people to realize
that the best way to invest in yourselves i s through
furthering your education and becoming involved in
community service projects i n which you have the
opportunity to enrich the lives of others.
Thank you again for writing to me. I hope you
continue to take an interest in the world around you.
luck in the future.
Good
Sincerely yours.
Hillary Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
009a. letter
SUBJECT/TITLE
DATE
Ali B. Firouz to Mrs. Clinton; RE: Address and phone number
[partial] (1 page)
07/20/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |S U.S.C. 5S2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�A l i B.
J u l y 20,
Firouz
1994
Dear Mrs. C l i n t o n :
I am a twenty year o l d student i n Orlando, F l o r i d a , who
working hard t o achieve h i s dreams.
I am not a p o l i t i c i a n or a
s t r o n g s u p p o r t e r of p o l i t i c a l p a r t i e s .
However, a c o n v e r s a t i o n
s e v e r a l days ago w i t h a f r i e n d l e d me t o w r i t e t o you and
my o p i n i o n s .
is
voice
I t seems t o me t h a t every place t h a t I e n t e r , t h e r e
i s n o t h i n g but c r i t i c i s m f o r our p r e s i d e n t and our government.
There seems t o be no one who
the events
i s w i l l i n g t o t a k e t h e time and view
i n a non-biased manner, ( t h e y ' r e t o o busy p o i n t i n g
fingers!!!).
I n my view, t h e r e seems t o be no support f o r our
p r e s i d e n t and h i s e f f o r t s .
Well I DISAGREE!
'
I b e l i e v e t h a t P r e s i d e n t C l i n t o n i s doing
a great job of governing t h i s country.
He has taken the time t o
t a c k l e the very core of the problems t h a t plague t h i s n a t i o n .
has a l s o shown g r e a t l e a d e r s h i p a b i l i t i e s i n times of need.
He
These
are t r a i t s t h a t cannot be s a i d about a m a j o r i t y o f our past p r e s i d e n t s .
I a l s o b e l i e v e t h a t everyone, Democrat or Republican,
should
put
aside t h e i r p e t t y b i c k e r i n g and c o n c e n t r a t e more on improving
the
sys tem.
I a l s o b e l i e v e t h a t you have done an e x c e l l e n t j o b as the F i r s t
Lady i n the past two y e a r s .
You
have courageously
b a t t l e d the issue
of h e a l t h c a r e , an i s s u e t h a t has been i g n o r e d f a r too l o n g .
watched you on t e l e v i s i o n s e v e r a l n i g h t s ago,
by your keen knowledge and t a c t .
You
and was
I
impressed
are c l e a r l y an asset t o the
people of t h i s c o u n t r y , and a l s o p r e s i d e n t C l i n t o n .
W e l l , I j u s t thought t h a t you may
f o r a change!
You
l i k e t o hear something p o s i t i v e
have my complete s u p p o r t , and
I w i l l vote f o r
Clinton Library Photocopy
�you again i n the next P r e s i d e n t i a l
campaign,
Warmest wishes f o r c o n t i n u e d success.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
009b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Ali B. Firouz; RE: Address [partial] (1
page)
10/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 3]
2006-0810-F
dbl814
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Inforniation Act - [5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information [(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIAI
b(3) Release would violate a Federal statute |(bX3)of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WAS
HIN GTO N
October 7, 1994
Mr. A l i B. Firouz
LOO^b^
Dear Mr. Firouz:
Please accept my apologies for the delay i n responding
to your l e t t e r . I have received an unprecedented amount of
mail and i t has been d i f f i c u l t for me to respond as
promptly as I would l i k e . Your words of encouragement and
support mean a great deal to me.
I t i s a pleasure to hear from individuals who share a
v i s i o n of a better l i f e for a l l Americans. A common b e l i e f
in family, community, and country guides each of us as we
work to r e a l i z e the promise of America. Your ideas and
thoughts o f f e r added i n s p i r a t i o n as the President works to
ensure that every American's future i s f i l l e d with courage,
hope, and confidence.
I appreciate the i n t e r e s t and concern that your l e t t e r
conveys. Thank you for taking the time to write.
Sincerely yours,
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Folder 3 [General Correspondence]: Margaret A. Williams [Folder 3]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-012-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/672879d1b41e6089725d840346717085.pdf
9cd5e5e2cb4e1528490347b09fe2fe04
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 2]
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001a. letter
Tracey Desimai Hicks to The White House; RE: Address and phone
number [partial] (1 page)
09/29/1994
P6/b(6)
001b. letter
Tracey Desimai Hicks to Margaret William; RE: Address and phone
number [partial] (1 page)
09/06/1994
P6/b(6)
001c. letter
Tracey Desimai Hicks to Dear Sir/Madam; RE: Address and phone
number [partial] (2 pages)
06/15/1994
P6/b(6)
00Id. resume
Tracey Desimai Hicks; RE: Address and phone number [partial] (1
page)
n.d.
P6/b(6)
002. letter
B. K. Tshrisa to Hillary Clinton; RE: Address [partial] (1 page)
08/22/1995
P6/b(6)
003. report
Agency Liaison Report; RE: Personal [partial] (3 pages)
n.d.
P6/b(6)
004. letter
To: Hillary Clinton; RE: Name, address [partial] (1 page)
04/12/1994
P6/b(6)
005a. letter
Jack Ward Thomas to Jill A. Hagen; RE: Personal (2 pages)
08/25/1994
P6/b(6)
005b. letter
Jill A. Hagen to Hillary Rodham Clinton; RE: Personal (3 pages)
07/28/1994
P6/b(6)
006. letter
Ann & John Hagen to Hillary Clinton; RE: Address [partial] (1 page)
07/26/1994
P6/b(6)
007a. letter
Gerald P. Gautcher to Hillary Clinton; RE: Address and personal
[partial] (1 page)
08/15/1994
P6/b(6)
007b. letter
Hillary Rodham Clinton to Gerald P. Gautcher; RE: Address [partial]
(1 page)
09/07/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
Pi National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office |(aX2) of the PRA)
P3 Release would violate a Federal statute |(aX3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
008a. letter
Martha Wong to President Clinton and First Lady H. Clinton; RE:
Address [partial] (1 page)
06/26/1994
P6/b(6)
008b. letter
Hillary Rodham Clinton to Martha Wong; RE: Address [partial] (1
page)
09/07/1994
P6/b(6)
009a. letter
To: Hillary Rodham Clinton; RE: Name, address, and phone number
[partial] (1 page)
08/12/1994
P6/b(6)
009b. letter
From: Hillary Rodham Clinton; RE: Name and address [partial] (1
page)
09/08/1994
P6/b(6)
010a. letter
Ali B. Ftrouz to Mrs. Clinton; RE: Address and phone number
[partial] (1 page)
07/20/1994
P6/b(6)
010b. letter
Hillary Rodham Clinton to Ali B. Firouz; RE: Address [partial] (1
page)
09/08/1994
P6/b(6)
011a. letter
Myron Buchholz to Mrs. Clinton; RE: Address [partial] (1 page)
n.d.
P6/b(6)
011b. letter
Hillary Rodham Clinton to Myron Buchholz; RE: Address [partial] (1
page)
09/08/1994
P6/b(6)
012a. letter
Carol L. Haskett to Hillary Clinton; RE: Address and phone number
[partial] (1 page)
08/10/1994
P6/b(6)
012b. letter
Hillary Rodham Clinton to Carol Haskett; RE: Address [partial] (1
page)
09/07/1994
P6/b(6)
013a. letter
Mary Fritz to Hillary Clinton; RE: Address [partial] (1 page)
08/03/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes |(bX7) of the FOIA|
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
013b. letter
Hillary Rodham Clinton to Mary Fritz; RE: Address [partial] (1 page)
09/08/1994
P6/b(6)
014a. letter
Robert Spain to First Lady Mrs. Hillary Clinton; RE: Address
[partial] (1 page)
07/13/1994
P6/b(6)
014b. letter
Hillary Rodham Clinton to Robert Spain; RE: Address [partial] (1
page)
09/07/1994
P6/b(6)
015. letter
Hillary Rodham Clinton to Ryan Moore; RE: Address [partial] (1
page)
09/07/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl8l3
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Kreedom of Inforniation Act - |5 U.S.C. 552(b)l
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute ((a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�(Imp
PHC . COPY
PRESERVATION
�THE WHITE H O U S E
W A S HIN
GTO N
November 1, 1994
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS
CHIEF OF STAFF FOR THE FIRST LADY
FROM:
ALICE PUSHKAR
DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
STATUS REPORT FOR THE FIRST LADY'S
CORRESPONDENCE
T h i s r e p o r t covers the time period from September 25, 1994
through October 31, 1994.
The report i n c l u d e s information about
the volume of mail r e c e i v e d and produced by the O f f i c e of F i r s t
Lady's Correspondence.
Attached are the d a i l y production r e p o r t s f o r the time
period, a p i e c h a r t which represents a v i s u a l breakdown of your
i s s u e s - r e l a t e d m a i l , the Greetings Report, and f o l d e r s containing
l e t t e r s which are r e p r e s e n t a t i v e of those reviewed during the
time period.
Our o f f i c e has taken on the r e s p o n s i b i l i t y of handling
Chelsea's m a i l . We are reviewing a l l of her mail and answering
appropriate l e t t e r s with the card signed by the P r e s i d e n t .
Included i n t h i s report i s a sample l e t t e r t o Chelsea and our
response.
We have attached a copy of the l e t t e r t h a t we sent i n
response t o the birthday cards sent t o you t h a t included a
message of support. I t uses the b a s i c support form l e t t e r
language.
We have a new s t a f f member i n F i r s t Lady's Correspondence.
Sarah Brau has been h i r e d t o f i l l Joanne Anderson's p o s i t i o n .
Sarah's primary r e s p o n s i b i l i t y w i l l be t o oversee the volunteer
room and guarantee c o n t i n u i t y i n day-to-day procedures t h e r e .
T h i s brings our s t a f f t o t h r e e : Stacey Roth, who i s Deputy
D i r e c t o r ; Wendy Towber, who handles a l l scheduling
correspondence; and Sarah.
�During e a r l y November we arranged t o take our v o l u n t e e r s on
a tour of the F i r s t Lady's Sculpture Garden. Betty Monkman of
the Curators o f f i c e conducted three separate t o u r s f o r groups of
20 v o l u n t e e r s on each tour. There was unanimous p r a i s e f o r both
the a e s t h e t i c aspects of the garden, the s e l e c t i o n and placement
of the s c u l p t u r e s , the showcasing of midwestern museum a r t , and
the tour i t s e l f . We took s e v e r a l photos of our v o l u n t e e r s
t o u r i n g the garden and we have enclosed copies with t h i s report.
We have a l s o included photos of one of our v o l u n t e e r s , Mory
Myers. Mory i s 70+ and the photos were taken on a r e c e n t t r i p
t h a t Mory and h i s wife Betty took t o New Zealand. We thought you
might enjoy these photos of one of our adventurous v o l u n t e e r s .
During the month of October, we r e c e i v e d 9072 p i e c e s of
correspondence addressed t o you. The average number of l e t t e r s
r e c e i v e d d a i l y i n our o f f i c e has decreased from 371 t o 313.
Another 1725 l e t t e r s were forwarded to other o f f i c e s .
Approximately 2100 l e t t e r s required no response.
We responded to
363 5 l e t t e r s during the month of October.
As of November 1, 1994, approximately 4,121 coded l e t t e r s
awaited a response and approximately 1231 l e t t e r s were i n the
data entry and proofing stages. 321 l e t t e r s were unread during
the period.
ANALYSIS OF THE MAIL
No Response Necessary
Agency L i a i s o n
Support
Issues
HCR
Children's
Birthday
Request
Scheduling
Other People's
Other
VIP
Unfavorable
Translations
Personal
Greetings/Messages
Secret Service
Gifts
Following i s a breakdown of the i s s u e s - r e l a t e d mail
during the time period.
Other
Foreign R e l a t i o n s
Multi-Issues
Health (General)
28.5%
12.5%
10.8%
7.8%
6.9%
5.9%
5.6%
5.0%
3.9%
2.1%
2.0%
1.8%
1.4%
1.3%
1.1%
0.9%
0.9%
0.8%
reviewed
20.0%
13.7%
13.7%
13.7%
�Children
Immigration
Health (Women)
Education
Abortion
Government Reform
Crime/Violence
World War I I
Diet (Health)
Family
FDA
5.3%
5.3%
4.2%
4.2%
4.2%
4.2%
3.2%
2.1%
2.1%
2.1%
2.1%
For your information and review, we have attached copies of
l e t t e r s representing common themes i n the correspondence. W
e
have prepared responses to these l e t t e r s subject to your
approval.
The Health Care folder contains one l e t t e r from a woman who
l i v e s i n Liberty, Missouri. She writes about her family's
d i f f i c u l t y with health care costs during periods of serious
i l l n e s s . This writer w i l l receive the individual response form
l e t t e r which we are sending to you with the signature space l e f t
blank for you to sign.
The Issues folder contains two l e t t e r s . The f i r s t l e t t e r i n
the Issues folder i s from Peola Butler Dews, Ph.D. She writes
about the issue of domestic violence i n our country. We would
l i k e to use the response prepared for t h i s l e t t e r i n a form
l e t t e r to answer most l e t t e r s we receive regarding the matter of
domestic violence.
The second l e t t e r i n the Issues folder i s from a man who
l i v e s i n East Lyme, Connecticut. He writes of h i s concern about
the President's choice of Jimmy Carter, as an Ambassador.
Generally foreign policy issues are answered with a Presidential
l e t t e r , which i s data entered i n our office, however we are
submitting the attached individual response for your approval for
this particular letter.
The Support folder contains four l e t t e r s . The f i r s t l e t t e r
in the Support folder i s from Michael P. Lennon, President of
Homepro Systems, Inc. i n F a l l s Church, Virginia. He writes of
his personal experience with attempting to achieve change. He
expresses h i s support for your efforts towards positive change i n
our country. This writer w i l l receive the Support form l e t t e r
which i s being sent to you with the signature space l e f t blank
for you to sign personally.
The second l e t t e r i n the Support folder i s from a woman who
l i v e s i n Huntington Woods, Michigan. She writes of her support
for you and of her anger about the h o s t i l i t y directed against you
and the President. This l e t t e r w i l l receive the Support form
l e t t e r with the signature space l e f t blank for you to sign
/
�personally.
The t h i r d l e t t e r in the Support folder i s from a r e t i r e d
Attorney who l i v e s in University City, Missouri. He encloses a
copy of a l e t t e r which he directed to the Wall Street Journal.
His l e t t e r was not one of the ones included in the Wednesday,
November 2, l e t t e r s to the Wall Street Journal editor, captioned
"Why the V i l e Attack on H i l l a r y ? " The individual response to
t h i s writer i s being sent to you with the signature space l e f t
blank for you to sign personally.
The fourth l e t t e r in the Support folder i s from a woman who
l i v e s in Santa Monica, California. She writes of her support for
you and the President in spite of the negative press you have
received by the media. This writer w i l l receive the Support form
l e t t e r which i s being sent to you with the signature space l e f t
blank.
The Thank-You folder contains three l e t t e r s . The f i r s t
l e t t e r in the Thank-You folder i s from a woman who l i v e s in Stone
Mountain, Georgia. She writes to thank you for helping her
husband, a government worker, to receive h i s health benefits.
The second l e t t e r in the Thank-You folder i s from Beej
Nierengarten-Smith, Director of the Laumeier Sculpture Park i n
Saint Louis, Missouri. He writes to thank you for including the
sculpture Aurelia I in the F i r s t Lady's Sculpture Garden. He
includes catalogues and information about Laumeier's program.
The third item in the Thank-You folder i s a card from
P a t r i c i a Blakely who l i v e s in Lorain, Ohio. She writes to thank
you for your help with her Social Security claim.
The Children's folder contains one l e t t e r and one card. The
card i s from Mrs. Tyner's c l a s s in Madison, Missouri. They sent
you a hand-made birthday card with a note of thanks for the
picture and l e t t e r which our office sent them.
The second item i s a l e t t e r from a young woman from
Vincennes, Indiana, named Hillary, who ran a successful campaign
for school o f f i c e .
The Chelsea folder contains one l e t t e r from a woman who
l i v e s in Charlottesville, Virginia, in response to the r e s u l t s of
the mid-term election. She describes her experiences as a young
woman within the Democratic party during the mid - 1950's. A
copy of the form card which we are sending in response to mail
received for Chelsea i s attached. Please indicate i f you would
prefer that we draft an individual response from you to t h i s
writer.
�ANALYSIS OF MAIL RECEIVED |
(5.9%)
(2.1%)
(11%)
• AGENCY LIAISON
•
(0.9%)
GREETINGS/MESSAGES
• HCR
m PERSONAL
(28.5%)
(12.5%)
m KIDS
m OTHER PEOPLE'S
• NRN
m UNFAVORABLE
(0.9%)
(1.3%)
m OTHER
m BIRTHDAY
• GIFTS
• REQUEST
(10.8%)
m SCHEDULING
a SECRET SERVICE
• ISSUES
(1.8%)
(5.6%)
m VIP
• SUPPORT
(0.8%)
(5.0%)
(7.8%)
(3.9%)
(0.9%)
SEPTEMBER 29 - OCTOBER 31
m TRANSLATIONS
�ANALYSIS OF ISSUES MAIL RECEIVED
(13.7%)
(3.2%)
(4.2%)
• ABORTION
a CHILDREN
(4.2%)
•
IMMIGRATION
•
EDUCATION
m CRIME/VIOLENCE
B FOREIGN RELATIONS
• FDA
(13.7%)
• GOVERNMENT REFORM
• MULTI - ISSUES
a HEALTH (GENERAL)
• OTHER
a HEALTH (WOMEN)
B WORLD WAR II
• DIET (HEALTH)
(13 7%)
• FAMILY
(20.0%)
�THE WHIITE H O U S E
W A S H IN G T O N
FIRST LADY MESSAGES
October 1994 Report
* New York P r e s e r v a t i o n Foundation
* G r e e n v i l l e Elementary School
* L o u i s i a n a S p e c i a l Olympics
* American Cancer S o c i e t y
* American A r t s A l l i a n c e
* Temple Emanuel o f B e v e r l y H i l l s
* Henry Luce I I I C o n g r a t u l a t i o n s
* Salute t o Excellence
* N a t i o n a l Center f o r S t a t e Courts
* Spina B f i d a A s s o c i a t i o n
* Home Makers C o u n c i l o f Nausau County, I n c .
* Quincy H o s p i t a l B r e a s t Cancer Support Group
* Albany Law School
* Academy o f M e d i c a l and S u r g i c a l Nurses
* Coney I s l a n d H o s p i t a l
* Walker Memorial B a p t i s t
Church
* Women Business Owners
* The R e t r e a t
* The F i r s t Ronald McDonald House, P h i l a d e p h i a ( 2 0 t h A n n i v e r s a r y )
* J u n i o r League o f Boca Raton
* American A s s o c i a t i o n f o r M e d i c a l T r a n s c r i p t i o n ( L a u r e l Chapter)
* F o u n d a t i o n o f America, I n c . ( S o u t h e r n CA Chapter)
* Howard Brown H e a l t h Center
�* Seventeen Magazine
* G i f t from the Heart
* Maine C u l t u r a l A l l i a n c e
* MFY Legal Services
* The Washington B a l l e t
* Asbury United Methodist Church
* Jack & J i l l of America, Inc.
* U n i v e r s i t y of Chicago Medical Center
* Armenian National Committee of America, Western Region
* The Valley
* Sarasota Manatee Jewish Federation & Jewish Community Center
* Delta Sigma Theta S o r o r i t y , Los Angeles Chapter
* V i s t i n g Nurse Foundation of Schenectady County
* D e t r o i t Women's Forum
* Association of Nurses i n AIDS Care
* American Cancer Society, Minnesota D i v i s i o n
* Fire and Ice B a l l Benefit for Revlon/UCLA Women's Cancer
Research
* Seasons of Survivorship
* Northeast E l d e r l y Transportation Volunteer Dinner
* Mid-Hudson Legal Sevices' Retirement Dinner
* Academy f o r Jewish R e l i g i o n
* Bridges 1994 Employment Recognition Dinner
���VIA FAX (202-456-6244)
MAGGIE HAMILTON/CHIEF OF STAFF
BRAD CAFARELlil
i
NOVEMBER 1, 1994
HILLARY RODHAM CLINTON / MAK LJdJt MATL1N
Ms, Hamilton, : ;
:
Marlee Matlin had the pleasure of! meeting Mrs. Clinton at the HWPC Luncheon arid the Carousel
of Hope this past: week in Los Angeles. TTiey had a brief conversation about the possibility of
aiiiafking a brief meeting with the! President and the First Lady when Marlee comes to Washington
later fhis month for the American ^Teacher's Awards and Mrs. Clinton suggested we inake an
appointment with her office.
;
Marltee will be arriving in Washington late afternoon on Tuesday, November 15. There, will be a
shortrehearsalmid ihe taping of 4ie American Teacher's Awards special on Wednesday and she will
on Thursday morning, is there any time on Wednesday, November 16 during which a brief
could be arranged?
!
Marlcc has hoped for an opportunity to meet with President and Mrs. Clinton for some time, biit
especially since being appoitiled li) the Board of Directors of the Corporation for National Service.
•••I
i
.'.
i
Please fed free to call me at (310) 274-7800 or fax to (310) 274-7838. Thanks so much lor your
Assistance in placing this rexjiiest Into the. proper hand";
19171 Wiiih.r.BbJle^
PwrttwrnAftiHR teMb HMi Califon*
90210-5530
••el:3lOZM'79C0
»ftx:.210274-7838
�7
MA
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I
V
BRAGMAN
NYMAN
CAFARELLI
: ;
i:
A ^
-
r-
FACSIMILE TRANSMITTAL
i
Public Relations & Marketing
I
I
•
, fro;
•
:
!
MAGGIE HAMliLTON/CHIEF OF STATE
^rom:
BRAD CAFARELLI
pap:
NOVEMBER 1, 1994
j |Fax number:
!
(202) 456-624j4
;Nuinnber of pages including this page:
Message:
2
MARLEE MATlilN
^ yOu encounter any problem during transmission please call 310 274-7800. Thank you.
«9171 yilsjhire Boulevard Penthouse Suite Beverly Hills, California 90210-5530
10'd
01
«uia^»3
UPUJR
N
•Tel:310 274-7800
ueujEpja
W0dd
•Fax:310 274-7838
Nd£:S:f0 t?66T-T0-TT
�BREAKDOWN OF ISSUES
(5.7%)
(14 3"..)
(8.6%)
(5-7%)
• ABORTION
m CHILDREN
(11.4%)
(5.7%)
• IMMIGRATION
• EDUCATION
• FOREIGN RELATIONS
• GOVERNMENT REFORM
(8.6%)
H MULTI - ISSUES
1
• HEALTH (GENERAL)
m OTHER
(5.7%) X - f
(34.3%)
OTHER = Not statistically significant
�ANALYSIS OF INCOMING MAIL
(1.8%)
(7.0%)
(3.0%)
m AGENCY LIAISON
B GREETINGS/MESSAGES
• HCR
• KIDS
£
(8.6%)
• OTHER PEOPLE'S
s VIP
• NRN
(1.6%)
(43.2%)
s UNFAVORABLE
a REQUEST
• SCHEDULING
• OTHER
• ISSUES
• STAFF
m SUPPORT
m TRANSLATIONS
(1.2%)
(4.8%)
(4.6%)
SEPTEMBER 12, 1994 - SEPTEMBER 24, 1994|
�*'
, Revised Aug. 1 1994
THE WHITE HOUSE
OFFICE OF FIRST LADY'S CORRESPONDENCE
MAIL TALLY
for
Date
.REQUEST
t-Ujo Z j . j AGENCY LIAISON
.•J:
•5
t f . b ^ / / • 5SCHEDULING
GIFTS
Jess than $25
$25 or more
.fe'/' 1.5
^ •"/'/• 2 /
37*
GREETINGS/MESSAGES
SECRET SERVICE
HEALTH CARE REFORM
(
7-5 KIDS
T/* / 7 5
W%
k.k /»/k'5sUPPORT
:
. 5' PERSONAL
- 5 TAPES
TRANSLATIONS
/.Z'/e
.5" PRESS
y
,
/.fe7.
I T PERSONNEL
l j , v s >\
LSTAFF
e
OTITER PEOPLE'S MAIL
(includes Pres., Chelsea & Socks)
:,.:,
• J SERVICE OFFERED
^ UNFAVORABLE
/.*"/. j / i v i p
-• —
QTHER
Regular.
Schedule
^J.lio
I On NO RESPONSES NECESSARY
Commercial/Advertisements
11 -5
Cruel
/. 5
No name and/or address
Incoherent/illegible
n
• )A\>y-n.
CC: HRC
Ostomates
ILL?
Single Payer
Tryptophan
Hit System
-ii.
.J
FDA
Hlth Prevention
1-5
Other
/' -
10
Other
7^..,1
2_Mass Mailings
^ •5
Non-English country
Prisoners (not sent to Agency)
51
/''
•
•
�(A-
Revised Aug 1, 1994
7°/°
-/7.5
ISSUES
(
^ ^
.JsD
5.7'/.
/
Abortions
s.ri'.,/ /
6
(Total number of Issues correspondence)
Please list additional issues and number ofletters related to each issue. Count
/ m u l t i issues ONCE under the dominant issue..
Pro
Cons
Children's Issues
v{W . _ J f _
/
5 • ^ /•
/
~~
~
/^ . 3 '\y
^-5
C r i m e
and Violence
Education
Environment
Foreign Affairs
.Haiti
_For US involvement
_Rwanda
For US involvement
Other
_^
FDA (vitamins, supplements)
"~
11,h
GJV.T.T.
For
Against
Government Reform
For
/
-^
s.rl' _j_
^ fc'/' /
_Against
Health (women)
. Health Related (other than women )
I ' ^ Illegal Immigrant
. 5
-5
o
^o^Js
.5
.5
(jjjrci',f
2 5 0 GRAND TOTAL OF ALL CORRESPONDENCE RECEIVED
_Against
Against
�.1^
�htdc- if
3^/
�Is
3-
AM
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
DATE
SUBJECT/TITLE
Tracey Desimai Hicks to The White House; RE: Address and phone
number [partial] (1 page)
09/29/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbI8l3
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 5S2(b)|
PI
P2
P3
P4
b ( l ) National security classified information [(b)(1) of the F O I A j
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAI
b(3) Release would violate a Federal statute 1(b)(3) of the F O I A j
b(4) Release would disclose trade secrets or confidential or financial
inforniation 1(b)(4) of the F O I A j
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the F O I A j
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the F O I A j
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the F O I A j
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA]
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�SB'd IblQl
September 29, 1994
The White House
First Lady's Office
Attention: Evan
1600 Pennsylvania Avenue, NW
Washington, D.C. 20500
Dear Evan:
I called you this past Monday tofindout If Ms. Margaret Williams has
had a chance to speak to the IRS on my behalf regarding tax-exempt
status for my special project. (Mentoring program for muldcultural
youth in GIrrawheen, Western Australia.) As soon as you get the
opportunity, I would appreciate it very much if you would let me
know the status of this issue.
Thap|c you.
JLhUOti.
7
racey Desimai Hicks
Work: QX^32M£SL,
Home:
20-d
009 iAS ZTZ T
saoifiaBS a33auD nun nsn
i
Clinton Library Photocopy
WbS2:TT t>G6I-6Z-60
�FAX TRANSMISSION COVER SHEET
DATE:
TO:
Vitid (Ma's. OHics
FAX NUMBER:
FROM:
r
dd
WAIYNE STATE UNIVERSITY LAW SCHOOL
CAREER SERVICES OFFICE
468 WEST FERRY MALL
DETROIT, MI 48202
TELEPHONE: 313/577-3949 OR 577-3967
FAX: 313/577-6000
NUMBER OF PAGES INCLUDING COVER SHEET:
2
COMMENTS:
EVAN,
Here's the iufomaLiuu yuu mquebled. I alsu wdated to l e t
you k n o w ^ h a t ^ y ntpi deadline i s October 31, 1994. There i s
a p o s s i b i l i t y that another'news'article w i l l be w r i t t e n un
my project next week "to t r y and generate some donations, and
i f so, the tax-exempt status would really come In handy.
Thanks a bunch!!
Tracey
T0-d
009 iAS £l£ I
saoinaas aaaabD mtn nsn
Wbt't'iTT f66T-^T-0T
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. letter
DATE
SUBJECT/TITLE
Tracey Desimai Hicks to Margaret William; RE: Address and phone
number [partial] (1 page)
09/06/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b ( l ) National security classified information 1(h)(1) of the F O I A j
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the F O I A j
b(3) Release would violate a Federal statute 1(b)(3) of the F O I A j
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the F O I A j
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the F O I A j
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the F O I A j
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the F O I A j
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the F O I A j
National Security Classified Information 1(a)(1) of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA]
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(»)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
P R M . Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Tracey Desimai' Hicks
September 6, 1994
ATTENTION: MS. MARGARET WILLIAMS
i
Dear Ms. Williams:
In December Of 1993. 1 was selected by the Australian-American Community Education Grant
Foundationtodesign, implement and coordinate a mentoring program for four high schools in
Girrawheen, Western Australia. The foundation only awarded funding for the airfare. I have
been unsuccessful in securing the additional funding necessary to cany out a project of this
magnitude. (Please sec altachcU packet.)
As you can see, I am working against a very tight deadline. The attached packet to associations
and corporations was a last resort effort. Since April, T have mailed 350 packets and received
over 150 rejection letters. In addition, I have also contacted over a hundred local politicians,
ministers, celebrities and business people with no success.
Recently, mi article appeared In the Detroit Free Press by columnist Keith A. Owens about my
project. (Please see attached.) So far the article seems to have had no effect because I still have
not received any donations or inquiries. My biggest obstacle seems to be die fact that I am
asking for a donation as an individual and not as a tax-exempt organization. Any ».<wisrance that
you could offer me would be greatly appreciated.
As I indicated in my packet, I contacted the foundation on August 26, 1994, and was given an
extension until the end of September to give them a final decision. The next time 1 speak with
the foundation, I would like to be able to tell them that I will be in Australia by October because
the additionalftindingI needed was provided. Any assistance that you could offer would be
greatly appreciated.
Singly,
' Hicks
Clinton Library. Photocopy
20"d
009 i i S ETZ T
53010^33 aSBifcO ran HSPI
NdSfr:!!
W6I-«-^T
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001c. letter
DATE
SUBJECT/TITLE
Tracey Desimai Hicks to Dear Sir/Madam; RE: Address and phone
number [partial] (2 pages)
06/15/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Tracey Desirnai' Hicks
Inne 15. 1994
Dear Sir/Madam:
I am writing to your organization because I have recently been offered the opportunity of
a lifetime; however, without your much needed assistance, it may not become a reality. I
was nominated by Campus Compact at Brown University to design, implement and
coordinate a mentoring program at four high schools in Girrawheen, Western Australia.
Campus Compact nominated me for the position because of my extensive experience with
mentoring programs in the Service-Learning Center (SLC) at Michigan State University.
While employed in the SLC, 1 interviewed, selected, oriented, trained and placed over 200
university students in mentoring capacities at six community organizations within the Lansing
area. In addition, I conducted evaluations of the program that involved feedbackfromthe
mentors, memecs, parents and agency personnel.
In December of 1993. I was notified by the Australian-American Community Education
Gram Foundation that 1 had been selected to lead the project This project is a
collaborative effort between Campus Compact at Brown University in Providence, Rhode
Island and the Australian-American Community Education Grant Foundation located in the
City of Australia, Australian Capital Territory.
After speaking with many university administrators, faculty and especially m professor and
y
mentor, Dr. Cornelius B. Pratt, a renowned scholar in Public Relations Ethics, from the
Department of Advertising at Michigan State University, they suggested that 1 write to
organizations and associations to assist me with acquiring the necessary funding needed to
ensure m participation in this project. Furthermore, Dr. Pratt has encouraged me to
y
participate in this important cultural and professional opportunity. He will in fact monitor
m progress.
y
The A-ACEG Foundation and I have agreed that tu fully execute a meaningful mentoring
program and properly evaluate it, I must stay in Girrawheen, Western Australia, from four
to Six months. The program that I develop will be the catalyst for an on-going mentoring
program. My specific duties will be to design, implement and evaluate the program, as well
as to select, train and match fifty high school youth leaders withfivecommunity agencies
to mentor younger children on a volunteer basis. The Australian-American Community
Education Grant Foundation is providing roundtrip airfare to Girrawheen, Western
Australia; however, any additional costs are m responsibility.
y
ZB'd
009 U& CIC T
S33If*ES y33yd3 DtTI (TSn
Clinton Library Photocopy
WbSfrrtI fr66I-frT-0I
�Through correspondence with my official host, Girrawheen Senior High School, it has been
determined that it will cost approximately $10,000 to stay in Girrawheen, Western Australia,
for that length of time. Of that amount, 1 can contribute $2,000 which leaves a shortfall of
S8,000. The additional funding is necessary for room and board, transportation on the
continent, research materials, training materials and other essentials. Although no monetary
compensation is being provided-this is strictly a volunteer position-I accepted the position
because I welcome opportunities that will allow me to better myself and to further develop
my talents. I have an insatiable thirst for knowledge; I strongly believe that mentoring
programs are an essential lifeline for our country; and I know that such an opportunity will
be a tremendous teaming experieucc. Having experienced three areas of mentoring, that
of a mentor, that of a mentee and that of a coordinator, I look upon this project as a vehicle
to further my knowledge base, to broaden my horizons and to positively affect youth from
another culture. It is a known fact that by helping others, we indeed help ourselves.
More specifically, this cultural experience will give me the opportunity to manage and
administer a challenging program and to focus on an area that may lead to me acquiring a
Ph.D. Furthermore, as an African-American female, I believe it is imperative that I seek
out diverse cultural experiences to enhance my cultural/personal growth.
Upon my return to the United States, I will publish a series of articles based upon journal
entries about m experiences in Western Australia to be used as a learning tool by other
y
mentor advocates. I am willing to speak about m experience in Australia to orgarazatiuns
y
as well as listing the names of the benefactors who helped to make the project a reality in
any written material. This type of exposure will greatly enhance the outstanding reputation
your organization already has in the community.
I have conducted extensive research to tiy and obtain funding through more traditional
methods, such as contacting the Ford Foundation, the Rockefeller Foundation, the W.K
Kellogg Foundation, the J.C. Kellogg Foundation and many others without success. 1 have
contacted numerous grant organizations on behalf of this project, however, in all instances,
funding is only provided to (1) non-profit or tax exempt organizations, (2) charitable
organizations, (3) universities, (4) faculty and professional staff of universities, (5) students
currently enrolled in a Master's or PhD program or (6) individuals who have already
attained a Ph.D. Unfortunately, I fit into none of these categories.
The youth for the Australian mentoring project have been identified as at-risk and are
confronted with many of the same problems as our youth here in the states. This population
is also representative of several ethnic groups, including Vietnamese and Aborigine.
Additionally, the community from which these young people will be selected from has a high
juvenile crime rate, as well as having many families that live below the "poverty line."
Attached you willfinda copy of m r£sum6 as well as a support letter from Campus
y
Compact for your review. If you have any additional questions regarding this project, please
• feel free to contact me a i M i a l l l l i o r Ms. Jan Torres of Campus Compaa at (401)8631119.
Wd
009 iis ziz i
SBDinaas a33y«3 mi nsn
Clinton ^ a ^ P ^ o ^
�If I am unsuccessful in securing the necessary funding, I must contact the Foundation by
August 26, 1994 to inform them of the change because I am scheduled to depart the first
week of October. Any donation that your organization could provide for this project would
be greatly appreciated. Donations may be mailed by August 22, 1994 to;
Tracey Desirnai' Hicks
c/o Ms. Jan Torres
Campus Compact - Brown University
Box 1975
Providence, Rhode Island 02912
While 1 remain optimistic, in the event that I do not reach my goal of $8,000 in donations,
all donations will be returned by September 16, 1994.
Thank you for your cooperation.
Sincerely,
Tracey Desirnai' Hicks
Enclosures
sQ'd
009 i i s £!£ x
s3Dina3S uBsabo m i nsn
wfciifr:n t-eei-fi-Qi
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
00Id. resume
SUBJECT/TITLE
DATE
Tracey Desimai Hicks; RE: Address and phone number [partial] (1
page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Ereedom of Information Act - [5 U.S.C. S52(b)|
PI
P2
P3
P4
b ( l ) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the F O I A j
b(3) Release would violate a Federal statute 1(b)(3) of the F O I A j
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the F O I A j
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the F O I A j
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the F O I A j
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the F O I A j
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Tracey (Desimai' Micks
BroadMStlng
•Ran the control board.
•Conducted live interviews.
•Carted music.
•Assisted with remotes between station and broadcast site.
•Wrote, created, performed and produced public service announcements, commercials and
station promos.
Public Ralationa
•Conducted meetings with community representatives and university faculty.
•Designed publicity campaigns to market programs.
•Presented oral presentations to academic classes, residence halls, registered student
organizations and community organizations.
•Performed voiceovers for video and audio.
•Liaison between corporate officials and clients.
•Organized graduation ceremonies and informational seminars.
•Arranged media appearances for dignitaries.
•Created and implemented an advertising campaign to attract multi-ethnic applicants.
Managerial
•Advised community service student organization.
•Selected, trained and supervised 25 student coordinators.
•Recruited, interviewed and assigned 500^00 students to volunteer positions within the public
and private sector.
•Interviewed prospective account executives and residents.
-Hired technical staff und uhts&ruuni uuilniclun.
•Oversight for twenty building maintenance contractors.
Organizational
•Administered exams and graded assignments.
•Conducted research for an advertising study.
•Maintained merchant records.
•Handled a monthly budget for office expenditures.
•Distributed sales leads to a staff of twenty and set up sales appointments.
•Revised existing system for applicants; raised apartment occupancyfrom80% to 100% within
three months.
•Maintained paperwork according to The Department of Urban and Housing Development
(HUD) and Michigan State Housing Development Authority (MSHDA) rules and
regulations.
•Rented and collected lease payments for 250 units.
•Coordinated eviction notices from notification to court appearances.
Clinton Library Photocopy
90"d
009 LL& £T£ I
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�Proflrcnimlnq
•Planned, developed and coordinated on-site orientation programs, leadership
development seminars and self-enhancement workshops.
•Analyzed and wrote accurate program and job descriptions.
•Designed incentive programs for account executives.
•Organized and scheduled training seminars for account executives.
•Administered career advice and established internship programs.
1991 - 1993. STAFF ADVISOR, Service-Learning Center, Michigan State University.
East Lansing, Michigan.
1991 -1993. TEACHING ASSISTANT, Department of Advertising, Michigan State
University. East Lansing, Michigan.
1991. ACCOUNT EXECUTIVE, Peach Tree Bancard. Lansing, Michigan.
1990 -1991. ADVTTNTSTRATTVE ASSISTANT. Peach Tree Bancard. Lansing. Michigan.
1990 - 1992. ANNOUNCER/DISC JOCKEY,WMKM-1140 AM and WXLA-1180 AM/
WQHH-96.5FM. Detroit and Lansing, Michigan.
1989 - 1990. PROGRAM DIRECTOR, The School of Multi-Media, Inc. Detroit,
Michigan.
1988 - 1989. ASSISTANT MANAGER, Bowin Place Apartment Complex. Detroit,
Michigan.
1986 - 1988. ASSISTANT MANAGER, Trans-World Investment Company, Inc.
Detroit, Michigan.
Master of Arts, Advertising and PubUc Relations. Cognate: Business Administration
Management 1993. Michigan Stale University. East Lansing, Michigan.
Diploma, Broadcasting, 1988. Specs Howard School of Broadcast Arts. Inc. Southfield,
Michigan.
Bachelor of Arts, Broadcast Journalism, 1985. Howard University. Washington.D.C.
^TERPXPLS
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�CAMPUS
COMPACT
THE PROJECT FOR P1JRUC. AND COMMUNITY SERVICE
EXECUTIVE COMMITTEE
CHAIR
ThotBis Ehrliek
Indiana University
VICE-CHAIR
Wmu GngorUn
Brown University
MEMBERS
Wdard Brcslin
Orexel Univermy
JohaCuiMtuIII
Univfflity Virginia
jAknnMt* Col*
Spolman Coilfge
Lattie Coor
ANiona State Univf rsny
Rpb<Tt Corrij^n
Sin Frintiico State Univf niry
DelamCrpn
Chicago State Univerjity
PMlEbiMr
Maricopa Community College
Dijtnct
Nomum Francis
Xjvitr Univenity
rhi«w OMwKtni
Connecticut College
Thomai Knn
Drtw University
1
Kennedy, tx sffkia
Stanford Univcnitv
M««xll King
Brev»rd Comimuiity CollegE
Edvwd MUlov, CSC
Umvcraily nf Notre t>«me
Syr^n McClcimey
Community College ol" Denver
Patrick MeDonougli
Kenneth Mortimer
Univerjity of Hawaii Syitem
Ncwmati
Education Commiwion
of the Sutei
L*D O'Deoovaa, SJ
Cieorgetown University
L. Jey OlNa
New York Univernty
CWIctPiae
: Ohio University
Sr. Jc*] R«d
Alvifmo College
AdibSfcakir
Tougaloo College
Melvin Vtaignnpie
Albion College
David Warren
NAICU
C\mk* Yotaig
May 13,1994
To Whom it May Concern:
This letter is in support of the fellowship that was awarded to Tracey Desimai'
IBcks to travel to Guiawhecn, Western Australia. Tracey was selected and
endorsed by Campus Compact, as a part of a cooperative effort between the
Oiirawheen Senior High School and the Compact
Campus Compact's Campus Fanners in Learning Project (CP1L) has been actively
invdved in promoting and developing standards for campus-based mentoring
programs since 1989. We have awarded over 100 program development seed
grants and funded programs that enabled 25,000 at-risk youthtohave college
mentors. Seventy percent of our member colleges now nave mentoring programs.
Tracey was an outstanding coordinator of one of our programs at Michigan State
University, and she came highlyrecommendedfor this volunteer position at
Girrawheen.
The Compact would like to encourage support of Tracey's willingness to travel to
Australia to help set up a mentoring program and pass along the knowledge that she
has acquired. We also acknowledge that such a trip brings with it additional
expenses and sacrifices that are not covered by her host in Australia. We are happy
to coordinate any gifts or donations towards that trip, and forward them to Tracey.
Tracey's spirit of volunteerism is an inspiring example to college students
everywhere.
Sincerely,
Jan Torres
CPIL Project Director
: Univertiity o f Cullf'omiA,
' Los Angeles
DIRECTOR
Nancy C Rliodn
O u n p u t C c H n p a t t . W B M W » ( J m v C r u l y B u * IflTJ - PruvKtincx-, R t w d s l i l a a d D a y "
IM?
Fax 40i-M3*)779*Bitnat: enmpactgbrownvm •Internet: cmpact@ferownv71n.brown.edu.
• For eiprw mail packagn only: 1 S tienefic St. Providence, Rl 01901
8
• A f rojeci of the Kdwcation commusion ot" the swtei
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At-risk y uh matter all o e the world
ots
vr
Every so often, I get a letter from enabling 25,000 at-risk young people
someooft who wants mcney. Yeah, I to have college mentors.
heard what you said: "We al want
Michigan State University,
money. Big deal"
where Hkks received hw nwster's
Stick with me on this one.
degree last year in advertismg and
About a month asp I received a public relations, is one of 500 memletter from a young Detroit woman bet universities cf the compact
named Tracey Desimai' Hkks. In throughout the United States.
the letter die askedforsome assisFrom 1991-1993, Hicks served
tance.! swear I meant to, but I never as a staff advisorforMSlTs Service
got around to Learning Center, where she placed
answering.
more than 200 university students in
About a week mentoring positions at six mmrminiagoahecaLed. ty organizations in and around LanAs a journal- sing.
ist, I respect
il she is able to go to Australia—
persistence.
and right now that is a big "if' due to
But what I financial utoattcs — Hicks will do
respected
similar work as a volunteer, only this
even more,
and what got
my attention
most, was the.
reason behind
the tetter and
the phone call.
Hicks was
asking for help
so she could help others. She also
was asking to hdp in developing
into a better, broader-minded person. She was asking for help in
becoming someone who may weD
make a strong contribution to society, and I'd say that type is much
needed wouad these parts.
Combined with a gut feeling, this
is what made me decide to take the
risk of writing what is admittedly time it would be halfway around the
world. For approximately six
quite a different kind of cokunn.
months, she would lead a program
Last December, Hkks was se- designed to provide mentors for a
ferteri hy the Austxafiaa-American culturally diverse group otf at-risk
Community Fonndation to receive a kids, including aboriginal youngfellowshiptodeata, implement and sters.
coordinate a mentoring program for
Hkks hopes she can do somefour high schools in Girraween,
thing to reach at k-ast afewof those
Western Australia. Hkks was selectyoungsters; not just the aborigines,
ed and endorsed for the fellowship by
but all of them. To make that reach,
the Campus Compact's Campus
however, she needs $10,000 to covPartners in Learning Pnjject.
er room and board, research and
The Campus Compact, a uoivex- training materials and tnnsportatiOB
sity consortium based at Brown Uni- on the continent. Tbe fellowship only
versity in Providence, Rhode Island, provides nwifci-trip airfare to Aushas since 1989 awarded more than traUa. She's already contributed
100 program-development seed $2,000 of her own.
grants and has funded programs
SheS also sent out 350 packets to
various corporations and foundatioos
askingfarhelp, and haa received 150
rejectiona. Thie rest haven't bothered to respond. Sh# has yet to
receive a single tetter of support,
possihly because she is an individual
and not a nonprofit organization.
Hicks is tentatively scheduled to
leave Ihe second week of September, which means she needs the
money by Aug. 22. However, she has
the option of pushing her departure
date to October.
Some may wonder why they
should bother contributing to someone who is going to use such important skills to help children halfway
aruuud ihe world. Two reasons. One,
they're children. Two, Hicks is coming heme at the end cf her stay.
Whatever experience she gained in
Australia will help here Aw is particularly interested in setting up mento hdp young Afri-
If Tracey Desimai'
Hicks is able to go to
Amltakingarisk endorsing such
Australia, she willatriptobetafcmbjraMieooeldont
uneooeI<
lead a program know? Maybe. But considering that
what
wfl
designed to provide she's adoing Worthhelp kids, I
suspect it's risk
taking.
What appeals tn me mrtf about
mentors for a ScksT talsaion » that it demooculturally diversestratei her dotal view cf the probtem
group of at-risk kids. of at-risk dnMreoL To qpote a
oncMopdiar bmnper sticker I al-
60"d
009 i i S £T£ T
w * y » l ^ ' T a n k gJotafiy, act locaihr. I abo have traveled outside the
United States and try to think
globally, so this struck a chord with
me. I reafoft wne may see this as
unfair or as special pleading — or
maybe m get tons of mail requesting
that I advertise to then as wefl.
As I said before, this one time it
feds Us a risk worth taking.
If you agree, you can send your
dooztioDs to* ^
Tracey Desimai' Kcks
Campus Coopact
\ \\A \.\
Brown tlnivwrsrty
FO Boot 1975
Providence, RJ. 02912.
Good luck, Tracey.
Keith Oums it a Five Press editorial writer.
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rt
THE WHITE HOUSE
WASH 1 NGTON
January 13,
1994
ML. Owen Peterson, Editor
Representative American Speeches
Department of Speech Communication
Louisiana State U n i v e r s i t y
136 Coates H a l l
Baton Rouge, Louisiana 70803-3923
Dear Mr. Peterson:
Your l e t t e r t o H i l l a r y Rodham C l i n t o n dated
September 9, 1993 has been r e f e r r e d t o me f o r a response.
Please excuse our delay i n responding.
Mrs. C l i n t o n receives numerous requests t o allow
her speeches and w r i t i n g s t o be published. Because of the
d i f f i c u l t y of d i s t i n g u i s h i n g among these requests and the
l e g a l c o n s t r a i n t s on the use of her name and words i n
conjunction w i t h the marketing of a book, she has decided t o
decline a l l of these requests.
I hope t h a t you w i l l understand and w i l l respect
her wishes. Mrs. C l i n t o n has asked me t o thank you f o r your
kind l e t t e r and f o r your i n t e r e s t .
Sincerely.
Caputo
Press Secretary td^the
F i r s t Lady
�1
^
M
�LAW OFFICES
VINCENT
J
FULLER
DAVID
E
KENDALL
RAYMOND
WILLIAMS 6 CONNOLLY
W
BE R C A N
GREGORY
JEREMIAH
C.
COLLINS
J O H N
ROBERT
DAVID
725 TWELFTH STREET, N.W.
L
PAUL
WASHINGTON, D.C. 20005
J
UMIN
M A R T I N
C
KESTER
M
DANIEL,
RICHARD
M
GEkALL> A
ROBERT
HOWARD
['AUL
BLNNETT
R
WILLIAMS
CONNOLLY
( 1
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JERRY
1988)
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LEWIS
1.
ROBERT
II
J.
A
S.
SUNDERMEYER
T.
FULLER,
D
AUFH AUSER
BRUCE
BARNFTT
R.
CAROLYN
5.
CLARK
F
K
M.
111
5VEN
KATZ
SELIGMAN
ERIK
WILLIAM
KRASNE
L
BECGS
HOLMES
R. M U R R A Y ,
EVA PETKO
ESBER
CENDERSON
STEPHEN
D.
l-l
J O H N
CLINE
WILLIAMS
D
RABER
September 19, 1994
Ms. Margaret W i l l i a m s
A s s i s t a n t t o t h e P r e s i d e n t and
Chief o f S t a f f f o r H i l l a r y Rodham C l i n t o n
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C.
20510
Dear Maggie:
Enclosed i s a d r a f t o f a response t o Mr. Peterson
i n f o r m e d M a r v i n K r i s l o v t h a t our view was t h a t t h e response
should come from L i s a .
Thanks v e r y much.
Sincerely,
f^vid
Enclosure
E.I
Kendall
ELLISON
LEVINSTEIN
G
DANIEL
KATHLEEN
BABBY
H O F F M A N
STEINBACH
ROBERT
MILLER
S.
MARY
S.
A.
NICOLE
K A H N
DAVID
Ill
PETERS
III
JAMES
LUCCHINO
FERGUSON.
WH1TTEN
C U T M A N
LESSER
MICHELE
M A R K
WARD
MICHAEL
SHULMAN
11
STEVEN
BRUTON,
LON
WATKINS
F
PAULA
A
JUDITH
ZWEIFACH
W
R I C H A R D
URBANCZYK
111
KUNEY
MOGIN
HOWARD
SIMON
PETER
COOPER
A
PAUL
L
JAMES
III
CERSON
JR
DONNELL
MARVIN
N A N C Y
FREDERICK
JR
FEFEER
LAWRENCE
I 97H)
PH ILIP J
V. S U L L I V A N ,
HEARD
R
BA1NE
T
STEPHEN
E. M c D A N I E L S
BRENDAN
FAX (202) 434-5029
KEVIN
O
R
LANE
STEVEN
VILLA
K
BARRY S
WOLFF
CALBRAITH
WILLIAM
AUBREY
J O H N
F
CRAIG
BUCKLEY,
DOUGLAS
V A R D A M A N
A L A N
J O H N
(202) 434-5000
M.
W
J
TERRENCE
POVICH
STEVEN
J O H N
WEINBERG
B
We
JR
�September 19, 1994
Mr. Owen Peterson
Editor
Louisiana State UniversityDepartment o f Speech Communications
136 Coates H a l l
Baton Rouge, LA 70803-3923
Dear Mr. Peterson:
Thank you f o r your l e t t e r o f J u l y 21, 19 94 about t h e
next volume o f R e p r e s e n t a t i v e American Speeches. Please excuse
my d e l a y i n responding.
As e x p l a i n e d i n my l e t t e r o f January 13, 1994, Mrs.
C l i n t o n has r e j e c t e d many s i m i l a r r e q u e s t s . I t i s j u s t t o o
d i f f i c u l t t o d i s t i n g u i s h among these r e q u e s t s , and v a r i o u s l e g a l
c o n s t r a i n t s make t h e s i t u a t i o n even more d i f f i c u l t .
We hope t h a t
you w i l l understand.
Thanks a g a i n f o r w r i t i n g .
Sincerely,
L i s a Caputo
Press S e c r e t a r y t o t h e
F i r s t Lady
�July 21, 1994
Owen Peterson
Editor
Louisiana State University
Department of Speech Communications
136 Coates Hall
Baton Rouge, LA 70803-3923
Dear Mr. Peterson:
L i s a Caputo of the F i r s t Lady's Office has referred your
l e t t e r of June 15, 1994 to our o f f i c e .
I t i s with regret that I inform you that Mrs. Clinton must
decline your proposal to include her speech in the next volume of
Representative American Speeches. As you can imagine, Mrs.
Clinton receives numerous requests to participate in book
projects, such as your own.
A long-standing White House policy, however, cautions
against the use of the name, likeness, image, words or a c t i v i t i e s
of the President and the F i r s t Family i n connection with any
commercial endeavor, regardless of i t s merits. As a r e s u l t , the
F i r s t Lady does not participate in such projects where her
appearance would tend to suggest endorsement or
commercialization. Accordingly, we are unable to grant your
request.
Thank you for your cooperation in t h i s matter.
Sincerely,
Laura Radack
Attorney/Advisor
�L O U I S I A N A
LSU
A
N
D
A
G
Department
R
I
C
U
L
of Speech
T
U
R
S T A T E
A
L
A
N
D
M
U N I V E R S I T Y
E
C
H
A
N
I
C
A
L
C
O
L
L
E
G
E
Communication
June 15, 1994
Ms. L i s a Caputo
Press S e c r e t a r y t o t h e F i r s t Lady
The White House
Washington, D. C.
Dear Ms. Caputo:
Thank you f o r your l e t t e r o f January 13, 1994 (a copy o f which
i s e n c l o s e d ) . I can understand Mrs. C l i n t o n ' s concern w i t h how
her speeches and w r i t i n g s might be used or misused by p u b l i s h e r s ,
and her d e c i s i o n t o d e c l i n e a l l r e q u e s t s t o r e p r i n t her p u b l i c
addresses.
I w i l l , o f course, r e s p e c t her wishes.
However, I would l i k e t o r e q u e s t t h a t Mrs. C l i n t o n a l l o w me t o
r e p r i n t her address t o t h e American Medical A s s o c i a t i o n on June
13, 1993, i n t h e next volume o f R e p r e s e n t a t i v e American Speeches.
My reasons a r e ( 1 ) t h a t Mrs. C l i n t o n i s t h e l e a d i n g spokesperson
f o r t h e a d m i n i s t r a t i o n ' s h e a l t h r e f o r m program and t h a t any
a n t h o l o g y o f speeches on s i g n i f i c a n t speeches o f 1993-1994 should
c o n t a i n a t l e a s t one speech.
on t h e i s s u e ; ( 2 ) a t t h e time o f
the address, t h e O f f i c e o f t h e Press S e c r e t a r y o f t h e White House
sent me, upon r e q u e s t , a copy o f t h e speech marked f o r " i m m e d i a t e
r e l e a s t " , and ( 3 ) t h e t e x t was p u b l i s h e d i n i t s e n t i r e t y i n t h e
J u l y 15, 1993, V i t a l Speeches o f t h e Day.
R e p r e s e n t a t i v e American Speeches i s an a n t h o l o g y o f s i g n i f i c a n t
p u b l i c addresses p u b l i s h e d a n n u a l l y by t h e H. W. Wi Ison Company
!ference S h e l f s e r i e s f o r more than 55 y e a r s ,
as p a r t of i t s Re
The Reference She I f S e r i e s i s w i d e l y s u b s c r i b e d t o by h i g h s c h o o l ,
c o l l e g e , u n i v e r s i t y , and p u b l i c l i b r a r i e s .
I t i s a r e f e r e n c e work
Speakers i n c l u d e d i n t h e f o r t h c o m i n g volume i n d u e P r e s i d e n t
C l i n t o n , Vice Pre s i d e n t Gore, Senators B i l l B r a d l e y , Carole MoselyBrown, and Paul S imon, A t t o r n e y General Janet Reno, L i b r a r i a n o f
Congress James B i l l i n g t o n , C o l i n P o w e l l , Dan Rather , and Charles
Colson.
W i l l you please b r i n g t h i s m a t t e r t o Mrs. C l i n t o n ' s a t t e n t i o n ,
and l e t me know her response.
Sincerely
Owen Peterson
Editor
R e p r e s e n t a t i v e American Speeches
enclosure
13 6
Co at a
Hall
•
Baton
Rouge
•
Louisiana
•
70803-3923
•
504/388-41
72
'
f AX
5 0 4 / 3 8 8 -6-
��THE WHITE H O U S E
WAS
HIN GTO N
October 13, 1994
MEMORANDUM FOR ANN STOCK
FROM:
TODD STEI^Q S
SUBJECT:
Suggestion
for a film screening
There i s a new documentary film called "Hoop Dreams" which was
selected to close t h i s year's New York Film F e s t i v a l and which i s
getting spectacular reviews — i t was featured on the cover of
the Arts & Leisure section in l a s t Sunday's New York Times and i s
raved about in the attached Newsweek a r t i c l e . I t s t r i k e s me as a
film that the President and/or the F i r s t Lady might very much
l i k e to see.
My younger brother, who i s a theatre and film producer, i s now
working on a couple of new projects with the film makers who made
"Hoop Dreams" and, consequently, I could quite e a s i l y arrange to
have the distributor — Fine Line — screen the film here i f
there i s any interest.
Please l e t me know what you think.
cc:
Maggie Williams
Capricia Marshall
Reta Lewis
Many thanks.
�Battered
Dreams
of Glory
f
Documentaries: No
stars, no script, no way
you'll resist this
N
OT TOO MANY FILMMAKERS ARE DE-
termined enough, or crazy enough, to
devote seven years of their lives to the
making of a movie. A movie that has no
stars, no script, and was made on a budget
that would barely cover the catering costs
on "True Lies." Indeed, the odds against
Hoop Dreams ever seeing the light of day
were overwhelming, for it is a documentary, and the term itself carries such a commercial stigma that only a few are lucky
enough to get a theatrical release.
But "Hoop Dreams" has more than good
luck on its side: it's one of the richest movie
experiences of the year, a spellbinding
American epic that holds you firmly in its
grip for nearly three hours. Chicago filmmakers Steve James, Frederick Marx and
Peter Gilbert spent four and a half years
following two inner-city kids with dreams
of NBA glory, William Gates and Arthur
Agee, basketball prodigies whose hopes of
escaping the hazards of the ghetto rest on
their hardwood performance. W;»h ^n intimacy that never jeems intusive. "hoop
^•eams" tracks iliem through high school
up to the brink of college. We watch two
bovs turn into vounc men before our eves.
A moment of exultation: Arthur Agee
II.I:M
KIIHLIUI
The long haul: James, Gilbert and Marx spent seven years making 'Hoop Dreams'
And we see a portrait of inner-city struggle Gates, who lives in the Cabrini Green projand survival shorn of the sound-bite cliches ect and enters school at a fifth-grade acaof TV and the sensationalist reductionism demic level, is the blue-chip prospect, in
of Hollywood 'hood flicks. "Hoop Dreams" whom coach Gene Pingatore sees a glimhas all the suspense of a soap opera, but mer of the Thomas magic. Agee is the ganwithout the manipulation. It lets us draw gly speedster, a diamond in the rough. He
our own conclusions, never forcing the sto- has to make a three-hour round trip to St.
ry to fit a preordained agenda, never mak- Joseph's, where there are more white faces
ing easy generalizations out of the lives it than he's ever seen. By sophomore year.
examine? i^th such cleareyed generosity.
Gates is on the honor roll, and Agee. whose
At 14. Gates and Agee are given financial father has been laid off. is forced to transfr.
aid to attend St. ioseph's. ;i suburban Cath- lo all-black Marshall Hi;:!, .'kliuol
olic high school th;it pmlos itselt i'oi proBlaster ^nUSieS: You think vou can ..re
ducing superstar Isiuh Thomas. The quk-i
which wav talc's arrows are nointinii hut lite
isn't so predictable. One kid is iellecl bv ^ knee
revels in a Marshall High School victory injury, and has to undergo surgery. We re
startled to learn that, in his junioryear. Gates
becomes a father. Agee's father deserts his
family, and
see him on a playground
where Arthur is shooting lioo|.„. a <;'.':'iil>inig
figure scoring drugs. We get a haunting vl^,of Gates's older brother. Curtis. A former
basketball whiz deemed "uncoachable." he
invests all his blasted NBA fantasies in his
younger brother. There are heartbreaking,
exhilarating ups and downs — tamilv
a
plunged into darkness when their electricilv
is cut otf: the pride ot'Arthur's mother when
she graduates Irom a nurses assistant's
course: the nail-biting state champi'inshipr..
The movie captures the meat-markel
Iren/.v ot the basketball camps, when.' college recruiters come to salivate over the hot
prospects, and the hard-sell pressure they
put on the bovs. A friend succumbs to (he
1
�icmplation of drug dcalins and ucls caught.
l ne siaKes m mis nio\ ie couiau i oe nmnei
When Mrs. Agee celebrates her son's birthday, her gratitude is not for his accomplishment on the court, but that he's managed to
live to 18. This is a portrait of inner-city
America as complex, moving and surprising as any film has given us.
When James and Marx—later joined by
cinematographer Gilbert—conceived of
nis project, in 1987, they thought it would
•e a 30-minute film about the culture of
ainer-city playground basketball. With
S2.500 in grants and the producing help of
Kartemquin Films, they began to look for
their subjects. The first week of shooting
they met Agee and Gates, and quickly realized that their plans had to be drastically
revised: these were kids they had to follow,
wherever it led.
It led them eventually to shoot 250 hours
of film, almost every game and major event
in the boys' lives. The project struggled
through the first three years on only $2,500.
(Later they got $70,000 from the Corporation for Public Broadcasting and a $250,000
MacArthur Foundation grant.) Everyone
had a second job. Marriages were strained,
debts accumulated and the filmmakers
grew more and more attached to their subjects. Peter Gilbert's wife, Dru, recalls:
"What really got to me was when things
:
wcrf not coinsi well with the families. IVtor there's a book and possiblva I'M.-I ional i/ed'l"'.
wouiu coiiie Home auuinii misei \ lo ine movie; an aiuum. smtae ana viueo oi oen
pile. But then our problems would look mi- Sidran's fine jazz and rap score are in the
works, and hats and T shirts will be sold to
nuscule in comparison to theirs."
"There were times when it was difficult to benefit inner-city programs.
The bitter irony is that William Gates and
separate the roles of filmmaker/observer
.Arthur Agee have not been able
and extended family friend." adto share in the glory. Because
mits Steve lames. When the
they are college players, the
Agees power was shut off. the
NCAA has forbidden them from
filmmakers pulled some monev
sharing in the proceeds or talktogether to restore it. It was the
ing about the movie: their comone moment when they clearly
ments would be considered
stepped beyond their roles as
commercial endorsements. "We
documentarians. "We weren't
are in an appeal process to get
just going to exploit their pain
them to let us compensate the
and suffering. They say that to
families for their involvement,"
be a great documentary filmsays James. So far, the NCAA is
maker you have to be cutthroat
holding firm. "Do they want to
and not get involved. But if
play basketball or do they want
that's what it takes, then we
to be movie stars?" says the
don't want to be great documenNCAA's Mike Racy. "Under our
tary filmmakers."
rules they can't do both." The
"Hoop Dreams" had its triumphant premiere at the Sundance Film NCAA, which ought to have better things to
Festival, where it won the audience award worry about, has an odd idea of what a
and found a distributor, Fine Line Features. movie star is. But "Hoop Dreams" has
It was the first documentary ever chosen for shown us that the rules of the game are
closing night at the New York Film Festival. stacked against kids like Gates and Agee.
(And recently St. Joseph's and coach Pinga- Even better, it shows us how they fight back,
tore brought a lawsuit against the film, with the inside moves of hope.
claiming it depicts the school "in a false and
DAVID ANSEN
with
PETF.R ANNIN
inChicagc
untrue light.") It's even generating spinoffs:
'It was
difficult to
separate
the roles of
filmmaker
and family
friend'
ec&Lute
The Dynagrip
pen comes with an
air-cushioned grip for
unsurpassed writing
comfort. The Lubriglide ink
system lets the pen virtually
glide across paper to give you bold,
vivid lines. Does that make Dynagrip
the perfect pen?
In a word, yes.
C PAPER MATE)
O l W The Gillctic Company
�THE WHITE HOUSE
WASHINGTON
OCTOBER 15, 1994
MEMORANDUM FOR MELINDA BATES, DIRECTOR
WHITE HOUSE VISITORS CENTER
CC:
MARGARET A. WILLIAMS
FROM:
ALICE PUSHKAR, DIRECTOR
OFFICE OF FIRST LADY'S CORRESPONDENCE
SUBJECT:
TOUR OF SCULPTURE GARDEN
As we've discussed before, the F i r s t Lady has asked me to be
on the a l e r t for special opportunities to offer her volunteers as
a reward for the many hours of their time that they spend working
on her correspondence.
Needless to say, the volunteers are most
interested i n viewing the new sculpture garden.
I have talked with Betty Monkman about t h i s and she has
offered the s t a f f of the Curator's office to give brief tours of
the garden to the F i r s t Lady volunteers. Betty suggested that I
arrange with your office to schedule the times. Betty feels that
a group of f i f t e e n i s the maximum number to tour the garden at
one time. Therefore, we would need to select a minimum of four
different times during the next few weeks. Since our volunteers
come i n on different days, i t would be convenient, but not
e s s e n t i a l , i f we could schedule tours on four different week days
beginning with a Tuesday. Would i t be better for me to recommend
days or would you prefer to l e t me know what times might be
available?
The a r t tours that the Curator's staff gave to our
volunteers l a s t spring were a great success and the F i r s t Lady
was enthusiastic that we had found t h i s opportunity for them. I
know that the sculpture garden tour w i l l meet with the same
enthusiasm.
�THE
WHITE H O U S E
WASH
IN GTO N
September 29, 1994
Maggie We have n o t r e c e i v e d c o p i e s o f t h e a t t a c h e d .
I checked with the
mailroom and t h e P r e s i d e n t h a s been r e c e i v i n g them by t h e b o x f u l l
since early spring.
T h e r e were e v i d e n t l y two t y p e s .
The one
t h a t you s e n t down and an e a r l i e r v e r s i o n t h a t was a " p i n k s l i p "
f o r Dr. E l d e r s . They a r e a mass m a i l i n g campaign and a r e u s u a l l y
c o l l e c t e d by t h e o r g a n i z e r s and s e n t i n b u l k .
Following
500
12,441
13,600
10,088
29,040
5,000
15,990
14,880
11,000
8,290
20,000
2,270
6,690
1,728
1,220
4,000
3,172
Alice
a r e weekly t o t a l s beginning i n e a r l y
spring:
��THE WHITE
HOUSE
WASHINGTON
Date
<11*1
M M FROM MAGGIE WILLIAMS
EO
TO:
The attached i s f o r your:
Information
Advice
Action
COMMENTS:
_
�/(ry :
4^>
SOUTH
.cm -
3Vo9
YfaA-
Elders' son sentenced /;
,
; LITTLE ROCK, Ark. — A judge
sentenced a son of U.S. Surgeon General
Joycelyn Elders on Monday to 10 years in
prison for selling one-eighth of an ounce of
cocaine to an undercover police officer.
; As Kevin Elders was led off to jail, the
surgeon general fought back tears, while his
father, Oliver, slammed his hands into a
steel door in frustration.
; Kevin Elders, 28, had claimed
entrapment, saying the informant who set up
1
3(3^
.1°
17/
1
5^ -
6
S tt n o ©tsimteal
eio f
to: President Bill Clinton
/ am shocked and outraged over the latest comments of Dr. Joycelyn Elders, your appointed
Surgeon General, promoting dangerous homosexual sex practices to nation's youth.
Dr. Elders has repeatedly shown that she is an extremist radical who does not represent the views
of the majority of American citizens, who believe in traditional family values.
She has offended and alienated the majority, whose health she is sworn to represent, and is a poor
example for our young people, who look to the Surgeon General as a leader in matters of health.
She is attempting to push a radical, pro-homosexual agenda on American young people through
the public schools, and mistakenly claims that 10 percent of children are homosexual.
She threatens the health and safety of millions of America's youth by her radical call for the
legalization of dangerous drugs, despite evidence of their harmful effects.
She will undermine the moral values of millions of America's school children by encouraging
sexual experimentation through promotion of condom distribution in school-based clinics.
She proposes sex education programs for young children - even as early as kindergarten.
She is a threat to the unborn because of her promotion of abortion as a form of birth control.
AS A VOTING AND TAXPAYING CITIZEN, I HEREBY CALL UPON YOU TO DISMISS DR. ELDERS
IMMEDIATELY AND APPOINT A SURGEON GENERAL THAT REFLECTS AMERICA'S TRADITIONAL VALUES.
Jeny F a l w ^ /
City
^
Your Name
State
City
State
��THE WHITE
WAS
HOUSE
H I N GTO N
CI.'
Agency R e p r e s e n t a t i v e
Mary A t h r i d g e
K e v i n Cooper
A n i t a Fogan
Debra—Go-l-dfeei'g
M i c h a e l Goodin
Victor Harris
Deborah Hobbs
fjTom McDonough
Seileen Mullen
Maria Stephens
Scott Stiens
Department
SBA
DOD
Treasury
-B&ir—
DOC
VA
DOL
DOC
DOD
Treasury
VA
* Have been r e c a l l e d by t h e Department o f Commerce
�PERCENTAGE ANALYSIS OF TOTAL MAIL RECEIVED
28.0%)
(23.0%)
•
NO RESPONSE NECESSARY
m HEALTH CARE REFORM
on AGENCY LIAISON
n ISSUES
•
SUPPORT
as REQUESTS
(12.0%)
•
SCHEDULING
•
11.0%)
CHILDREN'S
0 3 UNFAVORABLE
3
(7.0%)
y (2 0%)
(2.0%)
(3.0%)
(4.0%)
JULYl," 1994 - JULY 31, 1994)
• OTHER
�PERCENTAGE ANALYSIS OF ISSUES MAIL RECEIVED
(11.0%)
(9.0%)
(22.0%)
•
HEALTH RELATED (OTHER THAN HCRIC)
m GOVERNMENT REFORM
m CRIME AND VIOLENCE
(7.0%)
o ABORTION (CON)
m FOREIGN RELATIONS
m CHILDREN'S ISSUES
(8.0%)
•
LEGAL DEFENSE
n ANIMAL RIGHTS
(6.0%)
(21.0%)
EJI EDUCATION
•
(7.0%)
(5.0%)
(4.0%)
| JULY 1, 1994^JiXY 31, 1994|
OTHER
�THE WHITE HOUSE COMMENT LINE
Thursday August 11, 1994
SUMMARY: The White House Coimment Line volunteer operators
received 2141 c a l l s .
I f you have any questions, please contact P a t r i c k E.J.
Briggs a t X65445.
Issues:
Support
Oppose
1.
President's Performance:
111
112
2.
Health Care Reform:
(gov't i n t e r v e n t i o n )
133
706
3.
U n i v e r s i a l Coverage 100%:
15
9
4.
Pushing Health Care Through
This Year:
67
275
14
59
5.
I n c l u s i o n o f Abortion i n
Health Care:
6.
7.
AARP's Endorsement o f
Health Care:
M i t c h e l l ' s Health Care B i l l :
13
92
73
332
8.
Crime B i l l :
41
331
9.
Stronger Immigration laws:
62
2
10.
US P o l i c y on H a i t i
US G e t t i n g Involved:
9
23
M i l i t a r y Intervention:
3
23
I n t e r v e n t i o n i n Bosnia:
White Water
President and His
Administration:
6
6
2
6
7
5
12
153
2
23
11.
12.
Necessity of the Hearings:
13.
H i l l a r y Clinton:
(comments i n Connecticut)
14.
Cuban Exodus:
15.
Government I n t e r c e d i n g i n
Baseball S t r i k e :
8
�August 31, 1994
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS
CHIEF OF STAFF FOR THE FIRST LADY
FROM:
ALICE PUSHKAR
DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
STATUS REPORT FOR FIRST LADY'S
CORRESPONDENCE
T h i s r e p o r t covers t h e t i m e p e r i o d from August 1, 1994
t h r o u g h August 31, 1994.
The r e p o r t i n c l u d e s ( i ) i n f o r m a t i o n
about t h e volume o f m a i l r e c e i v e d and produced by t h e O f f i c e o f
F i r s t Lady's Correspondence, ( i i ) The G r e e t i n g s Report f o r August
o f 1994,
( i i i ) The Agency L i a i s o n Report and ( i v ) i n f o r m a t i o n on
t h e t o t a l number o f v o l u n t e e r hours worked i n August.
D u r i n g t h e month o f August, we c o n t i n u e d t o examine our
o f f i c e systems, m a i l h a n d l i n g and r e p o r t i n g p r o c e d u r e s . On
F r i d a y , August 19, as a t e s t o f t h e v a l i d i t y o f our r e p o r t i n g
s t a t i s t i c s , we conducted an i n v e n t o r y o f a l l in-house
correspondence on t h a t date.
The In-Process s t a t i s t i c s f o r t h i s
r e p o r t have been a d j u s t e d t o r e f l e c t those a c t u a l f i n d i n g s . We
c o n t i n u e t o r e f i n e t h e d a t a c o l l e c t i o n system t o o b t a i n more
a c c u r a t e and m e a n i n g f u l i n f o r m a t i o n f o r you.
Sandra H a r r i s , one
o f our v o l u n t e e r s , has a background i n a c c o u n t i n g and management
and i s p r o v i n g i n v a l u a b l e i n t h e g a t h e r i n g and e v a l u a t i o n o f our
s t a t i s t i c a l data.
We have again i n c l u d e d a p i e - c h a r t which
r e p r e s e n t s a v i s u a l breakdown o f your i s s u e s - r e l a t e d m a i l . We
p l a n on i n c l u d i n g t h i s c h a r t as a r e g u l a r f e a t u r e o f our r e p o r t s .
I n September, we w i l l a g a i n be sending b i - m o n t h l y r e p o r t s .
As you suggested, we have c o n t a c t e d C a r o l Rasco*s o f f i c e and
r e q u e s t e d language on t h e Bovine Growth Hormone t o use i n a form
response f o r w r i t e r s r e q u e s t i n g i n f o r m a t i o n on t h i s s u b j e c t . I n
a d d i t i o n , a t your r e q u e s t , we forwarded t o Margaret Richardson's
o f f i c e a copy o f t h e l e t t e r you r e c e i v e d commending an I.R.S.
s t a f f member. Enclosed i s a copy o f her response.
�D u r i n g t h e month o f J u l y , our o f f i c e was v i s i t e d by Mr.
M i k h a i l A l e x e e v i t c h Mironov, D i r e c t o r o f Correspondence, O f f i c e
o f A d m i n i s t r a t i o n o f t h e P r e s i d e n t o f t h e Russian F e d e r a t i o n .
During h i s v i s i t , I had t h e o p p o r t u n i t y t o discuss w i t h him, ( v i a
a t r a n s l a t o r ) , t h e s i m i l a r i t i e s and d i f f e r e n c e s between our
correspondence o f f i c e s .
A l t h o u g h August i s t y p i c a l l y a slow month f o r v o l u n t e e r
v i s i t s , our s t a t i s t i c s show t h a t we had 279 v o l u n t e e r v i s i t s
d u r i n g t h e month f o r a t o t a l o f 1291 v o l u n t e e r hours.
The
average number o f v o l u n t e e r s per day was 13 and t h e average v i s i t
was 4.5 hours. D u r i n g t h e month o f September, our v o l u n t e e r
c o o r d i n a t o r s . w i l l b e g i n a s e r i e s o f r e f r e s h e r courses f o r a l l
v o l u n t e e r s t o assure t h e accuracy o f our coding procedures. I
w i l l t a l k w i t h P a t t i t o schedule an event w i t h you i n t h e v e r y
near f u t u r e t h a t w i l l assure more o p p o r t u n i t y f o r i n d i v i d u a l
photographs w i t h you and our v o l u n t e e r s .
T h i s w i l l mean a g r e a t
d e a l t o them.
A t t a c h e d are t h e r e v i s e d d a i l y p r o d u c t i o n r e p o r t s f o r t h e
t i m e p e r i o d and f o l d e r s c o n t a i n i n g l e t t e r s which are
r e p r e s e n t a t i v e of those reviewed d u r i n g the period.
During t h e month o f August, we r e c e i v e d 8725 p i e c e s o f
correspondence addressed t o you.
The average number o f l e t t e r s
r e c e i v e d d a i l y has decreased from 330 t o 257.
A p p r o x i m a t e l y 2242
l e t t e r s r e c e i v e d by our o f f i c e were forwarded t o t h e H e a l t h Care
Reform I n f o r m a t i o n Center. Another 1810 l e t t e r s were f o r w a r d e d
t o other o f f i c e s .
A p p r o x i m a t e l y 3072 l e t t e r s r e q u i r e d no
response. We responded t o 1995 l e t t e r s d u r i n g t h e t i m e p e r i o d .
As o f August 31, we had a b a c k l o g o f 252 l e t t e r s w a i t i n g t o
be read.
A p p r o x i m a t e l y 1900 coded l e t t e r s a w a i t a response and
a p p r o x i m a t e l y 567 l e t t e r s a r e i n t h e d a t a e n t r y and p r o o f i n g
stages.
ANALYSIS OF THE
MAIL
No Response Necessary
H e a l t h Care Reform
Agency L i a i s o n
Issues
Support
Other
Requests
Scheduling
Unfavorable
Children's
Other People's M a i l
Greetings/Messages
31.2%
26.9%
9.8%
7.3%
6.4%
4.6%
4.1%
3.2%
2.1%
1.9%
1.6%
1.0%
�F o l l o w i n g i s a breakdown o f t h e i s s u e s - r e l a t e d m a i l reviewed
during the time period.
Multi-issues
H e a l t h R e l a t e d ( o t h e r t h a n HCRIC)
Crime and V i o l e n c e
C h i l d r e n ' s Issues
Foreign Relations
Welfare
H e a l t h R e l a t e d (Women)
Education
Government Reform
FDA
^
A b o r t i o n (con)
G.A.T.T
Other ( v a r i e d issues-none o f which a r e s t a t i s t i c a l l y
significant)
12.9%
10.6%
10.6%
7.1%
5.9%
4.7%
4.7%
4.7%
4.7%
3.5%.
2.4%
2.4%
25.9%
Our v o l u n t e e r r e a d e r s have noted two d e v e l o p i n g a c t i v i t i e s
i n t h e m a i l : one, you r e c e i v e d 86 s u p p o r t l e t t e r s from r e s i d e n t s
of S e a t t l e a p o l o g i z i n g f o r t h e manner i n which you were t r e a t e d
d u r i n g your appearance t h e r e ; and two, a new mass m a i l i n g
e n d o r s i n g u n i v e r s a l h e a l t h c a r e coverage has begun t o a r r i v e .
Samples o f b o t h a r e i n c l u d e d w i t h t h i s r e p o r t .
For your i n f o r m a t i o n and r e v i e w , we have a t t a c h e d c o p i e s o f
l e t t e r s r e p r e s e n t i n g common themes i n your correspondence.
We
have prepared responses t o these l e t t e r s s u b j e c t t o your
approval.
The H e a l t h Care f o l d e r c o n t a i n s s i x l e t t e r s .
We have
i n c l u d e d a proposed l e t t e r f o r your s i g n a t u r e . We would l i k e t o
use t h i s l e t t e r t o answer t h e h e a l t h c a r e l e t t e r s which a r e
p a r t i c u l a r l y p o i g n a n t . The f i r s t l e t t e r i n t h e H e a l t h Care
f o l d e r i s from a t e r m i n a l p a n c r e a t i c cancer p a t i e n t w i t h m e t a s t i c
l i v e r cancer.
He w r i t e s t h a t w i t h s i x months t o l i v e he has
decided n o t t o undergo chemotherapy o r r a d i a t i o n t h e r a p y , b u t
i n s t e a d t o handle h i s i l l n e s s w i t h p a i n k i l l e r s which a r e much
l e s s expensive t h a n t h e government's and h i s c o s t share o f these
t r e a t m e n t s . He w r i t e s o f h i s view t h a t t h e c o s t o f a new h e a l t h
p l a n may be p r o h i b i t i v e f o r our c o u n t r y , and t h a t we s h o u l d w a i t
u n t i l we can a f f o r d h e a l t h c a r e r e f o r m . The i n d i v i d u a l response
t o t h i s w r i t e r i s b e i n g s e n t t o you w i t h t h e s i g n a t u r e space l e f t
blank f o r you t o s i g n p e r s o n a l l y .
The second l e t t e r i n t h e H e a l t h Care f o l d e r i s from a d o c t o r
who s p e c i a l i z e s i n pulmonary and c r i t i c a l care medicine i n
J a c k s o n v i l l e , F l o r i d a . He w r i t e s o f h i s o p p o s i t i o n t o
b u r e a u c r a t i c c o n t r o l o f and l a c k o f c h o i c e i n t h e proposed
n a t i o n a l h e a l t h care r e f o r m . We propose t o send t h i s w r i t e r t h e
l e t t e r which we have s u b m i t t e d f o r your a p p r o v a l .
�The t h i r d l e t t e r i n t h e H e a l t h Care f o l d e r i s from a woman
who l i v e s i n New York. She w r i t e s o f h e r t e r m i n a l l y i l l mother's
a t t e m p t s t o r e c e i v e h e a l t h care b e n e f i t s . T h i s response i s b e i n g
s e n t t o you w i t h t h e s i g n a t u r e space l e f t b l a n k f o r you t o s i g n
personally.
The f o u r t h l e t t e r i n t h e H e a l t h Care f o l d e r i s from a
husband and w i f e who l i v e i n New J e r s e y . They w r i t e o f t h e i r
t w e n t y - f i v e year o l d son's f o u r day h o s p i t a l s t a y and numerous
t e s t s f o r what was diagnosed as a k i d n e y t r a c t problem.
We
propose t o send t h i s w r i t e r t h e l e t t e r which we have s u b m i t t e d
f o r your a p p r o v a l .
The f i f t h l e t t e r i n t h e H e a l t h Care f o l d e r i s from Robert J .
H a r r i s , S t a t e R e p r e s e n t a t i v e from Vermont. He w r i t e s o f h i s
s u p p o r t o f your p o s i t i o n on h e a l t h c a r e r e f o r m . The i n d i v i d u a l
response t o t h i s w r i t e r i s b e i n g s e n t t o you w i t h t h e s i g n a t u r e
space l e f t b l a n k f o r you t o s i g n p e r s o n a l l y .
The s i x t h l e t t e r i n t h e H e a l t h Care f o l d e r i s from Theresa
Kordmeier V o g l e r , a r e g i s t e r e d nurse o f f o r t y - s e v e n y e a r s , who
was t r a i n e d i n Hot S p r i n g s , Arkansas and worked a t St. V i n c e n t ' s
I n f i r m a r y i n L i t t l e Rock f o r t h i r t y y e a r s . She r e l a t e s h e r
n e g a t i v e experiences w i t h t h e Case Management system i n t h e
h o s p i t a l and home c a r e s e t t i n g . She a l s o o f f e r s t o h e l p i n t h e
h e a l t h care r e f o r m e f f o r t . The i n d i v i d u a l response t o t h i s
w r i t e r i s b e i n g sent t o you w i t h t h e s i g n a t u r e space l e f t b l a n k
f o r you t o s i g n p e r s o n a l l y .
The Support f o l d e r c o n t a i n s f i v e l e t t e r s .
The f i r s t l e t t e r
i n t h e Support f o l d e r i s from a t w e n t y year o l d s t u d e n t who l i v e s
i n Orlando, F l o r i d a . He w r i t e s o f h i s s u p p o r t f o r you and t h e
P r e s i d e n t , and o f h i s p e r c e p t i o n o f t h e media's c r i t i c i s m o f t h e
A d m i n i s t r a t i o n . T h i s w r i t e r w i l l r e c e i v e t h e Support form
letter.
The second l e t t e r i n t h e Support f o l d e r i s from t h e son o f
Sherry Buchholz, now deceased, who w r o t e t o you i n June o f 1993.
He thanks you f o r responding t o h e r l e t t e r and f o r your s t r o n g
l e a d e r s h i p towards h e a l t h care r e f o r m . Your l e t t e r o f a year ago
t o which he r e f e r s i s n o t i n o u r c u r r e n t database.
The t h i r d l e t t e r i n t h e Support f o l d e r i s from a r e g i s t e r e d
Republican who l i v e s i n Bradenton, F l o r i d a . She w r i t e s i n
s u p p o r t o f your e f f o r t s i n h e a l t h care r e f o r m . T h i s w r i t e r w i l l
r e c e i v e t h e Support form l e t t e r .
The f o u r t h l e t t e r i n t h e Support f o l d e r i s from a former
U n i t e d M e t h o d i s t m i s s i o n a r y . She w r i t e s o f h e r a d m i r a t i o n f o r
you and f o r t h e way you p r a c t i c e r e l i g i o n i n your d a i l y l i f e .
The response t o t h i s l e t t e r i s b e i n g sent t o you w i t h t h e
s i g n a t u r e space l e f t b l a n k f o r you t o s i g n p e r s o n a l l y .
�The f i f t h l e t t e r i n t h e Support f o l d e r i s from a man
who
l i v e s i n Newton, Massachusetts. He w r i t e s about h i s d a u g h t e r
Bethsabee Spain, who g r a d u a t e d from W e l l e s l e y i n 1988.
He
encloses a photograph o f h i s daughter and w r i t e s t h a t he f e e l s
she resembles you.
The i n d i v i d u a l response t o t h i s w r i t e r i s
being sent t o you w i t h t h e s i g n a t u r e space l e f t blank f o r you t o
s i g n p e r s o n a l l y . Please i n d i c a t e i f you would p r e f e r a d i g i t i z e d
signature.
The Thank You f o l d e r c o n t a i n s t h r e e l e t t e r s .
The f i r s t
l e t t e r i n t h e Thank You f o l d e r i s from Ryan Moore. He w r i t e s
about h i s f e e l i n g s d u r i n g t h e h e a l t h care event where he met you.
The i n d i v i d u a J . response t o h i s l e t t e r i s being sent t o you w i t h
t h e s i g n a t u r e space l e f t blank f o r you t o s i g n p e r s o n a l l y .
The second l e t t e r i n t h e Thank You f o l d e r i s from Nancy
Heyer, RN.
She w r i t e s t o thank you f o r meeting w i t h t h e Board o f
D i r e c t o r s o f t h e N a t i o n a l A s s o c i a t i o n f o r Home Care and H e a l t h
Right.
The t h i r d l e t t e r i n t h e Thank You f o l d e r i s from G l o r i a
Zigner, a p u b l i c r e l a t i o n s c o n s u l t a n t who works f o r a f i r m i n
I r v i n e , C a l i f o r n i a . She w r i t e s o f t h e d r a m a t i c improvement i n
h e a l t h o f Steven Selb, a f t e r t h e P r e s i d e n t ' s v i s i t w i t h him a t
t h e C h i l d r e n ' s H o s p i t a l o f Orange County. She encloses a copy o f
KIDS, t h e n e w s l e t t e r f o r C h i l d r e n ' s H o s p i t a l of Orange County.
The i n d i v i d u a l response t o t h i s l e t t e r i s being sent w i t h t h e
d i g i t i z e d s i g n a t u r e . Please i n d i c a t e i f you would p r e f e r t o s i g n
this l e t t e r personally.
�BREAKDOWN ANALYSIS
(26.9%)
(1.9%)
(1.6%)
\
(1.0%)
• AGENCY LIAISON
m GREETINGS/MESSAGES
(9.8%)
: i HCR
m KIDS
a OTHER PEOPLE'S
n NRN
• REQUEST
a SCHEDULING
(31.2%)
7:i ISSUES
mSUPPORT
BUNFAVORABLE
:;OTHER
(4.1%)
(3.2%)
AUGUST 1994
OTHER = NOT STATISTICALLY SIGNIFICANT!
�ISSUES BREAKDOWN
(4.7%)
(4.7%)
(5.9%)
(10.6%)
(3.5%)
• ABORTION (CON)
m CHILDREN
(4.7%)
a CRIMEA/IOLENCE
(7.1%)
• EDUCATION
• WELFARE
(2.4%)
(12.9%)
is FOREIGN AFF.
B
FDA
LJ GOVT REFORM
m MULTI - ISSUES
B HEALTH (GENERAL)
a HEALTH (WOMEN)
H G.A.T.T.
s OTHER
(10.6%)
(4.7%)
(2.4%)
�OFFICE OF FIRST LADY'S CORRESPONDENCE
DAILY PRODUCTION REPORT
FOR THE MONTH ENDING August 31, 1994
DAY
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
ISSUE
CARDS
ISSUE
CARDS
2
69
44
24
SUPPORT
LTRS
4
SCHED
LTRS
2
22
2
1
1
37
34
44
1
19
43
INDIV
RESPOND
16
23
MISC
11
28
14
11
20
37
51
3
29
2
14
35
7
23
6
3
93
3
1
3
39
38
11
18
10
277
185
21
87
2
19
29
191
18
52
20
1
41
1
2
17
1
TOTAL
13
85
122
122
126
154
19
3
KIDS
50
17
1
101
1
20
17
21
13
13
44
•
41
326
177
499
33
103
441
363
1995
103
26
49
17
35
147
13
39
33
14
91
3
149
39
440
�THE WHITE H O U S E
WAS
HIN GTO
N
FIRST LADY MESSAGES
AUGUST 1994 REPORT
* A l b e r t S c h w e i t z e r I n t e r n a t i o n a l Symposium on G l o b a l H e a l t h
* Keystone S t a t e Reading A s s o c i a t i o n
* R e t i r e m e n t o f Anne J. Krush ( W e l l e s l e y alumna, c l a s s o f 1936)
* I n f a n t W e l f a r e S o c i e t y o f Chicago
* Sparks R e g i o n a l M e d i c a l Center Woman t o Woman seminar
* 30th A n n i v e r s a r y Luncheon f o r Dr. G l o r i a Jackson Bacon o f t h e
A l t g e l d Gardens-Murray P u b l i c Housing Development
* S w e a r i n g - i n Ceremony f o r Dr. Nelba Chavez on her appointment as
A d m i n i s t r a t o r o f t h e Substance Abuse and M e n t a l H e a l t h S e r v i c e s
Administration
* Nash Elementary School f a c u l t y , s t a f f & s t u d e n t s , and Gadabout
Salon employees p a r t i c i p a t i n g i n an "Image Up" p r o j e c t
* I n t e r s t i t i a l C y s t i t i s Association
* South Orange County Young Women's C h r i s t i a n A s s o c i a t i o n
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
SUBJECT/TITLE
DATE
B. K. Tshrisa to Hillary Clinton; RE: Address [partial] (1 page)
08/22/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b ( l ) National security classified information | ( b X l ) of the F O I A j
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the F O I A |
b(3) Release would violate a Federal statute 1(b)(3) of the F O I A j
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the F O I A j
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the F O I A j
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the F O I A j
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the F O I A j
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the F O I A j
National Security Classified Inforniation 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a){5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�A^ji^t
To:
Mrs. H i l l a r y C l i n t o n
Executive O f f i c e
1600 Pennsylvania Avenue, N
W
WASHINGTON, DC 20500
2.2. j t f j .
Date:
Dear Mrs. C l i n t o n :
We s t r o n g l y and s i n c e r e l y support your
cause i n the h e a l t h care reform f o r a U n i v e r s a l Coverage f o r a l l
c i t i z e n s i r r e s p e c t i v e of t h e i r race, c o l o r , sex and age.
The powerful l o b b y i s t s against the reform
are concerned t h a t t h e i r monopoly of e x p l o i t i n g the system w i l l
be diminished i n some way as they are d e f i n i t e l y very happy w i t h
the s t a t u s quo which continues t o serve t h e i r i n t e r e s t s .
I t i s a shame t h a t some 37 m i l l i o n
c i t i z e n s of one o f the world's most prosperous and powerful
n a t i o n do not have access t o h e a l t h care. America has been the
champion f o r the cause of l i b e r t y , j u s t i c e and the r i g h t t o
pursue happiness. Health care i s a b a s i c human r i g h t and should
be a v a i l a b l e t o her most p r i z e d and v a l u a b l e resource , her own
citizens.
We have waited long enough and your f i g h t
f o r the people i s more than j u s t i f i a b l e . Those who are opposed t o
the reform do not appreciate the need of t h e i r f e l l o w c i t i z e n s
who are not as f o r t u n a t e as they a r e .
We would also request you t o increase the
number of medical schools so t h a t we can educate, t r a i n and
produce many more q u a l i f i e d physicians and s p e c i a l i s t s . This w i l l
reduce the s c a r c i t y of medical p r a c t i o n e r s which i s c u r r e n t l y
a r t i f i c i a l l y created by the AMA by denying admission even t o the
b r i g h t e s t and most capable of our students t o medical schools.
To reduce the cost of h e a l t h care there
should also be a l i m i t on the claims i n the m a l p r a c t i c e s u i t s
which are grossly i n f l a t e d by the a t t o r n e y s and proper
a c c o u n t a b i l i t y of the h e a l t h s e r v i c e p r o v i d e r s , pharmaceuticals
and t h e i r charges where a l o t of f r a u d u l e n t a c t i v i t y i s rampantly
prevalent.
Sincerely yours,
6k;.
^ R / ^ H
1
Clinton Library Photocopy
�DEPARTMENT OF THE T R E A S U R Y
INTERNAL REVENUE SERVICE
W A S H I N G T O N , D.C. 2 0 2 2 4
COMMISSIONER
August 23,
1994
Ms. A l i c e J . Pushkar
D i r e c t o r o f Correspondence
f o r t h e F i r s t Lady
The White House
Washington, DC 20500
Dear A l i c e :
I a p p r e c i a t e d your sending me t h e l e t t e r f r o m C a l i f o r n i a
t a x p a y e r L i n d a Yates c o m p l i m e n t i n g t h e performance o f Steven
Arteaga o f o u r Fresno S e r v i c e Center.
I am d e l i g h t e d t o hear p r a i s e about t h e e f f o r t s o f I n t e r n a l
Revenue S e r v i c e employees, and I have w r i t t e n t o Theron P o l i v k a ,
Fresno D i r e c t o r , a s k i n g t h a t he pass Ms. Yates l e t t e r on t o
Mr. A r t e a g a a l o n g w i t h my thanks f o r h i s e f f o r t s .
I know he
w i l l be p l e a s e d t o r e c e i v e t h i s r e c o g n i t i o n .
Best r e g a r d s .
Sincerely,
Margaret Mxlner Richardson
f
�J a c q u e l i n e Kennedy Onassis' f u n e r a l .
She expresses h e r s t r o n g
. r - - s u p p o r t f o r you. The i n d i v i d u a l response t o t h i s w r i t e r i s b e i n g
0V
sent t o you w i t h t h e d i g i t i z e d s i g n a t u r e . Please i n d i c a t e i f you
' would p r e f e r t o s i g n t h i s l e t t e r p e r s o n a l l y .
L
The fourth letter in the Support folder is from a woman who
lives in Harrisburg, Pennsylvania. She writes of her impressions
of the D-Day ceremonies which she observed on television, and
^-expresses pride in the role both you and the President played in
these historic events. This writer will receive the recently
approved support form letter, unless you prefer and individual
response be sent.
n .
i
6^
The f i f t h l e t t e r i s a l e t t e r w r i t t e n by
".3^43. I t was sent t o you by Mark Dicker who
yqu s e v e r a l times during the 1992 campaign.
/thank you note and we have l e f t the signature
[ you may sign the l e t t e r p e r s o n a l l y .
Eleanor Roosevelt in.^
w r i t e s t h a t he met
We have prepared a
space blank so t h a t
The Thank-You f o l d e r contains one l e t t e r from a woman who
l i v e s i n Novato, C a l i f o r n i a . She expresses her a p p r e c i a t i o n f o r
the p i c t u r e and l e t t e r our o f f i c e sent to her. Since our p o l i c y
i s not to respond/to thank-you l e t t e r s , t h i s w r i t e r w i l l not
^/'receive a responsp, u n l e s s you i n d i c a t e otherwise.
In response! to the questions t h a t you r a i s e d i n regard t o
the l a s t report,/ we forward to the 1800 G S t r e e t s i t e only those
l e t t e r s that meet a c r i t e r i a e s t a b l i s h e d by t h a t o f f i c e . We send
them l e t t e r s that can be answered by the approved form l e t t e r s
that are on f i l e i n t h e i r computer system. Any l e t t e r s t h a t
cannot be answered by those form l e t t e r s are answered from t h i s
o f f i c e or forwarded by us to an o f f i c e t h a t we f e e l can prepare
an appropriate response.
terL tl
A l l lett«
-.hat a r e sent t o t h e 1800 G S t r e e t o f f i c e
r e c e i v e a form l e t t e r response s i g n e d by t h e P r e s i d e n t . We s t i l l
f e e l that some l e t t e r s r e q u i r e a response from you. T h e r e f o r e ,
the l e t t e r that i s i n c l u d e d i n t h i s r e p o r t as a response t o t h e
h e a l t h care l e t t e r s i s o u r proposed h e a r t f e l t h e a l t h care
response. J e n n i f e r K l e i n has checked t h e l e t t e r t o make c e r t a i n
t h a t we are a c p u r a t e i n t h e h e a l t h care language t h a t we have
l
used. I f t h e e t t e r meets w i t h your a p p r o v a l , we w i l l add i t t o
r directory.
the form l e t t e
0
�THE
WHITE
WA
HOUSE
S H I N GTO
August
1,
N
1994
The Honorable Margaret M i l n e r Richardson
Commissioner
I n t e r n a l Revenue S e r v i c e
Washington;~D.C. 20224
Dear Peggy:
The F i r s t Lady asked t h a t I f o r w a r d t o you t h e
enclosed l e t t e r . We do n o t c u s t o m a r i l y respond t o t h e
thank-you l e t t e r s we r e c e i v e and w i l l n o t do so i n t h i s
case. However, she t h o u g h t t h a t you m i g h t enjoy r e a d i n g
t h e p r a i s e f o r t h e I.R.S.
Sincerely
yours.
A l i c e J. Pushkar
D i r e c t o r o f Correspondence
f o r t h e F i r s t Lady
�Vi
90S1 MEDITERRANEAN
HUNTINGTON BEACH. CA 92646
(711) 962-8605
'X-ray
Pager: ( 7 1 4 ) 217-4305
Mrs . H i l a r y C 1 i n t o n
1600 P e n n s y l v a n i a Avenue
W a s h i n g t o n DC
Dear Mrs. C I i n t o n .
Back i n December o£ 9 3 I w r o t e you a l e t t e r
a s k i n g you t o
i n t e r c e d e on my b e h a l f c o n c e r n i ng" tlTri " I R .
"Well
I like
your
style.
I got a great l e t t e r
from t h e D i r e c t o r _ g j " E T i e . . . R i n
..IS
F r e s n o , CA^ named "TTreYofi C. Po 1 i vka .
He s a i d t h a t he w o u l d have
one o f "~fiTs "agents l o o k i n t o t h i s s i t u a t i o n and he d i d j u s t t h a t .
The p e r s o n who c l e a r e d t h i s
w h o l e mess up i s Mr. Steve
Arteaga,
and he was c o u r t e o u s and v e r y p o l i t e .
I n my
l e t t e r t o Mr. P o l i v k a , a copy w h i c h i s e n c l o s e d , I
s t a t e d my f r u s t r a t i o n s w i t h t h e IRS and t h a t I was g o i n g t o w r i t e
you a f o l l o w up l e t t e r l e t t i n g h i m know, t h a t you know t o o .
Thanks a g a i n M r s . C l i n t o n , and i f you do r u n f o r P r e s i d e n t ,
you can c o u n t on me i n C a l i f o r n i a t o walk p r e c i n c t s , p a i n t s i g n s .
make phone c a l l s , a n y t h i n g you want,
Keep up t h e good j o b , and
d o n ' t l e t t h o s e @»@**!! i n t h e p r e s s g e t you down, g i v e em h e l l .
S incerely.
e IIC .
�9051 MEDITERRANEAN
May
24,
•
HUNTINGTON BEACH, CA 92646
•
( 7 1 4 ) 9 6 2 8605
•
X-ray
Pager: ( 7 1 4 ) 217-4305
1994
Mr. Theron C. Pol i v k a
D i r e c t o r IRS Center
Department o£ the T r e a s u r y
P.O. Box 12866
F r e s n o , CA 93279
RE: Steve
Arteaga
Dear Mr. P o l i v k a ,
I am w r i t i n g t h i s l e t t e r
t o commend one
t h a t h a s ^ e e n a b s o l u t e l y w o n d e r f u l t o me.
of your
employees
There was a m i s t a k e and a m i s u n d e r s t a n d i n g which
made t h e
IRS computers b e l i e v e t h a t we owed a s u b s t a n t i a l amount of money,
when i n a c t u a l i t y we d i d n ' t . A f t e r many telephone c a l l s t o people
who spoke h o r r i b l e
e n g l i s h , I d i d n ' t g e t anywhere,
I wrote t o
H i l a r y C l i n t o n and s h e r e f e r r e d me t o your o f f i c e , and e v e n t u a l l y
to Mr. Arteaga.
I contacted
Mr. A r t e a g a on May 5, 1994, and he a s s u r e d me
t h a t he would do a thorough i n v e s t i g a t i o n , and g e t to the bottom
of
things.
With t h e c o o p e r a t i o n
of my a c c o u n t a n t and Mr.
Arteaga's
g r e a t computer
acumen, he r e c t i f i e d
the problem,
cleared
i t o f f t h e computer, and r e s o l v e d t h i s
frustrating
s i t u a t i o n we found o u r s e l v e s i n .
In
working w i t h
t h e IRS b e f o r e ,
1 was a l w a y s
met: w i t h
i n d i f f e r e n c e , and i n c o m p e t e n c e ,
however, i n Mr. A r t e a g a ' s c a s e ,
he was p o l i t e , c a r i n g , and g e n u i n e l y i n t e r e s t e d i n r e s o l v i n g t h i s
problem.
W i t h h i s t e l e p h o n e c a l l t h i s m o r n i n g , t e l l i n g me t h a t
he
had r e s o l v e d t h e p r o b l e m ,
and t h a t he CLEARED THE COMPUTER,
WHICH USUALLY DOES NOT HAPPEN
u n t i l we g e t upper
echelon
i n v o l v e d , l i k e your good
s e l f , he c l e a r e d e v e r y t h i n g and t o o k a
tremendous
burden o f f my s h o u l d e r s and I t o l d
him t h a t
I was
going
t o w r i t e you s i n g i n g h i s p r a i s e s .
Give him a r a i s e , he
d e s e r v e s i t . I am a l s o g o i n g t o w r i t e Mrs. C l i n t o n , and l e t hei:
know what a good j o b you a r e d o i n g t o o .
Mrs. R i c h a r d A. Yates
EIN 3 3-0120735
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. report
DATE
SUBJECT/TITLE
Agency Liaison Report; RE: Personal [partial] (3 pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Inforniation Act - |5 U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Agency Liaison Report For The F i r s t Lady:
of New Jersey:
i s convinced
that her daughter i s a l i v e today because of your intervention.
Her twenty-one-year-old daughter, l^je'/ISM-"! had been l y i n g
unconscious f o r 18 days i n the Morristown Memorial Hospital. Her
coma involving recurrent seizures, was the r e s u l t of
encephalitis. The K ^ t b W ^ l c o u l d not a f f o r d health insurance,
and |f6/(bj(6F,l had-been admitted on an emergency basis. They had
applied f o r Medicaid but there was a two-month waiting period,
leaving them i n f i n a n c i a l limbo.
At the suggestion of a hospital caseworker,
il called
the White House t o ask f o r your help. Agency Liaison caseworker
Stephen Nolet made contact with the Health Care Financing
Administration s t a f f , who expedited the Medicaid application
process f o r the |S^i^bK6j?^| As a r e s u l t .
was issued a
Medicaid card promptly.
Suffering from brain damage, I^BB/^KS)! has since been transferred t o
another New Jersey hospital which has what her mother c a l l s "a
fabulous r e h a b i l i t a t i o n program.
The current prognosis i s very
good. Just recently, she and her fiance set t h e i r wedding f o r
next July.
Without Medicaid j ^ g ^ j would not be a l i v e , her parents t o l d
Stephen i n a followup c a l l t o express t h e i r gratitude t o you.
"We owe the F i r s t Lady and the White House our daughter's l i f e . "
Clinton Library Photocopy
�g. m m m m ^ o t North Carolina; l l M g i M M was f e e l i n g s u i c i d a l
because of her i n a b i l i t y to pay her b i l l s and her medical
expenses. Only 42 years old, she wrote, "There i s no help for me
anywhere and I am a f r a i d . I w i l l not be a burden for my family
and I w i l l not go to a nursing home I would rather d i e then go
there."[sic]
Immediately, Susan Beveridge of t h i s o f f i c e r e f e r r e d the l e t t e r
to the North Carolina Mental Health Services. Two case workers
were sent to t r y to help
They determined t h a t she i s
g6()6i
R/6()
l i v i n g with her 23-year-old daughter and i s confined to a
wheelchair as a r e s u l t of a r a r e degenerative disease.
j j g j p l ^ l sole income i s a monthly $450 S o c i a l S e c u r i t y
D i s a b i l i t y check. Her medical b i l l s and medications often t o t a l
$175 per month, leaving her with l i t t l e or no money for other
expenses. She has a spend down of $205 monthly to be met before
Medicaid k i c k s i n . Her caseworker i s providing access to mental
health s e r v i c e s and help i n obtaining her medicines free of
charge through the indigent drug program.
I have attached
l e t t e r to you and a recent l e t t e r to
you from Daniel Jones, an Area Director i n North C a r o l i n a .
Clinton Library Photocopy
�i s J i l l Haaen of Oregon: On July 22, you c a l l e d the Hagen
family to offer sympathy upon the death of t h e i r daughter T e r r i ,
the f i r s t female Forest Service f i r e f i g h t e r to d i e i n the l i n e of
duty, on July 28, Mrs. Hagen wrote to thank you for the c a l l
adding, "The e n t i r e s i t u a t i o n regarding our daughters death has
effected our a b i l i t y to converse. Please forgive us f o r sounding
so s t i f f . " [ s i c ]
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
SUBJECT/TITLE
DATE
To: Hillary Clinton; RE: Name, address [partial] (1 page)
04/12/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)l
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute [(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA)
b(l) National security classified information |(bXI) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�April
12th ,
1994
Hillary Clinton
Pennsylvania
Ave.
W a s h i n g t o n DC
Dear
Hillary:
I r e s i d e I n N o r t h C a r o l i n a and I am c u r r e n t l y on S o c i a l S e c u r i t y
Disability.
M
m e d i c a l b i l l s come t o a p p r o x i m a t e l y $175.00 a m o n t h ,
My S o c i a l S e c u r l t y check comes t o $447.00 a m o n t h .
NC has a law t h a t
s t a t e s a p e r s o n has t h e amount
o f $242.00
on w h i c h
to l i v e
anything
over t h a t
amount
Is counted
against
them
when
f i l i n g f o r medic a i d e .
I know o f no p l a c e where a p e r s o n can
live
on
$242.00 a m o n t h .
My
deductable
f o r m e d l c a l d e 1s
$1230.00
every six
months.
I f I had $1230.00
a month I
w o u l d n o t need m e d l c a l d e .
My r e n t comes t o $250.00
and I
have o t h e r
b i l l s such as e l e c t r i c i t y ,
k e r o s e n e , phone and
food.
This
doe s
not m a t t e r
1 am o n l y a l l o w e d
$242.00 a
month.
I am s e r l o u s l y c o n s i d e r i n g s u i c i d e b e c a u s e I can n o t
Hve
like
this,
T h e r e I s no h e l p a n y w h e r e f o r me and I am
afraid.
I w i l l n o t be a b u r d e n f o r my f a m i l y and I w i l l
go t o a n u r s i n g home I w o u l d r a t h e r d i e t h e n go t h e r e , I n o t
am
o n l y 42 y e a r s o l d .
I need h e l p and I need I t y e s t e r d a y .
I realize
that
you are busy b u t you a r e t h e r e b e c a u s e we p u t you t h e r e , you
have
to
h e l p or I w i l l
have no c h o i c e
b u t t o end
this
misery.
Help
me
to
iWe,
Clinton Library Photocopy
�09/06/1994
16:14
•.cnawwtt
19103533653
ONSLOW MENTAL HEALTH
PAGE
02
ONSLOW COUNTY
AREA MENTAL HEALTH, DEVELOPMENTAL
0I8A1ILITIE8, AND SUBSTANCE ABUSE SERVICES
l i t MvMQfttl M w
OAMil M. JONIt
M€A D W T A
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..
TtteptoM MMIII
WWIN M. PAtlAK, HO.
CUHCAl WMCTO^
September 6, 1994
Mrs. Hillary Rodham-Clinton
Office of Agency'Liaison
R o 6, OEOB
om
The White House
Washington, D 20500
C
Dear Mrs. Rodham-Clinton:
Too often successful interaction i s not reported. I t i s m pleasure to advise
y
you of the conmendable effort of Susan Beveridge of your Agency Liaison staff,
Ms. Beveridge, in reviewing mail to you, discovered a letter from a lady in
our corammity considering harming herself, Ms. Beveridge faxed to m office
y
a l l necessary information and we were able to provide appropriate supportive
services. In a follow-up conversation with Ms. Beveridge I was expressing
concern for indigent individuals who could not afford medications which would
allow them to remain productive within the community. Ms. Beveridge forwarded
toraea listing of pharmaceutical companies willing to provide free medication
with a physician's prescription. I a happy to report w have begun the process
m
e
and w are experiencing success. Our Medical/Clinical Director has shared
e
the information with other psychiatrists in the eastern region of North
Carolina, I would like to express gratitude on behalf of those individuals
for w o we are responsible for your support of the Agency Liaison office.
hm
As a service provider to the public, many of w o are without funds, I continue
hm
to be concerned for those individuals who must choose between food or mental
wellness. As health care reform develops will there be a "safety-net" for
those individuals requiring prolonged out-patient services? The individuals
for w o I a concerned are those who are capable of remaining in the community
hm
m
but m y require life long support. These are the individuals best served by
a
and currently served through the public mental health system.
As reform continues I would be greatful i f you could provide m with
e
information, either proposed or being considered, that i s relevant to mental
health, developmental disabilities, and substance abuse services.
I would very much like to meet with you to hear from you your ideas regarding
mental health coverage for a l l citizens and how I can support your efforts.
M Jones
.
Area Director
DMJ:lrh
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Clinton Library
DOCUMENT NO.
AND TYPE
005a. letter
SUBJECT/TITLE
DATE
Jack Ward Thomas to Jill A. Hagen; RE: Personal (2 pages)
08/25/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Inforniation Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
b(l) National security classified information [(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute [(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
inforniation [(bX4) of the FOIA|
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personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOI A|
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
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PRM. Personal record misfile defined in accordance with 44 U.S.C.
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DOCUMENT NO.
AND TYPE
005b. letter
SUBJECT/TITLE
DATE
Jill A. Hagen to Hillary Rodham Clinton; RE: Personal (3 pages)
07/28/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
clbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Kreedom of Inforniation Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
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purposes |(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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DOCUMENT NO.
AND TYPE
006. letter
DATE
SUBJECT/TITLE
Ann & John Hagen to Hillary Clinton; RE: Address [partial] (1 page)
07/26/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(8)1
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRAj
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIAI
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
inforniation 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�John R. and L. Ann Hagen
July 26, 1994
Mrs. Hillary Clinton
The White House
Washington D.C. 20500
Dear Mrs. Clinton;
We both want to thank you for appearing in Seattle last Saturday, and we applaud you for
the hard and thankless work you have done on the health care issue We both had the
pleasure of being present to support you at the Westlake Center rally.
We also feel embarrassed by the conduct of the mob of right wing extremists that formed
there to disrupt your speech. One of these extremists positioned himself right behind us
and was extremely vocal throughout your speech. It is interesting that this individual
owns three small businesses, and his health care needs are covered. He would deny others
a right that he takes for granted. This person was so wrapped up in his own hostility that
he was oblivious to the hostility that several of us directed at him. These extremists were
rallied by KVI radio, a station that claims they have a mandate from God to spew their
right wing agenda. KVI features Rush Limbaugh and others of his ilk.
The majority of people in this area support you and the work you are doing Most likely,
we are not alone in this area when we made the decision to no longer buy pizza's from a
certain company.
Please accept our apology, in behalf of the good and decent people of the Seattle area, for
the conduct of the extremists at the rally We look forward to the President and you
returning to Seattle.
Sincerely,
Ann & John Hagen
Clinton Library Photocopy
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DOCUMENT NO.
AND TYPE
007a. letter
SUBJECT/TITLE
DATE
Gerald P. Gautcher to Hillary Clinton; RE: Address and personal
[partial] (1 page)
08/15/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl8l3
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(b)(l)of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose inforniation compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
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�15 August 1994
Mrs. Hilarv CIinton
1600 Perinsyl vama Avenue
Washington. D.C.
20500
Dear Mrs. CIinton,
Mrs. Clinton, now is reallv the time -for a l l good men to come to the aid o f
their country! I , Mrs. Clinton, am asking you to please -forget about partisan
politics and consider the -future o+ this great country and i t s -future generations.
Do not help to rush through long and complex laws which no single person understands,
knows how i t will af-fect the nation's -future, nor how much i t will reallv cost.
We are playing around with 14'/ (l/7th) o f the national income. Past experience
t e l l s us unerringly that in all previous congressional costs projections have been
tremendously under-estimated (i.e., Medicare). "Why shouldn't the cost o f a new
health plan be similarlv underestimated?"
Let us put pork and politics aside. Let us care-fully and conscientiously
consider what the real problems are. Most likely the majoritv o f problems can be
solved by lowering some costs rather than tossing everything out and creating in i t s
place a bureaucratic Frankenstein monster which will destroy not onlv the highest
quality medicine and medical care in the worla, but also the nation's economy through
taxes and mandates.
We al1 want the best we can get but that does not mean we have the "rights" to
the best nor that we can at-ford the best. We ask vou to take vour time, delioerate.
then in 1995 or 1996 we can be assured that we have the best we can a-f + ord. No
American could ask -for more and the Clintons could not leave us with a better legacv.
Mrs. Clinton, vou and I have been blessed by the -freedoms t h i s country has
at corded us. We have bene-fitted trom America's Di"osperitv. Let us put aside the
ideologies that guided us to our present personal positions and devote a l l our
talents and ambitions to strengthening the American ecanomv and onlv then should we
e-;Deriment with social programs and engineering. I t took Europe over 100 years to
reach their present expensive but lacking s o c i a l i s t i c programs and we a l l know tnev
are slowiv strangling. Whv do we want to do tne same thing to ourselves overnight?
Now time i s on America's side - onlv greedy, power-hungry p o l i t i c i a n s are agitating
to rush things to a disatrous -finish.
beraid
bautcher
Clinton Library Photocopy
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DOCUMENT NO.
AND TYPE
007b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Gerald P. Gautcher; RE: Address [partial]
(1 page)
09/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Kreedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRAj
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE H O U S E
WAS
HIN GTO N
September 7, 1994
Dear Mr. Gautcher:
Thank you very much for your thoughtful and compelling
l e t t e r . I appreciate your kind words of support and your
thoughts on health care reform.
Many problems e x i s t within the current health care
system. President Clinton and h i s Administration intend to
strengthen what i s r i g h t about the current system and
r e p a i r what i s wrong. I agree that reform of the health
care system must be above p o l i t i c s and p a r t i s a n s h i p . We
must work together to guarantee that adequate health care
s e r v i c e s are a v a i l a b l e to a l l . Reform i s needed not only
for those 58 m i l l i o n Americans who have no insurance, but
also for those whose insurance f a i l s them when they need i t
most.
Thank you again for writing.
are with you.
My thoughts and prayers
Sincerely yours.
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�NORTH FLORIDA CHEST PHYSICIANS
Pulmonary & Critical Care Medicine
Dennis J. McDonagh, M.D.
William M. Menu, M.D.
Daniel S. Wyzan, M.D.
Steven M. Krawtz, M.D.
1801 Barrs Street • Suite 400
Jacksonville, Florida 32204
(904) 389-6800
FAX 388-0737
August 10,
1994
H i l l a r y Rodham C l i n t o n
The White House
1600 Pennsylvania Avenue
Washington, DC 20500
Dear Mrs.
Clinton:
I have been f o l l o w i n g t h e h e a l t h care debate w i t h i n t e n s e i n t e r e s t .
I am a m a r r i e d man, a f a t h e r o f t h r e e growing sons, and t h e p r i m a r y
p r o v i d e r f o r my f a m i l y . I have good h e a l t h care i n s u r a n c e , w e l l
t r a i n e d and h i g h l y q u a l i f i e d p h y s i c i a n s , access t o s p e c i a l i s t s i f
needed, and t h e a b i l i t y t o choose who and where our f a m i l y ' s h e a l t h
care needs w i l l be met. A t no t i m e i n t h e ongoing debate have I
heard any evidence t h a t t h e q u a l i t y o f o u r e x i s t i n g system be
m a i n t a i n e d o r advanced, and t h a t I would be a b l e t o r e t a i n my
a b i l i t y t o make c h o i c e s f o r my f a m i l y and myself.
I s u p p o r t reasonable mechanisms which w i l l i n c r e a s e access t o care
f o r a l l Americans.
I am adamantly opposed t o , a) a government
c o n t r o l l e d n a t i o n a l h e a l t h system. I r e f u s e t o a l l o w a bureaucracy
which i s o v e r s i z e d , u n r e s p o n s i v e , and which I do n o t t r u s t t o
determine my f a m i l y ' s h e a l t h c a r e needs, b) A l a c k o f c h o i c e as
t o who and where o u r h e a l t h c a r e needs are met. My w i f e and I a r e
the p a r t y o f u l t i m a t e r e s p o n s i b i l i t y r e g a r d i n g our f a m i l y ' s h e a l t h
care.
We a r e n o t w i l l i n g t o r e l i n q u i s h t h a t r e s p o n s i b i l i t y t o
anyone e l s e , c) Any program t h a t would d e t r a c t from o u r e x i s t i n g
e x c e l l e n t l e v e l o f h e a l t h c a r e i n America.
Your v o t e as a l e g i s l a t o r on h e a l t h care w i l l have s i g n i f i c a n t
impact on e x a c t l y how my f a m i l y ' s f u t u r e h e a l t h care needs a r e met.
I urge you n o t t o s u p p o r t a n a t i o n a l h e a l t h system t h a t w i l l t a k e
t h e c h o i c e i n h e a l t h c a r e m a t t e r s o u t o f t h e hands o f my w i f e and
I.
Sincerely,
Dennis McDonagh, MD
�THE
WHITE H O U S E
WASHINGTON
September 8,
1994
Dennis McDonagh, M.D.
S u i t e 400
1801 Barrs_ S t r e e t
J a c k s o n v i l l e , F l o r i d a 32204
Dear Dr. McDonagh:
Thank you f o r w r i t i n g t o me about h e a l t h c a r e r e f o r m
and f o r s h a r i n g your s u g g e s t i o n s and comments on t h i s v e r y
important issue.
P r e s i d e n t C l i n t o n and h i s A d m i n i s t r a t i o n i n t e n d t o
s t r e n g t h e n what i s r i g h t about t h e c u r r e n t h e a l t h c a r e
system and r e p a i r what i s wrong. There are c u r r e n t l y 58
m i l l i o n Americans w i t h no h e a l t h c a r e coverage.
The
p r o p o s a l s endorsed by P r e s i d e n t C l i n t o n would n o t deny an
i n d i v i d u a l t h e r i g h t t o s e l e c t h i s o r her own d o c t o r s .
They would, i n s t e a d , o f f e r t o a l l Americans t h e o p p o r t u n i t y
t o s e l e c t h e a l t h care p r o v i d e r s . The P r e s i d e n t ' s p r o p o s a l
would make t h e e x c e l l e n t h e a l t h c a r e s e r v i c e s i n t h i s
country a v a i l a b l e t o a l l .
Thank you a g a i n f o r w r i t i n g . I v e r y much a p p r e c i a t e
h e a r i n g y o u r t h o u g h t s and concerns about h e a l t h c a r e
reform.
I r e a l i z e t h a t you may n o t agree w i t h P r e s i d e n t
C l i n t o n and me on t h i s i s s u e , but I hope t h a t you w i l l g i v e
c a r e f u l c o n s i d e r a t i o n t o our views. Please be assured t h a t
we have l i s t e n e d t o y o u r s .
Sincerely
yours.
H i l l a r y Rodham C l i n t o n
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008a. letter
DATE
SUBJECT/TITLE
Martha Wong to President Clinton and First Lady H. Clinton; RE:
Address [partial] (1 page)
06/26/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA)
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
b(l) National security classified information 1(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�i -
June 26, 1994
Mr. President Clinton
First Lady H. Clinton
The White House
Washington, D.C.
Respected Mr. & Mrs. Clinton:
In a better world, you would have been elected a long time ago into office and you would have
passed your health bill in time for my Mother to have received the care she needed in hertife
so that she would not have cancer right now.
It is sad to think that she had to spend, what are probably her last days, in the welfare office
trying to get some kind of benefits for herself. And we are talking about a woman who has
worked and toiled raising seven children on her own and made all efforts to be a productive
citizen rather than be a burden on others and this is how she ends up. All this despite the help
she receives from her children in order to survive. I tell you the shoes my Mother has had to
walk in very few people have the courage to endure. All hope is not gone but I am afraid
Medicaid came a little too late.
This letter is to plead to whomever is responsible for passing the health plan to please, please
do not hinder or prevent it in any way so that others don't suffer the way my Mother has had
to suffer. Please submit this letter to those considering to stop your plan from going into action
to ask them to consider what they would do if they had no money and needed care for diabetes,
for example, and simply went without medication and proper care because it cost too much and
had no insurance for coverage. Or a woman never having a pap smear or any kind of
gynecological care for the same reasons and have cancer go undetected, or any other kind of
cancer for that matter???
It is probably too late for my mother but there are still many more like her out there. Don't let
them die or go another day without the care they need. We are talking about the hard working
people of America who have pride and dignity and refuse to go to welfare because it would seem
too dismal and desperate. Unfortunately, some people have to turn to those extremes lest they
die. That is not fair to tax paying citizens like my Mother. I pray that God above will instill
the necessary feelings in those opposing this plan as they read my letter. God have pity on
them.
I wish you both all the best and pray that you will be able to accomplish all that you have in
mind for this country. God be with you and I thank you. Sincerely,
Martha Wong
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Martha Wong; RE: Address [partial] (1
page)
09/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)l
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRAj
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASH
INGTON
September 7, 1994
Ms. Martha Wong
Dear Ms. Wong:
Thank you very much for your thoughtful and compelling
l e t t e r about your mother. I appreciate your kind words of
support.
The hardship and f r u s t r a t i o n you described i l l u s t r a t e
exactly why t h i s nation needs health care reform. At some
point during the year 58 m i l l i o n Americans go without
insurance, and each month two m i l l i o n Americans lose t h e i r
insurance. The President's plan for health care reform
w i l l guarantee every American private health insurance that
can never be taken away.
This nation now has an h i s t o r i c opportunity to achieve
meaningful health care reform. Your support can be
invaluable to the President as the Administration works to
make health s e c u r i t y a r e a l i t y for a l l Americans.
Thank you again for writing.
Sincerely yours.
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
009a. letter
SUBJECT/TITLE
DATE
To: Hillary Rodham Clinton; RE: Name, address, and phone number
[partial] (1 page)
08/12/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Kreedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
P3 Release would violate a Federal statute [(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial inforniation [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute [(bX3) of the FOI A]
b(4) Release would disclose trade secrets or confidential or financial
inforniation 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose inforniation concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�FAX (201) 861-9617
Friday. August 12th, 1994
West New Y o r k (Hudson C o u n t y ) , New Jersey
Ms. H i l l a r y Rodham Clinton
F i r s t Lady of the United States
THE WHITE HOUSE
Washington, D . C . 20500
Dear Ms. C l i n t o n :
RE: Universal Health Care
for aZZ Americans
Our son WM®)-age 25- was in pursuit of his B.A. degree
and for just a few months during '92 he was in-between jobs
while attending Florida Atlantic University to obtain his teaching
certificate. He had no health coverage during this in-between
jobs period while securing his education.
Out of the blue -at age 25- he developed a kidney tract
discomfort due to his kidneys producing sand and small stones,
and that landed him in a Florida hospital just four days.
The diagnosis was eventually to lay off milk, cheeses and milk
derivatives as the calcium could cause this 'sand' which could
build up into small kidney stones.
For that advise and a four-day hospital stay, our son -now a
teacher in Florida- was hit with a staggering $20,000 in hospital
and doctor's bills! A jouA-dcuj itcLijl The hospital's itemized
billings list Band-Aids at $5,000 each!
Every time he was given an IV, blood drawn for tests, or
injections given, a little Band-Aid (miniature type, not the
regular size for household wounds) was applied over the puncture
and his statement billed $5.00! Give me a break!
Here we have a young man just starting out in the noblest of
professions (already saddled enough by College loans) burdened
with $20,000 in health costs over a £oux-da.y hospital stint.
This is not merely oppressive. This is abusive and it's immoral.
The system has to be overhauled and we tht people are with you
and with President Clinton. This is why we voted you into office.
Yet, my wife and I sit in our living room in the evenings and
have to take seeing the Doles, Gramms, and Gingrichs of the
Republican persuassion roadblocking this most important effort
by President Clinton's administration. The Republicans have
opted to put their selfish political agenda ahead of tke. pnople.'*
i.n£<lfi<Mtt>, but we can see right through them.
Opponents of the President's health initiatives deserve no quarter.
V
GIVE 'EM HELL. H i l l a r v !
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
00%. letter
SUBJECT/TITLE
DATE
From: Hillary Rodham Clinton; RE: Name and address [partial] (1
page)
09/08/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information |(a)(l)of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute [(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [aXS) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASH I NGTON
September 8,
1994
Dear
Thank you for your thoughtful l e t t e r . I am touched
that you chose to share your personal experiences with me.
The hardship and f r u s t r a t i o n you describe i l l u s t r a t e
exactly why t h i s nation needs health care reform. At some
point during the year 58 m i l l i o n Americans go without
insurance, and each month two m i l l i o n Americans lose t h e i r
insurance. Reform i s needed not only for those Americans
who have no insurance, but a l s o for those whose insurance
f a i l s them when they need i t most. President Clinton and
h i s Administration intend to strengthen what i s r i g h t about
the current system and r e p a i r what i s wrong.
This nation now has an h i s t o r i c opportunity to achieve
meaningful health care reform. Your support and i n t e r e s t
are invaluable to the President and h i s Administration as
they work to make health s e c u r i t y a r e a l i t y for a l l
American f a m i l i e s .
Sincerely yours.
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�THE W H I T E H O U S E
WAS
HIN GTO N
September 7, 1994
The Honorable Robert J . H a r r i s
Member o f t h e House o f R e p r e s e n t a t i v e s
S t a t e o f Vermont
S t a t e House
M o n t p e l i e r , Vermont 05633-5201
Dear R e p r e s e n t a t i v e H a r r i s :
Thank you f o r your t h o u g h t f u l l e t t e r .
Your words o f
encouragement and s u p p o r t mean a g r e a t d e a l t o me. I am
d e l i g h t e d t o send t h e photo you r e q u e s t e d .
I t was a p l e a s u r e t o read t h e l i v e l y endorsement i n
your l e t t e r .
The P r e s i d e n t i s c o u n t i n g on your c o n t i n u e d
s u p p o r t as he t a c k l e s t h e d i f f i c u l t i s s u e s b e f o r e him.
Sincerely yours.
H i l l a r y Rodham C l i n t o n
�THE W H I T E H O U S E
W A S H I N G T O N
September 7, 1994
The Honorable Robert J . H a r r i s
Member o f t h e House o f R e p r e s e n t a t i v e s
S t a t e o f Vermont
S t a t e House
M o n t p e l i e r , Vermont 05633-5201
Dear R e p r e s e n t a t i v e H a r r i s :
Thank you f o r your t h o u g h t f u l l e t t e r .
Your words o f
encouragement and s u p p o r t mean a g r e a t d e a l t o me. I am
d e l i g h t e d t o send t h e photo you r e q u e s t e d .
I t was a p l e a s u r e t o read t h e l i v e l y endorsement i n
your l e t t e r .
The P r e s i d e n t i s c o u n t i n g on your c o n t i n u e d
s u p p o r t as he t a c k l e s t h e d i f f i c u l t i s s u e s b e f o r e him.
Sincerely yours.
H i l l a r y Rodham C l i n t o n
��THERESA KORDSMEIER VOGLER
Post Office Box 70541
Marietta, Georgia 30007-0541
August 10, 1994
Ms. Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue
Washington, D.C.
Dear Ms. Clinton:
There is a bumper sticker out: "Don't Let Hillary Pick Your Doctor". Apparently,
someone does not know what is happening in the health care system that we have today.
I personally, would want Hillary to pick my doctor. It would be done with compassion.
Your care would be determined for you as an individual and as a human being. What
we have today are "Case Managers". Read Carefully . . . . Case Managers are employed
by most insurance companies to select and direct your health care without one element
of you as an individual. Most of the time they never see you. Most of their work (SIC)
is done by phone - Doctor to Case Manager, Case Manager to Agency, etc. Regardless
of your diagnosis, you may have one (1) home visit; two (2) homes visits; eight (8) hours,
long enough to get an infusion. . . indefinite . . . If it has been determined that you are
dying . . . an average of twenty-four (24) hour coverage . . . the Case Manager makes
these decisions from their office.
If your illness is coded pneumonia - six (6) days and four (4) hours . . . Cancer-home visits
until patient needs medication continuously, then a nursing assistant, who cannot
administer medicines is assigned. A nursing assistant is usually a person who was formerly
known as a "Sitter", and most of them do just that. Street clothes; no qualifications; just
there. A nursing assistant may or may not have eight hours of training. Hospitals have
returned to using them because they are cheap labor. The record shows "X" number of
personnel whether they are functional doesn't matter. Some are better than others; aren't
we all? Basically, it is up to the family to care for the patient and all along your
insurance premiums go up and away.
They pay Case Managers large salaries. Excuse me, we pay Case Managers large salaries
to tell us if, when and how we will be cared for. In the past, the doctor wrote the orders;
�today, the Case Managers tells the doctor. No nursing skills involved, but the title R. N.
allows them to deny you and I the basic care we deserve and hopefully, we can and will
demand. How can you care for 32 patients with 67 hours of nursing and 127 hours of
nursing assistants (these are computed estimates). It is actually down to this: twenty to
thirty administrators make these determinations from the computer. Where is the human
element?
Eliminating ten administrators would make room for forty more real nurses in each
hospital. Remember, this is where we still go for heart attacks, new babies, broken bones,
appendicitis, and etc. Prayerfully, you can go home quickly. No one to care for you, staff
cutbacks, no incentives for nurses; outpatient is the way to go - believe me! I can
remember when one nun ran the whole hospital! Figure that out!!
Hillary Help! Or, please, Dear God help us!! It is totally out of our hands. Suppose an
epidemic of meningitis, cholera, dysentery or tuberculosis broke out; we could not handle
it. People with absolutely no concern about you, about me, but only what comes out of
the computer dictating our health care. That is where we are now! Believe me, reform
is not a political issue. It is the difference between life and death for you and for me.
A nurses' union: where is the State Nurses' Association, The American Nurses'
Association? This is nationwide! We need a union but most of all, we need the human
element, the care and compassion back in the medical aspect of our lives.
The dignity of the nursing profession has fallen by the wayside. White uniforms, caps and
shoes - a thing of the past. Why?
I am a Registered Nurse and have worked for $4.00 per hour, $7.00 per hour, and $20.00
per hour. Last week, I worked as a Nursing Assistant. All the Case Manager allowed
with a young woman diagnosed with cancer, going twice daily for X-ray therapy, costing
hundreds of dollars, yet she was denied the care of a professional who would have
recognized acute respiratory distress, 4+ edema, anxiety, etc. No quality of life or comfort
which we have the right to expect. Sitting in her chair, on Saturday morning, July 30,
1994, she died. The Nursing Assistant was unable to recognize or realize what to do and
situations such as this are occurring daily. A statistic - the Case Manager had approved
24 hours of coverage starting on the first day of the following month.
Another example: A doctor, employed by a large HMO organization, had cancer as well
as aids (going to DIE anyway). He was sent home with 24 hour nurse care for 30 days.
On the 31st day, (one home visit allowed and his mother taking care of him) his blood
pressure 70/40, on oxygen and IV pain medication. On the 32nd day, (one home visit)
blood pressure 50/40, still on oxygen and IV pain medication. Due to the fact that it was
Sunday, there was no care or interest in this patient from his own company or his Case
Manager, who was also a personal friend. His Mom called 911 and he was rushed back
to the hospital and died. The last entry by the Case Manager was "Patient Expired on
2/4/92". Another statistic! Is that what we are? Another statistic? Both of these patients
�cited escaped the radical extinction of life by a stroke of the pen, on a routine day-today operation by a Case Manager.
Remember, we are numbered and color coded! Our care is predetermined by a "Care
Plan". These are reviewed annually, items deleted and additions are made. As the saying
goes, "It looks good on paper"! And written by people who have never emptied a bed
pan or worked in the emergency room or taken care of a patient in a home environment
with nothing to work with; not because they hadn't struggled all their life to prepare for
the end, but because the Case Manager did not approve it!
In the name of common sense, do as I have done; get involved! Do something! It is easy
to sit back and blaipe everybody else, but it is up to you and me to make the difference.
The time is short, the Hour is long, but with God's help, we can made a difference.
I have given only two examples applicable to thousands of people everyday. I could offer
many more.
If you want to be heard or care about your well being, send a card or letter to NURSES,
P.O. Box 70541, Marietta, Georgia 30007-0541. Your cards and letters will be forwarded
to Washington D. C. daily. We cannot wait until healthcare reform is passed by elected
officials. We need the larger health care providers, the insurance lobbyists to be made
aware of where they have taken us today. It is absolutely necessary to promote and
prolong life!
Sincerely,
Theresa K. Vogler
�THE
WHITE HOUSE
WAS H I N GTO N
September 1, 1994
Theresa K. Vogler, R. N.
Post Office Box 70541
Marietta,-Georgia 30007-0541
Dear Ms. Vogler:
Thank you for your very thoughtful l e t t e r about health
care reform. I appreciated reading your first-hand
observations of our present health care system. The
President proposes to keep the things that are right i n our
health care system and to correct the things that are
wrong. He knows that there are many dedicated health care
providers i n t h i s country. I n your family, for example,
there are three family members i n health-related
professions.
I'm am very grateful for the care that my father
received at St. Vincent's. Please thank your son for me.
As you noted i n your l e t t e r , there i s an opportunity
at t h i s time in our country to change our health care
system to make i t work for a l l Americans. Thank you for
speaking out and for supporting the President's e f f o r t s .
Sincerely yours,
H i l l a r y Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
010a. letter
SUBJECT/TITLE
DATE
Ali B. Firouz to Mrs. Clinton; RE: Address and phone number
[partial] (1 page)
07/20/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 5S2(b)|
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRAj
b( I) National security classified information |(b)( I) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical inforniation
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�A l i B. Firouz
July 20,
1994
Dear Mrs. C l i n t o n :
I am a twenty year o l d student i n Orlando, F l o r i d a , who i s
working hard t o achieve h i s dreams.
I am not a p o l i t i c i a n or a
strong supporter of p o l i t i c a l p a r t i e s .
However, a conversation
several days ago w i t h a f r i e n d l e d me t o w r i t e t o you and voice
my o p i n i o n s .
I t seems t o me t h a t every place t h a t I e n t e r , there
i s nothing but c r i t i c i s m f o r our p r e s i d e n t and our government.
There seems t o be no one who
i s w i l l i n g t o take the time and view
the events i n a non-biased manner, ( t h e y ' r e too busy p o i n t i n g
fingers!!!).
I n my view, there seems t o be no support f o r our
1
president and h i s e f f o r t s .
Well I DISAGREE!
I b e l i e v e t h a t President C l i n t o n i s doing
a great j o b of governing t h i s country.
He has taken the time t o
t a c k l e the very core of the problems t h a t plague t h i s n a t i o n .
has also shown great leadership a b i l i t i e s i n times of need.
He
These
are t r a i t s t h a t cannot be said about a m a j o r i t y of our past p r e s i d e n t s .
I also b e l i e v e t h a t everyone, Democrat or Republican,
should put
aside t h e i r p e t t y b i c k e r i n g and concentrate more on improving the
system.
I also b e l i e v e t h a t you have done an e x c e l l e n t job as the F i r s t
Lady i n the past two years.
You have courageously
b a t t l e d the issue
of healthcare, an issue t h a t has been ignored f a r too long.
watched you on t e l e v i s i o n several n i g h t s ago, and was
by your keen knowledge and t a c t .
I
impressed
You are c l e a r l y an asset t o the
people of t h i s country, and also p r e s i d e n t C l i n t o n .
Well, I j u s t thought t h a t you may
f o r a change!
l i k e t o hear something p o s i t i v e
You have my complete support, and'I w i l l vote f o r
Clinton Library Photocopy
�you again i n the next P r e s i d e n t i a l campaign.
Warmest wishes f o r c o n t i n u e d
success.
Since
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
010b. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Ali B. Firouz; RE: Address [partial] (1
page)
09/08/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6)of the PRA|
b(l) National security classified information |(bXI) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE
WHITE
HOUSE
W A S H IN GTO N
September 8, 1994
Mr. A l i B. Firouz
Dear Mr. Firouz:
Thank you for your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from i n d i v i d u a l s who share a
v i s i o n of a better l i f e for a l l Americans. A common b e l i e f
i n family, community, and country guides each of us as we
work to r e a l i z e the promise of America. Your ideas and
thoughts offer added i n s p i r a t i o n as the President works to
ensure that every American's future i s f i l l e d with courage,
hope, and confidence.
I appreciate the i n t e r e s t and concern that your l e t t e r
conveys. Thank you for taking the time to write.
Sincerely yours.
H i l l a r f Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
011a. letter
SUBJECT/TITLE
DATE
Myron Buchholz to Mrs. Clinton; RE: Address [partial] (1 page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRAJ
b(l) National security classified information [(bKU of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�H i l l a r y Rodham C l i n t o n
".Jhite House
Washington, D.C.
Myron Buchholz
Dear Mrs. C l i n t o n ,
My Mom
_
Sherry Buchholz wrote you and you
responded by w r i t i n g her w i t h a l e t t e r dated June 2, 1993. I
d i d n ' t know she wrote you u n t i l I found your response
tragically
a f t e r Mom's death. At t h e same time I had w r i t t e n your husband
the
President and r e c e i v e d a response from him dated June 1 1 , 1993.
Mom l i v e d a f u l l ai^d v i t a l l i f e . She loved
people, loved t o w r i t e and was v i t a l l y i n t e r e s t e d i n a f f a i r s o f
state.
Her happiness was i n t h i r t y years o f m a r i t a l
b l i s s w i t h Dad who served i n the Army A i r Force d u r i n g t h e Second
World War i n the then new f i e l d o f radar.
I don't know what Mom wrote you i n the l e t t e r
but
from your response i t must have been very p o w e r f u l .
On b e h a l f of Mom I want to thank you f o r your
strong leadership on h e a l t h care reform and I hope there w i l l be
u n i v e r s a l coverage i n t h i s n a t i o n f o r the f i r s t time.
Thank you f o r responding t o her l e t t e r . I t must
have meant a great deal t o her.
Best of luck t o you and the President i n the f u t u r e
as you both continue t o lead t h i s n a t i o n e f f e c t i v e l y and w e l l .
Sincerely yours,
Myron Buchholz
bless you and America.
G o d
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
011b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Myron Buchholz; RE: Address [partial] (1
page)
09/08/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. S52(b)|
PI National Security Classified Information [(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRAj
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
inforniation [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOI A|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
September 8, 1994
Mr. Myron Buchholz
Dear Mr. Buchholz:
Thank you f o r your t h o u g h t f u l l e t t e r .
encouragement mean a g r e a t deal t o me.
Your words o f
•I was s o r r y t o hear o f your mother's death. I t was
very k i n d o f you t o share w i t h me her a p p r e c i a t i o n o f my
l e t t e r . My thought and prayers w i l l be w i t h you i n t h e
coming months.
Thank you again f o r w r i t i n g .
Sincerely yours,
H i l l a r y Rodham C l i n t o n
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
012a. letter
SUBJECT/TITLE
DATE
Carol L. Haskett to Hillary Clinton; RE: Address and phone number
[partial] (1 page)
08/10/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRAJ
b(l) National security classified information [(bXl)of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3)of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose inforniation compiled for law enforcement
purposes [(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOI A|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�August 10,1994
Mrs. Hillary Clinton
The White House
1600 Pennsylvania Ave.
Washington DC 20500
Dear Mrs. Clinton,
I wish to express full support for your efforts in health care reform. My husband
and I are years-long registered Republicans who did not vote for your husband.
However, we support you both on this issue and plan to notify our Republican
representatives of our feelings. Also, please feel free to copy this and send it to
all Republican lawmakers.
Although we are covered, we see clearly the necessKy of universal coverage same for all Americans. It is long overdue, and must be accomplished.
President Clinton and Vice President Gore spoke magnificently in Missouri
recently. All the opposition's arguments are weak, and we have yet to meet
anyone willing to give up Medicare.
On a personal note, Mrs. Clinton, I find myself in the surprising position of having
become one of your biggest fans and defenders. I am a rather old-fashioned
stay-at-home Mom of two daughers, and I will be 47 on Aug. 29. The only other
letter I've written to the White House was to praise Nancy Reagan as First Lady.
To be honest, during the last election, I didn't really even like you. I went from
dislike to respect - as I watched and listened to you - and then somehow
between then and now, became a vocal supporter and all out "Hillary fan". Even
facing the fierce criticism from our friends in the Church and business and
medical community, I will continue to defend and support most vocally all your
efforts in health care reform. You have spoken brilliantly on this issue, and I
watch and listen to you every chance I have.
I hope my support means something to your efforts, especially coming from one
who voted for both Nixon and Bush. Hang in there - you may have friends where
you least expect to find them.
Sincerely,
Carol L. Haskett
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
012b. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Carol Haskett; RE: Address [partial] (1
page)
09/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA|
P4 Release would disclost trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE H O U S E
W A S H IN GTO N
September 7, 1994
Ms. Carol Haskett
Dear Ms. Haskett:
Thank you for your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from i n d i v i d u a l s who share a
v i s i o n of a better l i f e for a l l Americans. A common b e l i e f
in family, community, and country guides each of us as we
work to r e a l i z e the promise of America. Your ideas and
thoughts o f f e r added i n s p i r a t i o n as the President works to
ensure that every American^ future i s f i l l e d with courage,
hope, and confidence.
I appreciate the i n t e r e s t and concern that your l e t t e r
conveys. Thank you for taking the time to write.
Sincerely yours.
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
013a. letter
SUBJECT/TITLE
DATE
Mary Fritz to Hillary Clinton; RE: Address [partial] (1 page)
08/03/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Kreedom of Inforniation Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical inforniation
concerning wells [(bX**) of the FOIA)
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA]
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�August 3, 1994
Hilary Clinton
The White House
Washington, D.C.
Dear Hilary,
—
Thank you for being there and for doing all that you do, in spite of terrible suffering. You are
precisely the kind of person we need as a president's wife. You have the intelligence, the courage,
and the right values. We are grateful to you for your struggle to represent the people of our
nation. A lot of them don't always see clearly or understand what is in the best interests of all of
us. Sometimes I get very frustrated, even angry, with their lack of understanding, their attitudes
of selfishness and hatred, and their preference not to think or use their hearts. In the interests of
not developing high blood pressure, I don't discuss anything but the weather with certain
acquaintances (even a few relatives!) who watch Rush Limbaugh, for example. I can only imagine
the pain that you must go through every day. You were brave to help your husband in the
election, knowing how difficult this might be. Please "hang in there" for the sake of all of us
If there is any one person in the world that I most admire today, it is you. No sports heroes, not
even a religious leader, because you have put religion into practice in your daily life, something
most of us don't often do and certainly would never be in the position of doing under such duress.
We were missionaries for 18 years (United Methodists), and nothing we ever went through can
compare to what you go through every day. I would also like to add my admiration for Chelsey,
who holds up under all this punishment. And for your husband too whom we support with all we
can. I would like to think that any of our six children would be as brave as you all are. I just
thank God that they don't have to experience the suffering that you experience
I hope that this doesn't sound gushy. I have "thought" this letter to you on many occasions in the
past year, so after all this time it contains a lot of emotion. I should write it a hundred times for
all the times I thought of writing and didn't.
Thank you again for everything you are doing to represent us.
Sincerely,
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
013b. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Mary Fritz; RE: Address [partial] (1 page)
09/08/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)]
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3)of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASH
INGTON
September 8, 1994
Ms. Mary F r i t z
Dear Ms. F r i t z :
Thank you for your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from i n d i v i d u a l s who share a
v i s i o n of a better l i f e for a l l Americans. A common b e l i e f
i n family, community, and country guides each of us as we
work to r e a l i z e the promise of America. Your ideas and
thoughts offer added i n s p i r a t i o n as the President works to
ensure that every American's future i s f i l l e d with courage,
hope, and confidence.
I appreciate the i n t e r e s t and concern that your l e t t e r
conveys. Thank you for taking the time to write.
Sincerely yours.
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
014a. letter
SUBJECT/TITLE
DATE
Robert Spain to First Lady Mrs. Hillary Clinton; RE: Address
[partial] (1 page)
07/13/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information |(aXI) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRAj
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl)of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�July 13, 1994
Attn: First Lady Mrs. Hillary Clinton
White House
Washington, D C
..
Dear Mrs. Clinton,
Reviewing photographs recently taken of my daughter, Bethsabee Spain,
I was struck by the resemblance to our First Lady. To further underscore • —
/
the likeness, I must add she i s also a Wellesley graduate (Class of '88).
Bethsabee currently resides and works i n Paris. I am, however, confident • ^.
she could easily be talked into returning Stateside in order to portray l ^ Hillary Rodham Clinton in a TV documentary illustrating how intelligence,
charm and drive s t i l l remain the most propulsive forces in human society.
(And wouldn't her mother and I be happy to have her closer to heme!)
/
Alas, good Republican that she i s , Bethsabee would argue that employer- '
mandated health insurance i s philosophically unsound and that personal
responsibility for one's health insurance would be a more justifiable I
means of controlling costs and maintaining guality. Realist that she
i s , she vould insist upon scene means of providing health care to those
who cannot afford i t . Cynic that she i s , she would insist that such charity
be under the most local, grassroots control possible, federal and perhaps
even state level oversight being too remote. Student of p o l i t i c a l science
that she i s , she would understand that the vested interests and holders
and brokers of power would never l e t that happen. Good Wellesley alumna
that she i s , she would surely wish you well in the extremely important,
sensitive and challenging task you have accepted.
Clearly, these are my words and not those of my daughter. They are the
thoughts I would expect and hope she might express. But, who can say?
Enough time in France and she could very well chtose to embrace benign
socialism over rugged individualism.
Respectfully,
Robert Spain
Clinton Library Photocopy
��Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
014b. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Robert Spain; RE: Address [partial] (1
page)
09/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
CWBox Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl8l3
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |S U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified inforniation |(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
September 7, 1994
Mr. Robert Spain
1:01Mb}
Dear Mr. Spain:
Thank you f o r your d e l i g h t f u l l e t t e r . You draw an
engaging word-portrait of your daughter. Your father's
pride i s evident.
I hope that Bethsabee found her time a t Wellesley t o
be as rewarding as mine was. The experience of l i v i n g i n
France sounds wonderful.
Thank you again f o r taking the time to write.
enjoyed reading your l e t t e r .
I
Sincerely yours.
H i l l a r y Rodham Clinton
Clinton Library Photocopy
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�SUNDAY WORLD-HE
First Lady Has Hold on Ryan
Meeting Mesmerizes
South Sioux City Boy
BY JAMES ALLEN FLANERY
WORLD-HERALD STAFF WRITER
Ryan Moore learned one thing for sure
last week about Hillary Rodham Qinton.
Thefirstlady can bear a heavy load.
Ryan is the 3-year-old South Sioux
City, Neb., boy who found himself in
Mrs. Clinton's arms during a health-care
meeting on Capitol Hill. A picture of
them appeared in newspapers and on
televisions around the nation.
Ryan, who is afflicted with a rare type
of dwarfism, weighs 35 pounds. He also
was wearing a 5-pound leather-and-metal back brace.
Yet Mrs. Clinton managed to hold
Ryan throughout her 10-minute speech.
"It was pretty difficult for her,' Ryan
said Saturday from his home. "My brace
is so big."
Ryan, his parents, his baby brother
and his grandmother went to Washington last week with nine other families.
Supporters of the Clinton administration s health-care plan arranged for the
trip to dramatize what they describe as
an urgent need for universal health-care
coverage.
" I was surprised," Ryan said, when
Mrs. Clinton reached down and whisked
him out of his wheelchair into her arms.
"What's your name?" she asked.
After he replied, Ryan said, she
launched into her speech.
"She (Mrs. Clinton) had been watching him through the entire meeting,"
Ryan's mother, Maria Moore, said.
"When Sen. {Richard) Gephardt (DMo.) introduced Mrs. Clinton, everyone
stood up and applauded," Mrs. Moore
said. "Ryan stood up, took off his seat
belt and applauded. She walked over to
him and told him she was so thrilled."
Mrs. Moore said Saturday that her
family faced a crisis in 1987, when her
husband, Brian Moore, was laid off his
millworker's job after 11 years.
Ryan was a year old, with many
medical problems. Another Moore son,
Brandon, had just contracted spinal
meningitis.
The family had no health insurance.
During the following year, Mrs.
Moore said, Ryan had to have a cleft
palate repaired. Doctors also had to
insert a tube to drain fluid from his
brain.
THE ASSOCIATED PRESS
HEALTH-CARE PUSH: Hillary Rodham Qinton was among those pushing for
universal health care at a meeting Wednesday on Capitol Hill. She holds Ryan Moore,
7, of South Skwx City, Neb., who has a rare type of dwarfism.
Mrs. Moore said her husband interviewed with many potential employers.
"But once he mentioned Ryan, that
was pretty much the end of it," she said.
"We had problems finding a company
that would include Ryan in their health
coverage."
Ryan eventually became eligible for
Medicaid. But, Mrs. Moore said. Medicaid did not cover numerous trips to
Baltimore, where Ryan was treated by a
specialist.
In 1988, she said, her husband finally
found another job, with Omahaline Hydraulics in North Sioux City, S.D. She
said the new employer "has really been
good as far as health coverage for Ryan."
The boy has had two major hip
surgeries that cost a total of more than
$100,000. Insurance paid most of the bill,
Mrs. Moore said.
Various fund-raisers — bake sales,
two dances and a Ryan Moore Day at
church — paid the rest
Mrs. Moore said she worries that her
family could be plunged into crisis again
if,.for some reason, her husband lost his
job.
"You don't know what's going to
happen within a company," she said.
"Brian could lose his job tomorrow."
Ryan, who is 2Vi inches shy of being 3
feet tall, will be a second-grader this fall.
His mother said he is a straight-A
student. His specialty is mathematics.
Thursday, the day after he met Mrs.
Clinton, Ryan received good news from
a Baltimore doctor. He can take off the
back brace.
But Ryan's biggest source of cheer, his
mother said, was meeting Mrs. Clinton.
"If you could have seen the expression
in his eyes," she said, when thefirstlady
lifted him into her arms. "He was
mesmerized."
��Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
015. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Ryan Moore; RE: Address [partial] (1
page)
09/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A Williams [Folder 2]
2006-0810-F
dbl813
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Kreedom of Information Act - [5 U.S.C. S52(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the KOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the KOIA]
b(3) Release would violate a Kederal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical inforniation
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASH I NGTON
September 7,
1994
Dear Ryan:
Thank you for your wonderful letter and for sending
the photograph. I enjoyed our meeting very much and I'm so
glad that you were able to v i s i t the White House.
I hope that you are really enjoying school this year.
Keep up the good work in mathematics!
Please t e l l your m m and dad that I said, "Hello."
o
Thanks to a l l of you for your help with the health care
campaign.
Sincerely yours,
Hillary Rodham Clinton
Clinton Library Photocopy
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South Coast
Communications Group
Investor Relations, Marketing Communications, Public Relations
June 27, 1994
Ms. Hilary Rodham Clinton
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20500
Dear Ms. Rodham Clinton:
As a supporter of President Clinton and a public relations consultant, I felt you might be
interested in seeing the recent issue of KIDS, the newsletter for Children's Hospital of
Orange County.
The President's visit with Steven during his trip to Los Angeles fulfilled the wish of a
young boy suffering from a life-threatening form of bone cancer. That visit may also
have contributed to the dramatic improvement Steven is experiencing today.
Steven has become somewhat of a celebrity at Children's Hospital of Orange County, and
doctors are confident that he will continue to improve and enjoy good health. As you can
see from the photograph in the newsletter, Steven's smile says it all.
This is the kind of news we love to hear, and I wanted to share it with you and President
Clinton. Given all the negative publicity which abounds, I felt you might welcome some
Since,
Senior Vice Pcfesidc^l
; enc.
Cnliioum Oiupoiation
:^)inM;]iiiStiRd.Siiiic;^n
IIVIIIR, r,;ili!omin 92714
Phone (714)252-8440
FAX:(714)252-8709
�THE W H I T E H O U S E
WAS H I N GTO N
September 7, 1994
Ms. G l o r i a Zigner
Senior Vice President
South Coast Communications Group
2010 Main Street, Suite 220
I r v i n e , C a l i f o r n i a 92714
Dear G l o r i a :
Thank you f o r w r i t i n g and sending news of Steven
Selby. I am pleased t o hear of h i s wonderful progress and
hope t h a t he continues t o improve.
I appreciate your t a k i n g t h e time t o keep me posted.
Sincerely yours.
M i l i a r " Rodham C l i n t o n
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 2]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-011-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/40797e57dd5a4b7bbde694a04b1453fc.pdf
751cd13f274164344503851cc36c9b4a
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001a. letter
Hillary Rodham Clinton to Joe R. English; RE: Address [partial] (1
page)
02/03/1995
P6/b(6)
001b. letter
Joe R. English to Dear Lady; RE: Address [partial] (1 page)
n.d.
P6/b(6)
002a. letter
Hillary Rodham Clinton to David Lewis; RE: Address [partial] (1
page)
02/03/1995
P6/b(6)
002b. letter
David A. Lewis to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/04/1995
P6/b(6)
003a. letter
Hillary Rodham Clinton to Michael D. Solomon; RE: Address
[partial] (1 page)
01/25/1995
P6/b(6)
003b. letter
Michael D. Solomon to Mrs. Clinton; RE: Address and phone number
[partial] (2 pages)
12/11/1994
P6/b(6)
004. letter
Hillary Rodham Clinton to David Dendy; RE: Address [partial] (1
page)
02/03/1995
P6/b(6)
005. letter
Evealyn Lesure to Mrs. Clinton; RE: Address [partial] (1 page)
12/16/1994
P6/b(6)
006. letter
Pat Howell to Mrs. Clinton; RE: Address [partial] (1 page)
12/27/1994
P6/b(6)
007. letter
Hillary Rodham Clinton to Matthew Salmon; RE: Address [partial] (1
page)
01/23/1995
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
2006-0810-F
dbl812
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |S U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAI
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
��THE W H I T E H O U S E
WAS H I N G T O N
January 1, 1995
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS
CHIEF OF STAFF FOR THE FIRST LADY
FROM:
ALICE PUSHKAR
DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
STATUS REPORT FOR THE FIRST LADY'S
CORRESPONDENCE
T h i s r e p o r t covers t h e t i m e p e r i o d from December 4, 1994
t h r o u g h December 31, 1994. T h i s r e p o r t i n c l u d e s i n f o r m a t i o n
about t h e volume o f m a i l r e c e i v e d and produced by t h e O f f i c e o f
F i r s t Lady's Correspondence and t h e G r e e t i n g s Report.
A t t a c h e d a r e two p i e c h a r t s which r e p r e s e n t a v i s u a l
breakdown o f your i s s u e s m a i l .
D u r i n g t h e p e r i o d we r e c e i v e d 5496 p i e c e s o f correspondence
addressed t o you. The average number o f l e t t e r s r e c e i v e d d a i l y
i n o u r o f f i c e has decreased from 255 t o 250.
We a r e s t i l l i n a "dry s p e l l " i n terms o f i n t e r n s , but our
n e x t group i s scheduled t o a r r i v e on January 18. Our two between
s e s s i o n i n t e r n s are here f o r one week, and we a r e h a v i n g them
work on d a t a e n t r y o f correspondence and r e v i e w i n g v i d e o - t a p e s as
w e l l as d r a f t i n g responses t o t h e t a p e s .
I n an e f f o r t t o p r o v i d e you w i t h more t i m e l y and a c c u r a t e
i n f o r m a t i o n , we propose t o change o u r r e p o r t i n g f o r m a t and
i n s t i t u t e a new system. We would l i k e t o b e g i n sending weekly
r e p o r t s on t h e i s s u e s about which we r e c e i v e t h e most m a i l . We
w i l l c o n t i n u e t o send b i - w e e k l y numbers r e p o r t s w i t h p i e c h a r t s ,
graphs, and a d d i t i o n a l i n f o r m a t i o n about t h e volume o f your m a i l
f o r t h e year t o d a t e . A t t h e end o f each month we w i l l send a
summary o f t h e month's m a i l i n terms o f p e r c e n t a g e s , t r e n d s , and
volume.
I n a d d i t i o n , we w i l l c o n t i n u e t o send t h e Agency L i a i s o n
and G r e e t i n g s Reports on a monthly b a s i s .
�The H e a l t h Care f o l d e r c o n t a i n s one l e t t e r from a woman who
l i v e s i n Cottage Grove, Oregon. She w r i t e s o f h e r s u p p o r t f o r
you and h e r a p p r e c i a t i o n f o r your e f f o r t s towards h e a l t h care
r e f o r m . She has o b v i o u s l y read a g r e a t d e a l about t h e h e a l t h
c a r e p l a n s o f o t h e r c o u n t r i e s and r e f e r e n c e s b o t h t h e Canadian
and t h e Japanese. T h i s w r i t e r w i l l r e c e i v e an i n d i v i d u a l
response based on approved s u p p o r t and h e a l t h c a r e language.
The I s s u e s f o l d e r c o n t a i n s f o u r l e t t e r s .
The f i r s t l e t t e r
i n t h e I s s u e s f o l d e r i s from a man who l i v e s i n Granbury, Texas.
He w r i t e s a p o i g n a n t p e r s o n a l t e s t i m o n y about s u r v i v i n g f a m i l y
h a r d s h i p d u r i n g t h e d u s t bowl days, and o f f e r s t h e Grapes o f
Wrath as an i m p o r t a n t work t o r e v i s i t today i n c o n t r a s t t o
R e p u b l i c a n r e f e r e n c e s t o "Boystown.
This w r i t e r w i l l receive
the Support form l e t t e r , w i t h t h e s i g n a t u r e space l e f t b l a n k f o r
you t o s i g n p e r s o n a l l y .
11
The second l e t t e r i n t h e Issues f o l d e r i s from a Republican
who l i v e s i n Bedford, I n d i a n a . He w r i t e s o f h i s s u p p o r t f o r you
and o f h i s d i s g u s t w i t h t h e media's t r e a t m e n t o f t h e P r e s i d e n t .
He r e l a t e s t h a t h i s f a t h e r , a l i f e l o n g " r e d - h o t " R e p u b l i c a n , i s
so f e d up w i t h t h e media bashing o f t h e P r e s i d e n t , t h a t he i s
ready t o become a Democrat. T h i s w r i t e r w i l l r e c e i v e t h e Support
form l e t t e r , w i t h t h e s i g n a t u r e space l e f t b l a n k f o r you t o s i g n
personally.
The t h i r d l e t t e r i n t h e Issues f o l d e r c o n t a i n s t h o u g h t f u l
a d v i c e from a man who l i v e s i n San F r a n c i s c o , C a l i f o r n i a . He
w r i t e s o f t h e need t o s t r e s s t h e concept o f h e a l i n g i n a t i m e o f
danger and i n t e r n a l d i v i s i v e n e s s i n our c o u n t r y . The i n d i v i d u a l
response t o t h i s w r i t e r i s being sent t o you w i t h t h e s i g n a t u r e
space l e f t b l a n k f o r you t o s i g n p e r s o n a l l y .
The f o u r t h l e t t e r i n t h e Issues f o l d e r i s from a man who
l i v e s i n Los Angeles, C a l i f o r n i a . He w r i t e s o f h i s o p p o s i t i o n t o
R e p u b l i c a n p r o p o s a l s t o c u t support f o r c h i l d r e n on w e l f a r e .
T h i s w r i t e r w i l l r e c e i v e our new C h i l d r e n and W e l f a r e form
letter.
The Support f o l d e r c o n t a i n s two l e t t e r s .
The f i r s t l e t t e r
i n t h e Support f o l d e r i s from an M.D., P.S.C., who p r a c t i c e s i n
Owensboro, Kentucky. He w r i t e s o f h i s a d m i r a t i o n f o r t h e manner
i n which you responded t o Mrs. G i n g r i c h ' s remarks.
This w r i t e r
w i l l r e c e i v e t h e Support form l e t t e r which i s b e i n g sent t o you
w i t h t h e s i g n a t u r e space l e f t blank f o r you t o s i g n p e r s o n a l l y .
The second l e t t e r i n t h e Support f o l d e r i s from a man who
l i v e s i n Washington, D.C. He w r i t e s o f h i s a p p r e c i a t i o n o f and
a d m i r a t i o n f o r you, and i n c l u d e s an i n s p i r a t i o n a l message w r i t t e n
by Robert M u l l e r , former A s s i s t a n t S e c r e t a r y - G e n e r a l o f t h e
U n i t e d N a t i o n s , on t h e occasion o f I n t e r n a t i o n a l Forgiveness
Week. T h i s w r i t e r w i l l r e c e i v e t h e Support form l e t t e r which i s
b e i n g s e n t t o you w i t h t h e s i g n a t u r e space l e f t b l a n k f o r you t o
sign personally.
�The Thank-You f o l d e r c o n t a i n s one l e t t e r from a woman who
l i v e s i n Memphis Tennessee. She thanks you f o r your h e l p w i t h
her husband's d i s a b i l i t y case.
The C h i l d r e n ' s f o l d e r c o n t a i n s two i t e m s . The f i r s t l e t t e r
i n t h e C h i l d r e n ' s f o l d e r i s from a teacher a t t h e B u r t o n s v i l l e
Elementary School i n Montgomery County, Maryland, who met you
a f t e r t h e C a r l Anthony l e c t u r e s e r i e s . She encloses a book which
her second grade c l a s s made f o r t h e P r e s i d e n t . I n a d d i t i o n she
encloses an a r t i c l e about t h e i r P r i n c i p a l , Dawn E l l i s , who was
r e c e n t l y chosen D i s t i n g u i s h e d Educator by t h e Washington Post.
The Thank-You response t o t h i s t e a c h e r and h e r c l a s s i s b e i n g
s e n t t o you w i t h t h e s i g n a t u r e space l e f t b l a n k f o r you t o s i g n
personally.
The i t e m i n t h e C h i l d r e n ' s f o l d e r was s u b m i t t e d by Matthew
Salmon, who l i v e s i n Sherborn, Massachussets. He c r e a t e d a
drawing d e p i c t i n g you about t o read t o a c h i l d o u t d o o r s . The
Thank-You response t o t h i s c h i l d i s being s e n t t o you w i t h t h e
s i g n a t u r e space l e f t blank f o r you t o s i g n p e r s o n a l l y .
�ANALYSIS OF THE MAIL
NRN
CHELSEA
AGENCY LIAISON
ISSUES
CHRISTMAS CARDS
SUPPORT
REQUEST
CHILDREN'S
HEALTH CARE REFORM
SCHEDULING
PERSONAL
IDEAS
OTHER PEOPLE'S MAIL
UNFAVORABLE
VIP
TRANSLATIONS
GIFTS
SECRET SERVICE
PRESS
GREETINGS/MESSAGES
PERSONNEL
TAPES
SERVICE OFFERED
OTHER
STAFF
^
21.53%
15. 8 1 %
12.03%
5.38%
8.82%
8.25%
5. 50%
4.70%
3.09%
2.63%
1.72%
1.60%
1.26%
1.26%
1.26%
1.26%
0.92%
0.69%
0.69%
0 . 57%
0.4 6%
0.23%
0.11%
0.11%
0. 1 1 %
ISSUES
Boystown/Orphans
W e l f a r e Reform
Other
Children's Issues
Multi-Issues
I l l e g a l Immigrant
Foreign A f f a i r s
Women's H e a l t h
General H e a l t h
Environment
J e n n i f e r Harbury
G.A.T.T
Crime and V i o l e n c e
S u b s t a n c e Abuse
Tax R e f o r m
Education
Government R e f o r m
FDA
Abortion
17.86%
12.50%
10.71%
10,71%
3.93%
7.14%
7.14%
5.36%
5.36%
3.57%
1.79%
1.79%
1.79%
1.79%
1. 7 9 %
1. 79%
0.00%
0. 00%
0 . 00%
�THE WHITE H O U S E
WAS
H IN G T O N
FIRST LADY GREETINGS
DECEMBER 1994
* Hole i n t h e W a l l Gang Camp
* YWCA o f Yonkers
* American Jewish Congress
* Department o f H e a l t h and R e h a b i l i t a t i o n S e r v i c e s
State o f Florida
* D.A.R.E. G r a d u a t i o n
* Empire Key Clubs o f New York S t a t e
�OFFICE OF FIRST LADY'S CORRESPONDENCE
MAIL ANALYSIS FOR THE PERIOD ENDING DECEMBER 31, 1994
NRN
m OTHER PEOPLE'S MAIL
CHELSEA
mi UNFAVORABLE
AGENCY LIASION
m VIP
CD ISSUES
TRANSLATIONS
CHRISTMAS CARDS
•
GIFTS
SUPPORT
•
SECRET SERVICE
REQUEST
m PRESS
KIDS
m GREETINGS/MESSAGES
HEALTH CARE REFORM
m PERSONNEL
SCHEDULING
an TAPES
PERSONAL
C SERVICE OFFERED
D
IDEAS
�—i
OFFICE OF FIRST LADY'S CORRESPONDENCE
ANALYSIS OF ISSUES FOR THE PERIOD ENDING DECEMBER 31, 1994
m Welfare Reform
m Environment
m Other
m Jennifer Harbury
m Children's Issues
•
•
Multi Issues
G A.T.T.
Crime and Violence
• i Illegal Immigrant
m Substance Abuse
a Foreign Affairs
m Tax Reform
m Women's Health
CD Education
• i General Health
Government Reform
�THE
WHITE H O U S E
WAS
HIN GTO N
January
23, 1995
Ms. Diana Severns
Post O f f i c e Box 589
Cottage Grove, Oregon 97424
Dear Ms. Severns:
Thank you f o r your t h o u g h t f u l l e t t e r and f o r your
i n t e r e s t i n t h e f u t u r e o f h e a l t h care i n o u r c o u n t r y . Your
words o f encouragement and s u p p o r t mean a g r e a t d e a l t o me.
I t i s a p l e a s u r e t o hear from Americans who share a v i s i o n
o f a b e t t e r l i f e f o r a l l Americans.
There i s much t h a t we can l e a r n from t h e study o f
h e a l t h care programs i n o t h e r c o u n t r i e s . P r e s i d e n t C l i n t o n
f i r m l y b e l i e v e s t h a t g u a l i t y a f f o r d a b l e h e a l t h care i s
needed f o r a l l Americans. He c o n t i n u e s i n h i s commitment
t o s t r e n g t h e n what i s r i g h t about our c u r r e n t system and
r e p a i r what i s wrong. The P r e s i d e n t and h i s A d m i n i s t r a t i o n
w i l l work t o g e t h e r w i t h t h e new Congress toward m e a n i n g f u l
and l a s t i n g h e a l t h care r e f o r m .
Thank you again f o r t a k i n g t h e t i m e t o w r i t e .
Sincerely yours,
H i l l a r y Rodham C l i n t o n
�Hillary Rodham Clinton
The White House
1600 Pennsylvania Ave.
Washington, D.C.
12-7-94
Dear Mrs. Clinton,
I am delighted that you are in the White House and I hope that you continue to influence
the President as well as make a difference with your own projects. Your role must be
difficult since you are the first " First Lady" with a good education and a proven
professional track record. As the media hounds you for your excellence and the
Republicans wish you were an airhead like most of the former presidents wives, there are
millions of women and girls for whom you are a rare role model; a woman who is
intelligent, well educated, successful in her profession, a good wife and mother and
attractive as well.
By being independent and resourceful, you are showing the women
of this country and the world, that being a woman is a gift, and that women are equal, not
subservient, partners with men. Until men are educated otherwise, many will still believe
that women should do what they're told and let the men do the thinking and these men
will try to discredit you.
I and millions of Americans appreciate your efforts to implement a national health care
system. We only want the same quality health care as Bob Dole has, and I think that
concept should be stressed when the Health Care issue is revived. 1 think that more
information on the Canadian and Japanese health care systems should be made public.
Both systems use a conservative approach to medical situations, rather than the radical
"drugs and surgery" American approach which is so costly. When a Japanese woman
delivers her baby, it is in a hospital with a midwife, rather than an obstetrician. If she has
some difficulty, she gets a whiff of oxygen. An American in the same situation gets a CSection. This results in a much lower mortality rate for Japanese babies than American
babies. The C-Section rate in the U.S. is nearly 25%. It is 50% in some hospitals. In
Japan it is 5%. I recently had problems with my knee. I had x-rays and a visit to the
orthopedist. He wanted an MRI ($800.00) and then he planned to do surgery ($4000.00).
I opted for physical therapy( $300.00) and yoga( free) instead. My knee is fine. The
Canadian physical therapist told me that PT was the first choice of Canadian physicians.
The American Medical Association has an expensive "search and treat" policy toward
disease. They should be compelled to change this to "prevent and cure". This would
lower all medical costs, including the doctors salaries, so it would be a real struggle to
implement..
The Republicans have dragged up draft deferments, bimbos and real estate mistakes to
embarrass the President. Obviously, they have people working full time at discrediting
not only the President, but everyone around him. The White House needs a group to
deflect these missiles and launch a few at the Republicans. There must be a group who
could investigate Newt Gingrich and make his deferment record as well as his treatment of
his dying first wife, common knowledge. I'm sure that Pat Buchannan and Pat Robertson
�have dirty linen . It should be aired. The President has to stop being such a 'nice guy' and
get tough with his attackers.
I'd sure like to see both of you in there for a second term
because you are the first team since the Carters that has really tried to DO something for
the American people.
I believe you both have erred in not promoting all the good you have done in Arkansas
and in Washington D C. You need a good public relations group so that Americans will
know about your accomplishments rather than the mud the Republicans have shot at you.
Keep being the assertive person you've always been. Don't let the policy makers push
you into "wife" projects so that the uneducated and the red-necks will be more
comfortable. America needs your good mind, as there are so few in Washington.D.C!
Sincerely'
Diana Sevems
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Joe R. English; RE: Address [partial] (1
page)
02/03/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
2006-0810-F
dbl812
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
b(l) National security classified information 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
February 3, 1995
Mr. Joe R. E n g l i s h
Dear Mr. E n g l i s h :
Thank you for your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure t o hear from i n d i v i d u a l s who share a
v i s i o n o f a b e t t e r l i f e f o r a l l Americans. A common b e l i e f
i n f a m i l y , community, and country guides each o f us as we
work t o r e a l i z e t h e promise o f America. Your ideas and
thoughts o f f e r added i n s p i r a t i o n as t h e P r e s i d e n t works t o
ensure t h a t every American's f u t u r e i s f i l l e d w i t h courage,
hope and confidence.
I a p p r e c i a t e t h e i n t e r e s t and concern t h a t your l e t t e r
conveys. Thank you f o r t a k i n g t h e time t o w r i t e .
S i n c e r e l y yours.
H i l l a r y Rodham C l i n t o n
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. letter
SUBJECT/TITLE
DATE
Joe R. English to Dear Lady; RE: Address [partial] (1 page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams ( M a i l Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A . Williams [Folder 1]
2006-0810-F
dbl8l2
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information |(aKl)ofthe PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PKA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�D
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002a. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to David Lewis; RE: Address [partial] (1
page)
02/03/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
2006-0810-F
dbl812
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 22()4(a)|
Freedom of Information Act - |S U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information |(aK4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
W A S H I N G T O N
February 3, 1995
Mr. David Lewis
Dear Mr. Lewis:
Thank you f o r your t h o u g h t f u l l e t t e r . Your words o f
encouragement and support mean a g r e a t d e a l t o me.
I t i s a pleasure t o hear from i n d i v i d u a l s who share a
v i s i o n o f a b e t t e r l i f e f o r a l l Americans. A common b e l i e f
i n f a m i l y , community, and country guides each o f us as we
work t o r e a l i z e t h e promise o f America. Your ideas and
thoughts o f f e r added i n s p i r a t i o n as t h e P r e s i d e n t works t o
ensure t h a t every American's f u t u r e i s f i l l e d w i t h courage,
hope and confidence.
I a p p r e c i a t e t h e i n t e r e s t and concern t h a t your l e t t e r
conveys. Thank you f o r t a k i n g t h e time t o w r i t e .
S i n c e r e l y yours,
H i l l a r y Rodham C l i n t o n
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002b. letter
DATE
SUBJECT/TITLE
David A. Lewis to Hillary Rodham Clinton; RE: Address [partial] (1
page)
01/04/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
2006-0810-F
dbl812
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
National Security Classified Information [(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�January 4 1995
H i l l a r y Rodham C l i n t o n
1600 P e n n s y l v a n i a ^ve.
Washington DC
20335
Dear Mrs. C l i n t o n ,
I'm n o t i n t h e h a b i t o f s e n d i n g l e t t e r s t o
prominent persons, b u t a f t e r seeing your i n t e r v i e w
at
George Washington
University
on C-Span t h e
o t h e r day I f e l t c o m p e l l e d t o w r i t e . To be h o n e s t ,
I had never p a i d much a t t e n t i o n t o you u n t i l I
happened t o c a t c h t h i s program. I was impressed by
your
poise,
your
self-assurance,
and
your
articulate
and
often
witty
answers
t o the
q u e s t i o n s t h a t were p u t t o you. Your a p p e a l as a
personality
i s t h e p e r f e c t complement t o your
physical
a t t r a c t i v e n e s s . I hope t h a t my d a u g h t e r
w i l l grow up t o possess t h e a t t r i b u t e s I saw i n
you t o d a y : s t r e n g t h , i n t e l l i g e n c e and c o n f i d e n c e
t h a t i n no way d e t r a c t s f r o m your g r a c e f u l n e s s and
f e m i n i n i t y . Some may f e e l you make y o u r s e l f
too
visible; I
would l i k e t o see you on t e l e v i s i o n
more o f t e n .
I'd
a l s o l i k e t o say t h a t I am a p p a l l e d by
the
media t r e a t m e n t o f your husband. I d i d n o t
v o t e f o r Mr. C l i n t o n , and am i d e o l o g i c a l l y opposed
t o many o f h i s p o l i c i e s ; y e t I am i n c e n s e d by t h e
c a v a l i e r d i s m i s s a l o f h i s achievements on t h e p a r t
of t h e p r e s s , and t h e r e f u s a l by n e a r l y everyone
t o g i v e h i m c r e d i t f o r a n y t h i n g . I t h o u g h t i t was
amusing
when
my
father,
a
lifelong
ted-hot
R e p u b l i c a n , t o l d me he was so t i r e d o f a l l t h i s
highhanded C l i n t o n b a s h i n g t h a t he was ready t o
become a Democrat o u t o f s p i t e . Ms. C l i n t o n , i f
you happen t o read t h i s l e t t e r p e r s o n a l l y , p l e a s e
convey my s e n t i m e n t s on t h i s m a t t e r t o t h e p r e s i dent,
and
tell
him t h a t many o f t h e o r d i n a r y
c i t i z e n s here
i n t h e h e a r t l a n d f e e l as I do.
Sincerely,
David A. Lewis
Clinton Library Photocopy
�THE W H I T E H O U S E
WAS H I N GTO N
January 25, 1995
Mr. H a r o l d S. S t e i n , J r .
President
Crane Pest C o n t r o l
2700 Geary Boulevard
San F r a n c i s c o , C a l i f o r n i a 94118
Dear Mr. S t e i n :
Thank you f o r your t h o u g h t f u l l e t t e r .
Your words o f
encouragement and s u p p o r t mean a g r e a t d e a l t o me.
I t i s a p l e a s u r e t o hear from i n d i v i d u a l s who share a
v i s i o n o f a b e t t e r l i f e f o r a l l Americans. I t i s r e w a r d i n g
as w e l l t o hear from many l i k e you who know t h a t r e a l i z i n g
t h a t v i s i o n w i l l n o t always be easy. Your ideas and
t h o u g h t s o f f e r added i n s p i r a t i o n as t h e P r e s i d e n t works t o
ensure t h a t every American's f u t u r e i s f i l l e d w i t h courage,
hope, and c o n f i d e n c e .
I a p p r e c i a t e t h e i n t e r e s t and concern t h a t your
conveys. Thank you f o r t a k i n g t h e t i m e t o w r i t e .
Sincerely yours.
H i l l a r y Rodham
Clinton
letter
�^ S T ^ I I T H ^
Harold S. Stem, Jr.
President
December 27, 1994
Mrs. H i l l a r y Rodham C l i n t o n
The White House
1600 Pennsylvannia Avenue, N.W.
Washington, D.C. 20500
Dear Mrs. C l i n t o n :
Our anger must not outpace our l o v e . As desperate
as.these times may be, as f r a u g h t w i t h f e a r our
e x p e c t a t i o n s , t h e r e i s much t h a t we can do t o s e t
t h i n g s r i g h t . My concern i s t h a t i n t h e process,
through passion's flame, we v i o l a t e t h e v e r y
p r i n c i p l e s we s t r i v e t o serve.
I suspect t h a t these sentiments i n f l u e n c e d t h e
p a t r i o t s who d e c l a r e d our independence, d r a f t e d our
c o n s t i t u t i o n , struggled t o maintain the sovereignty
and u n i t y o f t h e r e p u b l i c , and l a b o r e d t o g i v e b i r t h
to and make v i a b l e t h e U n i t e d Nations as a h a r b i n g e r
of w o r l d peace and o r d e r .
I n each era, i n each
i n s t a n c e o f g r e a t s o c i a l need, t h e r e has always been
the p r o b a b i l i t y t h a t t h e pendulum o f change would
sweep t o i t s o p p o s i t e moment; t h a t t h e dynamics of
o v e r t u r n i n g one a c t o f u s u r p a t i o n would l e a d t o an
o p p o s i t e extreme, no l e s s a t y r a n n y .
Today, Americans a r e an angry people, f i l l e d w i t h
f r u s t r a t i o n b o r d e r i n g on pure f u r y .
I t i s evident
i n t h e s t r e e t s and i n t h e v o t i n g booth.
I t is
v o i c e d i n our r a d i o and t e l e v i s i o n t a l k shows and
p r i n t e d i n t h e Op-Eds. I t f u e l s o u r movies, p r o p e l s
our music, and t r u n c a t e s our language i n t o a h a n d f u l
of v i c i o u s e p i t h e t s and slogans.
I t has caused us
to r e s o r t t o p l a c i n g i l l - f i t t i n g and s i m p l i s t i c
l a b e l s on each o t h e r n o t t o d e s c r i b e b u t r a t h e r mark
who should be t h e t a r g e t s o f our next a s s a u l t ;
surely a s e l f - defeating strategy destined t o f a i l
as a s o l u t i o n and demean and make i g n o b l e our
ambitions.
2700 GEARY BOULEVARD / SAN FRANCISCO. CALIFORNIA 94118 / TELEPHONE 1415] 922-1666
�Page 2
I n s h o r t , our i n t e r n e c i n e wars between e t h n i c
groups, p o l i t i c a l p a r t i e s , s o c i a l t i e r s , races,
r e l i g i o n s , and sexes has b l i n d e d us t o the f a c t t h a t
we are c i t i z e n s of one g r e a t n a t i o n , o b l i g a t e d t o
s o l v e the grand alchemy of working t o g e t h e r f o r a
l i f e o f q u a l i t y . We have taken the f i r s t steps by
b e i n g d i s s a t i s f i e d w i t h our present c o n d i t i o n : our
b e h a v i o r toward each o t h e r and our environment i s
suspect.
That i s good. But i n our r e j e c t i o n o f the
s t a t u s quo and our demand f o r change, we must now
pause and r e c o g n i z e t h a t the " i n s " and "outs", the
"haves" and "have-nots", and the "pros" and "cons"
are a l l from the same f a m i l y .
T h i s i s what i s meant by h e a l i n g . I t i s not g i v i n g
i n t o bad s o c i a l h a b i t s or m a i n t a i n i n g f a i l i n g
systems and f a u l t y p r i o r i t i e s .
I t i s r a t h e r making
the changes w i t h c i r c u m s p e c t i o n and s e n s i t i v i t y ,
r e c o g n i z i n g and b e i n g a l e r t t o c o r r e c t i v e moves
t h a t , l i k e t h a t pendulum, may swing too f a r t o a new
excess.
Let us make 1995 a year i n which we make a p o s i t i v e
move towards a c h i e v i n g a q u a l i t y of l i f e f o r
o u r s e l v e s and our c h i l d r e n . Let us w i t h wisdom
b u i l d a more noble w o r l d w i t h an enthusiasm and
energy born of love and not anger or hate.
S i n c e r e l y yours,
H a r o l d S. S t e i n , JJ/.
HSS:dsh
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Clinton Library
DOCUMENT NO.
AND TYPE
003a. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Michael D. Solomon; RE: Address
[partial] (1 page)
01/25/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
2006-0810-F
dbl8l2
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. S52(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office |(aX2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA|
b(l) National security classified information ((bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOI A]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of *l>e FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
W A S H I N G T O N
January 25, 1995
Mr. Michael D. Solomon
Dear Mr. Solomon;
Thank you f o r w r i t i n g t o me about t h e w e l l - b e i n g o f
c h i l d r e n and f a m i l i e s , an issue o f g r e a t concern t o many
Americans. Many o f those Americans have w r i t t e n t o me t o
express t h e i r f r u s t r a t i o n s w i t h t h e f a i l i n g s o f t h e w e l f a r e
system, high r a t e s o f i l l e g i t i m a c y , i r r e s p o n s i b l e
p a r e n t i n g , poor s c h o o l i n g , drugs and v i o l e n c e . I am proud
t h a t as a n a t i o n , we are determined t o address and remedy
these problems.
For t h e past t w e n t y - f i v e years t h e i n t e r e s t s o f
f a m i l i e s and c h i l d r e n have been a p a r t o f my work. I
understand t h e f r u s t r a t i o n t h a t many Americans f e e l toward
government and bureaucracy.
Based on my experience, I know
t h a t when any of us t a l k about what i s best f o r c h i l d r e n ,
we should be prepared t o s t r u g g l e w i t h t h e d i f f i c u l t
questions posed by t h e c o l l a p s e o f f a m i l i e s . We need t o
s t a r t by l o o k i n g f o r b e t t e r ways t o i d e n t i f y c h i l d r e n a t
r i s k , move q u i c k l y t o help t h e i r f a m i l i e s , and only as a
l a s t r e s o r t move c h i l d r e n t o t h e best p o s s i b l e out-of-home
placement.
President C l i n t o n b e l i e v e s t h a t i t i s i m p o r t a n t t o
support a l l of our n a t i o n ' s f a m i l i e s . This i n c l u d e s
f a m i l i e s w i t h s p e c i a l problems. He signed t h e Family and
Medical Leave Act because he f e e l s t h a t we should enable
parents t o be good parents and p r o d u c t i v e workers by g i v i n g
them time o f f w i t h o u t f e a r of l o s i n g t h e i r j o b when a c h i l d
i s born or becomes s i c k . The President's budget p l a n a l s o
included funding f o r f a m i l y p r e s e r v a t i o n programs.
President C l i n t o n f i r m l y b e l i e v e s t h a t t h e best i n t e r e s t s
of c h i l d r e n should always be t h e u n d e r l y i n g p r i n c i p l e i n
w e l f a r e reform. This b e l i e f i s a t t h e core o f t h e w e l f a r e
reform l e g i s l a t i o n which President C l i n t o n presented t o
Congress l a s t year. Working f o r t h e p r o t e c t i o n o f
c h i l d r e n , t h e President gave t w e n t y - f o u r s t a t e s waivers t o
promote t h e i r own v e r s i o n s of w e l f a r e reform.
Clinton Library Photocopy
�Too o f t e n i n t h e p a s t we have assumed t h a t o n l y t h e
f a m i l y , o r o n l y t h e government, was r e s p o n s i b l e f o r
ensuring t h e well-being of children.
I t i s c l e a r today
t h a t based on t h e c r i s i s a f f e c t i n g so many o f our f a m i l i e s ,
p e r s o n a l v a l u e s and n a t i o n a l p o l i c i e s must b o t h p l a y a r o l e
as we j o i n t o g e t h e r as p a r e n t s , t e a c h e r s , m i n i s t e r s ,
community l e a d e r s and p o l i c y makers t o f u l f i l l our
r e s p o n s i b i l i t i e s t o America's c h i l d r e n .
Thank you again f o r w r i t i n g t o me about t h i s
issue.
Sincerely yours.
H i l l a r y Rodham C l i n t o n
important
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003b. letter
SUBJECT/TITLE
DATE
Michael D. Solomon to Mrs. Clinton; RE: Address and phone number
[partial] (2 pages)
12/11/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
2006-0810-F
dbl8l2
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
Pi
P4
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOI A)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office |(aX2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Michael D. Solomon
December 11, 1994
Jjear Mrs. Clinton:
You are lar and away the best "First Lady" this country has seen since Ihe late
Jackie Kennedy and perhaps even Eleanor Roosevelt. 1 applaud your activism and your
compassion. Your intelligence adds enormously to the debate on national issues.
You recently spoke out on the issue of "welfare" in response to Newt Gingrich as
did the President and I am glad you both had such a strong response. I was shocked and
horrilied such a proposal could be made in a civilized country in what wc perceive as
enlightened times.
Even if orphanages were a good idea, whal of all the children who the system
would miss? With parents cut off from assistance, one can only wonder if the "public
service announcements" would then be about leeding the hungry children in our own
country instead of some remote Third World country.
It's hard to believe they want to do this to save money, the financial cost of such a
plan would be overwhelming. Also, aside from the images of "Dickens" the proposal
conjures, as opposed to "Boys Town," one must also remember, these children would be
the target of every predator in society. What safeguards would there be against such
individuals becoming part of the staff of these institutions? It is difficult to protect our
children now but at least they arc not all grouped in one place, locked away from parental
supervision, caring and love. Mow ironic and hypocritical such a "Scrooge" like proposal
wouk! emerge at this time of year and from a party which gained majority on the issue of
family values.
Sometimes die diamalic form is more illustrative of a situation and its dangers.
With apologies to the aforementioned Charles l^ickcns. I've sent nlong ? little something of
,
my own. I've called il "A Gingrich Caiol" and, il you have the lime, please read il. I; says
considerably more than anything I've said in this letter.
My best lo you, the 1'resident and your daughter during this holiday season.
Sincerely.
Michael D. Soloncn
Clinton Library Photocopy
�Michael D. Solomon
December 11, 1994
"A (lirgrich Carol"
I he Ghosl ol Cluistinas Past
Twas tliat time of year with snow on the ground and good cheer fills the air and
«ood feelings abound Little boys and little girls without a care in their voice, for it was a
special lime, a time for joy, a time lo rejoice. A time for the warmth of a fireplace, a time
for families to be together and share their space.
But lost in his thoughts, sat a lonely little boy, lost in his grief, another year of no
joy. The mother he had known since birth was in some unknown place, as in an
orphanage he was, lonely and cold in some dark space. Because she had no job and had
no skills, she devoted herself to take care of him, her only son he was, a boy she called,
"Tiny lim."
His father was gone by the time he was bom, but his mother was there to keep him
warm. To heaven he had heard his mother say, because before his birth the Lord took him
away. But, "Don't worry," she said, "For the Lord is wise and he left someone here witii
shining young eyes. Youll take care of me and 1 of vou. because instead of three, we are
now two. Of the things you must know, there arc only a few, but always remember, your
i ather's in heaven and I love you."
A knock on the door did come one dav. il was then they came and took him awav.
V/hj ch why was tliis about to happen, to mr.Kc his "other sad and his eyes dampen? Mad
he been bad. had he done something wrong ? He would wonder about tliis. from that day
on. Again nnd again he would hear them say, "Your mother had no job so wc took you
away." But lo young Tim it was all a lie, alone at night, he would cry, "My mother L sad.
s
it's because of me, it's all my fault, how could this be?"
The Ghost of Chrislmas Present
Each day Tim lived, one to another, all in the hope he would get back to his
moiiiei. "Study hard." they would say. "and don't stray Irom your path, and at the end of
this road, you'll have a job at last."
Clinton Library Photocopy
�B ut Tin}' Tim remembered the words of his mother, words of love he could get,
Irom no other. And as he remembered lie said out loud, "Oh mother dear, 1 will make you
nroud. I'll study hard, and make my way, all so wc may be together again someday.
1'lease don't ire! and don't despair, for 1 love you too and it follows you everywhere."
So out he set on tliis journey of life, amiu Umiioil, sadness and much .strife. The
road ahead was still quite long, but it was his only path to right a terrible wrong. Of
homeless and hungry and eliildren w ho wept, sun ics lie uearu of promises unkcpl. It was
ihe government, they'd say, who took the children Irom their home, children once happy
and now n'onc.
How could this happen, how could Ihis be, Tiny Tim wondered, so many like me?
many others, had they all done wrong? Where were the mothers, of the weak and the
strong So many children all in this place, and not one among them, with a smile on their
lace. Who was responsible lor this terrible fate, of sons and daugiucrs in tius horrible stale?
0
Watciiing TV Tim heard the plea, to feed hungry children in some foreign country.
Where, he thought, are those who speak for us, all of those taken without even a fuss?
And whal of those forgotten without sin, the homeless and hungiy no one took in? Could
it be the government's so blind, to the fate of all those leit behind?
With Tim now growing and more mature, what he saw made him feel, insecure.
I he Ghost of Christmas Future
I he time now' approached for which Tim had prepared, the goal for which was all
he caieu. Seeing his niolhei after ail these year's, making up for all the tears. Not iost and
forgotten, not for a day. She was still his mother, they couldn't take that away
Her words still rang in his ears, words which had calmed all his tears. "Of the
ihiiigs you must know, there are only a few, but always remember, your father's in heaven
and 1 love you." 1 hose words had brougbi him conitort and let him teel protected and
now he would relurn to whom society had rejected.
The time was at hand, it was Christmas (oo and Tim was prepared to face life
anew. He strode down the long hall he had known in his youth, through good times and
hi)(\ times and pondering the truth. He got to the door and someone said. "I'm sony Tiny
Tim. but your mother is dead.
"No," he lepticd, "How eouid tins be, how could tins happen to someone who gave
so much to me'.'" "She died on the street," he heard someone say, "She was homeless and
liungry and died yesterday."
�It was all such a shock, it hadn't sunk in, how his mother's lire ended as his was to
begin. Tim turned irom the door and saw his Inends in the light and all he could say was,
"Mem- Christmas to all and to all a goodnight.
�THE
WHITE HOUSE
WAS HIN GTON
February 3, 1995
Bryan P. Warren, M.D.
Suite 4
922 T r i p l e t t Street
Owensboro, Kentucky 42303
Dear Dr. Warren:
Thank you for your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from individuals who share a vision
of a better l i f e for a l l Americans. I t i s rewarding as well to
hear from many l i k e you who know that r e a l i z i n g that vision w i l l
not always be easy. Your ideas and thoughts offer added
inspiration as the President works to ensure that every
American's future i s f i l l e d with courage, hope and confidence.
I appreciate the interest and concern that your l e t t e r
conveys. Thank you for taking the time to write.
Sincerely yours,
H i l l a r y Rodham Clinton
�BRYAN P. WARREN, M.D. P.S.C.
922 Triplett Street
Suite #4
Owensboro, Kentucky 42303
Tel. (502) 926-6211
Mrs. H i l l a r y Rodham Clinton
The White House
Washington, D.C. 20301
January 9, 1995
Dear Mrs C l i n t o n ,
Your response to Mrs. Gingrich's tasteless remark was both gracious and
b r i l l i a n t . While I r e a l i z e t h i s recognition i s neither remarkable
nor o r i g i n a l , i t c e r t a i n l y i s well-deserved, and I wish t o add i t to
your fan mail. You may have changed the expression of your r o l e as
f i r s t lady but your strength and i n t e l l i g e n c e continues to be revealed
and expressed.
Endure-.
Sincerely
7
yours,
7
B r y a n P.
VJarren, M . D .
BPW/ew
F E L L O W : American Psychiatric Association - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to David Dendy; RE: Address [partial] (1
page)
02/03/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
2006-0810-F
dbl812
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRAj
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRAj
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
W A S H I N G T O N
February 3, 1995
Mr. David Dendy
Dear Mr. Dendy:
Thank you f o r your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from individuals who share a v i s i o n
of a better l i f e f o r a l l Americans. I t i s rewarding as w e l l to
hear from many l i k e you who know that r e a l i z i n g that v i s i o n w i l l
not always be easy. Your ideas and thoughts o f f e r added
i n s p i r a t i o n as the President works to ensure that every
American's future i s f i l l e d with courage, hope and confidence.
I appreciate the i n t e r e s t and concern that your l e t t e r
conveys. Thank you for taking the time to write.
Sincerely yours,
H i l l a r y Rodham Clinton
Clinton Library Photocopy
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D EC1 D E TO JO'Rgi'VE
(Decide to forgive
for resentment is negative
Resentment is poisonous
Resentment diminisfies and devours the seCj.
We the first to forgive,
To smiJe and to taJ(e tfk first step,
find you Witt see fiappiness Shorn
On the face of y our human brother or sister.
He akvays the first
'Do not wait for others to forgive
for by forgiving
you become the master of fate
The fashioner of Cife
The doer of miracles
To forgive is the highest
Most beautifulform of Cove.
In return you Witt receive
Untold peace and happiness. Here is the program
for acfiieving a truly forgiving heart:
Sunday: forgive yourself
Monday: forgive your family.
Tuesday: forgive your friends and associates.
'Wednesday: forgive across economic tines within
your own nation.
Thursday: forgive across cuttural tines within
your own nation.
friday: forgive across podticat tines Within
your own nation.
Saturday: forgive other nations.
Only the brave /(now how to forgive. A coward never forgives.
It is not in his nature.
Robert Mutter
former Assistant Secretary-(jenerat
of the United Orations, for IntemationaC
forgiveness Weel<^
c
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005. letter
SUBJECT/TITLE
DATE
Evealyn Lesure to Mrs. Clinton; RE: Address [partial] (1 page)
12/16/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A . Williams [Folder 1]
2006-0810-F
dbI812
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXI)of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOI A|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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�THE WHITE HOUSE
W A S H IN GTO N
January 25, 1995
Ms. Pat Howell's Second Grade Class
B u r t o n s v i l l e Elementary School
15516 O l d Columbia P i k e
B u r t o n s v i l l e , Maryland 20866
Dear Second Grade S t u d e n t s :
Thank you f o r sending me t h e book you made f o r t h e
President. I enjoyed seeing t h e w o n d e r f u l l y c r e a t i v e g i f t s
you planned f o r t h e P r e s i d e n t .
I hope t h a t you w i l l s t a y i n t e r e s t e d i n l e a r n i n g and
c o n t i n u e t o express your c r e a t i v i t y t h r o u g h w r i t i n g and
art.
Sincerely yours.
H i l l a r y Rodham
Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
006. letter
DATE
SUBJECT/TITLE
Pat Howell to Mrs. Clinton; RE: Address [partial] (1 page)
12/27/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams ( M a i l Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A . Williams [Folder 1]
2006-0810-F
dbl812
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOI A]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�December 27,1994
Dear Mrs. Clinton,
I am a teacher in Montgomery County who met you when you spoke at
the Mayflower Hotel for the course, The President's Spouse. My second
grade class made a book for the President and I thought he would enjoy
it. The boys and girls have computer lab once a week and they typed
most of the stories and changed the fonts to make them look interesting. I
have also included an article about our prinicpal Dawn Ellis. She recently
was chosen as a Distinguished Educator by the Washington Post. At the
conference, you said you would like to get out into the community. Please
feel free to visit us at any time. We would love to show you our wonderful
school.
Best wishes for a happy and healthy 1995 to you and the President.
Sincepsly,
Pat Howell
Burtonsville Elementary School
Pat Howell
Teacher
'*»3.1*>»
National Blue Ribbon
School of Excellence
15516 Old Columbia Pike
Burtonsville, Maryland 20866
(301)989-5654
Clinton Library Photocopy
�Inside this issue:
Bulletin
• Special education teacher wins
national award. Page 3.
• Gaithersburg grad to receive
first McComb scholarship.
Page 2.
• Support staff training. Page 8.
Dec. 5, 1994
A weekly newsletter lor employees of Montgomery County Public Schools
Vol. 37. No. 15
Burtonsville's Ellis chosen principal of year
Dawn Ellis,
a bachelor's deprincipal of
gree in English
Burtonsville ES,
and elementary
has been selected
education from
as the Montgomthe College of
ery County winWilliam and Mary
ner of the 1994
in 1978 and a
Washington Post
master's in educaDistinguished
tional administraEducational Leadtion from the
ership Award.
University of
Ellis and 17
Virginia in 1982.
other principals
On arriving in
representing
MCPS. she
Washington-area
switched to elpublic school
ementary and in
districts were
two years rose
chosen for the
rapidly from a
annual awards for
teaching position
promoting excelat Fields Road ES
lent educational
to the principalprograms and for
ship of Burtonscreating excepville. During
tional school enEllis reviews a lesson with third graders, seated from left, Nicole Poole and Chris
those two years,
vironments. The
Alt, and standing from left, Kendall Smith, Jeannie Jackson and Robbie Estrada.
she was an acting
winners will be
assistant principal
honored in a Dec. 5 reception al the
bring attention to the school in the
at Fox Chapel ES, a principal trainee
Post, when they will receive a spepast year. Last spring, Burtonsville
at Fox Chapel and acting principal at
cially commissioned Waterforcl crystal
received a National Blue Ribbon
Clopper Mill ES.
school bell, and will attend a seminar
Schools Award from the U.S. Depart"1 enjoy both the middle school and
in San Juan, Puerto Rico, next spring
ment of Education.
the elementary levels very much. I've
to examine issues affecting education.
The Post leadership award "is an
learned a lot about elementary schools
The Post will also host a dinner in
honor that belongs to all the staff al
since coming to the county." Ellis
the spring for the 1994 winners to
Burtonsville," Ellis says. "We make
says. "One of the blessings of workmeet award recipients from previous
such a good team here. I think I'm
ing in MCPS is that you gel the
years.
extremely fortunate to be able to
chance to collaborate with some un" I was thrilled beyond words. Even
work with such a high caliber staff. I
believably talented administrators."
if I hadn't won, just the fact that my
feel like I have to work hard just to
Since assuming leadership of
staff and community had nominated
keep up with them."
Burtonsville in 1987, Ellis has guided
me left me speechless. I was so honEllis joined MCPS in 1985 after
the school through some major demoored that they thought lhat highly of
serving as a teacher and school adgraphic and organizational changes.
me."
ministrator, mostly at the middle
Located in the rapidly developing
Ellis credits her stall for the award,
school level, in Northampton County,
northeastern part of the county, the
which is the second major award lo
Virginia, for seven years. She earned
(continued on page 5)
�1994 Gaithersburg graduate wins
first scholarship honoring teacher
A 1994 graduate of Gaithersburg
HS has been selected as the first recipient of a scholarship honoring a
Gaithersburg HS chemistry teacher
who pledged $50,000 to the U.S.
Holocaust Memorial Museum.
Dayana Alvarado, a freshman at the
American Universiiy, will receive the
first Donald and Marcia McComb
Scholarship for a year of study in
Israel. Alvarado, who is majoring in
international relations, will spend her
sophomore year at one of four universities in Israel. The scholarship will
cover tuition, room and board, airfare
and books. The award also provides
up to $10,000 for a summer semester,
if she chooses to stay for a full year.
The annual scholarship was established by Laszlo Tauber, a retired
local physician and a Holocaust survivor, after he learned about teacher
Don McComb's pledge to the museum last year. McComb's interest in
the Holocaust dates back to his teenage years, when he followed newspa-
per accounts of the trials of Nazi war
criminals. A visit to the Dachau concentration camp in Poland in 1959
solidified his resolve to do something
to ensure that the lessons of the Holocaust not be forgotten. In recent
years, he has taught courses on the
history of the Holocaust and received
a grant for a six-week intensive study
at Yad Vashem, the Holocaust memorial center in Jerusalem.
McComb has already donated
$15,000 to the museum. Following
publicity of tfie gift last year, an
anonymous Florida donor contributed
$5,000 toward the fulfillment of the
teacher's pledge. McComb will pay
off the remaining $30,000 in $5,000
annual installments.
A committee of five Gaithersburg
teachers, including McComb, selected
Alvarado based on criteria such as
academic achievement, leadership, a
written application, essay and interview, and experience living in or
visiting a foreign country.
•
in
FComportiamoci in
una maniera che
i o n causa danni
<2£M.. -
11 i s MI i m '
(l/lil«''lOl'll .
N II nniv nun
In any language
Galway ES pupils, staff and visitors couldn't help but get the message: "Let's
all act in a way that causes no harm to other people." Parents and contributors from as far away as Slovakia translated the saying into 25 languages, and
signs of the translations were posted in the school. The Slovakian version came
over the Internet in response to a school note, says principal John DiTomasso.
2 KnlU'lm OCL 5. IW
MCPS will offer an in-service
course beginning in January to help
elementary school teacher implement
program options for highly able students.
The course, "Teaching Gifted Students in the Elementary School,"
(TC-16), will meet at Oakland Terrace
ES on Tuesdays, from 4 to 7 p.m.
through May 2.
Major topics will include high-end
learning differentiation of instruction,
characteristics and needs of able
learners, organizing models and
grouping options, and strategies to
extend student thinking and production. Participants will have a chance
to acquire and practice an array of
instructional strategies and classroom
techniques that enhance content area
and interdisciplinary instruction.
Participants can earn three graduate
credits for completion of the course.
Anyone who has taken TC-16 previously will not be eligible for credit.
Teachers may check with the Department of Employment Standards and
Operations, 279-3111, for confirmation or clarification.
To enroll, teachers must complete
Registration for In-service Activity
(MCPS form 440-7) and return it to
Jo Anne Fink, Enriched and Innovative Instruction (Ell), Room 100,
CESC, before Dec. 16. The course
will be limited to 40 participants.
Anyone with questions about the
course may call Fink at 279-3163. •
Bulletin
I •
1
^
Course will offer
strategies for
teaching the gifted
Montgomery County Public Schools
850 Hungerford Drive
Rockville, Maryland 20850
279-3391
Paul L. Vance, superintendent
Brian J. Porter, director of information
Janet M. Lottero, editor
William E. Mills, photographer
Published for MCPS employees
weekly September through June. The
deadline is 10 a.in. Monday for publication the following Monday.
�Special education teacher wins national award
A veteran MCPS teacher has received a national award tor her outstanding teaching and commitment to
students with learning disabilities.
Elsa Giles, the part-time coordinator of the intensity 5 special education learning center at Rachel Carson
ES, was one of only 12 teachers nationwide selected for the honor by the
Council for Learning Disabilities, an
international organization dedicated to
professionals who work with individuals with learning disabilities. The
Council presented the awards at its
16th international conference on
learning disabilities, "Research and
Methods: Partners in Effective Teaching," in San Diego on Nov. 12.
"It was overwhelming. I'm really
thrilled," Giles says. "To me, it was
representative of what I did in collaboration with others. I really don't
think I was any more deserving than
other people."
Giles joined MCPS as a special
education resource room teacher at
Robert Frost MS in 1977, after earning a bachelor's degree in education
from Florida State University. A year
later, she transferred to Sligo MS,
then in 1983 became an intensity 4
special education teacher at
Laytonsville ES. For the next several
years, she served as a special education resource room teacher in several
elementary schools.
Two years ago, Giles opened the
Learning Center at W'estover ES and
served as its coordinator until transferring to Carson this year. During
that time, she also earned a master's
degree in special education through a
two-year grant program offered by
Johns Hopkins University in conjunction with MCPS.
In addition to her position al
Carson, she is an acting program
manager in the MCPS Systemwide
Training Unit. As such, she coordinates the partnership between Trinity
College and MCPS and oversees siudent teacher placement. She also
teaches in-services courses.
" I love working with children. 1
don't ever want to leave children. I
also love working wilh staff," Giles
Giles and kindergartners Pedro
Ruiz, left, and Luke Stone ponder
the life of a firefighter after one
visited the classroom.
says, in explaining her dual role
within MCPS. "What I've found
through the years is that there's a lot
of talent in Montgomery County."
In her woik as the learning center
coordinator, Giles draws on her years
of experience in special education as
well as the latest theories on ways to
foster success among children with
special needs.
"My focus is more on getting children lo use strategies and be more
independent within the special education classroom so we can get them
into the general education classroom
as soon as possible," she says.
The first step is making these sludenls "very aware of themselves as
learners," she says. "Instead of addressing what is the obstacle to success, we're addressing whal they can
do to make ihem a success. We focus
on all the good things children can do
and build on these," she explains.
"It's a dramatic change. It's really an
attitude change."
Giles also oversees classroom instruction to ensure that it meets students' needs and fulfills legal
requirements. She coordinates therapy
for students, serves as a liaison with
parents, and looks for inclusion or
mainstreaming opportunities for students.
In addition to her MCPS responsibilities, Giles has given several presentations at national and
international conferences in the past
two years, including a presentation on
effective home-school partnerships at
the Council for Learning Disabilities
international conference in November.
She also has been asked to present in
an international satellite conference
sponsored by the University of Georgia on Feb. 21, 1995.
"What we're doing here in Montgomery County is so innovative, and
people don't realize this until we go
international," she says.
Among the innovations, she lists
the team approach and other collaborative efforts of staff, the tailoring of
instruction to individual student
needs, the use of cooperative instruction and "authentic" instruction that
relates classroom studies to real-life
experiences.
"While many school systems are
just beginning to talk about these
ihings, Montgomery County has been
doing them for some time, both in
special and general education," she
says.
Eventually, Giles hopes to reduce
some of her responsibilities in the
Systemwide Training Unit, leaving
her more time to focus on the partnerships between MCPS and local
colleges and on the learning center al
Rachel Carson.
"I'm going to stay with Rachel
Carson." Giles says. " I have a vision
for making sure we can provide differentiated instruction for children,
providing for their individual needs as
well as giving them opportunities to
participate wilh general education
children."
•
Bulletin
Dec. 5, 1994 3
�Teaching with Technology
The MCPS Cable Television show, "Teaching with Technology," will lealure the following topics during December:
High school and middle school research and learning hubs;
The MCPS Social Studies Field Trip Data Base;
Apple's digital camera; and
Rosa Parks MS: a new application for Internet research.
The 30-minute program airs on Education Channel 52 (cable-ready channel 7) on Tuesdays at 9:30 a.m., Wednesdays at 4 p.m., and Fridays al 7:30
p.m.
For a free copy of the "Teaching wilh Technology" resource list, send a
self-addressed pony envelope to Paula Rehr, MCPS, CESC.
•
Administrivia
Jazz festivals. The annual MCPS
Jazz/Show Choir Festival will take
place Friday, Dec. 9, 10 a.m. to 12:30
p.m., and the MCPS Big Band Jazz
Festival will be held Saturday, Dec.
10, 8:30 a.m. to 4:30 p.m. Groups
will perform before a panel of judges,
and awards and trophies will be presented to sections and soloists. Admission is free for both events, which
will take place at Sherwood HS.
TUition reimbursement. Beginning
Jan. 1, the Systemwide Training Unit
will accept only the new Teacher
Tuition Reimbursement Forms (44013; rev. 8/94). An initial supply will
be distributed to each school and
office from the warehouse. Photocopies of the form will not be accepted. For details or a copy of
"Helpful Hints" in filling out the 44013 form, call Barbara Nichols on
Tuesdays, 601-0390.
ESOL course. MCPS will offer the
in-service course, "Working with the
ESOL Student in the Mainstream
Classroom (EB-60) to classroom teachers, counselors, administrators, instructional assistants and other staff who
work with ESOL students. The threecredit course will meet Thursdays, 4 to
7 p.m., from Feb. 2 through May 18 at
the Rocking Horse Road Center. Registrations forms must be submitted to
Judy Rice, Systemwide Training Unit,
by Dec. 16. For details, call Mary
Gabardi, 230-0670.
Kindergarten meeting A volun4
Bulletin
Dec 5, 1994
tary kindergarten meeting will lake
place at Glen Haven ES on Thursday,
Dec. 8, 4 p.m. Participants should
bring a math and literature and/or
winter idea to share. For details, call
Maria Orenstein, 649-8051.
Second grade meeting. A voluntary second grade meeting will be
held at Cold Spring ES on Tuesday,
Dec. 13, 4 p.m. Bring social studies
and trip ideas. For details, call Nan
Fried, 279-8480.
Poinsettia sale. The Montgomery
County Department of Recreation BCC
Rec Club and Westland Rec Club will
hold their annual poinsettia, wreath and
garland sale in the cafeteria of
Bethesda-Chevy Chase HS on Saturday
and Sunday, Dec. 10 and 11, 9 a.m. to
5 p.m. Proceeds will help provide recreational activities for area students.
For details, call Ed Mullaney, 5882455, or Linda Gross, 607-4098.
Youth concert. The Montgomery
County Youth Orchestras will perform
at Seneca Valley HS on Sunday, Dec.
11,2 p.m. More than 300 students
will play in the Preparatory Symphony, Junior Symphony and Youth
Symphony orchestras. The free concert is open to the public.
WMC course. Western Maryland
College is offering the graduate
course, "Achieving Students Outcomes through Cooperative Learning," for teachers this winter. Classes
will meet at Sandy Spring Friends
School on Saturdays, Jan. 21, Feb. 4,
25, March 4, 11,8 a.m. to 5 p.m. The
course costs $465 for MSTA members
($555 nonmembers) plus registration
fee. For details and registration, call
1-800-223-6706.
•
Certification
notes
Recently, the Maryland State Department of Education adopted new
certification requirements including
new certificates with new validity
dates, verification of successful experience and completion of professional
development plans. All certificated
professional staff were sent a memorandum in November explaining the
changes.
Remember that the certificate you
currently hold is valid until the expiration date so indicated and will be
renewed in accordance with the requirements in place at the time it was
issued. Once you receive a new certificate with new validity dates, you
must meet requirements based on the
new bylaws, effective Jan. 1, 1995.
Any professional employee currently holding a Standard Professional
Certificate expiring prior to July 1,
1998, who has met all the requirements for the Advanced Professional
Certificate (APC) by Sept. 1, 1994,
may request an APC, valid July 1,
1994 through July 1, 2004, now in
order to be issued a 10-year APC.
Current APC holders may not renew
their certificates prior to expiration.
Certificate holders who have completed at least 25 years of public or
nonpublic school service, in Maryland
or any other state, or who are at least
55 years of age may renew their professional certificate without completing additional course work, verifying
experience verification or completing
the professional development plan.
Employees who hold a supportive
services certificate need only submit a
check for $10 payable to MCPS at
the expiration of their current certificate, in order to renew it. This kind
of certificate is no longer issued by
MSDE, but those holding one can
continue to renew it with the required
fee. New bylaw changes do not apply
to those with this certificate.
Submit questions to Sandra Sengstack, certification specialist. Department of Employment Standards and
Operations, in writing. If you did not
receive the memorandum, contact the
certification office for another copy. •
�Burtonsville principal wins leadership award
(continued from page 1)
school has seen a dramatic growth in
enrollment during the past several
years. This growth has resulted in
numerous changes to the school's
service area, including a major redistricting when Cleverly ES was
opened in 1989 and the Burtonsville
enrollment was split between the two
schools. In addition, when the Paint
Branch cluster converted to a middle
school configeration five years ago,
Burtonsville lost its sixth grade students to Benjamin Banneker MS.
In addition to growing in numbers,
the Burtonsville population has also
grown in diversity, with a greater
representation of different ethnic
groups, including more children for
whom English is a second language.
"Who we are is changing a lot,"
Ellis says. "Those kinds of changes
can make a school stronger, and it
has made our school stronger."
The school underwent a change of
a different sort when students and
staff moved into temporary quarters
two years ago so their building could
be modernized. Last year, they returned to a completely modernized
facility.
During this time, Ellis also implemented a number of programs at the
school, including a school public
relations program using the local
media and weekly newsletters to staff,
and other efforts to strengthen communications with parents and the
local community. She encouraged
mentoring programs and other partnerships between the school and the
business community.
She has also taken an active role in
the surrounding community. For four
years, she has served on the planning
committee for the annual Burtonsville
Day Celebration. For the past two
years, she has also organized the
parade for this event.
"Ms. Ellis is precisely the principal
that all parents hope to have for their
children," says Marguerite Noga, who
served as the president of the school's
PTA for two years. "Her professional
abilities, dedication to the welfare of
all her students, and extraordinary
Ellis and 3rd grader Jaskiram Bahra: the principal parents want for their children.
involvement in community issues
combine to make her truly an exceptional leader."
While solidifying the school's central role in the community, Ellis also
contributed to MCPS by serving on
various systemwide groups, such as
the School Security Task Force, the
Substance Abuse Policy Revision
Task Force and the Commission for
Sexual Harassment in Education, and
by her leadership roles in the Montgomery County Association of Administrative and Supervisory
Personnel (MCAASP). She was the
association's president last year, after
serving as secretary for two years and
president-elect for one year. As the
past president this year, she will continue to play an active role in the
organization's activities.
Under Ellis's leadership, Burtons-
ville has won two major awards in
the past three years. In addition to the
national award in the 1994 Blue Ribbon Elementary Schools of Excellence Recognition Program, the
school received the Maryland State
Blue Ribbon Elementary Schools of
Excellence Award in 1992 and 1994.
"Those aren't my awards," Ellis
says. "They are school awards that
shows how well we work together for
the children here. It's not one individual, it's what we do together to
make education work and work well."
Ellis intends to remain at Burtonsville, to "continue to work with the
staff and the community to make
Burtonsville the best place it can be for
children." When she eventually does
move on, she plans to stay with what
she enjoys most: "I'm a school person.
I like being where the kids are."
•
Bullelin
Dec 5. 1994 5
�Exceeding the
boundaries
At its busiest time, the Department
of Educational Facilities Planning and
Capital Programming may get up to
125 telephone calls a day from individuals reqesting information on
school boundaries.
Most calls come from parents who
are registering their children in a
county school for the first time. Some
calls are from parents who are moving from one part of the county to
another. Others are from real estate
agents seeking school boundary information for prospective home buyers.
And still others come from individuals with, well, an array of needs.
Here is a selection of the some of
the more interesting questions — and
misconceptions — heard over the
boundary information telephone line
during the last school year:
"Is this the family planning office?"
"The schools closed early today.
Arc the football games still on tonight?"
"Is there a difference between private school and public school?"
" I want to find the closest school to
walk my dog."
" I am thinking of getting pregnant
and want to know the schools my
child will go to."
"Where can I buy tardy bells?"
"My child is invited to a birthday
party on Evangeline Terrace. Can I
have directions?"
"Is Montgomery County the better
county?"
"Could you point me to the right
library?"
" I called a month ago lo gel boundaries and no one called to register
me."
"When does football practice begin?"
"Do you have a lis! of private
schools in the Norfolk/Virginia Beach
area?"
"We just moved into this area for
the schools. Can you guarantee me
that my kindergarten child will go to
the same high school now assigned?"
"Did you speak to my husband this
morning about my address?"
"Is this disaster planning'.'"
•
6
Tuition aid available for teacher
certification in critical areas
Persons who would like to become
certified to teach subjects in which a
shortage of teachers exists may apply
for tuition aid under the Sharon
Christa McAuliffe Memorial Teacher
Education Award for the 1995-96
academic year.
Sponsored by the State Scholarship
Administration of the Maryland
Higher Education Commission, the
program helps people who want to
teach in areas of critical shortage,
determined annually the state Board
of Education. These fields have been
selected fori995-96: chemistry, computer science, English as a second
language, general science, mathematics, physics, technology education,
Spanish, and special education (generic, birth to grade three; generic,
grades six-12; students with severe/
profound disabilities).
Candidates must be: college undergraduates who will have 60 credit
hours by September 1995 and who
intend to major in one of the above
areas; teachers who are certified in an
area other than one of critical short-
Bulletin
Dec. 5, 1994
In person & print
James Stufft, facilities manager at
the Lalhrop E. Smith Environmental
Education Center, received the Outdoor Educator of the Year award lor
1993-94 from the Montgomery
County Outdoor Education Association for his outstanding contributions
to outdoor and environmental education in Montgomery County.
Michael Gough, director of school
security, accepted an invitation from
the White House to be present when
President Clinton signed the Violent
Crime Control and Law Enforcement
Act of 1994 in September. Gough had
attended a White House briefing on
the bill in April and subsequently
received weekly updates on the status
of the bill.
Mary Ciminelli, guidance counse-
age; or persons with a bachelor's or
higher degree who want to take additional courses to become certified in
an area of critical shortage.
Undergraduates must have a 3.0
cumulative grade point average; degree holders and teachers must have a
3.0 cumulative CPA for their most
recent degree. Candidates also must
be residents of Maryland and must
attend or plan to attend a college or
university in Maryland part or full
time.
The award provides up to about
$8,800 per academic year and cannot
be used with any other state-sponsored financial aid.
Award recipients must fulfill a
mandatory service obligation as a
full-time teacher in a Maryland publicschool.
For more information and applications, call Theresa Hardy, 279-3341.
Completed applications must be returned by Dec. 19 to Armando
Gutierrez, Office of Personnel Services, 30 W. Gude Drive, Rockville
20850.
•
lor at Tilden MS, received an Above
and Beyond the Call of Duty Certificate from the superintendent for her
extra efforts in setting up the "Study
for Success Program," which provides
guidance and support for students
needing exlra help with homework
and a place to study after school.
Dorothy McConnell. adminisnative
secretary at Garrett Park ES, received
an Above and Beyond the Call of
Duty Certificate from the superintendent for 25 years of exemplary service to MCPS. For the past 10 years,
McConnell has contributed countless
extra hours on evenings and weekends to insure ihe smooth running of
the school.
Agnes Lewis, special education
teacher at Parkland MS. has been
elected lo the Board of Directors of
Interages, a nonprofit organization
operaiing the Montgomery County
Intergenerational Resource Center.
(contimwd on page 8)
�On the move
Support staff promotions.
Sheryl Blaufeld, cafeteria worker I,
Maryvale to food serv. satellite manager I, Carderock Springs; Robin
Ricketts, school secretary II,
Springbrook to school financial asst.,
Banneker; Paul Perez, bus operator I ,
Transportation to maintenance carpenter I , Maintenance.
Lisa Burch, cafeteria manager,
Cabin John to cafeteria manager,
CESC; Christopher Plummer, bldg.
service worker, Clearspring to bus
KiKW Employment opportunities
The johs Iwliw urre available al Bulletin diuullitw. All require excellent human relations skills. These are summaries of minimum and special job requirements. For complete job descriptions, call the Department of Employment Standards and Operations. 2793341. For staffing information, contact
the Department of Staffing specialist
indicated. Applicants will be screened
based on the job description and special considerations. Supporting services
applicants apply on MCPS Form 4466; outside applicants on MCPS Form
460-27. Specify the ad number, school
or location, and the name of the personnel specialist following the job summary. Take tests und submit required
materials by the application deadline:
additional skills tests may be administered after the deadline. A job change
may affect relitement/pension status:
check with Insurance and Reliremenl,
279-3611. Returning from leave, involuntaiy transfers and reassigned employees will have priority for positions.
An Affirmative Action/Equal Opportunity/Title IX Kmploycr.
Unless o t h e r w i s e i n d i c a t e d , the
deadline f o r a l l j o b s is Dec. l.V A p ply by j o b n u m b e r a n d title f o r all
s u p p o r t i n g services positions.
Administrative
Secondary a d m i n i s t i alive i n t e r n
e l i g i b i l i t y pool—Applicants sought fbi
MCPS e l i g i b i l i t y pool of eandidaics
lor acting asst. principal assignments
& secondary admin, intern program.
Must be w i t h i n I yr. completion ol"
cunenl pi incipal/supcrvisor icq. or new
Atlministrator I cert. icq. & have m i n i mum o f S yis successrnl teaching,
admin., or supervisory exper, al middle
or high school levels, l^xcel. oral i t
written commuuicaiion skills, courses
in supeivision XL admin, pref. M e m bers o f executive staff w i l l lie avail.
Dee. 14, 3:10 pm, in CHSC cafeteria,
for brief oiienlation meeting
dislrihution of applicalion maleiials. Inletested applicants who cannot attend on
Dec. 14 should call 279-3900 for ap
plication maleiials. Deadline to apply
is Jan. 3. 1995.
Kleinentary A & S pnnnotion pro-
cess—Applicants sought for pool from
which candidates w i l l be identified for
elementary acting asst principal assignments & principal trainees. Must
be w i t h i n 1 yr. completion o f current
p r i n c i p a l / s u p e r v i s o r r e q . or new
A d m i n . 1 cert. req. & have m i n i m u m
o f 5 yrs. successful leaching, admin.,
or supervisory exper. alclem or middle
school levels. Excel, oral & written
communication skills; courses in supervision & admin, pref. Members of
execulive staff w i l l be avail. Dec. 14,
4:30 p m , in CESC cafeteria, for brief
orientation meeting & distribution of
applicalion materials. Interested applicanls who cannot allend on Dec. 14
should call 279-3900 for applicalion
materials. Deadline to apply is Jan. 3,
1995.
Supporting services
#2196 B u i l d i n g service m a n a g e r
I I (12) Wayside E S — S c h o o l bldg.
maint. exper. incl. effective supervision (training, supervising & evaluating bldg. service staff); k n o w l . o f bldg.
service methods, materials & practices
incl. H V A C plant operations procedures; perform general clng. duties req.
o f bldg. serv. wkrs.; boiler cert.: successful completion o f MCPS leadership & plant equip, operaiion courses
pre!.; bldg. service manager's exam.
(Tail)
#2192 B u i l d i n g service w o r k e r (6)
(4-8 pm) Glen Haven ES—General
cleaning exper.; abil. to perform general clng. duties incl. sweeping/mopping lloors, operating power equip,
(i.e., f l o o r care machines, vacuum
clnrs.. lawn mowers), duslmg/washing
walls & ceilings al various heights,
clearing snow from walkways & repetitively moving heavy objects (sometimes w i l h mechanical assistance) incl.
supplies ( v a r y i n g sizes, shapes &
weights), chairs, tables, desks, trash
cans & other school equip. (Tail )
#2198 B u i l d i n g service w o r k e r (A)
(10:30 am-7 pm) K i n g MS—Same basic req. as #2192. (Taff)
#1820 B u i l d i n g service w o r k e r (6)
(ND)
(readvertised)
(3 30
pm-midmght) Painl Branch HS—Same
basic req. as #2192. Special consider-
operator I , Transportation; Mary
Donaldson, school secretary I , Cabin
John to school secretary II, Frost;
Gregory Kelly, bldg. service worker,
Gaithersburg HS to bldg. service
work leader I , Watkins Mill ES; John
Anderson, bldg. service worker,
Wood to general maint. worker I ,
Maintenance.
•
alions: boiler license desirable. (Tail )
#2194 B u i l d i n g s e r v i c e w o r k e r
(1CB C o m m u n i t y Use) (6) Churchill
HS—General cleaning e x p e r , abil. lo
maintain security o f school bldg. during assigned weekend hrs. & lo perform general cleaning duiics (work
incl. repelitive moving of chairs, tables
& other equip ); abil. lo work independcnlly & lo effectively communicate
w i l h community use groups; abil. to
secure boiler cert.; must be able to work
flexible rolaling hours & be able lo
work 8 hrs. Sal., 8 hrs. Sun., & 4 hrs. I
weekday nighl; must have o w n transportation with school locations subject
lo change based on I C B use. (Taff)
(Taff)
#2199 T r a n s p o r t a t i o n dispatcher
(13) (8 hrs., 12 mo.) Div. of Transportation—Valid class B commercial drivers license w i t h air brake & passenger
endorsemeni req.; meet all M D Slate
Dept. o f Education reqs. for school bus
driver; prev. exper. as school bus operator; knowl. of school bus operations;
county roads & map; localion of Montgomery County schools; 2-way radio
procedure; abil. to communicate effectively with parents & school o f f i cials; considerable dispatching exper
req. (Calavctinos)
#1 Bus o p e r a t o r (9) (4 hrs., 7-9 am
& 2-4 pm) Div. of Transportation—
Driver's license for al least 5 yrs.; excel, d r i v i n g record; abil. lo obtain M D
Class B commercial driver's license
( C D L ) req to drive school bus; must
pass physical exam incl. drug test;
exper. nol needed, training provided.
Substilulc assignment may lead to
perm, position. (Calavctinos)
Stipends ( h i g h school). Girls varsity soflball. boys volleyball (BelhesdaChevy Chase); boys volleyball (Damascus); JV soflball, boys tennis (Waller
Johnson); JV baseball, spring cheerleading, cross country (Painl Branch);
b o y s v o l l e y b a l l , coed v o l l e y b a l l
(Poolesvillc); JV cheerleading (Quince
Orchard); spring track, weighl traini n g ( S h e r w o o d ) ; JV c h e e r l e a d i n g
(Wheaton). Contact the athletic director.
#2 C a f e t e r i a w o r k e r I (4) (substitute) (2-5 hrs.) Div. o f Food Services—
Food preparation exper. req. Substitute assignment may lead lo perm, posilion. (Calavctinos)
#2195 C a f e t e r i a w o r k e r I (4) (2
positions) (3 hrs., 9 mo.) Gaithersburg
HS — F o o d
preparation
exper.
(Calavetmos)
#2201 Personnel assistant I (10) (8
his.) Dcp:. Employment S'.andarus &
Operalions—HS grad & considerable
progressively responsible office exper.,
general clerical & typing work; or other
comb, of educ. & exper. to perform
effectively. A b i l . to make rapid & accurate arilhmelical calculalions
tabulations XL to mamiam complex records
& repoils from such recoids. Good oral
i t w r i l l e n communication skills. Special considerations: pref. given lo applicants with strong kcyboarding skills.
(Monie)
#2197 I'lant e q u i p m e n t o p e r a t o r
(10) (fi am-2:3() pm) Rosa Parks M S —
Exper. operating & routine servicing
o f industnal-lype healing, vemilaling
i t air conditioning systems; abil. lo
replace/order filters for air handlers,
window a/c unils i t unit heaters; abil.
to inspect roof-top mechanical equip.;
abil. lo perform general clng. duties
req. o f bldg serv. wkrs. i t as assigned
bv bldg. serv mgr.; boiler, plant equip,
i t air conditioning operalions courses.
Opportunities
elsewhere
A d u l t leaders—For 2 4-week international summer camps to be held in
France & Japan. A l l expenses paid in
lieu o f salary. Call Judy L a p p i n g .
Travilah ES. 840-7153.
I n s t r u c t o r s (part l i m e ) Certified
Learning Cir.—For LD/reading, En
glish, science & math. Cert. req. Call
Patricia Fellon, Director, 593-3700.
I n accordance w i t h relevant laws
a n d r e g u l a t i o n s , the M o n t g o m e r y
C o u n t y Public Schools p r o h i b i t s disc r i m i n a t i o n on the basis o f race,
color, n a t i o n a l o r i g i n , m a r i t a l status, r e l i g i o n , sex, age o r d i s a b i l i t y in
e m p l o y m e n t o r i n any of its educat i o n p r o g r a m s a n d activities. M a k e
inquiries or complaints concerning
d i s c r i m i n a t i o n to the D e p a r t m e n t of
H u m a n Relations, 850 H u n g e r f o r d
Dr., Room 211, Rockville. M D 20850;
(301) 2 7 9 - 3 1 6 7 ; T D D (301) 279-3323.
Bulletin
Dec 5, 1994
7
�Support staff
training
Basic Reading Skills: Jan. 11-March
17, every Wednesday & Friday, 8-10
a.m., Connecticut Park Center. Instructors teach at each learner's pace, using
MCPS forms and work-related materials. Participants who are parents are
encouraged to become involved in
helping their children succeed in
school. Principals, directors and other
staff should share information about
this program with appropriate support
staff. To register, send a completed
MCPS Form 440-7, Registration for
In-service Training, to Systemwide
Training Unit, Upcounty Government
Center, by Dec. 20. Questions? Call
Carolyn Franklin, 601-0306.
•
School news:
Call 279-3673
In person & print
(continued from page 6)
H . Dudley Davidson, an MCPS
bus operator from 1987-1994, received a bachelor's degree in secondary education/earth and space sciences
from the University of Maryland last
spring. Davidson is now an earth
science teacher at Julius West MS.
Vera Wilkins, third grade teacher
at Burnt Mills ES, was selected as a
member of the USA TODAY National
Faculty, a group of educators from
across the country who will provide
information and training on the
newspaper's educational programs,
serve on focus groups, judge competi-
This docmnenl is available in an allenu
tivc format upon request, under Ihe Americans with Disabilities Ad, by contitclinj; the
Department of Inforniation, Montgutnery
County Public Schools. KM) Hungerford
Drive. Rockville, MD 20X50; telephone
(301) 274-3391 and TDD (301) 279 3323.
X Itulk-tin
Dec. 5, 1991
Read aloud
Joyce Colbert, above, interdisciplinary teacher specialist, Division of
Curriculum-Coordination and Implementation, and Lois Martin, right,
retired associate superintendent, were
among more than a dozen guest readers at the Glen Haven E S Read Aloud
Day. Parents, local business representatives and MCPS personnel each
spent 30 minutes reading to pupils in
preschool through third grade. Reading teacher Denise E . Medley coordinated the event.
tions and pilot new programs.
Donna Weldin, principal of Strawberry Knoll ES. received a Doctor of
Education degree in Curriculum and
Instruction from Virginia Polytechnic
Institute and State University in June.
Her dissertation focused on Portfolio
Assessment.
Robert IXirner, specialist; Nancy
Sigler, office assistant; and Genie
Harman, office assistant, all in the
Division of Adult Education and
Summer School, received Above and
Beyond the Call of Duty Certificates
for outstanding assistance in revamping the summer school registration
process. More than 10,000 applications for the 1994 summer school
program were handled with improved
efficiency and accuracy as a result of
the team effort.
Michael Tartamella, assistant principal at T.W. Pyle MS, presented the
first of a two-part weekend workshop,
"The Use of Neuro Linguistic Programming," for counselors of chemically dependent people. The workshop
took place in November at the South
Oaks Psychiatric Hospital Institute of
Addiction Stuides in Amityville, Long
Island in New York. Last spring,
Tartamella conducted two weekend
workshops, "Communication Skills
for Alcoholism and Drug Dependency
Counseling," at the New York facility.
Monroe Davids, social studies
resource teacher at Montgomery Village MS, had some of his photographs in Voyagcur's First
Comprehensive 1994-95 Catalog.
Voyageur is an international student
travel organization.
•
Non-Profit Org.
U.S. Postage
PAID
Permit No. 37
Rockville, Md.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
007. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Matthew Salmon; RE: Address [partial] (1
page)
01/23/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
2006-0810-F
dbl812
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Inforniation Act - |S U.S.C. 552(b)]
PI
P2
P3
P4
b(l) National security classified information ((bXDof the FOIAI
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOI A|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PKA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASH I NGTON
January 23, 1995
Mr. Matthew Salmon
Dear Matthew:
Thank you for your d e l i g h t f u l drawing. I t was so nice
of you to share i t with me. Do you think Socks knows that
the p r a i r i e dog i s down there i n the ground?
I am glad that you chose to include books as a part of
the drawing. I have loved to read ever s i n c e I was a young
c h i l d and I hope that you enjoy reading as w e l l .
Thank you again for the drawing.
wishes for a bright and happy future.
You have my best
Sincerely yours.
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�This is a picture of Mrs.
Clinton. She is about to read
to a child. Under the ground
is a prairie dog. The green
bug is a fly and there is a
bumblebee I bet you can
see. Socks is about to pick
up a book with his teeth. On
the black table there are
books.
MATTHEW SALMON
�"f
m
�
Dublin Core
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Title
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Health Care Reform
Identifier
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2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
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Clinton Presidential Records
Publisher
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William J. Clinton Presidential Library & Museum
Text
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Paper
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Folder 3 [General Correspondence]: Margaret A. Williams [Folder 1]
Creator
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First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-012-010-2015
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2006-0810-F Segment 2
Is Part Of
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Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
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Date Created
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5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/3062725eea08ac539a3b900bdbbc5ef3.pdf
8ffcd107677b5ec4876c5ab61a044d32
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Margaret A. Williams
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001a. letter
Phyllis Boyle to First Lady Hillary; RE: Address and personal
[partial] (2 pages)
11/31/1994
P6/b(6)
001b. letter
Hillary Rodham Clinton to Phyllis Boyle; RE Address [partial] (1
page)
11/23/1994
P6/b(6)
002a. letter
T. Bradford Durfee to Hillary Rodham Clinton; RE: Address [partial]
(1 page)
10/7/1994
P6/b(6)
002b. letter
Hillary Rodham Clinton to T. Bradford Durfee; RE: Address [partial]
(1 page)
11/23/1994
P6/b(6)
003. letter
Michael P. Lennon to Hillary Clinton & Mrs. Gore; RE: Phone
numbers [partial] (1 page)
10/26/1994
P6/b(6)
004a. letter
Mary Ellen Lemire to Hillary Rodham Clinton; RE: Address [partial]
(1 page)
10/11/1994
P6/b(6)
004b. letter
Hillary Rodham Clinton to Mary Ellen Lemire; RE: Address [partial]
(1 page)
11/21/1994
P6/b(6)
005a. letter
Nathan B. Kaufman to Dow Jones & Company, Inc.; RE: Address
[partial] (1 page)
10/17/1994
P6/b(6)
005b. letter
Nathan B. Kaufman to Hillary Clinton; RE: Address [partial] (1 page)
10/19/1994
P6/b(6)
005c. letter
Hillary Rodham Clinton to Nathan B. Kaufman; RE: Address [partial]
(1 page)
11/23/1994
P6/b(6)
006a. letter
Jeri F. Roth to First Lady Hillary Rodham Clinton; RE: Address
[partial] (1 page)
11/09/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dbl811
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)]
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3)of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
006b. letter
Hillary Rodham Clinton to Jeri Roth; RE: Address [partial] (1 page)
11/21/1994
P6/b(6)
007. letter
Tabatha Yeatts to Hillary Rodham Clinton; RE: Address [partial] (1
page)
10/15/1994
P6/b(6)
008. letter
Nathan, Ashley, and Kate to Mrs. Clinton; RE: Address [partial] (1
page)
n.d.
P6/b(6)
009a. letter
Hillary Anderson to Mrs. Clinton; RE: Address [partial] (1 page)
10/11/1994
P6/b(6)
009b. letter
Hillary Rodham Clinton to Hillary Anderson; RE: Address [partial]
(1 page)
11/23/1994
P6/b(6)
010. letter
Linda C. Franklin to Chelsea; RE: Address [partial] (1 page)
11/09/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dbl8lI
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(I) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�ROUTING SLIP
DATE: b / Q> / c3*r
FROM:
B i l l y Webster
D i r e c t o r o f Scheduling and Advance
SUBJECT
Don Baer
Abner J. Mikva
Erskine Bowles
Laura Tyson
Rebecca Cameron
Leon Panetta
Peg Cusack
John Podesta
Rahm Emanuel
Jack Quinn
Mark Gearan
JZ.
Carol Rasco
Jack Gibbons
Lee S a t t e r f i e l c i
Pat G r i f f i n
Patti Solis
Marcia Hale
Doug Sosnik
A l e x i s Herman
G. Stephanopoulos
Nancy H e m r e i c h
Arm Stock
K i t t y Higgins
Stephanie S t r e e t t
Harold Ickes
Kim T i l l e y
Anthony Lake
Jodie Torkelson
Bruce Lindsey
Melanne Vferveer
Mike McCurry
Anne Walley
Anne McGuire
Maggie W i l l i a m s
—
Mack McLarty
FILE:
V
FYI
ACTION
ADVICE
M •
REGRET POTUS, suggest a surrogate i s needed:
CM ET •
O MNS
^fl^Uil'^
ffltS,
feM
ToOpj^
�Schedule Proposal
June 8, 1995
ACCEPT
REGRET
PENDING
TO:
B i l l y Webster
QP ..
..
Deputy Assistant to the P4*sMfeflt Ajj • Qg
and Director of Scheduling and Advance .
FROM:
James A. Dorskind
Special Assistant i ^/the"!
President
Director of Correspondence and
Presidential Messages
REQUEST:
Presidential recognition of the children
whose drawings were used i n the attached
White House Children's booklet
PURPOSE:
Recognize the children whose artwork was
chosen for the White House Children's
booklet
BACKGROUND:
See the attached memo, book, and press
clippings
PREVIOUS PARTICIPATION:
None
DATE AND TIME:
A Saturday Radio Address
(with a month to s i x weeks notice)
DURATION:
Length of Radio Address plus 15 minutes
for a photo opportunity with the children
and t h e i r parents
LOCATION:
Oval Office
PARTICIPANTS:
Six children, plus at l e a s t two guests
each
OUTLINE OF EVENTS:
Before or after the Radio Address,
President recognizes each c h i l d for h i s
or her contribution to the publication
(or the President can recognize children as
a group)
REMARKS REQUIRED:
At your recommendation
MEDIA COVERAGE:
At your recommendation
RECOMMENDED BY:
Debra Wood, Director
Presidential Student Correspondence
x. 65131
CONTACT:
Jim Dorskind, x. 65460
or Debra Wood, x. 65131
\
�Schedule Proposal
ACCEPT
June 6, 1995
REGRET
PENDING
TO:
B i l l y Webster
Deputy Assistant to the President
and Director of Scheduling and Advance
FROM:
James A. Dorskind
Special Assistant to the President
Director of Correspondence and
Presidential Messages
REQUEST:
Presidential inviLutiun • c u the children
•fciu
f.
chi
whose drawings were used i n the attached
White House Children's booklet
PURPOSE:
Recognize the children whose artwork was
chosen for the White House Children's
booklet
BACKGROUND:
See the attached memo.^gyP
PREVIOUS PARTICIPATION:
DATE AND TIME:
lay Radio Address
(with a month to s i x weeks notice)
DURATION:
Length of Radio Address plus 15 minutes
for photo opportunity with the children
and t h e i r parents
LOCATION:
Oval Office
PARTICIPANTS:
S i x ^ i i l d r e i i j plus ^wo guests each
OUTLINE OF EVENTS;
Before or after the Radio Address,
i , Afi/v—
President
recognizes
each child f o r k y f t p '
• contribution.
to the publication
Y***
REMARKS REQUIRED:
At your recommendation
MEDIA COVERAGE:
At your recommendation
RECOMMENDED BY:
CONTACT:
Jim Dorskind
�Schedule Proposal
June 2, 1995
ACCEPT
PENDING
REGRET
TO:
B i l l y Webster
Deputy Assistant to the President
and Director of Scheduling and Advance .
FROM:
James A. Dorskind
Special Assistant to the President
Director of Correspondence and
Presidential Messages
REQUEST:
Presidential i n v i t a t i o n to the children whose
drawings were used i n the attached White
House Booklet (for children)
PURPOSE:
Recognize the children whose artwork
was chosen for the White House Children's
booklet
BACKGROUND:
See the attached memo
PREVIOUS PARTICIPATION:
None
DATE AND TIME:
-At your recommendation-^
I^Abio Abbfoss
lOrR A fAoOTH To Sv uKvCq ^fiCE
DURATION:
-ftt-yonr-gecommandat ion-^e
LOCATION:
yum
OJf^
PARTICIPANTS:
OUTLINE OF EVENTS:
REMARKS REQUIRED:
i MI '.i iwmonfLa'h i nrj n
Office
At your recommendation-g—
At your rooomaendation g—At your recommendation
MEDIA COVERAGE:
At your rocommendation
RECOMMENDED BY:
Debra Wood
CONTACT:
Jim Dorskind
0
U^?H d? l^A^I
�Schedule Proposal
June 1, 1995
ACCEPT
REGRET
PENDING
TO:
B i l l y Webster
Deputy Assistant to the President
and Director of Scheduling and Advance
FROM:
James A. Dorskind
Special A s s i s t a n t t o t h e President
D i r e c t o r of Correspondence and
P r e s i d e n t i a l Messages
REQUEST:
^
(
W
,
^^
^
^
t
A
f
m
,
Mt fo m^tfifiroj, r -pit I ^ M V .
fKc
PURPOSE:
^ ^ v ^ T / H ^ / u ) cotkt A f l r * W L ^ a f e
BACKGROUND: Stt AtfAUW)AUtffia
PREVIOUS PARTICIPATION:
<
DATE AND TIME:
DURATION:
'
/ h " *\Oo(L (KCoM.W- U>0Arro^
(
"
LOCATION:
PARTICIPANTS:
fOciOt,
C.
V
l
(
l
^
OUTLINE OF EVENTS:
A^O 0*^'^CH"!
{\f
fUu>rMWA^(?(Tfi^
REMARKS REQUIRED: A r ^ O l j d f e o m & O O ^ O / O
MEDIA COVERAGE:
l' '
<
RECOMMENDED BY:
CONTACT: ^
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�THE WHITE HOUSE
WASH I NGTON
June 1, 1995
MEMORANDUM FOR BILLY WEBSTER
DEPUTY ASSISTANT TO THE PRESIDENT
AND DIRECTOR OF SCHEDULING AND ADVANCE
FROM:
JAMES A. DORSKIND
SPECIAL ASSISTANT TO THE PRESIDENT
DIRECTOR OF CORRESPONDENCE AND PRESIDENTIAL
MESSAGES
DEBRA S. W O d
OD
DIRECTOR OF PRESIDENTIAL STUDENT CORRESPONDENCE
SUBJECT:
SCHEDULING REQUEST
*****************************************************************
The a t t a c h e d p u b l i c a t i o n was produced by t h e White House O f f i c e
o f P r e s i d e n t i a l Student Correspondence. I t i s d i s t r i b u t e d by t h e
White House V i s i t o r s O f f i c e and t o classrooms who w r i t e t o t h e
President.
I n c l u d e d i n t h e - p u b l i c a t i o n a r e drawings by c h i l d r e n , t h a t were
s e n t t o t h e P r e s i d e n t , from around t h e c o u n t r y . The drawings
were s e l e c t e d a t random from t h e thousands o f l e t t e r s t h a t t h e
P r e s i d e n t r e c e i v e s each day. Since t h e p u b l i c a t i o n ' s r e l e a s e ,
two o f t h e s i x c h i l d r e n have been f e a t u r e d i n t h e i r town's
newspapers.
I t i s o u r hope, t h a t you w i l l c o n s i d e r i n v i t i n g t h e s e s i x
c h i l d r e n t o t h e White House t o meet t h e P r e s i d e n t , when
s c h e d u l i n g your next event f o r c h i l d r e n .
Should you be a b l e t o
i n v i t e t h e c h i l d r e n , we have a t t a c h e d c o p i e s o f t h e r e l e a s e forms
t h a t each p a r e n t was r e q u i r e d t o s i g n which a u t h o r i z e d o u r use o f
t h e i r c h i l d ' s drawing. I n a d d i t i o n , we have e n c l o s e d a newspaper
a r t i c l e f e a t u r i n g one o f t h e young a r t i s t s .
Thank you f o r your c o n s i d e r a t i o n o f t h i s r e q u e s t . Should you
need a d d i t i o n a l i n f o r m a t i o n , p l e a s e do n o t h e s i t a t e t o c o n t a c t
Jim a t X65460 o r Debra a t x65131.
�THE W H I T E
HOUSE
WAS HIN GTO N
November 1, 1994
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS
CHIEF OF STAFF FOR THE FIRST LADY
FROM:
ALICE PUSHKAR
DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
STATUS REPORT FOR THE FIRST LADY'S
CORRESPONDENCE
T h i s r e p o r t c o v e r s t h e t i m e p e r i o d from September 25, 1994
t h r o u g h October 3 1 , 1994. The r e p o r t i n c l u d e s i n f o r m a t i o n about
t h e volume o f m a i l r e c e i v e d and produced by t h e O f f i c e o f F i r s t
Lady's Correspondence.
Attached are t h e d a i l y production reports f o r t h e time
p e r i o d , a p i e c h a r t which r e p r e s e n t s a v i s u a l breakdown o f y o u r
i s s u e s - r e l a t e d m a i l , t h e G r e e t i n g s Report, and f o l d e r s c o n t a i n i n g
l e t t e r s which a r e r e p r e s e n t a t i v e o f t h o s e r e v i e w e d d u r i n g t h e
time period.
Our o f f i c e has t a k e n on t h e r e s p o n s i b i l i t y o f h a n d l i n g
Chelsea's m a i l . We a r e r e v i e w i n g a l l o f her m a i l and answering
a p p r o p r i a t e l e t t e r s w i t h t h e c a r d s i g n e d by t h e P r e s i d e n t .
I n c l u d e d i n t h i s r e p o r t i s a sample l e t t e r t o Chelsea and o u r
response.
We have a t t a c h e d a copy o f t h e l e t t e r t h a t we s e n t i n
response t o t h e b i r t h d a y cards s e n t t o you t h a t i n c l u d e d a
message o f s u p p o r t . I t uses t h e b a s i c s u p p o r t form l e t t e r
language.
We have a new s t a f f member i n F i r s t Lady's Correspondence.
Sarah Brau has been h i r e d t o f i l l Joanne Anderson's p o s i t i o n .
Sarah's p r i m a r y r e s p o n s i b i l i t y w i l l be t o oversee t h e v o l u n t e e r
room and guarantee c o n t i n u i t y i n day-to-day procedures t h e r e .
T h i s b r i n g s o u r s t a f f t o t h r e e : Stacey Roth, who i s Deputy
D i r e c t o r ; Wendy Towber, who handles a l l s c h e d u l i n g
correspondence; and Sarah.
�During e a r l y November we arranged to take our v o l u n t e e r s on
a tour of the F i r s t Lady's Sculpture Garden. Betty Monkman of
the Curators o f f i c e conducted three separate tours f o r groups of
20 volunteers on each tour. There was unanimous p r a i s e f o r both
the a e s t h e t i c aspects of the garden, the s e l e c t i o n and placement
of the s c u l p t u r e s , the showcasing of midwestern museum a r t , and
the tour i t s e l f . We took s e v e r a l photos of our v o l u n t e e r s
touring the garden and we have enclosed copies with t h i s r e p o r t .
We have a l s o included photos of one of our v o l u n t e e r s , Mory
Myers. Mory i s 70+ and the photos were taken on a r e c e n t t r i p
that Mory and h i s wife Betty took to New Zealand. We thought you
might enjoy these photos of one of our adventurous v o l u n t e e r s .
During the month of October, we r e c e i v e d 9072 p i e c e s of
correspondence addressed t o you. The average number of l e t t e r s
received d a i l y i n our o f f i c e has decreased from 371 t o 313.
Another 1725 l e t t e r s were forwarded t o other o f f i c e s .
Approximately 2100 l e t t e r s required no response.
We responded t o
3635 l e t t e r s during the month of October.
As of November 1, 1994, approximately 4,121 coded l e t t e r s
awaited a response and approximately 1231 l e t t e r s were i n the
data entry and proofing stages. 321 l e t t e r s were unread during
the period.
ANALYSIS OF THE MAIL
No Response Necessary
Agency L i a i s o n
Support
Issues
HCR
Children's
Birthday
Request
Scheduling
Other People's
Other
VIP
Unfavorable
Translations
Personal
Greetings/Messages
Secret S e r v i c e
Gifts
Following i s a breakdown of the i s s u e s - r e l a t e d mail
during the time period.
Other
Foreign R e l a t i o n s
Multi-Issues
Health (General)
28.5%
12.5%
10.8%
7.8%
6.9%
5.9%
5.6%
5.0%
3.9%
2.1%
2.0%
1.8%
1.4%
1.3%
1.1%
0.9%
0.9%
0.8%
reviewed
20. 0%
13.7%
13.7%
13.7%
�Children
Immigration
H e a l t h (Women)
Education
Abortion
Government Reform
Crime/Violence
World War I I
Diet (Health)
Family
FDA
5.3%
5.3%
4.2%
4.2%
4.2%
4.2%
3.2%
2.1%
2.1%
2.1%
2.1%
For your i n f o r m a t i o n and r e v i e w , we have a t t a c h e d c o p i e s o f
l e t t e r s r e p r e s e n t i n g common themes i n t h e correspondence.
We
have prepared responses t o these l e t t e r s s u b j e c t t o your
approval.
The H e a l t h Care f o l d e r c o n t a i n s one l e t t e r from a woman who
l i v e s i n L i b e r t y , M i s s o u r i . She w r i t e s about h e r f a m i l y ' s
d i f f i c u l t y w i t h h e a l t h care c o s t s d u r i n g p e r i o d s o f s e r i o u s
illness.
T h i s w r i t e r w i l l r e c e i v e t h e i n d i v i d u a l response form
l e t t e r which we a r e sending t o you w i t h t h e s i g n a t u r e space l e f t
b l a n k f o r you t o s i g n .
The I s s u e s f o l d e r c o n t a i n s two l e t t e r s .
The f i r s t l e t t e r i n
the Issues f o l d e r i s from Peola B u t l e r Dews, Ph.D. She w r i t e s
about t h e i s s u e o f domestic v i o l e n c e i n o u r c o u n t r y . We would
l i k e t o use t h e response prepared f o r t h i s l e t t e r i n a form
l e t t e r t o answer most l e t t e r s we r e c e i v e r e g a r d i n g t h e m a t t e r o f
domestic v i o l e n c e .
The second l e t t e r i n t h e Issues f o l d e r i s from a man who
l i v e s i n East Lyme, C o n n e c t i c u t . He w r i t e s o f h i s concern about
t h e P r e s i d e n t ' s c h o i c e o f Jimmy C a r t e r , as an Ambassador.
G e n e r a l l y f o r e i g n p o l i c y i s s u e s a r e answered w i t h a P r e s i d e n t i a l
l e t t e r , which i s data e n t e r e d i n o u r o f f i c e , however we a r e
s u b m i t t i n g t h e a t t a c h e d i n d i v i d u a l response f o r your a p p r o v a l f o r
this particular letter.
The Support f o l d e r c o n t a i n s f o u r l e t t e r s .
The f i r s t l e t t e r
i n t h e Support f o l d e r i s from M i c h a e l P. Lennon, P r e s i d e n t o f
Homepro Systems, I n c . i n F a l l s Church, V i r g i n i a . He w r i t e s o f
h i s p e r s o n a l e x p e r i e n c e w i t h a t t e m p t i n g t o achieve change. He
expresses h i s s u p p o r t f o r your e f f o r t s towards p o s i t i v e change i n
our c o u n t r y . T h i s w r i t e r w i l l r e c e i v e t h e Support form l e t t e r
which i s b e i n g sent t o you w i t h t h e s i g n a t u r e space l e f t b l a n k
f o r you t o s i g n p e r s o n a l l y .
The second l e t t e r i n t h e Support f o l d e r i s from a woman who
l i v e s i n H u n t i n g t o n Woods, Michigan.
She w r i t e s o f h e r s u p p o r t
f o r you and o f h e r anger about t h e h o s t i l i t y d i r e c t e d a g a i n s t you
and t h e P r e s i d e n t . T h i s l e t t e r w i l l r e c e i v e t h e Support form
l e t t e r w i t h t h e s i g n a t u r e space l e f t b l a n k f o r you t o s i g n
�personally.
The t h i r d l e t t e r i n the Support f o l d e r i s from a r e t i r e d
Attorney who l i v e s i n U n i v e r s i t y C i t y , Missouri. He encloses a
copy of a l e t t e r which he d i r e c t e d t o the Wall S t r e e t J o u r n a l .
His l e t t e r was not one of the ones included i n the Wednesday,
November 2, l e t t e r s t o t h e Wall S t r e e t Journal e d i t o r , captioned
"Why the V i l e Attack on H i l l a r y ? " The i n d i v i d u a l response t o
t h i s w r i t e r i s being sent t o you with the s i g n a t u r e space l e f t
blank f o r you t o s i g n p e r s o n a l l y .
The fourth l e t t e r i n the Support f o l d e r i s from a woman who
l i v e s i n Santa Monica, C a l i f o r n i a . She w r i t e s of her support for
you and t h e P r e s i d e n t i n s p i t e of the negative p r e s s you have
r e c e i v e d by the media. T h i s w r i t e r w i l l r e c e i v e t h e Support form
l e t t e r which i s being sent t o you with the s i g n a t u r e space l e f t
blank.
The Thank-You f o l d e r contains three l e t t e r s . The f i r s t
l e t t e r i n t h e Thank-You f o l d e r i s from a woman who l i v e s i n Stone
Mountain, Georgia. She w r i t e s t o thank you f o r helping her
husband, a government worker, t o r e c e i v e h i s h e a l t h b e n e f i t s .
The second l e t t e r i n the Thank-You f o l d e r i s from Beej
Nierengarten-Smith, D i r e c t o r of the Laumeier Sculpture Park i n
S a i n t L o u i s , M i s s o u r i . He w r i t e s t o thank you f o r i n c l u d i n g the
s c u l p t u r e A u r e l i a I i n the F i r s t Lady's Sculpture Garden. He
i n c l u d e s catalogues and information about Laumeier*s program.
The t h i r d item i n the Thank-You f o l d e r i s a card from
P a t r i c i a B l a k e l y who l i v e s i n Lorain, Ohio. She w r i t e s t o thank
you f o r your help with her S o c i a l S e c u r i t y c l a i m .
The C h i l d r e n ' s f o l d e r contains one l e t t e r and one card. The
card i s from Mrs. Tyner's c l a s s i n Madison, M i s s o u r i . They sent
you a hand-made birthday card with a note of thanks f o r the
p i c t u r e and l e t t e r which our o f f i c e sent them.
The second item i s a l e t t e r from a young woman from
Vincennes, Indiana, named H i l l a r y , who ran a s u c c e s s f u l campaign
for school o f f i c e .
The Chelsea f o l d e r contains one l e t t e r from a woman who
l i v e s i n C h a r l o t t e s v i l l e , V i r g i n i a , i n response t o t h e r e s u l t s of
the mid-term e l e c t i o n . She d e s c r i b e s her experiences a s a young
woman w i t h i n t h e Democratic party during the mid - 19 50's. A
copy of the form card which we are sending i n response t o mail
r e c e i v e d for Chelsea i s attached.
Please i n d i c a t e i f you would
p r e f e r t h a t we d r a f t an i n d i v i d u a l response from you t o t h i s
writer.
�ANALYSIS OF MAIL RECEIVED]
(5.9%)
(2.1%)
(1.1%)
(6.9%)
| B AGENCY LIAISON
(0.9%)
J 23 GREETINGS/MESSAGES
! ci HCR
: ta PERSONAL
(28.5%;
(12.5%)
: n KIDS
m OTHER PEOPLE'S
m NRN
m UNFAVORABLE
(0.9%)
(1.3%)
m OTHER
BIRTHDAY
•
GIFTS
s
(10.8%)
a
REQUEST
•
SCHEDULING
i T SECRET SERVICE
Ti
ISSUES
a VIP
(5.6%)
•
(0 8%)
(5.0%)
(7.8%)
(3.9%)
(0.9%)
SEPTEMBER 29 - OCTOBER 31
SUPPORT
•
TRANSLATIONS
�ANALYSIS OF ISSUES MAIL RECEIVED}
(13.7%)
(3.2%)
m ABORTION
(5.3%)
•
IMMIGRATION
•
(5.3%)
CHILDREN
•
(4.2%)
EDUCATION
m CRIME/VIOLENCE
a FOREIGN RELATIONS
(13.7%) ; - •.
m FDA
:
'yy§::i :>,
>
LJ GOVERNMENT REFORM
•
MULTI - ISSUES
a HEALTH (GENERAL)
33 OTHER
j EI HEALTH (WOMEN)
i
! • WORLD WAR II
• DIET (HEALTH)
a FAMILY
(20.0%)
�THE WHITE HOUSE
W A S H IN G T O N
FIRST LADY MESSAGES
October 1994 Report
* New York P r e s e r v a t i o n F o u n d a t i o n
* . G r e e n v i l l e Elententary School
.
* L o u i s i a n a S p e c i a l Olympics
* American Cancer S o c i e t y
* American A r t s A l l i a n c e
* Temple Emanuel o f B e v e r l y
Hills
* Henry Luce I I I C o n g r a t u l a t i o n s
* Salute t o Excellence
* N a t i o n a l Center f o r S t a t e C o u r t s
* Spina B f i d a A s s o c i a t i o n
* Home Makers C o u n c i l o f Nausau County, I n c .
* Quincy H o s p i t a l B r e a s t Cancer Support Group
* Albany Law School
* Academy o f M e d i c a l and S u r g i c a l Nurses
* Coney I s l a n d H o s p i t a l
* Walker Memorial B a p t i s t Church
* Women Business Owners
* The R e t r e a t
* The F i r s t Ronald McDonald House, P h i l a d e p h i a ( 2 0 t h
Anniversary)
* J u n i o r League o f Boca Raton
* American A s s o c i a t i o n f o r M e d i c a l T r a n s c r i p t i o n ( L a u r e l Chapter)
* Foundation o f America, I n c . ( S o u t h e r n CA Chapter)
* Howard Brown H e a l t h Center
�* Seventeen
Magazine
* G i f t from t h e H e a r t
* Maine C u l t u r a l A l l i a n c e
* MFY.Legal S e r v i c e s
* The Washington B a l l e t
* Asbury U n i t e d M e t h o d i s t Church
* Jack & J i l l
o f America, I n c .
* U n i v e r s i t y o f Chicago M e d i c a l Center
* Armenian N a t i o n a l Committee o f America, Western Region
* The V a l l e y
* Sarasota Manatee Jewish F e d e r a t i o n & Jewish Community Center
* D e l t a Sigma Theta S o r o r i t y , Los Angeles Chapter
* V i s t i n g Nurse F o u n d a t i o n o f Schenectady County
* D e t r o i t Women's Forum
* A s s o c i a t i o n o f Nurses i n AIDS Care
* American Cancer S o c i e t y , Minnesota D i v i s i o n
* F i r e and I c e B a l l B e n e f i t f o r Revlon/UCLA Women's Cancer
Research
* Seasons o f S u r v i v o r s h i p
* Northeast E l d e r l y T r a n s p o r t a t i o n Volunteer Dinner
1
* Mid-Hudson L e g a l S e v i c e s R e t i r e m e n t Dinner
* Academy f o r Jewish R e l i g i o n
* B r i d g e s 1994 Employment R e c o g n i t i o n Dinner
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
SUBJECT/TITLE
DATE
Phyllis Boyle to First Lady Hillary; RE: Address and personal
[partial] (2 pages)
11/31/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dbl811
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)]
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(b)(l) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�[10 0 ) ^ 1
y ^ ^ ^ A ^ e t ^ U l ,
^.
^
_
JL.
L
linton Library Photocopy
�^
. /Tvo
^
- e-s-^
-
ULCtsc,
.^u~£/L.. /no
Clinton Library Photocopy
�THE WHITE H O U S E
WAS H I N GTO
N
November 23, 1994
Mg; Phvlllg B
Dear Ms. Boyle:
Thank you for your thoughtful and compelling letter.
I am touched that you chose to share with me your family's
experience with the health care system in this country.
The hardship and frustration you describe i l l u s t r a t e
exactly why this nation needs health care reform. Each
month two million Americans lose their insurance, and at
some point during the year 58 million Americans go without
insurance. Quality affordable health care i s needed not
only for those Americans who have no insurance, but for a l l
Americans including those whose insurance f a i l s them when
they need i t most. President Clinton and his
Administration continue in their commitment to strengthen
what i s right about the current system and repair what i s
wrong.
me.
Thank you again for sharing your personal story with
My thoughts and prayers are with you.
Sincerely yours.
Hillary Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001 b. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Phyllis Boyle; RE Address [partial] (1
page)
11/23/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dbl81l
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells j(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�The White House
- Washmgroti, DC 20500—
2
5
5
5
• •
^•
^
• ;.- •••
There is an invisible war against children and youths going on all over our nation. It is
invisible because it is allowed to occur and to fester within the privacy of homes. Nobody
pays attention until the war spills into the streets by the enraged children and youths who
act out what they have experienced.
Eleven-year old murderers who are assassinated. Afive-yearolder dropped to his death
because he would not steal candy. 14-16 year old rapists who murder a mother and her
two little daughters. Car-jackers who kill a mother and throw her baby out on the street
to die. Drive-by shootings. Home invasions. Teenage drug wars. High-powered
weaponry in the hands of children for show-and-tell at school. All over our nation, we are
witnessing and reaping the whirlwind of distress and disaster in the lives of children.
Why in the'Naihe of God are We riot waging a war at the sourc'6? More prisons will hot
end the violence. More policemen On the streets will not end the violence. Not even more
money for education, health and welfare will put a stop to the violence. The source is
hiding out in the homes where our children struggle to stay alive. The source is the
violence in the homes which victimizes our children. The source is the lack of values
• which is the gliie that keeps a sane society intact. The source is the secrecy of what gOes
on behind closed doors, and our tuning out what our children are telling us through their
violent actions and behaviors. They are, in fact, mirroring us!
This information is not new, but a new way of dealing with what is happening within the
four walls of houses must be found, confronted and utilized if we are to survive as a
nation. How many of us really care what the internal world is for children—if they are not
our own, or if they are not of our same socioeconomic-ethnoracial group? How many of
us are only caught up in the sensationalism of the vast media stories about violence in the
street, but never take the time to think of the causative factors? Wake up all you people!
Morality is something we talk about. Values, especially family values, is the buzzword of
the 1990's. And will probably get a lot of politicians elected to office throughout this land.
The web of secrecy that permeates the inner sanctum of homes is frightening. Parents and
significant others who can and should have the greatest impact on children are the
perpetrators of the violence and/or the ones who turn their heads and a blind eye when
)ocz3<=>(Z}oci>c>aoci}oci>o{
�they re'fuse lb see of to" hear Ihe" cries bf childreh"and yoqths.' "Dbni't teil m e ' ^ t ' i w t f ^ ^ ^
:are sb overworked, so stressed out, so.undeiiaid, so poor, so ariything tliat^-theyvsimply i-: I
, v
of the juvenile violence and crime that we'are experiencing. Most .single mothers are
'
•straggling to'keep their childfeh altVfe inthe"•best'waythey know*dW:-Whk'iafc^'the--'-^-:-'-^:
;
-
let
the-direction of abusive, absent, apathetic fathers-'if afinger-,of blame is what is jneedfed? -
seen mothers cry. They cry because they do not have the familial support to help bur
children who are in trouble. I have seen governmental systems try to find solutions to
juvenile crime and violence. But nobody has found a way to go into these homes to see
what is happening-except maybe some social workers, after-the-fact and for other sundry
reasons. Too often, however, even they have blindspots about the violence.
The violence is not discriminatory either. There is an equal distribution of violence
throughout our culturally diverse society. There is, however, a disproportionate amount
of violence going on in the homes, communities and neighborhoods of African-American
children and youths. This violence may have had its historical base in slavery and racism,
but I will not blame 1619 to 1865, for what is happening to African-Americans in 1994. .. I
will not even blame what happened in the United States"from 1886 to 1968, for what is
happening now. I blame fathers. I blame them because they have hurt, abandoned,
neglected and abused their children. Please don't tell me that African-American nien have
been hurt more, discriminated iagainst more, denied educational opportunities more, not
allowed to get jobs more than African-American women. That simply is not true. I do
not speak of all African-American men. The ones I am talking about know who they are.
They know what they have and have not done for and to their families, their children.
How do I know that fathers are to blame? I have lived on this earth for 58 years. I have
reared eight children basically by myself. For more than 20 years, I have worked with atrisk children/youths and alienated families. I have heard their horror stories of abuse and
abandonment. Moreover, I survived physical and sexual abuse as a child. I saw women
and children being abused from my earliest years. As a young woman I was physically
abused by the significant others (men) in my life. I witnessed my daughter being sexually
abused as a child, and could not get this System or my family to help me through this
ordeal. And now, one of my 16 grandchildren, a beautiful four-year old granddaughter
who was bom on my birthday, has shared with me the horror of her father sexually
abusing her, dunking her head into a latrine, putting onfrighteningmonster masks,
sticking her under huge trash cans, leaving her in dark places and traumatizing her with
threats of death to her and her little cousins—if she told the secret. But the secret must be
told. It can no longer remain a secret. It is not her shame. It is not my shame. Neither is
it the shame of the millions of young people who are terrorized daily in our nation. As I
break the secret and sickness of abuse of children by speaking out, women in their 40 s,
,
�50*s and 60's begin to share Whatthey'coiiSidef "their shame" for the first time in their .
;;
Incest and.sexual abu^e/molestatiort are sd horrible, such, a taboo Until people run from
.• • ^ -even hearing'the tumble'toth.'>'Yet ^
in the Urrite^l^ St^es bjj the
United States by the age of 16 is sexually abused-both usually by significant others and
mentally and spiritually abused—although these young people usually do suffer multiple
forms of abuse, such as those forms of abuse which I experienced. And which my fouryear old granddaughter has recently experienced. We talk about teen pregnancy as a root
cause of poverty. Violence and victimization are cyclical. Far too many pregnant and
parenting teenagers are victims of violence and abuse first in their homes.
:
A society's main purpose is to pass on its way of life to its young. Pray tell, what are we
passing on to our young people? How do we expect for our nation to be a world leader in
the 21st Century, if we do not get into the homes, neighborhoods and communities where
the violence is taking place in our young people's lives? Who do we think will be in
charge of all our wonderful institutions in ihe future? Wake up, America! What do we ...
really value? We value what we pay for, arid we pay for what we value. Is our god
money and materialism? I think so. What will future generations of citizens of the world.
say about a great nation that existed for almost three hundred years, but was annihilated
because of internal corruption and chaos and because it did not have the will to save its
young? I think those citizens will call us fools. A man kills his wife because he caught her
having sex with another man, and the judge gives him 18 months-because the law said
that he had to get some time'. Were there children in that family? If so, where are they?
What happens to them? Did anybody think-about them? We stayglued to the td^fflOttw**Wv
watching the trial of OJ Simpson. Sensationalism. Who killed Nicole Brown Simpson?
Did anybody think about her children? What will happen to them? Does anybody think
about how our children form their worldviews?
We need to social work our whole society. We need to form extended families, to adopt
families in the same way we adopt schools and highways. We need to go into homes and
help to teach people how to love and respect their children, how to form bonds and set
boundaries, how to discover their own intrinsic worth rather than focus on extrinsic
values. Those of us on whom God has shed His grace need to become role models for
success and mentors to the least among us, our children and their alienated families. We
need to require our churches, synagogues, mosques, temples and halls to develop a plan of
action for this social working society. But first, we really need to read and study the
Preamble to the Constitution. We, the people of the United States. Yes, we do need
some assistance from our government. After all, we are a government of the people, by
�-4the people and FOR the people. Government can legislate laws. Government cannot,
however, legislate love. It takes We, the people of the United States. Working together,
v .Holdingfamilies ace<^fable fofthekc
Jailing those who violate children. Looking at the problems with open eyes. Being
.--proactiye^t^thei than reactive." Caring-enough. - Touching-each child we encountervais if
1
Being Willing to speak out against violence and victimization of children, Listening to and -
the here-and-noW, or we will continue to pay in the iater-ahd-'th6n of the 21st Century.
How much longer do you think our society can continue on the road it is now traveling?
In 1970,1 heard Dr. Margaret Mead say that we had 25 years to change course. In 1981,
I heard Russell Means, head of the American Indian Movement, say that the damage that
we in our nation have done to the earth and to each other is irreversible. I do not believe
totally either of their dire predictions. I believe that we can find a way to sort out our
values and save our children from death and destruction~if we would only find the will..
We all have a vested interest in doing something personal to eradicate violence in our
society, especially violence against children. The lives we save, ultimately, will be our
own.
incerely.
Peola Butler Dews, Ph.D.
October 24, 1994
.
-
�THE
WHITE HOUSE
W A S H IN G T O N
November 23, 1994
Dr. Peola Dews
-••••^
'•"••
Hum&n Resources Development Associates
Post Office Box 5737
Winter Park, Florida 32793
Dear Dr. Dews:
Thank you for writing to me about domestic violence,
an issue that concerns many Americans.
Eliminating the violence, abuse and neglect which
affects many of our nation's families i s one of President
Clinton's highest p r i o r i t i e s . Violence often begins in the
home and i s more than j u s t an occasional family dispute.
For children, family violence may be associated with school
f a i l u r e , delinquency and running away; for the elderly i t
often leads to injury and depression.
For women, the
number of violence-related v i s i t s to physicians and
emergency rooms i s very high.
According to the Department of Health and Human
Services, domestic violence i s the single largest cause of
injury to American women, affecting s i x million individuals
of a l l r a c i a l , c u l t u r a l and economic backgrounds. The
Violence Against Women Act, included in the crime b i l l that
President Clinton recently signed into law, w i l l help stop
and more severely penalize those criminals who
intentionally prey upon women. New federal penalties and
prevention efforts w i l l strengthen our country's response
to crimes of domestic violence.
The President's strategy includes increases in funding
for law enforcement training to identify and respond more
e f f e c t i v e l y to domestic violence crimes; expansion and
strengthening of victim services; and programs such as
battered women's shelters; targeting rape and violence
prevention and education on college campuses. The
President believes that these measures can help improve our
national effort to prevent and reduce domestic violence and
help change despair to hope for women across America.
�President C l i n t o n alone cannot solve the c r i s i s of
family violence i n our country. We a l l must r a i s e our
voices against violence i n the home. Together, through
prevention and education we can work t o e l i m i n a t e domestic
violence. Thank you again f o r w r i t i n g t o me about t h i s
s e n s i t i v e issue.
Sincerely yours,
H i l l a r y Rodham C l i n t o n
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002a. letter
SUBJECT/TITLE
DATE
T. Bradford Durfee to Hillary Rodham Clinton; RE: Address [partial]
(1 page)
10/7/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dblSll
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
Pi Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(b)(l)of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�October 7,19-
MRS HILLARY RODHAM CLINTON
FIRST LADY
1600 PENNSYLVANIA AVENUE
DC
... .
- ; :
Dear Mrs. Clinton,
Hello and I hope you are in good health. I would like to bring up a matter of
great concern to myself and proably many other people. My concern is this:
Jimmy Carter and his seemingly free-lance diplomacy. Lately I have read
startling inconsistandes between what our president says and the man that has
been chosen to be his voice in foreign diplomacy. Our president called Cedras a
thug-I happen to agree with him-but Mr. Carter called him a man of honor. He
has also have been quoted as saying that he was ashamed of our country's policy
towards them. The veracity of these statements matters little because people still
hear them and our President is discredited. In a time of great cynicism towards
our government, those in office are walking on eggshells and the slightest crack
only further convinces the American people of their ineptitude to lead. I think
the only why to ensure that this form of misinterpretation between president and
ambassador does not continue is to send an Embassador who better understands
our president and his policies, someone who does not have their own political
agenda to further their own careers. The ambassador lam thinking of would be
you. You could travel the globe trouble shooting for your husband ensuring the
Qinton Administration meant what it said. During the world's next crisis that
were involved in, and your husband seems perplexed, volunteer your adept
services tofinda diplomatic solution that everybody- especially the American
people can be happy with.
(PS At the launching of the submarine Columbia I think the Republicans
switched bottles on you.)
Yours truly,
/
fj
T.Bradford Durfee
Clinton Library Photocopy
y
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to T. Bradford Durfee; RE: Address [partial]
(1 page)
11/23/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-081 O-F
dblSll
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(a)(6)of the PRA|
b(l) National security classified information |(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
W A S H I N G T O N
November 23, 1994
Mir'. T.- Bradf ord Durf6e
v
Dear Mr. Durfee:
Thank you so much for your thoughtful and supportive
letter. The concerns you express about public perception of
national leadership are an important source of information
for President Clinton.
Your continued support w i l l be invaluable to the
President as he and his Administration work towards
meaningful and lasting change.
Sincerely yours.
Hillary Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. letter
SUBJECT/TITLE
DATE
Michael P. Lennon to Hillary Clinton & Mrs. Gore; RE: Phone
numbers [partial] (1 page)
10/26/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A . Williams
2006-0810-F
dblSll
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�•2 ,
• *:
' -.
• ' . • ^i.-. C> '•- ^ *'
-
Q J ^ ] ?
j j ^
•
• ..
.
•• •
•
.
2841 HARTLAND ROAD • FALLS CHURCH. VIRGINIA 22043 « SUITE 201
003^
SPECIALISTS IN PRE-PURCHASE HOME INSPECTION
10 26
94
Mrs. H i l l a r y C l i n t o n & Mrs. Gore
The White House
1600 Pennsylvania Ave., N.W.
Washington, D.C. 20001
Dear Mrs. C l i n t o n & Mrs. Gore,
Dr. Mary S. Harper encouraged me t o w r i t e t h i s note, saying t h a t
you might need t o hear t h i s .
Being a business owner and c o n s t r u c t i v e c i t i z e n , I know o n l y t o o
w e l l t h a t i t o n l y takes one measure o f d e s t r u c t i v e n e s s t o o f f s e t
one hundred measures o f c o n s t r u c t i v e n e s s .
Though my personal sphere o f e f f o r t and i n f l u e n c e i s v e r y s m a l l , I
have learned how d i f f i c u l t i t i s t o achieve r e a l progress and how
much personal energy and enthusiasm i t takes.
While good w i l l
i n f u s e s us w i t h t h e necessary energy; n e g a t i v i s m s t e a l s i t away
from us. I t i s most u n f o r t u n a t e f o r you, f o r your f a m i l i e s , and
f o r our s o c i e t y t h a t a whole new l e v e l o f v i c i o u s n e s s i s a t hand.
You w i l l p r e v a i l through a l l o f t h i s and you must know t h a t people
who s i n c e r e l y care about more than themselves wish you w e l l being
and pray f o r and w i t h you.
Accept t h i s note as one l i t t l e spark o f g o o d w i l l .
S i n c e r e l y yours,
Michael P. Lennon
President
Clinton Library Photocopy
�THE
WHITE HOUSE
WAS
HIN G T O
November 21,
N
1994
Mr. Michael Lennon
President
Homepro Systems, Inc.
2841 Hartland Road
Suite 201
F a l l s Church, Virginia 22043
Dear Mr. Lennon:
Thank you for your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from individuals who share a
vision of a better l i f e for a l l Americans. A common belief
in family, community, and country guides each of us as we
work to r e a l i z e the promise of America. Your ideas and
thoughts offer added inspiration as the President works to
ensure that every American's future i s f i l l e d with courage,
hope, and confidence.
I appreciate the interest and concern that your l e t t e r
conveys. Thank you for taking the time to write.
Sincerely yours.
H i l l a r y Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004a. letter
SUBJECT/TITLE
DATE
Mary Ellen Lemire to Hillary Rodham Clinton; RE: Address [partial]
(1 page)
10/11/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams ( M a i l Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A . Williams
2006-0810-F
dbl811
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the F01A|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOI A|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�; "«'
•
••;7'""
;
• MV. •-•
^"" >#.
j.-r * .>'•• •
October: 11 y 1994
Ms. H i l l a r y Rodham C l i n t o n
The White House?
P e n n s y l v a n i a Avenue
WashinQton, D.C.
Dear Ms. C l i n t o n :
W h i l e d r i v i n g t o work t h i s rnorrnng, 1 was almost moved t o
t e a r s d u r i n g a segment about you on N a t i o n a l P u b l i c R a d i o .
I am a p p a l l e d and saddened by t h e hate d i r e c t e d a t you and
the P r e s i d e n t . I want you t o know t h a t t h e r e a r e m i l l i o n s
of us who admire and r e s p e c t y o u . Please d o n ' t l e t t h e h o s t i l i t y
h i n d e r your work and g o a l s .
I hope t h i s l e t t e r i s f o r w a r d e d t o you: everyone needs a
l i t t l e p o s i t i v e r e i n f o r c e m e n t now and t h e n !
Very t r u l y y o u r s .
kJ.xL L
Mary
Ellen
Lemire
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004b. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Mary Ellen Lemire; RE: Address [partial]
(1 page)
11/21/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dbl8l1
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 5S2(b)|
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE
WHITE HOUSE
WAS
HIN GTO N
November 21> 1994
Dear Ms. Lemire:
Thank you for your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from i n d i v i d u a l s who share a
v i s i o n of a better l i f e f o r a l l Americans. A common b e l i e f
in family, community, and country guides each of us as we
work to r e a l i z e the promise of America. Your ideas and
thoughts offer added i n s p i r a t i o n as the President works to
ensure that every Americanos future i s f i l l e d with courage,
hope, and confidence.
I appreciate the i n t e r e s t and concern that your l e t t e r
conveys. Thank you for taking the time to write.
Sincerely yours,
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005a. letter
SUBJECT/TITLE
DATE
Nathan B. Kaufman to Dow Jones & Company, Inc.; RE: Address
[partial] (1 page)
10/17/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams ( M a i l Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A . Williams
2006-0810-F
dbl811
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 5S2(b)|
PI National Security Classified Information |(aXI)ofthe PRA|
P2 Relating to the appointment to Federal office \(a)(2) of the PRA)
P3 Release would violate a Federal statute |(aX3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXI) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�•-.'•'•I -v.
Dow -Jones
Gompahy, •Ine.
-• •
E d i t o r i a and Corporate Headquarters
200 ' L i b e r t y Street', 'New Y o f K ' N.Y
;
^
-^
'
---v - .^
iv
r0281 : ..' "
" ''.
^
^
A t t e n t i o n : L e t t e r s t o the E d i t o r
Eight l e t t e r s t o the E d i t o r a t t r i b u t i n g d i s d a i n f o r H i l l a r y
C l i n t o n . Surely you must have received some l e t t e r s from
subscribers expressing a p o s i t i v e o p i n i o n f o r H i l l a r y C l i n t o n .
I am a subscriber to the Wall Street J o u r n a l . Morover, I dont
share any o f the s p i t e f u l views contained i n those l e t t e r s t o the
DI
; .
f S
^ took courage t o present a Health
Plan. U l t i m a t e l y The United States Congress w i l l adopt a Health
I
d o
r
c o
n i z e
t h a t
T 1
I p r e d i c t t h a t h i s t o r i a n s w i l l be more kind t o H i l l a r y C l i n t o n .
Yours t r u l y .
!
rr
f
1
^ -'
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005b. letter
SUBJECT/TITLE
DATE
Nathan B. Kaufman to Hillary Clinton; RE: Address [partial] (1 page)
10/19/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dbl811
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRAj
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors ja)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�N A T H A N BV K A U F M A N
" October" 19,' 1994
Mrs. H i l l a r y C l i n t o n
The White House • •
1600 Pennsylvania Ave. N.W.
Washington DIG; 20500-
•
,
v
Dear Mrs. C l i n t o n :
I enclose a copy o f a l e t t e r which I d i r e c t e d t o the Wall
Street J o u r n a l . The copy speaks f o r i t s e l f . H o p e f u l l y the
paper w i l l p u b l i s h the communication. I f they dont, i t w i l l
be evident t h a t the J o u r n a l i s very s e l e c t i v e i n t h e i r choice
of l e t t e r s which they p u b l i s h .
I am a r e t i r e d
lawyer.
Yours t r u l y ,
A fCJ.
OL4J.' s*u
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005c. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Nathan B. Kaufman; RE: Address [partial]
(1 page)
11/23/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dblSll
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAI
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE
WHITE
HOUSE
WASH I NGTON
November 23, 1994
Mr> Nathan B. Kaufman
10066}
Dear Mr. Kaufman:
it,was a pleasure to read your recent
letter. Your words of support mean a great
deeil to. me. The negative tone of the
published letters makes your words of
encouragement that much sweeter.
Thank you for your continued support and
for taking the time to l e t me know.
Sincerely yours,
Hillary Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
006a. letter
DATE
SUBJECT/TITLE
Jeri F. Roth to First Lady Hillary Rodham Clinton; RE: Address
[partial] (1 page)
11/09/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dbl81l
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRAj
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6)of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOI A|
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�: i .•
>
. November 9,. 1994.. . . . .
. . .
First Lady Hillary Rpdham Clinton
White House
1600 Pennsylvania Avenue
Washington, D. Co
Dear Hillary,
I a writing to addrayvoice to the hundreds of thousands of others who
m
have made known their love for you.
M awareness of people 'tout there" who oppose you and the President based
y
on nothing but some visceral emotion having nothing whatsoever to do with
reason is painful to me, as i t must be even more so to you. I chalk i t up
partially to Ignorance and bigotry, and one cannot discount a certain
lynch-mob mentality.
In your own case, much of the negativism is clearly sexist—not only by
males, but also on the part of women who are back in the Stone Age and
believe women—no matter how brilliant and talented—belong in the kitchen
(as you said, "baking cookies.")
For what i t i s worth, be assured that my friends and I love, admire, and
respect you, and support you and President Clinton 100%.
Yours truly,
y- /? £ ^
oeri F. Roth
Clinton Library Photocopy
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DOCUMENT NO.
AND TYPE
006b. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Jeri Roth; RE: Address [partial] (1 page)
11/21/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dblSll
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)]
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl)of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WAS HIN GTO N
November 21, 1994
Ms. J e r i Roth
Dear Ms. Roth:
Thank you f o r your thoughtful l e t t e r . Your words of
encouragement and support mean a great deal to me.
I t i s a pleasure to hear from individuals who share a
v i s i o n of a better l i f e for a l l Americans. A common b e l i e f
i n family, community, and country guides each of us as we
work to r e a l i z e the promise of America. Your ideas and
thoughts offer added i n s p i r a t i o n as the President works to
ensure that every American's future i s f i l l e d with courage,
hope, and confidence.
I appreciate the i n t e r e s t and concern that your l e t t e r
conveys. Thank you for taking the time to w r i t e .
Sincerely yours.
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
007. letter
DATE
SUBJECT/TITLE
Tabatha Yeatts to Hillary Rodham Clinton; RE: Address [partial] (1
page)
10/15/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dblSll
RESTRICTION CODES
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Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office |(aX2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information [(bXOof the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�October 15, 1994
Hi H a r y Rodham CI i nton
The Whi te House
1600 Pennsylvania Avenue
Washington, DC 20500
Dear Ms. CIi nton:
1 wrote t o you
inadequateness
the government,
as of tomorrow
expected.
on May 26th t o express my concerns about the
of the process by which my husband, who works f o r
received h i s h e a l t h b e n e f i t s . We w i l l have them
(October 16, 1994), s i x months l a t e r than we
My husband, Ben Lonske, was c a l l e d i n t o Personnel two weeks ago
because someone i n Washington had sent word t o look i n t o h i s case
and t o apologize t o him. We could not f i g u r e out how someone i n
Washington would have heard of us except through the l e t t e r I
sent you.
I j u s t wanted t o w r i t e t o thank you and your s t a f f f o r t a k i n g an
i n t e r e s t in our s i t u a t i o n .
One of the most f r u s t r a t i n g t h i n g s
about t h i s whole experience has been the f e e l i n g t h a t no one
cared what happened t o us, and i t was r e a l l y nice t o hear t h a t
someone d i d .
Thanks again.
Sincerely,
Tabatha
Yea
Clinton Library Photocopy
�I.'-.
S C U L P T U R E
November 7,
P ARK
1994
Mrs. H i l l a r y C l i n t o n
The White House
1600 P e n n s y l v a n i a Avenue
W a s h i n g t o n , D.C. 205 00
Dear Mrs.
Clinton:
On b e h a l f of Laumeier S c u l p t u r e Park and o v e r 350,00 v i s i t o r s and
f r i e n d s I would l i k e t o t h a n k you f o r h o n o r i n g us by i n c l u d i n g o u r
S c u l p t u r e , A u r e l i a I i n "The F i r s t Lady's S c u l p t u r e Garden".
Laumeier S c u l p t u r e Park i s a r e l a t i v e l y new a d v e n t u r e i n
c o n t e m p o r a r y a r t , and y o u r s u p p o r t o f o u r e f f o r t s has had an
a s t o n i s h i n g e f f e c t on o u r c o n s t i t u e n c y .
The p r i d e and e x c i t e m e n t
of The White House honor i s o n l y e q u a l e d by our own e n t h u s i a s m f o r
the park and i t s p r o g r a m .
I t i s i m p o r t a n t t o emphasize t h a t o u r
p a r t n e r i n t h i s e n t e r p r i s e has been, a t a F e d e r a l l e v e l , The
N a t i o n a l Endowment f o r t h e A r t s as w e l l as The I n s t i t u t e of Museum
Services.
W i t h o u t t h e i r s u p p o r t d u r i n g t h e l a s t decade, t h i s
a c h i e v e m e n t would not have been p o s s i b l e .
So t h a t you m i g h t know more a b o u t L a u m e i e r , I am
c a t a l o g u e s and i n f o r m a t i o n a b o u t o u r p r o g r a m .
W i t h deep a p p r e c i a t i o n
Sincerely
and
yours.
\
B e e j N i e ra,n g a r t e n - Sin i t h ,
Director
r. n •:
very best wishes.
Ed.
D.
including
several
�as ,/•.
s
••••'• . • '
f r i l E : WALL SfREEfT J O & R N ' A L TU^SDAYrOCTOBER'IS..19(H
.EISURE'&'ARTS
's New at
ite House? It^s the
Washington White House. The first was a show of
paintings by Andrew Wyeth welcomed by .
It is a perfect moment in a place that
Richard Nixon.'
lasri't had too many of them lately.
San beats down on the. lush VVhit-? .... B.etUi)d this appuferi.t boycoU of-,con:
touse gtass in the elegant rectangle
temporary art is a strong and respectable
nown as The Jacqueline Kennedy Garsensitivity about the 19Uvcentury purity of
:en. The spherical tops of the topiary holly tjie White House int^ripf. Tfie Committee.,
retrs ftoufish fofmally, as'd(rtS' trie hardy-" tor the Pfeservation of the White House"
•range, pruned to a Japanese/standard qf
stands guard against philistineredecoraff-center fragility and bearing dozens ot . tions that Would destroy the much redeco:ttle fruit. A light breeze rushes throufh • rated building's authenticity. There is also
eminding us .it's fall-and setting the. a full-time curator looking out for the inright steel paddles of the Calder stabile
terests of millions of Americans who love
no languid rotation.
the place the way they tliink.it has always
been and don't believe a Jackson Pollock
There are 11 other pieces of 20th-cenwould fit in the East Room next to the
iry American sculpture carefully placed
Gilbert Stuart portrait of George Washingotween the hollies, vertical like the trees
ton saved from British arson during the.
nd in scale with them. This is definitely
ot the way Jackie 0. left her garden. In- War of 1S12 by Dolley Madison'.
?ed, the very presence of "modern" art
So it was deft and sensible of Hillary
i these purlieus had been ruffling some
Rodham Clinton to propose a series of outlembers of the press invited for a preview door sculpture shows, because there would
st week. Hearing one man's drooling
be nothing awkward about keeping them
. nicism on the way over to the garden. 1 discreetly outside the house but still on its
mddered at the prospect of another Clingrounds. A million tourists passing by a
m scandal in the making. What would it
window wall at the edge of the garden will
e called? Bronzewater?
get a generous glimpse of the show before
it ends in January. The show's curator,
Who knows? The New York Times and
George W. Neubert, director of the Shel•veral other journalistic practitioners of
don Memorial Art Gallery and Sculpture
sc president didn't send reporters or critGarden at the University of Nebraska
s, perhaps out of fear that the poor guys
(Lincoln), chose works big enough to see
mldn't help falling into the reflexive Clinthrough the glass clearly.
•n-bashing that the Times's News of the
eek in Review section had wrung its
Actually, two bronzes by Paul Manship
inds over the previous Sunday. Or maybe
stand inside the house on either side of the
:e opening of "Twentieth Century Amer- garden door. Manship was born in Minan Sculpture at The White House"
nesota in 1885 and is therefore legitimately
asn't news precisely because no editor
a 19th-century artist. His "Diana" firing
id any reason to think it would be anyan arrow across the entryway at his "Ac.ing more than a dandy little show. The
taeon" (both from the Minnesota Museum
•adline on the stories that didn't get writof American Art in St. Paul) represents
n could have been: White House Emboth the very tail end of the 19th-cenlury
aces 2(ith Century: Modem Art of Our
American renaissance and the beginning
randparents' Time Finally Gets Foot in
of sculpture here in this century. Manship.
nor. Living Sculptors Too.
who lived until 196G, was a powerful influThis is. according to White House inence on younger American sculptors, and
ders. only the second time the art of this
just inside the garden is a heroically opu•ntury has been formally exhibited at the
lent female nude from the Milwaukee Ai t
Museum by Manship's. famous student,
bears an eerie resemblance to a dress
. the French immigrant .master. Gaston
maker's dummy; headless, armless and
Lachaise.
legless. It floats free, like a piece of fab. The rest-of the sculptures do not flow - ric. '
down the century with such ideal linkage.
The other statue from Nebraska is a.
With only 12 slots to fill, Mr. Neubert, an
Louise Bourgeois, which the octogenarian
ebullient .and jnas^ive fomer,college ... doyenne of. American sculpture' made in'
nose guard from Texas, left out dozens of
1947.."Observer" is a semiabstract human
obvious choices, notably David Smith
figure, • all narrow • bronze" "rectangles
Still; he managed to cover a. lot pf bases.
painted white and assembled .with nuts
From the Columbus Museum of Art, he
and bolts, a humanoid Stonehenge. solid
impohed "Tropical tree 111," a black
but also so carefully balanced that the
steel Louise Nevelson. From the Chicago
"arms" swing barely perceptibly in the
Institute of Art, he borrowed a narrow
wind: The flat "hat" on the featureless
aluminum blade called "Curve VIII" by
square head gives this otherwise solemn
Ellsworth Kelly.
piece a jaunty air.
Moving further forward in time, beyond
Tourists will look out on Mr. Neubert's
abstraction-, Mr. Neubert shows the return
highly selectiveanthology of modern
of the human figure with "Walking Man,''
American sculpture and see a small troop
of vertical beings alternating with
sculpted trees, backed up by the White
House rear lawn with a much larger vet
tical sculpture in the distance, the giant
obelisk of the Washington Monument. One
doubts that this happy accident was pan
of the planning that began in January
when Mrs. Clinton met with the White
By Raymond Sokolo
House preservation committee. That early
a grimly realistic George Segal (1988) from discussion, in the immediate' aftermath
the Waiker Art Center in Minneapolis. An of the successful public reaction to the
temporary installation of a de Kooning
even nun; recent swing toward a classi-.
painting in the White House, led to comcizing approach is on view with Manuel
mittee member and fdrmer.director of the
:Veri's "Aurelia Number I " trom the
Laumele"? Sculpture Park and Museum in* National Gallery J. Carter Brown's de•St. Louis: a stark white full-size female in marche to the Association of Art Museum
Directors, who agreed to support the
marble (19921.
multi-institution lending program. The
As it happens. Mr. Neubert's two most
stunning choices came from his own mu- Iris and B. Gerald Cantor Foundation provided funding.
seum. Both works are by living women,
one fairly young, Ihe other still active in
So no tax dollars have been diverted to
old age. Judith Shea, born in 19tS and
installing modern art at the White House,
trained as a clothing designer, is at 'he
and it is hard to imagine anyone eager or,
cutting edge of sculpture today, but her
in fact, able to find fault with this show.
"Shield" makes sensuous allusions to two Mr. Neubert has skirted the wilder shores
tiachtional forms. A weathered-green
of contemporary art. but his choices are all
bronze female torso, it almost might have
first-rate, and they tacitly include artists
been excavated from an ancient Mediterfrom the major minorities: women, a
ranean archaeological site, but it also
black, a Chicano and even a Holocaust survivor. No doubt one or more of the sculptors is gay. The terse labels don't go into
this kind of thing, nor does the work itself
announce a political program.
Mrs. Clinton herself has also scrupulously avoided obtruding any nonanistic
agenda. After a string quartet of women m
dress uniforms from the L'.S. Marine Band
played Handel. Haydn and Vivaldi a; a
champagne reception in the garden, tinfirst lady told a crowd of around ion peopl-.'
nioslly drawn from the .Midwesiern knding museums that she had always liked
sculpture, even before her first date with
the president in the sculpture garden of
the Yale Art Gallery. She likes comemporan' art in general, she said, and this
looked like a good way lo bring il lu her
doorstep and give it a brnad new audience.
"Art." she said, "isn't a luxury.'' It that
was spin control, the aduunisiralion could
use a lot more like it.
Critique
�ST.LOUIS POST-DISPATCH
WEDNESDAY, OCTOBER 12, 1994
Midwestern Sculpture
In White House Debut
By Charlotte Grimes
words. So Hillary Clinton added: " I
think conversation about art and its
WASHINGTON — Over the next impact on our lives is so important
few months, the thousands of tourists today, because there is a lot change
visiting the White House will amble going on in our world." Art can help
through.the.East. Wing's connecting., . us make sense of that, she said. Jhen.
hallway, peer through its windows again, maybe opt.
into a serene garden laid out by Ja"I'm sure," she conceded with a
queline Kennedy Onassis and catch a laugh, that "there will be some who
glimpse of two pieces of St. Louis:
will say, 'Oh, my daughter could do
• "Five Rudders," Alexander Cal- that. 'Mabel, look at this.' "
der's spinning black blades above a
But, she added, " I think even that
red base that has beguiled a genera- is provocative."
tion of Washington University
The this and the that, in this case,
students. •
•include a pincfbwaisted metal sheet
• "Aurelia," a —.
_
_
from the imagighostly woman
nation of Ellssculpted by Ma- kk I
worth Kelly
n ue1 N eri ,
I think conversation called "Curve
plucked from
V I I I " and a
among Laumeier about art and its impact
round-hipped
Sculpture Park's on our lives is so
evocation of a
abstractions.
important today . . . . 9 f
woman by GasAnd maybe,
ton Lachaise
HILLARY RODHAM CLINTON
j u s t maybe,
called, of course,
those two sculp''Standing
tures and the 10 others from Mid- Woman."
western collections might open visiMrs. Clinton opened the First Lators' eyes to something not usually dy's Garden, opposite the Rose Garassociated with Washington: the den, in a champagne reception. A
power and beauty of art, creativity cool breeze spun Calder's black
and imagination.
blades, with "Five Rudders" in a
In the center of the Red Room on prominent place on the jade grass at
Tuesday, Hillary Rodham Clinton the garden's eastern edge. "Aurelia"
conjured up the image herself — the stood, like a sentinel of change,
hordes of Americans, with brochures among autumn's potted bronze mums
in hand telling them that just outside with the other sculptures in what in
is a sculpture from, say, their home the spring had been a flower bed.
Mrs. Clinton's creation of the exstate of Missouri or Nebraska.
"And they'll try to figure out what hibit got rave reviews from St. Louis'
it is and that will immediately create art-world representatives. "This is a
a connection with the sculpture that dream — an absolute dream," said
might not otherwise have been Beej Nierengarten-Smith, director of
there," she said, on a euphoric riff the Laumeier Sculpture Park.
Judith M. Aronson, board presisuitable to a woman whose first date
with her husband was in a sculpture dent of St. Louis' Regional Art Comgarden and who describes sculpture mission, had almost missed the moas a childhood love. "Some will may- ment. The White House computers
be see contemporary sculpture for temporarily could not identify her.
the first time, which may create a Once inside the garden, though, she
whole new idea about what art is and was in her element, proclaiming that
what sculpture is. Some may see a Hillary Clinton's effort said more
particular piece that speaks to than "the million words" to show
art's importance.
them."
"It says if it's important here, it
At the very least, she said, "It will
cause conversation as people go should be important everywhere,"
Aronson said. "That's my shtick —
down the hall."
This is the Clinton administration, oh, is that my shtick! Art is, after all,
remember. "Conversation" and the best that man has thought and
"change" are now White House-hold done."
Post-Dispatch Washington Bureau
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008. letter
SUBJECT/TITLE
DATE
Nathan, Ashley, and Kate to Mrs. Clinton; RE: Address [partial] (1
page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dbl8lI
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - |S U.S.C. 552(b)]
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA)
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOI A|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAI
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOI A|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�-
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Clinton Library Photocopy
��Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
009a. letter
SUBJECT/TITLE
DATE
Hillary Anderson to Mrs. Clinton; RE: Address [partial] (1 page)
10/11/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dblSll
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information [(aKI)of the PRA|
P2 Relating to the appointment to Federal office |(aX2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
00%. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Hillary Anderson; RE: Address [partial]
(1 page)
11/23/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dblSI 1
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office \(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3)of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�. . . . .
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• WASHINGTON.
Msi- Hi llztrv Anderson
Dear Miliary:
Thank you for your wonderful letter.
hearing from you,
.
I enjoyed
I think your poster was very creative and I am
delighted that you won your race for student council.
Leadership carries a lot of responsibility, and I am
impressed that you are seeking this at such an early age.
I wish you much success as a council member.
Sincerely yours.
Hillary Rodham Clinton
Clinton Library Photocopy
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�THE WHITE HpU?^'.
• WAS H J N GTO N
'
Msi H i l l a r y Anderson
229 State Street
Vincennes, Indiana 4 7 5.91
Dear H i l l a r y :
Thank you for your wonderful l e t t e r .
hearing from you.
I enjoyed
I think your poster was very creative and I am
delighted that you won your race for student council.
Leadership c a r r i e s a l o t of responsibility, and I am
impressed that you are seeking t h i s a t such an early age.
I wish you much success as a council member.
Sincerely yoiirs,
H i l l a r y Rodham Clinton
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Msi- Hillary Anderison
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Dear Hillary:
Thank you for your wonderful letter.
hearing from you, .
I enjoyed
I think your poster was very creative and I am
delighted that you won your race for student council.
Leadership carries a lot of responsibility, and I am
impressed that you are seeking this at such an early age.
I wish you much success as a council member.
Sincerely yours.
Hillary Rodham Clinton
Clinton Library Photocopy
' .
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
010. letter
DATE
SUBJECT/TITLE
Linda C. Franklin to Chelsea; RE: Address [partial] (1 page)
11/09/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Margaret A. Williams
2006-0810-F
dblSll
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information |(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information |(aXl)of the PRAj
Relating to the appointment to Federal office 1(a)(2) of the PRAj
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�2WSt. X ^ -
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Clinton Library Photocopy
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all the wonderful letters she receives and wishes that she could
answer them all herself.
My family and I are grateful for the support and encouragement
TJZZ 'Tto all of r
a great deal r^M us.
WOrld Y0Ur W
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: Margaret A. Williams
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-009-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/50f41d00476c3dfab2e46593cb7d0965.pdf
f9778b02dde3fe3d1ee5926bb9573c78
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: [Mail Report]
Stack:
Row:
Section:
Shelf:
S
59
4
1
Position:
�Memo t o : Records Management
From:
O f f i c e o f t h e F i r s t Lady
Room:
100
Re: General correspondence b e g i n n i n g i n January o f 1995.
range f r o m m a i l a n a l y s i s t o Agency L i a s o n cases.
Issues
�THE WHITE HOUSE
WASH INGTON
February 3, 1995
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS, CHIEF OF STAFF
FOR THE FIRST LADY
FROM:
ALICE J . PUSHKAR, DIRECTOR OF
CORRESPONDENCE FOR THE FIRST LADY
SUBJECT:
MAIL REPORT
Included i n t h i s report are s t a t i s t i c s about the mail processed
by our office during the month of January, pie charts reflecting
the breakdown of your general mail and issues related mail and a
comparison of the mail received for the month of January to
January of 1993 and 1994. The mail you have received t h i s week
r e f l e c t s two d i s t i n c t areas of interest.
I.
Orphanages
You received a t o t a l of 271 l e t t e r s to date on t h i s subject.
Of that number 50 writers were against the idea of orphanages or
were opposed to Speaker Gingrich's remarks about orphanages. 154
writers supported the idea of orphanages. 42 l e t t e r s provided
information and ideas about alternatives to orphanages, although
these l e t t e r s were s t i l l primarily pro-orphanage. There were 19
l e t t e r s from former orphans about orphanages, 11 were for the
idea of orphanages and 8 were against t h i s idea. There were five
writers inviting you to Boys Town.
II.
Welfare Reform
You received a t o t a l of 71 l e t t e r s on t h i s subject. 46
writers favor welfare reform, three writers are opposed to reform
and eleven focused on the issue of illegitimacy. Enclosed are
representative l e t t e r s .
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: [Mail Report]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-008-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/4566cb7e83a8d62d9da9404593437489.pdf
bcc13087c084db7fcba45c5061411d60
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's OfFice
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Issues
Stack:
Row:
Section:
Shelf:
S
59
4
1
Position:
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001a. letter
Alice J. Pushkar to Michael D. Mahaffey; RE: Address [partial] (1
page)
11/12/1993
P6/b(6)
001b. letter
Michael D. Mahaffey to Mrs. Clinton and President; RE: Address
[partial] (1 page)
10/14/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Issues
2006-0810-F
dbl818
Presidential Records Act -144 U.S.C. 2204(a)|
RESTRICTION CODES
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
National Security Classified Information [(a)(1) of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes |(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
DATE
SUBJECT/TITLE
Alice J. Pushkar to Michael D. Mahaffey; RE: Address [partial] (1
page)
11/12/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Issues
2006-0810-F
dbl8l8
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE
HOUSE
WASHINGTON
Novenber 12, 1993
Mr. Michael D. Mahaffey
Dear Mr. Mahaffey:
Thank you very much for writing to the F i r s t Lady.
She appreciates receiving comments from people like you who
write about issues that are of interest to them.
The F i r s t Lady has not made an announcement about
peas. I f she were to discuss peas she would say that she
enjoys them very much.
Thank you again for sharing your comments with Mrs.
Clinton.
Sincerely yours,
Alice J . Pushkar
Director of Correspondence
for the F i r s t Lady
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. letter
DATE
SUBJECT/TITLE
Michael D. Mahaffey to Mrs. Clinton and President; RE: Address
[partial] (1 page)
10/14/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Issues
2006-0810-F
dbl818
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office |(aX2) of the PRA|
Pi Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA|
b(l) National security classified information |(bXi) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3)of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Michael D. Mahaffey
14 Oct 1993
Dear Mrs. C l i n t o n and President
I happen t o be i n your husbands Navy. I have found t h a t
i n the l a s t 18 years that peas are one of only two
vegetables t h a t a Navy cook does not mess up when they are
cooking them. Even before I j o i n e d the Navy peas were a
favor'iTe 'or miner My^wTfe"cxrrrentny buys 2 - 3 hays of
f r o z e n peas per payday t o feed t o my f a m i l y .
Respectfu11y,
Michael D. MahafTey
EMI(SW)
USN/AD
Clinton Library Photocopy
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: Issues
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-007-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/7647173d21d6e1e1caffbbcaf46f7928.pdf
3e2713cf5353b65cb97953c3f988dfd1
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Heartfelt
Stack:
Row:
Section:
Shelf:
S
59
4
1
Position:
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001a. letter
Hillary Rodham Clinton to Marty Davis; RE: Address [partial] (1
page)
11/24/1993
P6/b(6)
001b. letter
Marty Davis to Hillary Clinton; RE: Address and personal [partial] (2
pages)
n.d.
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Heartfelt
2006-081 O-F
dbl8l5
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |S U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOI A]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Marty Davis; RE: Address [partial] (1
page)
11/24/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Heartfelt
2006-0810-F
dbl8l5
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [S U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
November 24, 1993
Ms. Marty Davis
• • - ••'—
Dear Ms. Davis:
Thank you for your thoughtful l e t t e r . Your support
means a great deal to me.
I am honored and touched that you chose to share your
personal experience with me. I t was a pleasure t o read of
the purpose and strength of your family. Working together
each of you i s s u c c e s s f u l l y pursuing your dream of an
education.
As you know, education i s valued greatly by both the
President and me. Education i s e s s e n t i a l to our nation's
long-term economic development. We can be a high-growth,
high-wage nation only i f we are a h i g h - s k i l l s nation. Our
work now i s a valuable investment for the future of our
country.
I g r e a t l y appreciate the support expressed not only i n
your l e t t e r , but a l s o i n your volunteer e f f o r t s throughout
the 1992 P r e s i d e n t i a l campaign. I t i s through the
encouragement of i n d i v i d u a l s l i k e you that the Clinton
Administration i s able to work to lead our country i n a new
direction.
Thank you for your support. I wish you and your
family the best of luck as you each continue your academic
careers.
Sincerely yours,
H i l l a r y Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. letter
SUBJECT/TITLE
DATE
Marty Davis to Hillary Clinton; RE: Address and personal [partial] (2
pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Heartfelt
2006-0810-F
dbl815
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information |(a)(l)of the PRA]
P2 Relating to the appointment to Federal office |(aX2) of the PRA|
P3 Release would violate a Federal statute [(aX3)of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA]
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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Clmton Library Photocopy
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Folder 3 [General Correspondence]: Heartfelt
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-006-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/43954d99f9797c5b6a6fac90f1e25901.pdf
0d2ecb73f77b9618f3b6e34669271f67
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Health Care
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001a. letter
Hillary Rodham Clinton to Danyce Ashton; RE: Address [partial] (1
page)
11/23/1993
P6/b(6)
001b. letter
Danyce Ashton to Hillary Clinton; RE: Address and phone number
[partial] (1 page)
10/17/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Health Care
2006-0810-F
dbl82l
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Danyce Ashton; RE: Address [partial] (1
page)
11/23/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Health Care
2006-0810-F
dbl821
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)]
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAJ
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAJ
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAJ
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAJ
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAJ
National Security Classified Information [(aXI)of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA]
Release would violate a Federal statute |(aX3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE H O U S E
WAS H I N G T O N
November 23, 1993
Ms. Danyce Ashton
Dear Ms. Ashton:
me.
Thank you for taking the time to share your views with
I appreciate your thoughts.
I am sorry to hear that you and your colleagues were
unhappy with the platform surrounding my speech at the
California Hospital Associations Conference in San Diego.
I understand your frustration at not being able to ask
questions, however, restraints on time made this
impossible.
I greatly appreciate your unwavering support, despite
your views on the forum and I hope you w i l l continue to
support the President as his Administration works toward
meaningful and lasting change in our health care system.
Once again I apologize for the inconvenience you f e l t
the platform caused both you and your colleagues. Thank
you for sharing your views with me.
Sincerely yours.
Hillary Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. letter
DATE
SUBJECT/TITLE
Danyce Ashton to Hillary Clinton; RE: Address and phone number
[partial] (1 page)
10/17/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Health Care
2006-0810-F
dbl821
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information |(a)(l)of the PRA|
P2 Relating to the appointment to Federal office |(aX2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information [(bXl)ofthe FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells \(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�October 17, 1993
Hillary Clinton
White House
Washington, D.C.
i
Mrs. Clinton:
This week I attended the California Hospital Associations Conference in San Diego
where you presented an "inter-active" live video cast from D.C. I was an exhibitor'at
that conference. We gave up valuable time with our clients to all attend your speech.
You were articulate and expressive, but why would you even consider an inter-active
conference if you were not going to interact with the audience. Most everyone there
who I later visited with was sorely unhappy with the platform. We were all on the edge
of our seats waiting for revelations and with questions. We were not able to ask one
question and then to add insult to injury, you said you had a dinner engagement. I and
my company lost revenue, time with our dients and the option to a forum for questkms.
Where is the justification.
I am a democrat, I am a female, I am a business person and I really feel like the
attendees deserved much more consideration than what we were dealt. I have written
you before, received an answer and have been an advocate of the administrations
position regarding the need for health reform, but this debacle went beyond ryy
sensibilities as one having grown up in the South where bad manners are not acceptable.
Personally I feel each person in that room deserves an apology for improper use of time.
We could have all heard you on tape and received the same outcome without using our
valuable client time to Usten to a speech that was taped.
You still have my loyalty, but I really have a different view of the administration as a
whole to pooh-pooh one of the most powerful organizations in this United States.
Sincerely,
Janyce Ashton
anyce Ashton
{800} 638-7335 WR^C
Clinton Library Photocipy
�THE WHITE HOUSE
WASH I NGTON
November 24, 1993
Miss Emily Kaplan
P.O. Box 1330
Boyes Hot Springs, California 95416
Dear Emily:
Thank you for writing to me about an issue that
concerns you and a great deal of other young Americans. I t
i s gratifying to receive l e t t e r s from young people l i k e you
who are concerned about the welfare of those in our country
who are disadvantaged.
The problem of homelessness today i s a tragedy that
each one of us as American c i t i z e n s must work to change.
The Health Security Act w i l l guarantee a l l Americans a
comprehensive package of benefits that can never be taken
away. Homeless people w i l l receive the same security as
a l l other Americans under the President's plan.
Thank
concerns.
invaluable
meaningful
you again for writing and expressing your
Your support and that of other young people i s
as the President's Administration works toward
and lasting change in our health care system.
Sincerely yours,
H i l l a r y Rodham Clinton
�Emily Kaplan
P.O. Box 1330
Boyes Hot S p r i n g s , CA 95416
F i r s t Lady H i l l a r y Rodham C l i n t o n
1600 Pennsylvania Ave.,N.W.
Washington, D.C. 20500
My name i s Emily Kaplan.
I am a concerned s t u d e n t a t Sonoma
V a l l e y High School. I'm i n t e r e s t e d i n t h e h e a l t h c a r e i s s u e you
are t r y i n g t o p u l l t o g e t h e r i n t o a r e a l i t y f o r t h e e n t i r e n a t i o n .
The i d e a o f n a t i o n a l h e a l t h care i s n o t o n l y p r o f o u n d , b u t one o f
the more p o s i t i v e government advances t h a t we've seen w i t h i n t h e
l a s t couple o f y e a r s .
There are g a p s , ( o r s h o u l d I say one p a r t i c u l a r gap) t h a t I
c a n ' t seem t o f i n d an answer f o r ; such as t h e care t h a t w i l l be
g i v e n t o homeless people.
A t age s i x t e e n , I am i n d i r e c t c o n t a c t w i t h people my own
age who have dropped o u t o f h i g h s c h o o l , who cannot f i n d j o b s ,
and i f n o t a l r e a d y homeless, soon t o be o u t o f house and home.
What k i n d o f medical care w i l l people l i k e t h i s r e c e i v e ? They
are n o t d r u g - a d d i c t s , o r c r i m i n a l s , t h e y are merely teenagers
and young a d u l t s who are n o t a b l e t o conform t o a c c e p t a b l e s o c i a l
behavioral standards.
L u c k i l y , Sonoma V a l l e y i s not s u b j e c t t o t h e amount o f
homeless people l i k e p l a c e s such as San F r a n c i s c o o r L.A. a r e ; b u t
the p o p u l a t i o n i s s t e a d i l y growing. I am concerned f o r t h o s e
i n d i v i d u a l s who a r e n ' t s k i l l e d enough f o r j o b s due t o t h e
e d u c a t i o n a l system o f our county, and f o r t h o s e people who are
s k i l l e d , b u t are l i m i t e d t o j o b s . What k i n d o f h e a l t h c a r e p l a n
w i l l t h e s e people be under? How w i l l i t a f f e c t t h e average
homeless person who has never had a job?
I would be v e r y i n t e r e s t e d i n t r y i n g t o u n d e r s t a n d t h i s
s p e c i f i c aspect o f t h e h e a l t h p o l i c y .
I f p o s s i b l e , I would l i k e
t o have some k i n d o f r e p l y o r answer acknowledging t h a t my
t h o u g h t s have been sent o u t t o you, and t h a t you know t h a t young
people do have v o i c e s t o be heard and r e c o g n i z e d . I would a l s o
l i k e t o add t h a t under t h e new government, more and more young
people w i l l be g e t t i n g i n v o l v e d and speaking up. Thank you f o r
your v a l u a b l e t i m e .
sincerely,
Emily Kaplan
o c t . 6, 1993
�
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Title
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Health Care Reform
Identifier
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2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
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Clinton Presidential Records
Publisher
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William J. Clinton Presidential Library & Museum
Text
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Paper
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Title
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Folder 3 [General Correspondence]: Health Care
Creator
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First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-012-005-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
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Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
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Adobe Acrobat Document
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5/27/2015
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https://clinton.presidentiallibraries.us/files/original/1f15b9f5e8e954eb092230beb51e19e6.pdf
ddcfe96765660ae3d2010821a31b0d8b
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: General Support
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
1
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001. note
From: Prince; RE: Address and phone number [partial] (1 page)
n.d.
P6/b(6)
002. letter
Jane P. Frazier to Hillary Clinton; RE: Address [partial] (1 page)
01/06/1995
P6/b(6)
003. letter
Elisa Rhodes to Hillary; RE: Address [partial] (1 page)
01/05/1995
P6/b(6)
004. letter
Therese Borden to Mrs. Clinton; RE: Address [partial] (1 page)
01/05/1995
P6/b(6)
005a. letter
Kathryn P. Stedman to Hillary Rodham Clinton; RE: Address
[partial] (1 page)
01/04/1995
P6/b(6)
005b. letter
Kathryn P. Stedman to Representative Newt Gingrich; RE: Address
[partial] (1 page)
01/04/1995
P6/b(6)
006. letter
Sheila Cooney Scroggins to Hillary; RE: Address [partial] (1 page)
01/05/1995
P6/b(6)
007a. letter
Rosemary Martin to Hillary Rodham Clinton; RE: Address [partial]
(1 page)
01/05/1995
P6/b(6)
007b. letter
Rosemary Martin tp CBS; RE: Address [partial] (1 page)
01/05/1995
P6/b(6)
008. letter
Judy D Stanley to Mrs. Clinton; RE: Address [partial] (1 page)
01/06/1995
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)]
PI National Security Classified Information |(aXI) of the PRA|
P2 Relating to the appointment to Federal office |(aX2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(bX2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE H O U S E
WASH I NGTON
JANUARY 13, 1995
MEMORANDUM FOR MARGARET A. WILLIAMS, ASSISTANT TO THE PRESIDENT
AND CHIEF OF STAFF TO THE FIRST LADY
FROM:
ALICE J . PUSHKAR, DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
MINI-MAIL REPORT
T h i s week we r e c e i v e d 240 l e t t e r s on t h e s u b j e c t o f
Mrs. G i n g r i c h ' s comment i n r e g a r d t o t h e F i r s t Lady. Of t h o s e
l e t t e r s , 236 were p o s i t i v e and 4 were n e g a t i v e . 32 o f t h e
p o s i t i v e l e t t e r s came from i n d i v i d u a l s who d e s c r i b e d themselves
as e i t h e r Republican o r c o n s e r v a t i v e . A l l o f t h e l e t t e r s a r e
i n d i v i d u a l l y w r i t t e n and a r e n o t t h e r e s u l t o f a mass m a i l i n g .
We a r e i n t h e process o f r e s p o n d i n g t o t h e l e t t e r s . I n t h e
meantime, I t h o u g h t t h a t you might l i k e t o see a sampling o f t h e
l e t t e r s . They a r e i n c l u d e d w i t h t h i s memo. Please n o t e t h a t t h e
quote from Shakespeare i s t h e p e r s o n a l f a v o r i t e o f a l l o f us here
i n F i r s t Lady's Correspondence.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. note
DATE
SUBJECT/TITLE
From: Prince; RE: Address and phone number [partial] (1 page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl8l6
Presidential Records Act -144 U.S.C. 2204(a)|
RESTRICTION CODES
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information [(aXOofthe PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the F01A|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIAj
�C^v-v*
s%s^pf~sw~*s\
CTKSX
C***-)
Pr,nr
P
i-its'
?s^ilR6/(by(6)S»s
L.00Q
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
SUBJECT/TITLE
DATE
Jane P. Frazier to Hillary Clinton; RE: Address [partial] (1 page)
01/06/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information |(aXl) of the PRA|
P2 Relating to the appointment to Federal office |(aX2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency [(bX2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes |(bX7) of the F01A|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�ONE PAGE VIA FACSIMILE
January 6, 1995
Mrs. Hillary Clinton
The White House
Washington, DC 20500
Dear Hillary:
Just had to tell you how very proud I am of you and the manner in which you have handled the
tactless remark of Momma Newt. One only had to watch and listen to the Chong interview for
five minutes and actess the characters (pun intended) bong interviewed. I'm not very proud to
say I'm i^rom Georgia bus week.
'
—— I voted for your husband, and I'm glad I did . . . would do it again! Both of you are . . .
First Class!
I know that both of you can take of yourselves in any situation, but I just want you to know that
I'm behind you and pulling for you.
Sincerely,
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. letter
SUBJECT/TITLE
DATE
Elisa Rhodes to Hillary; RE: Address [partial] (1 page)
01/05/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(a)(6) of the PRA)
b(l) National security classified information [(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�5 W tws
Dear Hillary (if I may),
I have never in my life written to a publicfigurebefore. That little epithet that Mr.
Gingrich evidently gave you, however, provokes me to drop yoo a note cf heartfelt support.
We feel like we know yoo here; my husband teaches at Wdlesley College and my danghter
(7) and I follow news of your activities with interest I teach Spanish literature and
women's studies at Boston College; perhaps you know the place as Shannon Lowrey's alma
mater. Shannon, a miracle child of BC: a pro-choice activist and graduate from a Jesuit
universiiy.
Anyhow, when I read that your now-colleague had called you a bitch, my first
reaction was: he knows you have power and he cant deal with it. However, upon
on it more, I wondered if you're able to immure yourself to this type of slander
without bang touched by it. And I thought I'd just let you know that there are many cf us,
women with daughters and without, for whom your presence where yon are. doing what
you Ire doing, is cf crucial importance and great meaning. I see only a difference of degree
between an elected official calling a high-prcfile woman what Mr. Gingrich called yoo and
the men pulling the triggers at the women's health dimes. Both horrify, sadden, and,
because theyfittoo well into a long historical continuum of men attempting to silence and
control women, mobilize the likes of me. So I dose with thanks, one of many women who
will not let all you have given us slide, and hope you won't slacken the pace either.
Warmly,
EUsa Rhodes
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
DATE
SUBJECT/TITLE
Therese Borden to Mrs. Clinton; RE: Address [partial] (1 page)
01/05/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)]
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3)of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�January 5, 1995
Dear Mrs. C l i n t o n :
I want t o t e l l you how digusted and h o r r i f i e d I am by t h e
p u b l i c remarks made by Newt Gingrich's r e l a t i v e about you. I am
so s o r r y t h a t you have t o put up w i t h such v i l e rudeness. He
owes you and t h e American people an apology even though i t was
his mother's remark and not h i s . I n any case, i n my eyes, such
p u b l i c v u l g a r i t y r e f l e c t s very badly on G i n g r i c h and h i s f a m i l y ,
not on you.
My parents were great admirers of t h e Kennedy a d m i n i s t r a t i o n
j u s t as I am an admirer of t h e C l i n t o n a d m i n i s t r a t i o n . My mother
t o l d me i n 1992 "Now you are i n f o r i t ! " meaning t h a t i f you
r e a l l y do want t h e President t o succeed, a l l t h e bad l u c k ,
missteps, s l i g h t s and i n s u l t s t h a t can happen d u r i n g an
a d m i n i s t r a t i o n r e a l l y h u r t . But I never expected t h i s degree of
nastiness and personal i n s u l t t h a t t h e P r e s i d e n t and you have had
t o put up w i t h .
I don't have any great ideas about how t o deal w i t h t h i s
t r e n d i n p o l i t i c s i n general but I do t h i n k t h a t t h e President
should not a l l o w G i n g r i c h t o toss around i n s u l t s and j u s t p l a i n
l i e s w i t h o u t a challenge.
I want t o thank you f o r a l l of your hard work on h e a l t h care
reform and I am hoping t h a t your e f f o r t s w i l l n o t be wasted.
This country hasn't had a F i r s t Lady w i t h your commitment and
d r i v e since t h e 1940s. I hope t h e crude anti-woman comments of a
few w i l l not discourage you from t a k i n g on o t h e r challenges
f a c i n g t h e country.
With best wishes and
sincere admiration,
.../"^-Xk,^
Therese Borden
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005a. letter
DATE
SUBJECT/TITLE
Kathryn P. Stedman to Hillary Rodham Clinton; RE: Address
[partial] (1 page)
01/04/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |S U.S.C. SS2(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute [(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(aX4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�\
A•^
Mrs.. H i l l a r y Rodham Clinton
The White House
Pennsylvania Avenue
Washington,! D.; C.
Dear Mrs. Clinton:
I was reading our local paper (The Westerly Sun,) Westerly,) R.; I..) i n which there
was an a r t i c l e about an interview with Kathleen Gingrich (Newt Gingrich's mother.)
In the a r t i c l e Representative Gingrich i s quoted as c a l l i n g you a " b i t c h - . 1
was quite offended by that.; You are the F i r s t Lady of our country and deserve
the respect of our country representatives etc. I f e l t I had t o w r i t e t o you
on how I f e l t about t h i s a r t i c l e .
I know many people have c r i t i c i z e d the President and yourself, which I guess
comes with the position; but name c a l l i n g i s n ' t called f o r .
On your t r i p t o General Dynamics-Electric Boat i n Groton, Connecticut where my
husband and other family members are employed; everyone t o l d me how nice you
were at the launching of the U. S. S. Columbia. I was unable to attend that
day. Your v i s i t surely boosted the work force there that day. My nephew Harold
Stedman Jr. was the E. M. T. was assigned t o you that day; he was quite impressed
with you and i t takes a l o t t o impress him.
T am enclosing a copy of a l e t t e r I have set t o Representative Gingrich.
In closing j u s t remember that many people support the President and you i n your
e f f o r t s to improve the United States.
Yours t r u l y ,
Kathryn P. Stedman
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005b. letter
DATE
SUBJECT/TITLE
Kathryn P. Stedman to Representative Newt Gingrich; RE: Address
[partial] (1 page)
01/04/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
PJ
P4
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAJ
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(bX6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes |(bX7) oftheFOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�January 4,) 1995
Representative Newt Gingrich
Speaker of the House
House of Representatives
Washington, D. C.
Dear Speaker:
I an enclosing an a r t i c l e that was published i n our local paper regarding
an interview w i t h your mother.
I was disturbed by your comment of Mrs. Clinton being a -bitch". She i s
our F i r s t Lady and deserves respect from our country and our representatives
no matter what party they belong t o .
In reading t h i s a r t i c l e your spokesman, Tony Blankley commented your mother
was exploited by a sharp reporter. Well,i Speaker i f you didn't want something
you said repeated,! you shouldn't have said i t i n the f i r s t place.
In closing,) I would l i k e t o say I am glad you weren't running f o r U. S.
Representative i n the State of Rhode Island because you surely wouldn't
have gotten my vote.
Yours t r u l y ,
Kathryn P. Stedman
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
006. letter
SUBJECT/TITLE
DATE
Sheila Cooney Scroggins to Hillary; RE: Address [partial] (1 page)
01/05/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidcnlial Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAJ
National Security Classified Information |(a)(l)of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�January 5, 1995
Dear H i l l a r y :
I hope t h a t t h i s l e t t e r reaches you p e r s o n a l l y and n o t j u s t your
employees who respond t o your m a i l . Today i s one day a f t e r t h e
news o f Newt Gingrich's mother and her statements t o Connie Chung.
I f e e l impelled t o w r i t e you even though I have never w r i t t e n a
l e t t e r such as t h i s before. I am a 42 year o l d p r o f e s s i o n a l woman.
I teach a t a community c o l l e g e i n C a l i f o r n i a , and I want t o express
my thoughts on your performance as f i r s t lady.
The p o i n t o f t h i s l i t t e r i s t o encourage you n o t t o succumb t o
pressure t o forgo your present p u b l i c r o l e as f i r s t lady and r e t u r n
t o t h e more t r a d i t i o n a l r o l e . You have broken new ground f o r women
and t h e presidency.
I would hate t o see you loose those
accomplishments now. I know the c r i t i c i s m s and pressures against
you must be g r e a t .
I know t h a t your r o l e may i n f l u e n c e your
husbands r e - e l e c t i o n . I do however, hope t h a t you continue your
public administrative role.
I want you t o know t h a t t h e r e a r e many women, such as myself who
look up t o you and know t h i s i s the f i r s t step t o a c c l i m a t i n g t h e
Washington o l d boys t o the idea o f a woman i n h i g h power. You are
e x p e r i e n c i n g the same stereotype many o f us face, and t h a t i s t h a t
i f you a r e a s s e r t i v e , i n t e l l i g e n t and outspoken you a r e labeled a
" b i t c h " . The perception o f a powerful woman being a b i t c h i s deep
r o o t e d i n the male psyche. Any woman who has been i n a p o s i t i o n o f
power has probably encountered t h i s p e r c e p t i o n , e i t h e r o u t r i g h t or
s u b t l y . Mrs. Gingrich's statement may be a b l e s s i n g i n d i s g u i s e .
N a t i o n a l discussion o f t h e phenomena, and i t ' s l a b e l would be
cathartic.
You a r e t h e most powerful r o l e model f o r g i r l s and young women
today. I hope t h i s l e t t e r i n f l u e n c e s your d e c i s i o n s and gives you
s t r e n g t h . You are understood by many women i n mainstream America,
and I am very proud t o f i n a l l y have someone l i k e y o u r s e l f as our
f i r s t lady. Take heart and persevere f o r the sake o f us a l l . You
are doing a great job.
Sincerely,
S h e i l a Cooney Scroggins, M.S.N.
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
007a. letter
DATE
SUBJECT/TITLE
Rosemary Martin to Hillary Rodham Clinton; RE: Address [partial]
(1 page)
01/05/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b))
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA)
Pi Release would violate a Federal statute 1(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
b(l) National security classified information [(bXl)of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2)ofthe FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�January 5, 1995
Ms. H i l l a r y
Rodham C l i n t o n
The White House
1600 P e n n s y l v a n i a Ave.
Washington, D.C.
20500
Dear Mrs. C l i n t o n :
I have never w r i t t e n t o a F i r s t Lady b e f o r e b u t I
f e e l so s o r r y about t h e Connie Chung i n t e r v i e w I j u s t
wanted you t o know many c i t i z e n s a r e embarrassed by
her lack o f t a s t e .
What she d i d was m e a n - s p i r i t e d and I have w r i t t e n t h e
a t t a c h e d l e t t e r t o CBS p r o t e s t i n g h e r a c t i o n s .
I c a n n o t imagine why someone o f h e r s t a t u r e f e l t she
needed t h a t t y p e o f i n t e r v i e w t o b o o s t h e r r a t i n g s .
I would n o t watch t h a t show, and i n f a c t , won't watch
her a g a i n because I have no r e s p e c t f o r h e r p r o f e s s i o n a l
a b i l i t y now.
I am s o r r y some p e o p l e have s e l e c t e d you as a t a r g e t
f o r t h e i r u n k i n d and h a t e f u l remarks because y o u a r e
e n t i t l e d t o r e s p e c t . Many o f us h o l d t h e o f f i c e o f
the P r e s i d e n t as one t h a t s h o u l d be a c c o r d e d r e s p e c t
and i t i s d e e p l y o f f e n s i v e when someone t a k e s cheap
s h o t s a t t h e o c c u p a n t s o f t h e W h i t e House.
O b v i o u s l y you w i l l r i s e a b o u t t h i s , as you have a l l
the o t h e r rude t h i n g s p e o p l e have s a i d about y o u , b u t
I s t i l l want you t o know t h e r e a r e many o f us who s t i l l
r e s p e c t you and t h e P r e s i d e n t . W h i l e I d i d n o t v o t e f o r
P r e s i d e n t C l i n t o n I am impressed by h i s e f f o r t s t o
s o l v e some o f t h e problems f a c i n g o u r c o u n t r y and I am
c o n v i n c e d he i s w o r k i n g as h a r d as he can t o be a
good P r e s i d e n t .
Yours
truly,
:
;V- - • . - k •
Rosemary M a r t i n
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
007b. letter
SUBJECT/TITLE
DATE
Rosemary Martin tp CBS; RE: Address [partial] (1 page)
01/05/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�fysoncuy ^Martin
J a n u a r y 5, 1995
CBS
630 N. McClurg C o u r t
Chicago, I l l i n o i s
Gentlemen:
Each t i m e I s p e c u l a t e t h a t t e l e v i s i o n i n t e r v i e w e r s can
go no l o w e r , one o f them does s o m e t h i n g t h a t p r o v e s me
wrong.
I am so o f f e n d e d by Connie Chung's a c t i o n s , w h i l e
i n t e r v i e w i n g Mrs. G i n g r i c h t h a t I d o n ' t b e l i e v e I can
ever w a t c h h e r show a g a i n .
What has happed t o t h i s l a d y ?
She was a r e a l l y c l a s s
a c t f o r y e a r s b u t now she i s an embarrassment because
she seems t o be t r y i n g f o r shock o r s e n s a t i o n a l i s m .
I d i d not vote f o r President C l i n t o n but a t t h i s p o i n t
I f e e l s o r r y f o r h i m and f o r Mrs. C l i n t o n .
I think
Connie Chung s h o u l d p u b l i c a l l y a p o l o g i z e t o b o t h o f them.
She i s f a r t o o e x p e r i e n c e d an newsperson t o n o t know when
she was c r o s s i n g t h e l i n e o f good t a s t e .
I cannot
excuse h e r because what she d i d was h u r t f u l and mean
s p i r i t e d , a l l f o r t h e sake o f c o n t r o v e r s y and p u b l i c i t y .
My sympathy goes o u t t o Mrs. G i n g r i c h because Zcnnie Chung
b e t r a y e d h e r and used h e r .
When Connie Chung appears on my s c r e e n I w i l l q u i c k l y
t u r n t o a n o t h e r c h a n n e l o r p i c k up a book t o r e a d . I
w i l l n o t watch anyone who has e x h i b i t e d such poor t a s t e
because i t w i l l no l o n g e r be e n t e r t a i n i n g .
I f I watched
her I would be c r i t i c a l o f any q u e s t i o n s she m i g h t ask
because I would t h i n k she was t r y i n g f o r s e n s a t i o n a l i s m .
CBS s h o u l d g i v e t h e i r newspeople some s e n s i t i v i t y t r a i n i n g
because t h e s e t y p e s o f i n t e r v i e w s a r e d i s t u r b i n g t o
c i t i z e n s who view t h e o f f i c e o f P r e s i d e n t w i t h r e s p e c t .
N e i t h e r t h e P r e s i d e n t o r t h e F i r s t Lady s h o u l d be s u b j e c t e d
to t h i s type o f treatment.
Yours
truly,
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008. letter
SUBJECT/TITLE
DATE
Judy D Stanley to Mrs. Clinton; RE: Address [partial] (1 page)
01/06/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: General Support
2006-0810-F
dbl816
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3)of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Judy Doss Stanley
January 6.1995
Dear Mrs. Clinton,
Once again you have risen above and out classed them all. The way that
you handled the T^ewt-Oops-Mom incident shows your ability to handle
absolutely anything that comes your way with the class, grace and elegance
of a real lady. Being a first Lady doesn't automatically make one a real
lady, you are the late baby boomers Grace Xelly and Jacqueline
Kennedy all rolled up into a beautifully wrapped package.
Thank Vou.
Also, tell The Trestdent that 1 don't agree with htm when he says that there
fs no telling what his mother would say if they had interviewed her. This
was obviously his well meaning, kind hearted way of defusing the situation.
The reality is that Virginia Xelly was much too smart to say anything that
would remotely sabotage her sons political career as we well know.
1
Cove, prayers and wishes for a JiappyJJew Year to you. The Vresfdent and
Chelsea from a loyal supporter.
V. 5. 1 lived in ClttleXock before moving here. Mv husband works for
Systematics who transferred us there. We moved in the weekend that the
moving vans were parked outside the Governors Mansion moving you to
D.C. 1 joked to my friends that you realized that Cittle Xock was not big
enough for the both of us when in fact J was very sad that you were leaving
as soon as we arrived.
Clinton Library Photocopy
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
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Clinton Presidential Records
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William J. Clinton Presidential Library & Museum
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Folder 3 [General Correspondence]: General Support
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First Lady's Office
Maggie Williams
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2194630
42-t-2194630-20060810F-Seg2-012-004-2015
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2006-0810-F Segment 2
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Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
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William J. Clinton Presidential Library & Museum
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5/27/2015
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https://clinton.presidentiallibraries.us/files/original/426c0e384b5b18179c8e81267c3aa0b2.pdf
8d2dac6975d84315150340a4efe87832
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: File Correspondence
Stack:
Row:
Section:
Shelf:
Position:
59
4
1
1
�km®*--
5 * ; '•
PRESEl VATION
�THE WHITE H O U S E
W A S H IN GTO N
MEMORANDUM FOR CAROL RASCO AND MAGjfijTE WILLIAMS
THROUGH:
JOHN PODESTA
FROM:
JIM DORSKIND
DATE:
January 25, 1995
SUBJECT:
HEALTH CARE REFORM INFORMATION CENTER
A f t e r c o n f e r r i n g a t l e n g t h w i t h J e n n i f e r K l e i n about t h e H e a l t h
Care Reform I n f o r m a t i o n Center, and i n view o f t h e d r a m a t i c drop
i n t h e volume o f m a i l i n t h i s area i n r e c e n t months, we agree
t h a t we s h o u l d c l o s e t h e Center. We propose f o l d i n g i t s
r e s p o n s i b i l i t i e s back i n t o t h e P r e s i d e n t i a l Correspondence
O f f i c e , b u t c o n t i n u i n g t o process the m a i l s e p a r a t e l y and t o
maintain the f i l e o f personal s t o r i e s .
I f e i t h e r of you has any o b j e c t i o n to c l o s i n g the Center i n an
o r d e r l y fashion and r e a s s i g n i n g the work, as i n d i c a t e d above,
p l e a s e l e t me know by Monday, January 30, 1995, a t noon.
Otherwise, J e n n i f e r and I w i l l begin the a d m i n i s t r a t i v e process
of c l o s i n g the Center.
Thanks for your c o n s i d e r a t i o n .
We a n t i c i p a t e t h a t you w i l l agree, b u t thought i t might be u s e f u l
f o r you t o have t h e f o l l o w i n g f a c t s as you e v a l u a t e o u r d e c i s i o n :
* Cost Savings: A l t h o u g h we have reduced t h e o r i g i n a l
f o r t y - t h r e e telephone l i n e s t o seventeen and have decreased
the amount o f space used by the Center, we can save
s u b s t a n t i a l a d d i t i o n a l sums on space r e n t a l and t e l e p h o n e
c o s t s by c l o s i n g i t .
* Volume o f M a i l : R e c e n t l y the amount o f h e a l t h care m a i l
t o t h e P r e s i d e n t has been f l u c t u a t i n g between about 75 t o a
few hundred l e t t e r s each day.
F i r s t Lady correspondence has
seen an even more d r a m a t i c r e d u c t i o n i n volume i n m a i l on
t h i s issue.
* Telephone Bank: The volume o f c a l l s on h e a l t h care r e f o r m
has dropped t o a t r i c k l e .
* Personal s t o r i e s : The Center i s s t i l l c o l l e c t i n g and
f i l i n g p o i g n a n t s t o r i e s from c i t i z e n s . A l t h o u g h I b e l i e v e
t h i s r e s o u r c e w i l l be i n v a l u a b l e as t h e 104th Congress p i c k s
up t h e h e a l t h care r e f o r m debate t h i s year, we can c o n t i n u e
t o m a i n t a i n i t here.
* Reduced Need f o r S p e c i f i c Responses:
When t h e
�A d m i n i s t r a t i o n f i r s t r e l e a s e d t h e H e a l t h S e c u r i t y A c t , we
a l l agreed t h a t i t was i m p o r t a n t t o respond t o l e t t e r s from
Americans i n s p e c i f i c d e t a i l because i t was "The P r e s i d e n t ' s
p l a n . " A c c o r d i n g l y , t h e Center helped prepare 53 d i f f e r e n t
l e t t e r s , each a d d r e s s i n g s p e c i f i c concerns t h a t Americans
had w i t h t h e A d m i n i s t r a t i o n ' s p r o p o s a l .
However, i t does
not appear t h a t such d e t a i l e d responses a r e a p p r o p r i a t e
w h i l e Congress i s d e b a t i n g t h e issue and c o n s i d e r i n g a
v a r i e t y o f h e a l t h care p r o p o s a l s .
* B e t t e r A l l o c a t i o n o f S t a f f : T h i s Department r e c e n t l y
s u s t a i n e d a d d i t i o n a l s t a f f i n g c u t s , making i t c r i t i c a l t o
r e a l l o c a t e those resources c u r r e n t l y , b u t n e c e s s a r i l y ,
committed t o t h e f u l l - t i m e , o f f - s i t e h e a l t h care r e f o r m
operation.
I n sum, i t makes sense t o f o l d t h e h e a l t h care m a i l f u n c t i o n back
i n t o t h e P r e s i d e n t i a l and F i r s t Lady Correspondence U n i t s , have
the phones answered by t h e White House Comment L i n e v o l u n t e e r s ,
and m a i n t a i n t h e p e r s o n a l s t o r y f u n c t i o n here.
T h i s approach w i l l n o t o n l y save money, b u t i t w i l l a l s o a l l o w
f o r much b e t t e r use o f t h e o t h e r resources now committed t o t h e
Center, w h i l e p e r m i t t i n g us t o c o n t i n u e t o g i v e t h i s m a i l and t h e
personal s t o r i e s special a t t e n t i o n .
cc:
Jennifer Klein
Harold Ickes
J e n n i f e r McCarthy
Andrea Rutledge
�THE WHITE HOUSE
WASH INGTON
MEMORANDUM FOR CAROL RASCO AND MAG/SfLE WILLIAMS
THROUGH:
JOHN PODESTA
FROM:
JIM DORSKIND
DATE:
January 25, 199.5
SUBJECT:
HEALTH CARE REFORM INFORMATION CENTER
A f t e r c o n f e r r i n g a t l e n g t h w i t h J e n n i f e r K l e i n about the H e a l t h
Care Reform I n f o r m a t i o n Center, and i n view o f t h e d r a m a t i c drop
i n t h e volume o f m a i l i n t h i s area i n r e c e n t months, we agree
t h a t we s h o u l d c l o s e t h e Center. We propose f o l d i n g i t s
r e s p o n s i b i l i t i e s back i n t o the P r e s i d e n t i a l Correspondence
O f f i c e , b u t c o n t i n u i n g t o process the m a i l s e p a r a t e l y and t o
maintain the f i l e o f personal s t o r i e s .
I f e i t h e r of you has any objection to c l o s i n g the Center i n an
o r d e r l y f a s h i o n and r e a s s i g n i n g the work, as i n d i c a t e d above,
p l e a s e l e t me know by Monday, January 30, 1995, a t noon.
Otherwise, J e n n i f e r and I w i l l begin the a d m i n i s t r a t i v e process
of c l o s i n g the Center.
Thanks for your c o n s i d e r a t i o n .
We a n t i c i p a t e t h a t you w i l l agree, b u t thought i t might be u s e f u l
f o r you t o have t h e f o l l o w i n g f a c t s as you e v a l u a t e o u r d e c i s i o n :
* Cost Savings: A l t h o u g h we have reduced t h e o r i g i n a l
f o r t y - t h r e e telephone l i n e s t o seventeen and have decreased
the amount o f space used by the Center, we can save
s u b s t a n t i a l a d d i t i o n a l sums on space r e n t a l and telephone
c o s t s by c l o s i n g i t .
* Volume o f M a i l : R e c e n t l y the amount o f h e a l t h care m a i l
t o t h e P r e s i d e n t has been f l u c t u a t i n g between about 75 t o a
few hundred l e t t e r s each day. F i r s t Lady correspondence has
seen an even more d r a m a t i c r e d u c t i o n i n volume i n m a i l on
t h i s issue.
* Telephone Bank: The volume o f c a l l s on h e a l t h care r e f o r m
has dropped t o a t r i c k l e .
* Personal s t o r i e s : The Center i s s t i l l c o l l e c t i n g and
f i l i n g p o i g n a n t s t o r i e s from c i t i z e n s . A l t h o u g h I b e l i e v e
t h i s r e s o u r c e w i l l be i n v a l u a b l e as the 104th Congress p i c k s
up t h e h e a l t h care r e f o r m debate t h i s year, we can c o n t i n u e
t o m a i n t a i n i t here.
* Reduced Need f o r S p e c i f i c Responses-.
When t h e
�A d m i n i s t r a t i o n f i r s t r e l e a s e d t h e H e a l t h S e c u r i t y A c t , we
a l l agreed t h a t i t was i m p o r t a n t t o respond t o l e t t e r s from
Americans i n s p e c i f i c d e t a i l because i t was "The P r e s i d e n t ' s
p l a n . " A c c o r d i n g l y , t h e Center helped prepare 53 d i f f e r e n t
l e t t e r s , each addressing s p e c i f i c concerns t h a t Americans
had w i t h t h e A d m i n i s t r a t i o n ' s p r o p o s a l .
However, i t does
not appear t h a t such d e t a i l e d responses a r e a p p r o p r i a t e
w h i l e Congress i s d e b a t i n g t h e issue and c o n s i d e r i n g a
v a r i e t y o f h e a l t h care p r o p o s a l s .
* B e t t e r A l l o c a t i o n o f S t a f f : This Department r e c e n t l y
s u s t a i n e d a d d i t i o n a l s t a f f i n g c u t s , making i t c r i t i c a l t o
r e a l l o c a t e those resources c u r r e n t l y , b u t n e c e s s a r i l y ,
committed t o t h e f u l l - t i m e , o f f - s i t e h e a l t h care r e f o r m
operation.
I n sum, i t makes sense t o f o l d t h e h e a l t h care m a i l f u n c t i o n back
i n t o t h e P r e s i d e n t i a l and F i r s t Lady Correspondence U n i t s , have
t h e phones answered by t h e White House Comment Line v o l u n t e e r s ,
and m a i n t a i n t h e personal s t o r y f u n c t i o n here.
T h i s approach w i l l n o t o n l y save money, b u t i t w i l l a l s o a l l o w
f o r much b e t t e r use o f t h e o t h e r resources now committed t o t h e
Center, w h i l e p e r m i t t i n g us t o c o n t i n u e t o g i v e t h i s m a i l and t h e
personal s t o r i e s special a t t e n t i o n .
cc:
Jennifer Klein
H a r o l d Ickes
J e n n i f e r McCarthy
Andrea Rutledge
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
DATE
SUBJECT/TITLE
Roslyn L. Katz to Hillary R. Clinton; RE: Address [partial] (1 page)
01/11/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: File Correspondence
2006-0810-F
dbl807
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office [(a)(2) of the PRA|
Release would violate a Federal statute [(a)(3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [aXS) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�January 11, 1995
Hilary R. Clinton
1600 Pennsylvania Ave., N W
..
Washington, D.C. 20500
Dear Ms. Clinton,
I want you to know that I and many others I know admire
you and consider you to be forthright, i n t e l l i g e n t ,
competent, compassionate and a genuine human being.
Those low-life l i z a r d s who opt to malign you personally
rather than debate your ideas are insecure, jealous, or
v e n a l — o r maybe a l l of the above.
I j u s t wish there were more sturdy-spined" people i n
the Democratic Party who would stand up to those who
wish to return to the "Let Them Eat Cakel" mentality
of the 19th Century. Meanwhile, 1 wish you well and
promise you that you have more support than the current
headlines might suggest.
Sincerely,
,
j
Roslvn L. Katz (Mrs. William)
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
SUBJECT/TITLE
DATE
Jennifer Shontz to Hillary; RE: Address [partial] (1 page)
01/11/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: File Correspondence
2006-0810-F
dbl807
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Kreedom of Information Act - [5 U.S.C. 552(b)]
PI National Security Classified Information 1(a)(1) of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information 1(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information |(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes |(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�January 11, 1995
Dear Hillary:
I have never written to the First Lady or the President before. But an article in
yesterday's Seattle Post-Intelligencer motivated me to write you. It was an article titled
"First Lady: 'I was naive and dumb"'—Clinton blames herself for failure of health care
reform.
First of all, I am 42 years old, female, single, with 3 children (ages 16,15, and 3). I
am college-educated and currently employed as a graphic designer at a publishing
company in Seattle. Although I currently have health insurance through my job, there
were many years when I did not have any kind of health insurance coverage for myself
or my children. Thankfully we did not have any accidents or emergencies that required
expensive medical treatment.
I believe you are being far too hard on yourself in blaming yourself for health care
reform's failure. You just ran head-on into selfishness, self-interest, and selfpreservation. No one deriving an income from the complex network built upon the
Insurance empire will willingly agree to eliminate their own job. There is no easy way
to legislate a plan that necessitates change, and considers other's needs as equal to
one's own.
The Dalai Lama said, "If we are going to be selfish, let us be wisely selfish." My own
happiness does not exist in a vacuum. If others are suffering around me, I must
necessarily be impacted by their suffering, if people are homeless because medical
costs bankrupted them and forced them on to the street, my taxes will pay for their care
or their funerals. The only way I can be completely happy is to consider the condition
of those around me. This mindset is directly opposed to the common one of "me first."
I don't think you need to change your hairdo; I think you need to appeal to peoples'
"higher selfishness." Granted, health care reform is a highly-charged item and there
are thousands, no millions of toes to step on. I don't pretend to know any easy
solutions. I am relying on you to help make this thing go through. Please don't get
discouraged and cave in to what must be inhuman pressures.
I was alarmed by the all-too-female tendency to take on all the blame. Although you
are up against a Hydra, you are Hygeia, the Greek goddess of health.
People like Newt will probably still call you a bitch. I call you a Joan of Arc.
Go girl!
Jennifer Shontz
Clinton Library Photocopy
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001. letter
Roslyn L. Katz to Hillary R. Clinton; RE: Address [partial] (1 page)
01/11/1995
P6/b(6)
002. letter
Jennifer Shontz to Hillary; RE: Address [partial] (1 page)
01/11/1995
P6/b(6)
003. letter
Bonnie Muir to Mrs. Clinton; RE: Address [partial] (1 page)
01/08/1995
P6/b(6)
004. letter
Lou Amerson to First Lady Hillary Clinton; RE: Address and phone
number [partial] (1 page)
01/11/1995
P6/b(6)
005. letter
Carl K. Thalgott; RE: Address and phone numbers [partial] (1 page)
01/11/1995
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: File Correspondence
2006-0810-F
dbl807
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute [(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(bX6)of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes |(bX7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. letter
SUBJECT/TITLE
DATE
Bonnie Muir to Mrs. Clinton; RE: Address [partial] (1 page)
01/08/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: File Correspondence
2006-0810-F
dbl807
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�fjbUJUb UubJUupLt. HJ^ liMUkL
Clinton Library Photocopy
�IkJb UusUaj^UajArk, t l la AIL • ^
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
SUBJECT/TITLE
DATE
Lou Amerson to First Lady Hillary Clinton; RE: Address and phone
number [partial] (1 page)
01/11/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: File Correspondence
2006-0810-F
dbl807
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA|
National Security Classified Information |(aXl)of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute [(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Lou Amerson
January
II.
1995
f t - r s t Lady H i l l a r y C l i n t o n
White House
P e n n s y l v a n i a Avenue
Washington, DC 20001
bear
first
Lady;
This morning,
I read in the local newspaper
that
you had ashed
some
columnists
to give
you some pointers
on chaning
your demeanor."
This
distresses
me very much.
Please
make very
small, if any, changes.
The women
of this
nation
need you as you are as a role
model.
I w i l l soon be 59 y e a r s o l d and have l i v e d through World War I I , the
a t t t t u d e o f the 5 0 ' s , the changes o f the 6 0 ' s and 7 0 ' s , and the ,frtjhteninqr
SO'a. I want to s e e some s i g n i f i c a n t changes f o r women i n the 9 0 ' s .
I have a>orked all my l i f e as well as raising
4 chi Idren. Most of my
careers
have been non-traditional
and I have been subjected
to sexual
discrimination
and harassment many times. As women, we have come a long way but we still
have a long way to go.
Only when we are accepted
on an equal
basis with men
and told 'Job well done'
instead
of being
called
derogatory
names when we
accomplish
a d i f f i c u l t task will the needed changes
be
complete.
1 have often
been called
a militant feminist,
I prefer
to think of myself
a MILITANT EQUALIST, with true equality for all men, women and children
a ^oal for this
nation.
If we need to go against
past
tradition to
accomplish this, so be it!
as
being
The f i r s t l a d i e s who stand out i n my mind a r e NOT Nancy Reagan nor B a r b a r a
Bush.
I b e l i e v e they s e t American women back 40 y e a r s . A couple o f f i r s t
l a d i e s t h a t I r e s p e c t a r e E l e a n o r R o o s e v e l t and R o s a l y n C a r t e r ; they went
a g a i n s t the ' o l d boy's c l u b ' and d i d what they thought was r i g h t , and a s i t
t u r n s out --they were r t j h t .
Keep up the good
work, I think you are doing a great
Remember the definition
Beautiful
Intelligent
Talented
Charming and
Headstrong.
for
Bitch
Job and we need
you.
is:
Sincerely,
^ ' f,
^
Lou Amerson
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005. letter
DATE
SUBJECT/TITLE
Carl K. Thalgott; RE: Address and phone numbers [partial] (1 page)
01/11/1995
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: File Correspondence
2006-0810-F
dbl807
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA|
P2 Relating to the appointment to Federal office |(aX2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�SUBJECT
DATE
/ - //- ? r
MESSAGE —
I
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
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William J. Clinton Presidential Library & Museum
Text
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Folder 3 [General Correspondence]: File Correspondence
Creator
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First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-003-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/e75c12aa0be708fc4767970b989a27ad.pdf
54e95350442c69ecf74fe06b882e5487
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Support]: [Correspondece / Press]
Stack:
Row:
Section:
Shelf:
s
59
4
1
Position:
�THE
WHITE H O U S E
WASHINGTON
November 6, 1993
MEMORANDUM FOR HILLARY RODHAM CLINTON
FIRST LADY
MARGARET A. WILLIAMS
CHIEF OF STAFF
FROM:
ALICE PUSHKAR
DIRECTOR OF CORRESPONDENCE
FOR THE FIRST LADY
SUBJECT:
STATUS REPORT FOR FIRST LADY'S
CORRESPONDENCE
T h i s r e p o r t covers t h e p e r i o d from October 24, 1993,
through
November 6, 1993.
The r e p o r t i n c l u d e s ( i ) i n f o r m a t i o n about t h e
volume o f m a i l r e c e i v e d and produced by t h e o f f i c e o f F i r s t
Lady's Correspondence, and ( i i ) a n a l y s i s o f t h e i s s u e s d i s c u s s e d
i n the m a i l reviewed d u r i n g the p e r i o d .
A t t a c h e d are t h e d a i l y p r o d u c t i o n r e p o r t f o r t h e t i m e
p e r i o d , f o l d e r s c o n t a i n i n g l e t t e r s which are r e p r e s e n t a t i v e o f
t h o s e r e v i e w e d d u r i n g t h e p e r i o d , and t h e b i - m o n t h l y Agency
L i a i s o n Report.
D u r i n g t h i s p e r i o d we r e c e i v e d 6427 p i e c e s o f correspondence
addressed t o t h e F i r s t Lady. The average number o f l e t t e r s
r e c e i v e d d a i l y has d e c l i n e d from 620 t o 570.
A p p r o x i m a t e l y 3000 l e t t e r s r e c e i v e d by t h i s o f f i c e were f o r
t h e H e a l t h Care Reform M a i l I n t a k e Center. Another 2500 l e t t e r s
were f o r w a r d e d t o o t h e r o f f i c e s o r r e q u i r e d no response.
We responded t o 1834 l e t t e r s d u r i n g t h e p e r i o d . I n
a d d i t i o n , 472 l e t t e r s were s e n t t o C o n g r e s s i o n a l and Cabinet
spouses i n v i t i n g them t o a b r i e f i n g about t h e H e a l t h Care
S e c u r i t y Plan.
We c u r r e n t l y have 2500 p i e c e s of uncoded m a i l .
Approximately 5000 coded l e t t e r s await a response and another
2000 l e t t e r s a r e i n the data entry and proofing stages.
�ANALYSIS OF THE MAIL
Issues - related Mail
Casework/Agency Information
No Response Necessary
F i r s t Lady's Image
Other
-
22%
15%
16%
9%
38%
Following i s a breakdown of the issues-related mail reviewed
during the time period.
Health Issues
Crime/Violence
Children's Issues
Economy, Budget & Government Reform
Abortion
Foreign Issues
Other
-
14%
10%
8%
6%
4%
2%
56%
REPRESENTATIVE LETTERS
For your information and review we have attached copies of
l e t t e r s representing common themes in the correspondence. We
have prepared responses to these l e t t e r s subject to your
approval. The responses w i l l be sent after you have had the
opportunity to review them. As suggested in previous reports, we
have submitted some individual responses without signatures so
that you may sign them personally.
There are currently negotiations between the Office of
Presidential Correspondence, and Margaret A. Williams, Chief of
Staff for the F i r s t Lady, concerning the status of the Health
Care Mail Intake Center. Pending resolution of t h i s question, we
have developed two separate general Health Security Act cards
with which to respond to the backlog of mail which i s being held
in the Health Care Mail Intake Center. ( See attached). One card
w i l l bear the Presidential seal, include the approved
Presidential language, and w i l l carry the Presidential signature.
The other card w i l l have the White House inscription at the top,
w i l l include language approved by Margaret A. Williams and a War
Room representative, and w i l l carry the F i r s t Lady's signature.
The Health Care folder contains two l e t t e r s . The f i r s t
l e t t e r i s from a woman who expresses d i s s a t i s f a c t i o n with the
California Hospital Association's Conference in San Diego at
which she was a designated exhibitor. She i s highly c r i t i c a l of
the actual format as opposed to the program promised as an
"interactive l i v e video." She feels that the program as
presented interfered with valuable c l i e n t time because
those attending who were not allowed to participate as they had
�expected, could have listened to the taped speech at a later and
more convenient time.
The second l e t t e r in the Health Care folder i s from a High
School student who l i v e s in Boyes Hot Springs, California. She
writes to express her concerns about Health Care.
Specifically
she i s worried about medical care coverage for the homeless in
our country.
The Issues folder contains one l e t t e r from an enlisted Navy
man who writes to dispute the statement about peas which was
recently attributed to you.
The Support folder contains two l e t t e r s . The f i r s t l e t t e r
i s from a single mother who has a four year old son and describes
herself as the "sole provider" for her family. She writes to
congratulate you on your recent work on Health Care and expresses
her admiration for the example you are setting for future
generations of Americans.
The second l e t t e r in the Support folder i s from the
Promotion Coordinator, Corporate Communications Division, of
Children's Television Workshop. He expresses h i s excitement at
meeting you when you v i s i t e d the Sesame Street studio, and
encloses a photograph he took of you. Big Bird, and Rosita. He
also relates h i s goal of applying to law school next year and h i s
commitment to working in the health care f i e l d .
The Heartfelt f i l e contains one l e t t e r . A woman who l i v e s
in I l l i n o i s writes a poignant account of the economic struggle
she and her family have endured in the pursuit of her dream to
earn a doctorate in Education. She writes that she traveled to
hear you speak at her campus in I l l i n o i s and of how your words
rejuvenated and inspired her to continue to reach for her goals.
�HILLARY RODHAM CLINTON CORRESPONDENCE
PRODUCTION REPORT FOR GENERAL CORRESPONDENCE UNIT
DATE
ISSUES
CARDS
SUPPORT
CARDS
ACKNOW.
CARDS
SCHED
LETTERS
INDVID.
RESP.
135
149
10/26
10/27
54
1
287
50
2
46
96
6
10/29
53
18
51
149
91
2
101
489
34
10/28
21
DAILY
TOTAL
53
1
10/25
MISC.
LETTERS
128
2
13
177
295
10/30
10/31
11/1
11/2
129
59
52
47
287
11/3
17
55
109
63
244
11/4
47
11/5
3
PERIOD
TOTAL
447
318
0
665
4
51
469
28
848
472
2306
�Health Care Cards:
President, B i l l Clinton
Thank you very much f o r w r i t i n g t o me about h e a l t h care reform.
The Health Security Act w i l l guarantee every American a
comprehensive package of b e n e f i t s t h a t can never be taken away.
Your support i s invaluable t o me as we continue t o work toward
meaningful and l a s t i n g change i n our h e a l t h care system.
H i l l a r y Rodham Clinton
Thank you very much f o r w r i t i n g about h e a l t h care reform.
The Health Security Act w i l l guarantee every American a
comprehensive package of b e n e f i t s t h a t can never be taken away.
Your support i s invaluable t o the President as h i s A d m i n i s t r a t i o n
works toward meaningful and l a s t i n g change i n our h e a l t h care
system.
�11/19/93 17:58:47
VIA FAX
->
Uillians
VIA FAX
TO: Margaret Williams
Chief of Staff to the First Lady
Office of the First Lady
F O : Chris McEntee, AHA
RM
FYI
ATTN:
TO: FAX PHONEJlf: 2024566244
MRN: 02032703-003-6-0005
TIME: Fri Nov 19 16:47:03 1993
3 pages including cover sheet
Page
1
�11/19/93 17:59:12
VIA FAX
->
Uillians
N V 19 '93 05:36PM A A
O
H
Page
P. 2/3
AifUricnn MoupMal Antaclatlaii
m
Capitol Place. BuWini n
50 F Stiwt, N.W.
Suite H0O
Washington, D,C. 20001
Tdtohonc 202.63*-1100
PAX NO. 202.626.2345
NEWS RELEASE
FOR RELEASE: Fri., Nov. 19, 10 a.m.
Contact: Carol Pearaon (202) 626-2342
Alicia Nulty (202) 626-2339
INADEQUATE FINANCING HEVDiiKS REFORM, AHA SAYS
WASHINGTON, D.C. (November 19, 1993) -- If univefsal access is guaranteed by law, but
underfunded, health carereformwill fell, md Dick Davidson, president of the American
Hospital Association. Testifying before the House Committee on Ways and Means today,
Davidson said there is a growing suspicion that "adequate financing of health care refotm will
become a political football, tossed back and forth between opposing teams but never making it
across the goal line."
He proposed a solution to the financing dilemma that would include additional revenue
from new and existing entitlement programs, limits on the tax deductibility of health coverage
employers buy for their workers, and taxes on tobacco, alcohol and ammunition, products that
negatively impact health.
Davidson said the AHA agrees with the Administnttion's basic goals for reform universal coverage, restraining growth of health dollars, maintaining high quality care, and
restructuring die delivery system. Reaching the goals of reform by delaying or underfunding
universal access, is, however, "short-sighted," he said. In the absence of universal coverage,
hospitals will continue to cost shift to avoid denying care to the uninsured, but their
2
�1 / 9 9 17:59:49 VIA F X
11/3
A
N V 19 '93
O
>
U i l l i a n s
05:37PM A A
H
PaffB
3
P. 3/3
ability to do so will be limited by the wftirmed system, Davidson explained. This will
undeifund care in the most vulnerable institutions - inner-city hospitals that are caring for the
poor, disabled and elderly, for example.
Davidson advocated getting the maximum out of health care dollars by forming
community care networtcs"", cooperative partnerships of hospitals and physician groups which
are basic to AHA's reform vision, and by creating a national independent commission which
would manage the on-going balancing act between promised benefits and realistic financing.
To have adequate funding, Davidson said, not only must employers cover their
employees, but government subsidies must first go to the low-income uninsured, and additional
benefits, such as prescription drugs and home care for medicare patients, should not be granted
before everyone has basic coverage.
Adequate funding must be combined with a restructuring of the health care system to
reach reform, Davidson said. Restructuring has already begun, he said, and many examples
exist of cooperative managed care networks that provide quality care and save money. Legacy
Health System, in Portland, Ore., a network of hospitals, physician groups, home health care
groups and clinics, has had no price increases for hospital services for the past two years, and
is only one of many success stories. Providing care through networks that are paid up front on
a per person basis motivates providers to give efficient, quality care and to invest in preventative
care, incentives sorely lacking in the health care system, Davidson said.
The American Hospital Association, a not-for-profit organization, serves as a national
advocate for hospitals and the patients they serve, provides education and information for its
members and informs the public about hospital and health core issues.
m
Community Care Network, Inc. usw the n m Commuaity Cue Network and reserves m ngius.
a e
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�11/19/93
18:05
D C C R N DRUID WILHELM • 94566244
N HM
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NO.839
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OFFICE OF THE CHAIRMAN
PH 202-86.3-8121
FAX 202.8<)3-8n4
FAX COVER SHEET
I!
DATE:
T1MF.:
TO:
_ * OF PAGES (including cover): .
FAX:
FROM:
SUBJECT: ^fkUhAm^
flftJULA4~
IF YOU HAVE TROUBLE WITH THIS TRANS1
PLEASE CALL
AT (202) 863-
^SUlfW'tLp,
5SIO
COMMENTS:
PLEASE VERIFY RECEIPT OF THIS DOCUMENT IMMEDIATELY
THIS MESSAGE IS INTENDED ONLY hOK I H f l USE OF THE INDIVID UAL OR ENTITY TO WHICH IT IS
ADDRESSED, THIS MESSAGE MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND
EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW, IF READER OF THIS MESSAGE IS NOT THE
INTENDED RECIPIENT OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE
TO THE INTENDED RECIPIENT fOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION,
DISTRIBUTION, OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE
RECEIVED THIS COMM UNlCA I (UN IN ERROR, PLEASE NOTirY US IMMEDIATELY BY TELEPHONE AND
RETURN THE ORIGINAL MESSAGE TO US AT THE ADDRESS BELOW VIA THE U.S. POSTAL SERVICE.
T H A N K YOU.
,
Democratic Party HeudHuaners • 4}0 South Capiiol Street, S.E. • Washington, D.C 20003 • 202.863,8000 • FAXs 202.863,8091
raid for by the- Tieinvcraiic N;ii:oi ui CO/IIJIIIKCC. GHKM VUIM-MH to the Dcmocimk: Nationu! CocumitM* are not ux daduciiblc
001
�fi/19/93 1B:44:4B
VIA FAX
->
Uillians
VIA FAX
TO: Margaret Williams
Chief of Staff to the First Lady
Office of the First Lady
F O : Chris McEntee, A A
RM
H
FYI
ATTN:
TO: FAX P O E : 2024566244
HN*
MRN: 02028155-003-6-0005
TIME: Fri Nov 19 09:44:58 1993
3 pages including cover sheet
Page
1
�Il/19y93 1 : 5 B VIA F X
B4:5
A
->
N V 19 '93 10:41AM A A
O
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Uilliams
Page 2
P. 2/3
Amorioan Ha«pltol A».od«Mon
Capitol Place. Building #3
S F Slreet.N W.
O
Suite 1100
Washington, D,C. ZOOOl
T».lftihr>M2O2.^Ml00
FAX NO. 202.626-2345
November 16, 1993
The Honorable Thomas S. Foley
U.S. House of Representatives
Washington, DC 20515-4705
Dear Representative Foley:
The House will soon be asked to consider an amendment to H.R. 3400, the
"Reinventing Government" bill, to reduce spending in federal programs by $100
billion over the next five years. On behalf of the American Hospital
Association's (AHA), nearly 5 300 institutional and 45,000 individual members,
I am writing to express our strong opposition to this proposal and to urge you
to vote against it.
f
At the outset, let me say that the AHA shares Congress' frustration with the
gnvernment's inability to control the federal budget deficit and understands the
pressures that are leading members to embrace various measures designed to
reduce spending. However, it is our belief that the Penny-Kasich plan will do
our nation more harm than good by seriously impeding our nation's efforts to
slow health care spending through meaningful health care reform.
While the Penny-Kasich amendment proposes to reduce the federal budget
deficit by enacting piecemeal changes in the Medicare program, those changes
fail to address the underlying causes of health care inflation. Hospitals are
concerned about the spiralling costs of health care, but recognize that the only
way in which we can achieve sustained deficit reduction over time is through
comprehensive health care delivery reform.
The Penny-Kasich amendment seeks an additional $50 billion in entitlement
savings, including $37 billion from the Medicare program. The AHA believes
these reductions to Medicare would be unwise policy, especially as we attempt
to reform our health care delivery system. In addition, the effects of the
reductions would be compounded by the $56 billion in Medicare savings already
achieved in the last budget round under OBRA 1993 (P.L. 103-66) - on top of
�11/19/93 18:45:45
NOV 19 '11
VIA F X
A
->
Uillians
Page 3
in:41AM AHA
$43 billion included in the OBRA of 1990. Most of tha reductions in OBRA
1993 will take effect in the out-years of 1996-1998. Stripping an additional
$37 billion from Medicare, as provided in the Penny-Kesich amendment will
certainly compromise the ability of many facilities, Including those that treat
large numbers of low-income patients and teaching hospitals, to continue to
provide services to expanding populations.
Moreover, the amendment would throttle rather than advance comprehensive
heallh care reform, Under the amendment, the Medicare savings would be
directed towards deficit reduction rather than reinvested in health care reform.
And that will require Congress to look elsewhere in order to finance health care
reform - higher taxes, deeper Medicare cuts, or scaling back health care
benefits.
America's hospitals believe that now is the time to reform the way we deliver
health care. But expanding the covered population, restructuring the health
care system, reconfiguring hospitals and other services for the future, and
investing in new technologies to meet the demands of tha new system will
require adequate resourcee. The AHA believes that if any savings are targeted
from the Medicare program, they should be reinvested in health care reform, not
targeted for deficit reduction as proposed by this amendment.
In closing, the AHA urges vou to carefully consider the serious consequences of
adopting the Penny-Kasich proposal as a means of reducing the federal budget
deficit. We believe that any changes to the Medicare program should be
considered within the context of achieving comprehensive health care reform.
Rick Pollack
Executive Vice President
Federal Relations
�
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Title
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Health Care Reform
Identifier
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2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
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Clinton Presidential Records
Publisher
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William J. Clinton Presidential Library & Museum
Text
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Paper
Dublin Core
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Title
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Folder 3 [General Correspondence]: [Correspondence/Press]
Creator
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First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-012-002-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
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Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
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Adobe Acrobat Document
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Preservation-Reproduction-Reference
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5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/a02b56df75b52c55d6a611a78af32c2e.pdf
7bd9d50df3ffd483cd36482760599f55
PDF Text
Text
FOIA Number:
2006-0810-F(2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Mail Logs, Correspondence, Scheduling Events
OA/ID Number:
10037
FolderlD:
Folder Title:
Folder 3 [General Correspondence]: Agency Liaison
Stack:
Row:
Section:
Shelf:
S
59
4
1
Position:
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
RESTRICTION
SUBJECT/TITLE
DATE
001. report
Agency Liaison - Selected Casework; RE: Names [partial] (2 pages)
n.d.
P6/b(6)
002. letter
To: Hillary Clinton; RE: Name, address, phone number, and personal
(3 pages)
09/16/1993
P6/b(6)
003. letter
To: President & Mrs. Clinton; RE: Name, address, phone number, and
personal (3 pages)
n.d.
P6/b(6)
004. letter
From: Department of Health & Human Services; RE: Name and
address [partial] (1 page)
11/04/1993
P6/b(6)
005. letter
To: Hillary Rodham Clinton; RE: Name, address, phone number, and
personal (15 pages)
08/09/1993
P6/b(6)
006. letter
From: United States Department of Education; RE: Name and address
[partial] (6 pages)
08/27/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Agency Liaison
2006-0810-F
dbl820
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. S52(b)|
PI National Security Classified Information [(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA]
b(l) National security classified information |(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. report
DATE
SUBJECT/TITLE
Agency Liaison ~ Selected Casework; RE: Names [partial] (2 pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Agency Liaison
2006-0810-F
dbl820
Presidential Records Act -144 U.S.C. 2204(a)|
RESTRICTION CODES
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
National Security Classified Information [(aXl)of the PRA|
Relating to the appointment to Federal office |(aX2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information [(aX4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
b(l) National security classified information [(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
�LooQ
Agency Liaison — Selected Casework:
Although you receive a l l sorts of letters, we can't help
noticing how often elderly women look to you for help and how
endearing their letters are. Their tone i s protective and
affectionate — calling you •'Darlin'," in one recent letter.
For example, ^.•^•-;^P6/(b)^)^^] a 79-year-old widow from Whiting,
New Jersey, began her letter with, "I've watched as many of your
appearances on T.V as I could and love you for what you are
doing," and concluded with, " I make tapes of your appearances and
admire you so very much." The reason for her letter was she had
"a very serious problem and you're the only one I could think of
who could solve i t . " She sought your advice on whether she
should purchase an insurance policy for long-term care.
Sue Smith of this office telephoned the Area Agency on Aging
nearest to lit^pe/tbHe)'^^ and an agency worker immediately provided
|rj^P6/(by(6)iii^w!iii| with the information she was seeking. When sue later
checked with M l i l ^ ^ i ? ^
said that she was "relieved
and happy," adding that she thinks you are "wonderful and a
breath of fresh a i r . "fc%&Ptt(bX6).«#»$letter i s attached.
Another letter from an older woman raises an issue that
reflects the intergenerational fallout from parental drug abuse,
namely grandparents raising grandchildren that have been
neglected by their parents, hi^i^yim^l^-1 of Harrison, Arkansas,
told you how her daughter had abandoned her two sons, ages 2-and
3-years-old, and that |-,iiNP6/(b)(6)fe!H and her husband now had legal
;:^
guardianship over them. She related how the day care center she
operates had at least three other cases like hers, and asked for
your help in locating a support group. l^i'-a^is/tBjtetiigsa'il also
mentioned that, when President Clinton was governor, he had given
her three state grants to help keep her day care center running.)
!
W directed the Administration for Children, Youth, and
e
Families (ACF) to respond to ^g#^re/(b)(e)'#^%;| letter. As i s
sometimes the case with federal agency responses, ACF's f i r s t
draft was inadequate, providing l i t t l e information. After three
re-writes, we approved ACF's letter — an exercise that should
ensure improved responses to similar letters in the future.
Based on her own research, Sue Smith also passed along to |6(j6
P/b()
P/b() , information about a program developed by American
6()6' ,
|
Association of Retired Persons. |,U 'P6/(b)(6)^> | told Sue that she
;.
:^
was deeply grateful to you for your help.
:
Finally, a letter — more of a testimonial — from a young
mother in Woodland H i l l s , California, who writes you of her
anguish over the way the public school system treated her
severely disabled step-son. In a 15-page, single-spaced letter,
:> • ' P/b():j- ^ j poured out her heart and her rage to you at what
• 6()6s,if
she identified as profound inadequacies of the system. She
concluded with:
Clinton Library Photocopy
�I am giving i t one last try and might as well go directly to
the top with i t . And even i f our situation i s beyond a
point of resolve, perhaps our experience and i t s outcome can
provide some insight into why this system isn't working for
the family unit, why i t i s bankrupt, both morally and
f i s c a l l y , and why such levels of despair exist within our
society.
Although we can't claim that the response she received from
the Department of Education's Office of Special Education solved
a l l her step-son's problems, i t did provide i n substantive detail
and i n a sympathetic tone information to help I ^ ^ B e l ^ x e j ^ ^ with
this situation. I t also made available an agency staff person
that she could contact as a follow up. (We contacted the
Department of Education to thank the writer for her excellent
response.) I have i c u e ^ l » ' P 7 b ( y i ^ f i e l e t r and the
nldd&Sm:6()6Wiflf:ite
response from the Office of Special Education.
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
DATE
SUBJECT/TITLE
To: Hillary Clinton; RE: Name, address, phone number, and personal
(3 pages)
09/16/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Agency Liaison
2006-0810-F
dbl820
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |S U.S.C. 552(b)]
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA J
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA|
b(l) National security classified information ((bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes |(bX7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions |(b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9)of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. letter
DATE
SUBJECT/TITLE
To: President & Mrs. Clinton; RE: Name, address, phone number, and
personal (3 pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Agency Liaison
2006-0810-F
dbl820
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Informatior Act - [5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute [(aX3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [aXS) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA|
b(l) National security classified information [(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIAJ
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
DATE
SUBJECT/TITLE
From: Department of Health & Human Services; RE: Name and
address [partial] (1 page)
11/04/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Agency Liaison
2006-0810-F
dbl820
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [S U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(bX2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office [(a)(2) of the PRA|
Release would violate a Federal statute [(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information |(aX4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [aX5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�NOU-04-X9S3
13:48
FROM ACYF HORN
p
T 0
0 2
DEPARTMENT OF HEALTH fc HUMAN SERVICES
i
ADMINISTRATION FOR CHILOfljUt AND FAMHLIES
370 L'Erfant Promenade, S.W. i
Washington, D.C. 20447
P6/(b)(6),
Harrison, Arkansas
72601
Dear .^fe:.':P6/(b)(6)Wl::This i s in response to your l«tt«r to President and Mr». Cliriton
regarding problems you are experiencing with your daughter abound
the care of your grandchildren, for whom you are legal guardian.
Your family's l i v i n g arrangement r e f l e c t s a long standing
practice in t h i s country of grandparents voluntarily caring for
their grandchildren in time of need. I f i t were not for caring
individuals l i k e yourself, many of these children would end up in
the footer care system in the care of strangers.
in response to your request for assistance, we have identified
some resources that might be able to help you. An attorney can
help you to sort out your rights under the guardianship
agreement. The Ozark Legal Services Bureau in Harrison may be
able to provide legal advice to you free of charge. You shoiuld
contact Ms. Margaret Reger at the address below:
Ozark Legal Services Bureau
Post Office Box 1613
213 w. Rush Street
Harrison, Arkansas 72601
(501) 741-2454
Many relative caregivers find support groups very helpful. While
we were unable to identify support groups in Boone County, y»
were successful in finding a national organization in the State
of Michigan that provides support and guidance- ROCKING, ihc.
(Raising Our Children's Kids: An Intergenerational Network, of
Grandparenting, Inc.) located in Niles, Michigan, can provide you
with information on how to begin a support group. ROCKING, Inc.
(brochure enclosed) i s a confederation of grandparents and pthers
who provide emotional and practical support for a l l grandparents
and relative caregivers. For additional information, you should
contact Ma. Mary Fron at the address below*.
Ms. Mary Fron
President
ROCKING, Inc.
P.O. Box 96
Niles, Michigan
(616) 683-9038
49120
Clinton Library Photocopy
�>.
NOU-04-1993 13=48
FROM ACYF H R
ON
TO
94562992
P.03
Page 2 - Ms. Sandra Hudson
There i s also some promising pending legislation in this area.
The Grandparents Raising Grandchildren Assistance Act has bejan
proposed. This Act contains various provisions intended to j
benefit grandparents raising their grandchildren. Among othter
things, the Act would fund grandparent resource centers and amend
T i t l e IV-E of the Social Security Act to require the Department
of Health and Human Services to develop model procedures for
States to use in notifying relatives prior to placement of aj
child in foster care.
!
Finally, the enactment of the Administration's new Family f
Preservation and Family Support Services legislation could have a
positive impact on relative caregivers' support needs in thei
future. The major child welfare provisions in this legislation
are: (1) Community-based family support programs that work jwith
families before a c r i s i s occurs to enhance child development and
increase family stability; and (2) Family preservation programs
that serve families in c r i s i s or at risk of having their children
placed in foster care as well as other follow up services I
including family reunification.
I hope this information w i l l be helpful to you.
Sincerely,
j
|
seph A. Mottola
cting Commissioner
Administration on Children, Yputh
and Families
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005. letter
SUBJECT/TITLE
DATE
To: Hillary Rodham Clinton; RE: Name, address, phone number, and
personal (15 pages)
08/09/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfFice
Maggie Williams ( M a i l Logs, Correspondence, Scheduling Events)
OA/Box Number: 10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Agency Liaison
2006-0810-F
dbl820
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information |(aXl)of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [aXS) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA|
b(l) National security classified information |(bXl) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the F01A|
b(3) Release would violate a Federal statute |(bX3) of the FOIAJ
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes |(b)(7) of the FOIAJ
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIAJ
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
006. letter
DATE
SUBJECT/TITLE
From: United States Department of Education; RE: Name and address
[partial] (6 pages)
08/27/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (Mail Logs, Correspondence, Scheduling Events)
OA/Box Number:
10037
FOLDER TITLE:
Folder 3 [General Correspondence]: Agency Liaison
2006-0810-F
dbl820
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)]
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(aX6) of the PRA|
b(l) National security classified information |(bXl) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIAJ
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAJ
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAJ
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�UNITED STATES DEPARTMENT OF EDUCATION
OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES
AG 2 7 1 9
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Dear .-; , P6/(b)(6)
I am w r i t i n g i n response t o your l e t t e r t o Mrs. H i l l a r y Rodham
C l i n t o n concerning t h e education o f your stepson, John. Your
l e t t e r has been r e f e r r e d t o t h e O f f i c e of Special Education
Programs f o r response. I r e g r e t t h e problems t h a t your f a m i l y
has experienced i n seeking what you b e l i e v e t o be a p p r o p r i a t e
e d u c a t i o n a l s e r v i c e s f o r John.
I thought you might f i n d i t h e l p f u l t o have some i n f o r m a t i o n
about P a r t B of the I n d i v i d u a l s w i t h D i s a b i l i t i e s Education Act
(Part B). P a r t B i s t h e Federal law t h a t a u t h o r i z e s f i n a n c i a l
assistance t o States, and through them t o l o c a l school d i s t r i c t s ,
t o a s s i s t i n meeting t h e s p e c i a l e d u c a t i o n a l needs of e l i g i b l e
c h i l d r e n w i t h s p e c i f i e d d i s a b i l i t i e s . C h i l d r e n w i t h impairments
can be e l i g i b l e f o r s p e c i a l education s e r v i c e s i f , c o n s i s t e n t
w i t h t h e requirements of P a r t B, they are evaluated and
determined t o need s p e c i a l education and r e l a t e d s e r v i c e s because
of a s p e c i f i c p h y s i c a l or mental impairment.
I am e n c l o s i n g f o r
your i n f o r m a t i o n a copy of t h e Department's r e g u l a t i o n s
implementing Part B, a t 34 CFR P a r t 300.
Under P a r t B, States and l o c a l school d i s t r i c t s have an ongoing
r e s p o n s i b i l i t y t o make a v a i l a b l e a f r e e a p p r o p r i a t e p u b l i c
education (FAPE) t o a l l such e l i g i b l e c h i l d r e n . FAPE i n c l u d e s
the p r o v i s i o n of s p e c i a l education and r e l a t e d s e r v i c e s which
meet S t a t e e d u c a t i o n a l standards and Part B requirements.
These
s e r v i c e s , among other requirements, must be provided a t p u b l i c
expense under p u b l i c s u p e r v i s i o n and d i r e c t i o n , w i t h o u t charge t o
the e l i g i b l e c h i l d or h i s p a r e n t s , and must be i n c o n f o r m i t y w i t h
each student's i n d i v i d u a l i z e d education program (IEP). Further,
a l l c h i l d r e n w i t h d i s a b i l i t i e s , regardless of t h e s e v e r i t y of
t h e i r d i s a b i l i t i e s , are e n t i t l e d t o be educated i n t h e l e a s t
r e s t r i c t i v e environment (LRE) a p p r o p r i a t e t o t h e i r unique needs.
I f you b e l i e v e t h a t John's e d u c a t i o n a l placement i s
i n a p p r o p r i a t e , or t h a t he i s not r e c e i v i n g FAPE, you can request
an IEP meeting and/or a change i n placement. I n making
e d u c a t i o n a l placements, Part B r e q u i r e s school d i s t r i c t s t o
1 1
400
MARYLAND AVE..
SW.
WASHINGTON.
.QUEfe" Library Photocopy
D.C
�Page 2 ensure that each child's educational placement i s determined at
least annually, i s based upon the child's IEP, and i s as close as
possible to the child's home. 34 CFR §300.552(a). Each child's
IEP must, among other elements, contain a statement of the
specific special education and related services to be provided to
the child, and must specify the extent to which the c h i l d w i l l be
able to participate in regular educational programs. 34 CFR
§300.346(a)(3). In addition, the child's placement must be made
by a group of persons, including persons knowledgeable about the
child, the meaning of the evaluation data, and the placement
options. 34 CFR §300.533(a)(3). Part B provides for the active
participation of parents in the development of their child's IEP.
During the IEP meeting, i t i s appropriate for parents to bring
their child's needs, including needs related to his behavior, to
the attention of school authorities. Appendix C to 34 CFR Part
300, question 44, states that "the IEP for a child with a
d i s a b i l i t y must include a l l of the specific special education and
related services needed by the child - as determined by the
child's current evaluation."
Part B also provides you with the right to obtain an
independent educational evaluation (IEE) at public expense, i f
you disagree with the results of the current evaluation obtained
by the public agency. However, the agency may i n i t i a t e a hearing
under 34 CFR §300.506 to show that i t s evaluation i s appropriate.
I f the f i n a l decision under 34 CFR §300.506 i s that the
evaluation i s appropriate, you s t i l l have the right to obtain an
IEE, but not at public expense. 34 CFR §300.503.
I f you request a change of John's educational placement, and the
public agency refuses your request, i t must provide you with a
written notice explaining i t s action. This notice must include a
description of any action proposed or refused by the agency, an
explanation of why the agency proposes or refuses the action, a
description of any options considered and the reasons why they
were rejected, a description of the procedures or materials (such
as evaluations, tests, etc.) used as a basis for the proposal or
refusal, and a description of any other factors which are
relevant to the agency's proposal or refusal. In addition, a
f u l l explanation of a l l the procedural safeguards available to
the parents under the Part B regulations must be included. 34
CFR §300.505(a).
You mentioned in your letter that John has been suspended for
"days at a time" for behaviors arising out his d i s a b i l i t y . Part
B has been found by the U.S. Supreme Court in i t s decision i n
Honia v. Doe. 108 S.Ct. 592 (1988), to prohibit State or local
school authorities from unilaterally excluding children with
d i s a b i l i t i e s from the classroom for dangerous or disruptive
conduct arising from their d i s a b i l i t y .
Under Part B, exclusion
of a student with a d i s a b i l i t y from school for longer than ten
days constitutes a change in placement, and the parents must be
Clinton Library Photocopy
�Pg 3 - I j ^ ^ i i i i P a i ^
ae
given written prior notice of the proposed placement change,
including an explanation of applicable procedural safeguards and
due process rights should they wish to challenge the proposed
placement decision. 34 CFR §§300.504-300.505. School o f f i c i a l s
may, however, use their normal discipline procedures, such as
temporary removal for up to ten school days. In addition, the
use of study carrels, timeouts, or other r e s t r i c t i o n s in
privileges would be permissible, to the extent that they would
not be inconsistent with the child's IEP. This determniation
must be made, on a case-by-case basis, in light of the particular
facts and circumstances. During a ten day suspension, school
o f f i c i a l s may i n i t i a t e review of the student's IEP, seek to
persuade the parents to agree to an interim placement, or invoke
the aid of the courts to remove a dangerous student from school
i f they believe that maintaining that student in the current
placement i s substantially l i k e l y to result in injury to the
student or to others.
A suspension or disciplinary removal of a student with a
d i s a b i l i t y for more than ten school days, which consitutes a
change in placement, may not be imposed without a determniation
by a group of presons, as described in the Part B regulations at
34 CFR §§300.344 and 300.533(a)(3), that the student's misconduct
i s not a manifestation of h i s d i s a b i l i t y .
I f the group
determines that the student's misconduct i s a manifestation of
the student's d i s a b i l i t y , the student may not be suspended for
more than ten school days.
I f the misconduct i s related to the student's d i s a b i l i t y , i t i s
appropriate to review the student's placement. Nonpunitive
changes in placement may be appropriate and should be implemented
subject to applicable procedural safeguards. I f the parents
request a due proicess hearing undre 34 CFR §300.506 to challenge
a local educational agency's proposal to change the student's
placement, that action may not be unilaterally taken over the
parent's objections u n t i l a l l administrative and j u d i c i a l review
proceedings have been completed. School o f f i c i a l s may also
invoke the aid of the courts to remove a dangerous student.
I f the group determines that the misconduct i s not a
manifestation of the student's d i s a b i l i t y , the school d i s t r i c t
may impose normal disciplinary measures subject to the parent's
right to request a due proces hearing on whether the
manifestation determination was correct, which would stay any
long-term suspension or expulsion until the review proceedings
I f a removal of a student with a d i s a b i l i t y from school
for a period of up to ten school days i s being contemplated, no
prior determination by the group of persons described at 34 CFR
§§300.344 and 300.533(a)(3) as to whether the student's
misconduct i s related to the student's d i s a b i l i t y i s required.
Clinton Library Photocopy
�Page 4 - ^ ^ | ^ e y ( ^ ( 6 ) % ^ ^
are completed. Under Part B, even during a d i s c i p l i n a r y removal
t h a t exceeds ten school days, schools may not cease educational
services t o students w i t h d i s a b i l i t i e s . This i s so regardless of
whether the student's misconduct i s determined t o be a
manifestation of the student's d i s a b i l i t y . Thus, a l l c h i l d r e n
w i t h d i s a b i l i t i e s - i n c l u d i n g those who have been suspended or
expelled - must be provided FAPE, and educational services may
not cease f o r such students.
In your l e t t e r , you s t a t e d t h a t John i s 15 years o l d . You may be
interested t o know t h a t i n 1990, Part B was amended t o include
provisions regarding t r a n s i t i o n services. The Part B regulations
at 34 CFR §300.346(b)(1) require t h a t the IEP f o r each student,
beginning no l a t e r than age 16, or a t a younger age i f determined
appropriate, must include a statement of needed t r a n s i t i o n
services. 34 CFR §300.18 defines the term " t r a n s i t i o n services"
as:
(a) ...a coordinated s e t of a c t i v i t i e s f o r a student,
designed w i t h i n an outcome-oriented process, t h a t promotes
movement from school t o post-school a c t i v i t i e s , including
postsecondary education, vocational t r a i n i n g , integrated
employment ( i n c l u d i n g supported employment), continuing and
adult education, a d u l t services, independent l i v i n g , or
community p a r t i c i p a t i o n .
(b)
The coordinated s e t of a c t i v i t i e s described i n
paragraph (a) of t h i s section must —
(1)
Be based on the i n d i v i d u a l student's needs, t a k i n g i n t o
account the student's preferences and i n t e r e s t s ; and
(2) Include-(1)
Instruction;
( i i ) Community experiences;
( i i i ) The development of employment and other post-school
adult l i v i n g o b j e c t i v e s ; and
(iv)
I f appropriate, a c q u i s i t i o n of d a i l y l i v i n g s k i l l s and
f u n c t i o n a l vocational evaluation.
A student younger than age 16 f o r whom t r a n s i t i o n services would
be appropriate may not be denied such services because he or she
i s not i n a high school s e t t i n g . I f the IEP team determines t h a t
t r a n s i t i o n services are not needed, a statement t o t h a t e f f e c t
must be included i n the IEP. 34 CFR §300.346(b)(2) states:
(2)
I f the IEP team determines t h a t services are not
needed i n one or more of the areas s p e c i f i e d i n
§300.18(b)(2)(i) through ( b ) ( 2 ) ( i i i ) , the IEP must include a
statement t o t h a t e f f e c t and the basis upon which the
determination was made.
Clinton Library Photocopy
�Page 5 Procedural safeguards under Part B include the r i g h t t o i n i t i a t e
a due process hearing. Parents who disagree with a d e c i s i o n by a
public agency regarding the i d e n t i f i c a t i o n , evaluation,
educational placement, or the provision of FAPE t o t h e i r c h i l d ,
have the r i g h t t o request an i m p a r t i a l due process hearing under
34 CFR §300.506. The due process p r o v i s i o n s of Part B were
s p e c i f i c a l l y designed t o provide parents with an independent
forum for r e s o l v i n g disagreements with a p u b l i c agency.
In addition, i f you b e l i e v e that a v i o l a t i o n of Part B has
occurred, you can f i l e a complaint with the C a l i f o r n i a State
Department of Education (CSDE). CSDE must i n v e s t i g a t e and
resolve any complaint t h a t i t r e c e i v e s w i t h i n 60 calendar days,
in accordance with the complaint p r o v i s i o n s a p p l i c a b l e t o Part B
at 34 CFR §§300.660-300.662. To request a due process hearing,
or to f i l e a complaint, you can contact the CSDE o f f i c i a l l i s t e d
below, a t the following address and telephone number:
Mr. Leo Sandoval
Director
S p e c i a l Education D i v i s i o n
C a l i f o r n i a State Department of Education
721 C a p i t o l Mall, Room 610
P.O. Box 944272
Sacramento, C a l i f o r n i a 94244-2720
Telephone: (916) 657-3567
You may be i n t e r e s t e d t o know that there i s a Federal law t h a t
prohibits school d i s t r i c t s r e c e i v i n g Federal f i n a n c i a l a s s i s t a n c e
from d i s c r i m i n a t i n g on the basis of d i s a b i l i t y . T h i s law, known
as Section 504 of the R e h a b i l i t a t i o n Act of 1973 (Section 504),
i s enforced by t h e Department's O f f i c e for C i v i l Rights (OCR).
OCR i n v e s t i g a t e s complaints of d i s c r i m i n a t i o n on the b a s i s of
d i s a b i l i t y by r e c i p i e n t s of Federal f i n a n c i a l a s s i s t a n c e from the
Department. For f u r t h e r information regarding Section 504 and
how to f i l e a complaint with OCR, you may wish to contact:
Mr. John E. Palomino
Regional C i v i l Rights D i r e c t o r
O f f i c e f o r C i v i l Rights, Region IX
U.S. Department of Education
Old Federal Building, 09-8010
50 United Nations Plaza, Room 239
San F r a n c i s c o , C a l i f o r n i a 94102-4102
Telephone: (415) 556-7000
A document t h a t you and your family may f i n d h e l p f u l i s an
information sheet issued by the National Information Center for
Children and Youth with D i s a b i l i t i e s (NICHCY) concerning s p e c i a l
education resources i n C a l i f o r n i a . This resource sheet w i l l
Clinton Library Photocopy
�Page 6 provide .you with the address and telephone numbers for that
organization, as well as for other resources within California.
I have also enclosed a copy of the NICHCY publications l i s t for
1992.
I hope that you find this information helpful, and I wish John
every success in h i s schooling and beyond. I f t h i s Office can be
of further assistance, please l e t me know, or feel free to
contact Ms. Nancy Jenkins of my staff at (202) 205-9090, using a
Telecommunications Device for the Deaf (TDD). I f you do not have
access to a TDD, you can contact either the Federal relay at
l-(800) 877-8339, or the California relay at l-(800) 735-2922,
and instruct the operator to contact Ms. Jenkins at the above
number.
Sincerely,
P a t r i c i a J . Guard
Acting Director
Office of Special Education
Programs
Enclosure
cc:
Mr. Leo Sandoval
Clinton Library Photocopy
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Folder 3 [General Correspondence]: Agency Liaison
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-012-001-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 12
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
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Preservation-Reproduction-Reference
Date Created
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5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/dce668219cd1f7bfecc5d65fe1356011.pdf
7f60b48374728264436c7652e5268800
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
FLOTUS Correspondence
OA/ID Number:
4106
FolderlD:
Folder Title:
HEALTH CARE [Folder 6]
Stack:
Row:
Section:
Shelf:
Position:
S
59
3
11
2
�^ d g e a n
t7
^
d
c
Fine Country Dining, Lodging, Gifts & Spirits
Joseph & Linda Burney
in PA: 1-800-843-6862
Box 125, Cook Forest, Rt. 36, Cooksburg, PA 16217
814-744-8017
January 31, 1994
Mrs. Hillary Rodham Clinton
1600 Pennsylvania Avenue
Washington, D C 20500
..
Dear Mrs. Clinton,
I have thought about writing this letter to you for some time now, and
I have always stopped short of doing so. However, after last night's conversation with one of my employees - now a former employee - I feel compelled
to write.
In 1980 my husband and I purchased a building known as Gateway Lodge.
I t had no business and in fact, at the time of purchase, had no "Profit and
Loss" statement. W were able to get a direct loan from SBA, quit our jobs
e
at General Electric Company, sold our home in Erie, PA, and pursued the
"Brass Ring".
I t has now been 13 years that we have been in business. There has been
a slow and steady growth from 2 employees in 1980 to 24 employees in 1993.
There has been a lot of hard work - some resulting in disappointments - but
most resulting in personal pride. During this time, we have been placed in
many national and international country inn publications, received the Uncle
Ben's "Ten Best Inns of the USA" award in 1988, and have been recently named
one of M N Y s 1994 Top Destination Spots, in the January 1994 issue.
OE'
W try to give some benefits to our employees, but i t gets harder each
e
year because of the rising costs of health care, business insurance and taxes.
I admire what you and President Clinton have tried to accomplish during
his f i r s t year in the Presidency. Although I did not vote for President Clinton
I have gained a new admiration for him yesterday when I heard on the news his
comment that the only people who do not think there is a health care crisis
are those people in Washington who have insurance and benefits at the taxpayers
expense. Right on Target!!
Selected for The Innkeepers' Register—
Independent Innkeepers' Association
�Mrs. Hillary Rodham Clinton
January 31, 1994
Page 2
Enough background on us, now to the real reason that has compelled me
to write to you.
In our area, unemployment is currently 9.2%. W are anticipating that
e
we will need at least 5 to 7 more employees for 1994. W will go through hundreds
e
of applications - not because we are too fussy about whom we hire, but because
no one really wants to work. Here's the way the "System" works in our area.
1.
If you do have a job and get laid off - no problem - collect
unemployment and keep getting the benefits extended.
2. If you are asked to go on an interview by the unemployment
office, which I believe is mandatory, just tell the interviewing business...
a. You are on unemployment and really don't want
to take a job because i t will mess up your
unemployment.
b. You tell the interviewing business that you
can't do anything the position requires.
c. You just don't show up for the interview.
Now i f you have a job, with no chance of layoff and really can't make
ends meet because of your lack of managing money or lifestyle, how D you get
O
more money? The answer is really quite unique:
1.
Quit the job and even though you know you cannot collect
unemployment you
a. Check yourself into a Psychiatric Care Center, say
you are "depressed", get evaluated and then because
of your "psychiatric depression" you are eligible to ...
b. Get on welfare which will give you almost $1000.00 per
month (includes food stamps and health benefits). This
will enable you to stay home, watch TV, and partake
in all the comforts that the poor working class is not
able to enjoy.
I don't know i f you will actually see this letter, but I hope that you do.
You have talked to so many people about health care, I just thought I would
let you know how i t really is down here in the trenches when i t comes to competing with the welfare system. W just can't win... welfare comes out on top
e
all of the time.
�Mrs. Hillary Rodham Clinton
January 31, 1994
Page 3
The system should supplement someone who has a job - not make i t more
appealing not to have a job. Of course i f you are physically challenged that
is a different case.
If they were required to produce a paycheck, a supplement would cut
the welfare system to 50%. Imagine those savings to taxpayers.
A state system could be set up that would work with a computer network
that businesses, using their employer ID number, could access for relating
current employment or unemployment information on those employees receiving
supplemental income. I f they get laid off then of course collect unemployment
but with the guideline of: I f a job is offered they must take i t and continue
to receive the supplement, but the unemployment benefits would stop. I f a
person quits, help would be given for a certain period of time but with no
extensions, and the supplemental income would again start as soon as the person
found a new job.
If the government would show that i t is better to have a job than not
to have one we would all be better off. Government should encourage people
who do "use" the system to get a job. This idea of psychiatric care just to
get on welfare is absurd. N wonder our health care costs are so high and the
o
system is such a mess. W the working class pay for all of these "health care
e
cases" and then also pay for them to be on welfare.
There are no words to really express how frustrating i t is for us that
employ and for those that are employed and know such abuses of the system happen
daily, over, and over, and over.
Thank you for taking the time from your busy schedule to read this letter.
I just wanted you to know how some of us feel.
Sincerely,
I
4
Linda Burney
Innkeeper
�Box 125, Cook Forest, Rt. 36
Cooksburg, PA 16217
P
M
to
1994
Mrs. H i l l a r y Rodham Clinton
1600 Pennsylvania Avenue
Washington, D.C. 20500
i.,MI!,.,,l,i,l| ,,uuM,li,!
l
�THE
WHITE HOUSE
WASH INGTON
March
10,
1994
Ms. L i n d a Burney
Gateway Lodge and Cabins
Box 125, Cook F o r e s t
Route 36
Cooksburg, Pennsylvania 16217
Dear Ms. Burney:
Thank you f o r your t h o u g h t f u l l e t t e r .
I appreciate
b o t h y o u r s h a r i n g your o b s e r v a t i o n s and s u g g e s t i o n s w i t h
me, and your k i n d words.
The P r e s i d e n t ' s H e a l t h S e c u r i t y A c t addresses t h e
problems which you d e s c r i b e r e l a t i n g t o gaps i n h e a l t h care
coverage, t h e h i g h c o s t o f h e a l t h i n s u r a n c e , f r a u d , and
abuse. Under t h e A c t , i t w i l l be i l l e g a l f o r i n s u r e r s t o
deny coverage on t h e b a s i s o f h e a l t h o r employment s t a t u s ,
age, r e s i d e n c e , o r t h e h e a l t h o f f a m i l y members o r t o
charge h i g h e r premiums because o f h e a l t h s t a t u s o r o t h e r
i n d i v i d u a l c h a r a c t e r i s t i c s . S p e c i f i c a l l y , the Act reguires
a l l h e a l t h p l a n s t o accept a l l a p p l i c a n t s r e g a r d l e s s o f
health status, prohibits a l l pre-existing condition
e x c l u s i o n s , guarantees t h a t coverage cannot be dropped f o r
any reason, spreads r i s k b r o a d l y t h r o u g h t h e use o f
community r a t i n g , and enhances f i n a n c i a l p r o t e c t i o n o f
e n r o l l e e s and p r o v i d e r s i n t h e case o f f i n a n c i a l f a i l u r e o f
health plans.
The c i t i z e n s o f t h i s n a t i o n now have an h i s t o r i c
o p p o r t u n i t y t o change our h e a l t h care system t o make i t
work f o r a l l Americans. Your s u p p o r t w i l l be i n v a l u a b l e t o
t h e P r e s i d e n t as h i s A d m i n i s t r a t i o n works toward m e a n i n g f u l
and l a s t i n g change i n our h e a l t h care system.
Sincerely
yours,
H i l l a r y Rodham C l i n t o n
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care [Folder 6]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-011-012-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 11
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/421c1c6a5ee51d9250100f16ea4f9df0.pdf
37bdf47746adfe7245cf8340032d112c
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
FLOTUS Correspondence
OA/ID Number:
4106
FolderlD:
Folder Title:
HEALTH CARE [Folder 5]
Stack:
Row:
Section:
Shelf:
Position:
s
59
3
11
2
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001a. letter
Hillary Rodham Clinton to Mrs. Robert L. Winter; RE: Address
[partial] (1 page)
03/07/1994
P6/b(6)
001b. letter
Mrs. Robert L. Winter to Mrs. Clinton; RE: Address [partial] (1 page)
10/19/1993
P6/b(6)
001c. envelope
Mrs. Robert L. Winter; RE: Address [partial] (1 page)
10/20/1993
P6/b(6)
002a. letter
Hillary Rodham Clinton to Mary Ann LiTrenta; RE: Address [partial]
(1 page)
03/07/1994
P6/b(6)
01/31/1994
P6/b(6)
02/01/1994
P6/b(6)
002b. letter
002c. envelope
Mary Ann LiTrenta to Mrs. Clinton; RE: Personal [partial] (1 page)
Mary Ann LiTrenta; RE; Address [partial] (1 page)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number: 4106
FOLDER TITLE:
Health Care [Folder 5]
2006-0810-F
dbl802
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security C lassified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Mrs. Robert L. Winter; RE: Address
[partial] (1 page)
03/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 5]
2006-0810-F
dbl802
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
P3 Release would violate a Federal statute [(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information |(bXI) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the KOI A]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
March 7, 1994
Mrs. Robert L. Winter
Dear Mrs. Winter:
Thank you f o r w r i t i n g and including the very poignant
ad from the Pittsburgh Press. The high cost of health care
i n our country today i s an issue which both the President
and h i s Administration considered c a r e f u l l y while
formulating the Health Security Act. The Act w i l l reduce
the growth of health care costs while guaranteeing every
American a comprehensive package of benefits t h a t can never
be taken away.
Thank you again f o r sharing your concerns w i t h me.
Your support w i l l be invaluable t o the President as h i s
Administration works toward meaningful and l a s t i n g change
i n our health care system.
Sincerely yours.
H i l l a r " Rodham Clinton
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. letter
SUBJECT/TITLE
DATE
Mrs. Robert L. Winter to Mrs. Clinton; RE: Address [partial] (1 page)
10/19/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 5]
2006-0810-F
dbl802
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl)of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�MTS-
Revert L- W i n t e r
Loo\V>3
October 19, 1993
Dear Mrs. Clinton:
In the Pittsburgh Press (Sunday, Oct. 1?),
I came upon t h i s auction ad.
Although I know none of the d e t a i l s , I
think you may be interested i n t h i s tragic
s i t u a t i o n of a family s e l l i n g a l l they own
to pay t h e i r baby's hospital expenses.
My best wishes to you i n your e f f o r t s .
Sincerely,
3CT. 17, 1993
B-21
484 Auctions
A I H H S IA
MS
O PT L
B N FT A C I N
E E I U TO
Ta e Oy, P
rd
A
lor Eli J. Be F m
yr a y
l
li
Held ot Ervln U. Byler Reticence. 'A ml. west of Trade
Cily, PA or 4 m l . E. of
Smlcksbura, PA. on Rt. »S4.
* SAT. OCT. 2 1 9 A.M. *
Livestock - Form Mochlnety
- Naw <Aml»h Mode) Furniture - Mony Amlsh Mode
Quills - Households • Tools.
Hoy & Grain - Homes* &
Much Much Morel
^
All proceeds go to pay for
Baby Byler Girls hospHol Mil
J H B. H E , II
ON
UY
SLIPPERY ROCK, PA
AU-001588-L
412-7»*«044
SE A N WO E
U N
E NR
AU-OOITTI-L
-
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001c. envelope
SUBJECT/TITLE
DATE
Mrs. Robert L. Winter; RE: Address [partial] (1 page)
10/20/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 5]
2006-0810-F
dbl802
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Krccdom of Information Act - |S U.S.C. SS2(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
National Security Classified Information 1(a)(1) of the PRA)
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Mrr: Rolert I . W i
t
JAN FEB M R APR M V JUN JUL AUG SEP OCT NOV DEC J N FPR M R APR Uv
A
A
A
A
23 29 30 3
1 1 2 3 4 5 8 7 8 3 1 1, 12 13 1415 16 1 1 19 20 2 22 .3 24 25 26 11 u 29 3031
0
7 8
1
1 2345
6 7 8 9
M r s . HILLARY CLINTON,
FIRST LADY'S OFFICE
mm
THE WHITE HOUSE
1600 P e n n s y l v a n i a Avenue, N
W
Washington
D.C.
20500
Im.MJI.Jj,,,,,!!,!
PRESERVATION
Clinton Library Photocopy
"
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002a. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Mary Ann LiTrenta; RE: Address [partial]
(1 page)
03/07/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 5]
2006-0810-F
dbl802
Presidential Records Act - |44 U.S.C. 2204(a)|
RESTRICTION CODES
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
b(l) National security classified information |(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information |(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9)of the FOIAj
�THE WHITE HOUSE
WASH INGTON
March 7,
1994
Mrs. Mary Ann LiTrenta
Dear Mrs. LiTrenta:
Thank you for your thoughtful and compelling l e t t e r .
I am honored and touched that you chose to share your
experiences with me. The problem that you a r t i c u l a t e , the
loss of insurance at a time when i t i s most needed, i s of
great concern to President Clinton.
This issue was considered c a r e f u l l y by the President
and h i s Administration while formulating the Health
Security Act. The Act w i l l reduce the growth of health
care costs while providing a l l Americans a comprehensive
package of benefits that can never be taken away.
Thank you again for writing and sharing your personal
story with me. You, your husband, P a t r i c i a , and the many
Americans you represent, are i n my thoughts and prayers.
Sincerely yours,
H i l l a r ' Rodham Clinton
Clinton Library Photocopy
�•9
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002b. letter
DATE
SUBJECT/TITLE
Mary Ann LiTrenta to Mrs. Clinton; RE: Personal [partial] (1 page)
01 /31 /1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 5]
2006-0810-F
dbl802
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXl)of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6)of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes |(bX7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
National Security Classified Information 1(a)(1) of the PRA]
Relating to the appointment to Federal office [(a)(2) of the PRA]
Release would violate a Federal statute |(aX3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Jan. 3 1 , 1.994
Dear Mrs. C l ^ n t i c n ,
First
1 s t me say '"aw glaci I am t h a t yaur husband i s t h e F'resident o-f
our
country.
I f i n d h i ir, t o be a c a r i n g man and a l t h o u g h
some nay
sayers
will
say o t h e r w i s e , ! t h i n k hs and you a r s r i g h t on t h e mark
about h e a l t h c a r e .
I am a 53 year o l d grandmother who i s c a r i n g t o r a [igP6/(6')(6)'wlchild o f
20.
I have been c a r i n g f o r P a t r i c i a s i n c e 197S as nobody wanted her
and
after
r a i s i n g f i v e c h i l d r e n o f my own,and my husband w o r k i n g
and
my w o r k i n g v e r y hard we f i n d o u r s e l v e s w i t h o u t j o b s and w i t h o u t h e a l t h
care.
Patricia
has Medicade thank: heaven b u t my husband and I have
nothing.
I am s u r e t h e r e a r e a l o t a f p e o p l e l i k e us o u t t h e r e and we
need you t o speak up and t e l l c o n g r e s s j u s t how bad t h i n g s a r e . I t e n d
to
b e l i e v e t h a t c o n g r e s s t h i n k s t h i s i s n o t as s e r i o u s as
crime,but
let
me ask any congressman i f t h e y and t h e i r w i v e s had no h e a l t h
care
which we worked a l l our l i v e s and payed t a x e s so t h e y c o u l d
have
theirs,just
how o u t of t o u c h w i t h us t h e y would be. I t h i n k t h a t Mr.
Dole i s n o t r i g h t
when he says t h a t t h e r e i s no c r i s e s i n h e a l t h
c a r e . S u r e f o r h i m , t h e r e i s n ' t b u t f o r t h e adverage c i t i z e n
there i s
one
and I f i n d
i t i s an i n s u l t t o say o t h e r w i s e .
I also f i n d i t
insulting
t o see Mr. Dole be so a g a i n s t u n i v e r s a l h e a l t h c a r e as t h a t
is
e x a c t l y what t h i s c o u n t r y needs. The American p e o p l e a r e n o t
stupid,
we know t h a t h e a l t h c a r e f o r a l l w i l l a t l e a s t p u t us i n t h e
r u n i n g w i t h t h e o t h e r c o u n t r i e s t h a t have i t and can a f o r d t o c h a r g e
lower
p r i c e s f o r t h e i r goods. We can n o t compete on t h e same l e v e l
as
them because we have t o pay so much f o r o u r h e a l t h c a r e .
My husband and I w o r r y so much t h a t what w i l l happen t o o u r
grandaughter
i f a n y t h i n g happens t o us h e a l t h w i s e as we can n o t a f f o r d
to
go f o r p r e v e n t i v e c a r e as t h e r e j u s t i s n ' t enough money when a l l
you
have i s a s m a l l pensi on of J^wfeWA^a month and you have t o l i v e on
that
and P a r t i c i a s
i ch means we a r e a f a m i l y of
three that
l i v e s on iMRe/t&j'telSitl a month f o r e v e r y t h i n g . That means f o o d ,
clothes,utiIties,
and a l l o t h e r t h i n g s we might need. We have never
r e c i e v e d w e l f a r e o r any o t h e r h e l p f r o m any angency. My husband and I
do n o t q u i l f y
f o r Medicade because o f my husband's s m a l l
pension
check.
I would l i k e t o know i f one congressman c o u l d l i v e on what we
live
on and n o t be concerned about h e a l t h c a r e . Yes we a r e concerned
about c r i m e
as my son i s a New York C i t y Policeman and you must know
how we f e e l about c r i m e , b u t we a r e j u s t as w o r r i e d about our h e a l t h
as would any one be. I have r a i s e d f i v e c h i l d r e n t o be good
citizens
and
t o c a r e about o t h e r s and t h a t i s why one son i s a Policeman and
another
s e r v e d i n t h e Navy f o r 8 and 1/2 y e a r s and t h e g i r l s grew i n t o
p r u d u c t i v e c i t i z e n s so may I ask why a f t e r 40 y e a r s o f m a r r i a g e
and
working
so hard
f o r a l l t h i s my husband and I a t o u r age f i n d
ourselves i n t h i s p o s i t i o n .
Mrs.CIinton
I i m p l o r e you t o c o n t i n u e w i t h your f i g h t f o r us and t h e
meney a m e r i c a n s who t h r o u g h no f a u l t o f o u r own f i n d o u r s e l v e s i n t h i s
terrible position.
May God B l e s s you and your husband f o r a l l t h e h a r d work and goodness
of
your cause. L e t me c l o s e t h i s l e t t e r w i t h a g r a t e f u l 1 thank you and
I p r a y f o r us a l l e v e r y n i g h t .
?
Thank You and God B l e s s ,
Mrs.Mary Ann L i T r e n t a
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002c. envelope
SUBJECT/TITLE
DATE
Mary Ann LiTrenta; RE; Address [partial] (1 page)
02/01/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number: 4106
FOLDER TITLE:
Health Care [Folder 5]
2006-0810-F
dbl802
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOI A|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA]
National Security Classified Information [(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute [(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�'
^
5'
r—•-
O
=3
rcr
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5^
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
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Clinton Presidential Records
Publisher
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William J. Clinton Presidential Library & Museum
Text
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Paper
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Title
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Health Care [Folder 5]
Creator
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First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-011-011-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
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Box 11
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
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Adobe Acrobat Document
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Preservation-Reproduction-Reference
Date Created
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5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/b8423aec3ba2b3be1c6bc9df846d85af.pdf
8ae746a8edd4f0fc3d0e34147041b325
PDF Text
Text
F O I A Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
FLOTUS Correspondence
OA/ID Number:
4106
FolderlD:
Folder Title:
HEALTH CARE [Folder 4]
Stack:
Row:
Section:
Shelf:
Position:
s
59
3
11
2
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001a. letter
Burton M. Maurer to Mrs. Clinton; RE: Address [partial] (1 page)
06/26/1993
P6/b(6)
001b. envelope
Burton Maurer; RE: Address [partial] (1 page)
06/26/1993
P6/b(6)
001c. letter
Hillary Rodham Clinton to Burton Maurer; RE: Address [partial] (1
page)
07/26/1993
P6/b(6)
002a. letter
Vickie J. Goodson to Hillary Clinton; RE: Address and personal
[partial] (2 pages)
04/15/1993
P6/b(6)
002b. letter
Hillary Rodham Clinton to Vickie Goodson; RE: Address [partial] (1
page)
07/26/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 4]
2006-0810-F
dbl801
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
SUBJECT/TITLE
DATE
Burton M. Maurer to Mrs. Clinton; RE: Address [partial] (1 page)
06/26/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number: 4106
FOLDER TITLE:
Health Care [Folder 4]
2006-0810-F
dbl80l
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Krccdom of Information Act - |S U.S.C. 5S2(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOI A]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA)
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office |(a)(2) of the PRA)
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�06-26-93
FIRST/CALLS
MRS.
CLINTON:
I don't n o r m a l l y w r i t e l e t t e r s b u \ I have t o make an e x c e p t i o n i n t h i s
case. You have t a k e n on t h e most d i f f f c u l t p r o b l e m anyone has undertaken
i n a l o n g t i m e . I t h i n k t h e P r e s i d e n t had a honeymoon compare t o what you
w i l l have t o go t h r o u g h t o g e t your h e a l t h c a r e program t h r o u g h t c o n g r e s s .
You w i l l be s n i p e d a t , shot a t , a t t a c k e d a n d t o r n a p a r t , b o t h p e r s o n a l l y
andtechnical1y.
I don't know i f your program w i l l be a gdocfone o r a bad
one.
I do know t h a t we need something.
I t i s a s i n i f one American goes
t o bed s i c k because t h e y cannot a f f o r d t o go t o a d o c t o r .
I ti s a sin i f
one c h i l d d i e s because h i s o r her p a r e n t cannot a f f o r d t o i n n o c u l a t e them.
I t i s a s i n i f we have t o spend 3 o r k t i m e s t h e money l a t e r on because we
d i d n ' t spend i t e a r l y t o p r e v e n t t h e l a t e r i l l n e s s .
I t i s a s i n that the
r i c h e s t c o u n t r y i n t h e w o r l d i s 6, 7 o r 8 i n c h i l d r e n s d e a t h s and y e t we
can f i n d money t o send t o o t h e r c o u n t r r t s t o h e l p them w i t h t h e i r h e a l t h
problems. I do n o t advocate s o c i a l i z e d m e d i c i n e .
However, i f we as a
people o r as a government do n o t have t h e w i l l o r t h e commitment t p make
sure every American i s a f f o r d e d t h e same care we h e l p o t h e r countrnts
a f f o r d , we as a symbol o f Democracy and freedom w i l l n o t l o n g endure.
Mrs. C l i n t o n , don't be swayed by t h e wagging tongues and t h e Sunday
morning q u a r t e r backs. They a r e a l l p a r t o f t h e s t a t u s quo and t h e y and
a l l t h e r e s t o f what i s wrong w i t h our medical c a r e system , w i l l f i g h t you
w i t h every weapon i n t h e i r a r s e n a l . The P r e s i d e n t and you have a window o f
o p p o r t u n i t y t h a t comes a l o n g once i n a c e n t u r y .
You b o t h have t h e chance
t o b e t t e r our c o u n t r y i n
a major way. You cannot f a i l , you must n o t
f a i l , you don't have t h e r i g h t t o f a i l .
Do n o t pay a t t e n t i o n t o t h e p o l l s "
or t h e so c a l l e d e x p e r t s . We Grunts a r e w i l l i n g t o g i v e you a chance, b u t
you must g i v e us something t o f o l l o w . May t h e Lord g i v e you i n s i g h t t o know
what can be changed and what cannot be changed, and g i v e you t h e
i n t e ^ i g e n c e t o know t h e d i f f e r e n c e between them and t h e courage t o b e t t e r
the former.
God Bless America:
SINCERLY:^^
^ Y ^ ^
BURTON M. MAURER
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. envelope
DATE
SUBJECT/TITLE
06/26/1993
Burton Maurer; RE: Address [partial] (1 page)
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 4]
2006-0810-F
dbl801
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Ereedom of Information Act - [5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bKl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute [(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes [(bX7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information |(aX4)of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Q
o
rcr
E
S
"0
o
o
o
T3
"<
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001c. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Burton Maurer; RE: Address [partial] (1
page)
07/26/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 4]
2006-0810-F
dbl801
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE W H I T E H O U S E
WASHINGTON
July 26, 1993
1
Mr. Burton M* 'Tf^TI
Dear Mr. Maurer:
Thank you for your thoughtful letter. I appreciate
your sharing with me your thoughts regarding health care
reform.
As you may know, the Health Care Task Force has
completed i t s charge from the President. Your coinments
w i l l be useful as he works toward advancing this important
national i n i t i a t i v e .
Thank you again for writing. I appreciate your views
and your support for health care reform.
Sincerely yours,
H i l l a r ' Rodham Clinton
Clinton Library Photocopy
�'!
I
M l l f O f d HiospiAciV
23 7 Bridstpon Avtnue, MAford, CT 06460-4606 Ttl 203 876-4000 FAX 203 OTMJ93
(4
May 18, 1993
Mrs. Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue
Washington, D.C. 10500
Dear Mrs. Rodham Clinton:
I am writing to inform you of a unique physician we h*ve on. oul medical
staff with the hope that you might find time to meet her upoiL your next
visit to Connecticut.
Helen Langner, M.D., a psychiatrist, just celebrated h*r l02rMJ birthday and
has the distinction of being the second woman to be graduated from the
Yale University School of Medicine in 1922. She is a charter mimber of
the American Academy of Child Psychiatry and had a distingjjisied
practice and career in both New York and Connecticut.
1
1
Dr. Langner has been affiliated with Milford Hospital eince 1871 and is
presently on our psychiatry consulting staff. She m attends monthly
medical staff meetings and is as friendly and articulate aa ever.
It could be a great opportunity to discuss health carii [with; some one who
has seen dramatic changes over the years.
Thank you for your time and consideration and please do not hesitate to
contact me if you require additional details.
Very truly yours,
Ronald Sllverberg
Director Community Relations
and Development
h
•Ii!
ii
'I
j
Si
%
RS/lg
"i
iil
! MLZ'.Z I £6-91-9 ! OZOi JSTdOOOiei X0JaX:A9 1N3S
�THE WHITE H O U S E
WAS HIN G T O N
July
26,
1993
Mr. Ronald S i l v e r b e r g
D i r e c t o r Cornmunity Relations and Development
M i l f o r d Hospital
2047 Bridgeport Avenue
M i l f o r d , Connecticut 06460
Dear Mr. S i l v e r b e r g :
Thank you f o r your t h o u g h t f u l l e t t e r . I was pleased
t o l e a r n of Dr. Langner's d i s t i n g u i s h e d career i n h e a l t h
care. Her hard work and d e d i c a t i o n i n the f i e l d of c h i l d
p s y c h i a t r y are an i n s p i r a t i o n .
I am glad t h a t you took the time t o l e t me know about
a woman who i s t r u l y a pioneer i n her f i e l d . Please send
her my sincere a p p r e c i a t i o n f o r a l l her hard work.
Sincerely yours,
H i l l a r y Rodham C l i n t o n
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002a. letter
SUBJECT/TITLE
DATE
Vickie J. Goodson to Hillary Clinton; RE: Address and personal
[partial] (2 pages)
04/15/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 4]
2006-0810-F
dbl801
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIAj
National Security Classified Information [(a)(1) of the PRA|
Relating to the appointment to Federal office [(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Vickie J. Goodson
April 15, 1993
Mrs. Hillary Clinton,
1600 Pennsylvania Ave.'
Washington, D.C.
Dear Mrs. CIinton,
After doing our family's taxes and scraping together
the money to pay those taxes, I am in a dither.
several complaints and was told to write to you.
I have
I was also
told that you are checking into the health system here in
Arizona known as A C C (Arizona Health Care Cost
HCS
Containment System).
Let me start off by t e l l i n g you a l i t t l e b i t about my
family. My name is Vickie, I'm 35 and I work for Wilson
School District as an Instructional Assistant assigned to
the Computer Lab to teach computer s k i l l s to the
Kindergarten through Second Grade children.
I work 30 hours
a week. I get benefits and I pay for my family to be on my
dental insurance.
Paul is my husband, he's 34 and he works for American
Handicap Transport, he transports wheelchair-bound patients
to Dr.s, dialasis, appt's., wherever they need to go.
His
hours vary from 100-120+- in a 2-week time period. He does
not get over-time because this company is listed as a taxi
service therefore they aren't required to pay over-time.
Paul makes|lP6/(b)(6)-|per hour and has been there 2 years +-.
Clinton Library Photocopy
�W have 3 sons, Dustin-14, Patrick-9 and Dakotah-7.
e
All of our boys are typical boys and are large for their
ages.
Applying for assistance in the state of Arizona is a
real experience. When you apply for A C C they only take
HCS
into consideration the amount of money that you earn. No
allowance is made for outgoing cash.
I t has been known that
i f you don't qualify they have told people to go out and get
x amount of Dr. b i l l s then they w i l l qualify. So we get to
run up b i l l s that we w i l l never be able to pay and ruin our
credit rating.
When you apply for Food Stamps they determine your case
by your gross income. They give you allowances for Electric,
Gas, and Phone, Day Care i f you use i t (we don't).
They do
not give you credit for your payments i f you are buying a
vehicle nor do they give you credit for the amount of car
insurance that you pay every month, in Arizona i t i s
mandatory to carry l i a b i l i t y Insurance or the State M D w i l l
V
suspend your vehicle registration and your driver's license.
If your vehicle i s paid for and i t i s a certain year i t
doesn't matter i f your income meets the guidelines the
Bluebook of your vehicle w i l l count against you, you w i l l
not qualify for Food Stamps. A person does not get credit
for insurance payments pulled from their paychecks, they
w i l l count i t against you, or for state retirement pulled
automatically.
�I have
medical coverage through my work, but a lot of time I can't
go because I can't afford the $5 for the v i s i t or the $5 per
Rx. W have considered using my paycheck to put the rest of
e
our family on my insurance. There are pro and cons to that
idea.
The way my family and I are living was not the way I
was raised.
I am doing my best to make my children's lives
mean something to them. I f one of my children were to get
seriously i l l , we would be in trouble.
Paul
mmm
last summer, couldn't work, and we can't even begin to pay
off that bi11 of
W have other medical b i l l s that
e
we can't pay. I t seems to me that the people in the United
States can't afford medical help.
As for income tax, the government took away the
renter's credit, that hurt.
The reason I am writing to you is to ask you why? Why,
if we are l i t e r a l l y at poverty level, don't qualify for
A C C , and only can get Food Stamps a few months of the
HCS
year due to Income, by the guidelines, end up having to pay
All of these resources want you to better yourself by
being trained, getting a great job, keeping i t , having a
nice place to live and taking care of your family. I t
sounds like the American Dream but how are we supposed to do
this on a low income and we don't qualify for aid and can't
afford to give our families the medical care that they
deserve.
Clinton Library Photocopy
�Another problem that other people have mentioned and
I've noticed myself is people from Mexico come to Arizona,
they use someone elses Social Security card and Birth
Certificate to get ID.'s and state aid, after 2-5 years they
bring their family over to live with them and they get state
aid.
They are i l l e g a l .
Immigration Nationalization Service
says that when they are caught they must serve prison time
here before they are deported, so again we are stuck taking
care of them with money that should and could be put to more
resourceful uses. Our taxes pay for state aid, why do they
get i t and we don't?
According to our Dr.s office, they get paid x-amount of
dollars for x-amount of patients per month, i t doesn't
matter i f a l l of these patients come in or not in that month
or i f one patient comes in 32 times in that month, they get
the same amount of pay. No wonder there are some Dr.s that
aren't taking A C C any more or are switching plans due to
HCS
lack of payment.
The state wants people to earn a l i v i n g , to support
their families, and to spend their money here in the state.
Besides the standard for A C C and Food Stamps being raised
HCS
& changed why can't they institute a sliding scale for
people that make more than their (state aids) set limits but
not enough to have madical insurance or pay for medical
help.
Like a co-pay of $5 per month per family or
something.
I think. A C C could use the help and money
HCS
would be coming back into the program.
�Both Paul and I work. Our tax dollars go to help
support these state aid's yet, when we need state aid we
can't get i t .
I don't know what a solution would be but, I
do know that the system needs some changes from local to
federal.
/
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002b. letter
SUBJECT/TITLE
DATE
Hillary Rodham Clinton to Vickie Goodson; RE: Address [partial] (1
page)
07/26/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number: 4106
FOLDER TITLE:
Health Care [Folder 4]
2006-0810-F
dbl801
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b ( l ) National security classified information [(b)(1) of the F O I A |
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA)
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the F O I A |
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIAI
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the F O I A j
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the F O I A |
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(aX6)of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
P R M . Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�T H E WHITE
HOUSE
WASHINGTON
July 26, 1993
Ms. Vickie Goodson
Dear Ms. Goodson:
Thank you for your thoughtful and compelling l e t t e r .
I appreciate your sharing with me your coinments and
suggestions regarding the Arizona Health Care Cost
Containment System (ACHHS).
As you may know, the Health Care Task Force has
completed i t s charge from the President. Your comments
w i l l be useful as he works toward advancing this important
national i n i t i a t i v e .
Thank you again for sharing your concerns about this
important issue.
Sincerely yours,
H i l l a r ^ Rodham Clinton
Clinton Library Photocopy
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Health Care [Folder 4]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-011-010-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 11
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/ebcfb6df89d4886332a602793d1dac8a.pdf
429621b9c9678ecd8327cf19a459ade1
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
FLOTUS Correspondence
OA/ID Number:
4106
FolderlD:
Folder Title:
HEALTH CARE [Folder 3]
Stack:
Row:
Section:
Shelf:
Position:
s
59
3
11
2
�Withdrawal/Redaction Sheet
Clinton Library
D O C U M E N T NO.
A N D TYPE
001. envelope
DATE
SUBJECT/TITLE
04/06/1993
Henson; RE: Address [partial] (1 page)
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number: 4106
FOLDER TITLE:
Health Care [Folder 3]
2006-0810-F
dbl800
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b ( l ) National security classified information | ( b X l ) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the F01A|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the F O I A j
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the F O I A |
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the F O I A j
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the F O I A j
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the F O I A j
National Security Classifled Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�DEAR T^r
C^<s\-M^.'
1 URGE YOU TO REJECT THE CENTER FOR DISEASE CONTROL'S^RECOMMENDED
CASE
SURVEILLANCE DEFINITION FOR LYME DISEASE.
DOES NOT SERVE THE PUBLIC GOOD AND SHOULD
FAVOR
OF THE M R INCLUSIVE
OE
3Y
PHYSICIANS,
IS
ACCEPTED
DEFINITION
SCIENTISTS. AND
3Y THE
NATIONAL
THIS
DEFINITION
BE REJECTED IN
WHICH WAS DEVELOPED
PUBLIC HEALTH OFFICIALS, AND
LYME
DISEASE
FOUNDATION.
�JY/
Hillary Rodham Clinton
The White House
1600 Pennsylvania Ave.
Washington, D.C. 20500
Dear Mrs. Clinton,
Rett Syndrome is a devastating neurological disease that strikes only girls between the
ages of eighteen months and four years, leaving them profoundly mentally retarded for life. One
in every 10,000-15,000 oaby girls in America is diagnosed with Rett Syndrome, yet researchers
are sure that the numbers are much higher. Because of the incredible lack of publicity
surrounding this syndrome, it is usually misdiagnosed. How could a disease like this exist that
causes such devastation, yet so few know about it and embarrassingly little is done about it?
Rett research programs need firm financial support from the National Institute of
Health. Two leading molecular geneticists at Baylor University, Huda Zoghbi and Dawna
Armstrong, are on the forefront of the research in this area yet their work is threatened constantly
by limited funding. Not only must NIH funding to Baylor continue, but grant applications should
be actively solicited as the NIH does when it identifies an area of need. This is clearly an area
of need. These girls are silent sufferers. They cannot march in the streets, demonstrate or talk
to the press. No one speaks for these precious defenseless girls. I hope that their plight touches
your heart. Please help us give these girls a voice.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. envelope
SUBJECT/TITLE
DATE
04/06/1993
Henson; RE: Address [partial] (1 page)
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 3]
2006-0810-F
dbl800
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(3)1
Freedom of Information Act - |S U.S.C. SS2(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the F01A|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells |(bK9)of the FOIA)
National Security Classified Information 1(a)(1) of the PRA]
Relating to the appointment to Federal office [(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a dearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�n
o
Hilary Rodham Cfinton ^
The Whii? House ^
^
1600 Penpsylvania. Ave.
Washir-gron, D.C. 20500
1 ud
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care [Folder 3]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Source
A related resource from which the described resource is derived
2194630
42-t-2194630-20060810F-Seg2-011-009-2015
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 11
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/12dad9a1cfd8c6eb4a32a62ddd7ae1f8.pdf
a1fe03ef329a324bbc99fe5775d7e369
PDF Text
Text
FOIA Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
FLOTUS Correspondence
OA/ID Number:
4106
FolderlD:
Folder Title:
HEALTH CARE [Folder 2]
Stack:
Row:
Section:
Shelf:
Position:
S
59
3
11
2
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001a. letter
Carl Helwig to Hillary Rodham Clinton; RE: Address and personal
[partial] (1 page)
03/28/1994
P6/b(6)
001b. envelope
Carl Helwig; RE: Address [partial] (1 page)
03/28/1994
P6/b(6)
001c. letter
Hillary Rodham Clinton to Carl Helwig; RE: Address [partial] (1
page)
04/19/1994
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 2]
2006-0810-F
dbl799
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the F01A|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001a. letter
SUBJECT/TITLE
DATE
Carl Helwig to Hillary Rodham Clinton; RE: Address and personal
[partial] (1 page)
03/28/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 2]
2006-0810-F
dbl799
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of (he FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9)of the FOIA)
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office [(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�March 28,1994
Mrs. Hillary Rodham Clinton
The White House
Washington, D.C. 20501
Dear Mrs. Clinton,
The notice made my day.
Please keep up the good work. It is quite obvious you are making a difference
Sincerely,
Carl Helwig
Clinton Library Photocopy
�George £ Barnes. M O . FA.CS
David G Kasti, M.D., FA.CS.
Michaal N Biotheis. M O
Michael J. Rabom, M.D .F.A.C.S.
Harry A. Roach, M.D.. F.A.C.S.
A MadlcHl Coifwailon
m
Barnes, Kastl, Brothers, Raborn and Roach
Cardiac, Vascular & Chest Surgery
3800 Houma Boutev/ard
Suite 360
Melalrie, LA 70006
Board Certification
American Board ot Surgery
American Board ot Thoracic Surgery
March 10,1994
Dear Patient,
We are pleased to inform you of our forthcoming association with three
fine and talented surgeons. Effective April 1,1994, we will have merged our
practice with Drs. Todd Engelhardl, Warren Gottsegen and James Tubb.
Regretfully, changes in the attitudes of government, insurance
companies and managed cave entities have forced us to become more cost
effective. The complexities and the paper work are not only costly but
distract us from our primary objective: taking care of our patients. We
perceive that this merger will afford us a better opportunity to provide the
personal attention that is expected and has exemplified our practice.
We are enthusiastic about our new group and look forward to
continuing to provide quality care and service in the disciplines of cardiac,
thoracic and vascular surgery. We can be contacted at the Metairie addres..
and telephone number as mentioned in the above letterhead.
Sincerely,
Micheal N. Brothers, M.D.
David G. Kastl, M.
rry A. Roach, M.D.
Metairie
(S04) 456-1922
Covington
(504) 692-5206
Slldell
(504) 649-1635
FAX
(504) 456-2577
PRESERVATION
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. envelope
DATE
SUBJECT/TITLE
03/28/1994
Carl Helwig; RE: Address [partial] (1 page)
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 2]
2006-0810-F
dbI799
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Car! €. IMJwif
•4
.Ms'
it
n
o
Mrs. Hillary Rodhaui Clinton
The White House
Washington, D.C. 20501
cr
i.,l.!ll...,}.l.!l.nH<ii..l.[i
5'
r—to
Z3
Tl
O
o
o
3
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001c. letter
DATE
SUBJECT/TITLE
Hillary Rodham Clinton to Carl Helwig; RE: Address [partial] (1
page)
04/19/1994
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 2]
2006-0810-F
dbl799
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [S U.S.C. S52(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOI A]
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute [(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASH I NGTON
A p r i l 19, 1994
Mr. C a r l Helwig
Dear Mr. Helwig:
Thank you f o r your t h o u g h t f u l l e t t e r . I a p p r e c i a t e
your k i n d words o f support f o r t h e President's h e a l t h care
reform p l a n .
The President's h e a l t h care reform proposal responds
d i r e c t l y t o t h e c r i s i s our n a t i o n now faces i n h e a l t h care.
At some p o i n t d u r i n g t h e year 58 m i l l i o n Americans
go w i t h o u t insurance, and 2 m i l l i o n Americans lose t h e i r
insurance each month. I n an e f f o r t t o g i v e Americans t h e
h e a l t h s e c u r i t y they deserve, t h e President wants t o
s t r e n g t h e n what's r i g h t about our h e a l t h care system and
f i x what's wrong. The President's proposal works t h e
f o l l o w i n g way:
Guaranteed p r i v a t e insurance. Every American w i l l be
guaranteed p r i v a t e comprehensive insurance coverage
t h a t can never be taken away.
Choice. A l l Americans w i l l have t h e r i g h t t o choose
t h e i r own doctor and h e a l t h p l a n . I t w i l l be t h e
i n d i v i d u a l , n o t t h e employer or insurance company, who
w i l l make t h i s important choice.
Outlaw u n f a i r insurance p r a c t i c e s . I t w i l l be i l l e g a l
f o r insurance companies t o : drop coverage o r c u t
b e n e f i t s ; increase r a t e s because of sickness; use
l i f e t i m e l i m i t s t o c u t o f f b e n e f i t s ; or charge o l d e r
people more than t h e young. This w i l l make i t
p o s s i b l e f o r a l l Americans t o o b t a i n dependable and
a f f o r d a b l e insurance.
Preserve Medicare. Older Americans have a r i g h t t o
depend on Medicare and choose t h e i r own d o c t o r s . The
President w i l l p r o t e c t and strengthen Medicare by
c o v e r i n g p r e s c r i p t i o n drugs and p r o v i d i n g new o p t i o n s
f o r long-term care i n t h e home and t h e community.
Health b e n e f i t s guaranteed a t work.
Every j o b should
Clinton Library Photocopy
�come w i t h h e a l t h b e n e f i t s . The government w i l l
provide discounts f o r small businesses and help cover
the unemployed.
This nation now has an h i s t o r i c opportunity t o reform
our h e a l t h care system t o make i t work f o r a l l of us. Your
support w i l l be invaluable t o the President as h i s
A d m i n i s t r a t i o n works toward meaningful and l a s t i n g change
i n our h e a l t h care system.
Sincerely yours,
H i l l a r ^ Rodham C l i n t o n
�®
F l o a t i n g Hospital for C h i l d r e n at
New England Medical Center
D e p a r t m e n t of Pediatrics
March 21, 1994
Mrs. Hillary Clinton
The White House
1700 Pennsylvania Avenue
Washington, D.C. 20500
Dear Mrs. Clinton:
Division o f G a s t r o e n t e r o l o g y
and N u t r i t i o n
Richard J. Grand,
Clmf
M.D.
(617) 956-11130
Rahel Berhane,
(617)
M.D.
956-01)7
Kathleen A. Calenda, M.D.
Congratulations for your decision to change chefs at the White House.
Your decision provides for Americans a crucial example of the steps individuals
must take to assure their health and that of their famiiies. Like you, we believe
that American cuisine can be modified in a manner that satisfies both taste and
health.
(617) 956-0134
William
(6/7;
H. Dietz, M.D.,
Ph.D.
956-0132
Nancy A. Langhans,
(617) 956-0137
M.D.
Munir Mobassaleh, M.D.
(617) 956-0137
Thank you for making the White House such an important example of
disease prevention and health promotion.
Randi G. Pleskow,
(617) 956-0134
M.D.
Menno Verhave, M.D.
(617) 956-0134
Sincerely,
Roslyn G. Weiner, Ph.D.
(617) 956-0132
Research L a b o r a t o r y
Robert K. Montgomery,
Ph.D.
Ihrecli/r
(617) 956-7963
William H. Dietz, M.D., Ph.D.
Director, Boston Obesity/Nutrition Research Center
N u r s i n g Staff
Mary Forbes-Gallotto, R.N.
Anne Marie Pizzi, R.N.
Claire Thiebauth, R.N.
WHD/dab
(617) 956-0135
750 Washington Street
NEMC#213
Boston, Massachusetts 02111
Patient A p p o i n t m e n t s
Tel: (617)956-0135
Division A d m i n i s t r a t i o n
Carol Joubert
Tel: (617) 956-0130
Fax: (617)350-8388
The principal teaching hospital for
Tufts University School of Medicine
�®
Floating Hospital for Children at
New England Medical Center
The principal teaching hospital for
Tufts University School of Medicine
Pediatric Gastroenterology
and Nutrition
750 Washington Street, NEMC #213
Boston, Massachusetts 02111
Mrs. H i l l a r y Clinton
The White House
1700 Pennsylvania Avenue
Washington, DC 20500
6737054
1
�THE WHITE HOUSE
WASHINGTON
A p r i l 22, 1994
W i l l i a m H. Dietz, M.D.
D i r e c t o r , Boston Obesity, N u t r i t i o n Research Center
F l o a t i n g H o s p i t a l For Children At
New England Medical Center
Number 213
750 Washington Street
Boston, Massachusetts 02111
Dear Dr. Dietz:
Thank you f o r your t h o u g h t f u l l e t t e r . I t i s a
pleasure t o hear from i n d i v i d u a l s l i k e you who share our
b e l i e f i n the b e n e f i t s of a n u t r i t i o u s l o w - f a t d i e t .
N u t r i t i o n and healthy eating h a b i t s are important t o
the F i r s t Family as they should be t o every f a m i l y .
I appreciate your words of support.
Sincerely yours,
r
H i l l a r Rodham C l i n t o n
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
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Clinton Presidential Records
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William J. Clinton Presidential Library & Museum
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Title
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Health Care [Folder 2]
Creator
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First Lady's Office
Maggie Williams
Source
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2194630
42-t-2194630-20060810F-Seg2-011-008-2015
Identifier
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2006-0810-F Segment 2
Is Part Of
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Box 11
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
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William J. Clinton Presidential Library & Museum
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5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/0656571daecd67b93e74b10d41e38aa9.pdf
75ee0e656bc65b3e6bdd79a4b2402996
PDF Text
Text
F O I A Number:
2006-0810-F (2)
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
FLOTUS Correspondence
OA/ID Number:
4106
FolderlD:
Folder Title:
HEALTH CARE [Folder 1]
Stack:
Row:
Section:
Shelf:
Position:
S
59
3
11
2
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT/TITLE
DATE
RESTRICTION
001. fax
Stephen R. Reed to Hillary Rodham Clinton; RE: Phone number
[partial] (1 page)
09/22/1993
P6/b(6)
002a. letter
William Ellis to Hillary Rodham Clinton; RE: Address [partial] (1
page)
09/06/1993
P6/b(6)
002b. envelope
William Ellis; RE: Address [partial] (1 page)
09/09/1993
P6/b(6)
003a. card
Alison Burton to Hillary; RE: Address and phone number [partial] (1
page)
n.d.
P6/b(6)
003b. envelope
Alison Burton; RE: Address [partial] (1 page)
09/14/1993
P6/b(6)
004. letter
Jill Pfau Maelzer to Hlilary Rodham Clinton; RE: Personal (4 pages)
08/24/1993
P6/b(6)
005. letter
Becky L. Nixon to Hillary Rodham Clinton; RE: Personal and address
[partial] (2 pages)
08/19/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number: 4106
FOLDER TITLE:
Health Care [Folder 1]
2006-0810-F
dbl798
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 5S2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute [(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information [(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA|
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the F01A|
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. fax
DATE
SUBJECT/TITLE
Stephen R. Reed to Hillary Rodham Clinton; RE: Phone number
[partial] (1 page)
09/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 1]
2006-0810-F
dbl798
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information [(aXD of the PRA]
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA]
P3 Release would violate a Federal statute |(aX3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(I) National security classified information [(bXl) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOI A|
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of Ihe FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�09/22/93 08:30
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MESSAGE:
Clinton Library Photocopy
�09/22/93
08:30
5166813245
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002a. letter
DATE
SUBJECT/TITLE
William Ellis to Hillary Rodham Clinton; RE: Address [partial] (1
page)
09/06/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE;
Health Care [Folder 1]
2006-0810-F
dbl798
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI National Security Classified Information 1(a)(1) of the PRA)
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA|
b(l) National security classified information |(bXl)of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�i.
September 6,
1993
Mrs Hillary Rodham Clinton
The First Lady
The White House
1600 Pennsylvania Avenue
Washington, D.
0.20^0
White House Correspondence No765 ^ 3 0
U 5 Postal S e r t / ^ - e
Dear Mrs. Clinton:
I (and I am sure my co-workers at the Oakland Plant and Distribution
Center ) would like to thank you for your assistance in keeping our Medical
Unit open.
While the quality of care remains a matter of some concern, at least we will
have a nurse there on a full-time basis as of September 18, 1993.
If you or the President are ever in the Oakland area again, we would be
delighted to see you at the Oakland Plant and Distribution Center.
So thanking you again for your assistance and with mine and my coworkers best wishes to you and the President,
I am,
Sincerely Yours,
William Ellis
Clinton Library Photocopy
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002b. envelope
DATE
SUBJECT/TITLE
09/09/1993
William Ellis; RE: Address [partial] (1 page)
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 1 ]
2006-0810-F
db[798
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)]
PI
P2
PJ
P4
b(l) National security classified information |(bXl)of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIA)
b(3) Release would violate a Federal statute |(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOI A]
National Security Classified Information |(a)0)of the PRA]
Relating to the appointment to Federal office |(aX2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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D. P E T E R S O N & A S S O C I A T E S
CONSULTANTS TO HEALTH CARE LEADERS
August 31, 1993
Hillary Rodham Clinton
The White House
1600 Pennsylvania Ave.
Washington, DC 20006
Dear Mrs. Clinton:
It was a sincere pleasure to hear your remarks at the Annual Meeting of the
American Hospital Association. You are a most articulate spokesperson on
the health care challenges and solutions. I recognize that your role is a
rather thankless one—the issues are thorny and the solutions are not
simple. However, many are anxious to work with you on the complex
solutions.
Again, it was a pleasure to meet you and to have the photographic
onporrunity with you and the members cf the American Hospital
Association Board.
Best wishes in your endeavor, and I personally stand ready to help in any
way.
Sincerely,
Diane Peterson, FACHE
President
1020 HOLCOMBE BOULEVARD, SUITE 1107 • HOUSTON, TEXAS 77030* 713/795-5800• FAX 713/795-4417
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The White House
1600 Pennsylvania Ave.
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003a. card
SUBJECT/TITLE
DATE
Alison Burton to Hillary; RE: Address and phone number [partial] (1
page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's OfTfice
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 1]
2006-0810-F
dbl798
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
Pi
P4
b(l) National security classified information [(bXl)of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(bX3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions |(b)(8)orthe FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells j(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office |(aX2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�02619-001 E-OI
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003b. envelope
SUBJECT/TITLE
DATE
Alison Burton; RE: Address [partial] (1 page)
09/14/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
Health Care [Folder 1]
2006-0810-F
dbl798
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. SS2(b)|
PI
P2
P3
P4
b(l) National security classified information 1(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIAj
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors la)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�• ff-
PRESERVATION
l..l>lll.l..llltlt.Hn,HllM.ll...lfM..I.I.I„hl
Clinton Library Photocopy
�Letters Reflect Anxiety Over Gaps in Care and Outrage Over Costs
By Natalie Davis Spingani
Spcdri lo T V WMta^tai Put
here were usually a dozen or so of
us volunteers, sitting at a long
table in one of three higb-ceOinged
rooms in the grandiose Old
Executive Office Building reading, coding,
sorting and analyzing many thousands of
health letters that began Dear Hillary."
I felt a sense of kinship with the
writers. For years, as a freelance
journalist, I have written about health
care. But I have also confronted the
system personally, since I was first
diagnosed and treated for breast cancer
19 years ago. So I recognized the despair
and frustration of many of the stories
these authors told.
As a lifelong Democrat, I had helped on
Bill Clinton's transition team. When the
White House Health Care Task Force
was formed, I continued to work
part-time for six months as a volunteer.
The ambiance could be heady. Once
admitted through the strict security
system, you entered the spacious
corridors, with elegant curving granite
staircases, skylit domes and black and
white marble floors. Along these
corridors, you could even meet the
President on his way to the Indian treaty
Room, striding ahead of his retinue; he
always took time to stop and shake hands
with people.
We volunteers—hundreds of people of
al) ages, shapes, complexions and
backgrounds—tackled the thousands of
letters a day received by the White
House. A large percentage zeroed in on
health care.
T
Many of the letters I handled came
' fraud and inefficiency that patients
from professional people who were not
encounter.
physicians.
The system needed change, most of
the writers stated, and some added that
What struck me in the letters was the
high level of anxiety people feel over gaps they would be willing to pay for such
change. They had put careful thought into
in their health care and outrage over the
their many suggestions on how to achieve
cost. A clinical social worker, for
reform. Some detailed plans for a new
example, who can't change insurance
system. A pharmacist, for example,
companies because she has breast
suggested a UJS. Health Board,
cancer—a preexisting conditiao—is
somewhat like the Federal Reserve
therefore stuck with a monthly health '
Board, to pinpoint deficiencies, draw up a
insurance premium of $670 and
plan, monitor its effectiveness and set up
foreclosed from disability insurance.
zones with screening centers. A hospital
Medical bills, carefully reproduced in
employee's six-point plan stipulated that
thousands of copy machines from Maine
doctors and hospital employees should be
to Florida to California, were sent in as
prohibited from owning health care
hard proof of outrageous charges often
provider stocks.
.
made to Medicare—including one for
$400 for afive-mileambulance ride.
Others—particularly those who had
lived and worked in countries with
There was some "canned" mail—aa :;
different health care systems such as
estimated 10 percent—usually seqt by a
professional group, such as chiropractors. ' Germany, Australia and Canada—
generally advocated universal coverage
Less often, people concerned with a :
with comprehensive benefits (although
specific problem like infertility wrote
one doctor warned that such a system
similar letters. Some of the non-physician
would exacerbate shortages). Social
professionals—mental health workers or
dietitians, for example—simply stated , > workers and psychologists, among others,
their belief in how their work benefited • warned the president and first lady of the
impersonality of decision-making in ;
patients; others argued forcefully that /
managed care systems.
.
:
excluding their specialty from coverage
would be counterproductive.
Many wanted a holistic—or
.. " '
"wellness"—approach included in any new
The issues that aroused the most .
health care scheme. These rangedfroma
passion were varied: denial of insurance
licensed acupuncturist who reported that his
benefits for people with congenital
rheumatoid arthritis had been cured by
conditions or chronic illnesses that can be
herbal cleansing and fasting to a registered
managed medically but are quite
nurse who said that since "wellness vs.
expensive to treat; the soaring cost of
illness is the key," people must learn to
insurance premiums, particularly for
assume responsibility for their health, losing
individuals with preexisting conditions,
weight and making other lifestyle changes.
families and small businesses; the need
for long-term care and expanded mental
There were those who wanted more
health services; rules and regulations that emphasis on living wills and less on the
are often contradictory or cause hardship, life-extending machines. And advocates
and of course, the examples of waste,
for young people were particularly
compelling: Parenting classes should be
offered in the schools, the writers,
especially the nurses, argued; more
attention should be paid to the prevention
of unwanted pregnancies—and to all
reproductive health—and to youthful
violence. Many wanted mobile clinics of
one kind or another, whether to dispense
vacdnes or eyeglasses.
But the vast majority of
:;
correspondents wanted above all to share
their personal health care experiences
and concerns. Asked by the president and
Hillary Rodham Clinton for their ideas,
they responded willingly. Although many
seemed aware that the first family might
not actually read their words ("I know
you won't see this, but. . ."), they were
weighing in, glad, or at least hopeful, that
people in high places were finally ready to
fisten.
A fellow volunteer told me that she
found many letters sad. Reading them,
she confessed, tears came to her eyes;
wasn't it enough to grapple with gragff^
disease, without having to fight to fiqd.
the necessary care, and pay for it? i ^tf
My reaction was different. I found
myself uplifted to know that those whi* in
recent years had so often argued that^ ^
there was no groundswell in America jor
real reform were wrong; these letter^ ;'
constitute a remarkable civic outpouring. •
K
Natalie Davis Spingam has worked on
health care issues, both as a government \
official and a private citizen, and isttif ,
author of several books. She also has served'
as a commissioner of D.C. General Hospital
and the executive director of the National
Commission on Confidentiality of Health
Records. She is now vice chair of the
National Coalition for Cancer
Survivorship.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
SUBJECT/TITLE
DATE
Jill Pfau Maelzer to Hlilary Rodham Clinton; RE: Personal (4 pages)
08/24/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number:
4106
FOLDER TITLE:
HealthCare [Folder 1]
2006-0810-F
dbl798
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 5S2(b)|
PI National Security Classified Information 1(a)(1) of the PRA|
P2 Relating to the appointment to Federal office 1(a)(2) of the PRA|
P3 Release would violate a Federal statute 1(a)(3) of the PRA|
P4 Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
b(l) National security classified information 1(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIAj
b(3) Release would violate a Federal statute |(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIAj
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy |(bX6) of the FOIAj
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIAj
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAj
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�September 15, 1993
7
Ms. Hillary Rodham-Clinton
White House
1600 Pennsylvania Ave
Washington DC 20500
Dear Ms. Rodham-Clinton,
I have recently changed my party affiliation from Republican to Democratic. The reasons for this
are many but the biggest reason, by far, is professional. As a dentist, I've become increasingly
embarrassed, ashamed and disgusted with the posture my profession takes towards dental care for
middle and lower income Americans.
I'm interested in supporting your efforts in health-care reform with respect to my profession. We
presently have 3 and will soon have 6 successful metro-Denver area dental clinics. Our 16
dentists and 70 employees all support themselves nicely with a concept that the huge majority of
my profession believes won't work: Our emphasis is middle and lower income patients. We offer
lower fee, yet quality care to Medicaid patients, managed care patients, self-pay patients,
insurance patients, all patients. Every kind of dental patient is wanted in our practices. We
believe our concept satisfies the concerns of the American people and the concerns of my
profession. We hope to someday expand our unique concept beyond the meto-Denver area.
Enclosed is an editorial on this subject that I wrote for our leading professional business
periodical. I have been called one of the leading practice management experts in my profession.
If I can be of any assistance to you in your health-care reform efforts with respect to dentistry,
please do not hesitate to contact me. I remain at your service.
Sincerely,
Rick A. Kushner, D.D.S.
P S. Please notify me as to how I may contribute to the President's re-election campaign fimd.
COMFORT DENTAL GROUP INC.
17404 W. 53rd Drive Golden, CO 80403 303-278-3335
�Are W B c mn a Profession of Bitists?
e eo i g
Even if third-party involvement
've read with disturbed interest
mean an affordable, serviceable^!
away,
surroundI the minor controversyCapitation" does golonger ascapitation would cosmetic immediate denture o r*^ f
survive
the lower-cost
ing the "Understanding
does it mean not doing immediate
,
^ ttfcWr!.'.".i>i;(: .i;.
•mm
MM
i
i•
vllill
Viewpoint in Dental Economics'
December 1992 issue. In it, Dr.
Howard Farran presents a thoughtful, yet flawed (the one I would
write would be flawed, also), analysis of capitation. Dr. Farran, whether you like him, dislike him, are
indifferent to him or are ignorant of
him, is one of the most innovative
thinkers this profession has ever
seen. Free thinking is sadly missing
in this profession.
Subsequent issues of this magazine have included several responses to Dr. Farran's article. One
letter-writer feels that the impending shortage of dentists will cause
capitation to go away. Golly-gee, I
wish it were so. Managed care is
not the cause of any of our problems—it's a result. Nor is it the
solution to our problems. It is simply a piece of an extremely complex provider puzzle in an extremely complex national economy. Capitation is not going away. Unless,
that is, third-party involvement in
dentistry goes away completely;
and that actually could happen.
The author has been involved with
lecturing and consulting in the field of
dental-practice management for more
than 13 years. His "Lean and Mean"
seminar series has become a yardstick
for measuring practice profitability. Dr.
Kushner still is a practicing dentist and
manages two practices which he started within the last four years in Colorado. Seminar information can be obtained by calling 303-277-0001, or writing Table Mountain Seminars, 17404
W. 53rd Drive, Golden, CO 80403.
alternative.
Where do dentists who think capitation will magically disappear develop these ideas? Do they ever
venture out of their 1 0 x 1 0 boxes
and look at the changes in their
marketplace? (For those of you
who graduated prior to 1970, by
"changes in their marketplace," I'm
Managed care
is not the
cause of any
of our problemsit's a result.
referring to the willingness and ability of the patient base to pay for our
services.) Or, when they do venture
out, is it only to their dental-society
meetings filled with lots of people
who all think the same way?
Another letter-writer rips Dr. Farran pretty good for using the word
"profit" too often and not using the
words quality and excellence. I've
never known what quality in dentistry really means. Does it mean
an economical amalgam with excellent contacts and margins, or
does it mean not doing amalgams
at all? Does it mean a quick, painless extraction, or does it mean not
doing extractions at all? Does it
dentures at all? Does it mean treat- ^
ing only patients with the right den-, ^
tal IQ and pocketbook, or does it ;;!?;
mean treating all types of patients ^
with kindness and respect according to their value systems and their ^
willingness and ability to pay? I'm | l
so confused with all this talk about
quality and excellence.
I know nothing at all of the prac-';
tices of the "capitation will goj
away" dentists, and I have nc
doubt whatsoever that they are o u t ^ g
standing clinical dentists, but I'll bet j
dollars to donuts that they have
been in practice at least 30 yeara
I'd further bet that a first visit to one
of their offices costs about $100,^
and you'd better bring the $100
with you on that first visit or you're 7;.
not welcome. It's so much easier to i
be ideological and to use and live : | .
by phrases such as care and skill '
and judgment and clinical and diag*.
nostic excellence when you established your practice in the "golden 0 .
age of dentistry" sixties. If all the
"dream practice" really required ^
was hard work, dedication and
postgraduate courses, there would tjf
be tens of thousands of dream 4 .
practices in this country—and 1 1 *
haven't found a single one yet.
As for the word "profit," this \ s ^ ' '
still, after all, America. For a signifi- 7
cant percentage of American den-;.:|
lists, even clinically excellent d e n - ^ .
tists, "profit" must be the primary
goal as bankruptcy becomes a real .i
possibility.
Still another letter-writer facetiously accuses Dr. Farran of believing welfare dentistry is profitt
DENTAL ECONOMICS / JUNE 1993
23
;
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26
DENTAL ECONOMICS / JUNE 1993
able. For 16 years, each of our
practices has accepted Medicaid
patients (along with indemnity insurance patients, self-pay patients,
capitation patients, rich patients,
poor patients, fat patients, thin patients, all patients) and no, it's not
profitable. We do so out of a commitment to our entire community
and with a belief that someday, just
maybe, the Medicaid patient will
get a job or that maybe, just maybe, the Medicaid patient has a
friend who has a job and he'll remember we treated him with kindness and respect when he was in
need. Even though we're among
the few in our area to see Medicaid
patients, we're frequently criticized
as placing profit above all else.
My overall point is that I'm extremely concerned that we're rapidly becoming a profession of elitists.
. We're turning our backs on the bulk
of our patient base; and fewer and
fewer of our population can afford
our care, any care. We have 95
percent of the profession sniffing
after 5 percent (and shrinking) of
the patient base, and the numbers
just don't work. Our country has
changed —not changing, but
changed. The reality is that we're
under constant pressure to see
more patients and perform more
services for fewer dollars without
sacrificing quality. Sounds pretty
impossible and is incredibly difficult, but some of us feel we have a
pretty good handle on it. Managed
care is just a weapon to wage the
battle on cost of dental service.
I've tried for 10 years to prepare
this country's dentists for the market we face by remaining open to
different service-providing opportunities. I've recommended not limiting practices in any way and man-
aging meticulously all areas of the
practice. Those who listened will
win in the current marketplace even
if it's by losing less than the rest.
I have two sons who talk about
becoming dentists. The older one
could conceivably be in dentistry in
10 or so years. Let's hypothesize
that he will have no financial help
whatsoever upon dental-school
graduation. Let's say he's $75,000
in debt from school and faces another $100,000 practice start-up
debt in an economy like the one we
now are in. Let's say he's married
and has an infant to support. Do I
prefer he follow the ideological,
philosophical advice of the letterwriters or the realistic, profit-motivated advice of the type Dr. Farran
gives? Guess! It's 1993, gang.
Name a business that functions
today with 30-year-old thinking.
I was fortunate enough recently
to attend the Conservative Summit ~
in Washington, D.C. I was interest- ^
ed in the position on the health-^
care crisis of the think tank of t h e ^
Heritage Foundation. It seems as
though Mrs. Clinton may work with. •
the Heritage Foundation on her
health-care project. My conclusion
is that we could be in for a major
earthquake. Those of you who are..;;
offended by the word "profit" are.
going to love the next 10 years, ;;:
unless, of course, the phrase "lack,:
of profit" offends you also.
• ;
Ed/tor's Note: Readers are invited ;
to submit manuscripts for consider- \
ation for the Viewpoint column. The
staff reserves the right to edit
manuscripts to fit available space.
Send manuscripts to:
Dental Economics
Box 3408
Tulsa, OK 74101.
�17404 W. 53rd Drive
Golden, CO S0403
Ms. H i l l a r y Rodham-Clinton
White House
1600 Pennsylvania Ave
Washington DC 20500
I n U l i n n h h i h n i L n u i U
�A u g u s t 19, 1993
Mrs. H i l l a r y Rodham C l i n t o n
c/o The W h i t e House
1600 P e n n s y l v a n i a Avenue
W a s h i n g t o n , D.C.
Dear Mrs.
Clinton:
I have d e b a t e d f o r months now as t o what m i g h t be
a c c o m p l i s h e d by t h e w r i t i n g o f t h i s l e t t e r .
I have now
c o n c l u d e d t h a t , r e g a r d l e s s o f w h e t h e r or n o t i t i s e v e r seen
or i t s c o n t e n t s t a k e n s e r i o u s l y does n o t m a t t e r .
I must
t e l l t h i s s t o r y i n o r d e r t o f r e e m y s e l f o f t h e m o r a l and
p r o f e s s i o n a l f r u s t r a t i o n I have s u f f e r e d f o r t h e p a s t f o u r
years.
I am a 35 y e a r o l d woman, o r i g i n a l l y f r o m F l o r i d a , h a v i n g
r e l o c a t e d t o D a l l a s a l m o s t f o u r y e a r s ago.
I t i s an.
u n d e r s t a t e m e n t t h a t my l i f e , b o t h p e r s o n a l l y and
p r o f e s s i o n a l l y has changed d r a m a t i c a l l y i n t h o s e few s h o r t
years.
I am a 16 y e a r v e t e r a n employee o f t h e i n s u r a n c e
industry.
I began my c a r e e r i n i n s u r a n c e s a l e s and o v e r t h e
c o u r s e o f my c a r e e r , have been exposed t o most f a c e t s o f t h e
i n d u s t r y , i n c l u d i n g S a l e s and M a r k e t i n g , I n s u r a n c e S o f t w a r e
S a l e s and E d u c a t i o n , and f o r t h e p a s t f o u r y e a r s , as an
e x e c u t i v e i n t h e h e a l t h i n s u r a n c e m a r k e t here i n Texas.
The
s i t u a t i o n s I have w i t n e s s e d i n r e c e n t y e a r s , b o t h p e r s o n a l l y
and p r o f e s s i o n a l l y , a r e a p p a l l i n g a t b e s t and have p r o m p t e d
me t o w r i t e t h i s l e t t e r .
Mrs. C l i n t o n , I c a n n o t b e g i n t o e x p r e s s t o you t h e d e g r e e o f
w a s t e , abuse o f power ( b o t h R e g u l a t o r y and w i t h i n t h e
i n s u r a n c e c o m p a n i e s ) , l a c k o f m o r a l f i b e r and c o m p l e t e
s o c i a l i r r e s p o n s i b i l i t y I have s e e n . I have worked f o r
c o m p a n i e s who f e e l no f i n a n c i a l or m o r a l o b l i g a t i o n t o
p r o p e r l y p r e p a r e f o r and r e s e r v e f o r (as r e q u i r e d ) t h e i r
policyholder's potential claims.
I have seen a 21 y e a r o l d
young man by t h e name o f G r e g o r y P. Romero, l i t e r a l l y d i e on
the
s t e p s o f a L o u i s i a n a h o s p i t a l because h i s f a m i l y was
t o l d t h a t t h e i n s u r a n c e t h e y had p a i d f o r f o r over 3 y e a r s
was no good.
I spoke a t l e n g t h w i t h h i s m o t h e r as she
b a t t l e d , n o t o n l y t h e l o s s o f her s o n , b u t t h e i n s u r a n c e
company she had r e l i e d on as w e l l .
I have seen t h a t same
company spend a s t r o n o m i c a l sums o f money on c o r p o r a t e j e t s ,
$1200.00 " b u s i n e s s d i n n e r s " , and p e r s o n a l expenses by t h e
t e n s o f t h o u s a n d w h i c h were p a i d f r o m company f u n d s .
I do
r e c o g n i z e t h a t a l l o f t h e s e t h i n g s have been g o i n g on f o r
many y e a r s p r i o r t o my becoming a p a r t o f t h i s i n d u s t r y ; b u t
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005. letter
SUBJECT/TITLE
DATE
Becky L. Nixon to Hillary Rodham Clinton; RE: Personal and address
[partial] (2 pages)
08/19/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams (FLOTUS Correspondence)
OA/Box Number: 4106
FOLDER TITLE:
Health Care [Folder 1]
2006-0810-F
dbl798
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b ( l ) National security classified information 1(b)(1) of the F O I A |
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the F O I A j
b(3) Release would violate a Federal statute 1(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells 1(b)(9) of the FOIA]
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office 1(a)(2) of the PRA|
Release would violate a Federal statute [(a)(3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5)of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�to witness i t f i r s t hand, to watch companies fold due to
poor regulatory supervision, and to see policyholders
struggle to keep their homes and families intact due to
these f a i l u r e s , i s more disheartening than you can imagine.
I have been on my own since age 16. I have worked hard to
provide for myself and for my family, and u n t i l recent years
have taken enormous pride in the s e l f - s u f f i c i e n c y and s e l f respect that my career has afforded me.
I now find myself
with a wonderful healthy new marriage with so much hope and
so many personal goals, many of which w i l l undoubtedly never
be r e a l i z e d due to personal and professional obstacles. I
have always been able to maintain my optimism, even during
the most d i f f i c u l t challenges of my l i f e , but my doubts as
to the s u r v i v a l of the only industry I have ever known are
increasing almost d a i l y .
Mrs. Clinton, I have a beautiful step-daughter who i s s i x
and want more than anything to s t a r t a family of my own.
Unfortunately, as I have no way to obtain health coverage to
cover a pregnancy, the f i n a n c i a l concerns must outweigh that
desire for right now.
I cannot t e l l you what a painful
r e a l i z a t i o n that i s . My insurance company does not provide
any s i g n i f i c a n t maternity coverage, and even i f I did chose
to purchase what l i t t l e coverage i s a v a i l a b l e , the premium
for the maternity benefit alone i s $271.80 per month. My
present premium for my major medical coverage i s only
$171.30 per month. Changing companies i s not an option. I
recently underwent surgery which would prohibit me from
obtaining coverage with another c a r r i e r , due to the preexistence of t h i s problem. Seven years ago, I suffered one
Fortunately, I also have, what
I consider one of the few t r u l y "good" insurance companies
s t i l l in existence. They were not only supportive and
helpful, but were very expedient about processing over
PfPtbTieWlworth of claims. The t r u l y sad part of the entire
experience was seeing the b i l l s which were submitted to the
hospital and paid by the insurance company. My hospital
b i l l alone was over P S
m i M M i > M & $ M . T h i s did not include the surgeons
b i l l , the anesthesiologist, or any other out-patient
expenses.
I f i n a l l y had a f i r s t hand look at a health
claim, from the prospective of both myself and the insurance
company. The costs for t h i s medical care was exorbitant and
Clinton Library Photocopy
�I found myself wondering how any company can survive while
attempting to meet these outrageous costs.
I do apologize for the long windedness of t h i s l e t t e r , and
w i l l now attempt to make my point. Mrs. Clinton, the
position you and your husband have taken on Healthcare
Reform i s so primary to our s u r v i v a l and growth as a
country, and I am anxiously awaiting the outcome of the
discussions and plans presently surrounding t h i s issue. We
have Insurance Companies who are controlled by people who
have very l i t t l e actual regard for the policyholders who
keep them in business, yet have no choice but to keep
r a i s i n g our premiums to cover the escalating costs of
healthcare. We have Healthcare Providers who think nothing
of charging exorbitant fees for services that most Americans
cannot afford, even with insurance benefits, and f i n a l l y , we
have the American public whom, i t would appear, must t r y to
survive in a Nation that cannot seem to look out for their
own.
In closing, I s i n c e r e l y hope that you have the opportunity
to read t h i s l e t t e r . I r e a l i z e that I am t e l l i n g you
nothing new, e s p e c i a l l y with the s i g n i f i c a n t research that
has obviously been prepared on these issues, but I t r u l y
believe that most Americans recognize the merit of proposed
change in t h i s Administration, and I applaud you both for
the promise of hope that your time in Office brings to us
a l l . My best wishes to you as you meet the unique
challenges you are facing, on t h i s and a l l other issues.
Sincerely,
Clinton Library Photocopy
�
Dublin Core
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Health Care Reform
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2006-0810-F
Description
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<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
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Clinton Presidential Records
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Health Care [Folder 1]
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First Lady's Office
Maggie Williams
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Box 11
<a href="http://clinton.presidentiallibraries.us/items/show/36145" target="_blank">Collection Finding Aid</a>
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William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/27/2015
-
https://clinton.presidentiallibraries.us/files/original/b1a8a7fd1f6492515a55d9a75ba0b131.pdf
1a2e7eba350efec3e28b0cc9a2fb0dfb
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderlD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); March 23, 1994 [2]
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
7
2
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit - HCTF (Health Care Task Force); March 23, 1994 [2]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 1
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 45
<a href="http://clinton.presidentiallibraries.us/items/show/36144" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/5/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060810F-Seg1-045-016-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/28edf183496b544d8313cccbba968da9.pdf
b4bf1287eada0f0bc2064701ec9c8c1d
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderlD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); March 23, 1994 [1]
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
7
2
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit - HCTF (Health Care Task Force); March 23, 1994 [1]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 1
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 45
<a href="http://clinton.presidentiallibraries.us/items/show/36144" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/5/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060810F-Seg1-045-015-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/014b7dbf71bd2ed4d8cbf4b50d4fb5d8.pdf
cfcda61d6e14947c210699f075fc3dd4
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderlD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); March 22, 1994
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
7
2
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit - HCTF (Health Care Task Force); March 22, 1994
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 1
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 45
<a href="http://clinton.presidentiallibraries.us/items/show/36144" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/5/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060810F-Seg1-045-014-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/c2124b90ebba683c496f2851fb52afc4.pdf
829ce1c9186dd5d26e1d8715dd0aa046
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderlD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); March 3, 1994
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
7
2
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit - HCTF (Health Care Task Force); March 3, 1994
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 1
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 45
<a href="http://clinton.presidentiallibraries.us/items/show/36144" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/5/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060810F-Seg1-045-013-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/ef41d9fa88e1bedd383398a78a553e3d.pdf
74c7b0ceb80827752b4b4a7f53df6622
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderlD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); 2-23-93 Info Flow
Stack:
Row:
Section:
Shelf:
Position:
S
59
4
7
2
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit - HCTF (Health Care Task Force); 2-23-93 Info Flow
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 1
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 45
<a href="http://clinton.presidentiallibraries.us/items/show/36144" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/5/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060810F-Seg1-045-012-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/da7c77abe6d1dadcfdcccb178e89a383.pdf
577f351b6a8c2535fcabfa274180470f
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan
Subseries:
Misc. Subject Files
OA/ID Number:
12735
FolderlD:
Folder Title:
Health Care Task Force
Stack:
Row:
Section:
Shelf:
S
59
4
6
Position:
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Reform
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F
Description
An account of the resource
<p>This collection consists of records related to Hillary Rodham Clinton's Health Care Reform Files, 1993-1996. First Lady Hillary Rodham Clinton served as the Chair of the President's Task Force on National Health Care Reform. The files contain reports, memoranda, correspondence, schedules, and news clippings. These materials discuss topics such as the proposed health care plan, the need for health care reform, benefits packages, Medicare, Medicaid, events in support of the Administration's plan, and other health care reform proposals. Furthermore, this material includes draft reports from the White House Health Care Interdepartmental Working Group, formed to advise the Health Care Task Force on the reform plan.</p>
<p>This collection is divided into two seperate segments. Click here for records from:<br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+1"><strong>Segment One</strong></a> <br /><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0810-F+Segment+2"><strong>Segment Two</strong></a></p>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Task Force
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0810-F Segment 1
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 45
<a href="http://clinton.presidentiallibraries.us/items/show/36144" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
5/5/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060810F-Seg1-045-011-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/54740df4a709f3430c6b3423535bccb2.pdf
8ba7cf506c9778af71f71d7372b7ed31
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderiD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); March 22, 1994
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
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�UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS,
INC. , et al . ,
Plaintiffs,
v.
HILLARY RODHAM CLINTON, et al.,
Defendants.
)
)
)
)
)
)
)
)
)
)
)
)
)
)
Civil Action
No. 93-399
(Judge Lamberth)
.
,
ORDER
This
matter
having
come
before
the
Court
pursuant
to
plaintiffs' Motion for summary Judgment, the court having read and
considered the same along with the memorandum of points and
authorities in support thereof and in opposition thereto and the
exhibits submitted therewith,
and the Court having heard oral
argument, it is
ORDERED that the plaintiffs' Motion for Summary Judgment be,
and the same hereby is, granted, and it is further
ORDERED that judgment be, and the same hereby is, granted in
favor of plaintiffs for the relief sought in. plaintiffs' Second
Amended complaint.
Date ---------------
JUDGE, UNITED STATES DISTRICT COURT
�UNITED STAT&S DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS,
INC., et al.,
)
)
)
)
Plaintiffs,
)
)
)
)
v.
Civil Action
No. 93-399
(Judge Lamberth)
)
HILLARY RODHAM CLINTON, et al., )
)
Defendants.
)
)
)
AFFIQAVIT OF KENT MASTERSON BRQWN
NOW COMES the Affiant, Kent Master·son Brown, Counsel for the
Plaintiffs herein, and after being duly sworn, deposes and says:
1.
This Affiant telephoned counsel for the Defendants, Hon.
Jeffrey
s. Gutman, on February 28, 1994, and informed him that he
would like to take the deposition of the Defendant, IRA MAGAZINER.
This Affiant informed Mr. Gutman that he would like to depose the
said Defendant on March 16, 17 or 18, 1994, or, on any days during
the week thereafter, March 21 through 25.
2.
This Affiant, on February 28, 1994, by fax and first
class mail, forwarded to Mr. Gutman a letter setting forth the
above request.
A true and correct copy of the aforementioned
letter from this Affiant to Hon. Jeffrey
s. Gutman, dated February
·28, 1994, is attached hereto and made a part hereof, and marked,
for
purpo~es
of identification, as Exhibit A.
3. ·· As of this date, this Affiant has never received a
response from Mr. Gutman either by telephone, letter, fax or otherwise.
�Under penalties of perjury, the foregoing statements of the
Affiant are true and correct.
c_ : : =: . :.A-: .-:g~.==-..::~~':L_;}_!:!:::=-~ .
..
.:...;::/
KENT MASTERSON BROWN
Subscribed and sworn to before me
1994.
this~;r~ay
of March,
~~~.~
Na}' Public
My Commission Expires:
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February 28, 1994
Mr. Jeffrey s. Gutman
Federal Proqrams Branch
Civil Division
u.s. Department of Justice
Washinqton, D.C. 20530
RE:
AAPS
v.
Clinton
Dear Mr. Gutman:
Please be advised that I wish to take the deposition of Ira
Maqaziner.
As we are under an expedited discovery schedule--and I would
like to move this case alonq--I would like to take the deposition
on March 16, 17 or 18, 1994, or on any of the days durinq the week
thereafter (March 21 throuqh 25).
·
Obviously, we would need to schedule more than one day.
Please advise.
tc;~·---.4
KENT MASTERSON BROWN
KMB/jp
cc:
Frank Northam
..
.......................
EXHIBIT A
�DECLARATION OF GENEVIEVE M. YOUNG
I, Genevieve M. Young ("Declarant"), do come forth and say:
1.
That Declarant has personally reviewed every non-privileged document and was .,
neither given access to nor reviewed any material subject to the Protective Order produced by
defendants through their attorneys in the matter of Association of American Physicians and
Sur&eons et al., y. Hillary Rodham Clinton et al., Civ. No. 93-399 (D.D.C.).
2.
That Declarant has attempted to independently verify the employment status of
every identified member of the Interdepartmental Working Group, and every Cluster Group,
Working Group, and Subgroup thereof, of the President's Task Force on National Health Care
Reform.
3. . That in conducting these verification activities, Declarant was unable to locate
independent evidence establishing that each and every member of the Interdepartmental Woiidng
Group, and every Cluster Group, Working Group, and Subgroup thereof, was a federal
government employee as represented to the plaintiffs by the defendants, and that independent
evidence contradicted defendants' claims that each and every member of the above groups was
a federal employee, full-time or part-time, or a special government employee, or consultant in
accordance with the governing federal law, 5 USC App. §§ 1-14.
4.
In order to verify the employment status of each and every member of the
Interdepartmental Working Group, and every Cluster Group, Working Group, and Subgroup
thereof was indeed a Congressional employee as averred by the defendants, Declarant consulted
1993 ConKiessional Staff Directocy (Vol. 1) (ed. Brownson, A.), the title page of which is
attached as Exhibit 1. Searching the Congressional Directory revealed that although defendants
represented that the following were full-time government employees ("FTE's") employed as
members of the Congressional staff, their names did not appear in this directory:
Altman, David
Baily, Sarah
Clark, William
Davies, Monica
Eckart, Kevin ··
Sen.
Sen.
Sen.
Sen.
Sen.
Jay Rockefeller (D-WV) ·
Donald Riegle (D-MI) 1
Dale Bumpers (D-AR)
Bingaman (D-NM)
Wofford (D-PA)
1
Pursuant to a telephone call made by Declarant on January 27,
1994, at 18:58 a.m., the Office of Sen. Rieqle stated it had "never
heard of her."
1
�Goldstein, Elaina
Gust, Steven
Miller, Melanie
Powell, Keith
Rickel, Annette
Sandler, David
Schuster, James
Sochalski, Julie
House Select Committee on Agingl
Sen. Wefistone (D-MN)l
Rep. Andrews (D-TX)
Sen. Labor and Human Resources Comm.
Sen. Riegle (D-Mit
Sen. Akaka (D-HI)
Rep. Strickland (D-OH)'
Sen. Bradley (D-NJ)
Because the aforementioned source is considered authoritative, Declarant's conclusion was that
the above were not full-time government employees serving as Congressional staff, paid by
public monies.
S.
That Declarant personally traveled to The Foundation Center, an independent,
nonprofit organization established by foundations to provide information for the public, described
in its own .published and public brochure, attached hereto as Exhibit 2, and discovered
documents naming Task Force members as grantees of private, not-for-profit foundations. For
example, the published and public brochure entitled, "Directory: Robert Wood Johnson H~th
Policy Fellowships 1974-1993," attached hereto as Exhibit 3 states that the for the period
December 1992 to August 1993, the following individuals, all listed as FTE's by defendants,
with the exception of Arnold Epstein, who was listed as a Special Government Employee
("SGE"), were Robert Wood Johnson Foundation Fellows:
David F. Altman, MD
According to Rep. Hughes office, confirmed by telephone on
January 27, 1994 with Declarant, the House Select Committee on
Aging lost its appropriations as of March 31, 1993. Ms. Goldstein
began working on the Health Care Task Force at that time. Richard
Veloz was formerly the Staff Director of the House Select Committee
on Aging, and began working for the Task Force in February 1993.
Declarations of Marjorie Tarmey, Richard Veloz SF278. According to
Rep. Hughes' office, Ms. Goldstein now works for Sen. Jeffords (RVT), distinguished as the only Senate Republican co-sponsor of the
Clinton Plan.
2
In Task Force documents, Steve Gust is listed as being an FTE
from NIH, from Rep. Strickland's office, and from Sen. Wellstone's
office.
3
•According to telephone conversation with Declarant on January
27, 1994, Sen. Riegle's office never heard of her.
•According to telephone conversation on January 27, 1994 with
Declarant, James Schuster was a law student from George Washington
Universit~ when
he served on the Task Force through this
congressional office.
2
�Center for the Health Professions
University of California, San Francisco, School of Medicine
Office of Senator John D. Rockefeller IV, D-WV
William B. Clark, DDS, DMS
Professor of Oral Biology and Director
Periodontal Disease Research Center
University of Florida College of Dentistry
Office of Senator Dale Bumpers, D-AR
J. Kevin Eckart, PhD
Professor, Sociology, Anthropology, and Policy Studies
Associate Dean, Arts and Sciences
University of Maryland - Baltimore County
Office of Senator Harris Wofford, D-PA
Arnold M. Epstein, MD, MA
Associate Professor of Medicine and Health Care Policy
Harvard Medical School
Office of Senator Edward Kennedy, D-MA
Committee on Labor and Human Resources
Co-Chair, Quality of Care Committee
White House Interagency Task Force on Health Care Reform
Keith R. Powell, MD
Professor and Associate Chair for Clinical Affairs
Department of Pediatrics
Chief, Division of Infectious Diseases
University of Rochester Medical Center
Office of Senator Edward Kennedy, D-MA
Committee on Labor and Human Resources
Julie Sochalski, PhD
Assistant Professor
School of Nursing
College of Physicians and Surgeons
Columbia University
Office of Senator Bill Bradley, D-NJ
6.
That Declarant reviewed the published and public 1992 Annual Report of the
Robert Wood Johnson Foundation, attached hereto as Exhibit 4, and obtained from the files of
The Foundation Center, the Robert Wood Johnson Foundation IRS Form 990-PF 1992, attached
hereto as Bxl:libit S, which publicly discloses the investments and holdings of the $4 billion
3
�dollars in assets owned by the Robert Wood Johnson Foundation. The Foundation invests nearly
$3.5 billion in stocks. The Foundation in 1992 owned approximately 45,491,400 shares of
Johnson & Johnson stock, accounting for approximately $2,297,315,700.00 of its total holdings.
See Monthly Equity Portfolio Report, Page 3 of 3, IRS FORM 990PF. Many health care stocks
such as Humana, Inc. (IRS FORM 990-PF 1992, Part IV, Line 1, page 1), Merck & Co., Inc.
(IRS FORM 990-PF 1992, Part IV, Line 1, page 4), Unilab Corporation (IRS FORM 990-PF ,
1992, Part IV, Line 2, page 44), Chemical Waste Management (id.), U.S. Bioscience (id.), ·.
Bristol-Myers (id. at 48), are also listed as investments.
'
7.
That Declarant reviewed the published and public News Release dated May 12,
1993 entitled "Public cautious About Giving States Flexibility in Health Reform," from the
Henry J. Kaiser Family Foundation files at the Foundation Center, attached hereto as Exhibit
6.
8.
That Declarant reviewed the published and public News Release dated March 23,
1993, entitled, "Strong Public Support For Potential Elements of the Clinton Health Reform
Plan" and the accompanying poll, attached hereto as Exhibit 7, from Henry J. Kaiser Family
Foundation files at the Foundation Center.
9.
That Declarant reviewed the published and public brochure attached hereto as
Exhibit 8, entitled, "can for Proposals: State Initiatives in Health Care Reform, State Initiatives
in Long Term Care" located the files on the Robert Wood Johnson Foundation at the Foundation
Center.
10.
That Declarant copied the published and public Robert Wood Johnson Foundation
Newsletter, Advances, dated Summer 1993, attached hereto as Exhibit 9, from the files at the
Foundation Center.
11.
That Declarant copied the published and public 1992 Annual Report of the Henry
J. Kaiser Family Foundation, attached hereto as Exhibit 10, from files at the Foundation Center.
12.
That Declarant copied the public and public Robert Wood Johnson Foundation
brochure entitled, "can for Proposals: Changes in Health Care Financing and Organization
1993," attached hereto as Exhibit 11, from files at the Foundation Center.
13.
That Declarant copied the public and published Robert Wood Johnson FoundationHenry J. Kaiser Family Foundation program brochure, attached hereto as Exhibit 12, entitled,
"can for Proposals: Opening Doors: A Program To Reduce Sociocultural Barriers to Health
Care," from files at the Foundation Center.
14.
That Declarant copied the published and public Robert Wood Johnson Foundation
brochure entitled, "Call for Nominations: Robert Wood Johnson Health Policy Fellowships
1994," attached hereto as Exhibit 13, from files at the Foundation Center.
4
�15.
That Declarant researched, read and copied the GrantWatch Section from the
published and public Summer 1993 edition of Health Affairs, attached hereto as Exhibit 14,
which included an essay by Dennis F. Beatrice, Vice President of the Henry J. Kaiser Family
Foundation, entitled, "The Role of Philanthropy in Health Care Reform," at the Foundation
Center.
.,
16.
That Declarant reviewed the Henry J. Kaiser Family Foundation files at' the ·
Foundation Center and copied the published and public news release dated January 31, 1994,
entitled, "Straight Facts on Health Reform," at the Foundation Center, attached as Exhibit IS.
17~
That Declarant read and copied from the published and public newspaper, IG
Washin~on Times, two editorials, dated 2/14/94 and 2/28/94, along with the Letter to the Editor
from Becky Cain, President, League of Women Voters Education Fund, dated 2/28/94, attached
hereto as Exhibit 16.
18.. · That Declarant read and copied from the public and published newspaper, IG
Washin• Post, the column entitled "The Patient's Advocate," dated 1217/93, 12114/93, 12/2128/93, 2/1/94, 2/8/94, and 2115/94, attached as Exhibit 17.
19.
That Declarant obtained on May 6, 1993, from the Offices of The Honorable
Robert Dole, Senate Republican Leader, the letter dated March 15, 1993, from Senator Dole and
Representative Michel, to Steven Schroeder, President of the Robert Wood Johnson Foundation,
attached hereto as a true copy as Exhibit 18.
20.
That Declarant obtained on May 6, 1993, from the Offices of The Honorable
Robert Dole, Senate Republican Leader, the letter dated March 16, 1993, to Senator Dole and
Representative Michel, from Steven Schroeder, President of the Robert Wood Johnson
Foundation, attached hereto as a true copy as Exhibit 19.
21.
That Declarant copied the published and public Spring 1993 Advances, the
newsletter of the Robert Wood Johnson Foundation at the Founda~on Center (attached hereto as
Exhibit 20).
22.
That Declarant copied from the published and public Summer 1993 Health Affairs,
the pages attached hereto as Exhibit 21, listing the editorial board, from the Foundation Center.
23.
That Declarant copied from the published and public Spring 1993 Health Affairs,
the pages attached hereto as Exhibit 22, listing the articles and editorial board, from the
Foundation Center.
24.
That Declarant copied from the published and public Wall Street Journal on
February 28, 1994, the announcement relating to the published and public Spring (I) 1994 edition
of Health Affairs and copied the cover page of that edition from the Foundation Center, attached
hereto as Exhibit 23.
5
�25.
That Declarant copied the published and public News Release dated March 30,
1993, announcing that Mark Smith was named Executive Vice President of the Kaiser Family
Foundation, from the files at the Foundation Center (attached hereto as Exhibit 24).
26.
That Declarant copied the published and public News Release dated May 13, 1993,
announcing that Diane Rowland was named Senior Vice President of the Kaiser Family ,
Foundation, attached hereto as Exhibit 2S, from the files at the Foundation Center.
'
27.
That the Declarant obtained from the office of Rep. Robert livingston a copy of
President William J. Clinton's Public Financial Disclosure Form SF 278, filed May 14, 1993,
attached hereto as Exhibit 26. According the Form's instructions, Schedule A appended to the
form must reflect the value of the assets in the calendar year preceding and the ~t calendar
year up to the date of filing, using any date within 31 days of the date of filing. Thus, the
President's and the First Lady's form should reflect the value of their holdings during calendar
year 1992, .W up to May 14, 1993, on any date between Apri112 and May 14, 1993.
•.
The President and the First Lady had about $100,000 invested as limited partners in
Valuepartners I, managed by Smith Capital Management in Little Rock, Arkansas. Many of the
investments were health care stocks. The list of stocks appended to Schedule A of the
President's SF 278 is list of the stocks held by Smith Capital Management as of December 1992.
The form is not technically correct, then, as the form does not say exactly what the President
and the First Lady were invested in during calendar year 1992 and as of Apri113, 1993 at the
earliest. There is only a snapshot of how the monies were invested. The Clintons were running
the Presidential campaign all throughout 1992 with a focus on health care reform, they had a
Health Care Policy Transition Team from at least November 4, 1992 to January 21, 1993~ and
it should be noted that the President's Task Force on National Health Care Reform, .chaired by
the First Lady, formally began on January 21, 1993, and its cbarter expired May 30, 1993.
United Health Care is the only H.M.O. stock listed in which a "long• position was held,
according to the President's SF278 and the form dated December 1992. An exact list of the
stocks in which the fund invested in the first quarter of 1993 bas not been made publicly
available.
Mr. Smith told The Wall Street Journal on March 11, 1994, that in the first quarter of
1993, the Clintons were invested "long" on two health maintenance organizations. See Exhibit
27. The New York Times reported on Wednesday, December 29, 1993, that "H.M.O.'s had
'the highest overall profit gains' in the first quarter of 1993. • See Exhibit 28.
28.
That Declarant has knowledge that Lois Quam, Working Group Leader for Groups
2 (Managed Care/Toward & Beyond) and 18 (Accelerating New System Development), had the
corporate tide of Vice President of United Health Care during the time worked on the Task
Force. Declarations of Marjorie Tarmey, Documents Nos. 7, 11.
29.
Cfhat Declarant has knowledge that in the time when Mrs. Clinton chaired the Task
6
�Force, an officer of a corporation in which she was invested played a key role on the Task
Force, and a corporate employee of the another corporation in which she was invested played
a key role.
The December 1992 list shows many health care stocks in which a long position was held,
including Columbia Hospital, Grancare, Health Care and Retirement, Lincare, National ·,
Rehabilitation Centers, and Phycor, Inc. Thus, a full range of companies- whose products ·
were being considered for inclusion in the benefits package- was represented by Valuepartners
I. "Short" positions were held in Bioplasty, Inc., Cryomedical Sciences, HealthPro, and
Kentucky Life.
30.
That the Declarant reviewed the dramatic effect that political rhetoric and policymaking can have on the stock market, documented by The Catalyst Institute in study called,
Political Rhetoric and Stock Price Yolatilizy: A Case Study by Craig S. Pirrong, University of
Michigan. See Exhibit 29. In broad terms, the outcome of the study was that between January
1, 1993 and· September 9, 1993, stock prices for selected pharmaceutical companies fell over
27% relative to the rest of the stock market, resulting in $67 billion in losses for investors in
these stocks.
31.
That the Declarant personally dialed the phone numbers that appeared on sign-in
lists and telephone lists of Working Group members, and thereby identified the organizations by
which the following individuals were employed. Pages from the relevant local telephone
directories are appended as Exhibit 30.
32.
That the Declarant fmds, based on a review of the documents, the following facts
concerning the leadership and composition of the Ouster Groups and Working Groups:
Cluster Group I - New System Organization
Cluster Group I, and its Working Groups (1, lA, 2, 3, 4, and 5), are led by
individuals from the private sector. Cluster Group l's leacler is Walter Zelman,
Chairman of the Health Care Advisory Commission, from the California
Department of Insurance (Declarations of Marjorie Tarmey, Documents Nos. 864868), headed by Insurance Commissioner John Garamendi.6 Rick Kronick,
Working Group 1's leader, is from the University of California School of Public
Health, and also works as a Senior Policy Analyst for RAND. Declarations of
Marjorie Tarmey SF278 Richard Kronick. Group lA 's leader is Robert Berenson,
M.D., the President of National Capital Preferred Provider Organization, a
managed care entity. Declarations of Marjorie Tarmey, SF278 Robert Berenson.
Working Group 2 was led by Lois Quam, Vice President of United Health Care
•John Garamendi 's name and telephone number appear on the
telephone list produced 1 Declarations of Marjorie Tarmey 1 Documents
Nos. 1680-1692.
7
�Corporation, one of the largest publicly-traded managed care companies in the
United States. Declarations of Marjoiie Tanney, SF278 Lois Quam. Group 3
was led by Richard Curtis, President, Institute for Health Policy Solutions, a
health policy consulting group in Washington, DC that performed a study starting
in October 1992 of the so-called "Garamendi Plan, • named after Insurance
Commissioner of California, John Garamendi. 7 His organization also performed
studies with grant money from the Robert Wood Johnson Foundation and the
Hartford Foundation in the same period of time. Declarations of Marjorie
Tanney, SF278 Richard Curtis. Group 4 was led by Lany Levitt, a staff
member from the California Department of Insurance, Commissioner's Health
•
Care Advisory Commission. Declarations of Matjorie Tanney, SF278 Lawrence
Levitt. In other words, he also worked with Zelman and Garamendi and possibly
consulted with Curtis. prior to being a part of the Task Force. The leader of
Working Group 5 was Gary Claxton, from the National Association of Insurance
Co•ssioners (Declarations of Marjorie Tanney, SF278 Gary Claxton), who
undoubtedly knew from his professional life all the other leaders of the Working
Groups in Cluster I.
Cluster Group II - New System Coverage
The nominal leader of Cluster II is Atul Gawande, Department of Health and
Human Services, but he appears only to the nominal head, as all the lists of
Cluster Group II members begin with Diane Rowland's name. Declarations of
Marjorie Tanney, Documents Nos. 180, 1525). Even many of the sign-in lists
for Cluster Group II begin with Diane Rowland's name at the top (Declarations
of Marjorie Tanney, Documents Nos. 30117, 30098), possibly indicating also that
she is the Cluster Group Leader. Diane Rowland is currently Senior Vice
President of the Henry J. Kaiser Family Foundation (See News Release, dated
May 13, 1993, attached as Exhibit 25), and while she was on the Task Force,
was the head of the Kaiser Commission on the Future of Medicaid at Johns
Hopkins University (see id.), a program which received $1.3 million dollars from
the Henry J. Kaiser Family Foundation in 1992. See 1992 Annual Report of the
Henry J. Kaiser Family Foundation. Another prominent member of Cluster II
was David Eddy, a Senior Policy Advisor to Kaiser Permanente (Declarations of
Matjorie Tanney, Documents Nos. 864-869), a not-for-profit managed care
company.
Working Group 6 of Cluster Group II was led by Linda Bergthold, an employee
benefits consultant to W.H. Mercer, Inc., an employee benefits consulting firm
in San Francisco, California. Declarations of Marjorie Tanney, SF278 Linda
7
14,
FOr an explanation of the Garamendi Plan, see Forbes, March
attached hereto as Exhibit 31.
~·~94,
8
\
�Bergthold. The co-leaders of Group 8 were also both from the private sector,
Shoshanna Sofaer, from George Washington University Medical Center, and Rick
Brown, from University of California School of Public Health. Declarations of
Marjorie Tanney, Documents Nos. 176, 178.
Cluster Group III - New System Infrastructure
The Cluster Leader, or Chair, of Cluster Group III was Thomas Pyle, from the
Boston Consulting Group and the Harvard Community Health Plan. Declarations
of Marjorie Tarmey, Documents Nos. 864-869. Harvard Community Health
Plan received well over $1 million dollars in 1992 from the Robert Wood Johnson
Foundation. See 1992 Annual Report of the Robert Wood Johnson Foundation.
Working Group 9 was led by Arnold Epstein, M.D., a Robert Wood Johnson
Fellow working in Sen. Kennedy's office, sponsored by Harvard Medical School.
Members of Group 9 included Thomas Chapman, a Program Director for the
Robert Wood Johnson Foundation program, "Opening Doors, • David and Judy
Eddy of Duke University (Reference to David Eddy, SJ.Qml), David Jackson, the
CEO of Assurqual, a quality assurance consulting firm in Ohio (Declarations of
Marjorie Tarmey, Documents Nos. 864-869), and David Satcher, a pediatrician
from Memphis, Tennessee, and the President of Meharry Medical College, a
recipient of Robert Wood Johnson funds in 1992.
Working Group 10 was led by David Eddy, who, as noted, is a Senior Policy
Advisor to Kaiser Permanente, and a professor of Health Policy and Management
at Duke University. Working Group 10 members appear to have met with many
private sector representatives, including individuals from Travelers (Declarations
of Marjorie Tanney, Documents Nos. 30094, 30122), the Cooperative Health
Care Network (id.), and PCS Health Systems, among others (id.). 1n addition,
it appears that Mike McDonald, an employee of Communications and Computer
Applications in Public Health ("CCAPH•), wrote a memorandum to Task Force
member Shannah Koss, a federal employee, to arrange the time, place, and
participants of a Working Group meeting at the White House. Declarations of
Marjorie Tarmey, Documents Nos. 1232, 1233, 1231, 1284, 1283, and 3008630088). Other private sector participants in that meeting, which apparently was
arranged by CCAPH, a possible federal government contractor for health
information systems, and very likely, a State of California government contractor
for California's health information systems, included Warner Slack, Director
Harvard Center for Clinical Computing (another possible contractor), Steven
Locke, Director, Harvard Center for Psychiatric Computing, C. Everett Koop,
and others.
The leader for Working Group 11, on malpractice reform, was Robert Berenson,
M.D., 'President, National Capital Preferred Provider Organization. Declarations
9
�of Marjorie Tanney, SF278 Robert Berenson. On White House stationery, he and
his co-chair, Kathleen Hastings, an HHS employee, invited a select group of
about 25 individuals to a meeting to discuss malpractice reform. Declarations of
Marjorie Tanney, Documents Nos. 1330, 1331, 30026. The participants were all
from the private sector, from places such as The Urban Institute, Duke
University, Alice Gosfield, a health lawyer in private practice in Philadephia, and
the President of a Risk Management Foundation, Harvard Medical Institution.
Cluster Group V, Working Group 17- Bioethics or Ethical Foundations of the New System
Cluster Group V was composed entirely of members from the private sector,
including individuals recommended by Rep. Daniel Rostenkowski (D-IL)
(Declarations of Marjorie Tarmey, Documents Nos. 463, 464), and by Thomas
Pyle (see id.).
Cluster Group VI - Transition to the New System
Cluster VI met as early as February 10, 1993, according to one sign-in sheet.
Declarations of Marjorie Tarmey, Document No. 30052. Paul Starr, a professor
from Princeton University, was the Cluster Leader. Declarations of Marjorie
Tarmey, Document No. 1763. Group 18 was led by Lois Quam, Vice President
of United Health Care. Declarations of Marjorie Tanney, Documents Nos. 1760.
Others from the State of Minnesota were Ellen Benavides, Dan McLaughlin, both
affiliated with the Hennepin County Medical Center, Minnesota Bureau of Health,
and Mary Jo O'Brien, Chair of the Minnesota Health Care Commission, who,
according to Task Force documents, was representing the Governor of Minnesota
(1786-1787).
Group 19, Administrative Simplification, was composed of a number of private
sector individuals. Two were from Telesis, a consulting group that specializes in
consulting for government on public policy issues (Boston Globe, Nov. 24,
1992), which according to Rhode Island Corporate Records, is an entity whose
President is Ira Magaziner, a member of the Task Force, and it merged in 1986
with Towers Perrin, a financial consulting group which served on Group 34.
Declaration of Marjorie Tarmey, List, Administrative Simplification. This group
even held a so-called "Vendor Meeting" at HHS on March 31, 1993, which
included representatives from United Health Care, Humana, Kaiser, AT&T,
Hewlett Packard, and other potential government contractors under the Clinton
plan for managed care and uniform data systems. Declarations of Marjorie
Tanney, Documents Nos. 1287-1308, 30025, 30027, 30028, and 30070-30073.
Group 20 was the group responsible for developing the price controls in the
Clinton Plan, and Karen Davis, a Vice President of the Commonwealth Fund, and
at the 'time when she was on the Task Force was also a member of the
10
·,
�Congressionally-appointed Physician Payment Review Commission, which reports
to Congress on the Medicare Fee Schedule's impact on physician services (a form
of price controls) was a member of this Working Group. Declarations of
Marjorie Tanney, Documents Nos. 484, 30100; List of PPRC Members, PPRC
Annual Report 1993, as Exhibit 32).1 Philip Lee, now the Assistant Secretary
of HHS, who was on the Robert Wood Johnson Board of Directors in 1992, was
in this Working Group, as well as Alain Enthoven, and Uwe Reinhardt. James
Ucockis of the Treasury Department placed a note on a sign-in list that he was
involved in the Nixon/Carter price controls. Declarations of Marjorie Tarmey,
Documents Nos. 30052.
Cluster VIU - Health Policy Initiatives for the Underserved
Mark Smith, Vice President of the Henry J. Kaiser Family Foundation, was the
Group 22 Leader, and while he served on the Task Force, was promoted to
Executive Vice President of the Kaiser Family Foundation. News Release dated
March 30, 1993, attached as Exhibit 24. Non-federal employees on Cluster VIII,
also known as Working Group 22 included Joycelyn Elders, then an employee at·
the ArkanSJJS Department of Health, Diane Rowland, and Kristin Gebbie,
subsequently appointed the Clinton Administration's" AIDS czar." Group 22 and
its four subgroups had extensive contacts with outside participants. Bob Hattoy,
known for his speech on AIDS at the Democratic National Committee's
Convention in 1992,· now a White House Special Assistant, invited 21 members
of the private sector to meet at the White House with Mark Smith and Carol
Rasco of the Task Force (Declarations of Marjorie Tarmey, Documents Nos.
1234-1239), and others member of the Task Force. The other subgroups, notably
the Group· on Women and Children, were mainly composed of private sector
representatives.
Cluster XII - Quantitative Analysis
Cluster XII, Working Group 32, Quantitative Analysis was dominated by wellknown private sector think tanks, such A~ Research Corporation,
Mathematica Policy Research, Lewin-ICF or Lewin Associates, RAND, The
Urban Institute, and the Brookings Institution.
Cluster XIII - Legal Audit
This entire group was drawn from the private sector.
•other members of the PPRC who were also on the Task Force are
Linda Aiken, Karen Davis, Philip Lee, and Uwe Reinhardt.
Declaration of Genevieve M. Young, attached hereto as Exhibit 32.
11
�Cluster XIV - Numbers Audit
This entire group was drawn from the private sector.
Working Group 36 - Disability Cross-Cutting Group
This group is led by Simi Litvak, of the World Institute on Disability.
Working Group 39 - Minority Issues Review Group
This entire group was drawn from the private sector.
Working Group 40 - Academic Health Centers Group
Of the 14 members, only five are federal employees. On Aprill4, 27 individuals
with. academic positions at medical schools met with Ira Magaziner. Declarations
of Marjorie Tarmey, Documents Nos. 1242-1244.
Working Group 41 - Workers' Compensation
Group 41 was led by Gary Claxton from the private sector, and met mainly with
private sector representatives.
33.
That Declarant obtained on September 8, 1993, a copy of the published and public
document entitled, "WORKING GROUP DRAFT PRIVILEGED AND CONFIDENTIAL, •
dated 9/7/93, attached hereto as Exhibit 33, and it is the work product of the President's Task
Force on National Health Care Reform, its Interdepartmental Working Group, Cluster Groups,
Working Group and Subgroup thereof.
.
.
34.
That Declarant obtained from University of Minnesota medical student David Hartsuch
the agenda for "Health Care Summit '93: National Proposals, Minnesota Perspectives, • attached
hereto as Exhibit 34.
I declare under penalty of perjury that the foregoing is true and correct. Executed on March 22,
1994.
~~~
Genevieve M. Y~
12
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit HCTF (Health Care Task Force); March 22, 1994
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Evan Ryan
Melanne Verveer
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 6
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-006-006-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/d3713c530cdf95c1887363d89d203ae2.pdf
6ca9f84d782b530c4ae203f15d33dd3f
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderiD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); March 3, 1994
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
7
2
�UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
AMERICAN COUNCIL FOR HEALTH
CARE REFORM AND NATIONAL
LEGAL & POLICY CENTER,
Plaintiffs,
v.
)
)
)
)
)
)
Civil Action
No. 93-399
)
)
(Judge Lamberth)
)
)
HILLARY RODHAM CLINTON,
DONNA E. SHALALA, Secretary of
Health and Human Services,
LLOYD E. BENTSEN, Secretary of
the Treasury, LES ASPIN,
Secretary of Defense, JESSE
BROWN, Secretary of Veterans
Affairs, RONALD H. BROWN,
Secretary of Commerce, ROBERT
B. REICH, Secretary of Labor,
LEON E. PANETTA, Director of
the Office of Management and
Budget, ALICE RIVLIN, Deputy
Director of the Office of
Management and Budget, CAROL
RASCO, IRA MAGAZINER and
JUDITH FEDER, White House
Advisors, THE PRESIDENT'S
TASK FORCE ON NATIONAL
HEALTH CARE REFORM, the
INTERDEPARTMENTAL WORKING
GROUP OF THE PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE
REFORM, and its CLUSTER GROUPS,
WORKING GROUPS and SUBGROUPS,
et al.,
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)·
)
)
)
)
)
)
)
)
)
)
Defendants.
)
)
)
liO'l'ION FOR SUIIJIARY JUDGIIBN'P AND
PBRIIAN~
INJUNC'.riON
ORAL IIEARING REQUESTED
Plaintiffs, by counsel, hereby move this Honorable Court,
pursuant to Rules 56 (a) and 65 of the Federal Rules of Civil
1
�Procedure, for an Order directing entry of summary judgment and a
permanent injunction in favor of the Plaintiffs and against the
Defendants on the cause of action and for the relief sought in
Plaintiffs' Verified Second Amended and Substituted Complaint for ·,
Declaratory Judgment and Restraining Order and Preliminary and
Permanent Injunctive Relief.
This Motion is made on the ground that no genuine issue of
material fact exists, and Plaintiffs are entitled to Judgment and
a Permanent Injunction as a matter of law that the Defendants,
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, ITS CLUSTER GROUPS, WORKING GROUPS and
its SUBGROUPS; namely, Cluster Group I, "New System Organization",
and Working Group 1,
Cooperatives";
Providers";
"Principles and Operation of Purchasing
Working Group 1A,
Working Group
2,
"Health Plans,· Patients
"Managed care/Toward
&
and
Beyond";
Working Group 3, "Governance"; Working Group 4, "A Global Budget",
and Working Group 5, "Insurance Reform"; Cluster Group II, "New
System Coverage", and Working Group 6, "Benefits Package"; Working
Group
7,
"Coverage
for
Working
Families"; · Working
Group
8,
"Coverage for Low Income and Non-Working Families"; Cluster Group
III, "New System Infrastructure", and Working Group 9, "Quality
Measurement"; Working Group 10,
"Information Systems"; Working
Group 111 "Malpractice and Tort Reform" 1 and Working Group 12,
"Facilitating
Professional
Development";
Cluster
Group
"Integration of Government Programs Into the New System",
IV,
and
Working Group 13, ."Medicare"; Working Group 14, "Department of
2
�Defense"; Working Group 15, "Veterans"; Working Group 16, "Federal
Employees'
Health Benefits
Government Programs";
Plan";
Working
Cluster Group V,
Group
16A,
"Other
"Bioethics or Ethical
Foundations of the New System", and Working Group 17,
"Bioethic~";
Cluster Group VI, "Transition to the New System, Short-Term Cost
Controls",
and
Working
Group
18,
"Accelerating
New
System
Development"; Working Group 19, "Administrative Simplification";
Working Group 20, "Interim Cost Controls"; Cluster Group VII,
"Financing", and Working Group 21, "Financing"; Cluster Group VIII,
"Health Policy Initiatives for the Underserved", and Working Group
22, "Health Policy Initiatives for the Underserved", and Subqroup
A,
"Underserved
·"Vulnerable/High
Rural
Risk
and
Inner
Populations";
City
Areas";
Subgroup
c,
Subgroup
B,
"Women
and
Children", and Subgroup D, "Population-Based Public Health and
Prevention"; Cluster Group IX, "Mental Health", and Working Group
23, "Mental Health Benefits Package"; Working Group 24, "Substance
Abuse"; Working Group 25, "Children's Services"; Working Group 26,
"Public System Impact/Special Populations"; Cluster Group X, "Long
Term Care", and Working Group 27, "Long Term Care-Background";
Working Group 28, "Long Term Care-Public Options"; Working Group
29, "Long Term Care-Private Options"; Working Group 30, "Cost and
Revenue"; Cluster Group XI, "Economic Impact", and Working Group
31, "Economic Impact"; Cluster Group XII, "Quantitative Analysis";
and Working Group 32, "Quantitative Analysis"; Cluster Group XIII,
"Legal Audit", and Working Group 33, "Legal Audit"; Cluster Group
XIV,
"Numbers Audit",
and Working Group 34,
3
"Numbers Audit";
�Cluster Group XV, "The Drafting Group", and Working Group 35, "The
Drafting Group", and Working Group 36, "Disability Cross-cutting
Work Group"; Working Group 37, "Rural Cross-cutting Group"; Working
Group 38, "Benefits Coordination"; Working Group 39,
!~;sues
"Minor~ty
Review Group"; Working Group 40, "Academic Health Centers",
and Working Group 41,
"Workers' Compensation Task Force, " are
Advisory committees within the meaning of the Federal Advisory
Committee Act, 5 u.s.c. App.
§§
1 through 14, and must be enjoined
to comply with· the provisions thereof, including the filing of
charters·and the opening of all meetings (with proper notice), and
the
opening
of
all
records,
reports,
transcripts,
minutes,
appendixes, working papers, drafts, studies, agenda, and all other
documents to the public for inspection and copying.
Plaintiffs have suffered and are suffering irreparable harm
for which there is no adequate remedy at law.
This Motion is based upon the Verified Second· Amended and
Substituted Complaint for Declaratory Judgment and Restraining
Order
and
Preliminary
and
Permanent
Injunctive
Relief,
the
documents provided by the Defendants in their Responses to the
Interrogatories and Second Request for Production of Doucuments
propounded by the Plaintiffs, and sworn to in the Declarations of
Marjorie
Tarmey,
and
the
Declarations
of
Ira Magaziner
and
Genevieve M. Young and the documents introduced thereby, and the
Memorandum of Law in support hereof filed herewith, and on the
files and pleadings in this proceeding.
4
·,
�Pursuant to Local Rule 108, Plaintiffs hereby request an oral
hearing on the within Motion •
Dated:
March
..,~.,.;_
1"1
,
1994.
KENT MASTERSON BROWN, ESQ.
CHRISTOPHER J. SHAUGHNESSY, ESQ.
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
(606) 252-6791 - facsimile
r-D~J::.M~~
Y~~NORTHAM, ES~
Bar No. 206110
ALAN P. DYE, ESQ.
Bar No. 2125379
WEBSTER, CHAMBERLAIN & BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF AMERICAN PHYSICIANS AND SURGEONS 1
INC., AMERICAN COUNCIL FOR. HEALTH
CARE REFORM, and NATIONAL LEGAL &
POLICY CENTER
CERTIFICATE OF SERVICE
This is to certify that a true and correct copy of the
. foregoing Motion for Summary Judgment and Permanent Injunction has
been served upon Defendants by hand-delivering a copy of same to
Defendants' counsel of record as follows:
Hon. Jeffrey Gutman, Hon. Robert
5
s.
Hon. Elizabeth Pugh,
Whitman,
u.s.
Department of
�Justice, Civil Division, 901 E Street, N.W., Room 952, Washington,
D.C. 20004-2037, on this the
-~'}..;
~~
c:\wpwin\clinton\summjudg.mot
6
day of March, 1994.
�UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
AMERICAN COUNCIL FOR HEALTH
CARE REFORM AND NATIONAL
LEGAL & POLICY CENTER,
Plaintiffs,
)
)
)
)
)
)
)
)
v.
Civil Action
No. 93-399
(Judge Lamberth)
)
)
HILLARY RODHAM CLINTON,
DONNA E. SHALALA, Secretary of
Health and Human Services,
LLOYD E. BENTSEN, Secretary of
the Treasury, LES ASPIN,
Secretary of Defense, JESSE
BROWN, Secretary of Veterans
Affairs, RONALD H. BROWN,
Secretary of Commerce, ROBERT
B. REICH, Secretary of Labor,
LEON E. PANETTA, Director of
the Office of Management and
Budget, ALICE RIVLIN, Deputy .
Director of the Office of
Management and Budget, CAROL
RASCO, IRA MAGAZINER and
JUDITH FEDER, White House
Advisors and THE PRESIDENT'S
TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and THE
INTERDEPARTMENTAL WORKING GROUP
OF THE PRESIDENT'S TASK FORCE
ON NATIONAL HEALTH CARE REFORM
and its CLUSTER GROUPS, WORKING
GROUPS, AND SUBGROUPS, et al.,
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
Defendants.
)
)
)
PLAINTIFFS' MOTION FOR LEAVE TO FILE A
MEMORANDUM OF POINTS AND AUTHORITIES IN SUPPORT OF
THEIR MOTION FOR SUMMARY JUDGMENT THAT EXCEEDS
THE PAGE LIMITS UNDER LOCAL RQLE 108Ce)
NOW COME the Plaintiffs, ASSOCIATION OF AMERICAN PHYSICIANS
AND SURGEONS, INC. , AMERICAN COUNCIL FOR HEALTH CARE REFORM and the
�NATIONAL LEGAL & POLICY CENTER,
~y
and through counsel, pursuant to
Local Rule 108(e), and hereby move the Court for leave to file
Plaintiffs' Memorandum of Points and Authorities in Support of
Motion for summary Judgment and Permanent Injunction in excess .of ·,
the 45-page limit established by the Local Rules.
Statement of Points and Authorities
In support of the foregoing motion, Plaintiffs state that the
Motion for summary Judgment and Permanent Injunction asks this
court to adjudge that the Interdepartmental Working Group of the
President's Task Force on National Health Care Reform and its
fifteen (15) Cluster Groups, forty-three (43) Working Groups and
four ( 4) subgroups are Advisory Committees for purposes of the
Federal Advisory committee Act, 5 U.s. c. App. ,
§§
1 through 14,
because all of the aforementioned groups contained one (1) or more
members who were not full-time officers or employees of the fede.ral
government· and because all such groups were "established" and
"utilized" by the President of the United States for purposes of
making recommendations which were ultimately used by him in the
formulation of the Health Security Act of 1993.
To present the facts relating to each of the aforementioned
sixty-three {63) groups - and all of the members of each group necessitates the filing of a memorandum in excess of 45-pages.
supplementing the Plaintiffs' Memorandum of Points and Authorities
in support of the Motion for Summary Judgment and Permanent
Injunction are nearly one thousand five hundred (1,500) pages of
carefully selected supporting exhibits representing the documents
2
�provided by the Defendants duz:ing discovery.
To distill those
authenticated documents and the supporting exhibits introduced by
the Declaration of Genevieve M. Young into a form understandable
and complete requires the filing of Plaintiffs' Memorandum . of
Points and Authorities in support of the Motion for
summary
Judgment and Permanent Injunction in excess of the 45-page limit.
WHEREFORE, Plaintiffs, by counsel pray that the Court enter an
Order permitting the filing of Plaintiffs' Memorandum of Points and
Authorities in Support
Permanent
Injunction
~f
in
the Motion for Summary Judgment and
excess
of
the
45-page
limit.
The
Plaintiffs' Memorandum of Points and Authorities in Support- of
Motion for Summary Judgment, Statement of Material Facts as to
which there Is No Genuine Issue, Exhibits in Support of Motion for
Summary Judgment,
and Declaration of Genevieve M.
Young are
appended hereto and submitted herewith.
~=f:zi;ted. ~-----KENT MASTERSON BROWN, ESQ.
CHRISTOPHER J. SHAUGHNESSY, ESQ.
1114 First National Building
167 West Main Street
Lexington, KY 40507
(606) 233-7879
(606) 252-6791 - facsimile
~1C2 A~ t£rA4vvz----~NORTHAM, SQ.
WEBSTER, CHAMBERLAIN & BEAN
17 4 7 Pennsylvania Avenue, · N. w.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
3
�CERTIFICATE OF SERVICE
This is to certify that a true and correct copy of the
foregoing Motion for Leave to File a Memorandum of Points and
Authorities in Excess of the Page Limits with Statement of Points
and Authorities and Proposed Order have been served upon Defendants
by hand-delivering a copy of same to Defendants' counsel of record,
Hon. Elizabeth A. Pugh, Jeffrey Gutman, Esq., Roberts. Whitman,
Esq., and David Andersen, Esq., u.s. Department of Justice, Civil
Division, 901 E Street, N.W., Room 952, Washington, D.C. 20004-2037
on this
~rJ/. day
of March, 1994.
c£~MI2-M~
Frank M. Northam
4
�UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS,
INC. , et al • ,
Plaintiffs,
v.
)
)
)
)
)
)
)
Civil Action
No. 93-399
(Judge Lamberth)
)
)
HILLARY RODHAM CLINTON, et al., )
)
Defendants.
)
)
)
ORQER.
On Motion of the Plaintiffs for leave to file their Memorandum
of Points and Authorities in support of Motion for Summary Judgment
and Permanent In)unction in excess of the 45-page limit, pursuant
to Local Rule 108(e), and the court having considered said motion
and being otherwise sufficiently advised,
IT IS HEREBY ORDERED that said Motion be and the same is
hereby
GRANTED,
and
the
tendered
Memorandum
of
Points
and
Authorities in Support of Motion for Summary Judgment and Permanent
Injunction be and the same is hereby FILED.
Dated:
JUDGE, UNITED STATES DISTRICT COURT
�UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
AMERICAN COUNCIL FOR HEALTH
CARE REFORM AND NATIONAL
LEGAL & POLICY CENTER,
)
)
)
)
)
)
Plaintiffs,
)
)
v.
Civil Action
No. 93-399
(Judge Lamberth)
)
)
HILLARY RODHAM CLINTON,
DONNA E. SHALALA, Secretary of
Health and Human Services,
LLOYD E. BENTSEN, Secretary of
the Treasury, LES ASPIN,
Secretary of Defense, JESSE
BROWN, Secretary of Veterans
Affairs, RONALD H. BROWN,
Secretary of Commerce, ROBERT
B. REICH, Secretary of Labor,
LEON E. PANETTA, Director of
the Office of Management and
Budget, ALICE RIVLIN, Deputy
Director of the Office of
Management and Budget, CAROL
RASCO, IRA MAGAZINER and
JUDITH FEDER, White House
Advisors and THE PRESIDENT'S
TASK FORCE ON NATIONAL
HEALTH CARE REFORM,
)
)
)
)
)·
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
Defendants.
)
)
)
ORDBR
On Motion of the Plaintiffs, pursuant to Rules 15, 19, 20 and
'21 of the Federal Rules of Civil Procedure, to file their Verified
Second Amended and Substituted Complaint for Declaratory Judgment
and Restraining Order and Preliminary and Permanent Injunctive
Relief I
and the COURT having considered said Motion and beinq
otherwise sufficiently advised:
1
�IT IS HEREBY ORDERED that said Motion be and the same is
hereby GRANTED and the Verified Second Amended and Substituted
Complaint for Declaratory Judgment and Restraining Order and
Preliminary and Permanent Injunctive Relief be, and the same is ·,
hereby FILED.
The Defendants shall be granted
days within which to
Answer or otherwise plead thereto.
Dated:
JUDGE, UNITED STATES DISTRICT COURT
c:\wpwin\clinton\amendcom.ord
2
�UNITED STATE~ DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS,
INC. , et al • ,
Plaintiffs,
v.
)
)
)
)
)
)
)
)
)
Civil Action
No. 93-399
(Judge Lamberth)
HILLARY RODHAM CLINTON, et al., )
Defendants.
)
)
)
)
PLAINTIFFS' MEMORANDUM OF POINTS AND AUTHORITIES
IN SUPPORT OF THEIR MOTION FOR LEAVE '1'0
FILE A SECQND AMENDED COMPLAINT
In this court's order of November 9, 1993, the Court stated:
"After full discovery, the court will require an amended compliant
to be filed that conforms to the evidence and frames the issues for
deciding dispositive motions • • • "
Although the plaintiffs are not convinced that they have
received "full discovery" from the defendants,
plaintiffs are
satisfied that they have adduced sufficient evidence as to the
membership and activities of the Interdepartmental Working Group of
the President's Task Force on National Health Care Reform, its
Cluster Groups, Working Groups, and Subgroups, to support their
Second Amended compliant, which names all of those groups as
defendants.
Motion
fo~
Plaintiffs are filing simultaneously herewith their
summary Judgment based on the allegations of the Second
Amended Compliant,
the documents provided in response to the
plaintiffs' discovery requests, and other information developed by
�the plaintiffs.
The plaintiffs' motion for leave to file an amended complaint
has been filed with the Court as soon as the plaintiffs were able
to assimilate all of the information obtained in discovery and .to ·,
establish that the Interdepartmental Working Group, the Cluster
Groups, Working Groups and the Subgroups were appropriate parties
defendant.
In accordance with the Court's November 9, 1993 Order, the
plaintiffs seek leave to file their Second Amended Complaint.
Respectfully submitted,
KENT MASTERSON BROWN
1114 First National Building
167 West Main Street
Lexington, KY 40507 ·
(606) 233-7879
(606) 252-6791 - facsimile
FRANK M. NORTHAM
WEBSTER, CHAMBERLA N & BEAN
1747 Pennsylvania Avenue, N.W.
suite 1000
Washington, D.C. 20006
(202) 785-9500
2
�CERTIFICATE OF SERVICE
This is to certify that a true and correct copy of the
foregoing Memorandum of Points and Authorities in Support of Motion ·,
for Leave to File an Amended Complaint and Proposed Order have been
served upon Defendants by hand-delivering a copy of same to
Defendants' counsel of record, Hon. Elizabeth A. Pugh, Jeffrey
Gutman, Esq., Roberts. Whitman, Esq., and David Andersen, Esq.,
u.s. Department of Justice, civil Division, 901 E Street, N.W.,
Room 952, Washington, D.C. 20004-2037 on this
2~.(~day of _March,
1994.
~Mw~~
Frank M. Northam
3
�..
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
AMERICAN COUNCIL FOR HEALTH
CARE REFORM AND NATIONAL
LEGAL & POLICY CENTER,
)
)
)
)
)
)
Plaintiffs,
)
)
v.
Civil Action
No. 93-399
(Judge Lamberth)
)
)
HILLARY RODHAM CLINTON,
DONNA E. SHALALA, Secretary of
Health and Human. Services,
LLOYD E. BENTSEN, Secretary of
the Treasury, LES ASPIN,
Secretary of Defense, JESSE
BROWN, Secretary of Veterans
Affairs, RONALD H. BROWN,
Secretary of Commerce, ROBERT
B. REICH, Secretary of Labor,
LEON E. PANETTA, Director of
the Office of Management and
Budget, ALICE RIVLIN, Deputy
Director of the Office of .
Management and Budget, CAROL
RASCO, IRA MAGAZINER and
JUDITH FEDER, White House
Advisors and THE PRESIDENT'S
TASK FORCE ON NATIONAL
HEALTH CARE REFORM,
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
Defendants.
)
)
)
IIO'l'ION FOR LEAVE ro FILE VERIFIED SECOND
AIIENDBD AND SUB~I'I'U'.l'ED COIIPLAINT FOR
DECLARATORY JUDGIIBNT AND RB~RAINING ORDER AND
PRBLIIIINARY AND PERIIANBN'P INJUNC'.PIVE RELIEF
Plaintiffs, by counsel, hereby move this Honorable Court,
pursuant to Rules 15, 19, 20 and 21 of the Federal Rules .of Civil
Procedure, .for leave to file their Verified Second Amended and
1
�Substituted Complaint for
Order
and
Preliminary
Decl~ratory
and
Permanent
Judgment and Restraining
Injunctive
Relief
filed
herewith, adding as parties the INTERDEPARTMENTAL WORKING GROUP OF
THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS; namely, Cluster Group
I, "New system organization", and Working Group 1, "Principles and
Operati~n of PUrchasing Cooperatives"; Working Group 1A, "Health
Plans,
Patients
Care/Toward
&
and
Providers";
Working
2,
"Managed
Beyond"; Working Group 3, "Governance"; Working Group
4, "A Global Budget", and Working Group 5,
Cluster Group II,
"Benefits
Group
"Insurance Reform";
"New system Coverage", and Working Group 6,
Package";
Working
Families"; Working Group 8,
Group
7,
"Coverage
for
Working
"Coverage for Low Income and Non-
Working Families"; Cluster Group III, "New System Infrastructure",
and Working Group 9,
"Quality Measurement"; Working Group 10,
"Information Systems"; Working Group 11,
Reform",
and
Working
Group
12,
"Malpractice and Tort
"Facilitating
Professional
Development"; Cluster Group IV, "Integration of Government Programs
Into the New System", and Working Group 13, "Medicare"; Working
Group 14, "Department of Defense"; Working Group 15, "Veterans";
Working Group
16,
"Federal
Employees'
Health Benefits
Plan";
.working Group 16A, "Other Government Programs"; Cluster Group
v,
"Bioethics or Ethical Foundations of the New System", and Working
Group 17, "Bioethics"; Cluster Group VI, "Transition to the New
System,
Short-Term
"Accelerating
New
Cost
System
Controls",
and
Development";
2
Working
Group
18,
Working
Group
19,
�"Administrative Simplification"; Working Group 20, "Interim Cost
Controls"; Cluster Group VII, "Financing", and Working Group 21,
"Financing"; Cluster Group VIII, "Health Policy Initiatives for the
Underserved", and Working Group 22, "Health Policy Initiatives
~or
tbe Underserved", and Subgroup A, "Underserved Rural and Inner City
Areas"; subgroup B, "Vulnerable/High Risk Populations"; Subgroup
"Women and Children", and Subgroup D,
c,
"Population-Based Public
Health and Prevention"; Cluster Group IX,
"Mental Health", and
Working Group 23, "Mental Health Benefits Package"; Working Group
24, "Substance Abuse"; Working Group 25, "Children's Services";
Working Group 26,
"Public System Impact/Special Population.s";
Cluster Group X, "Long Term Care", and Working Group 27, "Long Term
Care-Background";
Working
Group
Options"; Working Group 29,
28,
"Long
Term
Care-Public
"Long Term care-Private Options";
Working Group 30, "Cost and Revenue"; Cluster Group XI, "Economic
Impact", and Working Group 31, "Economic Impact"; Cluster ·Group
XII, "Quantitative Analysis"; and Working Group 32, "Quantitative
Analysis"; Cluster Group XIII, "Legal Audit", and Working Group 33,
"Legal Audit"; Cluster Group XIV, "Numbers Audit",
and Working
Group 34, "Numbers Audit"; Cluster Group XV, "The Drafting Group",
and Working Group 35, "The Drafting Group", and Working Group 36,
"Disability Cross-cutting Work Group"; Working Group 37, "Rural
Cross-cutting Group"; Working Group 39, "benefits Coordination";
Working Group 39, "Minority Issues Review Group"; Working Group 40,
"Academic
Health
Centers";
and
Working
Compensation Task Force," and adding
3
Group
41,
"Workers'
allegations with respect to
·,
�the application of the Federal Advisory Committee Act, 5
App.
§
§§
1 through 14, the Government in the Sunshine Act, 5
552b, and the Freedom of Information Act, 5
u.s.c.
§
u.s.c.
u.s.c.
552a, to the
Interdepartmental Working Group of the President's Task Force on
National Health Care Reform, its Cluster Groups, Working Groups and
Subgroups, aforementioned.
Dated:
March
'-~ r;J-1994.
-
KENT MASTERSON BROWN, ESQ.
CHRISTOPHER J. SHAUGHNESSY, ESQ.
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
(606) 252-6791 - facsimile
~<A\·,~~
FRANK
M. NORTHAM, ESQ:
Bar No. 206110
ALAN P. DYE, ESQ.
Bar No. 2125379
WEBSTER, CHAMBERLAIN & BEAN.
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF AMERICAN PHYSICIANS AND SURGEONS,
INC., AMERICAN COUNCIL FOR HEALTH
CARE REFORM, and NATIONAL LEGAL &
POLICY CENTER
CERTIFICATE OF SERVICE
This is to certify that a true and correct copy of the
foregoing 'Motion for leave to File Verified Second Amended and
4
�Substituted Complaint for Declaratory Judgment and Restraining
Order and Preliminary and Permanent Injunctive Relief has been
served upon Defendants by hand-delivering a
Defendants' counsel of record as follows:
Hon. Jeffrey Gutman, Hon. Robert
s.
copy of
same to
Hon. Elizabeth Pugh, .,
Whitman,
u.s.
Department of
Justice, Civil Division, 901 E Street, N.W., Room 952, Washington,
.
.
D.C. 20004-2037, on this the
')j,rl
~
day of March, 1994.
L
KENT MASTERSON BROWN
c:\wpwin\clinton\leav2nd.mot
5
�February 24, 1993
From:
Helen Levy (202 690-7802)
Subject:
Weekly report on activities of Quantitative Analytic Support Work Group
(32), week of 2/14-2/21.
To:
Lynn Margheri
The Quantitative Analytic Support Work Group (Chair: Ken Thorpe) met twice during
the week of 2114-2/21 to discuss:
The AHCPR microsimulation model and analytic work
peatures of the Agency for Health care Policy and Research (AHCPR) microsimulation model were presented by AHCPR staff, including the model's capacity to
simulate the effect on health insurance and health spending of proposed refonns.
Key behavioral assumptions underlying this model and other models (such as those
operated by HCFA and the Department of the Treasury) were discussed, including
price eiasticity of demand for medical care services and the wage reduction effect
caused by mandated employment-related health insurance benefits.
AHCPR also presented analysis and information completed to date for use by the
Work Group.
The Work Group was also engaged in the following activity:
Calibration exercise
HCFA, AHCPR and NIMH ran four standardized benefit plans through their
microsimulation models to see how results compare so that differences can be
resolved. Results will be discussed the week of 2/22.
Responses to requests from other Work Groups
The Work Group began conducting analyses and literature reviews in response to a
request from group 5 about the effects on premiums of community rating and a
request from group 3 on the distribution of employees and health expenditures by
firm size.
The workgroup plans to meet twice during the week of 2/22-2/29 to discuss:
Results of the benefit package
~st
calibration exercise
State health care spending estimates: HCFA will explain the data behind their State
health care spending estimates and the group will examine the assumptions underlying these estimates.
�/Xo.~Jorlt1
~e_ a.rl- ~ CJ jtJ c tJ /oi.LI\ {t
fJ.le_ pro vt'dd ~ ~"~ ~
1
we.r-e_
NJI-;dol //e_ft!e
Cbp!J ye..s/ldof.
~ ~o£
I
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit HCTF (Health Care Task Force); March 3, 1994
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Evan Ryan
Melanne Verveer
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 6
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-006-005-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/a06e62191cddf74b6c65da079cb3b1fa.pdf
039dfd06b29e34883e861770717df116
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderiD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); 2-23-93 Info Flow
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
7
2
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...............,....... ··- :·.·- · ............ ·.·,· ............. _......,.,...... '•"" .... .' .....................·:· ........ ,. ,. "· '?(~?./T-·3 ..... .
FOR OFFICIAL USE ONLY
:r~~
INFORMATION FLOW DIAGRAMS
FOR QUAL-ITY MEASUREMENT AND IMPROVEMENT
Version 1.0, February 23, 1993
Workgroup on Quality Measurement and Improvement (Group 9)
INTRODUCTION
By its very nature, the measurement and improvement of quality
.. .. .
involves information. Examples include the reports an Accountable
Health Practice (AHP) must provide to help Health Insurance
Purchasing Corporations (HIPCs) and consumers select AHPs,
resear~h information on the effectiveness of treatments, and
guidelines on the appropriate use of diagnostic tests. One of the
major .tasks.of the Q~ality workgroup is to defin~ th~ ~nformation
··.:on cost, · ·quali·ty cind· ace·e'ss
t.ha·t~
Will· bEr· re!quired ·to peiform·· the·
~-.
·.· ·· ...
essential functions of the health care system. Because of the
extreme complexity of the health care system, both as it is
currently configured and as it is envisioned for the future, and
because issues of quality relate to virtually every aspect of the
system, the Quality workgroup faced the problem that unless it
developed a systematic approach to its work it would run a great
risk of missing important functions and transactions that affect
quality. To help develop a comprehensive picture of all the
information that will be required to measure and improve quality,
the workgroup has developed a set of information flow diagrams
that systematically identify the main processes that must be
performed in-the. new system, and the information flows between
processes that will be required for their performance~- To keep
the diagrams relatively simple, only the most important
information flows relating to each process are described in the
diagrams. These diagrams should also be useful to the Informat-ion
workgroup that is responsible for designing the infrastructure · ·
that will collect, store and transmit the information, and to
other workgroups that need to visualize the relationship between
the functions they are analyzing and other functions to which they
relate.
INFORMATION FLOW DIAGRAMS
Information flow diagrams are convenient and powerful ways to
describe the processes a system uses to achieve its objectives and
the information required and produced by those processes. An
information flow diagram uses four main symbols. Processes are
represented by circles, information flowing between processes are
represented by arrows, data stores are represented by double lines
that break arrows (to symbolize that the information is not
transmitted instantaneously between two functions, but is stored
temporarily to be drawn on when needed), and processes outside the
system of primary interest are represented by squares. In
reality, data flows between processes occur in both directions.
For example, in a financial transaction a seller will submit a
bill and a buyer will write a check. To simplify the
PRELIMINARY STAFF WORKING PAPER FOR ILLUSTRATIVE PURPOSES ONLY.
Page 1
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FOR OFFICIAL USE ONLY
representation of such transactions, however, only the most
important d~rection of flow will usually be shown, using an
arr,owhead. In some cases the choice of a direct~on was arbitrary.
....
";·
It is important to understand that an information flow diagram
focuses on functions, not on the entities that are performing
those functions. This distinction is important because there is
rarely a one-to-one correspondence between functions and entities.
For example, one entity can perform several functions, the way an
HMO both arranges for financing, and provides care. Similarly,
most functions are performed by a wide variety of entities. For
example, financing is also provided by insurance companies, the
federal government, state governments, business (as an employee
benefit1, and individual patients (as out-of-pocket expenses).
After an information flow diagram has been developed to identify
.,.the: fl;lnc.tionS., ... cie$.C.rip,ti,qns. ·.o~ ~. ~·.e ·f?n,.~~ti~~ . ·.t~·a.~ J?~F~~·~· t.p~~~
functJ.ons can be added.
,·. ·:·... ·
Another point about information flow diagrams is that multiple
diagrams can be used to describe various levels of detail about
functions and information flows. For example, an insurance
company whose primary function is financing has many subfunctions
that include the design of benefit packages, marketing,
accounting, reporting, legal support, and so forth. Deeper levels
of detail are illustrated by creating •layers• of diagrams, where
each successive layer "blows up" the details of higher levels of
functions. Macintosh users can think of "double clicking• on a
fun~tj,.on .to ~xpose the subfu.nct~ons .. This use of layers. of
diagrams is not intended to imply any hierarchy of·control
(although such a hierarchy might exist). In an information flow
diagram, it is only intended to show different levels of detail.
·,.
Because each of the functions are performed by a wide variety ·.of·
entities, the workgroup has chosen very general labels to describe
the functions (eg, •contract for services,• •consume services•).
The use of these general labels might suggest that the information
flow diagrams are too abstract to be useful for actual planning.
That problem disappears when functions are divided into their
components. As higher levels of detail are described, tne labels
become more precise descriptions of specific functions.
Eventually, a level of detail is reached at which it is possible
to identify the specific entities that will perform each function
and that will produce and use each piece of information.
This report describes the current draft of the information flow
diagram being developed by the workgroup on Quality Measurement
and Improvement (Group 9). Because of the charge to the
workgroup, the report concentrates on those functions and
transactions that are related to quality. It should be considered
a living document that will be revised and expanded continuously
to reflect the workgroup's progress. The diagram can easily be
expanded to incorporate the functions and information flows of
other workgroups.
PRELIMINARY STAFF WORKING PAPER FOR ILLUSTRATIVE PURPOSES ONLY.
Page 2
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.· . ·,.,
FIGURE 1. THE HEALTH CARE DELIVERY SYSTEM
Because virtually every aspect of the health care delivery system
has implications for the quality of care, an information flow
diagram for quality measurement and improvement must begin with a
description of the entire health care delivery system. The
highest level function therefore is the delivery of health care.
This process receives information from •society• in the form of
the expectations people have for health care. In this context,
•society• includes not only the individuals who make up American
society but all the nonhealth functions that are performed in
various sectors of our society, including, for example, housing,
education, transportation, business, parks, welfare, the legal
system, and agriculture. As the health care delivery system
perform~ its functions, it delivers information back to society
about the performance of the health care system, and the extent to
... wo~cn it .has ..sati~f:ieq soc;~.e.ty'.s expe.c.t~t.io:n.s.
. ....
•••• •
•'
.··~··· . . . .
• ••
•
:
.: •
•••••••••••
•• • •
••
••
• ... :
••
••
·~
•••
.,~·- • • ·~.
·.~ . . .
·:
•
~.:
•
.....
•':
~-
·-··
•
• ••
,•'
·,#
·••••
·:
FIGURE 2. THE FIVE MAIN FUNCTIONS OF THE HEALTH CARE DELIVERY
SYSTEM
The health care delivery system consists of five main functions:
provision of services to maintain and improve people's health
(1.0), overall management of the system (2.0), consumption of
health care services by •consumers• (3.0), administration of
contracts to pay for the services (4.0), and supply of the wide
variety of intermediate products that are needed to provide
services (5.0).
Although there is not a one-to-one correspondence between these
functions. and the various entities.that.make up the. health car.e
system, for the purposes of understanding these functions it is
reasonable to think of examples of entities that perform each of
them. For example, in the current health care system hospitals
provide services (1.0), patients consume services (3.0), insurers
and other third-party payers administer contracts between
·
providers and consumers (4.0), and the Health Care Financing
Administration (HCFA) manages its system (2.0). Intermediate
products are supplied (5.0) by a wide variety of entities
including drug companies, device manufacturers, medical schools
(trained personnel), researchers (information on the effec~iveness
of interventions), guidelines developers, construction companies
(facilities), hospital suppliers, and so forth. Examples of new
types of entities that might be created in the new health care
system include AHPs that will perform the function of providing
services, HIPCs that will administer contracts for financing and
services, a National Health Board that will manage various aspects
of the system, such as defining a standard benefit package, and so
forth.
Each of these main functions consists of many subfunctions and is
performed by many different entities. Furthermore, a vast amount
of information of various types flows between each of the main
functions and their subfunctions. The following are some
highlights that are particularly pertinent to quality measurement
and improvement.
PRELIMINARY STAFF WORKING PAPER FOR ILLUSTRATIVE PURPOSES ONLY.
Page 3
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Provide Health Care Services (1.0)
Providers include all the personnel who either provide health care
or who directly support the provision of health care, and the
organizations in ~hich they work. In the current system providers
include solo practitioners, group practices, hospitals, HMOs,
CHAMPUS, laboratories, pharmacies, and nursing homes. In the new
system, AHPs will provide health care services.
.....,
:
~
. .:
Those who provide services (1.0) will not only receive information
that has been reviewed and •approved• by the managers (2.0), they
will also receive information from those who supply intermediate
products (5.0). Examples of the latter are information from
researchers about the effectiveness of treatments, information
from pharmaceutical companies about their products, and so forth.
The quality of this information will vary widely, from peerreviewed research publications to highly distorted marketing
. .... ··.1 i ~e;ra.t:u~.e· •.... :I'Jli.~ . : col-l.e.~. tl~p~_·: p ~·.. in~ or·~~ .i~.n:. -~~-~ 1 ~ .b,e·.. s-~;}}~4 -: ...· . . . . . . .· ... . .
"nonapproved" to distingi.lish it from information that has been
formally reviewed and approved by the managers. This is not
intended to be a pejorative term, and some of the nonapproved
information will be of very high quality. The important point is
that those who receive nonapproved information will have to judge
its quality for themselves.
Providers will enter into contracts with those who contract for
services, such as insurers and HIPCs (4.0). The contract will
specify the services the provider will provide, the information on
the budget for providing the services, and the information that
providers must report to enable contractors to administer the
provision of services·. ·Providers might. alsO" report ii).formation to
managers (2.0) on the. quality, cost and utilization of their
services so that the managers can monitor the overall performance
of the system, and to consumers of services (3.0) so that .. they can
make choices between providers.
Manage the Health Care System (2.0)
This function is concerned with the top-level management of the
health care system as a whole. Examples of specific functions
that might be performed by top-level management are the definition
of the standard benefit package, the assessment of specific
services that might be excluded from the standard benefit package,
the monitoring of the overall performance of the system (cost,
quality, access, utilization, variations), and the •accreditation"
of HIPCs and AHPs. Some of these functions are currently being
performed by HCFA, state health commissioners, and state insurance
commissioners. It is important to distinguish between these
global management functions and the management that occurs at the
level of individual health care providers and other organizations
(eg, hospital administration, management of insurance companies).
To help keep the distinction clear, terms such as •macro"
management and "oversight" will be used to describe the former,
and "micro" management and "administration" will be used to
describe the latter.
PRELIMINARY STAFF WORKING PAPER FOR ILLUSTRATIVE PURPOSES ONLY.
Page 4
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The information flows pertinent to the management function
correspond to its major subfunctions. In the proposed health care
system, it is envisioned that one or more national boards (eg,
National Health Board, Outcomes Management Board; Health Standards
Board) will manage the overall operation of the health care system
by performing such functions as designing the standard benefit
package that will be used by those who write contracts with
providers and consumers (4.0); reviewing information about medical
practices and passing on to providers (1.0) •approved• information
in the form of •approved" research results, technology assessments
and guidelines; and providing to consumers (3.0) standardized
reports about the quality of providers so that the consumers can
choose between different providers. National boards and other
entities that perform the management functions might also provide
feedback both formally and informally to the suppliers of
.. ::.·.·...:. · :.in.te.rm~pJat~ :.prod~ct.s ·. ( 5 ~ 0·) • · ~ampl·e$. include . information to dr.ug.
.
. ·companies. a"i-id. ..device· ·inam..ifacturer·s·· about:· cOverage ({ecisions .·····. ... .
concerning their products, feedback to medical educators about the
demand for various types of practitioners, requests to the
research establishment for information about the effectiveness of
particular services, and so forth.
Consume Health Care Services (3.0)
The term •consumer" is used to describe any entity that makes
choices between providers, that contracts with contractors (eg,
that joins a prepaid plan, buys insurance, or accepts Medicare),
or that actually consumes health care services. Consumers can be
organiz.ed at several levels of aggregation, ranging from..
individual people to large groups· of people ·created for the
purpose of collective. bargaining (eg, AARP, unions). ·The term
also includes the consumer function of HIPCs, which must evaluate
AHPs.
To help them make choices about providers, consumers receive
information on the quality, cost and access of various providers.
This information will come from two main sources: "standardized"
or "approved" information will be provided by system managers such
as a National Health Board, or the monitoring function of a HIPC
(2.0). In addition, consumers will undoubtedly receive ·
information directly from providers (1.0). This information will
not have been evaluated by managers, and therefore will be called
"nonapproved." Consumers will also receive "nonapproved"
information directly from suppliers such as drug companies (5.0).
As consumers make their choices, they will enter into contracts
with contractors (4.0), and will make decisions about specific
providers and health care services (eg, participate in decisions
about treatments).
Contract for Services (4.0)
ucontracting" is used in a general sense to describe the financial
arrangements made between providers and consumers of services. In
the current system this function is performed by insurers, other
third-party payers, and prepaid health plans .
PRELIMINARY STAFF WORKING PAPER FOR ILLUSTRATIVE PURPOSES ONLY.
Page 5
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Those who contract for services will enter into contracts with
both consumers (3.0) and providers (1.0) to arrange the coverage
for the standard benefit package. The contractors will also
provide consumers (3.0) with jnformation about the quality of
various providers. There will also be information flows between
consumers, providers and contractors associated with the reporting
and resolution of grievances.
--·.·· ·
Supply Intermediate Products (5.0)
As stated above, a wide variety of products is needed to provide
services. They include personnel, facilities, equipment,
supplies, drugs, devices, research information, guidelines,
information systems, management tools, and so forth. Providers
organize and convert these products into the forms necessary to
provide· actual health care services to consumers. For example, a
.hospital will assemble surgeons, nurses, an operating room,
.inst·rumEmts·,,· . sPe>riges,.· know-ledge.) .,technical· skfl.ls·•...and :·other< . . .. :, ··, .. ·:· ·:.,.
products to perform the health care service of operating on a
patient with a hernia.
Suppliers of intermediate products will receive ideas for new
products required to deliver health care services, and feedback
about existing products from health care providers (1.0), managers
(2.0), and contractors (4.0). This information can range from
informal suggestions from providers, to formal research results,
to coverage decisions. Suppliers of intermediate products will
provide information to providers (1.0), managers (2.0),
contractors (4.0) and consumers (3.0) about their products.
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Finally, those who supply intermediate products (5.0) .will
undoubtedly receive information from contractors in the form of
feedback about coverage decisions and the outcomes of their
products.
FIGURE 3. PROVIDE HEALTH CARE SERVICES (1.0)
Providers of services will perform three main functions. They
include actually providing care to consumers (1.3), administering
the organizations that provide care (1.1), and improving quality
(1.2). This function also includes a data store (DS 1.1). that
contains information about the provider system.
Administrators of provider systems (1.1) such as administrators of
HIPCs (1.1) will require information from several sources:
feedback on provider performance from the managers of the health
care system (2.0), contracts from the contractors (4.0), and
feedback from the quality improvement process on the performance
and efficiency of the system they are administering (1.2). In
turn, this function will pass administrative information to the
practitioners who actually provide care (1.3); information on
quality, cost and utilization, to the managers of the health care
system (2.0) in the form of standardized reports, contract
information to contractors (4.0), and reports on quality, cost and
access to consumers (3.0) to help them choose between various
providers.
PRELIMINARY STAFF WORKING PAPER FOR ILLUSTRATIVE PURPOSES ONLY.
Page 6
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The process of providing services (1.3) will receive information
from several sources. They include •approved" guidelines as well
as feedback on performance from managers (2.0), nonapproved
information from suppliers of intermediate products such as
researchers and drug companies (5.0), and feedback on the
effectiveness and efficiency of the service delivery system from
the quality improvement process (1.2). It will also draw on the
data store (DS 1.1) for the patient-specific data needed to serve
patients. In turn, providers of services will make decisions
about services with patients (consumers, 3.0) and will pass
patient care data to the data store.
The quality improvement process (1.2) will use performance
measures developed by the managers (2.0) and others (5.0), and
will examine patient care data CDS 1.0). It will feed back
;.irif.9rm:at.iQn '. .o,rr .su~:P·.· .i~e~s, .a.·~: .QJ.l~;L:i-J~y:; ...~ft)..·qJ~z:lP:Y~. -~~.:!-~~~~.t.~Q~ 1 .:. ~n.ct.-.
pat1ent satisfact1on to the providers of care (1.3) and to
·
administrators (1.1).
FIGURE 4. MANAGE THE HEALTH CARE SYSTEM (2.0)
The management process will perform five main functions. They
include management of the system as a whole (2.2), management of
individual services (eg, individual treatments) (2.1}, definition
of criteria for the system entities (eg, AHPs, HIPCs) and
transactions between entities (2.3), definition of the standard
benefit package (2.4), and specification of the budget limit or
cap for the standard benefit package (2.5). To perform these
f'l,lnctions, the management function will use at least two.data
st.ores. ·one~ shoWn in Figure 4 as DS 2~1, will store·.infoimation
on the effectiveness and appropriate use of specific services or
technologies (eg, mammography, coronary artery bypass surgery,
antismoking education programs). The other, shown as DS 2..2, will
store information about the quality, cost and access of providers.
The former will be called the service-specific data store.. The
latter will be called the provider-specific data store.
Management of the system is a very comprehensive and complex task.
As described above, the adjectives •macro" and •oversight" are
intended to distinguish between the management of the system as a
whole (what might be called •macro• management) and the management
of the particular organizations within the system that actually
provide care (•micro• management, or •administration•). In the
new system being envisioned, one of the most important entities
responsible for the management function is the National Health
Board.
Management of service improvement (2.2) involves evaluating and
making recommendations about specific services or technologies.
An example is the evaluation and •approval" of guidelines for use
by practitioners. The managers who will perform this function
will use information (from data store 2.1) about the effectiveness
of specific services and guidelines that have been developed to
define the appropriate uses of those services. Information of
PRELIMINARY STAFF WORKING PAPER FOR ILLUSTRATIVE PURPOSES ONLY.
Page 7
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that type will be received from suppliers of intermediate products
such as researchers and drug companies and stored in the data
store for individual services (DS 2.1). The putputs of this
function, such as the •approved• guidelines about the appropriate
use of specific services, will be passed to providers (1.0), as
well as to any others who must make decisions about appropriate
services. For example, some decisions of this type might be made
at the local level by HIPCs. These results will undoubtedly also
be of great interest to those who supply intermediate products
(5.0) (eg, drug companies).
i·.·" ......
. .••
Those who are managing the performance of the system as a whole
(2.1) (as opposed to managing individual services) will receive
reports· about the quality, cost and access of the care being
provided by providers (1.0). They will use that information to
,.frack:fhe· over.ai.l-.qual'ity.· of.:. t:b.e:- h¢al.tll :car.$. sys.tem ·as .. w.~lJ. .. q.~ ~<;>;:....... .
identify specific providers that might need techn.i'cal assistance.
The information gathered through this process will be stored in
the second data store that contains information about the
performance of specific providers (DS 2.2).
The management process will also perform a variety of functions
relating to defining the criteria that will establish the various
entities that will comprise the new health care system, and the
transactions that will occur between those entities. Examples
from the current system are the criteria the federal government
uses to define an HMO, the criteria the JCAHO uses to accreditate
hospitals, anO. the .. crite.ria. the N9,tional Cancer Institute :uses to
define a comprehensive cancer center.· In· the new· system,· this···
function would define·the criteria for what constitutes an HIPC or
AHP. Examples of information required for transactions are the
information on quality, cost and access that providers must r~port
to enable consumers to evaluate and make choices between AHPs.
For this function, information will be needed about both the
performance and structures of specific providers (data store 2.2)
as well as about the effectiveness and utilization of specific
services (data store 2.1). Once developed, the criteria will be
passed to providers (1.0), suppliers (5.0) and contractors (4.0).
g
-
One of the most important and visible functions of the managers
will be to specify the standard benefit package to which all
patients will have access. Determining the standard benefit
package will require information about the effectiveness and
recommended uses of specific services (DS 2.1), as well as
information about the quality, cost and utilization of services
being offered by providers (from DS 2.2). Additional information
will be needed about the maximum budget or cap under which the
standard benefit package must fit. This budget or cap will be
determined by the budget-setting function (2.5) of the management
function (eg, the National Health Board). Once the standard
benefit package has been defined, it will be passed to those who
contract for services (4.0) so that they can enter into contracts
with both providers and consumers.
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FIGURE 5. CONSUME HEALTH CARE SERVICES (3.0)
Consumers of services will perform three main functions. They are
to make a variety of decisions or choices (3.3); to receive health
care services when they develop health problems or are exposed to
health programs (eg, prevention programs) (3.2); and to provide
evaluative information (3.1) about such things as what diseases
they get (epidemiology), what is done to them (utilization), and
what happened afterward (outcomes).
.,,
· ··
··=:
Consumers make choices of many different types. They range from
deciding whether to join a HIPC at all (eg, a business can decide
between developing its own contract or joining a HIPC), to
selecting an AHP, to selecting a specific provider (eg, a
particular back specialist), to deciding on a treatment (eg,
lumpectomy vs radical mastectomy for breast cancer). To make
these choices, consumers will draw on information about
cont.ra·ctors .( 4; 0"·) ·, .. :such ·;·as· the ·pros·.· ·and<cons .. c)._t j·o~inirig· a·· HtPC·i.' :. ·, • ·.·. · ·
and about providers of services (1.0), such as their quality, cost
and access. Once a choice about a HIPC or provider has been made,
contracts can be developed (4.0). Decisions about individual
services will draw on information from providers (1.0) and will
determine the particular services that patients receive (3.2).
Managers (2.0) might also want to track information on the choices
consumers make.
Because the process of rece1v1ng services (3.2) affects service
utilization, information of this type will be important to
providers (1.0) and contractors (4.0).
The third main function of consumers is to provide information
( 3 . 1) to providers ( 1·. 0) , contractors ( 4 . 0) , and managers ( 2 . 0)
about their care, to help them assess needs, utilization and
outcomes. The types of information required for managing ··and, .
improving the delivery system include information on who they are
(demographics), what health problems they have (epidemiology),
what is done to them (utilization), what happens (outcomes), how
they feel about it (patient satisfaction), and what it costs
{resources). The information consumers report will be determined
by providers (1.0) and contractors {4.0) through such instruments
as questionnaires, interviews, and measurements.
FIGURE 6. CONTRACT FOR SERVICES (4.0)
The contract function includes three main processes. The most
obvious is to write and administer contracts for benefit packages
(4.1), both the standard benefit package developed by the
management function (2.0), as well as additional packages
developed locally by individual HIPCs or insurers. The second is
to provide fiscal intermediary services (4.2) such as setting
rates {including any adjustment for risks), receiving money from
consumers, investing the money, paying out money to providers and
maintaining an acceptable reserve. The third function is to
manage the activities of providers {4.3) that fall within the
scope of the contracts.
PRELIMINARY STAFF WORKING PAPER FOR ILLUSTRATIVE PURPOSES ONLY.
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The first function, contracting for benefit packages (4.1)
requires information about the standard benefit package from the
managers (2.0). To the extent that the contractors want tc·
develop other benefit packages they will also need information
about the cost, effectiveness and utilization of specific services
that might be contained in the new benefit package. This
information can be obtained from providers as well as from
suppliers of intermediate products (in the form of research on
services). This function will pass information on covered
services to the fiscal intermediary function (4.2), and the
provider management function (4.3). This function will also pass
information to managers (reports on quality, cost and access of
provid~rs), providers (contracts), and suppliers (feedback on
coverage and utilization of their products).
,.·. · .. '··· ··ThEF
third 'function,· ·mana.g·ing· providers ''<'4··. j:~ ~·· wiii···dra\.i···on-··; ··
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evaluation criteria provided b¥ managers (2.0) as well as
information on covered services provided b¥ the administration
function (4.1). In turn, the management function will involve
passing reports on quality, cost and access to consumers (3.0) and
managers (2.0) and making payments to providers (1.0).
FIGURE 7. SUPPLY INTERMEDIATE PRODUCTS (5.0)
The term uintermediate product• is intended to be extremely
general, to encompass a very wide variety of •products• that are
used b¥ providers to provide health care services to consumers.
There are three main types of intermediate products. One is
trained personnel ·(5.1). Examples of suppliers of.such products
are medical schools, dental schools, postdoctoral fellowship
programs, CME programs, and annual meetings of professional
societies. The second type of intermediate product consists of
tangible products such as drugs, devices, sponges, and cafeteria
trays (5.2). They are developed and manufactured b¥ drug
· ·
companies, device manufacturers, hospital supply companies, and so
forth. The third type of intermediate product consists of
information {5.3). This information can vary from raw data, to
published research results, to guidelines.
For all of these functions, data will be stored in and retrieved
from a variety of data stores, summarized in this diagram as data
store 5.1. Specific examples of data stores pertinent to this
function include medical libraries, journal articles sitting on
physicians' shelves, the archives of the Food and Drug
Administration, and the Medicare databases used by health services
researchers. Those who produce information (eg, researchers) will
also receive information directly from consumers (3.0), providers
{1.0), from the management function (2.0) (eg, about utilization
patterns, the quality of specific types of providers), and from
contractors such as insurance companies or HIPCs {4.0). A wide
variety of information will be obtained from these sources. They
include information on the effectiveness of specific treatments,
information on utilization of services, suggestions for research
priorities and agendas, information on service delivery systems,
and so forth.
PRELIMINARY STAFF WORKING PAPER FOR ILLUSTRATIVE PURPOSES ONLY.
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Suppliers of intermediate products will also provide a great deal
of information to providers, consumers and the management
function. For examples: The training function (5.1) will provide
medical knowledge to providers (1.0); the tangib~e products
production function (5.2) will provide information of varying
degrees of validity about the effectiveness of their products; and
the research function (5.3) will provide information about the
effectiveness, harms and costs of specific services to clinical
providers, consumers and researchers. Researchers and experts
will also provide information to administrators and managers in
the form of guidelines, planning tools, statistical methods,
advice, and so forth.
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INFORMATION FLOW DIAGRAM
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5.0
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Products
SUPPLY
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CONSUME HEALTH
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MANAGE:.: ..
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Figure 6
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1.0
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Results &
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit HCTF (Health Care Task Force); 2-23-93 Info Flow
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Evan Ryan
Melanne Verveer
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 6
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
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Clinton Presidential Records: White House Staff and Office Files
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William J. Clinton Presidential Library & Museum
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2194630
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with DHHS earnings and leave statements.
See Tab 64 attached to
this Memorandum.
Carolyn Handy
Chief Executive Officer, Blacks Educate Blacks About Sexual
Health Issues (Declaration of Marjorie Tarmey, Document No. 1077).
Ms.
Handy played a major role in the Interdepartmental Working
Group and its Cluster Groups,
Working Groups and Subgroups.
According to the DHHS earnings and leave statements, Ms. Handy was
reimbursed
for
at
least
640
hours
of
participation
on the
Interdepartmental working Group and its Cluster Groups, Working
Groups and Subgroups.
Ms.
Bandy entered the Old Executive Office
Building on at least 42 occasions.
Ms.
Handy was assiqned to
Cluster IIB, "New system Coverage, Coverage for Working Families"
(Declaration of Marjorie Tarmey, Document No. 145), and Cluster
IIC, "Coverage for Low-Income and Non-Working Families (Declaration
of Marjorie Tarmey, Document No. 155), and was a Special Consultant
to Cluster III, "Integrated Health Plans", Group 12, "Health Care
Workforce Development" (Declaration of Marjorie Tarmey, Document
No. 197).
Ms. Bandy's SF 450 form states her date of appointment
was February 10, 1993, but DHHS earnings and leave statements
indicate that she started on February 5, 1993.
see Tab 65 attached
to this Memorandum.
Rick Kronick, Ph.D.
Assistant Professor of
Political
Science,
University
of
California (Declaration of Marjorie Tarmey, Document No. 1090).
Kr. Kronick was reimbursed for at least 560 hours of participation
128
�on the Interdepartmental Working Group and its Cluster Groups,
Working
Groups
and
Subgroups.
Kronick
Mr.
Executive Office Building at least 28 times.
entered
the
Old
Mr. Kronick served as
Group Leader for Cluster I, "New System Organization••, Group 1,
"Principles and Operation of Purchasing Cooperatives •• , and Group 4,
"A Global Budget••.
He was also a member of Cluster II, "New System
coverage 11 , Group 7, ••coverage for Working Families (Declaration of
Marjorie Tarmey, Document No. 774).
See Tab 66 attached to this
Memorandum.
Roz D. Lasker, M.D.
Member,
(
Physician
Payment
Review
Commission
'PPRC 11 ) (Declarations of Marjorie Tarmey, Document Nos. 1070 and
1
1090). Declaration of Genevieve H. Young, Exh. 31.
Other members of
the PPRC who participated on the Task Force include Linda Aiken,
Karen David,
reimbursed
Philip Lee,
for
at
least
and Uwe Reinhardt.
544
hours
of
Dr.
Lasker was
participation
on
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Dr. Lasker entered the Old Executive Office
Building on at least 19 occasions.
Cluster II,
Dr. Lasker was assigned to
"New system Infrastructure and Support 11 ,
Special Consultant to Group 9,
11
Quality Management••.
and as a
See Tab 67
attached to this Memorandum.
Lawrence R. Levitt, IIPP
Special Assistant for Health Policy, California Department of
Insurance (Declarations of Marjorie Tarmey, Documents Nos. 1077 and
1091).
According to·his DHHS earnings and leave statements, Mr.
129
�Levitt was reimbursed for
640 hours of participation on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Mr. Levitt entered the Old Executive Office
Building on at least 26 occasions.
Cluster I,
Mr. Levitt was assigned to
"New System organization", Group 4 Leader,
"Global
Budget" (Declaration of Marjorie Tarmey, Document No. 14), and
Group 5,
"Insurance Reform"
Document No. 34).
over
thirty
(Declaration
of
Marjorie
Tarmey,
Mr. Levitt's SF 450 was signed March 11, 1993,
(30)
days
after
Interdepartmental Working Group.
he
was
appointed
See Tab
68
to
the
attached to this
Memorandum.
Simi H. Litvak
World Institute on Disability-California Research Director.
According to DHHS earnings and leave statements, Ms. Litvak was
reimbursed
for
at
least
408
hours
of
participation
on .the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Ms. Litvak entered the Old Executive Office
Building at least 12 times.
Ms. Litvak was assigned to Cluster IX,
"Long Term Care", Group 36, "Disability cross-cutting Group", where
she is identified as being from the World Institute on Disability
(Declaration of Marjorie Tarmey, Document No.
671).
See Tab 69
attached to this Memorandum.
carol Miller, MPH
Public Health Consultant, Mountain Management company, New
Mexico (Declarations of Marjorie Tarmey, Documents Nos. 1077 and
1091). According to DHHS earnings and leave statements, Ms. Hiller
130
�was reimbursed for at least 560 hours of participation on the
Interdepartmental Working Group and its Clusters, Working Groups
and Subgroups.
Ms.
Miller entered the Old Executive Office
Building on at least 54 occasions.
Ms. Miller was assigned to
Working Group 6, "Benefits", of Cluster IIA, "New System Coverage"
(Declaration of Marjorie Tarmey, Document No. 134), and on Working
Group 1,· "Principles and Operations in Purchasing Cooperatives",
Cluster I,
"New System organization"
Tarmey, Document No. 3).
(Declaration of Marjorie
Ms. Miller's SF 278 reveals that she is
the sole proprietor of a management consulting firm called Mountain
Management company in Ojo Sarco, New Mexico, and the company
contracts for state and federal funds to consult as a government
contractor through the New Mexico General Services Administration.
See Tab·7o attached to this Memorandum.
Lois Quam, MA
Vice President, Public Sector services, United Health Care
Corporation (Declaration of Marjorie Tarmey, Document No. 734).
Lois Quam was perhaps one of the most important players on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Ms. Quam was reimbursed for at least 640
hours of participation on the Interdepartmental Working Group and
its Cluster Groups, Working Groups and Subgroups. Ms. Quam entered
the Old Executive Office Building on at least 26 occasions, and Ms.
Quam also was on the "passholder's list".
of
Cluster
care/Toward
1,
Ms. Quam was the Leader
"New System Organization",
& Beyond-Rural"
(Declaration
131
Group
2,
"Managed
of Marjorie Tarmey,
�Document No. 7), and was also on Working Group 19, Cluster VI,
"Short-Term
Cost
Controls"
(Declaration
of
Marjorie
Tarmey,
Document No. 482), and Group 18 of Cluster VI, "Accelerating New
System Development" (Declaration of Marjorie Tarmey, Document No.
478). Ms. Quam's SF 278 states that she earns $112,763 from United
Health Care Corporation in Minneapolis, Minnesota, and is also a
Board Member of the Center for Health Care Access and Reform, St.
Paul, Minnesota.
In Part II of her SF 278 form, which would
disclose compensation in excess of $5,000. 00,
it reads,
"See
attached Page (p7)", but this attached page was omitted from the
documents produced by Defendants.
As will be seen, infra, United
Health Care corporation is an important name to remember.
See Tab
71 attached to this Memorandum.
Sally
K.
Richardson
Director, Public Employees' Insurance Agency, West Virgi_nia
Health Care Planning Commission, Vice-Chair, West Virginia Health
Care
Planning
Commission
(Declarations
of
Marjorie
Tarmey,
Documents Nos. 1079 and 1091). Ms. Richardson played a significant
role in the Interdepartmental Working Group and its Cluster Groups,
Working Groups and Subgroups. According to DHHS earnings and leave
statements, Ms. Richardson was paid for at least 376 hours of
participation on the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
lis.
Richardson
entered the Old Executive Office Building on at least 56 occasions.
Ms.
Richardson
was
assigned
to
Cluster
I,
"New
System
Organization", Group lA, "Health Plans, Providers, and Patients in
132
�the New System" (Declaration of Marjorie Tarmey, Document No. 5) 1
Group 2 1 "Managed Care/Toward & Beyond" (Declaration of Marjorie
Tarmey 1 Document No. 8)
Marjorie Tarmey,
Group 12,
1
Group 3 1 "Governance" (Declarations of
Documents Nos. 12 and 82 Cluster III 1 Working
"Health Care Workforce Development"
Marjorie Tarmey,
Documents
Nos~
(Declarations of
197 and 520).
The Robert Wood
Johnson Foundation gave the West Virginia Health Care Planning
Commission
$149,971
for
16
months
to
assist
the
system needed
State
for
in
strengthening
its health statistics
health
policymaking.
Declaration of Genevieve H. Young, Exh. 4, 1992 RWJF
Annual Report, ID No. 13607, at 55-56, a preliminary step towards
participating in the "State Initiatives in Health care Reform"
program.
See Tab 72 attached to this Memorandum.
Aaron Shirley, M.D.
Project Director and Pediatrician, Jackson-Hinds Comprehensive
Health Center,
Jackson,
Mississippi
Tarmey, Documents Nos. 1091 and 1079).
(Declarations
of
Marjorie
According to DHHS earnings
and leave statements, Dr. Shirley was paid for at least 408 hours
of participation on the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
Dr. Shirley entered
the Old Executive Office Building on at least 22 occasions, but
also held a
pass.
Dr.
Shirley served on Working Group IV,
"Integration of Government Programs",
Subgroup 13,
"Medicare"
(Declaration of Marjorie Tarmey, Document No. 407), Cluster Group
III, "Integrated Health Plans", Group 12, "Health Care Workforce
Development" (Declarations of Marjorie Tarmey, Document Nos. 2 and
133
�526),
and
Cluster
VIII,
"Health
Policy
Initiatives
for
the
Underserved" , Group 2 2 , "Urban/Rural" , Subgroup, "Underserved Rural
and Inner City Areas" (Declaration of Marjorie Tarmey, Document No.
30034).
The State of Mississippi has been a recipient of large
amounts of RWJF funds.
See Tab 73 attached to this Memorandum.
Shoshanna Sofaer, DRPB
Associate Professor,
George Washington University Medical
Center, Health service Researcher (Declarations of Marjorie Tarmey,
Document Nos.
1079 and 1091) •
Shoshanna Sofaer was
heavily
involved in the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups.
According to DHHS earnings
and leave statements, Shoshanna Sofaer received reimbursement for
at least 520 hours of participation on the
Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups.
There are some discrepancies
in the DHHS earnings and
statements relative to lis. SOfaer.
lis.
SOfaer entered the Old
Executive Office Building at least 22 times.
Cluster
I,
"New
System Organization",
leave
liS. Sofaer served on
Group
3,
"Governance"
(Declaration of Marjorie Tarmey, Document No. 94), and Cluster II,
"New System Coverage", Group 8, "Coverage for Low-Income and NonWorking Families", where she was a Subgroup Leader (Declaration of
Marjorie Tarmey, Document No. 157).
Group
40,
"Academic Health
Ms. SOfaer also served on Work
Centers".
The
George
washington
University Medical Center as noted supra, has received considerable
amounts of RWJF and Kaiser grant monies.
this Memorandum.
134
See Tab 74 attached to
�Paul Starr, Ph.D.
Sociologist, Princeton University (Declarations of Marjorie
Tarmey, Document Nos. 1079 and 1092).
According to DHHS earnings
and leave statements, Dr. Starr was reimbursed for at least 680
hours of participation on the Interdepartmental Working Group and
its Cluster Groups,
Working Groups and Subgroups.
Dr.
Starr
entered the Old Executive Office Building on at least 31 occasions,
and his name appeared on the list of passholders.
Dr. Starr was
assigned to be Chair, "Transition to the New System" Task Group,
Group 18 (Declarations of Marjorie Tarmey, Document Nos. 477 and
478), and also served on Cluster VI, "Cost Containment", Group 20,
"Cost Controls" (Declaration of Marjorie Tarmey, Document No. 482).
See Tab 75 attached to this Memorandum.
Robyn Stone, DRPB
Health Services Researcher, Senior Policy Analyst, Project
HOPE (Declarations of Marjorie Tarmey, Document Nos.
1092).
1079 and
MS. Stone played a central role on the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups.
According to DHHS earnings and leave statements, MS. Stone was
reimbursed
for
at
least
656
hours
of
participation
on
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Ms. Stone entered the Old Executive Office
Building on at least 28 occasions,
passholder's list.
and she appeared on the
MS. Stone was the Chair of Cluster X, "Long
Term Care" (Declaration of Marjorie Tarmey, Document No. 584), and
was also a member of· the "Disability Cross-cutting" work Group,
135
�Group 36 (Declaration of Marjorie Tarmey, Document No. 671).
See
Tab 76 attached to this Memorandum.
Robert Valdez, Ph.D. ·
Associate Professor, UCLA School of Public Health and Health
Policy Analyst Specializing in Children's Issues at the RAND
Corporation (Declarations of Marjorie Tarmey, Document Nos. 1079
and 1092).
According to DHHS earnings and leave statements, Dr.
Valdez was reimbursed for at least 400 hours of participation on
the Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Dr. Valdez·entered the Old Executive Office
Building on at least 15 occasions, and his name appears on the
passholder's list.
Dr. Valdez served on Cluster I, "New System
coverage", Group 5, "Insurance Reform", Working Group II, "New
System Coverage", Subgroup 6, "Benefits" (Declaration of Marjorie
Tarmey, Document No. 116), where he was a co-subgroup Leader with
Linda Bergthold (Declarations of Marjorie Tarmey, Document Nos. 122
and 123) • Dr. Valdez also served on Working Group 7, "Coverage for
Working Families" (Declaration of Marjorie Tarmey, Document No.
139) and Working Group 8, "Coverage for Low-Income and Non-Working
Families" (Declaration of Marjorie Tarmey, Document No. 157).
See
Tab 77 attached to this Memorandum.
Richard Veloz, JD, MPH
Staff Director, House Aging Committee, 8/89-2/93, full-time
SGE (Declarations of Marjorie Tarmey, Document Nos. 1679, 1080 and
1092).
According to DHHS earnings and leave statements, Mr. Veloz
was reimbursed for at least 600 hours of participation on the
136
�Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
After he had resigned as Staff Director for
the House Select Committee on Aging,
Mr.
Veloz entered the Old
Executive Office Building on at least 48 occasions.
Mr.
Veloz was
the staff Director for the House Select Committee on Aging, a
committee which lost its funding on March 31, 1993.
his SF 278,
Mr.
According to
Veloz apparently left this position as of February,
1993 to work on the Interdepartmental Working Group.
Mr.
Veloz was
assigned to Working Group III, "Integrated Health Plans", Group 12,
"Health Care Workforce
Tarmey,
Document
No.
Development"
526),
Cluster
(Declaration
VIII,
of Marjorie
Working
Group
22
(Declarations of Marjorie Tarmey, Document Nos. 167, 168 and 178),
and Cluster X,
"Long-Term Care",
Liaison between Cluster II,
Working Group 8 and Cluster VIII, Working Group, "Underserved Rural
and Inner-City Areas" (Declarations of Marjorie Tarmey, Document
Nos. 624, 584 and 715).
See Tab 78 attached to this Memorandum.
Josh Wiener, Ph.D.
senior Fellow, Brookings Institution (Declaration of Marjorie
Tarmey, Document No. 1093) •
Dr. Wiener played a large role in the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
According to DHHS earnings and leave
statements, Dr. Wiener was reimbursed for at least 566 hours of
participation on the
Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
Dr. Wiener entered
the Old Executive Office Building on at least 32 occasions, and he
is on the
passholder~s
list.
Dr. Wiener served on Cluster Group
137
�IV,
"Integration of Government Programs", Subgroups "Medicare"
(Declaration of Marjorie Tarmey, Document No. 407), Subgroup 14,
"Department of Defense" (Declarations of Marjorie Tarmey, Document
Nos. 416 and 417), Subgroup 14A, "Government Programs" (Declaration
of Marjorie Tarmey, Document No. 451), and Cluster X, "Long Term
Care",
Liaison
with
"Integration
of
Government
(Declaration of Marjorie Tarmey, Document No. 584).
Programs"
See
Tab
79
attached to this Memorandum.
Walter Zelman
Special Deputy for Health Insurance, California Department of
Insurance
and . author
of
the
so-called
"Garamendi
Plan 1115
(Declarations of Marjorie Tarmey, Document Nos. 1080 and 1093).
Mr. Zelman played a major role on the Interdepartmental Working
Group
and
its Cluster Groups,
Working Groups
and Subgroups.
According to DHHS earnings and leave statements, Mr. Zelman was
reimbursed
for
at
least
720
hours
of
participation
on
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Mr. Zelman entered the Old Executive Office
Building on at least 48 occasions.
Mr. Zelman served as Chair of
Cluster III, "New system organization" (Declaration of Marjorie
Tarmey,
Document No.
1218) ,
and attended Toll Gates 2 and 3
(Declarations of Marjorie Tarmey, Documents Nos. 976 and 977).
Tab 80
See
attached to this Memorandum.
15
For an explanation of the "Garamendi Plan," see Declaration
of Genevieve H. Young, Exh. 32.
138
�H.
ALLEGED UNCOMPENSATED WORK GROUP "EXPERTS" AND "CONSULTANTS"
Declaration of Marjorie Tarmey,
Document No.
1083,
lists
alleged uncompensated "experts and consultants" who participated on
the Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
The persons listed in these categories in
Document No. 1083 (Declarations of Marjorie Tarmey) and relevant
information regarding each of these persons as reflected in other
documentation produced by the Defendants, are attached as Tabs Bl
through 99 to this Memorandum.
Each person and their respective
roles on the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups, as revealed by documents
produced by the Defendants, are discussed below, seriatim.
1.
Full-Time "Consultants"
Judith F. Eddy
Research Associate, Duke University.
In their First Discovery
Responses, the Defendants stated that Judith Eddy participated
full-time as a "member of the interdepartmental working group" • Ro
travel vouchers or DBBS earnings and leave statements have been
produced by the Defendants relative to Judith Eddy.
the precious
According to
little documentation which was supplied by the
Defendants, Ms. Eddy entered the Old Executive Office Building on
at least 19 occasions, and was on the passholder's list.
The only
really significant paperwork on Judith Eddy is an SF 450 conflict
of interest form which was signed on March 31, 1993, more than
thirty
(30)
days
after
she
began
her
assignments
on
the
Interdepartmental Working Group and its Cluster Groups, Working
139
�Groups and Subgroups. Judith Eddy was available full-time, but was
unpaid.
She
(Declaration
of
was
assigned
Marjorie
a
White
Tarmey,
House
telephone
Document No.
260),
number
and was
assigned to Cluster III, "New System Infrastructure and Support"
(Declaration of Marjorie Tarmey, Document No. 260), where she is
described as "Staff, Health Care Workforce" (Group 12) (Declaration
of Marjorie Tarmey,
Document No. 357), and "Cluster Assistant"
(Declarations of Marjorie Tarmey, Document Nos. 357 and 364).
See
Tab 81 attached to this Memorandum.
Arnold M. Epstein, M.D., M.A.
Professor, Harvard Medical School Brigham & Women's Hospital:
Robert Wood Johnson Foundation Health Policy Fellow (Declarations
of Marjorie Tarmey,
supra,
Document Nos. 1094 and 1078) •
As stated,
Dr. Epstein was a Robert Wood Johnson Foundation Health
Policy Fellow.
For some reason, of all the RWJF Fellows on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups, Dr. Epstein was the only Fellow classified as
an "SGE, full-time" (Declaration of Marjorie Tarmey, Document No.
1094) • The Defendants openly mislead the Plaintiffs and this Court
by attempting to classify the other RWJF Fellows as full-time
government employees.
On March 15, 1993, Dr. Epstein filed an SF
450 conflict of interest form stating he was a "special government
employee, intermittent," with Health and Human Services, and that
he started on February 17, 1993.
Of course, documents produced by
Defendants show that Dr. Epstein was a full-time participant, not
an "intermittent" participant (Declaration of Marjorie Tarmey,
140
�Document No. 1094).
Dr. Epstein entered the Old Executive Office
Building on at least 37 occasions, and Dr. Epstein possessed a
White House pass.
Dr. Epstein played an important role in the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups, which is not surprising considering the
integral role of the Robert Wood Johnson Foundation in the push for
preconceived health care reform legislative measures on the state
and federal level.
Dr. Epstein was identified as both an "SGE" and
as a Congressional representative from the Senate Labor and Human
Resources Committee (Declaration of Marjorie Tarmey, Document No.
260).
Dr. Epstein served on Working Group 40,
Centers"
(Declaration of Marjorie Tarmey,
"Academic Health
Document No.
704),
Cluster III, Group 9, "Quality Measurement", as Task Group Leader
(Declarations of Marjorie Tarmey, Document Nos. 233 and 186), and
Cluster III, "New System Infrastructure and Support" (Declaration
of Marjorie Tarmey, Document No. 260).
See Tab 82 attached to this
Memorandum.
Alan Billman, II.D.
University of Pennsylvania Medical School, alleged consultant,
part-time,
Document
no
No.
documentation
compensation
1077).
relative
The
to
(Declaration
of
Defendants
have
Dr.
Hillman's
Marjorie
produced
service
Tarmey,
little
on
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Dr.
Hillman's SF 450 shows his date of
appointment was February 8, 1993, but his SF 450 was dated october
15, 1993, clearly more than thirty (30) days after his appointment.
141
�The records produced by the Defendants show no entries by Dr.
Hillman to the Old Executive Office Building.
Dr. Hillman was
assigned as a consultant to work with Cluster III, "New System
Infrastructure
and
Document No. 261).
Support"
(Declaration
of Marjorie Tarmey,
According to records produced by Defendants,
Dr. Hillman worked without compensation and kept no record of his
time on the Interdepartmental Working Group.
See Tab 83 attached
to this Memorandum.
Mark .D. Smith, M.D., MBA
Vice President,
Kaiser Family Foundation
Marjorie Tarmey, Document No. 1075).
(Declaration of
During Dr. Smith's tenure on
the Task Force, he was promoted to Executive Vice President of the
Kaiser Family Foundation (Declaration of Genevieve M. Young, Exh.
24).
The Defendants' records with regard to Mark Smith are
blatantly contradictory and misleading.
1678, Smith was an "SGE".
According to Document No. 1094, Smith
was a "consultant, full-time,
Document No.
1101,
According to Document No.
Smith was
no compensation".
"full-time,
According to
with compensation".
According to Declaration of Marjorie Tarmey, Document No. 1079,
Smith was "part-time (double check)".
What is clear, however, is
that Smith played a key role on the Interdepartmental Working Group
and its Cluster Groups, Working Groups and Subgroups, "leveraging
government dollars" for the Henry J. Kaiser Family Foundation.
Smith executed an SF 450 conflict of interest form on April 22,
1993, more than thirty (30) days after he began serving on the
Interdepartmental Wor-king Group and its Cluster Groups, working
142
�Groups and Subgroups.
The SF 450 is also part of the contradictory
documentation because on it he identifies himself as an "unpaid
special employee". Smith entered the Old Executive Office Building
on at least 19 occasions, and his name appears on the passholder's
list.
Smith participated on Cluster VIII, Group 22, "Underserved
Populations", and was interested in monitoring "Accountable Health
Plans on Underserved Populations" (Declaration of Marjorie Tarmey,
Document No. 1318).
Smith also served on Cluster III, Group 12,
"Health Care Workforce Development (Declaration of Marjorie Tarmey,
Document No. 526}.
See Tab 84 attached to this Memorandum.
Ciro Sumaya, M.D.
Associate Dean, University of Texas Health Sciences Center,
San Antonio, Texas (Declarations of Marjorie Tarmey, Document Nos.
197 and 1079).
Marjorie
According to Document No. 1092, Declaration of
Tarmey,
compensation".
Sumaya served
as
an
"SGE,
Full-Time,
with
Document No. 1079 indicates she was "Full-Time".
However, no DIDIS earninqs and leave statements were produced for
Sumaya, and on her administrative time and leave record it is
stated "Employee worked without compensation: kept no record of
time on the job."
states
her
Sumaya's SF 450 is dated March 20, 1993, and
starting
date
as
February
22,
1993,
which
is
contradicted by the 2/1/93 date on her administrative time and
leave statement.
Sumaya entered the Old Executive Office Building
at least 22 times, and, her name appears on the passholder's list.
Sumaya was assigned as a "special consultant" to Working Group III,
"New system Infrastructure", Group 12 I
143
"Health Care Workforce
�Development" (Declaration of Marjorie Tarmey, Document No. 197),
and Group 14, "Facilitating Professional Development" (Declaration
of Marjorie Tarmey, Document No. 206).
Sumaya is listed under
"Chairs and Consultants for Cluster 3" (Declaration of Marjorie
Tarmey, Document No. 304), and Group 40, "Academic Health Centers"
(Declaration of Marjorie Tarmey, Document No. 704).
See Tab 85
attached to this Memorandum.
Farah M. Walters, MBA, MA
President and CEO,
University Hospitals,
Cleveland,
(Declaration of Marjorie Tarmey, Document No. 1092).
Ohio
According to
Declarations of· Marjorie Tarmey, Documents Nos. 1080 and 1092,
Walters was a "Consultant, Full-Time, With Compensation".
Despite
this status, no DIDIS earnings and leave statements exist regarding
Ms.
Walters.
According to her administrative time and leave
record, Walters allegedly worked without compensation and kept no
record of her time.
Ms.
Walters entered the Old Executive Office
Building on at least 10 occasions.
According to the Defendants'
First Discovery Responses, Walters was assigned to the group
entitled
11
Accelerating New System Development 11 •
See Tab 86
attached to this Memorandum.
Megan Toohey
According
Defendants,
Ms.
to
the
little
Toohey was
documentation
a
"special
provided
assistant"
by
from
the
HHS.
According to the working group lists provided by Defendants (see
discussion, supra), Ms. Toohey was assigned to several clusters.
Mo DIDIS earnings and leave statements or conflict of interest forms
144
�have been provided with respect to Ms. Toohey.
See Tab 87 attached
to this Memorandum.
2.
Part-Time "Consultants"
Document No.
1084 lists
"Part-Time Consultants"
for
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups
and Subgroups.
individuals
based
Defendants,
and
Personal
upon
the
along with
summaries
on each of
documentation
by
the
supporting documentation
the
produced
these
are
attached at Tab 104 attached to this Memorandum.
When one reviews
the'documentation with respect to these individuals, especially the
number of times these persons attended meetings within the Old
Executive
Office
individuals
Building,
participated as
it
is
clear
members
of
that
the
many
of
these
Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups,
regardless of the flagrantly misleading characterizations of the
Defendants.
Each of these
individuals are discussed below,
seriatim.
Linda Aiken, Ph.D. , RH
Linda Aiken is a Professor and Director of the Center for
Health
Services
and
Policy
Research
at
the
University
of
Pennsylvania School of Nursing (Declarations of Marjorie Tarmey,
Document Nos. 1078 and 1087).
that she was
a
consultant,
Documents No. 1078 and 1087 state
part-time with compensation,
Document No. 1678 states that she was an "SGE".
but
According to DHHS
earnings and leave statements, Aiken was paid $300.00 per day for
a total of $6, 600. 00 for her participation on the Interdepartmental
145
�Working Group and its Cluster Groups, Working Groups and Subgroups.
Aiken is a former Vice President for Research at the Robert Wood
Johnson Foundation, where she served for fifteen ( 15) years.
Aiken
entered the Old Executive Office Building on at least 20 occasions.
Aiken
served
on
Working
Group
12,
"Health
Care
Workforce
Development", Cluster III, "Integrated Health Plans", as a Senior
Consultant (Declaration of Marjorie Tarmey, Document No. 197). Not
surprisingly,
considerable
the
sums
Robert
Wood
to
University
the
Johnson
Foundation
of
has
Pennsylvania.
given
See,
Declaration of Genevieve M. Young, Exh. 4, 1992 RWJF Annual Report.
See Tab 88 attached to this Memorandum.
Alan B. Krueger, Ph.D.
Economist,
Princeton University (Declarations of Marjorie
Tarmey, Document Nos. 1077 and 1090).
According to Document No.
-1090, Krueger was a "consultant, full-time, with compensation".
According to DHHS earnings and leave statements, Krueger earned
$300.00 per day for a total of $3,600.00
Krueger entered the Old
Executive Office Building on at least 7 occasions.
Document No.
1077 shows his availability full-time as of- February 10, 1993.
Krueger's administrative time and leave records are inconsistent
with his earnings records.
Krueger served on Cluster II, "New
System Coverage,
(Declarations
Benefits"
of
Marjorie
Tarmey,
Document Nos. 116 and 188), and "Coverage for Working Families"
(Declaration of Marjorie Tarmey, Document No. 136).
Krueger also
served on Cluster XII, Working Group 32, "Quantitative Analysis"
(Declarations of Marjorie
Tarmey, Document Nos. 713 and 714).
146
In
�1992, Princeton University received $50,000 from the Robert Wood
Johnson Foundation for a conference on managed competition.
See,
Declaration of Genevieve M. Young, Exh. 4, 1992 RWJF Annual Report
ID No. 20587, at 54.
See Tab 89 attached to this Memorandum.
Kathleen N. Lohr, Ph.D.
Public Policy Analyst, Deputy Division Director, Division of
Health Care Services,
Institute of Medicine
(Declarations
Marjorie Tarmey, Document Nos. 1077 and 1087).
of
Ms. Lohr earned
$300.00 per day for total of $6,300.00 for her participation on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Ms. Lohr's SF 450 conflict of interest form
is dated April 5, 1993, more than thirty (30) days after she became
a participant on the Interdepartmental Working Group.
Ms. Lohr had
two documented entries into the Old Executive Off ice Building. Ms.
Lohr's
employer,
the
Institute
of
Medicine,
has
received
considerable sums from the Robert Wood Johnson Foundation.
See,
Declaration of Genevieve M. Young, Exh. 4, 1992 RWJF Annual Report,
ID Nos. 19634 and 18555, at 59 and 56.
See Tab 90 attached to this
Memorandum.
David Satcher, M.D.
President, Meharry Medical College, Nashville, Tennessee, coChair,
Health
Care
Reform
Technical
Work
Group
on
Health
Professionals for the Health Policy Transition Team (Declarations
of Marjorie Tarmey, Documents Nos. 1079 and 1087).
According to DHHS earnings and leave statements,
earned
$300.00
per· day
for
a
147
total
of
$4,500.00
Satcher
for
his
�participation on the
Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
Satcher entered the
Old Executive Office Building on at least 12 occasions.
Satcher
attended each of the seven "Toll Gates", and was assigned as a
"consultant"
to
Cluster
III,
"New System
Infrastructure
and
Support" (Declarations of Marjorie Tarmey, Document Nos. 186 and
194), and was a "Senior Consultant to the Steering Committee" of
Working Group III, "Integrated Health Plans", Group 12, "Healthcare
Workforce Development" (Declaration of Marjorie Tarmey, Document
No. 197).
In 1992, the Robert Wood Johnson Foundation gave Meharry
Medical College $50,000 for enhancement of clinical training sites
and strategic planning for one year.
See, Declaration of Genevieve
H. Young, Exh. 4, 1992 RWJF Annual Report ID No. 20436, at 56.
According to the November, 1993 issue of Philanthropic Digest,
Meharry Medical College received a grant of $430, 408 from the
United States Department of Health and Human Services.
See Tab 91
attached to this Memorandum.
Jane L. Schadle, RH, MBA
Iowa Department of Health, Health Program Analyst, Program
Planner, Office of Rural Health (Declaration of Marjorie Tarmey,
Document No. 1087).
The DHHS earnings and leave statements show
that Schadle was paid $300.00 per day for a total of $12,000.00.
SChadle entered the Old Executive Office Building on at least 11
occasions.
Coverage",
Sehadle was assigned to Cluster II,
Group
8,
"Low
Income
and
"New System
Non-Working
Families"
(Declaration of Marjorie Tarmey, Document No. 167), and Cluster
148
�III,
"New
System
Infrastructure",
Group
12,
"Facilitating
Professional Development" (Declaration of Marjorie Tarmey, Document
No. 371).
Schadle's SF 450 was signed more than thirty (30) days
after she began participation on the Interdepartmental Working
Group and its Cluster Groups, Working Groups and Subgroups.
The
Robert Wood Johnson Foundation gave $285,923 to the State of Iowa,
Department of Public Health, for two years as part of its State
Initiatives
in
Health
Care
Financing Reform
Program.
See,
Declaration of Genevieve M. Young, Exh. 4, 1992 RWJF Annual Report,
ID No. 18519, at 37.
See Tab 92 attached to this Memorandum.
Documents Nos. 1073 and 1085 (Declarations of Marjorie Tarmey)
produced by the Defendants lists the support staff, or Temporary
Schedule c Employees, serving the members of the Task Force and the
Interdepartmental Working Group and its Cluster Groups, Working
·Groups and Subgroups. These persons included Steven Adamske, Molly
Brostrom, Toby Graff, Jim Jorling, Debbie Levine, Denise Ricketson,
Mary
Schuneman, Karj Tarmey, and Barbara Wooley.
These individuals
were hired by the Department of Health and Human Services, but
worked at the White House virtually every day, .and were holders of
White
House
$48, ooo. oo,
passes.
Each
was
paid
depending on their rank.
between
$18,000.00
and
Personal summaries and
supporting documentation regarding each of these individuals is
attached at Tab 93 to this Memorandum.
Document No. 1086 (Declaration of Marjorie Tarmey), states
that the twenty-four ( 24) individuals who were "original" full-time
"SGE" members of the Interdepartmental Working Group and its
149
�Cluster Groups, Working Groups and Subgroups should be off the
payroll in intervals, starting April 16, 1993, with four (4) to six
(6) persons, on May 1, 1993, six (6) to nine (9) persons, and then
on May 17, 1993, "the rest".
the working group.
This directive was not adhered to by
Most workin9 group members were paid until May
29, 1993, and then given a lump sum leave payment.
Many working
group members continued to report to the Old Executive Office
Building until the end of May, or, in light of pre-appointment
entry records into the Old Executive Office Building, at least
until May 21, 1993, which is the cut-off date on that document.
Many other individuals with ties to the private sector served
on the Interdepartmental Working Group and its Cluster Groups,
Working Groups and Subgroups.
The Defendants produced documents
relative to many of these individuals, but many were not accounted
for by the Department of Health and Human Services.
Personal
summaries and supporting documentation relative to each of these
individuals is attached at Tabs 94-99 to this Memorandum.
Each of
these individuals and their roles on the Interdepartmental Working
Group, and its Cluster Groups, Working Groups and Subgroups are
discussed below, seriatim.
Dr. Richard G. Frank
Johns
Hopkins
Development center.
University,
Dr.
Health
Services
Frank served on the
Research
and
"Mental Health"
Cluster Group and reimbursed for travel on at least 32 separate
occasions between February 15, 1993 and May 4, 1993.
Ro DIIBS
earnings and leave statements exist with respect to Dr. Frank, and
150
- -
- - - - - - - - - - - - - - - - - - - - -
�no conflict of interest form was filed for Dr. Frank.
There are no
records of his entries into the Old Executive Office Building.
Many of his travel reimbursement forms are from "Tascon, Inc." and
refer to Health Care Reform Task Force Meetings.
Clearly, Dr.
Frank participated in at least 32 meetings of the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups,
and must be considered a member who participated significantly.
See Tab 94 attached to this Memorandum.Howard B. Goldman
University of Maryland, School of Medicine. According to DHHS
earnings and leave statements, Goldman was paid $355.00 per day for
thirty-one
(31)
days
participation on the
for
a
total
of
$11,390.00
for
his
Interdepartmental Working Group and its
Cluster Groups, Working Groups and
~ubgroups.
Goldman appears to
have entered the Old Executive Office Building on at least 27
occasions.
Goldman was assigned to Cluster IX, "Mental Health"
(Declaration of Marjorie Tarmey,
Document No. 537), "Children's
Mental Health Services" (Declaration of Marjorie Tarmey, Document
No. 558), and the "Mental Health Benefits Package" Cluster Group
(Declaration of Marjorie Tarmey,
Document No. 559).
The 1992
Robert Wood Johnson Foundation Annual Report reveals that he was a
grantee.
Unlike other "SGEs", Goldman's pay documents refer to
contract numbers.
Despite having requested production of these
contracts, Defendants have never supplied these documents to the
Plaintiffs in direct defiance of this Court's Orders.
attached to this Memorandum.
151
See Tab 95
�Stanley Jones
Self-employed independent contractor,
invoices for services rendered.
by the
Defendants
as evidenced by his
Little documentation was provided
regarding Mr.
Jones'
participation on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
for two
( 2)
Mr. Jones appears to have been reimbursed
days work on Working Group
IV,
"Integration of
Government Programs", Subgroup 16, "FEHBP" (Declaration of Marjorie
Tarmey, Document No. 446).
Ro DHBS earnings and leave statements
or conflict of interest forms were produced with respect to Mr.
Jones.
See Tab 96 attached to this Memorandum.
Deborah Lewis-Idema
Vice President, MDS Associates, Inc. , Laurel, Maryland (a
Health and Human
Services Consulting Firm,
company's letterhead).
according to the
In their First Discovery Responses, the
Defendants classified Lewis-Idema as an "SGE" full-time "member" of
the Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
a "consultant".
In Document No. 545, she is referred to as
Lewis-Idema was paid a total of $14,135.00 for her
participation on the
Interdepartmental Working Group and
Cluster Groups, Working Groups and Subgroups.
its
Lewis-Idema entered
the Old Executive Office Building on at least 12 occasions.
She
was assigned to Cluster VIII, "Health Policy Initiatives for the
Underserved", Working Group 22, Subgroup c, "Women and Children"
(Declarations of Marjorie Tarmey, Document Nos. 525 and 1245).
152
Ro
�SF 278 or SF 450 conflict of interest form was filed by her.
See
Tab 97 attached to this Memorandum.
Joanne Lukomnik, M.D., MPH
Self-employed,
classified
by
Defendants
as
(Declaration of Marjorie Tarmey, Document No. 1678).
an
"SGE"
By invoice
dated May 17, 1993, Lukomnik billed HHS for thirty (30) days of
participation on the Interdepartmental Working Group and
its
Cluster Groups, Working Groups and Subgroups, at $693.00 per day
for a total of $20, 790. oo.
Lukomnik entered the Old Executive
Office Building on at least 15 occasions, and she also possessed a
White House pass.
Lukomnik was a Subgroup Leader on Cluster VIII,
"Health Policy Initiatives for the Underserved", Group 22, Subgroup
B Leader, "Vulnerable/High Risk Populations".
She also served on
Group 38, "Benefits Coordination" (Declarations of Marjorie Tarmey,
Document Nos. 30119 and 30129).
provided by Ms. Lukomnik.
Affairs
for
Project
Reither an SF 278 nor SF 450 were
Ms. Lukomnik is a contributor to Health
HOPE. 1 "
see
Tab
98
attached
to
this
Memorandum.
1
"Several members of the Interdepartmental Working Group, and
its Cluster Groups, Working Groups and Subgroups were on the
editorial board of Health Affairs, a publication of Project HOPE
funded by the Henry J. Kaiser Family Foundation. Many members of
the Interdepartmental Working Group, and its Cluster Groups,
Working Groups and Subgroups also published articles in Health
Affairs, and Health Affairs recently published the "Clinton Plan
Issue". See, Declaration of Genevieve H. Young, Exhs. 21, 22 and
23.
153
�Thomas o. Pyle, MBA
Senior Advisor, The Boston Consulting Group and President of
the Jackson Hole Group: Former President and CEO, Harvard Community
Health Plan (Declarations of Marjorie Tarmey, Document Nos. 1077
and 1100).
The Defendants labeled Mr. Pyle a "consultant, full-
time, with compensation" (Declaration of Marjorie Tarmey, Document
No. 1100).
It cannot be contested that Mr. Pyle was a full-time
active member of the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
According to DHHS
earnings and leave statements, Pyle was paid $300.00 per day for
his participation on the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups, for thirty-two (32)
days for a total of $9, 000. 00.
Pyle entered the Old Executive
Office Building on at least 36 occasions.
Pyle was assigned to be
Chair of Cluster III, "New System Infrastructure" (Declarations of
Marjorie Tarmey, Document Nos. 305 and 1218) , and was also a member
of Working Group 40, "Academic Health Centers" (Declaration of
Marjorie Tarmey, Document No. 704).
Pyle attended Toll Gate 2 and
Toll Gate 3 (Declarations of Marjorie Tarmey, Document Nos. 976 and
977).
Pyle's administrative time and leave record state that he is
"part-time intermittent, effective 2/8, resignation effective 4/8",
which
completely conflicts
Defendants.
with
other
documents
produced
by
Pyle executed an SF 450 conflict of interest form on
May 14, 1993, more than thirty (30) days after he began his
participation.
In 1992, the Robert Wood Johnson Foundation gave
three ( 3) grants to the Harvard Community Health Plan.
154
•.
Declaration
�of Genevieve M. Young, Exh. 4, 1992 RWJF Annual Report, ID Nos.
19450, 20091 and 18610, at 53, 58 and 59.
See Tab 99 attached to
this Memorandum.
I.
GOVERNOR'S REPRESENTATIVES
What is at least as or more important than the previous
discussion of private "outsider" members of the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups
are the other members who were not disclosed in Defendants' First
Discovery Responses.
Indeed, the lists which were leaked to the
press by the Defendants while this case was on appeal to the D.C.
Circuit were woefully lacking in both accuracy and completeness.
The names of these individuals are disclosed from an analysis of
the sign-in lists from working group meetings,
and from the
telephone and fax lists of working group members.
Many of these
·individuals are from state ·and local government entities and
organizations, clearly not full-time officers or employees of the
federal government.
The lists reveal that numerous "outsiders"
were active members of the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups, yet no official,
exact documentation has been produced relating to their activities.
Many members of the National Governors Association served on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
with
the
National
Personal summaries on each person affiliated
Governors
Association
who
served
on
the
Interdepartmental Working Group and its Cluster Groups, Working
155
�Groups and Subgroups are attached at Tab 100 to this Memorandum.
Each of these persons are discussed below, seriatim.
Alan Weil
Health Policy Advisor to the Governor of Colorado, National
Governors Association, Washington, D.C.
Mr. Weil participated as
a member of the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups.
Mr. Weil entered the Old
Executive Office Building on at least 27 occasions.
assigned
to
"Principles
Cluster
and
I,
"New System
Operation
Cooperatives", and Group 2,
of
Mr. Weil was
Organization",
Health
Insurance
Group
1,
Purchasing
"Managed care: Toward and Beyond"
(Declarations of Marjorie Tarmey, Document Nos. 1786 and 1787). Ho
DIDIS earnings and leave statements were produced for Mr. Weil and
Mr. Weil did not file either an SF 278 or an SF 450 conflict of
interest form.
In 1992, the Office of the Governor of the State of
Colorado received $566,999 from the Robert Wood Johnson Foundation
for an initiative to help states plan and develop reforms that
improve the financing and delivery of health care.
Declaration of
Genevieve H. Young, Exh. 4, 1992 RWJF Annual Report, ID No. 18519,
at 37.
See Tab 100 attached to this Memorandum.
Lane Volpe
President, National Governors Association, Washington, D.C.
Mr. Volpe was a key member of the Interdepartmental Working Group
and its Cluster Groups, Working Groups and Subgroups.
Mr. Volpe
entered the Old Executive Office Building on at least 36 occasions.
Mr. Volpe was assigned to Cluster X, "Long Term Care", Group 30,
156
�"Cost and Revenue" (Declaration of Marjorie Tarmey, Document No.
613), and Cluster XI, Group 31, "Economic Impact" (Declarations of
Marjorie Tarmey, Document Nos. 1786 and 1787).
served
on
Cluster
I,
"New
System
Mr.
organization",
Volpe also
Group
3,
"Governance" (Declarations of Marjorie Tarmey, Document Nos. 13 and
837).
Mr.
Volpe did not file either an SF 278 or an SF 450
conflict of interest form.
According to the Foundation Center, Who
Gets Grants, Who Gives Grants (1st ed. Fall, 1992), in 1991 and
1992, the National Governors Association received a total of
$425,000 from the Henry J. Kaiser Family Foundation to establish
the State Public Health Leadership Recruitment Center and to
identify actions that states can take to improve their health care
systems.
Declaration of Genevieve M. Young,
Foundation Annual Report, 1992, Exh. 10.
Henry J. Kaiser
See Tab 100 attached to
this Memorandum.
Anya Rader
National Governors Association, Special Assistant for Health
care Policy for Governor Dean of Vermont.
MS. Rader played an
integral role on the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
Rader entered the
Old Executive Office Building on at least 44 occasions.
Rader was
assigned to Cluster I, "New System Organization", Group 4, "A
Global Budget", and Cluster VI, "Cost Containment", Group 20, "Cost
Controls" (Declarations of Marjorie Tarmey, Document Nos. 1786 and
1787) • Ro DBBS earninqs and leave statements were produced for MS.
Rader, and MS. Rader- did not file either an SF 278 or an SF 450
I
157
�conflict of interest form.
In 1992, the Robert Wood Johnson
Foundation
gave
of
Authority,
$808, 341
the
State
for
two
Vermont,
( 2)
Vermont
Health
years as part of
Care
the state
Initiatives in Health Care Financing Reform program,
to help
Vermont plan and develop reforms that improve the financing and
delivery of health care.
4,
1992
Declaration of Genevieve M. Young, Exh.
RWJF Annual Report, ID No. 18519, at 37.
attached to this Memorandum.
See Tab 100
Sen. Jeffords (R-VT) is currently the
Declaration of
only Republican co-sponsor of the Clinton plan.
Genevieve M. Young, n.2.
Raymond Scheppach
Executive Director, Virginia, National Governors Association,
Washington, D.C.
Mr.
Scheppach played an integral role in the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Mr.
Scheppach entered the Old Executive
Office Building on at least 33 occasions.
Mr.
Scheppach was
assigned to Cluster VII, Group 21, "Financing" (Declarations of
Marjorie Tarmey, Document Nos. 1786 and 1787).
National
Governors
Association/Raymond
c.
In 1990, the
Scheppach,
Ph.D.,
received $25,000 from the Henry J. Kaiser Family Foundation to
publish a Report on Health Reform from the States' Perspective.
Declaration of Genevieve M.
Young,
Foundation Annual Report 1992, at 68.
Exh.
10,
Henry J.
Kaiser
Ro DBBS earnings and leave
statements were produced for Mr. SCheppach, and Mr. Scheppach filed
neither an SF 278 nor SF 450 conflict of interest form.
100 attached to this Memorandum.
158
See Tab
�Nikki McNamee
National Governors Association,
South Carolina.
Ms.
Office of the Governor of
McNamee entered the Old Executive Office
Building on at least 17 occasions.
She was assigned to Cluster I,
"New System Organization", Group 3, "Governance" (Declaration of
Marjorie Tarmey, Document No. 1787).
No DHHS earnings and leave
statements were produced for Ms. McNamee, and Ms. McNamee did not
file either an SF 278 or an SF 450 conflict of interest form.
According to Volume 39 of Philanthropic Digest (December 1993), the
Robert Wood Johnson Foundation gave $1,000,000 to South Carolina to
participate in the Information for State Health Policy program to
help state policymakers make
programs.
informed decisions
about health
See Tab 100 attached to this Memorandum.
Mary Jo O'Brien
National Governors Association, Deputy Commissioner, Minnesota
Department of Health.
Ms.
O'Brien played a key role on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Ms. O'Brien entered the Old Executive Office
Building on at least 29 occasions.
She was assigned to Cluster II,
"New System Coverage", Group 6, "Benefits", and Cluster VI, "Cost
Containment",
Group 18,
"Accelerating New System Development"
(Declaration of Marjorie Tarmey, Document No. 1787).
Ms. O'Brien
also served on Cluster I, "New System Organization", Group 1A,
"Health
Plans,
Providers,
and
Patients
in
the
New
system"
(Declaration of Marjorie Tarmey, Document No. 5). No DIDIS earnings
and leave statements were provided for Ms. O'Brien and Ms. O'Brien
159
�did not complete either an SF 278 or an SF 450 conflict of interest
form.
The Robert wood Johnson Foundation has given considerable
sums to the State of Minnesota.
See, Declaration of Genevieve M.
Young, Exh. 4, 1992 RWJF Annual Report, at 37 and 51.
See Tab 100
attached to this Memorandum.
Mary Leigh Brown
National
Governors
Oklahoma Health care.
Association,
Governor's
Commission
on
Ms. Brown entered the Old Executive Office
Building on at least 8 occasions.
Ms. Brown served on Cluster I,
"New System organization", Group 2, "Managed Care, Toward and
Beyond" (Declaration of Marjorie Tarmey, Document No. 11), Cluster
II, "New System Coverage", Group 6, "Benefits" (Declaration of
.Marjorie Tarmey, Document No. 153), Group 7, "Coverage for Working
Families" (Declaration of Marjorie Tarmey, Document No. 153).
Ho
· DIDIS earnings and leave statements were provided for Ms. Brown .and
she did not complete either an SF 278 or an SF 450 conflict of
interest form.
In 1992, the Robert Wood Johnson Foundation gave
the state of Oklahoma, Office of the Governor, $854,595 for two (2)
years for the State Initiatives in Health Care Financing Reform
program.
Declaration of Genevieve M. Young, Exh. 4, 1992 RWJF
Annual Report, ID No. 18519, at 37.
See Tab 100 attached to this
Memorandum.
DeAnne Friedholm
Office of Governor Ann Richards, State of Texas (Declaration
of .Marjorie Tarmey, Document No. 166).
Ms. Friedholm played an
integral role on the Interdepartmental Working Group and its
160
�Cluster Groups 1
Working Groups and Subgroups.
Ms.
Friedholm
entered the Old Executive Office Building on at least 27 occasions.
Ms.
Friedholm served on Cluster II 1 "New System Coverage" 1 Group
81
"Coverage for Low Income and Non-Working Families" (Declaration of
Marjorie Tarmey, Document No. 166), and also served on Group 36,
"Disability Cross-Cutting Working Group" (Declaration of Marjorie
Tarmey, Document No. 30080) • No DIDIS earnings and leave statements
were produced by the Defendants for Ms.
Friedholm,
and Ms.
Friedholm did not file an SF 278 or an SF 450 conflict of interest
form.
In 1992, the Robert Wood Johnson Foundation gave the State
of Texas, Office of the Governor, $50,000 for a task force to
develop an agenda for health care reform in Texas.
Declaration of
Genevieve M. Young, Exh. 4, 1992 RWJF Annual Report ID No. 19707,
at 59.
Texas was also one of fifteen (15) states to receive a
grant from the Robert Wood Johnson Foundation for a program. to
improve the distribution of primary care providers in underserved
rural and inner-city areas.
(June 1993).
Barbara
See Tab 100 attached to this Memorandum.
Smith
Office of the Governor,
Association.
See Vol. 39, Philanthropic Digest
Ms.
South Dakota, National Governors
Sm.ith played a key role as a member of the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
MS. Smith entered the Old Executive Office
Building on at least 25 occasions.
She was assigned to Cluster
VIII, "Health Policy Initiatives for the Underserved", Group 22,
"Urban/Rural". No DBBS earnings and leave statements were provided
161
�for Ms. Smith, and she did not file either an SF 278 or an SF 450
conflict of interest form.
South Dakota was also one of the
fifteen (15) states to receive a grant from the Robert Wood Johnson
Foundation for a program to improve the distribution of primary
care providers in underserved rural and inner-city areas.
39, Philanthropic Digest (June 1993).
See Vol.
See Tab 100 attached to this
Memorandum.
Emily Myers
National Association of Attorneys General, Washington, D·. C.
Due to a lack of documentation provided by the Defendants, Ms.
Myers' role on the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups is somewhat of a mystery.
Ms.
Myers entered the Old Executive Office Building on at least 6
occasions, and her name also appears on the passholder' s list
produced by the Defendants.
Ho DBBS earnings and leave statements
or conflict of interest forms were produced regarding Ms. Myers.
See Tab 100 attached to this memorandum.
J.
CQUNTY REPRESENTATIVES
Numerous persons from the National Association of Counties
also played important roles as members of the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups.
Personal summaries of each of these individuals' roles as discerned
from documents produced by the Defendants is attached at Tab 101 to
this Memorandum.
seriatim.
Each of these individuals is discussed below,
See Tab 101 attached to this Memorandum.
162
�Andrea Bempong
National Association of Counties,
National Association of
County Health Officials, Washington, D.C.
Ms. Bempong was assigned
to Cluster I, "New System coverage", Group 3, "Governance", on
behalf of the National Association of Counties.
There are no
records of her entries into the Old Executive Office Building, and
no DIDIS earnings and leave statements or conflict of interest forms
were produced regarding Ms. Bempong.
See Tab 101 attached to this
Memorandum.
Thomas Joseph
National Association of counties,
National Association of
County Health Officials, Washington, D.C.
Mr. Joseph was assigned
to attend group meetings other NACO employees were supposed to
attend but could ·not attend
·Document No. 1787).
(Declaration
of
Marjorie
Tarmey,
Mr. Joseph entered the Old Executive Office
Building on at least 18 occasions.
Ro DBHS earnings and leave
statements or conflict of interest forms were provided with respect
to Mr. Joseph.
See Tab 101 attached to this Memorandum.
Joseph Garcia
National Association of County Health Officials,
County, Ohio Department of Human Services.
cuyahoga
Mr. Garcia entered the
Old Executive Office Building on at least 15 occasions.
He was
assigned to Cluster II, "New System Coverage", Group 6, "Benefits",
group 7, "Coverage for Working Families", and Group 8, "Coverage
for Low-Income and Non-Working Families" (Declarations of Marjorie
Tarmey, Document Nos •. 1786 and 1787).
163
Ro DBHS earnings and leave
�statements or conflict of interest forms were provided for Mr.
Garcia.
See Tab 101 attached to this Memorandum.
Marcia Egbert
National Association of Counties,
County
Health
Commissioners
recorded
Building.
Officials,
~
entry
cuyahoga
National Association of
County,
Intergovernmental Affairs.
of
Ms.
Egbert
into
the
Ohio
Board
of
There is only one
Old
Executive
Office
She was assigned to Cluster II, "New System Coverage",
Group 6, "Benefits", Group 7, "Coverage for Working Families", and
Group
8,
"Coverage
for
Low
Income
and
Non-Working
Families"
(Declarations of Marjorie Tarmey, Document Nos. 1786 and 1787).
Ro
DHHS earnings and leave statements or conflict of interest forms
were provided with respect to Ms. Egbert.
See Tab 101 attached to
this Memorandum.
Irene Riley
National Association of counties, National Association of
County Health Officials, Los Angeles County Department of Health
Services.
Ms. Riley entered the Old Executive Office Building on
at least 13 occasions.
She was assigned to Cluster VI,
Containment",
"Accelerating New System Development",
Group 18,
Group 19, "Administrative Simplification", and Group 20,
Controls".
Ms.
Riley also served on Cluster VII,
"Cost
"Cost
Group 21,
"Financing" (Declaration of Marjorie Tarmey, Document No. 505).
Ro
DHBS earnings and leave statements or conflict of interest forms
were provided with respect to Ms. Riley.
this Memorandum.
164
....
See Tab 101 attached to
�Ellen Benavides
National Association of county Health Officials, Director of
Health Policy, Hennepin county, Minnesota Bureau of Health.
Ms.
Benavides played an integral role on the Interdepartmental Working
Group and its Cluster Groups, Working Groups and Subgroups.
Ms.
Benavides entered the Old Executive Office Building on at least 41
occasions.
She was assigned to Cluster VIII,
Initiatives
for
the
Underserved",
(Declarations of Marjorie Tarmey,
523) •
Group
22,
"Health Policy
"Urban/Rural"
Document Nos. 1786, 1787 and
No DBHS earnings and leave statements or conflict of
interest forms were provided with respect to Ms. Benavides.
See
Tab 101 attached to this Memorandum.
Herbert Bolt
National Association of County Health Officials, Director,
Mental Health Services, Montgomery County, Maryland.
Mr.
Bolt
played a key role on the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
Mr.
Bolt entered the
Old Executive Office Building on at least 21 occasions.
He served
on Cluster IX, "Mental Health", Group 24, "Benefits", Group 25,
"Substance
Abuse",
and
Group
(Declarations of Marjorie Tarmey,
543) •
26,
"Children's
Services"
Document Nos. 1086, 1087 and
No DIDIS earnings and leave statements or conflict of
interest forms were provided with respect to Hr. Holt.
attached to this Memorandum.
165
See Tab 101
�Mary Uyeda
Director, County Health Policy Project, National Association
of Counties.
Ms. Uyeda played a key role on the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups.
Ms. Uyeda entered the Old Executive Office Building on at least 23
occasions.
She was assigned to Cluster VII, Group 21, "Financing"
(Declarations of Marjorie Tarmey,
505) •
Document Nos.
1786,
1787 and
Ho DHHS earnings and leave statements or conflict of
interest forms were provided vi th respect to Ms. Uyeda.
See Tab
101 attached to this Memorandum.
Dan McLaughlin
National Association of County Health Officials, Hennepin
County, Minnesota Bureau of Health (Declaration of Marjorie Tarmey,
Document No. 478).
the
The Defendants failed to list Mr. McLaughlin on
intergovernmental
empioyee
list,
but
Mr.
McLaughlin
nevertheless participated heavily on the Interdepartmental Working
Group and its Cluster Groups, Working Groups and Subgroups.
Mr.
McLaughlin entered the Old Executive Office Building on at least 23
occasions.
He was
Initiatives
for
assigned to Cluster VIII 1
the
Underserved" 1
Group
22 1
"Health Policy
"UrbanjRural
Populations" (Declaration of Marjorie Tarmey, Document No. 478}.
Ho DHHS earnings and leave statements or conflict of interest forms
were provided vith respect to Mr. McLaughlin.
to this Memorandum.
166
See Tab 101 attached
�Robert Benedict
Pennsylvania
State
Association
of
County
Commissioners.
Little documentation has been produced by the Defendants with
respect to
Mr.
Benedict's role on the Interdepartmental Working
Group and its Cluster Groups, Working Groups and Subgroups.
Mr.
Benedict entered the Old Executive Office Building on at least 7
occasions.
Group 9,
He served on Cluster III, "New System Infrastructure" I
"Quality Measurement".
No DHIIS earnings and leave
statements or conflict of interest for:ms were produced with respect
to
K.
Mr.
Benedict.
See Tab 101 attached to this Memorandum.
OTHER INTERGOVERNMENTAL EHPLOYEES
Numerous other
11
intergovernmental employees 01 played roles on
the Interdepartmental Working Group and its Cluster Groups, Working
Groups
and Subgroups.
Personal
summaries on
each of
these
individuals derived from documents produced by the Defendants are
attached at Tabs 102 and 106 to this Memorandum.
Each of these
persons are discussed below, seriatim.
David Coronado
D.C. Department of Human services.
The records produced by
Defendants show that David coronado entered the Old Executive
Office Building on at least two occasions and that he was assigned
to Cluster VII, Group 21, "Financing" (Declaration of Marjorie
Tarmey, Document No. 505) •
No DHBS earnings and leave statements
or conflict of interest for:ms were produced regarding
See Tabs 102 and 106 attached to this Memorandum.
167
"·
Mr.
coronado.
�Douglas Peterson
The records produced by the
National League of Cities.
Defendants show that
Mr.
Peterson entered the Old Executive Office
Building on at least 5 occasions.
VII, Group 21, "Financing".
Peterson was assigned to Cluster
No DHIIS earnings and leave statements
or conflict of interest forms were produced for
Mr.
Peterson.
See
Tabs 102 and 106 attached to this Memorandum.
Janet Quist
National League of Cities.
The records . produced by the
Defendants show that she entered the Old Executive Office Building
on at least 7 occasions.
Ms. Quist was assigned to Cluster II,
"New System Coverage", Group 6, "Benefits", Group 7, "Coverage for
Working Families", and Group 8, "Coverage for Low-Income and Non
Working Families".
Ro DBBS earnings and leave statements or
conflict of interest forms were produced for Ms. Quist.
See Tabs
102 and 106 attached to this Memorandum.
Byron J. Barris
United states Conference of Mayors.
Barris was assigned to
Cluster VIII, "Health Policy Initiatives for the Underserved 11 ,
Group 22, "UrbanjRural Areas" (Declarations of Marjorie Tarmey,
Document Nos. 524 and 1787).
Ro DBBS earnings and leave statements
or conflict of interest forms were produced with respect to Mr.
Barris.
See Tabs 102 and 106 attached to this Memorandum.
Christine Milliken
National Association of Attorneys General.
Ms.
Milliken
entered the Old Executive Office Building on at least 6 occasions.
168
�The Defendants have produced little documentation regarding Ms.
Milliken, and no DHHS earnings and leave statements or conflict of
interest forms were produced for Ms. Milliken.
See Tabs 102 and
106 attached to this Memorandum.
Janis O'Meara
Intergovernmental Affairs.
Ms.
O'Meara entered the Old
Executive Office Building on at least 41 occasions.
The Defendants
have produced little documentation regarding Ms. O'Meara, and thus,
her role on the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups is unknown.
See Tabs 102 and
106 attached to this Memorandum.
Roxlinne Wada
Pacific Island Health Officers Association.
There is only one
record of her entry into the Old Executive Office Building.
She
was assigned to Cluster I, "New System Organization", Group 2,
"Managed Care, Toward and Beyond".
Ro DHBS earninqs and leave
statements or conflict of interest forms were provided for Ms.
Wada.
See Tabs 102 and 106 attached to this Memorandum.
Enrique Vasquez-Quinlan
Secretary of Health/Puerto Rico.
The Defendants produced
little documentation regarding Mr. Vasquez-Quinlan's role on the
Interdepartmental Working Group, and its Cluster Groups, Working
Groups and Subgroups.
Mr.
Vasquez-Quinlan was assigned to Cluster
I, "New System Organization", Group 2, "Managed care, Toward and
Beyond" •
Ro DHBS earninqs and leave statements or conflict of
169
�interest forms were produced for
Mr.
Vasquez-Quinlan.
See Tabs 102
and 106 attached to this Memorandum.
L.
OTHER PRIVATE PERSONS
Numerous other persons who were not "full-time officers or
employees
of
the
federal
government"
also
served
on
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
These persons are as follows:
Stuart A1 tman, Ph.D.
stuart Altman. is a Dean and Professor at the Heller School,
Brandeis University.
Altman was on the Clinton Transition Team
(Declaration of Marjorie Tarmey, Document No. 1097), and served on
Cluster VI, "Short-Term Cost Controls", . Group 20, "Interim Cost
Controls" (Declaration of Marjorie Tarmey, Document No. 1075). See
Tab 28 attached to this Memorandum.
Thomas Chapman, MPH
llr.
Chapman
is
the
Chief
Executive
Officer
of
Greater
Southeast Health Care Corporation and was a Program Director for
the Robert Wood Johnson Foundation Program, "Opening Doors" • See,
Declaration of Genevieve M. Young, Exh. 12.
Chapman
served on
Cluster VII, Group 21, "Financing" (Declaration of Marjorie Tarmey,
Document No. 1088).
Karen
See Tab 29 attached to this Memorandum.
Davis
Ms. Davis is a health economist and Senior Vice President of
the Commonwealth Fund.
She is a member of the Physician Payment
Review Commission (Declaration of Marjorie Tar.mey, Document No.
1714). Ms. Davis served on Cluster VI, "Short-Term Cost Controls",
170
...
�Group 20,
Tarmey,
"Interim Cost Controls".
Document No.
741).
Ms.
(Declaration of Marjorie
Davis served
part-time,
with
compensation (Declarations of Marjorie Tarmey, Document Nos. 1073
and 1095).
See Tab 28 attached to this Memorandum.
Jocelyn Elders, M.D.
or. Elders was appointed, but not yet confirmed, as Surgeon
General while she served on the Interdepartmental Working Groups
its Cluster Groups, Working Groups and Subgroups.
Thus, Dr. Elders
was still employed by the Arkansas State Department of Health when
she was serving on the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
Dr. Elders served
"part-time with compensation" on Cluster VIII, Group 22, "Health
Policy Initiatives for the Underserved" (Declarations of Marjorie
Tarmey, Document Nos. 1111 and 1073).
See Tabs 30, 31 attached to
this Memorandum.
Lynn Etheredge
Ms. Etheredge was a health economist and consultant, former
Director at the Office of Management and Budget (OMB), and an
expert on managed care.
Ms.
Etheredge served part-time with
compensation, on Cluster I, "New System Organization", Groups 1
through 5 (Declarations of Marjorie Tarmey, Document Nos. 1073 and
1095).
See Tabs 3, 4, 5, 6, 7, 8 attached to this Memorandum.
Fernando Torres-Gil, Ph. D.
Torres-Gil is a gerontologist and Professor at the UCLA School
of Public Welfare.
Torres-Gil is the former director of the House
Select Committee on Aging.
He served on Cluster IX, "Long Term
171
�Care", Groups 27 through 30, and served part-time with compensation
(Declarations of Marjorie Tarmey, Document Nos. 1076 and 1096).
See Tabs 41, 42, 43, 44 attached to this Memorandum.
William Jews
Mr. Jews is President of Dimensions Health Corporation and
served on the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups on Cluster III, Group 10,
"Information Systems". (Declaration of Marjorie Tarmey, Documents
Nos. 281, 1107).
See Tab 15 attached to this Memorandum.
Philip Lee, M.D.
Dr. Lee is a Health Policy Researcher, Professor of Social
Medicine and Director of the Institute for Health Policy studies at
the University of California San Francisco.
Dr. Lee also chair the
Physician Payment Review Commission. Dr. Lee served full-time with
compensation on the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups Cluster VI, Group 20, "ShortTerm Lost Controls". (Declaration of Marjorie Tarmey, Documents
Nos. 485, 489, 494, 1100).
See Tab 28 attached to this Memorandum.
Steve McConnell, Ph. D.
Dr. McConnell is the Senior Vice President of the Alzheimer's
Association and served on the Interdepartmental Working Group and
its Cluster Groups, Working Groups and Subgroups on Cluster X,
Group 27, "Long-Term Care-Background", Group 28, "Long Term carePublic Options," Group 29, "Long Term Care-Private Options," and
Group 30, Long Term Care-Cost and Revenue" (Declaration of Marjorie
172
�Tarmey, Document No. 1108).
See Tabs 41, 42, 43, 44 attached to
this Memorandum.
Uwe Reinhart, Ph.D.
Reinhart is a Professor at Princeton University, School of
Public
and
International
Affairs
who
served
on
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups on Cluster VI, Group 20, "Short-term Cost
Controls". (Declaration of Marjorie Tarmey, Document No. 1108).
See Tab 28 attached to this Memorandum.
Bobby Siapson, MA
Bobby
Siapson
is
the
Director
of
the
Division
of
Rehabilitation services, Arkansas Department of Human Services, who
was also the Disability Constituency Coordinator for the ClintonGore campaign.
Siapson
served on the Interdepartmental Working
Group and its Cluster Groups, Working Groups and Subgroups on
Working Group 36, "Disability Cross-cutting Group", and Cluster
VIII, Group 22, "Underserved Populations," and Cluster X, Group 28,
"Long-Term care-Public options". (Declaration of Marjorie Tarmey,
Documents Nos. 717, 1109, 1553).
See Tabs 30, 42 and so attached
to this Memorandum.
Diane Rowland, SC.D.
Rowland is a Health Policy Researcher, Director of the Kaiser
Commission on the Future of Medicaid, and Professor at the Johns
Hopkins University School of Public Health and Hygiene.
She served
full-tiae, with no compensation on the Interdepartmental Working
Group and its Cluster Groups, Working Groups and Subgroups on
173
�Cluster
II,
Group
8,
"Coverage
for
Non-Working
Families".
(Declarations of Marjorie Tarmey, Documents Nos. 173 and 806).
See
Tab 12 attached to this Memorandum.
Alan Hillman, M.D.
Hillman is a physician and professor at the Wharton School of
Business, University of Pennsylvania, conducting quality assurance
research.
Hillman served on Cluster III,
Group 9,
"Quality
Measurement" (Declaration of Marjorie Tarmey, Documents Nos. 261,
1088).
see Tab 14 attached to this Memorandum.
Lawrence Baker
Mr.
Baker is from Princeton University and served on Cluster
XI, Group 31, "Economic Impacts" (Declaration of Marjorie Tarmey,
Documents Nos.
687,
695, 697).
See Tab
45
attached to this
Memorandum.
Charlie Dockerty
Mr.
Dockerty
served
on
Cluster
v,
Group
17,
"Ethical
Foundations of the New system" (Declaration of Marjorie Tarmey,
Document No. 741).
See Tab 24 attached to this Memorandum.
Sybil Goldman
Ms. Goldman is emp;Loyed by Georgetown University 1 Maternal
Network for Children with Special Needs 1
Child and Adolescent
Service system Program Technical Assistance Center (which is funded
by the Department of Health and Human Services, Substance Abuse and
Mental Health Services). Ms. Goldman served on Cluster IX, "Mental
Health Services", Group 25 1 "Children's Mental Health Services".
Tab 106 attached to this Memorandum.
174
�Mike Hix
Mr. Hix is employed by the RAND Corporation.
He served on
Cluster IV, Group 13, "Medicare" (Declaration of Marjorie Tarmey,
Document No. 746).
See Tab 19 attached to this Memorandum.
Susan Hosek
Ms.
Hosek is employed by the RAND Corporation.
Ms.
Hosek
served on Cluster IV, "Integration of Government Programs," Group
14, "Department of . Defense".
(Declaration of Marjorie Tarmey,
Documents Nos. 417, 419, 421, 423 and 425).
See Tab 20 attached to
this Memorandum.
David Jackson, M.D.
Dr. Jackson is the President and Chief Executive Officer of
Assurqual, a quality management consulting firm located in Ohio.
Dr. Jackson served on Cluster III, "New System Infrastructure",
Group 9, "Quality Measurement" and Group 10, "Information Systems,"
as
a
full-time
"SGE"
hired through the White House Office.
(Declaration of Marjorie Tarmey, Documents Nos. 233, 234, 279).
See Tabs 14 and 15 attached to this Memorandum.
Jim Mays
Mr. Mays is employed by Actuarial Research Corporation, and
served
on
Cluster
XII,
Group
32,
"Quantitative
Analysis."
(Declaration of Marjorie Tarmey, Documents Nos. 751, 1334).
See
Tab 46 attached to this Memorandum.
Vincente Navarro, M.D.
Dr. Navarro is a Professor at the Johns Hopkins University.
Navarro served on Cluster I, "New system Organization", Group 3,
175
�"Governance". Navarro entered the Old Executive Office Building on
at least 12 occasions for meetings.
of
the
International
Journal
Navarro is the Editor-in-Chief
of Health Service,
repeatedly advocated a national health program.
and he has
Navarro is the
author of "Has Socialism Failed? An Analysis of Health Indicators
Under Socialism", International Journal of Health Services, Vol.
22, No.
4, pps. 583-601 (1992) and "Capitalism Has Not Won",
International Journal of Health Services, Vol. 22, No. 4, p. 603
(1992).
(Declaration of Marjorie Tarmey, Documents Nos. 13, 837).
See Tab 6 attached to this Memorandum.
Sara Rosenbaum
Ms. Rosenbaum is employed by George Washington University,
Center for Health Policy Research. Ms. Rosenbaum served on Cluster
VIII, "Health Policy Initiatives for the Underserved" (Declaration
of Marjorie Tarmey, Document No. 755) •
See Tab 30 attached to this
Memorandum.
Sheila Pires
Ms.
Pires
Washington, D.C.
is
employed
by
Human
Service
Collaborative,
She served on Cluster IX, Group 25, "Children's
Mental Health Services" (Declaration of Marjorie Tarmey, Documents
Nos. 558, 563,
567,
576,
579) •
See Tab 38 attached to this
Memorand~.
Anne Stoline, M.D.
Dr. Stoline is a practicing psychiatrist from the state of
Maryland who served on Cluster IX, "Mental Health" (Declaration of
176
�Marjorie Tarmey, Documents Nos. 558, 563, 567, 576, 579).
See Tab
38 attached to this Memorandum.
Beth Stroul
Ms. Stroul is employed by Management Training and Innovations,
a company located in Virginia.
Management Training and Innovations
works under a subcontract with Georgetown University's Child and
Adolescent Service System Program Technical Assistance Center.
She
served on Cluster IX, Group 23, "Benefits Package," and Cluster IX,
(Declaration of Marjorie Tarmey,
Group 25, "Childrens' services."
Documents Nos. 558, 563).
See Tabs 34 and 36 attached to this
Memorandum.
Gordon Trapnell
Trapnell is employed by Actuarial Research Corporation.
Mr.
Mr.
Trapnell. served
on·· Cluster
XII,
Group
32,
"Quantitative
Analysis" (Declaration of Marjorie Tarmey, Documents Nos. 700, 701,
1334).
See Tab 46 attached to this Memorandum.
Pete Welch
Mr.
Welch is employed by the Urban Institute.
served on Cluster I,
Purchasing
Group 1,
Cooperatives,"
and
Mr.
Welch
"Principles .and Operations of
Cluster
IV,
"Integration
of
Government Programs into the New System" (Declaration of Marjorie
Tarmey, Documents Nos. 21, 406).
See Tabs 3 and 19 attached to
this Memorandum.
Steve Zuckerman
Mr.
Zuckerman
Zuckerman
served
is employed by the Urban
on. Cluster
VI,
177
"Short
Term
Institute.
Cost
Mr.
Controls"
�(Declaration of Marjorie Tarmey, Document No. 761).
See Tab 25
attached to this Memorandum.
Ann zuvekas
Ms.
zuvekas is employed by George Washington University,
Center for Health Policy Research.
Ms. zuvekas served on Cluster
VIII, Group 22, "Health Policy Initiatives for the Underserved"
(Declaration of Marjorie Tarmey, Document No. 545).
See Tab 31
attached to this Memorandum.
L.
THE MEMBERS OF CLUSTER V OF THE INTERDEPARTMENTAL WORKING
GROUP. "ETHICAL FOQNDATIONS OF THE NEW SYSTEM" (ALSO KNOWN AS
11 BIOETHICS 11 )
In their First Discovery Responses, the Defendants conceded
that virtually all of the persons who served on the "Ethical
Foundations of the New System" Subgroup of the Interdepartmental
Working Group were
11
SGE 11 members who participated full-time on the
Interdepartmental Working Group. The Defendants have asserted that
this category of "SGEs", who worked out of the White House Office,
were not paid by the government.
The Defendants also asserted that
travel expense records were produced for "The White House Office
SGEs
and
consultants
who
requested
reimbursement
from
the
government for travel related to their work on the working group."
Defendants' Third Supplemental Responses, at 16. More importantly,
the Defendants asserted as follows:
The travel authorizations for Elliott Dorff and Ruth
Purtillo [sic] indicate that only these two individuals
were authorized to travel on official government
business. Neither of these individuals has received any
reimbursement for the travel indicated, nor has any
request for reimbursement been approved. In the case of
Ms. Purtillo [sic], no vouchers have been submitted.
178
�Marjorie Tarmey, Assistant to Ira Magaziner, attested to the
truth of the statements relating to these documents. Id., at 21.
Id.
In addition to their First Responses listing the
members of the "Ethical Foundations of the New System"
Cluster Group, in Defendants' Second Responses, Documents
Nos. 462 through 473, and Document 867, there is further
information about other members of this group, not given
any designation by the White House as SGEs or any other
designation.
These documents are attached as Tabs 108 to
116 to this Memorandum.
These documents reveal that the
following persons were also members of Working Group 17.
ELLIS, GARY, Ph.D.
GEHAN I MARGERY
PICILLO, THERESA
NIH - Office for Protection from
Research Risks (466)
Policy Assistant
Policy Assistant
OTHER:
Professor of Law, Director of Center
for Medical Ethics (467)
Associate Professor,
School of
Divinity, Howard University (468)
MEISEL I ALAN I JD
SANDERS I CHERYL
SOURCES: Declaration of Marjorie Tarmey, Documents Nos.
465-469, 867. See Tab 108 attached to this Memorandum.
Documents Nos.
462 through 464
(Declarations
of Marjorie
Tarmey), attached in Tab 107 attached to this Memorandum, contain
more names and more information about the "Ethical Foundations of
the New System" Working Group.
the Defendants
employment
Defendants.
in
category
These names were not produced by
their earlier Discovery Responses,
or
status
was
assigned
to
them
and no
by
the
Document· No. 462 reveals that Raney Dubler and Marian
179
�Secundy were Co-Chairs
for Working Group
17.
According
to
Documents No. 462 and 463, there were only nine (9) working group
members, including the two co-chairs.
Documents No. 463 and 464
contains a list of "other services", some of whose names appear on
the "master list" of "SGEs" initially produced by the Defendants,
but many whose names do not appear on that document.
David Eddy,
a central Cluster and Working Group member who was listed as an
"SGE" from the Department of Health and Human Services, is named as
an additional member of Working Group 17.
The persons whose names
do not appear on the "master list" of SGEs initially produced by
the Defendants are as follows:
BEAUCHAMP, TOM
BOYLE, PHILIP
CHILDRESS, JAMES
FADEN, RUTH
FLETCHER, JOHN
GORLAND, MICHAEL
GUDORF, CHRISTINE
LEBAQZ, KAREN
LYNE, SR., SHEILA
LYNN, JOANNE
MARINER, WENDY
MUNDINGER, MARY
NATHAN, DAVID
PELLEGRINO, EDWARD
Georgetown
University,
Kennedy
Institute of Ethics
The Hastings Institute, NY
Professor,
Religious
Studies,
University of Virginia
Professor, Johns Hopkins University,
School of Public Health
Professor, University of Virginia
(Former NIH Ethicist Who Formulated
Policy on Fetal Tissue, In Vitro
Fertilization)
Oregon Health Sciences University
(Ethicist Involved in oregon Plan)
Professor, xavier University, Ohio
Professor,
University
of
California/Berkeley
(Ethicist
Focusing on Women's Issues)
City Commissioner of Health, Chicago
(Recommended by Rep. Rostenkowski,
Concerned About Amounts of Money
Spent on Last and First 6 Months of
Life, Interested in Encouraging
Family Practice and Primary care)
Georgetown University
Boston University
Dean of Nursing, Columbia University
School of Medicine
Chief
at
Children's
Hospital,
Boston, MA (Recommended by Tom Pyle)
Georgetown University
180
�WALTERS, LEROY
WOLF, SUSAN
WOLF, MARSHALL
VEATCH, ROBERT
Georgetown University
Harvard University, Ethics in the
Professions Program
The Brigham, Boston, MA (Interested
in Societal Guidelines, Recommended
by Tom Pyle)
Director,
Kennedy
Institute of
Ethics
Tabs 108 to 117, attached to this Memorandum, contain certain
persona~_
summaries based upon documentation provided by Defendants,
along with travel records, regarding the following individuals who
served on the "Ethical Foundations of the New System" Cluster
Group: Adrienne Asch, Norman Daniels, Annette Dula, Abigail Evans,
Joan Gibson, Larry Gostin, carol Levine, Pilar Ossorio, Elliot
Dorff and Ruth Purtilo.
The records produced by the Defendants relative to these
individuals reveal the gross inaccuracy of Marjorie Tarmey's sworn
testimony claiming that only Dorff and Purtilo were authorized to
travel on government business, because all of the above-listed
employees except Dorff and Purtilo filed travel vouchers which were
approved by a government official.
Numerous discrepancies also
exist as to these travel vouchers.
It must be recalled that the
decision of the United Statse Court of Appeals remanding this case
for further proceedings, including expedited discovery regarding
the Interdepartmental Working Group, was handed down on June 22,
1993.
Many of the travel vouchers produced by the Defendants
reveal that they were faxed to these individuals after that date as
shown by the facsimile masthead appearing at the top of many of
these documents.
well.
Some of these documents appear to be backdated as
A classic example of this is the travel vouchers for Joan
181
�Gibson.
On July 6, 1993, starting at 16:06, according to the
facsimile masthead, the White House faxed five travel vouchers to
Joan Gibson at the University of New Mexico.
She appears to have
signed the forms and dated them on July 7, 1993.
The Approving
Official, whose name is illegible, signed them
11
6/10/93", but also
appears to have signed the documents twice.
Another example of
this mad scramble to generate documents can be seen in the travel
vouchers for Pilar ossorio.
On June 22, 1993, starting at 14:26,
the White House faxed five travel voucher forms to Ossorio.
Ossorio apparently filled them out, dated them 6/22/93, and faxed
them back to the White House that same day, according to the
facsimile mastheads on the documents.
The Approving Official dated
three of them 6/10/93, one of them 6/22/93, and one of them
8/25/93.
Of course, none of the above-listed persons, or other
members of the "Ethical Foundations of the Hew System" Working
Group appeared to have filed SF 278 or SF 450 conflict of interest
forms.
Finally, the travel vouchers produced with respect to the
listed individuals on the "Ethical Foundations of the New System"
Working Group vindicate the position taken by the Plaintiffs before
the
United
states
court
of
Appeals,
namely,
that
the
Interdepartmental Working Group was the main body providing policy
advice and recommendations, and that the "Task Force" named by the
President was simply a political facade.
each
of
these
individuals
requests
The travel vouchers of
reimbursement
for
"HCTF
meetings". Obviously, these persons considered themselves the real
members of the "Task Force" which would produce recommendations for
182
�Ira Magaziner and the President,
disingenuously
litigation.
asserted
Indeed,
by
that
and not mere "staff", as so
the
is
Defendants
exactly
throughout
what
occurred,
this
as
is
illustrated by a simple comparison of the document entitled,
"Working Group Draft" to the proposed Health Security Act of 1993.
See, Declaration of Genevieve M. Young, Exhibit 33, "Working Group
Draft".
N.
THE DEFENDANT. IRA HAGAZINER MISLED THE PLAINTIFFS AMP TUIS
COURT IN HIS KARCH 3. 1993 PECLABATION ABOUT THE HAKE-UP OF
THE INTERDEPARTMENTAL WORKING GROUP
Under penalty of perjury, the Defendant, IRA MAGAZINER, Senior
Advisor to the President for Policy Development, and the one who
led [and is leading] the Defendant, INTERDEPARTMENTAL WORKING GROUP
OF THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM and
its CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS, testified as
follows:
"only federal government employees serve as members
of the interdepartmental working qroup.
employees fall into two categories.
These federal
The first category
includes full-time, permanent employees, who work for the
Executive Office of
for
members
committees.
of
~e
President, for federal agencies,
Congress
or
for
Senate
or
House
I have arranged for these federal employees
to be informed that they are subject to the conflict of
interest provisions set forth in 18 u.s.c.
§§
202-209:
the standards of Ethical Conduct for Employees of the
Executive
Branch:
and
all
183
related
ethics
laws
and
�regulations.
As of March 1, approximately 300 such
permanent employees were serving as members of the
working group.
These employees have been provided by the
White House, members of Congress, and several agencies,
including the Department of Health and Human Services,
the Office of Management and Budget, the Department of
Defense,
the
Department
of
Veterans
Affairs,
the
Department of Labor, the Department of Commerce, the
Department of the Treasury, and the Council of Economic
Advisors.
The second category of federal employees serving as
members of the working group includes. "special government
employees" who have been employed by an agency or the
Executive Office of the President for less than 130 days
in a 365-day period, either with or without compensation.
I have arranged for these special government employees to
be informed that throughout the period of their special
employment, they are subject to a limited version of the
conflict of interest provisions set forth in 18
u.s.c.
§§
202-209; the Standards of Ethical Conduct for Employees
of the Executive Branch; and all related ethics laws and
regulations.
government
I have also arranged for these special
employees
to
be
informed that they
are
required to abide by limitations on public speaking and
by applicable post-employment restrictions.
As of March
1, approximately 40 such special government employees
184
�were serving as members of the interdepartmental working
group.
These special government employees have been
retained, and provided to the interdepartmental working
group, by the White House and several agencies, including
the
Department
of
Health
and
Human
Services,
the
Department of Defense, and the Office of Management and
Budget."
Declaration of Ira Magaziner, March 3, 1993, ! 11 and ! 12.
On the aforementioned, sworn testimony of Mr. Magaziner, both this
Court and the United States Court of Appeals relied.
Yet, what Mr. Magaziner said was far from the truth.
The
Plaintiffs, on February 28, 1994, asked counsel for the Defendants
to take Mr. Magaziner's deposition.
dates.
A letter was sent suggesting
See, Declaration of Kent Masterson Brown, Exhibit A.
reply was ever received by telephone or letter or otherwise.
No
Id.
Mr. Magaziner, the one person who would have known the truth
of his testimony, utterly misled this Court and the United States
Court of Appeals.
When one examines the documents provided by the
Defendants, paltry as they are, they reveal that the membership of
the Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM and its CLUSTER GROUPS,
WORKING GROUPS AND SUBGROUPS, were not only not composed of "only
federal government employees", but were filled with individuals who
had no official status at all, and who came, in significant part,
from managed care,
insurance and non-profit organizations and
academic centers which would benefit from the health reform plan
185
�ultimately recommended to the President.
In fact, the presence of
wholly private persons was so evident that three (3) entire working
groups--Cluster Group v, "Ethical Foundations of the New System",
Working Group 17, "Bioethics", Cluster Group XIV, "Numbers Audit",
Working Group 34, "Numbers Audit", and Working Group 39, "Minority
Issues Review Group"--were composed entirely of individuals who had
no official status with the federal government at all, but were
drawn from private business, non-profits and academic centers.
In
other cluster groups, working groups and subgroups, very large
numbers of private individuals made up the membership.
All of
these facts, of course, Mr. Magaziner had to have known at the time
he signed his Declaration.
The following represents the listing by Cluster Group, Working
Group
and
Subgroup,
of
all
members
of
the
Defendant,
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM and its CLUSTER GROUPS, WORKING GROUPS
AND SUBGROUPS, who were not, in any way, employees of the federal
government [SGEs or FTEs], and were assigned no official status at
all.
None of these individuals were full-time employees or
"special government employees" of the federal government.
CLUSTER I HEW SYSTEM ORGAHIZATIOH
GROUP 1 -
PRINCIPLES AHD OPBRATIOH OF PORCIIASIHG
COOPERATIVES
EHTBOVEH, ALAIH
O'BRIEH, MARY JO.
The Jackson Hole Group, Inc. (2): No
Official Status Given
National
Governors
Association,
State of Minnesota (835): Listed as
186
�KUSH, GAIL
PAYTON, SALYANNE
RICHARDSON, SALLY
WElL,
ALAN
Representative of Intergovernmental
Organization (1786-87); No Official
Status Given
Listed as Participant (835); No
Affiliation; No Status Given
University of Michigan School of Law
(2); No Employment Status Assigned
West Virginia Health Care Planning
Commission; No Official Status
National Governors Association, Gov.
Romer of Colorado (3); No Official
Status
Assigned;
Listed
as
Representative of Intergovernmental
Organization (1786-87); No Official
Status
SOURCES: Declarations o:f Marjorie Tarmey, Documents Nos.
1-4, 17-25, 37-42, 54-56, 732, 767-768, 798-799, 834-835,
864-868, 1516-1517, 1560-1561, 1678-1679, 1795-1796. See
Tab 3 attached to this Memorandum.
GROUP :IA -
HEALTH PLANS, PROV:IDERS AND
THE NEW SYSTEM
KUSH, GA:IL
0, BRI:EN I MARY JO
R:ICHARDSON I SALLY
PAT:IEHTS :IN
No Affiliation; No Employment Status
Given (5, 1513, 1514)
National
Governors
Association,
State of Minnesota (835); Listed as
Representative of Intergovernmental
Organization; No Official Status
West Virginia Health Care Planning
Commission; No Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
5, 6, 26, 57, 1513-1515.
See Tab 4 attached to this
Memorandum.
GROUP 2 -
MANAGED CARE/TOWARDS 1i BEYOND -
SPBC:IAL
:ISSUES :IN PORCBAS:IRG COOPERAT:IVBS
BOWLES, ROBERT L.
BROWN I MARY
lONG, GARY
LB:IGB
D. c. Chartered Health Plan, Inc.
(1364, 1371); No Official status
National
Governors
Association;
Representative of Intergovernmental
Organization; No Official Status
(1496)
Assistant
Professor,
Community
Medicine, University of Connecticut
Health Center (1374); No Official
Status
187
�LACEY, LORETTA
McCABE, EUGENE
NORMAN, PATRICIA
RICHARDSON, SALLY
ROSS, SHEILA
TERRY, DONALD
WElL, ALAN
Associate
Professor,
Community
Health
Sciences,
University
of
Illinois at Chicago School of Public
Health (1365, 1374); No Official
Status
President,
CEO,
North
General
Hospital, New York (30209); No
Official Status
VP Finance, CFO, North General
Hospital, NY (30209); No Official
Status
West Virginia Health Care Planning
Commission; No Official Status
Rep.
Deluge
(Not
Listed
in
Director) ; Not Listed as FTE; No
Official Status
No
Affiliation;
No
Official
Employment Status
National Governors Association, Gov.
Romer of Colorado (3); No Official
Status; Listed as Representative of
Intergovernmental
Organization
(1786-87)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
7-11, 27-30, 52, 53, 58, 59, 66-91, 96, 97, 102-105, 769,
800, 83~, 1496-1508, 1524, 1562-1564, 1801-1807, 3000030005, 30179-30223.
See Tab 5 attached to this
Memorandum.
GROUP 3 -
GOVERNANCE
BEIIPONG, ANDREA
McNAMEE, NIKKI
VOLPE, LANE CARL
( 1786)
National
Association
of
Counties;
Representative
of
Intergovernmental
Organization;
Assigned to Group 3; No Official
Status
National
Governors
Association,
Office of the Governor of South
Carolina (13)(837); Representative
of Intergovernmental Organization
(1786-87);
State
Government
Representative ( 983); No Official
Status
National
Governors
Association
(13)(837);
Representative
of
Intergovernmental
Organization
(1786-87);
State
Government
Representative (983); No Official
Status
188
-------------------------------~~-~--
----~-~
--~----
---~~----
�SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
12, 13, 46, 47, 61, 92-95, 770, 801, 837, 1095, 1510,
1520, 30148.
See Tab 6 attached to this Memorandum.
GROUP 4 -
GLOBAL BUDGET
National
Governors
Association,
Office of Governor Dean, Vermont
(838)~
Representative
of
Intergovernmental
Organization
( 1786-87) ~
State
Government
Representative (984)~ No Official
Status
RADER, ANYA
SOUCES: Declaratioll$ of Marjorie Tarmey, Documents Nos.
14-16' 31-33' 43-45' 62' 63' 98-101' 771' 802' 1511'
1512, 1518, 1519, 1565, 1566, 30006, 30007, 30177.
see
Tab 7 attached to this Memorandum.
GROUP 5 -
IHSURANCE REFORM
AUBIH, LESLIE
BASS, RR.ISTIH
BATEMAH, KEITH
BUR~H,
JOHN
CATOR, TOM
FARMER, DAVID
HOFFERT, STAN
KIST, FRED
LAWSOH, ROGER
LLEWELLYN, B.
KA-rl'ERA, PAUL
MAYS, HUBERT, JR.
MILLSTEIJI, ARNIE
PATRICELLI, ROBERT
(1326)
National
Federation
of
Independent Businesses~ No Official
Status
(1326)
Chamber of Commerce~ No
Official Status
( 30075)
Alliance
of
American
Insurers~ No Official Status
(1265)
Rutgers
University,
No
Official Status
(1326) National Small Businesses
Limited: No Official Status
( 30075)
Alliance
of
American
Insurers: No Official Status
(30075) Wausau Insurance Company: No
Official Status
( 1265)
Coopers
&
Lybrand:
No
Official Status
Alliance · of American Insurers: No
Official Status
(1265)
National
council
on
compensation Insurance: No Official
Status
( 30025) Liberty Mutual Insurance: No
Official Status
( 30075)
Attorney,
Alliance
for
American
Insurers:
No
Official
Status
William M. Mercer, Inc.: No Official
Status
(1326)
Chamber of Commerce: No
Official Status
189
�RAY I
( 1265)
Coopers
&
Lybrand;
No
Official Status
(1326) National Retail Federation;
No Official Status
( 1326)
National
Association
of
Independent Businesses; No Official
Status
TIMOTHY
SCULLY, TOM
STUART I MARK
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
34-36, 48-51, 64, 65, 106-115, 772, 803, 839, 1521, 1567.
See Tab 8 attached to this Memorandum.
CLUSTER GROUP II -
HEW SYSTEM COVERAGE
GROUP 6 -
BENEFITS PACKAGE
CLARK, WILLIAM
Robert Wood Johson Fellow, Sponsored
by University of Florida, in Senator
Dale Bumpers' (D-AR) Office (773)
N
a
t
i
o
n
a
1
Association of counties ( 134) ( 1786):
Representative of Intergovernmental
Organization (1786); No Official
status
National Association of counties
(134,
1786),
Representative
of
Intergovernmental Organization; No
Official Status
Robert
Wood
Johnson
Fellow,
Sponsored by University of Rochester
Medical Center, in Office of senator
Kennedy
(199) (135) ;No
Official
Status
Robert
Wood
Johnson
Fellow,
Sponsored by Columbia University
School of Nursing, In Office of
Senator Bradley (D-NJ) (735-773)
EGBERT I MARCIA
GARCIA, JOSEPH
POWELL, KEITH
SOCBELSKI I JULIE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
116-135, 773, 804, 1590.
See Tab 10 attached to this
Memorandum.
GROUP 7 -
COVERAGE FOR WORKIHG FAMILIES
BROWN, MARY LEIGH
National
Governors
Association,
Minnesota (153); Representative of
Intergovernmental
Organization
(1786); No Official status
190
-
--- ---
- - - -
�CLARK, WILLIAM
GOLDSTEIN I ELAINA
QUIST I JANET
Robert
Wood
Johnson
Fellow,
Sponsored by University of Florida,
Off ice
of
Senator
Bumpers
( DAR)(153); No Official Status
House Select Committee on Aging; Not
in Directory.
As of 3/31/93 When
House Select Committee on Aging's
Appropriations Expired and Were Not
Renewed, Goldstein Began Working on
Task Force (153); No Official Status
National League of Cities (154);
Representative of Intergovernmental
Organization (1786); No Official
status
SOURCES: Declarations o:t Marjorie Tarmey, Documents Nos.
136-154, 184, 185, 774, 805, 1591. See Tab 11 attached
to this Memorandum.
GROUP 8
COVERAGE FOR IDW INCOME AND NON-WORKI:NG
FAMILIES
DENTON, DENISE
Colorado Office of Rural Health; No
Official Status (1678) (SGE in First
Responses)
The Johns Hopkins University/Kaiser
Commission on the Future of Medicaid
(173,
806)
SGE
(1678);
No
Affiliation;
No Official Status
(First Responses)
Formerly House Select Committee on
Aging, Lost Appropriation 3/31/93;
No Official Status (1678-1679)-SGE
(First Responses)
ROWLAND, DIANE
VELOZ, RICHARD
SOURCES: Declarations o:t Marjorie Tarmey, Documents Nos.
155-179, 775, 806, 1592.
See Tab 12 attached to this
Memorandum.
CLUSTER GROUP J:J:J:
GROUP 9 -
QUALITY ASSESSMENT
EPSTEJ:N, ARNOLD
JACKSON, DAVJ:D
NEW SYSTBII J:NFRASTRUC'l'OlRE
Robert
Wood
Johnson
Fellow,
Sponsored by Harvard University
Medical School and Brigham & Women's
Hospital, Office of Senator Kennedy
(D-MA) (233); No Official status
CEO, Assurqual (233, 260, 262, 276)SGE (First Responses); No Official
Status (1678-1679)
191
�SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
189, 190, 193, 194, 200, 201, 213, 214, 215, 216, 232265, 273-278, 776, 807, 1593, 1594, 30019-30022, 3016830172. See Tab 14 attached to this Memorandum.
GROUP 10
INFORMATION SYSTEMS
JACKSON, DAVID
CEO, Assurqual (233, 281, 289); No
Official Status
Phone (301) 925-7000 - Dimensions,
Inc. ( 281) ; Declaration of Genevieve
M. Young, Exhibit 30); No Official
Status
JEWS, WILLIAM
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
191, 192, 195, 196, 202, 203, 266-269, 279-322, 777, 808,
1143-1150, 30023, 30024, 30073. See Tab 15 attached to
thiss Memorandum.
GROUP 11 -
MALPRACTICE Aim TORT REFORM
ABRAHAM, KENNETH
BOVBJERG, RANDALL
CREASEY, DAVID
DAHZON, PATRICIA
GOSFIELD, ALICE
BAvnmtJRST, CLARK
MORLOCK, LAURA
O'COHRELL, JEFFREY
WADLINGTON, WALTER
WEILER, PAUL
University of Virginia - Professor
of Law (1331); No Official Status
The Urban Institute; No Official
Status (1331)
Risk Management Foundation, Harvard
Medical Institution; No Official
Status (1331)
The Wharton School - Health Care
Policy and Insurance - University of
Pennsylvania; No Official status
(1331)
Law Office
of Alice Gosfield,
Philadelphia,
Pennsylvania;
No
Official Status (1331)
Duke University School of Law: No
Official Status (1331)
The Johns Hopkins University School
of Public Health; No Official Status
(1331)
University of Virginia School of
Law; No Official Status (1331)
University of Virginia School of
Law; No Official Status (1331)
Professor, Harvard Law School: No
Official status (1331)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
204, 205, 209, 210-212, 217, 218, 291-294, 323-332, 778,
809, 1610, 1330-1331, 30026. see Tab 16 attached to this
Memorandum.
192
�GROUP 12 -
FACILITATING PROFESSIONAL DEVELOPMENT
Robert
Wood
Johnson
Fellow,
Sponsored by the Center for Health
Professions,
University
of
California, San Francisco, Office of
Senator Rockefeller (D-WV)
(197,
206)
Legislative Fellow, Office of Sen,
Bingaman
(Not
Listed
in
Congressional
Directory)(198)(FTE
841): No Official Status
Colorado Rural Health Office (300)SGE (First Responses): No Official
status (1678-1679)
White House Fellow/HHS (198); No
Affiliation: No Official status
ALTMAN, DAVID
DAVIES, MONICA
DENTON, DENISE
GOLUB, LAWRENCE
SOURCES: Declarations of Marjorie Tarmey 1 Documents Nos.
197-199 I 206-2081 219-2211 270-2721 295-2971 298-4051
779 1 810 1 1601-1609.
See Tab 17 attached to this
Memorandum.
CLUSTER GROUP IV
GROUP 13 -
INTEGRATION OF GOVERNMENT
PROGRAMS INTO NEW SYSTEM
HEALTH
MEDICARE
:NONE
SOURCES: Declarations of Marjorie Tarmey 1 Documents Nos.
406-410 1 700 1 811 1 1534 1 1614. See Tab 19 attached to
this Memorandum.
GROUP 14 HOSEK, SUSAlf
DEPARTMENT OF DEFENSE
RAND Corporation ( 310 1 393 1 0411 1
419); Not Listed: No Official Status
SOURCES: Declarations of Marjorie Tarmey 1 Documents Nos.
411-425, 787 1 1537 1 1615. See Tab 20 attached to this
Memorandum.
GROUP 15 -
VETERANS
:NONE
SOURCES: Declarations of Marjorie Tarmey 1 Documents Nos.
426-437 1 788 1 1536.
See Tab 21 attached to this
Memorandum.
GROUP 16 -
FEDERAL EMPLOYEES' HEALTH BENEFITS PLAK
193
- - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ j
�(446) No Official Status; Contractor
JONES, STANLEY
SOURCES:
Declarations of Marjorie Tarmey, Documentss
Nos. 438-446, 789 1 1535 1 30029. See Tab 22 attached to
this Memorandum.
OTHER GOVERNMENT PROGRAMS
GROUP 16A
NONE
SOURCES: Declarations of Marjorie Tarmey 1 Documents Nos.
449-452 1 30030, 30031.
See Tab 23 attached to this
Memorandum.
CLUSTER GROUP
V -
ETHICAL FOUNDATIONS OF
THE NEW
SYSTEM
GROUP 17 - BIOETBICS
GROUP 17 - co-LEADER
NANCY
DOBLER,
Medical Center.
status
Montefiore
No Official
MARIAN
SECUNDY,
Howard
University. No Official Status
ASCH I ADRIENNE
BAYER, RONALD
BROCK,
DANIEL
CAPLAN I
ARTHUR
DANIELS I NORMAN
DORFF I
ELLIOTT
DULA, ANNETTE
ELLIS I
GARY
EIIANtJEL I
EZEK:IAL
EVAN, ABIGAIL R.
FAHEY I
MGSR CHARLES
FLECK, LEN
FOST I NORMAN
B.U. School of Social Work; No
Official status
Coluiibia University School of Public
Health; No Official Status
Director of Center for Biomedical
Ethics; No Official Status
University of Minnesota, center for
Biomedical
Ethics;
No Official
Status
Tufts University; No Official Status
Provost, Professor, . University of
Judaism; No Official Status
Rockefeller Fellow, University of
Colorado; No Official Status
Office for Protection from Research
Risks; No Official Status
Harvard Medical School/Dana Farber
Cancer Institute; No Official Status
Princeton Theological Seminary; No
Official status
Third Age Center; No Official Status
Michigan State; No Official Status
University of Wisconsin; No Official
Status
194
�GIBSON, JOAN
University of New Mexico, Director,
Center for Health Law and Ethics; No
Official Status
GOSTIN, LAWRENCE
American Society of Law, Medicine &
Ethics; No Official Status
KING, PAT
Georgetown University Law Center; No
Official status
LAHTOS, JOHH
Chief,
Medical
Staff,
Larabida
Hospital; No Official Status
LEVINE, CAROL
The Orphan Project Fund; No Official
Status
LO, BERNARD
USCF, Director, Program in Medical
Ethics; No Official Status
MAY, BILL
SMU Professor of Ethics; No Official
Status
MEISEL, ALAR
University of Pittsburgh Center for
Medical Ethics; No Official Status
MEZEY, KATHY
NYU
Independence
Professor
of
Nursing; No Official Status
MILES, STEVEN
University of Minnesota, Center for
Biomedical
Ethics;
No
Official
Status
O'CONNELL, LAWRENCE Howard
University
School
of
Medicine; No Official Status
OSSORIO, PILAR
Post-Doc Associate, Yale University
. School of Medicine; No Official
Status
PURTILO, ·RUTH
Creighton University Center for
Health
Policy
and
Ethics;
No
Official Status
SANDERS, CHERYL
Howard University Divinity School:
No Official Status
SECUHDY, MARIAH
Howard University, Medical Ethics;
No Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
453-469, 867, 1538.
See Tab 24 a-ttached to this
Memorandum.
CLUSTER GROUP VI
GROUP 18 -
SYSTEM
ACCELERATING HEW SYSTEM DEVELOPMENT
EPSTEIN, ARMOLD
GARCIA, JOSEPH
T.RAHSITION TO THE HEW
SHORT-TERM COST CONTROLS
Robert
Wood
Johnson
Fellow,
Sponsored by Harvard Medical School
and Brigham & Women's Hospital,
Service in the Office of Senator J.
Rockefeller
(479);
No
Official
Status
cuyahoga county, Ohio Department of
Human
Services;
Listed
as
Intergovernmental
Representative
195
�McLAUGHLIN, DAN
O'BRIEN, MARY JO
QUIST, JANET
from
National
Association
of
Counties (1786); No Official Status
No Affiliation Listed; No Official
Status (478)
National
Governors
Association,
Minnesota: Listed as Representative
From Intergovernmental Org.anization
(1786); No Official Status
Listed
as
Representative
of
Intergovernmental Organization from
National League of Cities (1786); No
Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
4 78-487, 724-729, 790, 1313-15, 30101.
See Tab 26
attached to this Memorandum.
GROUP 19 -
ADMINISTRATIVE SIMPLIFICATION
ABRAMCHECK, F.
ABRAMSON, LEONARD
ALBERTINE, JIM
ALEXANDRE, LESLIE
BARRETT, LEE
BATALDEN, PAUL, MD
CAULEY I BANK
CHERTOFF, STEVE
CONHELL, RICHARD
CURTIS I BENJAMIN
DOWLING I ALAN
GAUCHER, EJ.I,P
GIEL, MICHAEL
GILLIGAN, T. J.
KOVRER, CHRISTINE
MACABER, JIM
METZ, ARTHUR
MOSSER, GORDON
HUDELMAN, PETER
O'DOHHELL, KEN
EDS Health Care: No Official Status
(30027)
u. s. Health Care: No Official
Status
Albertine Enterprises (SMS) (30028);
No Official Status
EDS (30028); No Official Status
Aetna (30028); No Official Status
Hospital Corporation of America; No
Official Status
Telesis: No Official Status
PCS Health Systems; No Official
status
NEIC
(now
Aetna)
(30073);
No
Official Status
NEIC
(now
Aetna)
(30028);
No
Official status
No Official Status
University of Michigan Hospital; No
Official Status
Cooperative Healthcare Networks; No
Official Status
EIS; No Official Status
New York University; No Official
Status
SMS Corporation, No Official status
First Health; No Official Status
(30027, 30028)
Internist/Minnesota:
No
Official
Status
Group Health Cooperative of Puget
Sound; No Official Status
NEIC (now Aetna); No Official Status
196
�O'ROARK, FRANK
RICKSON, NORENE
SCHROEDER, KATHY
SOUDER, BARBARA
SOVDIERS, R.
STEPHEN,
JACK
WESTON, DAVID
WOLFORD, G. RODNEY
Blue
Cross/Blue
Shield
Association/WED!: No Official Status
(30028)
Telesis; No Official Status
William
Beaumont
Hospital;
No
Official status
WEDI/The Travelers; No Official
Status (30027)
CIS Technologies; No Official Status
(30027)
Lakeland Regional Medical Center: No
Official Status
The Travelers/WED!; No Official
Status (30028)
Alliant Health Systems; No Official
Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
477, 791, 30025, 30027, 30028, 30073, 30100. See Tab 27
attached to this Memorandum.
GROUP 21 ALTMAN,
INTERIM COST CONTROLS
STUART
LEE, PHILIP
O'BRIEN, MARY JO
REINHART, UWE
RILEY, IRENE
The
Heller
School,
Brandeis
University, No Official Status
Director,
Robert
Wood
Johnson
Foundation, No Official status (405,
489, 494, 497, 500)
National
Governors
Association,
Minnesota
(490);
Listed
as
Representative of Intergovernmental
Organization; No Official status
Princeton University, No Official
Status
National Association of counties;
Listed
as
Representative
of
Intergovernmental organization; No
Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
480-498, 790, 1539-1543, 1617-1625, 30052. See Tab 28
attached to this Memorandum.
CLUSTER VII
FIHAHCING
GROUP 21 -
FINANCING
197
�CORONADO, DAVID
ENTHOVEN, ALAIN
LEE, PHILIP
O'BRIEN,
MARY
JO
PETERSON, DOUGLAS
REINHART, UWE
RILEY, IRENE
SHEPPACH, RAYMOND
UYEDA,
MARY
DC Commissioner of Health Care
Finance
(505);
Listed
as
Intergovernmental Employee in First
Responses; No Official Status
The Jackson Hole Group, Inc. ; No
Official Status
(in Handwriting
"Consultant")(480, 488, 493, 496)
Director,
Robert
Wood
Johnson
Foundation (485, 489, 494, 497, 500)
National
Governors
Association,
Minnesota
(490);
Listed
as
Representative of Intergovernmental
Organization,
NGA
(1786);
No
Official Status
National League of Cities (505,
512); Listed as Representative of
Intergovernmental Organization; No
Official Status
(In Handwriting "Consultant") (482,
486, 490, 494, 497, 500); Princeton
University, No Official status
National Association of Counties
(1787); Listed as Representative of
Intergovernmental Organization: No
Official Status
National Governors Association ( 521,
504, 509, 511, 514, 516, 518, 519);
Listed
as
Representative
from
Intergovernmental Organization; No
Official Status (1787)
National Association of Counties
(505, 512); Listed as Representative
of Intergovernmental Organization
(1787); No Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
501-522, 793, 1544, 1545, 30109, 30110, 30032. See Tab
29 attached to this Memorandum.
CLUSTER GROUP VIII
GROUP 22 I
HEALTH POLICY INITIATIVES FOR THE
ONDERSERVED
SUBGROUP A -
ONDERSERVED
RURAL
AND
INNER
CITY AREAS
CLARK, WILLIAM
Robert
Wood
Johnson
Fellow,
Sponsored by University of Florida,
in Senator Bumpers (D-AR) Office
SUBGROUP 22A - SUBGROUP - HIV
198
�MAXWELL I CELIA
Volunteer
PETERSON I BOBBIE
No Official Status (1238)
MET WITH SUBGROUP 22A:
San Francisco AIDS Foundation; No
Official Status
American Psychological Association;
BILL BAILEY
No Official Status
National Association of People With
CORNELIUS BAKER
AIDS; No Official Status
AIDS Research Policy Analyst With
TERRY BESWICK
HRCF; No Official Status
CEO, AIDS Project Los Angeles; No
LEONARD BLOOM
Official Status
Greater Baltimore HIV & Health
ANNE BROOMFIELD
Services
Planning
Council;
No
Official Status
Health Care Finance Expert (San
PAUL DEDONATO
Francisco); No Official Status
SONDRA ESTEPA
Latino Commission on AIDS:
No
Official Status.
RUTH FINKELSTEIN
Director, Public Policy, GMHC, New
York; No Official Status
JIM GRAHAM
Executive Director, Whitman-Walker
· Clinic; No Official Status
DAVID HARVEY
National Pediatric HIV Resource
Center; No Official Status
DEBRA FRZER-HOWZE
CEO, Black Leadership Commission on
AIDS; No Official Status
DR. BILLY JONES
Executive
Director,
Health
&
Hospitals Corporation; No Official
Status
PAUL KAWATA
National Minority AIDS Council; No
Official Status
JEFF LEVI
AIDS Action Council; No Official
Status
CHRISTINE LUBINSKI AIDS Action Council; No Official
Status
JANE SILVER
American
Foundation
for
AIDS
Research; No Official Status
PETER STALEY
Treatment Action Group; No Official
Status
TODD SUMMERS
AIDS
Housing
Corporation;
No
Official Status
SANDY TlltJRMAN
AID Atlanta; No Official Status
ROY WIDDES
NCA; No Official Status
LAUREN FOGT
No Official Status
DEREK HODEL
TAG; No Official Status
B. J. SYLES
NLCA; No Official Status
DAVID BARR
TAG, GMHC; No Official Status
REGINA
ARAGAN
199
�JULIE SCOFIELD
REGGIE WILLIAMS
EIJ.EH RIKER
NASDAD; No Official Status
NTFAP; No Official Status
National Hemophilia Foundation; No
Official Status
PHIL WILSON
National Minority Gay and Lesbian
Association; No Official Status
APHA; No Official Status
KRISTIN GEBBIE
JEFF JACOBS
APHA; No Official Status
AARON SHIRLEY
Jackson-Hinds Comprehensive Health
Center; No Official Status
FREDA MITCHEM
NACHC; No Official Status
BYRON J. HARRIS
U.S.
Conference of Mayors;
No
Official Status
C. ATCHISON
ASTHO; No Official Status
VALERIA MORELLI
ASTHO; No Official Status
SUSAN FORBES-MARTIN Commission on Immigration Reform; No
Official Status
ARTHURY J. LAWRENCE PHS; No Official Status
MICHAEL KAISER, MD Pediatric AIDS Program; No Official
Status
ALICIA BEATTY TEE
The Circle of Care; No Official
status
BRIAN FEIT
Dimock Community Health Center; No
Official Status
DAVID HARVEY
Department of
Policy
Analysis,
National Pediatric HIV Resource
Center; No Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
715, 716, 1234-1239, 1252-1253, 1327, 1328, 30033, 30034,
30035, 30058, 30059, 30091, 30120, 30123, 30176. See Tab
31 attached to this Memorandum.
GROUP 22, SUBGROUP B ELDERS, JOCELYN
LURIE, ALEXANDER
SMITH, BARBARA
VULNERABLE
POPULATIONS/HIGH
RISK POPULATIONS
Arkansas
Department
of
Health
(1310); No Official Status
No Official Status
National
Governors
Association,
south
Dakota;
Listed
as
Representative of Intergovernmental
Organization
(1786-1787);
No
Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1310-1312, 30056.
See Tab 32 attached to this
Memorandum.
GROUP 22, SUBGROUP C -
WOMEN AND CHILDREN
200
�KATHY BASSET
JEANNIE ROSO
RACHEL GOLD
RAE CERAD
MARY CARPENTER
AARON SHIRLEY
PETERS, D. WILLIAM
LARRY McAHDEREWS
JACKIE NOYES
EJ.T.EN
BATISTILLI
BILL HAMILTON
CAROL REGAN
ADOLPH P. FALCON
EJ.T.£N
YUHG-FATAH
FREDERICK
c. FOARD
LEROY ROBINSON
BILL CHAMBRES
American College of Obstetricians
and
Gynecologists;
No
Official
Status
Alan
Guttmacher
Institute;
No
Official Status
Alan
Guttmacher
Institute;
No
Official Status
National
Commission
to
Prevent
Infant Mortality; No Official Status
National
Commission
to
Prevent
Infant Mortality; No Official Status
Signs in as "HHS", Gives JacksonHinds Comprehensive Health Center,
Jackson, MS, Phone Number; NB: on
2/18/93 signed in as "Jackson-Hinds
HC" (30059); No Official Status
National Association of Children's
Hospitals and Related Institutions;
No Official Status
National Association of Children's
Hospitals and Related Institutions;
No Official Status
American Academy of Pediatrics; No
Official Status
Planned Parenthood Federation; No
Official Statuss
Planned Parenthood Federation; No
Official Status
Children's Defense Fund; No Official
Status
National
Coalition
of
Hispanic
Health
&
Human
Services
Organizations; No Official status
Chief,
Outpatient
Services,
DC
Department
of
Consumer
and
Regulatory Affairs; No Official
Status
Chair, National Operations Board,
National
Minority
Health
Association; No Official Status
Executive
Director,
National
Minority Health Association; No
Official Status
NMHA Meeting & Conference Planner,
Newsletter
Editor;
No
Official
Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
30092, 30093. See Tab 33 attached to this Memorandum.
GROUP
22 I
SUBGROUP
D -
POPULATION-BASED PUBLIC HEALTH
AND PREVENTION .
201
�ROSENBAUM, SARAH
George Washington University Center
for Health Policy Research (545): No
Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1547, 30036.
See Tab 34 attached to this
Memorandum.
1546,
CLUSTER GROUP IX
GROUP 23 -
MENTAL HEALTH
BENEFITS PACKAGE
FRANK I RICHARD
GORE I TIPPER
SCHUTER, JAMES
STOLINB I ANNE I MD
( 566) Mental Health Economist, Johns
Hopkins University; No Official
Status
Wife of the Vice President
Rep. Strickland (Not in Directory);
Law Student From George Washington
University: Now Back at School. He
was an Intern: No Official Status
Psychiatrist at Springfield State
Hospital, Maryland (867); Full-time
Volunteer from .State of Maryland
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
537-580, 796, 1140, 1240, 1241, 1338, 1549, 1550, 16261630, 30034-30037, 30111, 30145-30167, 30178. See Tab 36
attached to this Memorandum.
GROUP 24 -
SUBSTANCE ABUSE
GUST, STEVE
BOLT, HOBERT
STOLIHE I ANNE I MD
No Official status
Montgomery County Department of
Addiction Services (537, 543)
Psychiatrist at Springfield State
Hospital, Maryland (867); Full-time
Volunteer from State of Maryland
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
552, 556, 569, 578, 795, 1316, 1317. See Tab 37 attached
to this Memorandum.
GROUP 25 GOLDMAH I
SYBIL
GORE, TIPPER
PIRES I SHEILA
CHILDREN'S SERVICES
Georgetown
University
Child
Development Center (538)
Wife of the Vice President
Human services Collaborative (538)
202
�STOLIHE, ANNE, MD
STROUL, BETH
Psychiatrist at Springfield State
Hospital, Maryland (867); Full-time
Volunteer from State of Maryland
Management Training & Innovations,
Inc. (538)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
558, 563, 567, 576, 797.
See Tab 38 attached to this
Memorandum.
IMPACT/SPECIAL
WORKING GROUP 26 -
PUBLIC
SYSTEM
POPULATIONS
MELMAN, SORI
HHS-SGE (1678); Part-time Volunteer
STOLIHE I ANNE I MD
Psychiatrist at Springfield State
Hospital, Maryland (867); Full-time
Volunteer from State of Maryland
(1626)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
557, 562, 568, 577, 812, 813.
See Tab 39 attached to
this Memorandum.
CLUSTER GROUP X
GROUP 27 -
LOHG-TERM CARE - BACKGROUND
ECKERT I KEVIN
SOCBALSKI I JULIE
VELOZ I RICHARD
LONG TERM CARE
Robert
Wood
Johnson
Fellow,
Sponsored by University of Maryland,
In the Office of Senator Wofford (DPA)
Robert
Wood
Johnson
Fellow,
Sponsored by Columbia University, in
Senator Bradley's Office (846)
Not Listed as FTE; Formerly Staff
Director, House Select Committee on
Aging, Lost Funding 3/31/93; No
Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
581-686, 781, 1309, 1552.
See Tab 41 attached to this
Memorandum.
GROUP 28 -
LOHG-TERM CARE - PUBLIC OPTIONS
HONE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
782, 1553. See Tab 42 attached to this Memorandum.
203
�GROUP 29 -
LONG-TERM CARE - PRIVATE OPTIONS
NONE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
783, 1554, 30045.
See Tab 43 attached to this
Memorandum.
GROUP 30 -
LONG-TERM CARE - COST AND REVENUE
BROWN, MARY L.
National
Governors
Association
(30138): No Official Status
National
Governors
Association,
South Carolina, Representative of
Intergovernmental Organization: No
Official Status (1787)
National
Governors
Association,
South Dakota:
Representative of
Intergovernmental Organization: No
Official Status (1787)
National
Governors
Association,
Representative of Intergovernmental
organization: No Official Status
(1787)
McNAMEE, NIKKI
SMITH, BARBARA
VOLPE, CARL
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
784, 1551, 30046, 30138.
See Tab 44 attached to this
Memorandum.
CLUSTER GROUP XI
GROUP 31 -
ECONOMIC IMPACTS
ECONOMIC IMPACTS
REINHART, OWE
Princeton University
(687,
694): No Official Status
691,
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
687-689, 785, 1555.
See Tab 45 attached to this
Memorandum.
CLUSTER GROUP XII
GROUP 32
ALECTIN, LISA
HOLAHAN, JOHN
ILLSTON, LAURA
KENNELL, DAVID
LONG, STEPHEN
QUANTITATIVE ANALYSIS
QUANTITATIVE ANALYSIS
Lewin (1335): No Official Status
Urban Institute (1333): No Official
Status
Lewin (1335): No Official status
Lewin (1335); No Official Status
RAND Corporation ( 1333); No Official
status
204
�MAXFIELD I MYLES
McKUSICK, DAVID
TRAPNELL I
GORDON
ZEDLEWSKI I SHEILA
Mathematical Policy Research ( 1333);
No Official Status
Actuarial
Research
Corporation
(699); No Official Status
Actuarial
Research
Corporation
(699); No Official Status
Urban Institute; No Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
699-7031 713 1 7141 1861 1333-13371 15561 15571 16331
30047. See Tab 46 attached to this Memorandum.
CLUSTER
GROUP
GROUP
XIII
LEGAL AUDIT
33 -
AHTIIONY I
BARNES I
BARBARA
MARK
BIDDLE I BARBARA
BRIFFAULT, RICBRAD
GOLDMAN, ED
GRAETZ I
LEGAL AUDIT
MICHAEL
BOLDER, ANGELA
McGAREY, BARBARA
MEYER, KATHRYN
HILLOCK, PETER
RYAN, BETSY
SCHULTZ, MARJORIE
SLOWES, RICK
ZELMER, BARBARA
Office of the Massachusetts Attorney
General; No Official Status
NYC
Department
of
Health;
No
Official Status
DOJ-Civil (30149)-FTE
Columbia Law School; No Official
Status
University of Michigan Hospitals; No
Official Status
Yale Law School; No Official Status
Yale University School of Medicine;
No Official Status
National Institutes of Health-FTE
Beth Israel Medical Center; No
Official Status
New York State Department of Health;
No Official Status
New Jersey Department of Health; No
Official Status
Boal t
Hall School of Law;
No
Official Status
Office of the Attorney General of
Minnesota; No Official Status
National Association of Attorneys
General (30149); No Official Status
SOURCES: Declarations of Marjorie Tarmey 1 Documents Nos.
15581 30149 1 unnumbered page 1 "Legal Issues". See Tab 47
attached to this Memorandum.
CLUSTER
GROUP
GROUP
34 -
XIV
HUMBERS
HUMBERS
ATKINSON, HOWARD
BERTKO 1 JOHN
AUDIT
AUDIT
Atkinson & co., Inc.
Coopers & Lybrand
205
----~--~---~-~--~~
~~--~---~----------~---~~-~~
------
------~------
--~-~------~~~
�DORAN I PHYLLIS
GREENWOOD I BRENT
HELMS, DICK
OSTUW, RICH
PORTER, KEN
RODGERS I JACK
Millman & Robertson
Tillinghast/Towers Perrin
The Principal Financial Group
Towers Perrin
The DuPont Co.
Price Waterhouse
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1559, unnumbered page, "Cost Issues".
See Tab 48
attached to this Memorandum.
CLUSTER XV
THE DRAFTING GROUP
GROUP 35 -
THE DRAFTING GROUP
NOHE
SOURCES:
738-761.
Declarations of Marjorie Tarmey, Documents Nos.
See Tab 49 attached to this Memorandum.
WORKING GROUP 36 -
DISABILITY CROSS-CUTTING WORK GROUP
FREIEDHOLM, DEAHH
Representative of Intergovernmental
organization (1786); No Official
Status
(30080)
State
of
California
Department
of
Health
Services,
Chief, Children's Medical Services;
No Official Status
United Cerebral Palsey (30080); No
Official Status
George Washington University Center
for Health Policy Research; No
Official Status
(30080) The Association of Retarded
Citizens; No Official Status
American Psychological Association,
Assistant
Director
for
Public
Interest Policy; No Official Status
( 30080)
Epilepsy
Foundation
of
America; No Official status
Project HOPE (671)
ADD/Protection & Advocacy ( 30080) ;
No Official Status
Amputee
coalition
of
America
(30080); No Official Status
National
Chronic
care
consortium/Beth
Israel
Hospital
(3008); No Official Status
American
Speech-Language
Hearing
Association (30080); No Official
Status
GREGORY, M.
GRISS I ROBERT
JEHSEH I
ALAR
McGRALY, KATHLEEN
O'KEEFE, JANET
SCHMIDT I BILL
STORE I ROBYN
STRAHAH I MARIE
THOMAS, PETER
THOMPSON, IDRI
WHITE, STEVER
206
�CEO, Blacks Educate
Sexual Health Issues
HANDY I CAROLYN
Blacks
About
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
671, 717-718, 1068, 30128, 30141, 30048, 30051, 30174,
30175. See Tab 50 attached to this Memorandum.
GROUP 37 -
RURAL CROSS-CU'rl'IHG GROUP
SMITH, BARBARA
National
Governors
Association
(1787); No Official Status
National Association of Counties
(1787); No Official Status
UYEDA, MARY
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
709-712, 1634, 1635.
See Tab 51 attached to this
Memorandum.
GROUP 38 -
BENEFITS COORD.IHATIOH
BROWN, lUCK
MAHOWITZ I MICHEJ.T.E
UCLA School of Public Health
The Johns Hopkins University (732)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
Sign-in Sheet, 30129.
See Tab 52 attached to this
Memorandum.
GROUP 39 -
MINORITY ISSUES REVIEW GROUP
JAMES ACEVEDO
JESSE BARBER
PHILLIP BROOKS
RICHARD BUTCHER
MICHAEL BYRD
PAMELA CASHEW
LINDA CLAYTOR
Assistant
Director,
American
HealthCare Management, Huntington
Park, CA; No Official Status
National Medical Association, Chair
of Council Medical Legislation,
Washington, DC; No Official Status
National Black Hospital Association,
President,
Norfolk
Community
Hospital, Norfolk, VA; No Official
Status
President,
National
Medical
Association,
El
Cajon,
CA;
No
Official Status
Research
Fellow,
Department
of
Health Policy & Management, Harvard
School of Public Health, Boston, MA;
No Official Status
Assistant Administrator, Riverside
General Hospital, Houston, TX; No
Official Status
Research
Fellow,
Department
of
Health Policy & Management, Harvard
207
�ROSEMARY DAVIS
SUSAN DRAKE
ADOLPH FALCON
MARIA ELENA FLOOD
HECTOR FLORES
JOYCE ESSIEH
LUIS ESTEVEZ
THURIIAH EVANS
ERNEST GIBSON III
TESSIE GUILLERMO
HAZEL HARPER
JOSEPH HENRY
HILL
SADAKO HOLMES
ANNE
CHARLES KAMASAKI
ELIZABETH KING
DAPHNE
JOHN
School of Public Health, Boston, MA;
No Official Status
National
Medical
Association,
Washington, DC; No Official Status
Senior
Attorney,
National
Immigration Law Center, Los Angeles,
CA; No Official Status
National
Coalition
of
Hispanic
Health
&
Human
Services
Organizations, Washington, DC; No
Official Status
Program Director, Health Sciences
Center, Texas Tech, El Paso, TX; No
Official Status
Co-Director,
Family
Practice
Residency Program, White Memorial
Medical Center, Los Angeles, CA; No
Official Status
Director, Office of Public Health
Practice, School of Public Health,
Emory University, Atlanta, GA; No
Official Status
Medical
Director,
Segundo
Ruiz
Belvis, Neighborhood Family care
Center,
Bronx, NY; No Official
status
President
&
CEO,
WholeLife
Associates, Elkins Park, PA; No
Official Status
Administrator/CEO, Riverside General
Hospital, Houston, TX; No Official
Status
Executive Director, Asian American
Health Forum, San Francisco, CA; No
Official status
National
Dental
Association,
Washington, DC; No Official status
Associate Dean, Harvard School of
Dental Medicine, Boston, MA; No
Official Status
National Urban League, New York, NY
Executive Director, National Black
Nurses'
Association,
Inc.,
Washington, DC; No Official Status
National
Council
of
La
Raza,
Washington, DC; No Official status
Medical Director, Queens Village
Community for Mental Health, St.
Albany, NY; No Official Status
Riverside General Hospital, Houston,
TX; No Official Status
208
�B. WAINE KONG
OSVALDO LOPEZ
RANDALL MAXEY
RAMONA McCARTHY
LAURIN MAYENO
TERRI SMITH MOORE
VERHELLIA RANDALL
ELENA
RENE
RIOS
RODRIGUEZ
DIANE SANCHEZ
SESSOMS
WES SHOLES
FRANK
SAMUEL
SIMMONS
PAUL SIMMS
SARA TORRES
DAVID VALDEZ
HERBERT WELDON
Executive Director, The Association
of Black Cardiologists, Miami, FL;
No Official Status
Chairman, Department of Opthomology,
Chicago, IL; No Official Status
President,
CEO,
HealthQuest,
Hawthorne, CA; No Official Status
President, National Pharmaceutical
Association, Silver Spring, MD; No
Official Status
Association
of
Asian
Pacific
community
Health
Organizations,
Oakland, CA; No Official Status
National Pharmaceutical Association,
Washington, DC; No Official Status
Assistant Professor of Law, School
of Law,
University of Dayton,
Dayton, OH; No Official Status
President,
The
ChicanojLatino
Medical Association of California,
Huntington Park, CA; No Official
Status
President, Interamerican College of
Physicians and Surgeons, Washington,
DC; No Official Status
Women's Medical Arts, Milpitas, CA
Pittsburgh, PA; No Official Status
National Association of Black County
Officials, Rancho Palos Verdes, CA;
No Official Status
caucus and Center on Black Aged,
Washington, DC; No Official Status
Department of Health Services, San
Diego, CA; No Official Status
National Association of Hispanic
Nurses, College of Nursing - USF,
Tampa, FL; No Official status
Family Practice Center, Memorial
Medical Center, Corpus Christi, TX;
No Official Status
Administrator
&
CEO,
Southwest
Hospital & Medical Center, Atlanta,
GA; No Official status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
"Minority Issues Review Group", unnumbered. See Tab 53
attached to this Memorandum.
GROUP 40 -
ACADEMIC HEALTH CENTERS
209
�ALTMAN, DAVID
CLARK, WILLIAM
DAUMIT, GAIL
DAVIES, MONICA
EPSTEIN, ARNOLD
BANDY, CAROLYN
PAUL, KAREN
REDLENER, IRWIN
STOLINE, ANNE
Robert
Wood
Johnson
Fellow,
Sponsored by UCSF Center for Health
Professionals (704)
Robert
Wood
Johnson
Fellow,
Sponsored by University of Florida,
In Senator Bumpers' Office (708)
White House (704), Emory University
School of Medicine, Medical Student
(734); Internal Medicine MGH Intern
6/93 (30049)
Massachusetts
General
Hospital
Legislative
Fellow,
In
Sen.
Bingaman's Office (708)
Robert
Wood
Johnson
Fellow,
Sponsored by Harvard Medical School
& Brigham & Women's Hospital, In
Senator Kennedy's Office (704)
CEO, Blacks Educate Blacks About
Sexual Health Issues (704)
White House ( 704) Cornell Medical
School (30049)
Pediatrician, Montefiore Hospital;
No Official Status
Psychiatrist, Volunteer
SOURCES:
Declarations of Marjorie Tarmey, Documentss
Nos. 704, 705, 707, 708, 1242, 1243, 1244, 706, 1587,
30048, 30050. See Tab 54 attached to this Memorandum.
GROUP 41 -
WORKER'S COMPENSATION TASK FORCE
BAKER, LAWRENCE
BATEMAN, KEITH
BURTON, JOHN
CLAYTON, ANN
ELLENBURGER, J.
GRANNEMANH, T.
GREENWOOD, JUDITH
BAUGH I KEVIN
NOTH, DAVID
THORNQUIST, LISA
Princeton University; No Official
Status (30133)
Alliance
of
American
Insurers
(1344); No Official Status
Editor,
John
Burton's
Worker's
Compensation Monitor ( 1285) , Rutgers
University; No Official Status
Florida Insurance Commission ( 1285) ;
No Official Status
AFL-CIO; No Official Status
Workers'
Compensation
Research
Institute
( 30133);
No
Official
Status
Workers' Compensation Fund, West
Virginia; No Official Status (1344)
Institute
for
Health
Policy
Solutions; No Official Status
Johnson
&
Higgins
( 1344) ;
No
Official status
Minnesota
Workers'
Compensation
Research (1270); No Official Status
210
�Workers 1
Compensation
Research
Institute (1344); No Official Status
Oregon Insurance Commission (1270);
No Official Status
VICTOR, RICHARD
WEEKS, GARY
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1270-1276, 1285, 1344, 1345, 30069, 30085, 30090, 30115,
30132, 30133. see Tab 55 attached to this Memorandum.
In addition, other important individuals were listed as part
of the Interdepartmental Working Group of the President 1 s Task
Force on National Health Care Reform,
Working Groups and Subgroups.
and its Cluster Groups,
Documents Nos. 1680 through 1692,
authenticated by the Declaration of Marjorie Tarmey, indicated that
the
following
deliberations
President 1 s
persons,
of
the
among
others,
Interdepartmental
were
involved
Working
Group
in
the
of
the
Task Force on National Health Care Reform and its
Cluster Groups; Working Groups and Subgroups:
SEINHART, J.
WHELAH, K.
MARCUS, K.
WATSON I JR.
I
J.
EIDENBERG, E.
GARAMENDI I
JOHH
Democratic Governor's Association;
No Official status (1682, 1686)
Democratic Governor's Association:
No Official Status (1682)
Democratic National Committee: No
Official Status (1682)
Democratic National Committee; No
Official Status (1682)
Long, Aldridge & Norman, Atlanta,
Georgia,
Attorneys
for
MCI
corporation.
1994
MartindaleHubbell Law Directory, Vol. 6, GA
219B; No Official Status (1682,
1686)
MCI Communications;
No Official
Status (1682, 1685)
State of California; No Official
status (1685)
See Tab 118 attached to this Memorandum.
Clearly, Mr. Magaziner misled the Plaintiffs and this Court.
211
�0.
THE SCANT MEETING MINUTES AND MEETING AGENDAS PRODUCED BY THE
DEFENDANTS.
NOTE:
Because this portion of the Memorandum discusses
documents subject to the Protective Order entered by this Court,
this portion of the Memorandum is attached hereto in a sealed
envelope subject to the terms of the Protective Order entered by
this Court.
P.
SEROUS ETHICAL CONCERNS SQRROUND THE TASK FORCE AND THE
INTERDEPARTMENTAL WOBKING GROUP OF THE PRESIDENT'S TASK FORCE
ON NATIONAL HEALTH CARE REFORM AND ITS CLUSTER GROUPS. WOBKING
GROUPS AND SUBGROUPS
All
executive
personnel,
including
"special
government
employees", are required to file conflict of interest forms, either
SF 278s or SF 450s.
5 u.s.c.
§
201.
If an individual has a
conflict of interest by serving as an SGE, he or she is required to
obtain a waiver. 18 u.s.c.
may violate 18 u.s.c.
§
208.
§
208.
Otherwise, the decisions made
From the records produced by the
Defendants, only thirty-five (35) SGEs and consultants appointed to
the Interdepartmental Working Group of the President's Task Force
on National Health care Reform, filed a conflict of interest form
(either SF 278 or SF 450).
all.
Many SGEs and consultants filed none at
None of the members of Cluster Group V, "Bioethics or Ethical
Foundations of the New System", Working Group 17, "Bioethics",
complied with the Ethics in Government Act at all.
Adrienne Asch,
Horman Daniels, Annette Durla, Abigail Evans, Joan Gibson, Larry
Gostin,
carol Levine,
Pilar Ossorio,
Elliott Dorff and Ruth
Portillo, all named SGE's in Working Group 17, filed no conflict of
212
�interest forms.
In addition, Megan Toohey, an SGE, failed to file
a conflict of interest form at all.
Among those who did file some form, many of them filed late.
Robert A. Berenson, David Eddy, Kathleen N. Lohr, Jane L. Schadle,
Thomas
o. Pyle, filed the forms late, some many months after the
due date.
Others, Shelly crow, Richard E. curtis, Denise A.
Denton, Aaron Shirley and David Satcher, filed forms that appear to
be backdated.
In almost every case, the conflict of interest forms of the
SGEs and consultants were filled out in the handwriting of someone
other than the person filing the form.
Sometimes, the forms
revealed two different handwritings of those filling out the forms,
both different from the person filing the form.
For some forms, it
is noted that information was obtained over the telephone.
appear to have been faxed to the filer.
Others
Several conflict of
interest forms, although otherwise completely handwritten, reveal
a typed date alongside the signature line.
to have been inserted over a "white-out".
The typed dates appear
The conflict of interest
forms of Richard E. curtis, Denise A. Denton, Aaron Shirley and
David Satcher fall within that category.
Not one SGE or consultant obtained a waiver for any conflict
of interest, yet there were those on the Interdepartmental Working
Group of the President's Task Force on National Health Care Reform
and its Cluster Groups, Working Groups and Subgroups, such as
Robert Berenson, Lois Quam, and David Eddy, among others, who had
blatant
conflicts
of
interest
since
213
they
were
officials
or
�consultants to large managed care entities that were the ultimate
beneficiaries of their work.
Even assuming the legitimacy of the conflict of interest forms
which were produced by the Defendants·, at least three persons had
serious conflicts regarding making policy recommendations on health
care matters which led to the bureaucratic managed care scheme now
proposed by the Clinton Administration.
As stated previously,
Robert Berenson is the President of National Capital Preferred
Provider Organization, Lois Quam is the Vice President of Public
Operations for United Health Care Corporation, and David Eddy is an
advisor to Kaiser Permanente. All three entities are large managed
Other
care corporations operating within the United ·States.
members of the Working Groups also appear to have had ties to
managed care interests or consulting firms intimately tied to the
United States health care market.
Title 18
u.s.c.
§
208(a)
provides as follows:
§208.
Acts affecting a personal financial interest
(a) Except as permitted by subsection (b) hereof ,
whoever, being an officer or employee of the executive
branch of the United States Government, or of any
independent agency of the United States, a Federal
Reserve bank director, officer, or employee, or an
officer or employee of the District of Columbia,
including a Special Government employee; participates
personally and substantially as a Government officer or
employee, through decision, approval, disapproval,
recommendation, the rendering of advice, investigation,
or otherwise, in a judicial or other proceeding,
application, request for a ruling or other determination,
contract, claim, controversy, charge, accusation, arrest,
or other particular matter in which, to his knowledge,
he,
his spouse,
minor child,
general
partner,
organization in which he is serving as officer, director,
trustee, general partner or employee, or any person or
organization with whom he is negotiating or has any
214
�arrangement concerning prospective employment,
financial interest--
has a
Shall be subject to the penalties set forth in section
216 of this title.
Title 18 u.s.c.
§
208(b) sets forth three exceptions to this
rule (none of which have been complied with in this case) 16 as
follows:
(b) Subsection (a) shall not apply-(1) if the officer or employee first advises the
Government official responsible for appointment of his or
her position of the nature and circumstances of the
judicial or other proceeding, application, request for a
ruling or other determination,
contract,
claim,
controversy, charge, accusation, arrest, or other
particular matter and makes full disclosure of the
financial interest and receives in advance a written
determination made by such official that the interest is
not so substantial as to be deemed likely to affect the
integrity of the services which the Government may expect
from such officer or employee;
( 2) if, by regulation issued by the Director of the
Office of Government Ethics, applicable to all or a
portion of all officers and employees covered by this
section, and published in the Federal Register, the
financial
interest has been exempted from the
requirements of subsection (a) as being too remote or too
inconsequential to affect the integrity of the services
of the Government officers or employees to which such
regulation applies;
( 3) in the case of a special Government employee serving
on an advisory committee within the meaning of the
Federal Advisory Committee Act [ 5 USCS Appx § § 1 et
seq. ] (including an individual being considered for an
appointment to such a position), the official responsible
for the employee's appointment, after review of the
financial disclosure report filed by the individual
As in the case with certain travel vouchers manufactured and
madly faxed about after the June 22, 1993 Opinion of the D.c.
Circuit was rendered, one can anticipate that the papers which may
alleviate the conflict of interest problems will magically appear
some time after this Memorandum is filed.
16
215
�pursuant to the Ethics in Government Act of 1978 [5 USCS
Appx §§ 101 et seq.], certifies in writing that the need
for the individual's services outweighs the potential for
a conflict of interest created by the financial interest
involved. • • •
(Emphasis added.)
Title 18
u.s.c.
§
208(a) was clearly violated in this case.
This should come as no surprise given the history and tactics
employed by the government in this
litigation.
Indeed,
the
President and First Lady themselves possessed a financial interest
in managed care· throughout the time that the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups
were in full advisory mode.
According to the President's SF 278,
the President and First Lady held a share in Valuepartners I, an
investment partnership located in Little Rock, Arkansas.
Declaration of Genevieve M. Young, Exh. 26.
See,
A large number of
·shares in health care stocks, including managed care stocks, were
held
by Valuepartners
I.
One
of
these
stocks
was
United
Healthcare, the corporation with whom Lois Quam held the position
of Vice President for Public operations while she was serving on
the Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Certainly, the pronounced absence of cutting
square corners in the ethics realm militates in favor of opening
the records of the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups to at least post hoc public
scrutiny.
216
�ARGUHEN'l'
I.
THE DECISION OF THE UNITED STATES COURT OF APPEALS FOR THE
DISTRICT OF COLQMBIA CIRCUIT IN THIS CASE COMPELS THE
CONCLUSION THAT THE INTERDEPARTMENTAL WORKING GROUP AND ITS
CLUSTER GROUPS. WORKING GROUPS AND SUBGROUPS ARE "FEDERAL
ADVISORY COMMITTEES" WITHIN THE MEANING OF THE FEDERAL
ADVISORY COMMITTEE ACT 5 U.S.C. APP •. § 3.
On June 22, 1993, the United States Court of appeals for the
District of Columbia Circuit rendered its opinion in Association of
American Physicians and Surgeons, Inc., et al. v. Hillary Rodham
Clinton, et al., now published at 997 F2d. 898.
In its Opinion,
the D.C. Circuit extensively discussed the Plaintiffs' contentions
with respect to the Interdepartmental Working Group, led by Ira
Magaziner, and the Cluster Groups and Subgroups thereof, and the
Defendants' arguments in response thereto.
The D.C. Circuit first
addressed the government's argument that the Working Group is not
in contact with the President and is not, therefore, "utilized" by
the
Presi~ent
Act (FACA).
within the meaning of the Federal Advisory Committee
The D.C. Circuit expressly rejected this argument,
stating as follows:
The statute cannot be properly interpreted as applying
only to those advisory committees, established in the
Executive Office of the President, that present the most
delicate constitutional problems.
[Footnote omitted.]
Otherwise, the government's argument effectively would
render almost all presidential advisory committees free
from FACA.
Committees in direct . contact with the
President implicate the President's executive power and
hence cannot be covered by FACA, while committees not
directly in contact are not "utilized". In any event,
the statutory language does not remotely support the
government.
Not only does FACA define an advisory
committee as "a task force or any subcommittee or
subgroup thereof", 5 u.s.c. App., 2 § 3(2), but it also
specifies that an advisory committee is a group that is
either established or utilized by the President. See,
Id.
217
�997 F.2d at 912 (Emphasis in the original.)
The D.C. Circuit then went on to consider the government's and
this Honorable Court's reliance on National Anti-Hunger Coalition
v. Executive Committee, 711 F.2d 1071 (D.C. Cir. 1983).
The D.C.
Circuit distinguished Anti-Hunger on its facts and concluded that
this Court's conclusion that the working group could be disregarded
as staff depended on the determination that the Task Force was
covered by FACA.
997 F2d. at 913.
The D.C. Circuit then concluded
as follows:
But when the Task Force itself is considered part of the
government--due to the government officials exemption--we
must consider more closely FACA's relevance to the
working group. For it is the working group now that is
the point of contact between the public and the
government.
The district court's conclusion that the
working group can be disregarded as staff depended on its
determination that the Task Force was covered by FACA.
Our disagreement with the district court on the latter
issue therefore compels a different analysis of the
working group's status.
Id.
After implicitly rejecting the argument that the working group
could not be considered "staff" under Anti-Hunger, the D.C. Circuit
addressed the government's argument that the working group is not,
as a matter of law, a FACA advisory committee because it is not
expected
to
offer
consensus
advice.
In
response
to
this
contention, the D.C. Circuit concluded that "since one of the
purposes of FACA is to achieve some balance, and thereby diverse
views on advisory committees, it would be passing strange if FACA
only applied to those committees
recommendations."
Id.
218
that would offer consensus
�Finally, the D.C. Circuit embarked on an extensive analysis of
the characteristics of an "advisory committee" within the meaning
of the FACA.
The D.C. Circuit observed:
The point, it seems to us, is that a group is a FACA
advisory committee when it is asked to render advice or
recommendations, as a group and not a collection of
individuals. The group's activities are expected to, and
appear to, benefit from the interaction among the members
both internally and externally. Advisory committees not
only provide ideas to the government, they also often
bestow political legitimacy on that advice. As the House
Committee that investigated advisory committees before
FACA's passage stated: "The work product of a committee
composed of distinguished and knowledgeable individuals
appointed by the President to advise him is presumed to
have value and should be considered." H.H.Rep. No. 1731,
91st Cong., 2d sess. 12 (1970).
Advisory committees are not just mechanisms for
transmitting policy advice on a particular subject matter
to the government. These committees also possess a kind
of political legitimacy as representative bodies.
Membership on a committee is often highly prized and
sought after because it carries recognition and even
prestige. When the executive branch endorses its advice
and seeks to promote the.policy course suggested by the
committee,
the executive branch draws upon the
committee's political legitimacy. Congress' effort to
ensure that these committees are balanced in terms of
viewpoint recognizes their usefulness for political (and
patronage) purposes. But committees bestow these various
benefits only insofar as their members act as a group.
The whole, in other words, must be greater than the sum
of the parts.
Id., at 913-914.
Relying upon Judge Gesselis opinion in Nader v. Baroody, 396
F.Supp.
1231
important
(D.D.c. 1975), the D.C. Circuit stated that "an
factor
in determining the presence of
an advisory
committee becomes the formality and structure of the group" •
at 914.
The D.C. Circuit then went on to observe as follows:
In order to implicate FACA, the President, or his
subordinates, must create an advisory group that has, in
219
Id. ,
�large measure,
an organized structure,
a
fixed
membership, and a specific purpose.
The government
suggests that working groups, composed as they are of a
crowd of 340 virtually anonymous persons, do not bear the
characteristics of the paradigm FACA advisory committee.
That may well be so. The working groups, as a whole,
seem more like a horde than a committee. on the other
hand, the groups have been created ("established") with
a good deal of formality and perhaps are better
understood as a number of advisory committees. We simply
cannot determine how to classify the working groups based
on the record before us.
Id.
The final argument advanced by the government before the D.C.
Circuit was that all of the members of the working groups were
full-time officers or employees of the federal government and that,
therefore, the working groups are not FACA advisory committees.
The government claimed that the working groups also included 40
"special government employees" who were "full-time".
The D.C.
Circuit expressly observed, however, that n[t]he record does not
reflect where these persons come from, nor does it show how many
hours they work.n
Id.
(Emphasis added.)
While the government
relied heavily upon the definition of "special government employee"
found in 18
u.s.c.
§
202(a), the D.C. Circuit did not believe that
"section 202 (a) helps the government".
Id., at 915.
The D.C.
Circuit explained the reason for this aspect of its opinion.
We must construe FACA in light of its purpose to regulate
the growth and operation of advisory committees. FACA
would be rather easy to avoid if an agency could simply
appoint 10 private citizens as special government
employees for two days, and then have the committee
receive the section 3(2) exemption as a body composed of
full-time employees.
Id.
220
�Finally, the D.C. Circuit considered the government's argument
regarding
a
third
class
of
persons
participating
in
the
Interdepartmental Working Group described by the government as
"consultants".
The D.C. Circuit's discussion of the issues raised
by "consultants" participating in the Interdepartmental Working
Group was as follows:
The key issue, it seems to us, is not whether these
consultants are "full-time" government employees under
section 3(2), but whether they can be considered members
of the working group at all. When an advisory committee
of wholly government officials brings in a "consultant"
for a one-time meeting, FACA is not triggered because the
consultant is not really a member of the advisory
committee. In that situation, the relationship between
the temporary consultant and committee is very similar to
the one between the White House officials and various
private sector representatives exempted from FACA in
Nader. • • •
But a consultant may still be properly described as a
member of an advisory committee if his involvement and
role are functionally indistinguishable form those of the
other members. Whether they exercise any supervisory or
decision-making authority is irrelevant.
If a
"consultant" regularly attends and fully participates in
working group meetings as if he were a "member", he
should be regarded as a member. Then his status as a
private citizen would disqualify the working group from
the section 3 ( 2) exemption for meetings of full-time
government officials.
Id.
Finally, the D.C. Circuit summarized the scope of the factual
inquiry under FACA as follows:
When we examine a particular group or committee to
determine whether FACA applies, we must bear in mind that
a range of variations exist in terms of the purpose,
structure and personnel of the group. Perhaps it is best
characterized as a continuum.
At one end one can
visualize a formal group of a limited number of private
citizens who are brought together to give publicized
advice as a group. That model would seem covered by the
statute regardless of other fortuities such as whether
221
�the members are called "consultants". At the other end
of the continuum is an unstructured arrangement in which
the government seeks advice from what is only a
collection of individuals who do not significantly
interact with each other. That model, we think, does not
trigger FACA.
Id.
When one construes the FACA in light of its purpose, as is
required by the law of the case, it is clear that the FACA was
intentionally circumvented by
the
Defendants
throughout
this
litigation through sworn non-truths, half-truths, distortions, and
indeed, documents belatedly manufactured after the D.C. Circuit
rendered its Opinion in this case,
among other things.
For
example, the documents reluctantly produced by the Defendants after
this Court entered its Order requiring their production reveals
vastly
more
than
40
"SGEs"
from
outside
private
interests
participating on the Interdepartmental Working Group as represented
in the Declaration of Ira Magaziner and before the D.C. circuit.
Furthermore, the documentation itself which the Defendants later
produced
is
a
laughable
exercise
in
semantics,
with
some
individuals being referred to as "full-time", "part-time", "with
compensation", "without compensation", "SGEs", or "consultants",
often within the very same document!
As to compliance with federal
conflict of interest statutes, Judge Buckley, in his concurring
opinion, relied on the assurances contained in the Declaration of
Ira Magaziner by concluding that "Mr. Magaziner nevertheless took
pains to stress the fact that every member or consultant to the
Group--whether a regular or special government employee, whether
working full-time or part, for pay or without--was required to file
222
---------
---------------
�a
financial
disclosure
statement
requirements of these laws."
concurring).
and
to
comply
997 F. 2d at 921
with
other
(Buckley, J.,
Of course, discovery revealed that nothing can be
further from the truth.
The Interdepartmental Working Group and
its Cluster Groups, Working Groups and Subgroups were dominated by
private persons from managed care interests and many of their
academic minions and "non-profit" sounding boards such as the
Robert Wood Johnson Foundation and the Henry J. Kaiser Family
Foundation.
Additionally, a host of "intergovernmental employees"
were members of the Working Groups, who clearly do not constitute
"full-time officers or employees of the federal government" within
the meaning of Section 3 of the FACA.
See, Center for Auto Safety
v. Cox, 580 F.2d 689, 692 (D.C. Dir. 1978).
This patent violation
of the FACA has led to precisely what the FACA was designed to
prevent.
In Public Citizen v.
109 S.Ct. 2558, 2562,
u.s.
Dept. of Justice, ____
L.Ed.2d
u.s. ____ ,
(1989), the United States
Supreme Court, citing Section 2(b) of the statute, recognized that
the purpose of the Federal Advisory Committee Act was "to ensure
that new advisory committees be established only when essential and
that their number be minimized; that they be terminated when they
have outlived their usefulness; that their creation, operation, and
duration be subject to uniform standards and procedures; that
congress and the public remain apprised of their existence,
activities, and cost; and that their work be exclusively advisory
in nature."
(Emphasis added.)
Furthermore, in one of the first
223
�reported decisions construing the Federal Advisory Committee Act
and the exceptions to its open meetings requirement, the United
states District court for the District of Columbia recognized one
of
the overarching salutary purposes
and rationales
for
the
legislation by observing:
The importance of the Federal Advisory Committee Act is
epitomized by Senator Metcalf who handled the legislation
in the senate:
What we are dealing with here goes to the
making.
bedrock
of
government
decision
. Information is an important commodity in this
capital.
Those who get information to policymakers, or information for them, can benefit
their causes whatever it [sic] may be.
OUtsiders can be adversely and unknowingly
affected.
And decisionmakers who get
information from special interest groups who
are not subject to rebuttal because opposing
interests do not know about the meetings--and
could not get in the door if they did--may not
make tempered judgments.
118 Cong. Rec.
§15285-86 (daily ed. September 19, 1972)
This court will not allow the door to close on
these meetings when Congress has expressly
ordered the door to be open except on the
rarest occasion.
Nader v.
added.)
Dunlop,
370 F.Supp 177, 179
(D. D.C.
1973)
(Emphasis
The purpose of the FACA is further evidenced by the Report of
the House Government Operations Committee,
1017, reprinted in 1972
2d Sess. at 3491-3501.
u.s.
Ho~se
Report No. 92-
Code Cong. & Admin. News, 92nd Cong.
There, the House Government Operations
Committee observed as follows:
One of the great dangers in the unregulated use of
advisory committees is that special interest groups may
use their membership on such bodies to promote their
224
�private concerns. Testimony received a hearings before
the Legal and Monetary Affairs Subcommittee pointed out
the danger of allowing special interest groups to
exercise undue influence upon the Government through the
dominance of advisory committees which deal with matters
in which they have vested interests.
Id., at 3496.
Further,
the
Report
of
the
House
Government
Operations
Committee went on to virtually predict what has occurred in this
case by way of slipshod record keeping and outright deception:
Section 10(b) also provides that each advisory
committee shall keep minutes of its meetings, including
a record of persons present, a complete and accurate
description of matters discussed and conclusions reached,
and copies of all reports received, issued, or approved
by the advisory committee. The chairman of the advisory
committee is required to certify to the accuracy of the
minutes.
This provision will help to remedy the
situation disclosed in the 1970 committee report which
revealed that "it is impossible to find accurate and
complete records on all Presidential committees."
Section 10(b) also provides that:
The provisions of section 551 of title 5,
United States Code, shall apply to all records
and files including agenda, transcripts,
studies, analyses, reports, meeting notices,
and any other data, compilations, and working
papers which were made available to or
prepared for or by each advisory committee.
This provision has the effect of assuring openness
in the operations of advisory committees. This provision
coupled with the requirement that complete and accurate
minutes of committee meetings be kept serves to prevent
the surreptitious use of advisory committees to further
the interests of any special interest group. Along with
the provisions for balanced representation contained in
§4 of the bill, this requirement of openness is a strong
safeguard of the public interest.
225
�****
Section 10(c) of the bill requires that each
advisory committee give timely public notice of the time
and place of committee meetings. This requirement, like
those contained in Section 10(b), is designed to assure
public access to deliberations of advisory committees.
An exception to the requirement that notice be given is
made in the case where notice would endanger the national
defense and foreign policy.
Under Section 10 (d) of the bill, each advisory
committee is required to keep records of its activities
which will fully disclose the disposition of the
committee's funds. These records must be accessible to
the Comptroller General of the United States for the
purpose of audit.
Id., at 3500.
The Conference Report went on to state as follows:
10.
ADVISORY COMMITTEE PROCEDURES
With regard to the availability of the records and
other papers of the advisory committees and public access
to their meetings, the Senate amendment differed from the
House bill. · The conference substitute provides for
publication in the Federal Register of timely notice of
advisory committee meetings, except where the President
dete~ines otherwise for reasons of national security.
The conference substitute further provides for public
access to advisory committee meetings subject to
restrictions which may be imposed by the President or the
head of any agency to which an advisory committee
reports. such restrictions may be imposed after it is
determined that an advisory committee meeting is
concerned with matters listed in section 552(b) of title
5, United states Code. The conference substitute also
provides that subject to section 552 of title 5, United
Stats Code, the records and other papers of advisory
committees shall be available for public inspection and
copying.
The conference substitute requires that each
advisory coliiiRittee keep detailed minutes of its meetings.
The conference substitute requires that a designated
officer or employee of the Government attend each
226
�advisory committee meeting.
No such meeting may be
conducted in his absence or without his approval. Except
in the case of Presidential advisory committees the
agenda of such meeting must be approved by him.
****
13.
FISCAL AND ADMINISTRATIVE PROCEDURES
The Senate amendment and the House bill differ
slightly regarding the requirement that records be kept
concerning the disposition of funds and the nature and
extent of activities of advisory committees.
The
conference substitute provides that each agency shall
keep financial and other records regarding the advisory
committees under its jurisdiction and that either the
General services Administration or such agency as the
President may designate shall maintain financial records
of Presidential advisory committees.
Id., at 3511-3512 (Emphasis added.)
The documents produced by Defendants, when coupled with other
documents
of
public
record,
clearly
reveal
that
the
Interdepartmental Working Group and its Cluster Groups, Working
·Groups and Subgroups were "federal advisory committees" within the
meaning of Section 3 of the FACA.
It is time for the government's
self-serving, year-long charade to come to an appropriate end, and
the records of the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups to be made public.
It is the
bare minimum remedy which is required given the overtly misleading
conduct which has permeated this litigation from the outset.
227
�CONCIDSION
For all the foregoing reasons, the Plaintiffs' Motion for
Summary Judgment and
Permanen~
Injunction should be granted.
;~t~~itte~~----KENT MASTERSON BROWN, ESQ.
CHRISTOPHER J. SHAUGHNESSY, ESQ.
1114 First National Building
167 West Main Street
Lexington, KY 40507
(606) 233-7879
(606) 252-6791 - facsimile
cf?&r;~ M E:
~--FRANK M. NORTHAM I
Bar No. 206110
ALAN P. DYE, ESQ.
Bar No. 2125379
WEBSTER, CHAMBERLAIN & BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF AMERICAN PHYSICIANS AND SURGEONS,
INC. 1 AMERICAN COUNCIL FOR HEALTH
CARE REFORM, and NATIONAL LEGAL &
POLICY CENTER
228
�CERTIFICATE OF SERVICE
This is to certify that a true and correct copy of the
foregoing has been served upon Defendants by hand-delivering a copy
of same to Defendants' counsel of record, Hon. Elizabeth A. Pugh,
Jeffrey Gutman, Esq., Roberts. Whitman, Esq., and David Andersen,
Esq. , U.s. Department of Justice, Civil Rights Division, 901 E
Street, N.W., Room 952, Washington, D.C. 20004-2037 on this
day of March, 1994.
KENT MASTERSON BROWN
I.
229
~r~
�
Dublin Core
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Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
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72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
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Paper
Dublin Core
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Title
A name given to the resource
American Physicians Lawsuit HCTF (Health Care Task Force); March 23, 1994 [2] [2]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Evan Ryan
Melanne Verveer
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 6
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
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Reproduction-Reference
Date Created
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1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-006-003-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/7ae4725d443cb62fd5f66b16f232f289.pdf
1fa9e6aa3beafa84cb51837a497a2444
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OA/ID Number:
12822
FolderiD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); March 23. 1994 [2]
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
7
2
�UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS,
INC. , et al. ,
Plaintiffs,
}
}
}
}
}
}
v.
Civil Action No. 93-399
(Judge Lamberth}
}
}
HILLARY RODHAM CLINTON, et al., }
}
Defendants.
}
}
}
PLAINTIFFS' MEMORANDUM OF POINTS AND AUTHORITIES
IN SUPPORT OF MOTION FOR SUMMARY JUDGMENT
AND PERMANENT INJUNCTION
Kent Masterson Brown
BROWN & BROWN
1114 First National Building
167 West Main Strget
Lexington, Kentucky 40507
(606} 233-7879
Frank M. Northam
D.C. Bar No. 206110
WEBSTER, CHAMBERLAIN & BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202} 785-9500
Attorneys for Plaintiffs
�UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
AMERICAN COUNCIL FOR HEALTH
CARE REFORM AND NATIONAL
LEGAL & POLICY CENTER,
Plaintiffs,
v.
HILLARY RODHAM CLINTON,
DONNA E. SHALALA, Secretary of
Health and Human Services,
LLOYD E. BENTSEN, Secretary of
the Treasury, LES ASPIN,
Secretary of Defense, JESSE
BROWN, Secretary of Veterans
Affairs, RONALD H. BROWN,
Secretary of Commerce, ROBERT
B. REICH, Secretary of Labor,
LEON E. PANETTA, Director of
the Office of Management and
Budget, ALICE RIVLIN, Deputy
Director of the Office of
Management and Budget, CAROL
RASCO, IRA MAGAZINER and
JUDITH FEDER, White House
Advisors and THE PRESIDENT'S
TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and THE
INTERDEPARTMENTAL WORKING GROUP
OF THE PRESIDENT'S TASK FORCE
ON NATIONAL HEALTH CARE REFORM
and its CLUSTER GROUPS, WORKING
GROUPS, AND SUBGROUPS, et al,
Defendants.
)
)
)
)
)
)
)
)
)
)
Civil Action
No. 93-399
(Judge Lamberth)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
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)
)
)
PLAill'riFFS' IIEIIORABIXJII OF POIN'PS AND AlJ'PBORI'riES
IB SUPPORP OF lfO'riOB FOR SUiflfARY JUDGIIElf'r
AND PBRIIABElrP IBJUBC'.riOB
The
Plaintiffs,
ASSOCIATION
OF
AMERICAN
PHYSICIANS
AND
SURGEONS, INC. ("AAPS 11 ) , AMERICAN COUNCIL FOR HEALTH CARE REFORM
1
�("ACHCR"), and NATIONAL LEGAL
&
POLICY CENTER ("NLPC"), submit the
within Memorandum of Points and Authorities in Support of their
Motion for summary Judgment and Permanent Injunction.
S'.PMEIIENT OF FACTS
IBTRODUCTION
Two multi-billion dollar not-for-profit, private foundations,
among others, have provided the financial and personal resources
and backing for health care reform at the state government level in
the preceding years, and the formation of the PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM and its INTERDEPARTMENTAL
WORKING GROUP and its CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS
represents those efforts paying off on a grand scale on the
national
level.
The two
primary not-for-pro(it
foundations
involved in these efforts to "promote change" in governmental
policy on health care delivery are
the Robert Wood Johnson
Foundation1 and the Henry J. Kaiser Family Foundation.
When one
views the structure of the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups, and the persons who
composed those groups, it becomes clear that large, well-heeled
non-profit foundations invented this bureaucratic yet secretive
means of achieving "change" in the delivery of health care in the
United States by directly influencing the government decision-
In his first Declaration filed at the outset of this
litigation, Defendant Ira Magaziner stated "[t]he First Lady also
plans to attend four regional health care forums sponsored by the
Robert Wood Johnson Foundation." Declaration or Ira Hagaziner,
! ll.
1
2
�making processes from the inside to achieve their goal of promoting
their own well-planned agendas, a goal which they unsuccessfully
attempted to achieve from the outside.
This Memorandum examines
the Interdepartmental Working Group and its Cluster Groups, Working
Groups and subgroups in depth from start to finish, and illustrates
that the Robert Wood Johnson Foundation and the Henry J. Kaiser
Family Foundation each had a large presence and influence on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups
and Subgroups.
This Memorandum also
illustrates the
pronounced presence and influence of other outside interests on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups, particularly the managed care sector of the
health insurance industry and their allies, a sector which, along
with non-profit groups with whom the government may contract to
administer health care programs, has the world to gain from the
enactment of the now proposed Health Security Act of 1993.
When
one reviews the entire history of this case, in light of what will
follow herein,
from the filing of the Complaint through the
Defendants' overtly misleading representations and stonewalling
when legitimate discovery requests were made,
and legitimate
questions about the existence or non-existence of documents were
raised,
the
Defendants'
actions
and motives
understandable, but certainly not laudable.
are
politically
When one examines the
structure, purpose and composition of the Interdepartmental Working
Group and its Cluster Groups, Working Groups and Subgroups, as
shown by the discovery documents which Defendants have chosen to
3
�produce, in light of the purpose of the Federal Advisory Committee
Act ( FACA) , the Defendants' violations of the Federal Advisory
Committee Act are manifest.
enacted FACA,
were
real.
The concerns of Congress, when it
"One
of
the
great dangers
in the
unregulated use of advisory committees is that special interest
groups may use their membership on such bodies to promote their
private concerns."
H.R. Rep. No. 92-1017, 92nd cong. 2d Sess.,
reprinted in U.S. CODE CONG. & ADMIN. NEWS, 3491, 3496 (1972).
Those concerns are clearly visible in this case.
This Honorable
Court should enter Judgment declaring that the Interdepartmental
Working Group of the President's Task Force on National Health Care
Reform and its Cluster Groups, Working Groups and Subgroups are
advisory committees for purposes of the FACA and further issue a
Mandatory Injunction opening up to the public the working papers of
the Interdepartmental Working Group of the President's Task Force
on National Health Care .Reform and its Cluster Groups, Working
Groups and Subgroups so that the salutary purpose of the Federal
Advisory Committee Act may be served, albeit after the illegal
secretive meetings occurred.
A.
THE NON-PROFIT
1.
11
PLAYEBS" IN HEAtTH CARE REFORM
Tbe Robert Wood Johnson Foundation
The Robert Wood Johnson Foundation ( "RWJF") has "invested"
over $90 Million in state health care reform initiatives in the
past several years.
See, Declaration of Genevieve H. Young, Exh.
8, Preamble to Brochure, "Call for Proposals, State Initiatives in
Health Care Reform", Robert Wood Johnson Foundation.
4
In 1991, the
�RWJF announced the program,
and in 19 9 2 ,
received "development grants" from the RWJF:
twelve
( 12 )
states
Arkansas, Colorado,
Florida, Iowa, Minnesota, New Mexico, New York, North Dakota,
Oklahoma, oregon, Vermont and Washington.
See, Declaration
of
Genevieve M. Young, Exh. 9, Advances, Newsletter of the Robert Wood
Johnson Foundation, Vol. VI, No. 3, Summer, 1993: Exh. 8, Brochure,
"Call for Proposals, state Initiatives in Health Care Reform", the
Robert Wood Johnson Foundation, p. 3.
In every state except North
Dakota, significant progress in creating health care reform has
occurred,
and
Washington,
some
have
states,
already
Declaration of Genevieve M.
such
passed
as
Florida,
comprehensive
Minnesota,
bills.
and
See,
Young, Exh. 9, Advances, Newsletter of
the Robert Wood Johnson Foundation, Vol. VI,
No. 3, Summer, 1993
(Noting enactment of health care reform legislation in Florida,
Health Care Reform Act of 1992: Minnesota, Minnesota Care Act, and
Washington) •
It should also be noted that Oregon,
a
state
mentioned in the RWJF Newsletter, has drastically changed its
Medicaid coverage through "the Oregon Plan".
As one can see from
the RWJF Newsletter, Advances, many of these states given money by
RWJF· formed "task forces" to address health care policy issues.
The ideas for "task forces" or "interagency working groups" to
advance health reform policy were taken directly from the playbook
of RWJF.
In the document entitled, "Call for Proposals, State
Initiatives in Health Care Reform", the RWJF sets forth the rules
for governments receiving its grant money.
5
�First, the application guidelines for the program stipulate
that the applicant must be the Office of the Governor of one of the
fifty States, Puerto Rico, the five United States Territories, or
the Mayor of the District of Columbia o Declaration of Genevieve Mo
Young, Exho 8, Brochure, "Call for Proposals, State Initiatives in
Health Care Reform", the Robert Wood Johnson Foundation, at 14 o
The brochure then goes on to state:
Applications must be accompanied by a letter from the
governor designating a lead agency to be responsible for
overseeing and coordinating the planning and development
of the state's proposed initiative o
The lead
organization should either represent or be charged with
convening
an
interagency
working
group
having
participation from all relevant. health-related state
agencies--including the public health department. human
services. aging. the Medicaid agency. the insurance
department. and the budget office--as well as legislators
from relevant health committees in both houses of the
state legislature preferably drawn from more than one
political party if appropriate.
It also maY include
representatives from private sector organizations.
including business. the health care provider community.
consumer groups. and researchers. The working group may
be. • .formed expressly to carry out the work proposed.
Id., at 14.
Another, equally interesting provision of the RWJF funding of
state government
n initiatives"
is that states are expected to
provide cash or in-kind JDatching support in each phase of the
program.
The brochure expressly provides that
11 [
s] tates are
strongly encouraged to use grant monies to leverage other private
funding to fulfill their matching requirement."
Id., at 14-15.
Thus, RWJF "grants" to the states for "initiatives" are contingent
upon state appropriations.
6
�The second aspect of the RWJF grant program to encourage
"initiatives" in health care reform policy by state policymakers is
through providing certain organizations funds to provide "technical
assistance"
to the
state.
The
brochure
expressly states
follows:
In addition to providing direct grant support, the
Foundation has funded the following organizations to
provide technical assistance to program grantees:
Alpha Center (Washington, DC) serves as the
national program office coordinating all
technical assistance provided under the
program. Alpha provides technical assistance
to individual states· on key design and
operational
issues
and
conducts
policy
. retreats for officials in states considering
broad reform options to help them reach
consensus on which options to pursue. Alpha
also will hold regional workshops and smaller
group consultations for states that face
similar issues.
In addition to conducting
national meetings for state and federal
officials, Alpha will convene smaller working
groups with leading national policymakers to
resolve
specific
technical
issues
in
implementing reforms and will brief executive
branch officials, congressional staff, and key
national interest groups about the states'
experiences in developing and implementing
health care reform.
Alpha prepares and
disseminates
monographs
and
technical
memoranda on major health policy reform and
implementation
issues
and
publishes
a
newsletter tracking states' progress under the
program.
National Governors Association (Washington,
DC) is the liaison with the federal government
for states undertaking health care reform.
NGA will report to states regularly on key
developments on national reform efforts. NGA
also will publish the lessons learned from
state-based reform initiatives to inform other
states and national policymakers.
NGA will
monitor the waiver process and is available .
for
consultation with
individual
states
preparing specific waiver requests. NGA also
7
\
as
�will help states address the political issues
involved in developing and implementing their
reform initiatives.
BAND [Corporation] (Washington, DC) helps
states analyze the potential impact of
specific policy options, using state-specific
data.
RAND coordinates surveys of families
and employers in selected states currently
funded under the program.
RAND also will
assist states and the federal government in
developing state health accounts to track
health care expenditures and will prepare
technical monographs on key policy issues.
Urban Institute (Washington, DC) assists
states in tracking trends in eligibility and
coverage under state health care programs, as
well as simulating the effects of policy
changes on the uninsured and Medicaid
populations. Urban Institute will update its
State-Level Data Book on Health care Access
and Financing and will prepare additional
technical monographs on key policy issues.
Many of these.technical assistance resources also
will be available to states that do not receive grant
funding under the program. All states will receive the
products developed by Alpha, the NGA, RAND, and the Urban
Institute. In addition, all states will be invited to
send representatives to the program's national meetings
and regional workshops. To the degree resources permit,
individual states also may receive briefings and limited
on-site consultations on key design and operational
issues encountered as they develop their reforms.
Id., at 7-8.
The brochure of the RWJF sets forth precisely what occurred
with respect to the President's Task Force on National Health Care
Reform, its Interdepartmental Working Group and its Cluster Groups,
Working Groups and Subgroups on the national level.
seen,
infra,
the
RWJF
model
is
directly
As will be
applicable
to
the
Defendants, even down to the "technical assistance" players, the
Alpha Center, the National Governors' Association, RAND, and the
8
�Urban Institute, as well as the fact that the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups,
included
representatives
Department
of
Health
and
from
Congress,
Human
the
Services,
the
United
States
United
States
Department of Labor, the United States Department of the Treasury,
the
United
States
Department
of
Justice,
the
Veterans'
Administration, and the Department of Commerce, and a host of
private sector individuals representing private organizations as
well.
The role of the Robert Wood Johnson Foundation in the
Clinton Administration's health care reform scheme became apparent
to certain members of Congress.
on March 15, 1993, Senator Robert
Dole and Representative Robert Michel sent a letter to Steven
Schroeder, the President of RWJF, inquiring about its role "to help
build public support for the Clinton approach to health care
reform", citing "overt" assistance for the Democrats on health
reform issues.
Declaration of Genevieve H. Young, Exh. 18, March
15, 1993 letters from Senator Robert Dole to Steven Schroeder.
In
particular,
of
Senator
Dole
was
concerned
approximately $450,000 to George Washington
about
the
Universit~
grant
to arrange
~he ties of George Washington University to both the Kaiser
Family Foundation and the Robert Wood Johnson Foundation are well
known. According to the Special Supplement, Philanthropic Digest,
Million Dollar Gifts and Grants of 1992 (January, 1993), the Robert
Wood Johnson Foundation gave $2,181,979 to George Washington
University for continued support for the National Health Policy
Forum. According to the June, 1993 edition of Philanthropic Digest
(Vol. 39), the RWJF gave $1,046,404 to George Washington University
to the Medical Center for Programs on Critically Ill Adults,
$849,944 to George washington University to the Intergovernmental
Health Policy Project to support research, and $490,500 -to George
Washington University· to support the National Health Policy Forum
for the development, design and implementation of forums to educate
9
�the
series
Dearborn,
"Conversations
and Washington,
in
Health"
D.c.
Id.
in
Des
Moines,
Tampa,
The Senator asked five
questions:
1.
What led you to decide to join with the White House
in sponsoring and financing these hearings?
2.
Was it the White House's decision that
hearings should be closed except to
specifically invited?
3.
Did the White House determine the invitation list?
4.
Did the White House determine that only Mrs.
Clinton and Mrs. Gore should be on-stage with you
during these hearings?
5.
Is the Democratic National Committee playing any
role in these hearings, such as being permitted to
film the proceedings, orchestrating the hearings,
or helping finance the costs?
these
those
Id.
In a letter dated March 16, 1993, Steven Schroeder replied to
Senator Dole's letter.
See, Declaration of Genevieve H. Young,
Exh. 19, March 16, 1993 letter from steven A. Schroeder, M.D. to
Senator Robert Dole.
This interaction between Senator Dole and
representatives of the RWJF was reported in the Chronicle of
Americans about health care reform. According to the July, 1993
edition of Philanthropic Digest (Vol. 39), the Henry J. Kaiser
Family Foundation gave $310,000 to George Washington University for
the Center for Health Policy and Research to define the role of
safety net providers in managed care and managed competition health
delivery. According to the November, 1993 edition of Philanthropic
Digest (Vol. 39), the Henry J. Kaiser Family Foundation gave
$300, ooo to the George Washington University Intergovernmental
Health Policy Project to co-sponsor with the National conference of
State Legislatures and State Legislative Leaders Foundation, a
series of regional health care reform meetings, and also gave
$10,000 to host a conference to develop a research .agenda to
improve women's primary care.
10
�and the article offered the explanation that Dr.
Philanthropy,
Schroeder
had
indeed
made
the
overtures
to
the
Clinton
Administration to help "get out the word" on health care reform.
"Republican Congressional Leaders Attack Johnson Fund as Partisan",
Chronicle of Philanthropy, April 20, 1993,
Thomas P. Gore II, then
the Vice-President of Communications for the RWJF, stated that the
Foundation,
with help from its grant recipients,
was solely
responsible for selecting the panelists and the audience.
Id.
These four "public hearings", personnel and funding courtesy of the
RWJF, were nothing more than a sounding board for tales of woe
justifying health care reform, and nothing of any substance took
place at the "public hearings".
23,
1993~
Chronicle of Philanthropy, March
Declaration of Genevieve H. Young, Exh. 20, Advances, the
newsletter of the Robert Wood Johnson Foundation, Spring, 1993.
The influence of RWJF will be addressed in further depth,
infra,
where
individuals
playing
major
roles
in
the
Interdepartmental Working Group, and its Cluster Groups, Working
Groups and Subgroups, and their direct ties to RWJF are discussed.
2.
The Henry J. Kaiser Family Foundation and Other NonProfits
The Henry J. Kaiser Family Foundation ("Kaiser") is a large,
extremely well-funded non-profit foundation which has a substantial
interest in government health care policy.
Kaiser, along with the
Pew Charitable Trusts and RWJF, help finance Health Affairs, a
l.l
�health
policy
magazine
published
Exh.
Declaration of Genevieve M. Young,
by
~1,
Project
HOPE. 3
Health Affairs,
See,
Summer,
Since 1988, non-profits such as Kaiser have
1993, at 185-192.
shared with one another a new strategy which has contributed to an
atmosphere ripe for change in how non-profits operate in the United
States.
Many of the new young presidents of the non-profits all
appear to know one another.
1991,
Rebecca Rimel,
Town and Country,
December, 1991.
In
President of the Pew Charitable Trusts
remarked that Peter Goldmark (at the Rockefeller Foundation) and
she started on the same day, while Adele Simmons of the MacArthur
Foundation started a year later.
Id.
Steven Schroeder, President
of RWJF in 1990 and 1991, roomed at Harvard Medical School with
Thomas Vernon, who was formerly with the health and human services
group at Pew Charitable Trusts.
Id.•
Steven Schroeder, a former
professor of medicine, went to Stanford University and Harvard
Medical
School,
and taught at Harvard and George Washington
University before moving to the University of California at San
Francisco, where he is chief of the medical center's division of
internal medicine.
Chronicle of Philanthropy; February 6, 1990.
As will be seen, infra, the Defendants' responses to
discovery requests show that many individuals from Project HOPE
were active members of the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups thereof.
3
•In his first Declaration filed at the outset of this
litigation, Defendant Ira Magaziner stated that 11 [o]n February 11,
1993, the First Lady attended and participated in a health care
conference in Harrisburg, Pennsylvania, sponsored by Senator Harris
Wofford and the Pew Chari table Trusts, 11
Declaration of Ira
Magaziner, '
26.
12
�Dr. Schroeder founded health maintenance organizations at George
Washington University and the University of California at San
Francisco.
Town and country, December, 1991.
He had administered
grants from, and served as a consultant to, the Commonwealth Fund,
the
Hartford
Foundation,
Kaiser,
and
Chronicle
RWJF.
of
Philanthropy, February 6, 1990.
The young presidents of these various non-profit foundations
squarely believe that government has
the solution to social
problems.
steven Schroeder, when President of RWJF, stated that
"[c]hange
is not going to happen
without government".
Chronicle of Philanthropy, April 23, 1991.
Kaiser, has flatly stated:
The
Drew Altman, hea.d of
"Making grants is like picking stocks.
When you see a chance of action, you buy."
Id.
These heads of
foundations have insisted that foundations can work .effectively to
reform government, having made statements that what the government
does is of "all-consuming importance" and that "[g]overnment is the
ball game ••• we will make no meaningful progress in health care if
we don't make government work better."
Id.
Drew Altman's leadership and philosophy at Kaiser may be
summarized by the following excerpt from an article by Anne Lowry
Bailey contained in the July 30, 1991 issue of
~he
Chronicle of
Philanthropy:
The Henry J. Kaiser Family Foundation has traded
foundations' traditional treatment of government for a
big bear hug • • • Mr. Altman is one of a handful of new
foundation leaders who believe that government is the
most important player in resolving tgday's pressing
health problems, and that making government programs work
better is one of the important roles for philanthropy.
Steven c. Schroeder. the new president of the Robert Wood
13
�Johnson Foundation, and Thomas M. Vernon. the new program
director for health and human services as the Pew
Charitable Trusts. have also persuaded their foundations
to put more money into efforts to help the government do
a better job in the health field.
"What I have in mind, and I think Drew has in mind, is
not just being a partner with government, " says Mr.
Vernon, who previously was executive director of the
Colorado Department of Health. "It's grant making that
strengthens the ability of governments itself to perform
competently and be responsive." • • •
Under Mr. Altman, Kaiser has eschewed traditional grantmaking strategies in support of medical research and
training and elite private universities • • • • while it's
not new for foundations to work with government, the
level of involvement envisioned by Mr. Altman is unusual.
• • .Kaiser's new leaders say they will find ways to give
government officials an active role in the planning and
administration of Kaiser grant programs. To that end.
Mr. Altman has recruited four politically pragmatic
aides. drawn from the top levels of federal and state
government. to form his senior grant-making team. Says
David E. Rogers, a professor of medicine at cornell
University Medical Center:
"If Drew can put
demonstrations in place inside government, where pegple
can kick the fenders and slam the doors. he should be
able to leverage government dollars enormously." Dr.
Rogers was formerly the president of RWJF, where he
employed Altman as a young grant maker. • • "If it were
some blue-eyed academic proposing this, I'd smile," says
uwe E. Reinhardt, 5 professor of economics and public
affairs at Princeton University.
"If it were a
businessman, you could hear me laugh clear across the
country. But if its Drew Altman, there must be something
to that. This guy really knows what he's talking about."
He adds, "If anybody can pull this off, it would be
Drew."
The Chronicle of Philanthropy, July 30, 1991.
Dennis F. Beatrice, the Vice President of the Henry J. Kaiser
Family Foundation,
made it clear that Kaiser was playing an
5
As will be seen, infra, Uwe E. Reinhardt played a significant
role within the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups.
14
�integral part in the Clinton Administration's health care reform
agenda.
Mr. Beatrice set out the "ground rules" for Kaiser's
participation in the
Interdepartmental Working Group and
its
Cluster Groups, Working Groups and Subgroups, "ground rules" that
Kaiser itself has since ignored.
In a speech entitled, "The Role
of Philanthropy in Health care Reform" for the Grantmakers in
Health on February 19,
1993 in Tarpon Springs,
Florida,
Mr.
Beatrice stated as follows:
Several [Kaiser] grantees are providing analytic support
to the elaborate task force structure that is designing
President Clinton's reform plan, notably in the areas of
how best to incorporate low-income people and persons
with developmental disabilities and mental illness into
a reformed health care system.
Tbe ground rules are
simple: This work is made available to anyone who wants
it; Kaiser sypports only analytic help. not outreach or
coalition building to "sell" whatever approach emerges,
and the foundation will offer similar support to other
credible groups (such as a congressional committee) that
request it.
Declaration of Genevieve M. Young, Exh. 21, Health Affairs, Summer,
1993, 185, 191 (emphasis added.)
Of course, the statement that Kaiser will not attempt to "sell
whatever plan emerges" is belied by recent events.
On January 31,
1994, the Henry J. Kaiser Family Foundation and the League of Women
Voters Education Fund announced their National Public Education
Initiative on Health Reform, with research provided by the Harvard
University School of Public Health and the Johns Hopkins University
School of Hygiene and Public Health, two entities with significant
representation on the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
entitled "Straight Facts on Health Reform",
15
The program is
and it has been
�discussed extensively in the press.
See, Declaration of Genevieve
M. Young, Exh. 16, Washington Times, 2/14/94 editorial "Lies and
statistics About Health Care": Washington Times, 2/28/94 "Murky
statistics on Health Insurance, Round Two": Letter from Becky Cain,
League of Women Voters Education Fund, Washington Times, 2/28/94.
In addition to funding the above "educational" project, the
Henry J. Kaiser Family Foundation funded "The Patient's Advocate"
column in The washington Post, entitled "The Clinton Health Plan
and You", written by Marilyn Moon, a senior research associate at
the Urban Institute, another nonprofit with representation on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
Most recently, the name of the column has
been changed to "Health Care Change and You" and "Health Reform and
You", and the reference to the Henry J. Kaiser Family Foundation
deleted, although the column is still written by Marilyn Moon.
See, Declaration of Genevieve H. Young, Exh. 17, Washington Post,
columns dated 2/15/94, 2/8/94, 2/1/94, 12/21-28/93, 12/14/93, and
12/7/93.
The influence of Kaiser will be addressed in further depth,
infra,
where
individuals
playing
major
roles
in
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups and their direct ties to Kaiser are discussed.
3.
The Robert Wood Johnson Foundation Congressional Fellows
Program
As will be set forth in more detail, infra, there were several
participants on the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups, who were Robert Wood Johnson
16
�Foundation "Health Policy Fellows" serving in various offices of
Democratic Congressional representatives.
The Robert Wood Johnson
Foundation Health Policy Fellowships Program was established in
1973, and is funded by the Robert Wood Johnson Foundation and
conducted by the Institute of Medicine of the National Academy of
Sciences.
Declaration of Genevieve M. Young, Exh. 3, Directory,
Robert Wood Johnson Health Policy Fellowships 1974-1993 (published
8/93) at 1.
According to the Directory, six ( 6) RWJF Fellows
"participate each year in a one-year program of orientation and
full-time work" in Washington, D.C. Id.
Under the heading "Purpose
of the Program", the Directory states that "[F]ellows are selected
from: ( 1) academic faculties in medicine, dentistry, the biomedical
sciences, nursing, public health, health services administration,
the
allied
health
professions,
economics,
and
other
social
·sciences: and (2) other not-for-profit providers and institutions
in the health care system., such as BIIOs, coJIIDlUility health centers,
and health departments." Id. (Emphasis added.)
The Directory also
explicitly states that the purpose of the program is to influence
public policy relating to health care:
The Robert Wood Johnson Health Policy Fellowship Program
is designed to develop the capacity of outstanding midcareer health professionals in academic and communitybased settings to assume leadership roles in health
policy and management. This career development program
provides opportunities for mid-career professionals to
gain an understanding of the health policy process and to
contribute to the formulation of new policies and
programs.
(Emphasis added.)
Id.
17
�The RWJF Health Policy Fellowships Program is run by Marion
Ein Levine,
Institute of Medicine of the National Academy of
Sciences, 2101 Constitution Avenue, NW, Washington, DC 20418.
The
program has also been described by RWJF as being a "one-year
fellowship with the federal government in washington, D.C., for
faculty
from academic health science centers
(for 1 year)."
Declaration of Genevieve M. Young, Exh. 4, ID #4888 RWJF Annual
Report 1992, at 57.
Under the RWJF Health Policy Fellowships
Program, six (6) fellows per year participate in the September to
August program.
Declaration of Genevieve M. Young,
Exh.
13,
Brochure, "Call for Nominations, The Robert Wood Johnson Health
Policy Fellowships Program 1993-1994", at 1. The assignments begin
in December (following orientation and introduction to federal
executive
agency
officials,
including OMB
Congressional aides) and end in August.
Id.
officials
and top
According to the
1993-1994 RWJF Health Policy Fellowships brochure, RWJF Fellows:
develop legislative proposals, arrange hearings, brief
legislators for committee sessions and floor debates, and
participate with staff in House and Senate conferences.
They take part in all areas of the policy process, not as
onlookers, but as full-time working participants. • •
• Each fellow is required to submit an evaluation report
on the program at the end of the Fellowship years.
Id.
The brochure then goes on to state as follows:
The work assignments begin in December and end in August.
• • Fellows help develop legislative proposals, arrange
hearings, brief legislators for committee sessions and
floor debates, and participate with staff in House and
Senate conferences. They take part in all areas of the
policy process, not as onlookers, but as full-time,
working participants.
18
�***
Nominations for Health Policy Fellowships are made by the
chief executive officers of eligible institutions.
***
Fellows are paid annual stipends equal to their salaries
prior to entering the program, up to $50,000 per year.
In addition, the Fellows' existing fringe benefits are
maintained at levels corresponding to the stipends.
Sponsoring institutions may supplement both sums.
Fellows are reimbursed for relocation expenses to and
from washington, DC within certain specified limits.
Id.
Most importantly, the Call for Nominations Brochure states,
"[F]ellows meet with key White House advisors, including officials
of the Office of Management and Budget; top administrators of
agencies responsible for health activities; Congressional committee
staff members; and
repr~sentatives
of health interest groups--the
_people who influence and help formulate national health policy."
Id.•
~he Robert Wood Johnson Foundation, Henry J. Kaiser Family
Foundation, and the Urban Institute, among others, are exempt from
federal taxation pursuant to 26 u.s.c. § 50l(c)(3) and 26 u.s.c. §
509. To maintain the exemptions afforded such foundations, they
are required to comply with the dictates of 26 u.s.c. § 501(h),
"Expenditures by public charities to influence legislation. 11 Under
26 u.s.c. § 50l(h), the exemption from taxation will be denied when
a "substantial part of the activities of such organization consists
of carrying on propaganda, or otherwise attempting, to influence
legislation." This issue, although not a part of this case, should
be examined for those organizations at some time by the appropriate
authorities. As will be seen intra, though, these private, nonprofit foundations have completely insinuated themselves into both
the Executive and Legislative branches of the federal government,
using hundreds of millions of tax-free dollars in order to plan,
draft, promote and influence health care reform legislation, towit, The Health Security Act of 1993.
19
�As is discussed, infra,
these RWJF Health Policy Fellows
during 1993 played an active role in the Interdepartmental Working
Group and
its
Cluster Groups,
Working Groups
and Subgroups.
However, the Defendants (and Ira Magaziner in his Declaration to
this Court) attempted to pass off these RWJF Health Policy Fellows
(with private sector interests) as being full-time, federally-paid
staffers from various Congressional Representatives and Senators,
a
categorization
which
was
plainly
misleading
to
both
the
Plaintiffs and this Court.
B.
THE NON-PROFIT FOYNPATIONS AND THE CLINTON APMINISTBATION
Daniel T. Oliver, a research associate at the Capital Research
Center,
and
editor
of
the
publication,
Alternatives
in
Philanthropy, a monthly newsletter, wrote in the April, 1993 issue
an adept summary of the Clinton Administration's. view of nonprofits:
With the election of President Bill Clinton, many
advocacy groups in the "progressive" wing of the
nonprofit sector believe the time is ripe to promote
greater government involvement in philanthropy. • •
• [ g] roups with interests ranging from more subsidized
housing to increased federal spending for children's
programs "flooded" the transition office.with proposals
offering "cooperation and advice".
Alternatives in Philanthropy (April, 1993), at 1.
Mr.
Oliver opined that one overriding objective of the
nonprofits
is
apparent:
to
use
more
of
the
United
States'
charitable infrastructure as a vehicle to expand government wealth
redistribution programs.
Id.
Mr. Oliver points out that in the
nonprofit sector, there are competing views regarding the role of
nonprofits:
20
�1)
one view is that nonprofits should mainly address
social problems with funds mainly provided by the
government. such "collaboration," with both government
and nonprofits designing and administering social
programs, is more likely to result in effective
approaches to social problems.
If such efforts have
failed in the past, the remedy is increased funding.
2)
The other view is that government officials, as
self-interested agents, have a stronger incentive to
expand programs (even ineffective ones) rather than to
help the poor, and that when nonprofi ts join with
government, this incentive structure tends to dominate
the nonprofit sector as well.
Id., at
s.
Mr. Oliver then goes on to state:
While wholly private programs are not immune to problems
of self-interest, they are more subject to scrutiny by
donors--many of whom are volunteers--than are government
programs in which monitoring for ineffectiveness and
waste by taxpayers is more difficult.
Mr. Oliver observes that the point of view which will dominate will
depend in part on the policies of the Clinton Administration, but
warns
nonprofits
to
look
at
the
government/nonprofit collaboration.
role
of
self-interest
in
Id., at S-6.
The Clinton Administration is no stranger to the world of
nonprofits.
Hillary Rodham Clinton is listed as a
"Funding
decisionmaker" in FUnding Decision Makers Comprehensive Guide to
Donor Connections
~993
(2d ed.) for the New World Foundation, a
nonprofit that supports "avoidance of war" projects, among others.
Peter B. Edelman, a professor at Georgetown University Law Center,
was a member of the New World Foundation, and is the spouse of
Marian Wright Edelman, who heads the Children's Defense Fund,
another nonprofit on whose board Hillary Rodham Clinton has served.
Id.
21
�In addition to the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups being dominated by
nonprofit
actors
(see
discussion,
infra),
the
Clinton
Administration's views of the role of nonprofits in governmental
affairs are epitomized by recent actions within the Administration.
In the December 14, 1993 issue of The Chronicle of Philanthropy, it
was announced that President Clinton, through Doris Matsui, Deputy
Assistant to the President and Deputy Director of the White House
Office of Public Liaison, is naming an official in each of the 14
Cabinet departments and several other federal agencies to serve as
liaisons to nonprofit groups.
December 14, 1993.
The Chronicle of Philanthropy,
According to Ms. Matsui, this is a reflection
of "the Administration's desire to work more closely with nonprofits on various domestic issues. 11 Id.
Ms. Matsui will serve as
·the White House's representative on non-profit concerns.
c.
Id.
THE
ADMITTEDLY
PBIVATE
FYLL-TIHE
MEMBERS
OF
THE
INTERDEPARTMENTAL WQRKING GROUP AND ITS CLUSTER GROQPS.
WORKING GRQYPS AND SUBGROUPS THEREOF
In
requests,
their
the
First
Responses
Defendants
to
produced
the
Plaintiffs'
"dribbl.es
and
discovery
drabs"
of
information, but even those "dribbles and drabs" themselves leave
it undeniable that numerous individuals from the private sector
(especially non-profit foundations, "academic health centers", and
"managed care corporations 11 )
were active participants
in the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups, and were indeed some of the prime architects
of the proposed Health Security Act of 1993, with its unsurprising
22
�emphasis on government-mandated managed care and a special niche
Of course, the composition and
for "academic health centers".
funding for the Interdepartmental Working Group and its Cluster
Groups,
Working
Groups
and
Subgroups,
legislative mandates a foregone conclusion.
correlates
and
cross-references
the
made
such
proposed
In any event, when one
documents
at
Tab
3
of
Defendants' First Responses (in which Defendants', at that time,
stated contained lists of individuals who participated in the
Interdepartmental Working Group, except Groups lA and 22A-D, for
which no list was compiled) with documents at Tab 12 (in which
Defendants', at that time, stated contained lists of individuals
allegedly "special government employees" who participated full-time
on
the
Interdepartmental
Working
Group
as
"members"),
the
Defendants at the outset of discovery admitted that, at a minimum,
the following were "members of the Interdepartmental Working Group
and its Cluster Groups, Working Groups and Subgroups 11 , and had
private affiliations:
PRINCIPLES AHD OPEBATION OF PURCHASING COOPERATIVES
ORGANIZATION
BERENSON I ROBERT
KRONICK, RICHARD
MILLER I CAROL
NAVARRO, VINCENTE
PAYTON, SALLANNE
RICHARDSON, SALLY
SOFAER, SHOSHANNA
WELCH 1 WILLIAM
HHS-Practicing Internist
HHS-University of California, San Diego:
Assistant Professor
HHS-Mountain Management co., New Mexico
WHO [White House Office): The Johns Hopkins
University
WHO - University of Michigan - Professor
HHS - West Virginia Health Care Planning
Commission
HHS-George Washington University Medical
Center - Associate Professor
OMB - Urban Institute
SPECIAL ISSUES IN PURCHASING COOPEBATIYES
23
�ORGANIZATION
KING, GARY
QUAM, LOIS
RICHARDSON, SALLY
WHO - University of Connecticut Health Center
HHS - United Health Care Corporation, Vice
President7
HHS - West Virginia Health Care Planning
Commission
GOVERNANCE ISSUES
ORGANIZATION
CURTIS, RICHARD
NAVARRO, VINCENTE
SOFAER, SHOSHANA
WELCH I WILLIAM
HHS - Institute for Health Policy Solutions,
President
WHO - The Johns Hopkins University
HHS - George washington University Medical
Center - Associate Professor
OMB - Urban Institute
A GLOBAL BUDGET
ORGANIZATION
KRONICK, RICHARD
NAVARRO, VINCENTE
WELCH I WILLIAM
HHS - University of California, San Diego Assistant Professor
WHO ~ The Johns Hopkins University
OMB - Urban Institute
INSQRANCE REFORM
ORGANIZATION
CLAYTON, GARY
LEVITT I LARRY
HHS
National Association of Insurance
Commissioners
HHS - Special Assistant for Health Policy California Department of Insurance
BENEFITS PACKAGE
ORGANIZATION
BERENSON 1 ROBERT
BERGTHOLD 1 LINDA
BROWN I E. RICHARD
HHS - Practicing Internist
HHS - William M. Mercer, Inc.
HHS - UCLA School of Public Health
Uni ted Health care corporation is a large managed care
business and an obvious beneficiary of the proposed Health Security
Act of 1993.
7
24
�EDDY, DAVID
MILLER, CAROL
VALDEZ, ROBERT
HHS - Duke University - Professor & Kaiser
Permanente - Senior Advisor Health Policy8
HHS - Mountain Management Company - New Mexico
HHS - UCLA School of Public Health - Associate
Professor
COVERAGE FOR WORKING FAMILIES
ORGANIZATION
BERGTHOLD, LINDA
BROWN, E. RICHARD
HANDY, CAROLYN
KRONICK, RICHARD
SOFAER, SHOSHANA
VALDEZ, ROBERT
HHS - William M. Mercer, Inc.
HHS - UCLA School of Public Health
HHS
Blacks Educate Blacks About Sexual
Health Issues
HHS - University of California, San Diego Assistant Professor
HHS - George Washington University Medical
Center - Associate Professor
HHS - UCLA School of Public Health - Associate
Professor
COVEBAGE FOR LQW-INCOHE AHD NON-WORKING fAMILIES
ORGANIZATION
DENTON, DENISE
HANDY, CAROLYN
VALDEZ, ROBERT
HHS - Colorado Rural Health Resource Center
HHS
Blacks Educate Blacks. About Sexual
Health IS$Ues
HHS - UCLA School of Public Health - Associate
Professor
QUALITY MEASUREMENT
ORGANIZATION
EDDY, DAVID
EDDY, JUDITH
EPSTEIN, ARNOLD
JACKSON, DAVID
SAGE, WILLIAM
HHS - Duke University - Professor: Kaiser
Permanente - Senior Advisor Health Policy
HHS - Research Associate - Duke University
HHS - Harvard Medical School - Associate
Professor - Brigham & Women's [Hospital]
WHO - Assurqual - CEO and President
WHO - Policy Analyst - Cluster Leader
INFQRMATIQN SYSTEHS
ORGANIZATION
Kaiser Permanente is one of the nation's largest managed care
corporations, and an obvious potential beneficiary of the
provisions of the proposed Health Security Act of 1993.
8
25
�HHS - Research Associate - Duke University
HHS - Duke University - Professor; Kaiser
Permanente - Senior Advisor Health Policy
EDDY, JUDITH
EDDY, DAVID
MALPRACTICE AND TORT REFORM
ORGANIZATION
BERENSON, ROBERT
EDDY, JUDITH
HHS - Practicing Internist
HHS - Research Associate - Duke University
HEALTH CARE WOBKFORCE DEVELOPMENT
ORGANIZATION
DENTON, DENISE
EDDY, JUDITH
HANDY I CAROLYN
SAGE I WILLIAM
HHS - Colorado Rural Health Research Center
HHS - Research Associate - Duke University
HHS - Blacks Educate Blacks About Sexual
Health Issues
WHO - Policy Analyst - Cluster Leader
HEDICABE
ORGANIZATION
SHIRLEY I AARON
WIENER, JOSHUA
HHS
Jackson-Hinds Comprehensive
Center
HHS - Brookings Institution
Health
DOD rpEPARTHENT OF DEFENSE]
ORGANIZATION
HIX I WILLIAM
DOD - RAND Corporation
VETERANS
ORGANIZATION
[NONE LISTED IN DEFENDANTS' FIRST DISCOVERY RESPONSES]
FEHB [FEDERAL EMPLOYEE HEALTH BENEFITS]
ORGANIZATION
CROW, SHELLEY
HHS - Chief, Muscogee creek Nation
16A - INPIAN HEALTH SEBVICE
ORGANIZATION
CROW, SHELLEY
HHS - Chief, Muscogee creek Nation
26
�MILLER, CAROL
HHS - Mountain Management Company, New Mexico
ETHICAL FOUNDATIONS OF NEW SYSTEM
ORGANIZATION
WHO - Boston University - School of Social
Work
WHO - Columbia University School of Public
BAYER, RONALD
Health
WHO - Brown University - Director - Center for
BROCK, DANIEL
Biomedical Ethics
WHO - University of Minnesota
CAPLAN, ARTHUR
WHO - Tufts University
DANIELS I NORMAN
WHO - University of Judaism
DORFF, ELLIOT
WHO - Einstein University
DOBLER I NANCY
WHO - University of Colorado
DULA I ANNETTE
WHO - The Dana Farber Cancer Institute
EMANUEL, EZEKIEL
WHO - Princeton Theological Seminary
EVANS 1 ABIGAIL
WHO - Fordham University
FAHEY I CHARLES
WHO - Michigan State University Center for
FLECK, LEONARD
Ethics
WHO - University of Wisconsin
FOST, NORMAN
GIBSON, JOAN
WHO - University of New Mexico
GOSTIN, LAWRENCE
WHO - American Society of Law, Medicine &
Ethics
KING, PATRICIA
WHO - Georgetown University Law Center
KLEIN I JENNIFER
.WHO - Policy Analyst
LANTOS I JOHN
WHO - University of Chicago
LEVINE I CAROL
WHO - Orphan Project - New York City
LO, BERNARD
WHO
University of
California
San
Francisco
MAY I WILLIAM .
WHO - southern Methodist University
MEZEY I MATHY
WHO - New York University
MILES, STEVEN
WHO
Hennepin County Medical Center
University of Minnesota
MURRAY I JR. I ROBERT WHO - Howard University College of Medicine
0 I CONNELL I LAURENCE WHO - The Park Ridge Center - Chicago
OSSORIO, PILAR
WHO - Yale University
PURTILO I RUTH
WHO - Creighton University
SECUNDY I MARIAN
WHO - Howard University
NAME
ASCH, ADRIENNE
ACCELERATING NEW SYSTEM DEYELOPHENT
ORGANIZATION
QUAM, LOIS
STARR, PAUL
HHS - United Health Care Corporation, Vice
President
HHS - Princeton University
SHORT-TERM STEPS TOWARP APMINISTBATIVE SIMPLIFICATION
ORGANIZATION
27
-
-
_ _ _ _ _ _ _ _ _ _____J
�STARR, PAUL
HHS-Princeton University
INTERIM COST CONTAINMENT
ORGANIZATION
STARR, PAUL
HHS-Princeton University
FIMANCING
ORGANIZATION
[NONE LiSTED AS SGEs I.E. "MEMBERS" OF WORKING GROUPS; HOWEVER, 3
PERSONS WERE LISTED IN THE NOW FAMILIAR OBFUSCATING MANNER AS BEING
"SGEs OR CONSULTANTS FROM STATE AND LOCAL GOVERNMENTS".]
HEAtTH POLICY INITIATIVES FOR YNPEBSERYED POPULATIONS
ORGANIZATION
CROW, SHELLEY
HHS - Chief - Muscogee Creek Nation
LEWIS-IDEMA, DEBORAH
MDS Associates - Vice President
LUKOMNIK, JOANNE
Columbia University School of Public Health Associate Professor
QUAM, LOIS
HHS - United Health Care Corporation - Vice
President
RICHARDSON, SALLY
HHS -. West Virginia Health Care Planning
Commission
SHIRLEY, AARON
HHS
Jackson-Hinds Comprehensive Health
Center
Vice
SMITH, MARK
HHS
Kaiser Family Foundation
President
George Washington University
ZUVEKAS I ANN
MENTAL HEAtTH; BENEFIT BPACKAGE
ORGANIZATION
FRANK I RICHARD
GOLDMAN, HOWARD
Johns Hopkins University - Health Services
Research & Development Center
HHS - University of Maryland - School of
Medicine
SUBSTAHCE ABYSE
ORGANIZATION
[NONE LISTED IN DEFENDANTS' FIRST DISCOVERY RESPONSES]
MENTAL HEALTH: CHILDREN Is SERVICES
28
�ORGANIZATION
GOLDMAN, SYBIL
PIRES, SHEILA
STROUL, BETH
HHS
casp. Technical Assistance Center,
Georgetown University Child Development
HHS - Human Service Collaborative
HHS - Management & Training Innovations
MENTAL HEALTH: PUBLIC SYSTEM IMPACT
ORGANIZATION
[NONE LISTED IN DEFENDANTS' FIRST DISCOVERY RESPONSES]
LONG TERM CABE: 8ACKGROYND
ORGANIZATION
LITVAK, SIMI
STONE, ROBYN
WIENER, JOSHUA
HHS
World Institute on
California Research Director
HHS - Project HOPE
HHS - Brookings Institution
Disabilities
LONG TERM CARE: PUBLIC
ORGANIZATION
STONE, ROBYN
HHS - Project HOPE
LONG TERM CABE: PRIVATE
ORGANIZATION
STONE, ROBYN
HHS - Project HOPE
LONG TERM CARE; COST ABD REYENUE
ORGANIZATION
STONE, ROBYN
HHS - Project HOPE
ECONOMIC IMPACT
ORGANIZATION
[NONE LISTED IN DEFENDANTS' FIRST DISCOVERY RESPONSES]
OUAHTITATIYE ANALYSIS
ORGANIZATION
[NONE LISTED IN-DEFENDANTS' FIRST DISCOVERY RESPONSES]
29
�When one correlates the documents at Tab 3 of the Defendants'
First
Responses
contained
lists
(in
of
which
Defendants,
individuals
who
at
that
time,
participated
stated
in
the
Interdepartmental Working Group, except Groups 1A and 22A-D, for
which no list was compiled) with the documents at Tab 13 (lists of
"consultants") and at Tab 14 ("SGEs" or "consultants" from state
and local governments), the following non-federal personnel, at a
minimum, also participated in the Interdepartmental Working Group
and its Cluster Groups, Working Groups and Subgroups:
PRINCIPLES AND OPEBATION OF PQRCUASING COOPERATIVES
ORGANIZATION
0 I BRIEN I MARY JO
(State or Local)
WEIL, ALAN
(State or Local)
WHO [White House Office] - NGA [National
Governors Association] - Deputy Commissioner Minnesota Department of Health
WHO - Governor's Office - Colorado - Health
Policy Advisor
SPECIAL ISSUES IN PQRCUASING COOPEBATIYES
QRGANIZATION
HEATH I ALFRED
(State or Local)
SMITH I BARBARA
(State or Local)
WADA, ROYLINNE
(State or Local)
WEIL, ALAN
(State or Local)
WHO - Commissioner of Health Islands
u.S. Virgin
WHO - NGA - Secretary jHealth - south Dakota
Department of Health
WHO
Pacific
Island
Health
Officers
Association (RIHOA) - Executive Director
WHO - Governor's Office - Colorado - Health
Policy Advisor
GOVERNANCE ISSQES
OBGANIZATION
McNAMEE, NIKKI
30
�{State or Local)
RADER, ANYA
{State or Local)
WHO - NGA - Office of the Governor of South
Carolina
WHO - Deputy cos & Special Assistant/Health
Care Policy for Governor Dean
****
BENEFITS PACKAGE
ORGANIZATION
GARCIA, JOSEPH
{State or Local)
0 I BRIEN I MARY JO
(State or Local)
WHO - cuyahoga County, Ohio - Department of
Human Services
WHO - NGA - Deputy Commissioner - Minnesota
Department of Health
COYERAGE FOB WOBKING FAKILIES
ORGAUIZATION
BROWN MARY LEIGH
(State or Local)
I
GARCIA, JOSEPH
_(State or Local)
KRUEGER, ALAN
("Consultant")
PETERSON I DOUGLAS
(State or Local)
WHO - NGA - Governor's Commission on Oklahoma
Health Care
WHO - Cuyahoga county, Ohio - Department of
Human Services
HHS - Princeton University
WHO - National League of Cities
COVERAGE FOR LOW-INCOME AND NON-WQRKING fAMILIES
QRGANIZATION
EGBERT 1 MARCIA
(State or Local)
FRIEDHOLM I DEANN
(State or Local)
GARCIA, JOSEPH
(State or Local)
WHO
cuyahoga County, Ohio
Board
Commissioners - Intergovernmental Affairs
of
WHO - NGA - Texas Medicaid Director
WHO - cuyahoga County, Ohio - Department of
Human Services
QUALITY MEASUREMENT
ORGANIZATION
BENEDICT, ROBERT
31
�WHO - Pennsylvania State Association of County
Commissioners
(State or Local)
****
HEALTH CARE WORKFORCE DEVELOPMENT
ORGANIZATION
AIKEN, LINDA
("Consultant")
HHS - University of Pennsylvania - Professor,
Nursing Director - Center for Health Services
****
ACCELEBATING NEW SYSTEM DEVELOPMENT
ORGANIZATION
O'BRIEN, MARY JO
(State or Local)
RILEY, IRENE
(State or Local)
WALTERS, FARAH
("Consultant")
WHO - NGA - Deputy Commissioner - Minnesota
Department of Health
WHO - Los Angeles County Health Services
Department of
HHS - University Hospitals of Cleveland, Ohio
- President & CEO
****
INTERIM COST CONTAINMENT
ORGANIZATION
RADER, ANYA
(State or Local)
WHO - Deputy COS & Special Assistant/Health
Care Policy for Governor Dean
****
FIMANCING
ORGANIZATION
CORONADO, DAVID
(State or Local)
SCHEPPACH, RAY
(State or Local)
UYEDA, MARY
HHS - D.C. Department of Human Services
WHO
National Governors Association
Executive Director - Virginia
32
�(State or Local)
WHO - Director, City Health Policy Project National Association of Counties
HEALTH POLICY INITIATIVES FOR PNDERSERVED POPULATIONS
ORGANIZATION
BENAVIDES, ELLEN
(State or Local)
WHO - Hennepin County, Minnesota Bureau of
Health; Director, Health Policy
MENTAL HEAtTH: BENEFITS PACKAGE
ORGANIZATION
HOLT I HERBERT
(State or Local>·
JOSEPH I THOMAS
(State or Local)
WHO - Director, Department of Mental Health
Services, Montgomery County, Maryland
WHO - National Association of Counties
****
LONG TEBM CARE; PYBLIC
ORGANIZATION
.VOLPE, LANE
(State or Local)
WHO - National Governors Association
****
LONG TERM CARE; COST AND REVENUE
ORGANIZATION
KRUEGER, ALAN
("Consultant")
HHS - Princeton University
OUABTITATIVE ANALYSIS
ORGANIZATION
KRUEGER, ALAN
("Consultant")
The
HHS - Princeton University
Defendants
also
listed
the
following
"consultants" at Tab 13 of their First Responses:
ORGANIZATION
33
persons
as
�CONSULTANT
AIKEN, LINDA
CALLAHAN I CATHI
HILLMAN I ALAN
JONES, STANLEY
KRUEGER I ALAN
LOHR I KATHERINE
MAYS, JAMES
PYLE, THOMAS
STACHER, DAVID
SCHADLE, JANE
TRAPNELL I GORDON
WALTERS I FARAH
D.
HHS-UNIV. OF PENN. -PROF. NURSING-DIRECTOR-CTR.
HEALTH SVCS
ACTUARIAL RESEARCH CORP. (ASPE)
HHS-UNIV. OF PENNSYLVANIA-ASSISTANT PROFESSOR
OFFICE OF PERSONNEL MANAGEMENT-INDEPENDENT
CONSULTANT
HHS-PRINCETON UNIVERSITY
HHS-HEALTH CARE SVCS-INST. OF MEDICINE/NAS
ACTUARIAL RESEARCH CORPORATION
HHS-HARVARD COMMUNITY HEALTH PLAN/BOSTON
CONSULTING GROUP
HHS-PRESIDENT-MEHARRY
MEDICAL
COLLEGETENNESSEE
HHS-IOWA DEPT. PUBLIC HEALTH-HEALTH PROGRAM
ANALYST
ACTUARIAL RESEARCH CORPORATION
HHS-UNIVERSITY HOSPITALS OF CLEVELAND 1 ORPRESIDENT & CEO
THE COKPLEX STBUCTQRE AND TAINTED COMPOSITION OF THE
INTERDEPARTMENTAL WORKING GRQUP. AUD ITS Cluster GRQUPS.
WORKING GBOYPS AUD SUBGROUPS
As
an adjunct to the President's Task Force on National Health
Care Reform, an "Interdepartmental Working Group" was organized tor
purposes of gathering information, developing a recommendation for
a new health care delivery system and reaching a consensus on its
provisions.
The "Interdepartmental Working Group" was made up of
fifteen ( 15) so-called Cluster Groups, and forty-three ( 43) Working
Groups and four ( 4) Subgroups, most of which were assigned to
individual clusters.
system.
It was a highly regimented and orchestrated
Each working group had a definite membership and each
cluster had a definite number of working groups.
According to Ira
Magaziner, "The interdepartmental working group has been organized
into fifteen 'cluster' groups, each of which addresses a subject
area relevant to heal'th care reform.
34
To date, fifteen such cluster
�groups have been created or planned, and include groups addressing
new
system
organization;
new
system
infrastructure/integrated health plans;
coverage;
integration
of
health
programs into new systems; ethical foundations of a new system;
transition
to
the
new
system/short-term
cost
containment;
financing; health policy initiatives for underserved populations;
mental
health:
analysis;
long-term care:
economic
legal audit; numbers audit;
impact:
quantitative
and a drafting group."
Declaration of Ira Magaziner, March 3, 1993, ' 15.
Mr. Magaziner
continued, explaining how the fifteen (15) cluster groups were
further divided into subgroups.
"The new system organization
cluster includes subgroups addressing principles and operation of
purchasing cooperatives, health plans, providers and patients in
the
new
system;
special
issues
in
purchasing . cooperatives;
governance issues; a global budget; and insurance reform."
new system cluster", Magaziner testified,
"The
"includes subgroups
addressing benefits packages; coverage for low-income and nonworking families.
cluster
includes
The infrastructure/integrated health plans
subgroups
addressing
quality
measurement;
information systems; malpractice and tort reform: and health care
workforce development. The integration of health programs clusters
includes subgroups addressing Medicare: the Department of Defense:
veterans; federal employees' health benefits programs: and other
government health programs.
The cluster addressing the transition
to the new system development includes short-term steps toward
administrative simpli·fication, and interim cost containment.
35
The
�cluster addressing
underserved
populations
includes
subgroups
addressing high risk populations; urbanjrural populations; and
women and children.
The mental health cluster includes subgroups
addressing benefits packages; substance abuse; children's services;
and public system impact.
subgroups addressing
cost and revenue."
And the long-term care cluster includes
backgroun~;
public care; private care; and
Id., !! 16, 17 and 18.
Indeed, the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups were highly structured; their
membership was well-established.
According to Magaziner, all the
aforesaid groups were "established" by him (under direction from
the President) on or about January 25, 1993, and, the groups "met
regularly as part of an intensive effort to document the impact of
existing health care policies and to gather information on possible
alternatives. 11
the
Id. , ! 18.
Interdepartmental
In ·fact, according to Magaziner, he led
Working
Group
which
was
"gathering
information concerning the impact of existing health care policies
and delivery services, and possible alteratives to those policies.
The information that was gathered and analyzed by the working group
[was]
used,
in turn,
by the Task Force
recommendation to the President."
in
formulating
its
Id., ! 5.
From the documents authenticated by Marjorie Tarmey in the
Defendants' Answers to Interrogatories and Responses to the Second
Request
for
Production
of
Documents
(hereinafter
cited
as
Declarations of Marjorie Tarmey), the formality and structuring--as
well as membership in--the Interdepartmental Working Group, fifteen
36
�(15)
Cluster Groups and forty-three (43) Working Groups and four
( 4) Subgroups is clearly and unequivocally seen.
As well 1 the fact
that every group contained numerous members who were not full-time
officers or employees of the federal government is totally and
clearly obvious.
The fifteen ( 15) Cluster Groups 1 forty-three ( 43) Working
Groups and four (4) Subgroups which made up the Interdepartmental
Working Group of the President's Task Force on National Health Care
Reform were established and utilized by the President.
A chart of
the Interdepartmental Working Groups its Cluster Groups, Working
Groups and Subgroups is attached hereto at Tab 1 attached to this
Memorandum.
Cluster Group I, "New System organization•, was composed of
Working
Group
"Principles
1,
and
Cooperatives•; Working Group· 1A,
Providers•; Working Group 2,
Operation
"Health Plans,
of
Purchasing
Patients and
"Managed carejToward
&
Beyond•;
Working Group 3, "Governance•; Working Group 4, "A Global Budget•,
and Working Group 5, "Insurance Reform.•
See Tab 2 attached to
this Memorandum.
Cluster I, "New system organization•, and its cluster leader
was listed as follows:
CLUSTER I -
NEW
CLUSTER LEADER -
SYSTEM ORGARIZATION
WALTER ZELMAII', Chairman of the
Health care Advisory Commission and
Special Deputy for Hea1th Insurance
37
�in the California Department
Insurance (864) - SGE (1679) 9
of
Working Group 1 of Cluster Group I, was composed of the
following members:
GROUP 1 - PRINCIPLES AND
COOPERATIVES
RICK KRONICK
WK.
(PETE) WELCH
ALBERGHINI, THERESA
ALLEN, LUCY
ALTMAN,
DAVI:D
ANTOS, JOSEPH
OPERATION
OF
PURCHASING
Group 1 Leader ( 1) UCLA School of
Public HealthfRand Corporation(864)
- SGE (1678)
Group 1 co-Chair ( 1) Urban Institute
(866) - SGE (1679)
Sen. Leahy (Congressional Directory
[Hereinafter, "CD"], Vol. I, P.327)FTE
Council on Economic Advisors (CEA)FTE
Robert
Wood
Johnson
Fellow,
. Sponsored by Center for the Health
Professions, UCSF [Tab 56 Attached
to this Memorandum], Office of Sen.
Rockefeller (835)-FTE (840)
HHS-FTE
All non-full-time officers and/or employees of the federal
government are listed in bold-black with their private affiliations
also listed in bold black. "FTE" and "SGE" desicp1ations were given
to the persons by the Defendants except where noted. "CD" refers
to the 1993 Brownson, A., ed. Congressional Staff Directory, Vol.
1 which was cross-referenced for purposes of exact identification
of all Congressional personnel. All numbers in parentheses refer
to documents authenticated by the Declarations of Marjorie Tarmey.
For reference, participants from the Veterans Administration are
included in Tab 119, participants from the Department of Labor in
Tab 120, participants from the Department of Health and Human
Services in Tab 121, participants from the Office of Management and
Budget in Tab 122, participants from the Department of the Treasury
in Tab 123, participants from the Department of Defense in Tab 124,
participants from the Department of Justice in Tab 125,
participants from the Department of Commerce in Tab 126,
participants from the Department of Education in Tab 127 and
participants from Congressional staffs in Tab 128. All private
persons will be discussed at length, infra.
9
38
�Rep. L. Stokes/Health Issues for
Ways and Means Committee (CD Vol. I,
P.653)-FTE
National Capital Preferred Provider
BERENSON 1 ROBERT
Organization {868, 30016, 30136) SGE (1678)
Rep. Harry Johnston (CD Vol. I, P.
BERRY, ROGER
562)-FTE
BRIGGS, BETTY
Labor-PTE
Sen. Breaux (CD, Vol. I, P. 930)-FTE
BURNETT I LAIRD
Sen. Daschle (CD, Vol. I, P. 942)COHEN, RIMA
FTE
House Select Committee on Aging
COSTER, JOHN
(Lost Funding 3/31/93)-FTE (841)
President, :Institute ,for Health
CDR.T:IS I RICHARD
Policy Solutions, Washington, DC SGE (1678)
Sen. Budget Committee-PTE
DEIGNAN, KATHLEEN
Sen. Finance Committee (CD, Vol. I,
DRUMMOND, FAYE
P. 963)-FTE
Commerce-PTE
EDGELL, JONATHAN
Federal Trade Commission-PTE
EGAN, JAMES
The Jackson Bole Group, :Inc. ( 2) ; No
ENTIIOVEN I ALA:IN
Official Status Assigned
Rep. Earl Pomeroy (CD, Vol. I, P.
FRANTZ I MOLLY
705)-FTE
FUY, GEORGE
HHS-FTE
HADLEY I JAMES
HHS-FTE
HATTON, MELINDA
Sena~e
Judiciary/
Antitrust
Subcommittee (CD, Vol. I, P. 392)FTE
HASH, MIKE
Rep. Waxman (CD, Vol. I, P. 712)-FTE
HICKMAN I PETER
HHS-FTE
HOGUE, BONNIE
Sen. Special committee on Aging (CD,
Vol. I, P.401)-FTE
HUMAN I JEFFREY
Senate Special committee on Aging
(CD, Vol. I, P.
)-FTE (843)
JODREY I DARREL
Not in Directory - FTE (843)
JONES I SANDRA
Veterans Affairs-PTE
JONES, MARCIA
Sen. Breaux (CD, Vol. I, P. 276)-FTE
KAZDIN, ROBERT
Treasury-PTE
KENYON I KATHLEEN
Federal Trade Commission-PTE
KICHAK, NANCY
OPM-FTE
KING I KATHLEEN
Senate Finance (CD, Vol. :I, P.
1025)-FTE
KRONICK, RICHARD
UCLA/S@ool of PUblic Health/Rand
Corporation; SGE ( 1678)
KOSB, GA:IL
Listed as Participant ( 835) - lfo
Affiliation, lfo Status Given
LANGENBRUNNER, JACK OMB-FTE
LASKER, ROZ
Physician Payment Review Commission
(864-868)-SGE (1678)
ATKINSON, LESLIE
39
�LAWSON I KURT
LEVITT, LAWRENCE
Treasury-FTE
Staff of California Department of
Insurance,
Commissioner's Health
Care Advisory Commission ( 864) - SGE
(1678)
Veterans Affairs-FTE
MANTEL, LEWIS
Mountain Manaqement Company, NM - No
MILLER, CAROL
Employment Status Given on 16781679)-SGE (First Responses)
Rep. S. Levin (CD,, Vol. I, P.
MILLER, MICHAEL
1056)-FTE
Treasury-FTE
MUNNELL, ALICIA
Federal Trade Commission-FTE
NARROW, DAVID
House Ways and Means (CD, Vol. I, P.
NEUMAN I TRICIA
1065)-FTE
National
Governors
Association,
0' BlUER, MARY JO
State of Minnesota (835)
No
Official Status Assiqned: Listed as
Representative of Interqovernmental
Orqanization (1786-87)
Veterans Affairs-FTE
O'NEILL, PATRICIA
OBEY, CRAIG
Sen. Conrad (CD, Vol. I, P. 1068)FTE
OFFNER, PAUL
Senate Finance (CD, Vol. I, P.
1069)-FTE
PATEL, PARASHAR
OMB-FTE
PAYTON, SALLYARNE
University of Michiqan School of Law
( 2) : No Employment Status Assiqned
POTETZ, LISA
HHS-FTE
REINECKE 1 PETER
Sen. Harkin (CD, Vol. I, P. 396)-FTE
lUCBARDSON I SALLY
Vice-Chair, West Virqinia Health
care
Planninq
CoBmission:
No
Official status Assiqned
ROSS, HARJOIUE
White Bouse Policy Analyst (835):
Johns Hopkins University (732)-SGE
(1678)
ROVIN, LISA
HHS - HCFA - FTE
SHRIBER I DONALD
House Enerqy & Commerce (CD, Vol. I,
P. 1109)-FTE
SMITH I CURTIS
OPM-FTE
SOFAER, SHOSIIAHlfA
Georqe Washinqton University Medical
center - SGE ( 1678)
VARNHAGEN, MICHELLE Sen. Metzenbaum (CD, Vol. I , P.
396)-FTE
WALTERS, FARAH
President
&
CEO,
University
Hospitals of Cleveland, Ohio (2) Consultant (First Responses)
WEIL, ALAN
National Governors Association, Gov.
Romer of Colorado (3): No Official
Status
Assiqned:
Listed
as
Representative of Interqovernmental
Orqanization (1786-87)
40
�WELCH I WILLIAM
WERNER I MICHAEL
The Urban Institute - SGE (1679)
Sen. Democratic Policy Committee
(CD, Vol. I, P. 403)-FTE
WILLIAMS, CHRISTINE Sen. Mitchell (CD, Vol. I, P. 338)FTE
ZARABOZO, CARLOS
HHS-HCFA-FTE (835)
Chairman of the Health care Advisory
ZELMAN I WALTER
Commission, and Special Deputy for
Health Insurance in the california
Department of Insurance ( 864) - SGE
(1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1-4, 17-25, 37-42, 54-56, 732, 767-768, 798-799, 834-835,
864-868, 1516-1517, 1560-1561, 1678-1679, 1795-1796. See
Tab 3 attached to this Memorandum.
Working Group 1A of Cluster Group I, was composed of the
following members:
GROUP 1A-
HEALTH PLARS, PROVJ:DERS, AND
THE HEW SYSTEM
PATIENTS IH ·
GROUP 1A LEADER
ROBERT BERENSON, M.D., (1568)
Rational capital Preferred Provider
Organization ( 30016, 30136) - SGE
(1678)
GROUP 1A co-LEADER
ROZ LASKER, Physician Payment Review
COmmission (1568)
ALTMAR I DAVID
Robert Wood Johnson Health Policy
Fellow, Sponsored by Center for the
BERENSON I ROBERT
BLOCH I ROBERT
CADE, DAVID
EGAN, JAMES
GOODMAN I NANCY
HATTON I MELINDA
KENYON I KATHY
KUSH, GAIL
Health Professions, University of
california, San Francisco, in the
office of Senator Rockefeller [Tab
56 Attached to This llemorandlDil] ( 6)
- r.rE (840)
Rational capital Preferred Provider
Organization ( 30016, 30136) - SGE
(1678)
Department of Justice - FTE
HHS/General Counsel - FTE
FTC - FTE
Department of Justice - FTE
Senate
Judiciary/Antitrust
Subcommittee (CD, Vol. I, P. 392) FTE
FTC - FTE
Ro Affiliation: No Elllployment Status
Given (5, 1513, 1514)
41
�MANTEL, LEWIS
MILES I STEVEN
Veterans Affairs - FTE
Former President of the American
College of Physicians, Hennepin
County Medical Center, University of
Minnesota (1513, 1514); Ro Official
status Assigned
NARROW, DAVID
FTCC-FTE
Rational
Governors
Association,
O'BRIEN I MARY JO
state
of
Minnesota
( 835) ;
Ro
Official Status Assigned; Listed as
Representative of Intergovernmental
Organization (1786-87)
Veterans Affairs-FTE
O'NEILL, PATRICIA
West Virginia Health Care Planning
RICHARDSON, SALLY
COJIIDli.ssion;
Ro
Official
Status
Assigned
ROVIN, LISA
HHS - HCFA - FTE
VARNHAGER 1 MICHELLE Sen. Metzenbaum (CD, Vol. I 1 P.
396)-FTE
WINSLOW I WALTER
FTC-FTE
SULLIVAN, T.J.
Internal Revenue Service
FTE
(1513, 1514)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
5, 6, 26, 57, 1513-1515.
See Tab 4 attached to this
Memorandum.
Working Group 2 of Cluster Group I
was
composed of the
following members:
GROUP 2 - MAHAGED CARE/TOWARD & BEYO:tm -
SPECIAL ISSUES
IR PURCHASING COOPERATIVES
GROUP 2 LEADER -
IDIS QUAM ( 7) Former Chairman of the
Minnesota
Health
care
Access
Commission
and
CUrrent
Vice
President,
United.
Health
care
Corporation,
Minneapolis,
MN-SGE
(1678)
GROUP 2 CO-CHAIR
CLAUDIA BAQUET, M.D. - HHS - FTE ( 7)
ALBERGHINI, THERESA Sen. Leahy (CD, Vol. I, P. 327)-FTE
ALLEN, LUCY
Council on Economic Advisers ( 1364)FTE
ALMENDAREZ, ISABEL Rep. Washington (CD, Vol. I, P. 904)FTE
ATKINSON, LESLIE
Rep. L. StokesjHealth Issues, Ways
and Means committee (CD, Vol. I, P.
653)-FTE
BAQUET 1 CLAUDIA
HHS-FTE
42
-
- - - · - - - - - - - -
�BERENSON, ROBERT
BOWEN, STEVEN
BOWLES I ROBERT L.
NCPPO (30005)-SGE (1678)
HHS - HRSA - FTE
DC Chartered Health Plan, Inc.
(1364, 1371); No Official Status
Assigned
Rep. Towns (1371) - FTE
BRANSON, CHERRI
Rep. Foglietta (CD, Vol. I, P. 424)BRODNITZ, PETER
FTE
BROWN, MARY LEIGH
National
Governors
Association;
Representative of Intergovernmental
organization; No Official Status
(1496)
CARLSON, RON
HHS - HRSA - FTE
Veterans Affairs - FTE
CLAY, JIMMIE L.
Rep. Conyers (Chair, Gov. Ops.)(CD,
CLEMENTE I FRANK
Vol. I, P. 717) - FTE
Sen. Daschle (CD, Vol. I, P. 942)COHEN, RIMA
FTE
Rep. Roybal-Allard (CD, Vol. I, P.
CONTRERAS 1 HENRY
633)-FTE
Sen. Moseley-Braun (CD, Vol. I, P.
COOK, FRANCESCA
339)-FTE
President, Institute for Health
CURTIS I RICHARD
Policy Solutions ( 30005) -SGE ( 1678)
DAVIS, LOUIS, JR.
Rep. Serrano (CD, Vol. I, P. 955)FTE
DENON, MARGARET
Rep. Meek (CD, Vol. I, P. 1371)-FTE
Colorado Rural Health Resource
DENTON I DENISE
Center-SGE (First Responses) , Not
Listed 1678-1679
DRUMMOND, FAYE
Senate Finance (CD, Vol. I, P. 963)FTE
FALETTI I THOMAS
Rep. Durbin (CD, Vol. I, P. 969)-FTE
FORTIER I JULIA
Rep. WaxmanjEnergy & Commerce (CD,
Vol II, P. 711)-FTE
FRANTZ I MOLLY
Rep. Pomeroy (CD, Vol. I, P. 705)FTE
FUENTES, JENNICE
Rep. Gutierrez (CD, .Vol. I, P. 979)FTE
GASTON 1 MARYLYN
HHS-HRSA-FTE
GOODELL, JEFFREY
Rep. Lipiniski (CD, Vol. I, P. 987)FTE
GORMAN I JOHN
Rep. Rep Conyers (CD, Vol. I, P.
987)-FTE
GROSS I LAUREN
Sen. Pell (CD, Vol. I, P. 991)-FTE
HAND, LUCY
Rep. Serrano (CD, Vol. I, P. 995)FTE
HASH I MICHAEL
Rep. Waxman/Energy & Commerce (CD,
Vol. I, P. 712)-FTE
HENRY 1 CHRISTOPHER Rep. Flake (CD, Vol. I, P. 1002)-FTE
HUNTER, MARK
Rep. Ortiz (1373)-FTE
JACKSON, MORGAN, M.D.
43
�JONES, LEROY
JONES, SANDRA
KEPNER, COLLEEN
KIM, DAVID
KING, GARY
KINGHT, R.
KOVNER I RONNIE
LACEY I LORETTA
LUTTBERG I CARRIE
MARCONI I KATHY
MARQUEZ, MIGUEL
McCABE, EUGENE
McDONOUGH, DONEG
MANTEL I LEWIS
MILLER, CAROL
MILLS, JOHN
MITCHELL, MARLOW
MURGUIA I JANET
NORIIAH I PATRICIA
QUAM, LOI:S
RI:CBARDSON I
SALLY
HHS-ACHPR {1373)-FTE
Rep. Watts {1374)-FTE
Veterans' Affairs-FTE
Rep. Stenholm {CD, Vol. I, P. 768)FTE
Rep. Becerra (CD, Vol. I, P. 1024)FTE
Assistant
Professor,
Community
Medicine, University of Connecticut
Health Center (1374): No Official
Status Assigned
Rep. Franks (CD, Vol. I, P. 528)-FTE
Rep. Reed (CD, Vol. I, P. 766)-FTE
Associate
Professor,
Community
Health
Sciences,
University
of
I:llinois at Chicago School of Public
Health (1365, 1374): Ho Official
Status Assigned
Rep. Coleman (CD, Vol. I, P. 496)FTE
HHS-HRSE (1375)-FTE
Rep. Richardson (CD, Vol. I , P.
626)-FTE
President,
CEO,
North
General
Hospital, HY (30209): Ho Official
status Assigned
Rep. Stark (CD, Vol. II, P. 1065)FTE
Veterans Affairs-FTE
University of Hew Mexico School of
Public Health (30000)-SGE (First
Responses), Hot Listed on 1678-1679
Rep. Engel (CD, Vol. I, P. 1056)-FTE
Rep. Dixon (CD, Vol. I, P. 511)-FTE
Rep. Slattery (CD, Vol. I, P. 741)FTE
VP
Finance, CFO, North General
Hospital, HY (30209): Ho Official
status Assigned
Veterans' Affairs-FTE
OMB-FTE
Rep.
Tejeda
(Hot
Listed
in
Directory) - Hot Listed in First
Responses, Hot Listed as FTE.
Former Chairman of the Minnesota
Health care Access Commission and
CUrrent
Vice
President,
United
Health
care
corporation,
Minneapolis, IIN-SGE (1678)
West Virginia Health care Planning
commission ( 30005) - Bo Official
Status Assigned
44
--
~
---------------------------
�Rep. Pastor (CD, Vol. I, P. 613)-FTE
Rep. McKinney (CD, Vol. I, P. 1093)FTE
Rep.
Delugo
(Not
Listed
in
ROSS I SHEILA
Directory) - Not Listed as FTE; Ho
Official Status Assiqned
Rep. Bishop (1376); HHS- Office of
SEGARRA, MARIA
Minority Health (First Responses) Not Listed as FTE
House Select Committee on Education
SELTMAN I PAUL
and Civil Rights (CD, Vol I, P.
1106)-FTE
Rep. Vento (CD, Vol. I, P. 668)-FTE
SHEEHAN 1 KATHLEEN
Rep. Rangel (CD, Vol. I, P. 1107)SHEINER I JOHN
FTE
HHS - National cancer Institute SIMPSON I NANCY
FTE
Rational
Governors
Association,
SMITH, BARBARA
South Dakota (1366 & 1786): Rep.
McDermott (1377) - Not Listed as
FTE: Listed as Representative of
Intergovernmental
organization
(1786-87):
Ho
Official
Status
Assiqned (Rote: on 1508, Handwriting
says,
nsarbara
A.
Smith,
SD
Department
of
Health,
605/773. 3361) (1508)
SPIELBERG, DEBORAH Rep. Lewis (CD, Vol. I, P. 578)-FTE
TERRY I DOHALD
Ro
Affiliation:
Ro
Official
Employment status Assiqned
TESTORI, MAUREEN
Sen. Baucus (CD, Vol. I, P. 268)-FTE
TINTARY I RUTH
Rep. Torres (CD, Vol I, P. 663)-FTE
TOMLINSON, LISA
Rep. Collins (CD, Vol. I, P. 496)FTE
TRUBITT I MITCBEI.T.
Chicago
Health
Maintenance
organization ( 30209) : Ho Official
Employment Status Assiqned
VARMA, VIVEK
Rep. Synar (CD, Vol •. I, P. 1132)-FTE
WEIL, ALAR
Rational
Governors
Association
( 1786) Office Governor ROJBer, State
of
Colorado:
Listed
as
Representative of Intergovernmental
organizations ( 1786-87) : Ro Official
Employment Status Assiqned
WESTFALL I LISA
Rep. Richardson (CD, Vol. I, P.
711)-FTE
WILLIAMS 1 CHRISTINE Sen. Mitchell (CD, Vol I, P. 338)FTE
ZELMAH I WALTER
BBS/Chairman,
Health
Advisory
Commission, and Special Deputy for
Health Insurance in the california
Department of Insurance ( 1679) -SGE
RODRIGUEZ, GLADYS
RODRIGUEZ, SUSANA
45
�SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
7-11, 27~30, 52, 53, 58, 59, 66-91, 96, 97, 102-105, 769,
800, 836, 1496-1508, 1524, 1562-1564, 1801-1807, 3000030005, 30179-30223.
See Tab 5 attached to this
Memorandum.
Working Group 3, nGovernancen, of Cluster Group I, consisted
of the following members:
GROUP 3 - GOVERHAHCE
GROUP 3 LEADER -
RICK CURTIS, President, Institute
for Health Policy Solutions ( 12) -SGE
(1678)
GROUP 3 CO-CHAIR -
NANCY DELEW, HHS (12)-FTE
Sen. Leahy (CD, Vol. I, P. 327)-FTE
( 1786)
Rational
Association
of
Counties
Representative
of
Intergovernmental
Organization,
Assigned to Group 3; Ro Official
status
BRIGGS, BETTE
Labor-FTE
DELEW, NANCY
HHS-FTE
GREENBERG, G.
HHS-FTE
KENDALL, DAVID.
Rep. Andrews - Not in Directory;
Listed as FTE (844)
LANGENBRUNNER I JACK OMB-FTE
LINK I KENNETH
Veterans Affairs-FTE
Rational
Governors
Association,
MelfAIIEE I NIKKI
Office of the Governor of south
Carolina (13) (837) - Representative
of Intergovernmental organization
(1786-87);
State
Government
Representative (983): Ro Official
Status Assigned
MEANS I KATHLEEN
HHS-FTE
The
Johns
Hopkins
University
NAVARRO I VINCENTE
(13)(837) - SGE, White Rouse Office
(First Responses): Rot Listed, 167879
OFFNER, PAUL
Senate Finance (CD, Vol. I, P.
1069)-FTE
PATEL, PARASHAR
OMB-FTE
RICHARDSON, SALLY
West
Virginia
Public
Employee
Insurance Agency and Real th care
Planning CoDIIIlission ( 1520) - SGE
(First Responses) : Rot Listed on
1678-79
ALBERGHINI, T.
BEMPONG I ARDREA
46
�ROSS I MARJORIE
SOFAER, S.
STEELE I PAMELA
SULFRIDGE, H.
SYKES, KATHLEEN
VOLPE I LANE CARL
WELCH I
WILLIAM
WERNER I MICHAEL
ZELMAN I
WALTER
White House Policy Assistant - SGE;
The Johns Hopkins University (732)
George Washington University Medical
Center (1520, 30148)-SGE
Veterans Affairs-FTE
HHS-FTE
Rep. Obey (CD, Vol. I, P. 1122)-FTE
National
Governors
Association
(13)(837)
Representative
of
Intergovernmental
Organization
(1786-87);
State
Government
Representative ( 983) ; Mo Official
status
The Urban Institute - SGE (1678)
Sen. Democratic Policy Committee
(CD, Vol. I, P. 403)-FTE
HHS/Cbairman,
Health
Advisory
Commission, and Special Deputy for
Health Insurance in the California
Depclrtment of Insurance ( 864) -SGE
(1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
12, 13, 46, 47, 61, 92-95, 770, 801, 837, 1509, 1510,
1520, 30148. see Tab 6 attached to this Memorandum.
Working
Group
4,
"Global
Budget",
of
Cluster
Group
consisted of the following members:
GROUP 4 - GLOBAL BUDGET
GROUP 4 LEADER -
LARRY LEVITT I
Staff I
california
Department
of
Insurance,
COmmissioner's Health care Advisory
COmmission (14, 864)-SGE
GROUP 4 LEADER -
SHERRY GLIED, OMB (14)-FTE
BERRY, ROGER
Rep. Johnston (CD, Vol. I, P. 562)FTE
Sen •. Bingaman (CD, Vol. I, P. 271)FTE
HHS-FTE
Rep. Cooper (CD, Vol. I, P. 936)-FTE
Treasury-FTE
Rep. Pomeroy (CD. Vol. I, P. 705)FTE
CEA (White House Employee)(838)-FTE
HHS-FTE
HHS-HCFA-FTE
Rep. Sabo (CD, Vol. I, P. 704)-FTE
BILLY I CARRY
BUTO I KATHLEEN
CHAMBER, C.
COHEN I ALLAN
FRANTZ I MOLLY
GLIED, SHERRY
GOOD, BRIGID
GREENWALD, LESLIE
GRUNDMANN, MARTHA
47
I,
�IRWIN, JEAN
JONES, SANDRA
KING, ANDREA
KRONICK I RICHARD
LEVITT I
LARRY
LUTTER I RANDY
MILLER, MICHAEL
MUNNELL, ALICIA
NEXON, DAVID
O'NEILL, PATRICIA
OFFNER, PAUL
RADER, AHYA
ROSS I MARJORIE
SAMUELSON, ELLEN
SCHIEBER, G.
SCHULKE, DAVID
SCHRIBER I D.
TESTORI, M.
VARMA, VIVEK
VARNHAGEN, M.
WELCH, W.
Rep. Cantwell (CD, Vol. I, P. 490)FTE
Veterans' Affairs-FTE
Rep. Gephardt (CD, Vol. I, P. 532)FTE
UCLAfRAND
Corporation
(864)-SGE
(1678)
Staff,
California Department of
Insurance,
Commissioner's Health
Care Advisory Commission (864}-SGE
(1678)
OMB-FTE
Rep. Levin (CD, Vol. I, P. 1056)-FTE
Treasury-PTE
Sen. Kennedy (CD, Vol. I, P. 395)FTE
Veterans Affairs-FTE
Senate Finance (CD, Vol. I, P.
1069)-FTE
National
Governors
Association,
Office of Governor Dean, VerJDont
(838),
Representative
of
Intergovernmental
organization
(1786-87),
State
Government
Representative ( 984)
White Bouse Policy Assistant; The
Johns Hopkins University (732)-SGE
Rep. Sabo (CD, Vol. I, P. 695)-FTE
HHS-HCFA-FTE
Rep. Wyden (CD, Vol. I, P. 1104)-FTE
Energy & Commerce (CD, Vol. I, P.
1109)-FTE
Sen. Baucus (CD, Vol. I, P. 268)-FTE
Sen. Synar (CD, Vol. I, P. 1132)-FTE
Sen. Metzenbaum (CD, Vol. I , P.
396)-FTE
The Urban Institute (866)-SGE (1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
14-161 31-331 43-451 62, 631 98-1011 7711 8021 15111
1512, 1518, 1519, 1565, 1566, 30006, 30007, 30177. See
Tab 7 attached to this Memorandum.
Working Group 5,
•Insurance ReforJD•,
of Cluster Group I,
consisted of the following members:
GROUP 5 -
INSURANCE REFORM
GROUP 5 LEADER -
CLAXTON, National Association
of Insurance Commissioners (106,
969)-SGE (1678)
GARY
48
�AUBIN I LESLIE
BASS I KRISTIN
BATEMAN I KEITH
BERGTHOLD I LINDA
BLAUWET 1 ROGER
BORZI, PHYLLIS
BRODBECK, LAURA
BUONORA, DAVID
BURTON I JOHN
CATOR, TOM
CLAXTON I
GARY
COPELAND, ROBERT
DUGGAN I JAMES
FALETTI I THOMAS
FARMER, DAVID
HICKMAN I PETER
HOFFERT I STAR
JONES I SANDRA
KEENE, BRAD
KIST, FRED
LAWSON I ROGER
LEVINE I GREGORY
LEVITT I
LAWRENCE
LI..EWELLYH I B.
LOFTI, SHERIF
LUCAS, DEBORAH
LUBITZ I JAMES
MAGURIE, DANIEL
(1326)
National
Federation
of
Independent Businesses; No Official
status
(1326)
Chamber of Commerce; No
Official Status
(30075)
Alliance
of
American
Insurers
(1286) w. B. Mercer, Inc.-SGE (1678)
(Also on Cluster II, Group 6,
Benefits)
Rep. Hoagland (CD, Vol. I, P. 549)FTE (840)
(30075)
Subcommittee
on
Labor/Management Relations-FTE (840)
Rep. McCurdy (CD, Vol. I, P. 589)FTE
Rep. Kennelly (CD, Vol. I, P. 565)FTE
(1265) - Rutgers University; No
Official Status
( 1326) - National Small Business
United; No Official status
National Association of Insurance
Commissioners (106, 969)-SGE (1678)
Labor-FTE
Treasury-FTE (841)
Rep. Durbin (CD, Vol. I, P. 969)-FTE
(30075)
Alliance
of
American
:Insurers
HHS-HCFA
(30075) Wausau :Insurance COapany; Ro
Official Status
Veterans Affairs-FTE
Rep. Collins/Energy & Commerce (Not
Listed in Directory)-FTE (844)
( 1265)
Coopers
&
Lybrand;
No
Official Status
Alliance of American :Insurers; No
Official status
Rep. Delauro (CD, Vol. I, P. 506)FTE
Staff of California Department of
:Insurance Commissioner's Health care
Advisory Commission (866)-SGE
(1265)
National
council
on
Compensation :Insurance; Ro Official
Status
Council on Economic Advisors-FTE
Council on Economic Advisors-FTE
HHS-HCFA-FTE
Labor-FTE
49
�MATTERA,
PAUL
{30075) Liberty Mutual Insurance: No
Official Status
( 30075)
Attorney,
Alliance
for
American
Insurers:
No
Official
Status
MEANS 1 KATHLEEN
HHS-FTE
w. H. Mercer, Inc.: No Official
MILLSTEIN I ARNIE
Status
commerce-FTE
MOLLOY, JANE
Veterans Affairs-FTE
O'NEILL, PATRICIA
PATRICELLI, ROBERT {1326) Chamber of Commerce: Ho
Official Status
Sen. Rockefeller (CD, Vol. I, P.
PAYNE, MARY ELLA
352)
Senate Finance
(Not Listed
in
POTETZ, LISA
Directory)-FTE (845)
(1265) Coopers & Lybrand
RAY, TIMOTHY
Policy Assistant, White Bouse: The
ROSS, MARJORIE
Johns Hopkins University {732) - SGE
{1326) Rational Retail Federation:
SCULLY, TOM
Ho Official status
SISKIND, FRED
Labor-FTE
STUART, MARK
( 1326)
Rational
Association
of
Manufacturers: Ro Official Status
STEVERSON, DAVID
(1326)
Rational
Federation
of
Independent Businesses: Ho Official
·status
VALDEZ, ROBERT
UCLA/RAHD COrporation - SGE (1679)
(Also on Cluster II, Group 6,
Benefits)
WERNER, MICHAEL
Senate Democratic Policy Committee
(CD. Vol. I, P. 403)
WOODS, STEVEN
(1326)
Rational
Federation
of
Independent Businesses: Ho Official
status
ZELIIAH, WALTER
Chairman of the Health care Advisory
COmmission and Special Deputy for
Health
Insurance,
California
Department of Insurance ( 864)
MAYS I
HUBERT I JR.
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
34-36, 48-51, 64, 65, 106-115, 772, 803, 839, 1521, 1567.
See Tab 8 attached to this Memorandum.
Cluster Group II,
"Hew System coveraqe",
was composed of
Workinq Group 6, "Benefits Packaqe", Workinq Group 7, "COveraqe for
Workinq Families", and Workinq Group 8 1
and Ron-Working Families".
11
Coveraqe for Low Income
See Tab 9 attached to this Memorandum.
50
�Cluster Group II, "New system Coverage", and its leader was
listed as follows:
CLUSTER II -
NEW SYSTEM COVERAGE
CLUSTER II LEADER - ATUL GAWANDE, HHS-FTE
Working Group 6, "Benefits Package" of Cluster Group II, was
composed of the following members:
GROUP 6 - BENEFITS PACKAGE
GROUP 6 LEADER -
LIIIDA BERGTHOLD, Employee Benefits
consultant
to
w. B. Mercer
COrporation (864)-SGE (1678)
co-LEADER-
BOB VALDEZ ( 118) , UCLA SChool of
Public Health, Senior Health Policy
Analyst, Rand COrporation (865)-SGE
(1679)
BERENSON I ROBERT
National Capital Preferred Provider
Organization (868, 30016, 30136) SGE (1678)
William M. Mercer, Inc. (864) - SGE
(1678)
UCLA School of Public Health ( 864) SGE (1678)
Robert
Wood
Johnson
Fellow,
Sponsored by University of Florida,
in sen. Dale Bumpers Office (DAR)(773) [Tab 56 Attached to this
MeJDOrandum]-FTE (841)
HHS-HCFA-FTE
senior Advisor for Health Policy &
Management to Kaiser-Permanente;
Professor
of
Health
Policy
&
Management, Duke University ( 118,
866)-SGE (1678)
Commerce-FTE
National Association of COunties
(134)(1786)
Representative of
Intergovernmental
Organization
(1786); No Official status Assigned
Rep. Glickman (CD, Vol. I, P. 535)FTE
sen. Kennedy (P. 395)-FTE
National Association of Counties
(134)(1786)
Representative of
BERGTHOLD I LIIIDA
BROWN I RICHARD
CLARK, WILLZAK
CLAUSER I STEVEN
EDDY I DAVID
EDGELL, JOHN
EGBERT I MARCIA
FRASCHE, MARY
FISKE, MARY BETH
GARCIA, JOSEPH
51
�GILLINGHAM, ROBERT
GOLD I MARTHA
JOHNSON, SCHELEEN
KRUEGER, ALAH
LIPNER, ROBYN
MAHOWITZ I MICHELLE
MILLER, CAROL
MURPHY I SHEILA
NELSON, KAREN
NEXON, DAVID
NIX, SHEILA
POWELL, KEITH
PRICE I ANDREA
REINECKE I PETER
RICE, CHERI
ROSWELL 1 ROBERT
SHORT I PAMELA
SMITH I ELMER
SOCHAI..SK1 I JULIE
VALDEZ, ROBERT
WOOD, SUSAN
WREN I ROBERT
ZELMAN I
WALTER
Intergovernmental
organization
(1786); No Official Status Assigned
Treasury-FTE
HHS-PHS-FTE
Rep. Bryant (CD, Vol. I, P. 1015)FTE
Princeton University (116)(773)-SGE
(1678)
Consultant
(First
Responses)
Sen. Mikulski (CD, Vol. I, P. 395) FTE
White House Policy Assistant (119);
The Johns Hopkins University (732) SGE, White House Office (1678)
Mountain Management Co. , OJO Sarco,
Nil; No Official Status Given (1678);
SGE (First Responses)(134)
Sen. Kerrey (CD, Vol. 1, P. 332)-FTE
Rep. Waxman (CD, Vol. I, P. 711)-FTE
Sen. Kennedy (CD, Vol. I, P. 395)FTE
Sen. Kerrey (CD, Vol. I, P. 322)-FTE
Robert
Wood
Johnson
Fellow,
Sponsored by University of Rochester
Medical Center, in Office of Sen.
Kennedy (119) (135) [Tab 56 Attached
to this Memorandum]; No Official
Status Assigned
Rep. Payne (CD, Vol. I, P. 615)-FTE
Sen. Harkin (CD, Vo~. I, P. 396)-FTE
OMB-FTE
Veterans Affairs-FTE
HHS-ACHPR-FTE
HHS-HCFA-FTE
Robert
Wood
Johnson
Fellow,
Sponsored by Columbia University
School of Nursing, in .Office of Sen.
Bradley
(D-NJ)(135)(773)[Tab
56
Attached to this Memorandum] - FTE
(847)
UCLA School of Public Health: Senior
Health
Policy
Analyst,
Rand
Corporation (865) - SGE (1679)
Congressional Caucus for Women's
Issues-FTE
HHS-FTE
Chairman of the Health care Advisory
Colllllission and Special Deputy for
Health
Insurance,
California
Department of Insurance ( 864) ~ SGE
(1679)
52
�SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
116-135, 773, 804, 1590.
See Tab 10 attached to this
Memorandum.
Working Group 7, "Coverage for Working Families", of Cluster
Group II, was composed of the following members:
GROUP 7 - COVERAGE FOR WORKING FAMILIES
GROUP 7 LEADER GROUP 7 LEADER GROUP 7 LEADER -
STEVEN FINAN, Labor-FTE
LAWRENCE CAMPBELL, Commerce-FTE
RANDY HARDOCK, Treasury-FTE
ANDERSON I ROBERT
BERGTHOLD 1 LINDA
OMB-FTE
William M. Mercer, Inc. (864) - SGE
(1678)
sen. Bingaman (CD, Vol. I, P. 271)FTE
Education & Labor Commission (Not
Listed in Directory)-FTE (840)
National Governors Association - MN
(153),
Representative
of
Intergovernmental
Organization
(1786); No Official Status Assigned
Rep.
Gray /Deputy
GC
to
House
Committee on Post Office & Civil
Service (CD, Vol. I, P. 928)-FTE
Sen. Breaux (CD, Vol. I, P. 930)-FTE
Sen, Riegle (CD, Vol. I, P. 350)-FTE
Robert
Wood
Johnson
Fellow
Sponsored by University of Florida,
Office
of
Sen.
Bumpers
(DAR) (153) [Tab 56 Attached to This
Memorandum) - PTE. {841)
HHS-HCFA-FTE
Commerce-FTE
Sen. Pryor (CD, Vol •. I, P. 348)-FTE
Rouse Select committee on Aging · Not in Directory.
As of 3/31/93
When Rouse select commi. ttee on
Aqing's Appropriations Expired and
Were Rot Renewed, Goldstein Beqan
Working on Task Force (153)(See Bio
Sheet); No Official Status Assigned
- She Row Works in sen. Jefford's
Office
CEO, Blacks Educate Blacks About
Sexual Health Issues (153) - SGE
(1678)
Treasury-FTE
Treasury-FTE
BILLY, CARRIE
BORZI, PHYLLIS
BROWN 1 MARY LEIGH
BRUNS I KEVIN
BURNETT, LAIRD
CHANG, DEBBIE
CLARK, WILLIAM
CLAUSER, STEVEN
EDGELL, JOHN
GLAZE, STEVEN
GOLDSTEIN I ELAINA
BANDY I
CAROLYN
HUNTER, GILLIAN
IWRY, MARK
53
�JARBOE, KENAN
KING, KATHLEEN
KRONICK, RICK
KRUEGER I ALAN
LINDREW, GERALD
LYON, ANDREW
MAGUIRE I DANIEL
MINK, DOUG
MONHEIT, ALAN
NELSON, KAREN
QUIST, JAHET
ROZEN, ROBERT
SHORT I PAMELA
SOLOMON I LOEL
TRUJILLO I THOMAS
VALDEZ, ROBERT
ZAWISTOWICH, LU
Sen. Riegle (CD, Vol. I, P. 377)-FTE
Senate Finance (CD, Vol. I, P.
1025)-FTE
UCLA (184-864)-SGE {1678)
Princeton University (153) - SGE
{1678), Consultant (First Responses)
Labor-FTE
CEA-FTE
LABOR-FTE
Rep. Johnson (CD, Vol. I, P. 560)FTE
HHS-ACHPR-FTE
Rep. Waxman (CD, Vol. I, P. 711)-FTE
National League of Cities ( 154) Representative of Intergovernmental
organization (1786); Ho Official
Status Assigned
Sen. Mitchell (CD, Vol. I, P. 1096)FTE
HHS-ACHPR-FTE
Sen. Labor (Hot in Directory) - FTE
(848)
Veterans Administration-PTE
UCLAfRand
Corporation
{865)-SGE
(1679)
HHS-HCFA-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
136-154, 184, 185, 774, 805, 1591. See Tab 11 attached
to this Memorandum.
Working Group 8, •coverage for Low Income and Non-Working
Families•, of Cluster Group II, was composed of the following
members:
GROUP 8 - COVERAGE
FOR
IDW-DCOME
Aim
HOH-WORKIHG
FAMILIES
GROUP 8 LEADER -
SHOSBARHA SOFAER
( 969) 1
George
Washington University Medical Center
- SGE (1678)
BEREHSOH, R
Rational capital Preferred Provider
organization
( 181,
868,
30016,
30136) - SGE (1678)
William M. Mercer, Inc. (864) - SGE
(1678)
Labor-FTE
UCLA/SChool of Public Health ( 182,
864) - SGE (1678)
BERTHOLD I LIHDA
BEVERLY, J.
BROWH, RICK
54
�CHANG, DEBORAH
CLAUSER, STEVEN
COOPER, DAVID
DENTON I DENISE
FEDER, JUDY
FISKE, MARY B.
GAWANDE I ATUL
GILLINGHAM 1 ROBERT
GLAZE I STEVEN
GOLD I MARTHA
HARDY I CAROLYN
HEADLEY, EDWOOD
HIGHT, JOSEPH
HOLTZBLATT I JANET
HORVATH I JANE
JOHNSON I DONALD
KRUEGER, ALAN
MANOWITZ I
MILLIIAR I
MICJIET.T.E
MICHAEL
MINK I DOUGLAS
NIX, SHEILA
PARADISE, JULIA
RICE, CHERI
ROWLAND I DIANE
ROZEN, ROBERT
SHORT, PAMELA
SIMON, MARSHA
SMITH, MARY BETH
SMITH, ELMER
VALDEZ I ROBERT
VELOZ I RICHARD
Sen. Riegle (CD, Vol. I, P. 350)-FTE
HHS-HCFA-FTE
HHS-ASPE-FTE
Colorado Office of Rural Health; No
Official Status Assigned ( 1678 ) ;
SGE (First Responses)
HHS-FTE
sen. Kennedy (CD, Vol. I, P. 395)FTE
HHS-FTE
Treasury-FTE
Sen. Pryor (CD, Vol. I, P. 348)-FTE
HHS-PHS-FTE
CEO - Blacks Educate Blacks About
Sexual Health Issues - SGE (1678)
Veterans Affairs-FTE
Labor-FTE
Treasury-FTE
Senate Finance; Not in Directory FTE (843)
HHS-HCFA-FTE
Princeton University (182) - SGE
( 1678) ; Consultant (First Responses)
White House Policy Assistant - SGE;
The Johns Hopkins University (732)
National
Academy
of
Sciences/Institute of Hedicine-FTEBBS (843)
Rep. Johnson (CD, Vol. I, P. 560)FTE
Sen. Kerrey (CD, Vol. I, P. 322)-FTE
HHS-FTE
OMB-FTE
Tbe Johns Hopkins UniversityjKaiser
CoJIImi.ssion on the Future of Medicaid
[Tab 56 Attached to this Memorandum]
(173, 806)
SGE (1678)
Ro
Affiliation; Ro Official Status
Given (First Responses)
Sen. Mitchell (CD, Vol. I, P. 1096)FTE
HHS-AHCPR-FTE
Sen. Kennedy (CD, Vol·. I, P. 395)FTE
Veterans Affairs-FTE
HHS-HCFA-FTE
UCLAfRand Corporation(865)
SGE
(1679)
Formerly House select Committee on
Aging, Lost Appropriation 3/31/93 Ro Official Status Given (16781679); SGE (First Responses)
55
�CEA-FTE
WILLS, DARRYL
SOURCES: Declarations o:f Marjorie Tarmey, Documents Nos.
155-179, 775, 806, 1592. See Tab 12 attached to this
Memorandum.
Cluster Group III, "New System Infrastructure", consisted of
Working
Group
9,
"Quality
Measurement":
Working
Group
10,
"Information Systems", Working Group 11, "Malpractice and Tort
Reform"~
and
Development".
Working
Group
12,
"Facilitating
Professional
See Tab 13 attached to this Memorandum.
Cluster Group III,
"New System Infrastructure",
and its
Cluster Leaders, were as follows:
CLUSTER III -
NEW SYSTEM INFRASTRUCTURE
CLUSTER LEADERS -
TOM PYLE, Boston Consulting Group
and Harvard Colllllunity Health Plan
(969, 1218)- SGE (1678), consultant
(First Responses) and Subsequently,
BILL SAGE - WHO - Policy Analyst
(NB:. on Bates Number 300, Sage is
Described in Sameone's Handwriting,
"Bill Sage Liaison - Magaziner, MD
JD Stanford") (300)
Working Group 9, "Quality Measurement", of Cluster Group III,
was composed of the following members:
GROUP 9 - QUALITY MEASURBMEMT
GROUP 9 LEADER -
ARNOLD EPSTEIN, Robert Wood Johnson
Fellow,
Sponsored
by
Harvard
University
Medical
SChool
and
Brigham and Women's Bospital, Office
of Sen. Kennedy (D-MA)(233) [Tab 56
ATtached to this Me.orandlDl]
Status Given as SGE ( CF. , other RWJ
Fellows'
Status
is
"FTE"
or
Ignored). Note: Handwritten Note
Next to Epstein's Name on 948
Indicates That Be is the "Recorder".
Several References, in Different
Handwriting, Indicate that Be Will
56
�Be "External n to
946, 948, 950.
the
Group:
944,
"CONSULTANTS TO WORKGROUP": (261)
ALAN HII..LM.AN, M.D. , University of
Pennsylvania; 215/898-9400 (261)
KATfii.EEN, LOIIR, Ph.D., IOM; 202/3342165 (261)
SANDY SCHWARTZ, M.D., University of
Pennsylvania; 215/898-5611 (261)
WORK GROUP 9 MEMBERS:
AXKEN, LINDA
BARBOUR, GALEN
CBAPHAN, THOMAS
DEMLO, LINDA
EDDY, DAVID
EDDY, JUDITH
EPSTEIN, ARNOLD
GAGEL, BARBARA
GAUDETTE, SYLVIA
GROSS I LAUREN
JACKSON, DAVID
JENCKS, STEVEN
JORLING, JIM
KRAKAUER, HENRY ·
University of Pennsylvania, School
of Nursing
Consultant
(First
Responses); SGE {1678)
Veterans Affairs-FTE
Greater Southeast Real th Care System
( 30008) ,
Director,
Robert
Wood
Johnson Foundation PrograD, "Opening
Doors" (523)[Tab 56 Attached to this
MemorandUJD]; (Rote: on 724 says,
"BBS". Chapman Rot Listed in First
Responses; Listed as.SGE on 1678)
HHS-AHCPR-FTE
senior Advisor for Health Policy &
Management
to
Kaiser-Penaanente;
Professor
of
Health
Policy
&
Management, Duke University ( 119,
866) - SGE {1678)
Research Associate, Duke University
- SGE {1678)
Robert
Wood
Johnson
Fellow,
Sponsored by Harvard University
Medical School & Brigham & Women's
Hospital, Office of sen. Kennedy (DIIA) (233)[Tab 56 Attached to this
MemorandUJD] - Listed as SGE (1678)
HHS-HCFA-FTE
Rep. Oliver (CD, Vol. I, P. 609)-FTE
Sen. Pell (CD, Vol. I, P. 991)-FTE
CEO, Assurqual {233, 260, 262, 276)
- SGE (First Responses) ; No Official
Status AssiC)Ded ( 1678-1679)
HHS-HCFA-FTE
White Rouse - Special Assistant SGE {1678); Unemployed (732)
HHS-PHS-Uniform Services, University
of Health Sciences, Bethesda, MD-FTE
57
�Physicians'
Payment
Commission (186)
No
Status
LASKER, ROZ
Review
Official
LAVIZZO-MOUREY, RISA
HHS-AHCPR-FTE
National
Academy
of
LOHR, KATHERINE
Sciences/Institute of Medicine
Consultant (First Responses)
DOD-FTE
McKEE, TOMOTHY
Boston consulting Group, Harvard
PYLE, THOMAS
Community Health Plan - Consultant
(First Responses)- SGE {1678)
President, Meharry Medical college
SATCHER, DAVID
( 186,
869)
consultant (First
Responses)
SCHULKE, DAVID
Rep. Wyden (CD, Vol. I, P. 1104)-FTE
TIBBITS, PAUL
Defense-FTE
WILLIAMSON, JONATHAN
Veterans Affairs-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
189, 190, 193, 194, 200, 201, 213, 214, 215, 216, 232265, 273-278, 776, 807, 1593, 1594, 30019-30022, 3016830172. See Tab 14 attached to this Memorandum.
Working Group 10, •Information Systems•, of Cluster Group III,
was composed of the following members:
GROUP 10 -
INFORMATION SYSTEMS
GROUP 10 LEADER -
DAVID EDDY, Senior Advisor for
Health Policy and Management to
Kaiser-Permanente:
Professor
of
Health Policy and Management, Duke
University (119, 866)
AUKERMAN I GLEN
BLED, PETER
HHS-HRSA-FTE
( 282) lfo Affiliation, lfo Official
Status Given
HHS-HCFA-FTE
{281) lfo Affiliation, llo Official
Status Given
Senior Advisor for Health Policy &
Management to Kaiser-Permanente:
Professor
of
Health
Policy
&
Management, Duke University (119,
866) - SGE (1678)
Research Associate, Duke University
- SGE (1678)
HHS-AHCPR-FTE
HHS-HCFA-FTE
BUFFINGTON, MAX
DOWLIHG, ALAR
EDDY, DAVID
EDDY, JUDITH
FITZMAURICE, J.M.
HILL I TIMOTHY
58
�HORVATH, JANE
JACKSON, DAVID
JEWS I WILLIAM
JORLING I JAMES
KOLODNER, ROBERT
KOSS, SHANHAH
KRAUKAUER, HENRY
KUZMACK I RICHARD
MALONEY, DANIEL
McCONNELL, BRUCE
PYLE, THOMAS
SAGE, WILLIAM
SILVER, JONATHAN
STEINAUER, DENNIS
Senate Finance-FTE ( 846) - Not in
Directory
CEO, Assurqual (233, 281, 289); No
Official Status Assigned
Phone (301) 925-7000 - Dimensions,
Inc.
(281); No Official Status
Assigned
White House Special Assistant - SGE;
Unemployed (732)
Veterans Affairs-FTE
OMB-FTE
HHS-PHS- Uniform Services University
of
Health
Sciences,
Bethesda,
Maryland-FTE
OMB-FTE
Veterans Affairs-FTE
OMB-FTE
Boston Consulting Group & Harvard
Community Health Plan (969, 1218) SGE
(1678),
Consultant
(First
Responses)
MD, JD, Stanford - SGE (1678)
Commerce-PTE
Commerce. - National Institute of
Standards and Technology (282)-FTE
SOURCES:· Declarations of Marjorie Tarmey, Documents Nos.
191, 192, 195, 196, 202, 203, 266-269, 279-322, 777, 808,
1143-1150, 30023, 30024, 30073. See Tab 15 attached to
this Memorandum.
Working Group 11, •Malpractice and TOrt Reform• of Cluster
Group III, was composed of the following members:
GROUP
11 -
GROUP
11 LEADER -
ROBERT BERENSON, National capital
Preferred
Provider
organization
(30016, 30136) - SGE (1678)
GROUP 11 LEADER -
K. HASTINGS, JD, RN, HH-PHS-ACHPRFTE. (843)
MALPRACTICE AND TORT REFORM
Professor of Law (1331) - No
Official Status
University of Pennsylvania School of
Nursing
(188)
SGE
(1678);
COnsu1tant (First Responses)
HHS-HRSA-FTE
HHS-HCFA-FTE
UVA -
AIKEN, LINDA
GLEN
BAUM, NANCY
AUKERMAN I
59
�BERENSON 1 ROBERT
BOVBJERG I
RANDALL
BRENNAN I TROYER
CREASEY I DANIEL
DANZON, PATRICIA
DONESKI, ELLEN
EDDY, DAVID
EDDY I JUDITH
GOSFIELD I ALICE
HADLEY, ELIZABETH
HASTINGS 1 KATHLEEN
BAVIGBORST I CLARK
HUCKABY I MICHELLE
JORLING, JAMES
MEADOW I CYNTHIA
KILLER, FRANCES
MORLOCK, LAURA
O'CONHELL, JEFFREY
PYLE, THOMAS
REEVES, LINDA
SATCHER, DAVID
SCHULTZ, WILLIAM
TAPLIN, CAROLINE
National Capital Preferred Provider
Organization (868) - SGE (1678)
The Urban Institute - No Official
Status ( 1331)
Harvard School of Public Health; No
Official Status (1331)
Risk Management Foundation, Harvard
Medical Institution; No Official
status (1331)
The Wharton School - Health Care
Policy and Insurance - University of
Pennsylvania;· Ho Official Status
(1331)
Sen. Rockefeller (CD, Vol. I, P.
352)-FTE
Senior Advisor for Health Policy &
Management to Kaiser-Permanente;
Professor
of
Health
Policy
&
Management, Duke University (119,
866)(188) - SGE (1678)
Research Associate, Duke University
(188)
Law Offices of Alice Gosfield,
Philadelphia,
Pennsylvania;
No
Official Status (1331)
HHS-ASPE-FTE
.
HHS-PHS-ACHPR-FTE
Duke University School of Law; Ho
Official Status (1331)
Rep. Clement (CD, Vol. I, P. 494)FTE
w.bite House Special Assistant; SGE
(1678); Unemployed (732)
Rep. Brooks (CD, Vol. I, P. 723)-FTE
B.U. School of Law - Ho Official
Status ( 1331)
The Johns Hopkins University School
of Public Health; Ho Official Status
(1331)
UVA SChool of Law; Ho Official
status ( 1331)
Boston Consulting Group & Harvard
COJmunity Health Plan (969, 1218) SGE
(1678),
COnsultant
(First
Responses)
HHS-PHS-AHCPR-FTE (847); Veterans
Affairs-FTE (First Responses)
President, Meharry Medical College
(188) -consultant (First Responses)
Rep. Waxman (CD, Vol. I, P. 1104)FTE
HHS-PHS-FTE
60
�VARNHAGEN, M.
WADLINGTON, WALTER
WEICH, RONALD
WEILER, PAUL
Sen. Metzenbaum (CD, Vol . I, P.
396)-FTE
UVA School of Law; Ho Official
Status (1331)
Sen. Labor & Human Resources (CD,
Vol. I, P. 737)-FTE
Professor, Harvard Law; Ho Official
Status (1331)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
204, 205, 209, 210-212, 217, 218, 291-294, 323-332, 778,
809, 1610, 1330-1331, 30026. Note: See Sign-in List at
30026, Attached at Tab 16, Describing a Seminar on March
5, DHHS, Room 800, 200 Independence Avenue, sw, for Task
Force Members and Private Lawyers and Other Individuals.
See Tab 16 attached to this Memorandum.
Working Group 12, •Facilitating Professional Development•, of
Cluster Group III, was composed of the following members:
GROUP 12 -
FACILITATING
(206)
PROFESSIONAL
DEVELOPMENT
STEERI:HG COMMITTEE: FITZHUGH
MULLAN,
. HHS/HRSA/BHPR
Chair,
LINDA AIKEN, Senior Consultant,
University of Pennsylvania SChool of
Nursing (197)
DAVID SATCHER, Senior Consultant,
President, Mebarry Medical COllege
(197)
CIRO
SUJIAYA,
Associate
Dean,
Universsity of Texas Health SCiences
center, San Antonio, Texas (197)
SPECIAL COHSOLTART: CAROLYN HARDY 1 CEO, Blacks Educate
Blacks About Sexual Health Issues
COHSOLTART:
SCBADLE (371) Iowa Department
of Health, Des Moines, Iowa
JANE
PART-TIME CONSULTANTS:
MARCIA BRAND HHS-HRSA (372)
NEIL SAMPSON HHS-HRSA (372)
Handwritten Rote:
"Suzy El Attar, David, Me.dical
Students From Pitt" (300).
Handwritten Rote:
"Dave,
Include Us, suzyn (303). According to Bates Number 351,
61
�David Evans and Suzanne El Attar are "Workgroup
Assistants" in the Division of Medicine, Bureau of the
Health Professions, HHA-HRSA (351).
ALTMAN, DAVID
BEASON, CHARLOTTE
BIERWIRTH, M.
DAVIES, MONICA
DERTOH, DERISE
DUNN, VAN
DUZOR, DIERDRE
EDDY, JUDY
FORBES, RIPLEY
GOLOB, LAWRENCE
GROSS, MARCY
BAlmY 1 CAROLYN
HUNAN,
JEFFREY
JOHNSON, SCHELEEN
JORLIHG, JAMES
McLENNEY, LUCRETIA
FITZHUGH
HICBOLS, LIHDA
MULLAN,
PYLE, THOMAS
RIVO, MARC
SALMON, MARLA
Robert
Wood
Johnson
Fellow,
Sponsored by the Center for Health
Professions,
University
of
California, San Francisco, Office of
Sen.
Rockefeller
(D-WV) [Tab
56
attached to this Memorandum] (197,
206) - FTE (840)
Veterans Affairs-FTE
Rep. Gejdensen (CD, Vol. I, P. 531)FTE
Legislative Fellow, Office of Sen.
Bingaman
(Hot
Listed
in
congressional Directory) ( 198 )-FTE
(841)
COlorado Rural Health Office (300)SGE (First Responses) : Ho Official
Status Given (1678-1679)
Sen. Kennedy (CD, Vol. I, P. 395)FTE
HHS-HCFA-FTE
Research Associate, Duke UniversitySGE (1678)
Rep. Waxman (CD, Vol. I, P. 976)-FTE
White House Fellow/HilS (198) - Ho
Affiliation:
Ho Official Status
Given
HHS/OSHA-FTE
CEO, Blacks Educate Blacks About
Sexual Health Issues-SGE (1678)
Senate Special Committee on Aqinq
(Not in Directory)-FTE (843)
Rep. Bryant (CD, Vol. I, P. 1015)FTE
White House Special Assistant-SGE:
Unemployed (732)
DOD-FTE
HHS-PHS-FTE
Director of Interdisciplinary Team
Training, RaDada Renaissance Hotel,
999 Hinth Street, HW, Washinqton, DC
20001: 202/535-7527 (0); 202/5357522 (F) (369) - VA-FTE (846)
Boston Consulting Group; Harvard
CODIIIlunity Health Plan-SGE (1678);
Hot Listed (First Responses)
HHS-HRSA-FTE
HHS-HRSA-FTE
62
�SCHADLE I
Iowa
Department
of
Health;
Consultant (371, First Responses);
Associate Dean, University of Texas
Health Sciences Center, San Antonio
(197)-SGE (1679)
House Special Co:mmittee on Aqinq,
Lost Appropriation 3/31/93, Worked
for HHS ( 779) -SGE (First Responses) ;
Rot Listed as SGE on 1678-1679)
DOL-FTE
JANE
SOMAYA, CIRO
VELOZ I
RICHARD
WILSON, FRANK
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
197;_199 I 206-2081 219-221, 270-272, 295-2971 298-4051
779, 810, 1602-1609.
See Tab 17 attached to this
Memorandum.
Cluster Group IV,
11
Inteqration of GOvernment Health Proqrams
Into Hew system",
consisted of· Workinq Group 13,
"Medicare",
Workinq Group 14,
"Department of Defense", Workinq Group 15,
"Veterans", Workinq Group 16, "Federal Employees Health Benefitss
Plan•, and Workinq Group 16A, "other Government Proqrams 11 •
See
Tabe 18 attached to this Memorandum.
Cluster Group IV,
11
l:nteqration of Government Real th Proqrams
l:nto Hew System•, and its leaders were listed as follows:
CLUSTER I V -
l::trl'EGRATl:OR OF GOVERifKERT HEALTH PROGRAMS
l:RTO HEW SYSTEM (969)
CHAIR -
STEVE BANDEIAR, OMB-FTE
Workinq Group 13,
"Medicare",
of Cluster Group
IV,
composed of the followinq members:
GROUP 13 -
KEDXCARE
GROUP 13 LEADER -
BARBARA COOPER, HHS ( 406) -FTE
ADDISON-BURTON, L.
BUENO I IRERE
BARDEIAR I STEVE .
BURNEY, IRA
Rep. Sabo (CD, Vol. I, P. 930)
Policy
Assistant,
White
Bouse
(1634)-SGE (First Responses) - Rot
Listed 1678-1679 - Unemployed (732)
OMB-FTE
HHS-HCFA-FTE
63
was
�COOPER, BARBARA
GOLDWATER, DAVID
HARTZ, THOMAS
HICKMAN, PETER
HUCKABY, MICHELLE
KAZDIN, ROBERT
LIU, ERIC
MILLER, MELANIE
PAYNE, MARY ELLA
PRATT, DONALD
SHIRLEY, AARON
SOLOMON, AOEHEA
WELCH, PETE
WIENER,
JOSH
ZARABOZO, CARLOS
HHS-FTE
Rep. Bilbray (CD, Vol. I, P. 986)FTE
HHS-FTE
HHS-HCFA-FTE
Rep. Clement (CD, Vol. I, P. 484)FTE
Treasury-FTE
Sen. Boren (CD, Vol. I, P. 1038)-FTE
Rep. Andrews - Hot in Directory-FTE
(846)
Sen. Rockefeller (CD, Vol. I, P.
352)-FTE
Veterans Affairs
Director,
Jackson-Hinds
Comprehensive Healtb Center ( 407,
780, 811, 1534)-SGE (1678)
Census-FTE
Tbe Urban Institute (406)-SGE (OMB)
- 1679
Tbe Brookings Institution (780)SGE/BBS ( 1679)
HHS-HCFA-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
406-410, 780, 811, 1534, 1614. See Tab 19 attached to
this Memorandum..
·
Working Group 14, •Department of Defense•, of Cluster Group
rv, was composed of the following members:
GROUP
14 -
DEPARTIIEH'l' OF DEFERSE
GROUP
14 LEADER -
BANDEIAN, STEVE
BATES, JIM
CLAYPOOL, ROBERT
COOPER, BARBARA
FISH, JIM
HAMMERSCHLAG, ART
HEATH, KAREN
HIGGINS, MICHAEL
BIX, MICHAEL
HOSEK, SUSAN
LILLIE, STEVE
JOEL SLACKMAN, DOD-FTE
OMB-FTE
Navy surgeon General (425) - Not
Listed as FTE in 840-849; Listed in
First Responses-FTE
u.s. Army Surgeon General-FTE
HHS-FTE
OMB-FTE
Veterans Affairs-FTE
House Armed Services Committee (CD,
Vol. I, P. 1001)-FTE
Rep. Dellums (CD, Vol. I, P. 697)FTE
Rand Corporation-SGE/DOD (1678)
Rand Corporation, 310, 393, . 0411
{419); Hot Listed; Ho Status Given
DOD-FTE
64
�MORGAN, JACQUELINE
PANG, FREDERICK
SLACKMAN JOEL
SPAULDING, VERNON
WIENER, JOSH
I
DOD-FTE
Senate Armed Services Committee (CD,
Vol. I, P. 395)-FTE
DOD-FTE
DOD-FTE
Brookings
Institution
(424)-SGE
(1678)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
411-425, 787, 1537, 1615. See Tab 20 attached to this
Memorandum.
Working Group 15, •veterans•, of Cluster Group IV was composed
of the following members:
GROUP
15 -
VETERAHS
GROUP 15 LEADER -
KAREN WALTERS, Veterans Affairs-FTE
ALPERT, CYNTHIA
BANDEIAN, STEVE
BREW, WILLIAM
BUENO, :IRENE
Veterans Affairs-FTE
OMB-FTE
House VA Comm--Check CD.
Policy Assistant (426) SGE, White
Bouse (First Responses) : Not Listed
1678-1679 - Unemployed (732)
DOD-FTE
HHS-HCFA-FTE
Sen. ·campbell (CD, Vol. I, P. 282)FTE
OMB-FTE
Associate Dean,
VA,
SUNY/Stony
Brook,
79
Middleville
Road,
Northport, NY 11768: 914/939-2745
(427, 428, 429)-FTE (843)
Veterans Affairs-FTE
HHS-IHS-FTE
Veterans Affairs-FTE
Designee of Commerce Secretary Ron
Brown to the Task Force: Acting
Assistant Secretary for Policy &
Planning (432)-FTE (847) - Veterans
Affairs
Brookings (426)-SGE/HBS (1679)
COX, KENNETH
ERMANN, DAN
EVANS, JENNIFER
GRAMS, TODD
HORVATH, TEOMAS
IBSEN, RALPH
LINCOLN, MICHAEL
NORMAN, ALLINE
RAYMOND, VIC
WEIHER, JOSH
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
426-437, 788, 1536.
See Tab 21 attached to this
Memorandum.
Working Group 16, "Federal Employees' Health Benefits Plan• of
Cluster Group IV was composed of the following members:
65
�FEDERAL EMPLOYEES HEALTH BENEFITS PLAN
GROUP 16 -
GROUP 16 LEADER -
CURT SMITH (443), OPM-FTE
BANDEIAN I STEVE
BOERUM, DENISE
BLOCK, ABIGAIL
BRUNS, KEVIN
COPELAND, ROBERT
CROW I SHELLY
OMB-FTE
Senate Committee (CD, Vol. I, P. )
OPM-FTE
Rep. Gray (CD, Vol. I, P. 928)-FTE
Labor-FTE
Second Chief 1 Muscogee Creek Nation5GB (1678)
White Bouse Policy Assistant-SGE
(First Responses): Not Listed 16781679
Senate
Governmental
Affairs
Committee (CD, Vol I, P. 30)-FTE
( 446) No Official status Given contractor [see Tab ]
Senate ·Select Committee on Indian
Affairs, P. 1018)-FTE
HHS-IHS-FTE
Education & Labor (CD, Vol. I, P. )
OMB-FTE
CEA-FTE
HHS-FTE
OPM-FTE
Labor-FTE
Rep. Gray (CD, Vol I, P.
)
OMB-FTE
GEBAN I
MARGERY
GLEIMAN, EDWARD
JONES I STANLEY
JOSEPH-FOX, YVETTE
LINCOLN 1 MICHAEL
LOPATIN, ALAN
NAKAHATA I PETER
POSEY, KENDALL
SCHMID I STUART
SMITH I CURTIS
SVENONIUS, DIANE
WEISS, GAIL
WYLER I ROBERT
SOURCES:
Declarations of Marjorie Tarmey, Document Nos.
4~8-4461
See Tab 22 attached to this
789, 1535, 30029.
Memorandum.
Working Group 16A 1 •other Government Programs• of Cluster
Group
rv, was composed of the following members:
GROUP
16A-
O'J:BER GOVERlOIERT PROGRAMS
GROUP 16A LEADER -
MICHAEL LINCOLN, HHS-IHS-FTE
BANDEIAN I STEVE
SHELLY
OMB-FTE
Second Chief, lluscogee Creek Nation8GB (1678)
OMB-FTE
Senate Committee on Indian Affairs
(CD, Vol I, P. 1018)-FTE
WHO - Policy Assistant-SGE ( 1678)
IHS-FTE
IHS-FTE
CROW I
DOROTINSKY, BILL
JOSEPH-FOX, YVETTE
KLINE I JEMlfiFER
LINCOLN 1 MICHAEL
McCLOUD, MARMADUKE
66
�MILLER, CAROL
NAKAHATA, PETER
REYES, LUANA
SCHOENING, ATHENA
WEINER, JOSH
WIGGINS, CLIFF
Mountain Management Co.,
MN-SGE
(First Responses) - Not Listed 16781679)
OMB-FTE
HHS-IHS-FTE
HHS-IHS-FTE
Brookings Insti tution-SGE/HHS ( 1679)
HHS-IHS-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
449-452, 30030, 30031.
See Tab 23 attached to this
Memorandum.
Cluster V,
"Bioethics or Ethical
Foundations of the Hew
System•, consisted of one Working Group, that being Working Group
17, "Bioethics•.
Working Group 17, "Bioethics•, of Cluster Group
V, consisted of the following members:
CLUSTER V -
ETHICAL FOUHDATIOHS OF THE HEW SYSTEM
WORKDIG GROUP 17 -
BIOETHICS
GROUP 17 - co-LEADER
HAHCY
DUBLER,
Montefiore
Medical Center
MARIAH
SECUHDY,
University
ASCH, ADRIEHRE
BAYER, ROHALD
BROCK, DAHIEAL
CAPLAH, ARTHUR
DAHIELS, HORMAH
DOCKERTY, CHARLES
DORFF, ELLIOTT
DULA, AHHETTE
ELLIS, GARY
Howard
B. u. School of Social Work
Columbia University School of Public
Health
Director of Center for Biomedical
Ethics
University of Minnesota, Center for
Biomedical Ethics
Tufts University
Ho affiliation listed
Provost, Professor, University of
Judaism
Rockefeller Fellow, University of
Colorado
Office for Protection from Research
Risks
Harvard Medical SchoolfDana Farber
cancer Institute
EVAH, ABIGAIL R.
Princeton Theological Seminary
FAHEY, MGSR CHARLES Third Age Center
FLECK, LEN
Michigan State
POST, HORMAH
University of Wisconsin
EMAHUEL, EZEKIAL
67
�University of New Mexico, Director,
Center for Health law and Ethics
American Society of Law, Medicine &
GOSTIN I LAWRENCE
Ethics
Georgetown University Law Center
KING, PAT
Chief,
Medical
Staff,
Larabida
LANTOS I JOHN
Hospital
The Orphan Project Fund
LEVINE I CAROL
USCF, Director, Program in Medical
LO, BERNARD
Ethics
SHU Professor of Ethics
MAY, BILL
University of Pittsburgh Center for
MEISEL, ALAN
Medical Ethics
NYU
Independence
Professor
of
MEZEY I KATHY
Nursing
University of Minnesota, center for
MILES I STEVEN
Biomedical Ethics
O' CORNELL, LAWRENCE Boward University School of Medicine
Post-Doc Associate, Yale University
OSSORIO I PILAR
School of Medicine
creighton University Center for
PORTILO I RUTH
Bea1th Po1icy and Ethics
Boward University Divinity School
SANDERS I CHERYL
Boward University, Medical Ethics
SBCOHDY I MARIAN
OMB-Not Listed as an FTB on 840-849
TURMAN I RICHARD
GIBSON, JOAN
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
453-469, 867, 1538.
See Tab 24 attached to this
Memorandum.
Cluster Group VI, •Transition to the Hew System Short-Term
Cost Controls•, consisted of Working Group 18,
System
Deve1opment•,
Working
Group
8
19,
Acce1erating Hew
•administrative
Simplification• and Working Group 20, •Interim .Cost contro1s•.
see
Tab 25 attached to this Memorandum.
C1uster Group VI, •Transition to the Hew System Short-Term
Cost Constro1s•,
CLUSTER VI -
and its leader was listed as follows:
TRANSITIOH TO THE
1fBif
SYSTEM
SHORT-TERM COST CORTROLS
CLUSTER LEADER -
PAUL
STARR,
Princeton
(1763)-SGB/BBS (1678)
68
University
�Working Group 18, "Accelerating New System Development", of
Cluster Group VI, was composed of the following members:
GROUP 18 -
ACCELERATING NEW SYSTEM DEVELOPMENT
GROUP 18 LEADER -
LOIS QUAM (1760), SGE-HHS (1678)
ON TAP:
ALAIN ENTHOVEN, FROM OTHER CLUSTERS: WALTER
ZELMAN, RICK KRONICK, RICK CURTIS, ATUL GAWANDE (474)
Hennepin County, Minnesota Bureau of
Health, Director of Health Policy
(Stayed at the Holiday Inn Crowne
Plaza,
Metro Center)
(478);
No
Official Status Listed; Listed as
"Intergovernmental
Representative
from
National
Association
of
counties on 1786, But List Does Not
Show Participation in Group 18;
Listed as Participant in the Task
Force in First Responses
Rep. Cardin (CD, Vol. I, P. 936)-FTE
CAVANAUGH I SEAN
HHS-FTE
DELEW I NANCY
EPSTEIN I ARHOLD
Robert
Wood
Johnson
Fellow,
Sponsored by Harvard Medical School
&
Brighalll
&
Women's
Hospital;
Serving in the Office of Sen. J.
Rockefeller IV ( 4 79) ; Listed as SGE
( 1678) [See Tab 56 Attached to this
Memorandum]
GARCIA, JOSEPH
CUyahoqa County, Ohio Department of
Human
services
(Stayed at
the
Americana Hotel)(478) -Listed as a
Participant;
No Official Status
Given; Not Listed as SGE on 16781679: Listed as "Interqovernmental
Representative"
from
National
Association of counties on 1786, But
List Does Not Indicate Participation
in Group 18.
GREENBERG, GEORGE
HHS-FTE
KELLEY, LAUREN
White House Policy Assistant - SGE
(1678); Columbia University (732)
LANGENBRUNNER, JACK OMB-FTE
LEMASURIER, JEAN
HHS-HCFA-FTE
LUKOMNIK, JOANNE
contractor from NYC ( 4 78) ; SGE/HHS
(1678)
McLAUGBLDf, DAN
No Affiliation Listed; Stayed at the
Holiday Inn Crowne Plaza, Metro
Center ( 4 78) , Like Benavides; No
Official Status
BENAVIDES I EJ.T,g
69
�MILLER, CAROL
O'BRIEN I MARY JO
QUAM, LOIS
QUIST I JANET
SCHUMANN, BETH
STARR, PAUL
WELCH, PETE
WIIAHG I
JUDY
ZAWISTOWICH, LU
ZARABOZO, C.
Mountain Management co. , NM - SGE
(First Responses) - Hot Listed as
SGE on 1678-1679
Rational
Governors
Association,
Minnesota: Listed as Representative
from Intergovernmental Organization
on 1786: No Official Status Listed
VP, United Health Care Corporation,
SGE (1678)
Listed
as
Representative
of
Intergovernmental Organization from
Rational League of Cities (1786): No
Official Status Given
HHS-FTE
Princeton University - SGE (1678)
The Urban Institute- SGE/OMB (1679)
BHS: Hot Listed as an FTE on 840849: called "Policy Analystn in
First Responses
HHS-FTE
HHS-FTE
SOURCES: Declarations of Marjorie 2'armey, Documents Nos.
478-487 1 724-729 1 790 1 1313-1315 1 30101.
See Tab 26
attached to this Memorandum.
Working Group 19, "Administrative Simplification", of Cluster
Group VI, was composed of.the.following members:
GROUP 19 -
ADMINISTRATIVE SIMPLIFICATION
GROUP 19 LEADER -
TIM HILL I HHS-FTE
ON TAP - BERT TOBIN, RICHARD SHARPE, THE HARTFORD
FOUHDATIOH (477): FROM OTHER CLUSTERS: TOll PYLE, DAVID
EDDY (477)
ABRAMCBECK, F.
EDS Health Care; No Official status
(30027)
ABRAMSON I
LEONARD
ALBERTIRE I JIM
ALEXARDRE I
LESLIE
BARRETT I LEE
BATALDEN, PAUL, MD
BUFFINGTON I MAX
CAULEY, IIAifK
CBERTOPP I
STEVE
US Health Care; No Official Status
Albertine Enterprises ( SJIIS) ( 30028) :
No Official status
EDS ( 30028) ; lfo Official Status
Aetna ( 30028) ; No Official status
Hospital COrporation of America; No
Official Status
HHS-FTE
Telesis: No Official status
PCS Health systems; Ho Official
Status
70
�CONNELL, RICHARD
CURTIS, BENJAMIN
DOWLING, ALAN
GIEL, MICHAEL
GILLIGAN, T.J.
HILL, TIM
HERRELL, ILEANA
HUMPHRIES, BETSY
KRAKAUER, HENRY
KOSS I SHANN'AH
KOVHER, CHIUSTIHE
KUZMACK, RICH
LEDBE"I•I'ER, LEE
MACALEER, JDI
MALONEY, DAN
METZ I ARTHUR
MOSSER, GORDON
:NUDELMAN I
PETER
O'DONNELL, KEN
O'ROARK, FRARK
PICKERIHG I JDI
RICKSOH I NORENE
SCHROEDER, KATHY
SCOTT I JEAHHE
SILVA, JOHN
SOUDER, BARBARA
SOVDIERS, R.
STEPHENS, JACK
WESTOH I DAVID
WILSON, MARK
NEIC
(How
Aetna)
(30073);
No
Official Status
NEIC (How Aetna) : No Official Status
(30028)
Task Force (Hot Listed as FTE Phone 216/338-5866 - Which is the
Dowling's Home Humber)
AHCPR-HHS-FTE
University of Michigan Hospital; Ho
Official Status
Cooperative Healthcare :Networks; No
Official Status
CIS;Ho Official Status
HHS-FTE
us Public Health Service-FTE
:National Library of Medicine-FTE
Uniformed Services University of
Health Sciences-FTE
OMB-FTE
Hew York University; Ho Official
Status
OMB-FTE
SMS; :No Official Status (30027,
30028)
SMS Corporation- :No Official Status
Veterans' Affairs-FTE (844)
First Health; No Official Status
(30027, 30028)
Xnternist/Minnesota;
No
Official
status
Group Health Cooperative of Puget
SOund; Ro Official Status
HEXC (Row Aetna); Ro Official Status
(30027)
Blue cross/Blue Shied Ass'nfWEDX; Ro
Official status (30028)
JIEXC (Row Aetna); Ro Official Status
Telesis; Ro Official Status
William
Beumont
Hospital;
Ro
Official status
czs Technologies; Ro Official Status
OMB-FTE
WEDXjTravelers; No Official Status
(30027)
czs Technologies; Ro Official Status
(30027)
Lakeland Regional Medical Center; Ro
Official Status
T.be
Travelers/WED!;
Ro Official
Status ( 30028)
OMB-FTE
71
�WOLFORD, G. RODNEY
Alliant Health System; No Official
Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
477, 791, 30025, 30027, 30028, 30073, 30100, and List
Included in First Responses Entitled, "Administrative
Simplification", See Tab 27 attached to this Memorandum.
Working Group 20, •Interim Cost Controls•, of Cluster Group
VI, was composed of the following members:
GROUP 20 -
INTERIM COST CONTROLS
GROUP 20 LEADER -
DAVID CUTLER, CEA-FTE
ADDISON-BURTON, L.
Rep. Sabo (CD, Vol. I, P.930)
"Recorder" (30052)-FTE
The
Beller
School,
Brandeis
University.
In Handwriting, •BBSConsultant•
(480):
No Official
Status
Given;
Not
Listed
as ··
Participant in First Responses; No
other Docum.entation. Note: Alan B.
Cohen, Former RWJF Trustee is now at
the Beller School and is on the
Editorial Board of Beal.t;b Mfairs
[See Tab 56 Attached to this
Memorandum]
HHS-ACHPR-FTE
LABOR-PWBA-FTE
HHS-FTE
HHS-HCFA-FTE
HHS-HCFA-FTE
Rep. Cardin (CD, Vol. I, P. 936)-FTE
Rep. Cooper (CD, Vol. I, P. 936}-FTE
Select CODIIIli.ttee on Aqing (Lost
Appropriation 3/31/93)-Listed as
P'l'E-841
CEA-FTE
Vice President, the CoJIIDlOnwealth
Fund, Member of Physicians Payment
Review CoDIIIli.ssion (PPRC) (See Also
484, 488, 492, 496, 499); No
Official Status Given; Hot Listed as
a Participant in First Responses
HHS-HCFA-FTE
Sen. Budget (CD, Vol. I, P.
)-FTE
Sen. Rockefeller (CD, Vol. I, P.
352-FTE
In Handwriting, •consultant• (480,
488, 493, 496); The Jackson Hole
AL'l'MAN I
STUART
BALL, JUDY
BRIGGS, BETTY
BUFFINGTON, MAX
BURNEY I IRA
BUTO, KATHLEEN
CAVANAUGH, SEAN
CHAMBERS, CAROLINE
COSTER, JOHN
CUTLER, DAVID
DAVIS I KAREN
DEWANE, MARY
DEIGNAN, KATHY
DONESKI, ELLEN
ENTBOVEN I ALAIN
°
72
�FINIGAN, TOM
FITZMAURICE, M.
FRIEDMAN I BERNARD
GREENBERG, GEORGE
HASH I MICHAEL
HILL, TIM
KELLEY, LAUREN
KING I ANDREA
KOLUDNER 1 ROBERT
KOSS I SHANNAH
KRAKAUER I HENRY
KUZMACK I RICH
LANGENBRUNNER, J.
LEATHERS I HOWARD
LEE, PHILIP
LUTTER,. RANDY
NEXON, DAVID
NICHOLS, LEN
O'NEILL, KIM
0' BRIEN, MARY
JO
POTETZ, LISA
QUAM, LOIS
REIRBARDT, UWE
RILEY, IREHE
Group, Inc.; No Official Status
Given; Not Listed as a Participant
in First Responses.
Sen. Baucus (CD, Vol. I, P. 268)-FTE
(Identifies Self as "Congressional
Fellow" on Sign-In List)
HHS-FTE
HHS-FTE
HHS-FTE
Rep. Waxman (CD, Vol. I, P. 712)-FTE
HHS-HCFA-FTE
White
House
Policy
Assistant
(30052); Columbia University (732)SGE (1678)
Rep. Gephardt (CD, Vol. I, P. 532)FTE
Veterans Affairs-FTE
OMB-FTE
Uniformed Services University of
Health Sciences-FTE
OMB-FTE
OMB-FTE
CEA-FTE
(In
Handwriting,
•BBS-Special
Government Employee•).
Director,
Robert Wood Johnson Foundation (See
A1so 485, 489, 494, 497, 500) (See
Tab 56 Attached to this Memorandum):
No Official Status Given, Not Listed
as a Participant in First Responses.
OMB-FTE
Labor Comm. (CD, Vol. I, P.395)-FTE
OMB-FTE
CEA-FTE
Rational
Governors
Association,
Minnesota ( 490) : No Official Status
Given - Listed as Representative of
Interqovernmental Orqanization, RGA
on 1786)
Sen. Finance (CD, Vol. I, P.
)(In Handwriting, •BBS Spec Gov Emp•)
(482, 490, 494, 497, 500) VP, United
Health Care Corp-SGE (1678)
(In Bandwriting, •eonsultant•) ( 482,
486, 490, 494, 497, 500) Princeton
University;
No Official
Status
Given; Hot Listed as a Participant
in First Responses
Rational Association of Counties
{1787); Listed as Representative of
Interqovernmental Orqanization; No
Official Status
73
�RODRIGUEZ, LOUISE
ROSEN, BOB
SHEINGOLD, STEVE
SILVA, JOHN
SOLOMON, LOEL
STARR, PAUL
THORPE, KEN
UKOCKIS I JAMES
WERNER I MICHAEL
WILSON, MARK
Veterans Affairs-FTE
Sen. Mitchell (CD, Vol. I, P. 1096)FTE
HHS-HCFA-FTE
Uniformed Services University of
Health Sciences-FTE
Sen. Kennedy (CD, Vol. I, P.
)(In Handwriting, •HHs-spec Govt
Emp•) {482), Princeton UniversitySGE (1678)
HHS-HCFA
Treasury-FTE
senate Democratic Policy committee
(CD, Vol. I, P. 403)-FTE
Labor-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
480-498, 790, 1539-1543, 1617-1625, 30052. See Tab 28
attached to this Memorandum.
Cluster Group VII,
•Financing•, consisted of one Working
Group, that being Working Group 21, •Financing." Working Group 21,
•Financing", of Cluster Group VII was composed of the following
members:
CLUSTER VII -
FINANCING
CLUSTER LEADER GROUP
21 -
ANTOS, JOSEPH
BERNER I KEVIN
CHARLES I GERALD
CORONADO, DAVID
FLYNN, ED
GALE, JOSEPH
GLAZE I STEVEN
HARDOCK I RANDY
HELLINGER, FRED
JACKSON, PAUL
KERY, PAT
KING, ROLAND
LYON, RANDY
MARINA WEISS, Treasury-FTE
FINANCING
HHS-FTE
Veterans' Affairs-FTE
Treasury-FTE
DC Commissioner of Health care
Finance ( 505) : No Official Status
Given: Listed as Intergovernmental
Employee in First Responses
OPM (503)-FTE
Sen. Moynihan (CD, Vol. I, P. 980)FTE
Sen. Pryor (CD, Vol. I, P. 348)-FTE
Treasury-FTE
HHS-FTE
HHS-FTE
Rep. Kenelly (CD, Vol. I, P. 1023)FTE
HHS-FTE
OMB (502)-FTE
74
�MUNNELL I ALICIA
PATEL, PARASHAR
PETERSON, DOUGLAS
RAYMOND 1 VICTOR
RILEY, IRENE
SCIIEPPACH, RAYMOND
SCHNEIDER I ANDREW
SWIRE I ANDREW
TITUS I FRANK
UYEDA, MARY
WEISS, MARINA
I
MICHAEL
. woo
Treasury-FTE
OMB-FTE
National League of Cities (505,
512): No Official Status Given:
Listed
as
Representative
of
Intergovernmental
Organization
(1787)
Veterans Affairs-FTE
L.A. County Health Department -NACO
(505, 512) - No Official Status
Given, Listed as Representative of
Intergovernmental organization on
1787)
National Governors Association ( 521,
504, 509, 511, 514, 516, 518, 519):
No Official Status Given, Listed as
Representative
From
Intergovernmental
Organization
(1787)
Rep. Waxman (CD, Vol. I, P. 711)-FTE
OMB-FTE
OPM (502)-FTE
Rational Association of Counties
(505, 512): No Official Status
Given: Listed as Representative of
Intergovernmental
Organization
(1787)
Treasury-FTE
Energy & Comm (CD, Vol. I, P. 710)FTE
SOURCES: Declarations o:t Marjorie Tarmey, Documents Nos.
501-522, 793, 1544, 1545, 30109, 30110, 30032. See Tab
29 attached to this Memorandum.
Cluster
Underserved•,
Group
VIII,
"Health
consists· of
Policy
Working
Group
Initiatives
22,
"Health
for
the
Policy
Initiatives for the Underserved•, Subgroup A, •underserved Rural
and Inner City Areas•, Subgroup B, •vulnerable Populations/High
c, •women
Risk Populations 01 , Subgroup
and Children", and Subgroup
D, "Population-Based Public Health and Prevention•.
See Tab 30
attached to this Memorandum.
Cluster
Underserved•,
Group
VIII,
"Health
Policy
Initiatives. for
and its leader was listed as follows:
75
the
�CLUSTER VIII - HEALTH
POLICY
UHDERSERVED
Group
FOR
THE
MARK SMITH, Vice President, Kaiser
Family Foundation
CLUSTER LEADER Working
INITIATIVES
22,
"Health
Policy
Initiatives
for
the
Underserved", Subgroup A, "Underserved Rural and Inner City Areas",
of Cluster Group VIII, listed the following members:
GROUP 22 -
HEALTH POLICY
UHDERSERVED
INITIATIVES
SUBGROUP A -
UHDERSERVED RURAL
AHD
GROUP 22 LEADER GROUP 22 co-LEADER
GROUP 22A LEADER
ALLEN, LUCY
CARLSON, RON
CLARK, WILLIAM
CROW,
SHELLY
DEMTOH, DEH:ISE
DUNN, VAN
F:IH:IGAH, TOM
GROSS I LAUREN
HAYES I SHERRY
KEPNER, COLLEEN
LINK I KENNETH
PATEL, PARASHAR
SBDU.EY, AARON
SOBEL, LARRY
FOR
IHHER CITY
THE
AREAS
BONNIE LEFKOWITZ, HHS-FTE
SMI:TB, Vice President Kaiser
Family Foundation (1546)-SGE (1678);
Consultant ( 526)
ARB
ztJVEKAS,
Center for Health
Policy Research (962); Ro Official
Status-SGE (First Responses) , Hot
Listed on 1678-1679
MARK
CEA-FTE
HHS-FTE
Robert Wood Johnson Fellow Sponsored
by University of Florida; in Sen.
Bumpers (D-AR) Office-FTE (841) [See
Tab 56 Attached to this Memorandum]
Second Chief, Huscogee creek Nation
(30034)-SGE (1678)
Colorado Rural Health Resource
Center-SGE (First Responses) ; Hot
Listed in 1678-1679
Sen. Kennedy (CD, Vol. I, P. 395)FTE (30034)
Congressional Fellow Sponsored by ??
in Sen. Baucus' Office-FTE (842)
Sen. Pell (CD, Vol. I, P. 991)-FTE
(30034
Sen. Kohl (CD, Vol. I, P. 1001)-FTE
Rep. Stenholm (CD, Vol. I, P. 768)FTE
Veterans Affairs-FTE
OMB-FTE
Director,
Jackson-Binds
Comprehensive
Health
Center-SGE
(1678) (30034)
DOD-FTE
76
�SPRINGER, M.
STEELE, PAMELA
SYKES, KATHEY
VELOZ I RICHARD
ZUVEKAS I
ANN
Treasury-FTE
Veterans Affairs-FTE
Rep. Obey (CD, Vol. I, P. 1122)-FTE
Formerly, House Aging Committee
Which Lost FUnding
3/31/93-SGE
(First Responses) : Not Listed as SGE
on 1678-1679
center for Health Policy Research:
No
Official
Status-SGE
(First
Responses only
GROUP 22A SUBGROUP - HIV
HIV SUBGROUP
CHAIR
BERGTHOLD 1 LINDA
BROSTROM, MOLLY
HEENAN, CHRISTINE
ISKOWITZ, MICHAEL
LASKER, ROZ
MATHER, SUSAN
MAXWELL, CELIA
STONE ROBYN
PETERSON I BOBBIE
WESTMORELAND, TOM
I
MET WITH
w. H. Mercer, Inc.-SGE (1678) (1239)
WBO-SGE-Policy Assistant
Domestic Policy staff, White House
(1239) - Listed as FTE-HHS (843)
Sen. Kennedy (843)-FTE
PPRC-SGE ( 1678)
Veterans Affairs-FTE (846)
Volunteer from Boward University
Project BOPE-SGE (1679)
No Official status (1238)
Rep. Waxman (CD, Vol. I, P. 711)-FTE
GROUP 22A
REGINA ARAGAN
BILL BAILEY
CORNELIUS BAKER
TERRY
Vice President, Kaiser
Family Foundation
MARK SMJ:TH,
BESWICK
san Franciso AIDS Foundation
American Psychological Association
National Association of People With
AIDS
AIDS Research Policy Analyst With
BRCF
LEONARD
BLOOM
ANNE BROOMFIELD
PAUL DEDONATO
SONDRA ESTEPA
RUTH FINKELSTEIN
JDI GRAHAM
DAVID HARVEY
DEBRA FRZER-HOWZE
DR. BILLY JONES·
CEO, AIDS Project Los Angeles
Greater Baltimore B:IV· & Health
Services Planning Council
Health Care Finance Expert (san
Francisco)
Latino Commission on AIDS
Director, Public Policy, GMHC, New
York
Executive Director, Whitman-Walker
Clinic
Rational Pediatric B:IV Resource
Center
CEO, Black Leadership Co.mission on
AIDS
Executive
Director,
Health
&
Hospitals Corporation
77
�PAUL KAWATA
JEFF LEVI
CHRISTINE LUBINSKI
JANE SILVER
PETER STALEY
TODD SUMMERS
SANDY THURMAN
ROY WIDDES
National Minority AIDS Council
AIDS Action Council
AIDS Action Council
for
AIDS
American
Foundation
Research
Treatment Action Group
AIDS Housing Corporation
AID Atlanta
NCA
LAUREN FOGT
DEREK HODEL
TAG
B. J. SYLES
DAVID BARR
RLCA
JULIE SCOFIELD
REGGIE WILLIAMS
RASDAD
:NTFAP
TAG, GHHC
Rational Hemophilia Foundation
Rational Hinority Gay and Lesbian
Association
ETJ.EN RIKER
PHIL WILSON
KRIST:tN GEBBIE
JEFF JACOBS
AARON SHIRLEY
APHA
&l'EPHEN BOWER
FREDA MITCHEM
BHS
RACIIC
APHA
Jackson-Hinds Co:mprehensive Health
Center
BYRON J. HARRIS
u.s. Conference of Mayors
C. ATCII:tSOH
_ASTBO
VALEIUA MORBLL:t
ASTBO
SUSAN FORBES-MART:tH Commission on :t:mmigration Reform
ARTHORY J. LAWRENCE PHS
PENELOPE P:tHO
HCFA
MICHAEL KAJ:SER, MD Pediatric IUDS Program
AL:tC:IA BEATTY TEE
The Circle of care
BRIAR FEIT
Dimock Community Health Center
DAVID HARVEY
Department of Policy Analysis,
Rational Pediatric HIV Resource
Center
SOURCES: Declarations of Har jorie Tarmey, Documents Nos.
715, 716, 1234-1239, 1252-1253, 1327, 1328, 30033, 30034,
30035, 30058, 30059, 30091, 30120, 30173, 30176. See Tab
31 attached to this Memorandum.
Working Group 22, Subgroup B, •vulnerable Populations/High
Risk
Populations•,
of
Cluster Group VIII,
consisted
of
following :members:
GROUP 22 -
HEALTH
POLICY
ORDERSERVED
GROUP 22 LEADER -
IRIT:IATIVES
BONNIE LEFKOWITZ, HHS-FTE
78
FOR
THE
the
�GROUP 22 CO-LEADER
SUBGROUP B
MARK SMITH, Vice President, Kaiser
Family Foundation ( 1546) -SGE ( 1678) ;
Consultant (526)
POPULATIONS/HIGH
VULNERABLE
POPULATIONS
SUBGROUP B LEADER - JOANNE LUKOMNIK,
(545)-SGE (1678)
DUNN, VAN
ELDERS, JOYCELYN
FIEDELHOLTZ, J.
FINIGAN I TOM
FISKE, MARY BETH
HANDY I CAROLYN
HAYES, SHERRY
HEADLEY, ELWOOD
BOHAN, J.
ISKOWITZ, M.
KATTAN I AZAR
KEPNER, COLLEEN
KOPLAN, JEFF
LEFKOWITZ, BONNIE
LEWIS-IDEMA, D.
LEVINE I DEBBIE
LURIE I ALBXAMDER
LINK I KENNETH
LUKOMNIK, JOANNE
MATHER SUSAN
McKENNEY, NAMPEO
OBEY, CRAIG
OLIVER, JUDY
PATEL, PARASHAR
QUAM, LO:IS
REINECKE I PETER
RICHARDSON I
SALLY
RODGERS I JUDITH
M.D. ,
RISK
Consultant
Sen. Kennedy (CD, Vol. I, P. 395)FTE
Arkansas
Department
of
Health
(1310); No Official status Assigned
HHS-PHS-FTE
Congressional Fellow; Sen. Baucus;
Not Listed in Directory-PTE (842)
Sen. Labor (Kennedy) (CD Vol. I, P.
395)-FTE
CEO, Blacks Educate Blacks About
Sexual Health Issues-SGE (1678)
Sen. Kohl (CD, Vol. I, P. 1001)-FTE
VA-FTE
Commission
on
Aging;
Not
in
Directory-PTE (843)
Sen. Kennedy (CD, Vol. I, P.
)
Rep. Matsui (CD, Vol. I, P. 586)-FTE
Rep. Stenholm (CD, Vol. I, P. 768)FTE
Centers for Disease control-FTE
HHS-FTE
MDS
Associates
(COnsultant)-FTE
(844)
White Bouse Policy Assistant-SGE
(1678)
No Official Status Assigned
Veterans Affairs-FTE ·
Consultant-SGE ( 1678)
Veterans Affairs-FTE
Census-FTE
Sen. conrad (CD, Vol. I, P. 1068)FTE
HHS-FTE
OMB-FTE
V.P.,
United
Health
Care
Corporation-SGE (1678)
Sen. Harkin (CD, Vol. I, P. 396)-FTE
West Virginia Health Care Planning
COmmission; (•consultant•) (1312)SGE (First Responses)-Not Listed
1678-1679
BHS-Not Listed as PTE, 840-846
79
�ROWLAND I DIANE
SHINN, RITH
SHIRLEY, AARON
SMITH I BARBARA
SMITH, ELMER
SMITH, MARK
SOBEL, LARRY
SPRINGER, M.
STEELE I PAMELA
SYKES, KATHY
TOWNSEND, JESSICA
Kaiser Commission on the Future of
Medicaid: Johns Hopkins UniversitySGE (1678): No OFficial Status, Not
Listed in First Responses
Department of Labor-FTE
Jackson-Hinds Comprehensive Health
Center-SGE (1678)
National Governors Association ( SD)No Official Status:
Listed as
Representative of Interqovernmental
organization (1786-1787)
HHS-HCFA-FTE
Vice
President,
Kaiser
Family
Foundation ("Consultant") (1312)-SGE
(1678)
DOD-FTE
Treasury-FTE
Veterans Affairs-FTE
Rep. Obey (CD, Vol. I, P. 1122)-FTE
HHS-PHS-FTE
SOURCES: Declarations or Marjorie Tarmey, Documents Nos.
1310-1312, 30056.
See Tab 32 attached to this
Memorandum.
Working Group 22, Subgroup c, "Women and Children", of Cluster
Group VIII, consisted of the following members:
GROUP 22 -
HEALTH
POLICY
INITIATIVES
FOR
THE
UNDERSERVED
GROUP 22 LEADER
BONNIE LEFKOWITZ, HHS-FTE
GROUP 22 co-LEADER
MARK
SUBGROUP C KATHY BASSET
JEAHNIE ROSO
RACHEL GOLD
RAE CERAD
MARY CARPENTER
AARON SHIRLEY
SMITH, Vice President, Kaiser
Family Foundation ( 1546) -SGE ( 1678) :
Consultant (526)
WOMEN AND CHILDREN
American College of Obstetricians
and Gynecologists
Alan Guttmacher Institute
Alan Guttmacher Institute
National
Commission to Prevent
Infant Mortality
National
Commission to Prevent
Infant Mortality
SiCJDS in as "BBS", Gives JacksonBinds Comprehensive Health Center,
Jackson, MS, Phone Number: RB: on
80
�2/18/93 signed in as "Jackson-Hinds
HC" (30059)
PETERS 1 D. WILLIAM National Association of Children's
Hospitals and Related Institutions
National Association of Children's
LARRY McAHDEREWS
Hospitals and Related Institutions
Office on Women's Health; U.S.
AGNES H. DONAHUE
Public Health Service/HHS
PHS, Office of Population Affairs
JERRY BENNET
MCHB/HRSA/PHS
CAROL GALATZ
Department of Aqriculture/Food &
RONALD J. VOGEL
NutritionjWIC
American Academy of Pediatrics
JACKIE NOYES
ASPE/HHS
ANNE SEGAL
Planned Parenthood Federation
EI.r.p BATISTILLI
Planned Parenthood Federation
BILL HAMILTON
Children's Defense Fund
CAROL REGAN
National Coalition of Hispanic
ADOLPH P. FALCON
Health
&
Human
Services
Orqanizations
Chief,
OUtpatient Services,
DC
'RJJ.Q YUHG-FATAB
Department
of
ConslDler
and
Regulatory Affairs
FREDERICK C. FOARD Chair, National Operations Board,
National llinority Health Association
Executive
Director,
National
LEROY ROBINSON
Minority Health Association
NMBA Meeting & Conference Planner,
BILL CHAMBRES
Newsletter Editor
LUCY ALLEN
Council on Economic Advisors
RUTH SHINN
Women's Bureau, Department of Labor
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
30092, 30093. See Tab 33 attached to this Memorandum.
Workinq Group 22, Subpart D, "Population-Based Public Health
and Prevention", of Cluster Group VIII, consisted of the followinq
members:
GROUP 22 -
HEALTH
POLICY
UHDERSERVED
INITIATIVES
FOR
THE
GROUP 22 LEADER
BONNIE LEFKOWITZ, HHS-FTE
GROUP 22 co-LEADER
MARK SMITH, Vice President, Kaiser
Family Foundation (1546)-SGE {1678):
Consultant {526)
SUPGROUP D -
POPULATION-BASED
PREVENTION
81
PUBLIC
HEALTH
�JOANNE LUKOMNIK, MD NYC Phone Number Given--Private
Physician (lUIS) (525)-SGE (1678)Consultant (545)
SUSAN MATHER, MD
OMB-FTE
LUCY ALLEN
CEA-FTE
Veterans Affairs-FTE
KEN LINK
Census-FTE
NAMPEO McKENNEY
George Washington University Center
ROSENBAUM, SARAH
for Health Policy Research; Listed
as "Others to Whom Information
Should be Sent" (545); Listed as
"White House" on 1546, but Phone
Number Listed is for the GWU CHP.R;
Signs in as "White House", but Gives
Phone Number for GWD CHP.R ( 30150,
30151) ; Same Phone Number as Ann
zuvekas Below
Johns Hopkins University, Kaiser
ROWI..AHD I DIAHE
Commission
on
the
Future
of
Medicaid; Listed Among "Others to
Whom Information Should be Sent" on
545; Listed as SGE-White House
(1678)
RYAN, ELAINE
Rep. Slaughter (CD, Vol. I, P.
),
Women's Task Subgroup-FTE (847)
SHINN, RUTH
Labor (526)-FTE
SHIRLEY I AARON
Jackson-Binds Comprehensive Health
Center (526)-SGE (1678)
SMITH, MARK
Vice
President,
Kaiser
Family
Foundation ( 526) ; consultant ( 526,
1312); SGE-BBS (1678)
SOBEL, LARRY
Defense-FTE
STEELE I PAMELA
Veterans Affairs-FTE
VELOZ I RICHARD
Formerly House Select Committee on
Aging,
Appropriations
Expired
3/31/93; Hot Listed as FTE 840-840,
Listed as consultant (526)
YAMAMOTO, ALAN
Rep. Abercrombie (CD, Vol. I , P.
436)-FTE
ZETTLER I SUSAN
Rep. Strickland (CD, Vol. I, P.
654)-FTE
ZUVEKAS I ANN
George Washington University Center
for Health Policy 296-6922 ( 527) ;
Listed as Consultant (545); Ho
Official Status in Any of the
Responses
JEFF KOPLAN
CDC Phone Number Given-FTE
MARTHA KATZ
CDC Phone Number Given-FTE
BOB KEEGAN
CDC Phone Number Given-FTE
CHERYL AUSTEIN
HHS Phone Number-FTE
CARRIE, BILLY
Sen. Bingaman (CD, Vol. I, P. 271)FTE
82
�SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1546, 1547, 30036.
See Tab 34 attached to this
Memorandum.
Cluster Group IX, "Mental Health", consisted of Working Group
23,
"Benefits Package",
Working Group 24,
"Substance Abuse",
Working Group 25, Children's Services", and Working Group 26,
"Public System Impact/Special Populations".
See Tab 35 attached to
this Memorandum.
Cluster Group IX, "Mental Health", and its leader are listed
as follows:
CLUSTER IX-
MENTAL HEALTH
CLUSTER IX LEADER - BERNARD ARONS, HHS-NIMH-FTE
Working Group 23, "Benefits Package", of Cluster Group IX,
consisted of the following:
GROUP 23 -
BENEFIT PACKAGE
GROUP 23 LEADER -
NONE LISTED (1761)
ARONS I BERNARD
BARSTOW SCOTT
HHS-NIMH-FTE
Rep. Kopetski (CD, Vol. I, P. 570)FTE
White House communications-FTE
Defense-FTE
( 566) Mental Health Economist, Johns
Hopkins University
BHS CMBS-SGE {1678)
Office of the Vice President
lUIS-NIB, Rep. Strickland-PTE ( 842) ;
Part-time
COngressional
Liaison
{1626)
Office of the Vice President
Office of the Vice President
Veterans Affairs-FTE
BHS-SGE ( 1678) ; Part-time Volunteer
(1626)
HHS-FTE (846)
HHS-FTE (846)
BOORSTIN, ROBERT
BROCK I PETER
PRANK, RICHARD
GOLDMAN I BOWARD
GORE, TIPPER
GUST, STEVEN
BARIUS, · SiaLA
BAYES, CHARLOTTE
HORVATH 1 THOMAS
IIELMAH,LORI
MELNICK I DANIEL
NORQUIST, GRAYSON
83
�PIRES I SHEILA
ROSENMAN, PAT
SCHUSTER, JAMES
STEPHENS, SHARMAN
STOLINE I ANNE I MD
STROUL, BETH
TIMS, FRANK
WEICH, RONALD
ZETTLER, SUSAN
Part-time Consultant, HHS (1627):
202/333/1892,
Human
Services
Collaborative (1692) - See Sign-in
List (30038): Not in Directory:
Responses Say She Works for Riegle:
Riegle's Office Never Heard of Her
HHS-FTE (847)
Rep. Strickland (Not in Directory) Law Student from George Washington
University: Now Back at School
According to Strickland's Office at
10:45 a.m. on 1/27/94 - He was an
J:ntern
HHS-FTE
Psychiatrist at Springfield State
Hospital, Maryland (867); Classified
as nWhi te Hausen on 796 and as a
Full-time Volunteer from the State
of Maryland (572, 1627)
Part-time Consultant to HHS (1627);
SGE-HHS-CMHS
(1679); Dimensions,.
J:nc., According to Phone Number on
30041
HHS-FTE
Sen. Labor and HR Committee (CD,
Vol. I, P. 1137)-FTE
Rep. Strickland (CD, Vol. I , P.
~S4)-:-FTE
ON 566 THE POLLOWJ:NG NAMES ARE ADDED TO THE GROUP:
SPECJ:AL AREAS:
EFFECTJ:VENESS ( 566)
FULLER, DICK
HAVERKOS I HARRY
KEITH, SAM
TIMS, FRANK
DATA
AND
QUANTJ:TATJ:VE AHALYSJ:S
FRANK, RICHARD
MELNICK, DAN
MANDRSCHIED, RON
REFIER, DARRELL
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
537-580, 796, 1140, 1240, 1241, 1338, 1549, 1550, 16261630, 30034-30037, 30111, 30145-30167, 30178. See Tab 36
attached to this Memorandum.
84
�Working Group 24, "Substance Abuse", of Cluster Group IX,
consisted of the following Members:
GROUP 24 -
SUBSTANCE ABUSE
GROUP 24 LEADER -
NONE LISTED (1761)
HHS-NIMH-FTE
HHS-FTE
DOD-FTE
HHS-FTE
!DIS-NIH (First Responses) -FTE-Rep.
Strickland (841); Rep. Strickland's
Office Rever Heard of Him; nor sen.
Wellstone's Office
OVP-FTE
HARRIS, SKILA
Montgomery county Department of
HOLT I HERBERT
Addiction Services (537, 539, 543)
MELMAN, LORI
!DIS-Rot Listed as FTE on 846; Listed
as SGE (1678); Listed as Part-time
Volunteer (1626)
MELNICK I DANIEL
HHS-FTE
NOBLE, JONATHAN
NIAAA/HHS-FTE (846)
ROUSE I BEATRICE
HHS-FTE
SCHECKEL, LISA
.HHS-FTE
STEPHENS, SHARMA
HHS-FTE
STOLINE I AHHB
Psychiatrist at Springfield state
Hospital, Maryland (867); courtesy
Staff Psychiatrist, Sheppard-Pratt
Hospital,
Baltimore
(764)-SGE
(1695); Full-time Volunteer, State
of Maryland (1627)
TRACHTENBERT I ALAN HHS-FTE
WOODWARD I ALAN
HHS-FTE
ARONS, BERNARD
BLOSS, GREGORY
BROCK, PETER
GOPLERUD, ERIC
GUST, STEVE
SOURCES: Declarations o:f Marjorie Tarmey, Documents Nos.
552, 556, 569, 578, 795, 1316, 1317. See Tab 37 attached
to this Memorandum.
Working Group 25, "Children's Services", of Cluster Group IX,
consisted of the following members:
GROUP 25 -
CHILDREN'S SERVICES
GROUP 25 LEADER -
NONE LISTED (1761)
ARONS I BERNARD
HHS-NIMH-FTE
Georgetown
University
Child
Deveopment center ( 538)
Office of the Vice President
GOLDMAM I SYBIL
GORE I TIPPER
85
�HARRIS, SKILA
KATZ-LEAVY, JUDITH
MELMAN I LORI
MELNICK, DANIEL
PIRES I SHEILA
RICKEL I AHHETTE
STEPHENS, SHARMAN
STOLINE I ANHE
STROOL, BETH
Office of the Vice President
HHS
.
HilS-Not Listed as FTE: Listed as SGE
(1678):
Listed
as
Part-time
Volunteer (1627)
HHS-FTE
Human Service Collaborative (538)
Sen. Riegle - Office Never Heard of
Her
HHS-FTE
Psychiatrist,
Springfield
State
Hospital, Maryland (867)
Management Training & Innovations,
Inc. (703/790-0990) (538)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
558, 563, 567, 576, 797. See Tab 38 attached to this
Memorandum.
Working Group 26, •Public System Impact/Special Populations•,
of Cluster Group IX, consisted of the following members:
GROUP 26 -
PUBLIC SYSTEM DIPACT/SPEC:IAL POPULATIONS
GROUP 26 LEADER -
NONE LISTED (1761)
ARONS I BERNARD
GUST, STEVEN
HHS-NIMH-FTE
HilS-NIH, Rep. Strickland-FTE {842):
Part-time
Congressional
Liaison
(1626)
HHS: Part-time (1627): Listed as FTE
(843)
Office of the Vice President
Office of the Vice President
Veterans Affairs-FTE
HBS-SGE ( 1678) : Part-time Volunteer
(1626)
HHS-FTE (846)
HHS-FTE
Psychiatrist at Springfield State
Hospital, Maryland (867): Classified
as •White Bouse• on 796, and as
Full-time Volunteer from the State
of Maryland (572, 1627)
HARPER I MARY
HARRIS I SKILA
HAYES, CHARLOTTE
HORVATH, THOMAS
IIELKAN,LORI
MELNICK I DANIEL
STEPHENS, SHARMAN
STOLINE I ANNE I MD
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
557, 562, 568, 577, 812, 813. See Tab 39 attached to
this Memorandum.
86
�Cluster Group X, nLong Term Caren, consists of Working Group
27, "Long Term Care-Backgroundn, Working Group 28, nLong Term CarePublic Options", Working Group 29, "Long Term Private Optionsn, and
Working Group 30, "Cost and Revenue".
See Tab 40 attached to this
Memorandum.
Cluster Group X , "Long Term care", and its leader was as
follows:
CLUSTER LEADER -
ROBYN STORE, Project HOPE (584)
STAFF -
ATUL GAWANDE, 11 ASPE Staff Assistant.
Can Provide the Latest Master
Calendar." (585)
Working Group 27, nLong Term Care - Background", of Cluster
Group X, consisted of the following members:
GROUP
27 -
CHAIR -
LONG
TERM CARE -
BACKGROUND
MARY HARAHAN, (591) HHS-FTE
ALTMIRE I JASON
Rep. Peterson (CD, Vol. I, P. 921)-
ADLER I MICHELE
ASH, SHERRY
BLOOM, FELICIA
HHS-ASPE-FTE (840)
HHS-FTE (840)
Rep. Slaughter (CD, Vol. I, P. 647)FTE
Senate Committee on Aging-FTE
HHS-ASPE-FTE (841)
HHS-HCFA (781)-FTE (841)
HHS-ACF-ADD-FTE (841)
(781) Sen. Rockefeller (CD, Vol. I,
P. 352)-FTE
HHS-FTE
HHS-ASPE (No Official Status Given)
Robert
Wood
Johnson
Fellow,
Sponsored by University of Maryland
in the Office of Sen. Wofford (D-PA)
[See Tab 56 attached to this
MeJDorandum]: FTE-841
Veterans Affairs-FTE
HHS-ASPE-FTE
HHS-ASPE-FTE
FTE
BODE, HOLLY
CLARK, ROBERT
CLAUSER I STEVEN
DANIELS I SUSAN
DONESKI, ELLEN
DOTY I PAMELA
DRABEK I JOHN L.
ECKERT, KEVIN
GOODWIN, MARSHA
HARAHAN, MARY
KATZ, RUTH
87
�KELLEY I LAUREN
LIPNER, ROBYN
MILLER, NANCY
OTRIN I SUSAN
SIMON I MARSHA
SMITH, BETH
SOCHALSKI I JULIE
STONE I ROBYN
VELOZ I RICHARD
(585) Policy Assistant - WHO - SGE
(First
Responses):
Columbia
University (732)
Sen. Mikulski (CD, Vol. I, P. 395)FTE
HHS-HCFA-FTE
(585) WHO - Policy Assistant - SGE
(First
Responses):
Columbia
University (732)
Sen. Kennedy (CD, Vol. I, P. 395)FTE
Veterans Affairs-FTE
Robert
Wood
Johnson
Fellow,
Sponsored by Columbia University in
Sen. Bradley's Office (See Tab 56
attached to this Memorandum] : FTE
(846)
Project BOPE-SGE (1679)
Not Listed as FTE: Formerly Staff
Director, Bouse Select Committee on
Aging, Lost Funding 3/31/93. (Gives
BODle Address and Phone HUlllber as
Task Force Contact (584))
SOURCES: Declarations o~ Marjorie Tarmey, Documents Nos.
581-686, 781, 1309, 1552. See Tab 41 attached to this
Memorandum.
Working Group 28,
"Long Term care -
Public Options", of
Cluster Group X, consisted of the following members:
GROUP
28 -
LONG TERM CARE - PUBLIC OPTIONS
CHAIR -
PETER KEMPER, AHCPR ( 659) -FTE
BODE, HOLLY
Sen. Pryor (Senate Aqinq Committee)
(840)-FTE
HHS-FTE (841)
Sen. Rockefeller (CD, Vol. I, P.
352)-FTE
HHS-ASPE-FTE (842)
HHS-FTE (843)
Senate Aqinq Committee (CD, Vol. I,
P. 401)-FTE
HHS-ASPE-FTE (844)
Rep. Collins (CD, Vol. I, P. 1019)FTE
Council on Economic Advisors
OMB-FTE (844)
State of Arkansas
Veterans Affairs-FTE
DANIELS 1 SUSAN
DONESKI, ELLEN
HARAHAN, M.
HARVELL, J.
HOGUE, BONNIE
RUTH
KEENE, BRAD
KATZ,
LUCAS, DEBBIE
McCONNELL, S.
SIMPSON I BOBBIE .
SMITH, MARY B.
88
�Project HOPE-HHS SGE (1678)
OMB-FTE
Brookings Institution (Gives Phone
Humber - 797-6266) (1553) - SGE
(1679)
STONE I ROBYN
WASSERMAN, M.
WIENER, JOSH
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
782, 1553. See Tab 42 attached to this Memorandum.
Working Group 29, •Long Term Care Cluster
~roup
Private Options•, of
X, consisted of the following members:
GROUP 29 -
LONG
GROUP CHAIR DANIELS, SUSAN
DONESKI, ELLEN
GOODWIN, MARSHA
HARVELL, J.
KEENE, BRAD
LUCAS, DEBBIE
McCONNELL, S.
SMITH I MARY B·.
STONE I ROBYN
WASSERMAN M.
WIENER, JOSH
I
TERM CARE -
PRIVATE OPTIONS
PETER KEMPER ( 659)
HHS-FTE (841)
sen. Rockefeller (CD, Vol. I, P.
352)-FTE
Veterans Affairs-FTE
HHS-FTE (843)
Rep. Collins (CD, Vol. I, P. 1019)FTE
council on Economic Advisors
. OMB-FTE ( 844)
Veterans Affairs-FTE
Project HOPE-HHS-SGE (1678)
OMB-FTE
Brookings Znstitution (Gives Phone
Number 797-6266) (1553)-SGE (1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
783, 1554, 30045.
See Tab 43 attached to this
Memorandum.
Working Group 30, "Long Term Care - Cost and Revenue", of
Cluster Group X, consisted of the following members:
GROUP 30 -
LONG
BLOOM, FELICIA
Rep. Slaughter (CD, Vol. I, P. 647)FTE
National
Governors
Association
(30138): No Official Status
HHS-HCFA-FTE (840)
HHS-FTE
HHS-FTE (841)
Johns Hopkins University-SGE (1678)
Rational Governors Association (TX) :
Representative of Zntergovernmental
BROWN, MARY L.
BUCK, JEFF
DANIELS 1 SUSAN
ENGLISH, MIKE
FRANK, Rl:CBARD
FIUEDHOLM, DEAIDI
TERM CARE -
89
COST
AND REVENUE
�organization, Assigned to Group 8
(1787): No Official Status
National Governors Association ( sc) ;
No Official Status - Representative
of Intergovernmental Organization Assigned to Group 3 (1787)
Sen. Kennedy (CD, Vol. I, P. 395)FTE
National Governors Association ( SD) ;
No Official Status - Representative
of Intergovernmental organization,
Assigned to Group 22 (1787)
Project BOPE-SGE ( 1679)
Rational Governors Association; No
Official Status; Representative of
Intergovernmental
Organization,
Assigned to Groups 28 and 30 (1787)
McNAMEE, NIKKI
SIMON I MARSHA
SMITH, BARBARA
STONE I
ROBYN
VOLPE, CARL
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
784, 1551, 30046, 30138. See Tab 44 attached to this
Memorandum.
Cluster Group XI, •Economic Impacts•, consisted of one (1)
Working Group, that being Working Group 31, •Economic Impacts.•
Working
Group
31,
•Economic
Impacts•,
of
CllllSter
Group
consisted of the following members:
CLUSTER XI
ECONOMIC IMPACTS
GROUP 31 -
ECONOMIC IMPACTS
GROUP LEADER -
DAVID CUTLER, OMB ( 971) -FTE
ANDERSON 1 ROBERT
BAKER, LAURENCE
OMB (695)-FTE
Princeton University ( 687, 695, 697)
(Office RUDiber and FAX Number at
Princeton) (697) - Listed as 8 SGE•
(1678)
Census Bureau (695)-FTE
Treasury (695)-FTE
CEA-FTE
BEA/Commerce (695)-FTE
Princeton University (687, 691,
694)-SGE-BBS (1678)
OMB {695)-FTE
Policy Assistant (695) White Bouse
SGE (1678)
Princeton University (687, 691,
694);
llo
Official
Status;
CAMPBELL, PAUL
DIHKELACKER, BILL
GLIED, SHERRY
KASS, DAVID
KRUEGER, ALAR
NICHOLS, LEN
PI CILLO I THERESA
REIRIIARDT I UWE
90
XI,
�Participation Not Acknowledged in
First Responses
Joint Tax Committee (CD, Vol. I, P.
) (695)-FTE
Sen. Wofford (CD, Vol. I, P. 1115)
(695)-FTE
HHS (696)-FTE
HHS (696)-FTE
HHS-HCFA (696)-FTE
Sen. Dingell (CD, Vol. I, P. 710)
(696)-FTE
SHEINER, LOUISE
SOLOMON, DAN
TAYLOR, AMY
THORPE, KEN
WALDO, DAN
WOO, MICHAEL
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
687-698, 785, 1555.
See Tab 45 attached to this
Memorandum.
Cluster Group XII, •Quantitative Analysis•, consisted of one
(1) Working Group,
Analysis•.
that being Working Group 32, •Quantitative
Working Group 32, •Quantitative Analysis•, of Cluster
Group XII, consisted of the following members:
CLUSTER XII -
QUAIITITATIVE ANALYSIS
GROUP 32 -
QUAIITITATIVE ANALYSIS
CLUSTER/GROUP LEADER
ALECXIH, LISA
ANDERSON ROBERT
ARNETT I ROSS
BANTHIN, JESSICA
BURNER I SALLY
I
CALAHAN, CATBI
COHEN, JOEL
CUTLER I DAVID
FRANK, RICHARD
FREELAND I MARK
HOLAHAN, JOHN
HOLTZBLATT I JANET
HUNTER I GILLIAN
ILLSTON, LAURA
KASS, DAVID
KEN THORPE, HHS-FTE (971)
Lewin (1335): No Official Status
Given
OMB (699)-FTE
HHS-HCFA (699)-FTE
HHS-ACHPR (699)-FTE
HHS-HCFA (699)-FTE
Actuarial Research Corporation ( 699)
- Consultant (First Responses)
HHS-AHCPR (699)-FTE
council on Economic Advisors (699)FTE
Johns Hopkins University ( 1334) CSIII
(699) - SGE BBS NIMH (1678)
HHS-HCFA (699)-FTE
Urban Institute (1333): No Official
status Given
Treasury (699)-FTE
Treasury (699)-FTE
Lewin (1335): Ro Official status
Given
SEA/Commerce (699)-FTE
91
�KEHHELL I DAVID
KING, ROLAND
LONG I STEPHEH
KRUEGER,
ALAR
MAXFIELD I MYLES
McKUSICK, DAVID
NELSON, CHUCK
NICHOLS, LEN
SHELDON, GEORGE
SHEINER, LOUISE
Lewin ( 1335) : No Official Status
Given
HHS-HCFA (699)-FTE
Rand Corporation ( 1333) : No Official
Status Given
Princeton
University
(702)-SGE
(1678): Consultant (First Responses)
Matbmatical Policy Research (1333);
No Official status Given
Actuarial
Research
Corporation
(699); No Official Status;
No
Participation Acknowledged (First
Responses)
Census {699)-FTE
OMB {699)-FTE
Veterans Affairs-FTE
Joint Taxation Committee (CD, Vol.
I, P.
)
HHS-AHCPR (699)-FTE
Census {699)-FTE
HHS-FTE
Actuarial Research Corporation ( 699)
TRAPHELL, GORDON
- Consultant (First Responses)
VISTRIES, JESSICA
HHS-AHCPR {699)-FTE
WALDO, DAN
HHS-HCFA {699)-FTE
WASSERMAN I MARK
.. OMB
WIENER, JOSH
Brookings (1335) - SGE (1679
ZEDLEWSia:, SHEILA
Urban Institute; No Official Status
Given (1333)
SHORT, PAMELA F.
TAUBER, CYHTHIA
THORPE, KEN
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
699-7031 7131 7141 7861 1333-13371 15561 15571 16331
30047. See Tab 46 attached to this Memorandum.
Cluster Group XIII,
•Legal Audit•,
Working Group, that being Working Group
Group
33,
33,
consisted of one
•Legal Audit•.
( 1)
Working
•Legal Audit•, of Cluster Group XIII, consisted of the
following members:
CLUSTER XIII -
LEGAL
AUDIT
GROUP 33 -
LEGAL
AUDIT
ANTHONY,
BARBARA
BARNES, MARK
BIDDLE I BARBARA .
Office of the Massachusetts Attorney
General; No Official Status
NYC Department of
Health;
No
Official Status
DOJ-Civil (30149)-FTE
92
�BRIFFAULT, RICHRAD
GOLDMAN, ED
GRAETZ I MICHAEL
HOLDER, ANGELA
McGAREY, BARBARA
MEYER, KATHRYN
HILLOCK, PETER
RYAH, BETSY
SCHULTZ I MARJORIE
SLOWES I RICK
ZELHER, BARBARA
Columbia Law School; No Official
status
University of Michigan Hospitals; No
Official Status
Yale Law School; No Official Status
Yale University School of Medicine;
No Official Status
National Institutes of Health-PTE
Beth Israel Medical Center; No
Official Status
Hew York State Department of Health;
No Official Status
Hew Jersey Department of Health; No
Official Status
Boalt Hall School of Law;
No
Official Status
Office of the Attorney General of
Minnesota; No Official Status
National .Association of Attorneys
General (30149); No Official Status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1558, 30149, unnumbered page, "Legal Issues". See Tab 47
attached to this Memorandum.
Cluster Group XIV,
Working Group,
•Numbers Audit•,
consisted of one
that being Working Group 34,
( 1)
•Numbers Audit•.
Working Group 34, •Numbers Audit•, of Cluster Group XIV, consisted
of the following members:
CLUSTER XIV -
HUMBERS AUDIT
GROUP 34 -
HUMBERS AUDIT
ATKINSON, HOWARD
BERT.KO, JOHN
DORAN, PHYLLIS
GREENWOOD, BRENT
HELMS, DICK
OSTUW, RICH
PORTER, KEN
RODGERS, JACK
Atkinson & Co., Inc.
Coopers & Lybrand
Millman & Robertson
Tillinghast/TCWers Perrin
The Principal Financial Group
Towers Perrin
The DuPont co.
Price Waterhouse
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1559, unnumbered page, "Cost Issues".
See Tab 48
attached to this Memorandum.
93
�Cluster Group XV, "The Drafting Group•, consisted of one (1)
Working Group, that being Working Group 35, "The Drafting Group•.
Working Group
35,
"The Drafting Group•
of
Cluster Group XV,
consisted of the following members:
CLUSTER XV -
THE DRAFTING GROUP
GROUP 35 -
THE DRAFTING GROUP
OMB (738)
DOL (739)
?? (756)
Treasury (761)
STEVE BANDEAIAN
BETTE BRIGGS
SHIRLEY SAGAWA
MARINA WEISS
SOURCES: Declarations of Marjorie Tarmey, Documents Hos.
738-761. See Tab 49 attached to this Memorandum.
Working Group 36, "Disability Cross-cutting Work Group•, was
not part of any Cluster Group, but, rather, was free-standing.
Working
Group
36,
"Disability Cross-cutting Work
Group, n
composed of the following members:
GROUP 36 LEADER -
SIMI LITVAK,
Disability
BROWN I RICK
UCLA/Rand Corporation - SGB (1678)
Rational Rehabilitation Bospital
Research Center: Ho Official Status
Assigned
(671)-HHS-ASPE-FTE (1672)
Representative of Intergovernmental
Organization ( 1786) : Signed in as
•Texas Medicaid/Task Force• (30080):
Assigned to Group 8, Underserved
( 1786) : No Official Status Assigned
HHS-Office of Disability Policy-FTE
(842)
( 30080)
State
of
california
Department
of
Health
Services,
Chief, Children's Medical Services:
No Official status
United Cerebral Palsy (30080): No
Official status
George Washington University, Center
for Health Policy Research;
Ro
Official Status Assigned
DeJONG I GERBER
DOTY, PAMELA
FRIEDBOLM, DEAIIH
GOLD I MARTHA
GREGORY, K.
GRISS I ROBERT
JEHSEH, ALAR
94
World
Institute
on
was
�JOHNSON, DON
LITVAK, SIMI
McGRALY, KATHLEEN
O'KEEFE, JAHET
OTRIH, SUSAN'
SCHMIDT, BILL
SELTMAN, PAUL
SILVERSTEIN, BOB
STORE, ROBYN
STRABAH, MARIE
SYLVESTER, GREG
THOMAS, PETER
THOMPSON, GERI
1111ITE, STEVEN
WODATCH t JOHN
HHS-HCFA-FTE (843)
World Institute on Disability - SGE
(First Responses); Hot Listed as SGE
on 1678-1679
(30080) The Association of Retarded
Citizens; Ho Official Status
American Psychological Association,
Assistant
Director
for
Public
Interest Policy; Ho Official Status
Assigned
no-Policy Assistant
Columbia
University (732) (30174)
( 30080)
Epilepsy
Foundation
of
America; Ho Official Status
House Education & Labor committee
(CD, Vol. I, P. 1106)
u.s.
senate
Subcommittee
on
Disability
Project HOPE (671)
ADD/Protection & Advocacy (30080);
Ho Official Status
u.s.
senate,
Subcommittee
on
Disability
Amputee
COalition
of
America
(30080); Ro Official status
Rational
Chronic
Care
consortium/Beth
Israel
Hospital
(3008); Ro Official Status
American
Speech-Language-Bearing
Association (30080); Ro Official
Status
Department of Justice, Civil Rights
Division
FTEs:
ASH, SHERR!
BROWN, RICK
CLAUSER, STEVE
DAHIELS, SUSAN
DOTY, PAMELA
HARAHAN, MARY
KATZ, RUTH
MANDERSCHEID, RON
PARADISE, JULIA
REINECKE, PETER
HHS-ACF
UCLA
HHS-HCFA
HHS-ACF
HHS-ASPE
HHS-ASPE
HHS-ASPE
HHS-PHS
HHS-ASPE
Sen. Harkin (CD, Vol. I, P. 396)
SIGH-IR LIST (URDATBD) :
BILLY WEBSTER
Chief
of
Education
95
Staff,
Department
of
�ELAINE HOLLAND
ANITA BICKSTELL
WILLIAM MODZOLESKI
AARON SHIRLEY
DEBORAH LEVINE
CONNIE GARAU
GAIL HOULE
JUDITH KATZ-LEAVY
CAROLYN BAHDY
SHEILA PIRES
PAT ROSENMAN
SHIRLEY JACKSON
CHARLOTTE BEASON
SUSAN OTIUH
JULIA TILLMAN
CHERYL AUSTEIN
SUSAN DANIELS
SHERRI ASH
MARGERY GEHAH
RUTH SHINN
LARRY SOBEL
CARRIE BILLY
BLANCA RODRIGUEZ
FRANK CORRIGAN
JON WADE
KIMMON RICHARDS
VAL KISKO
Department
of
Education,
Intergovernmental Office
Department of Education
Department of Education
Jackson-Hinds Comprehensive Health
Center
WHO-Policy Assistant - Unemployed
(732) - SGE (1678)
Department of Education, Office of
Special Education and Rehabilitation
Department of Education, Office of
special Education and Rehabilitation
co-Chair,. Child
Mental
Health
workgroup - HHS, Center for Mental
Health Services
CEO, Blacks Educate Blacks About
sexual Health Issues (Cluster III,
Hew system Infrastructure, Group 12,
Health care Workforce)
Human Service Collaborative; coChair, Mental Health and Substance
Abuse Work Groups
HHS (Substance Abuse Work Group)
Department of Education
HHS-Cluster
III,
New
System
Infrastructure, Group 12, Health
Care Workforce)
Health Care Policy Analyst - SGE
(First
Responses);
Columbia
University (732); Hot Listed 16781679; Assistant to Cluster X, Long
Term Care
HHS/PHS
HHS/PHS
HHS - LTC Work Group
HHS - LTC Work Group
WHO - Health care Policy Assistant
to Clusters rv (Integration of
Government Health Programs Into Hew
System) , V (Ethical Foundations of
the Hew System) , and VII (Financing)
Department of Labor, Women's Bureau
Department of Defense
Sen. Bingaman (CD, Vol. I, P. 271)FTE
White House on Education Excellence
for Hispanic Americans
Department of Education
Department of Education
Department of Education
Department of Education
96
�SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
671, 717-718, 1068, 30128, 30141, 30048, 30051, 30174,
30175. See Tab 50 attached to this Memorandum.
Working Group 37, "Rural Cross-cutting Group", was not part of
any Cluster Group, but, rather was free-standing.
Working Group
37, "Rural Cross-cutting Group", was composed of the following
members:
GROUP 37 -
RURAL CROSS-CUTTING GROUP
ADLER, MICHELE
ALBERGHINI, THERESA
ALLEN I LUCY
ARCADOZ, RICHARD
BOEHM, JENNIFER
COHEN, RIMA
CLAY, JIMMY
DEHTOH, DENISE
EVANS I JENNIFER
FALETTI I TOM
FRANTZ, MOLLY
KEPNER 1 COLLEEN
MANDERSCHEID, RON
MANTEL I LEWIS
KILLER, CAROL
MINTZER I CAROL
MURGUIA I JANET
O'BIUEN I MARY JO
PUSKIN I DENA
QUAil, LOIS
REINECKE I PETER
HHS/ASPE-FTE (840)
Sen. Leahy (CD, Vol. I, P. 327)
CEA-FTE ( 840)
1D1S (709): Ho Official Status Given
Rep. Long (CO, Vol. I, P. 581)
Sen. Oaschle (CO, Vol. I, P. 942)
Veterans Affairs-FTE (841)
Colorado
Rural
Health
Resource
Center-SGE (First Responses) : Hot
Listed 1678-1679
Sen. Campbell (CD, Vol. I, P. 282)FTE
Sen. Durbin (CO, Vol. I, P. 969)-FTE
Rep. Pomeroy (CD, Vol. I, P. 705)FTE
Rep. Stenholm (CD, Vol. I, P. 768)FTE
HHS-CMHS-FTE (844)
Veterans Affairs-FTE (844)
Mountain
Management
co. ,
:tDI
(Handwritten Rote, •o•, BBS Phone
Humber
Given)
( 709) -SGE
(First
Responses, Hot Listed 1678-1679)
Public Health Service (Not Listed as
a Public Employee)
Rep. Slattery (CD, Vol. I, P. 741)FTE
Rational
Governors
Association
( 709) : SGE (First Responses, Hot
Listed on 1678-1679)
PHS-FTE (847)
Handwritten Rote •u. IIH• (709), VP,
United
Health
Care
Corp.,
Minneapolis:
SGE
(1678,
First
Responses)
Sen. Harkin (CO, Vol. I, P. 396)-FTE
97
�RICHARDSON, SALLY
West Virginia Health Care Planning
Commission: SGE (First Responses,
Not Listed 1678-1679)
Iowa Department of Public Health SCHADLE I JANE
Consultant (First Responses)
Jackson-Hinds Comprehensive Health
SHIRLEY I AARON
Center: SGE (1678)
National
Governors
Association
SMITH I BARBARA
(1787): No Official Status ·
Veterans Affairs-FTE
STEELE, PAMELA
Rep. Obey (CD, Vol. I, P. 1122)-FTE
SYKES I KATHLEEN
Sen. Baucus (CD, Vol. I, P. 268)-FTE
TESTORI, MAUREEN
National Association of Counties
UYEDA, MARY
(1787): No Official Status Given
WILLIAMS 1 CHRISTINE Sen. Mitchell (CD, Vol. I, P. 338)FTE
HHS-FTE (848)
WOODWARD 1 ALBERT
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
709-712, 1634, 1635.
See Tab 51 attached to this
Memorandum.
Working Group 38, •Benefits Coordination•, was no.t part of any
Cluster Group, but, rather, was free-standing.
Working Group 38,
•Benefits Coordination•, was composed of the following members:
GROUP 38 -
BENEFITS COORDINATION
BROWN, RICK
LUKOMNIK 1 JOANHB
LEFKOWITZ, BONNIE
GATZ I CAROLYN
PUSKIN, DEENA
SOFAER 1 SHOSHANA
RICHARDSON I SALLY
IIAROWITZ I JIICJmJ.T.E
BERGTHOLD I LIRDA
UCLA SChool of Public Health
(Group 22) Practicing Physician from
Hew York City: SGB (1678)
(Group 22) HHS, Bureau of Primary
Health Care
Louisville - Commerce - Louisville
Mayor's Office
(First Responses
Dnly): Ro Official Status Assigned.
Bote That She Was Hired by Commerce 1
Ellployed in White Bouse
(Group 2) HRSA (Earlier, PROPAC)
(Group
8)
George
Washington
University
Medical
Center:
SGE
(1678)
(Groups 2 & 22) West Virginia
Department
of
Health
Public
Ellployees Insurance commission: SGE
(First Responses) : Rot Listed in
1678-1679
The Johns Hopkins University (732)
(Group 6) Wm. Mercer (SF)-SGE (1678)
98
�VALDEZ, BOB
SMITH, MARK
JOHNSON, DON
FISKE, MARY BETH
RICE, CHERI
(Group 6) UCLA School of Public
Health; SGE (1679)
(Group 22) Vice President, Kaiser
Family Foundation; SGE (1678)
(Group 8) HCFA - Medicaid DivisionFTE
{Groups 6 & 8) Labor Committee
(Previous: HCFA)-FTE
(Group 8) OMB-FTE
SOURCES: Declarations of Marjorie Tarmey, Document No.
30129, "Sign-in Sheet".
See Tab 52 attached to this
Memorandum.
Working Group 39, "Minority Issues Review Group", was not part
of any Cluster Group, but, rather, was free-standing.
Group 39,
Working
"Minority Issues Review Group" was composed of the
following members:
MINORITY ISSUES REVIEW GROUP
JAMES
ACEVEDO
JESSE BARBER
PIULLIP BROOKS
RICHARD BUTCHER
MICHAEL BYRD
PAMELA CASHEW
LDmA CLAYTOR
ROSEMARY DAVIS
SUSAR DRAKE
Assistant
Director,
American
HealthCare Management, Huntington
Park, CA
Rational Medical Association, Chair
of Council Medical Legislation,
Washington, DC
Rational Black Hospital Association,
President,
Norfolk
Community
Hospital, Norfolk, VA
President,
Rational
Medical
Association, El cajon, CA
Research
Fellow,
Department
of
Health Policy & Management, Harvard
School of PUblic Health, Boston, MA
Assistant Adlllinistrator, Riverside
General Hospital, Houston, TX
Research
Fellow,
Department
of
Health Policy & Management, Harvard
School of PUblic Health, Boston, MA
Rational
Medical
Association,
Washington, DC
Senior
Attorney,
Rational
IDIIIigration Law center, Los Angeles,
CA
ADOLPH FALCON
Rational
Coalition
of
Hispanic
Health
&
Human
Services
organizations, Washington, DC
99
.... _ _ _ _ _ _ _ ___.
�MARIA ELENA FLOOD
HECTOR FLORES
JOYCE ESSIEH
LUIS ESTEVEZ
TlltJRMAN EVANS
ERNEST GIBSON III
TESSIE GUILLERMO
HAZEL HARPER
JOSEPH HENRY
ARNE Hl:LL
SADAKO HOLMES
CHARLES KAMAS.Aia
ELIZABETH KING
DAPIIHE JOHN
Program Director, Health Sciences
Center, Texas Tech, El Paso, TX
Co-Director,
Family
Practice
Residency Program, White Memorial
Medical Center, Los Angeles, CA
Director, Office of Public Health
Practice, School of Public Health,
Emory University, Atlanta, GA
Medical
Director,
Segundo
Ruiz
Belvis, Neighborhood Family care
Center, Bronx, NY
President
&
CEO,
WholeLife
Associates, Elkins Park, PA
Administrator/CEO,RiversideGeneral
Hospital, Houston, TX
Bxecutive Director, Asian American
Health Forum, san Francisco, CA
National
Dental
Association,
Washington, DC
Associate Dean, Harvard School of
Dental Medicine, Boston, MA
National Urban League, New York, NY
Bxecutive Director, National Black
Nurses'
Association,
Inc.,
Washington, DC
National
Council
of
La
Raza,
washington, DC
Medical Director, Queens Village
CoJIIJilUDity for Mental Health, · st.
Albany, NY
Riverside General Hospital, Houston,
TX
B. WAINE KONG
OSVALDO LOPEZ
RANDALL MAXEY
RAMONA McCARTHY
LAURIN MAYENO
TERRI SMITH MOORE
VERNELLIA RANDALL
ELENA RIOS
Bxecutive Director, The Association
of Black cardiologists I Miami I FL
Chairman, Department of Opthomology,
Chicago, IL
President,
CEO,
HealthQuest,
Hawthorne, CA
President, National Pharmaceutical
Association, Silver Spring, MD
Association
of
Asian
Pacific
Community
Health
Organizations,
oakland, CA
National Pharmaceutical Association,
Washington, DC
Assistant Professor of Law, School
of Law,
University of Dayton,
Dayton, OR
President,
The
Chicana/Latino
Medical Association of california,
Huntington Park, CA
100
�RENE RODRIGUEZ
President, Interamerican College of
Physicians and Surgeons, Washington,
DIANE SANCHEZ
FRANK SESSOMS
WES SHOLES
Women's Medical Arts, Milpitas, CA
Pittsburgh, PA
National Association of Black County
Officials, Rancho Palos Verdes, CA
caucus and Center on Black Aged,
Washington, DC
Department of Health Services, San
Diego, CA
National Association of Hispanic
Nurses, College of Nursing - USF,
Tampa, FL
Family Practice Center, Memorial
Medical Center, Corpus Christi, TX
Administrator
&
CEO,
Southwest
Bospital & Medical Center, Atlanta,
DC
SAMUEL SIMMONS
PAUL
SIMMS
SARA TORRES
DAVID VALDEZ
HERBERT WELDON
GA
.
SOURCES:
Declarations of Marjorie Tarmey, "Minority
Issues Review Group", unnumbered. See Tab 53 attached to
this Memorandum.
Working Group 40, •Academic Health centers•, was not part of
any Cluster Group, but, rather, was free-standing.
40,
•Academic Health Centers•,
Working Group
was composed of the
following
members:
GROUP 40
ACADEMIC HEALTH CENTERS
GROUP 40 LEADER -
ELIZABETH SHORT, Veterans AffairsFTE (846)
ALTMAN, DAVID
BERENSON, BOB
CLARK, Wl:LLIAM
DAtJMIT, GAIL
Wood
Johnson
Fellow,
Sponsored by UCSF center for Health
Professionals
(704):
in
Sen.
Rockefeller's Office [See Tab 56
Attached to this MemorandlDl] (Also
on Group 12)
National capital Preferred Provider
organization (704) (Also on Groups 11
and 1A)
Robert
Wood
Johnson
Fellow,
Sponsored by University of Florida:
in sen. Bumpers Office (708) [See Tab
56 Attached to this MemorandlDl]
llhite Bouse ( 704) : Also on Groups 15:
Blllory
University School of
Robert
101
�DAVIES, MONICA
EDDY, DAVID
EMANUEL I EZEKIAL
EPSTEIN I ARNOLD
CAROLYN
BANDY I
HORVATH TOM
LASKER, ROZ
MEYERS I
GREGG
MIN, NANCY
MULLAN, FITZHUGH
NEXON, DAVID
PAUL,
KAREN
PYLE I
'l'HOKAS
REDLEHER, IRWIN
SAGE I WILLIAM
STEELE I PAMELA
STOLID I ANRE
Medicine, Medical Student (734);
Internal Medicine MGH Intern 6/93
(30049)
Massachusetts
General
Hospital
Legislative
Fellow
in
Sen.
Bingaman's Office (708); Not in
Directory-FTE (841)
Senior
Policy
Advisor,
Kaiser
Permanente; Duke University Medical
School Professor (708)-SGE (1678)
Harvard
Medical
School
(704)
( 30049) ; Also on Cluster V, Group
17; Dana Farber cancer Institute
(1587)-SGE (First Responses)
Robert
Wood
Johnson
Fellow,
Sponsored by Harvard Medical School
&
Brigham & Women's Bospital;
Serving Sen. Kennedy on Senate Labor
Committee ( 704) [See 'l'ab 56 attached
to this Memorandum]
CEO, Blacks Educate Blacks on Sexual
Health Issues (704) (Also on Groups
8 ' 12)
Veterans Affairs (704)-FTE
Physician Payment Review Commission
(704); SGE (1678)
Massachusetts
General
Hospital
Fellow,
Senate Labor
& Human
Resources Committee (Sen. Kennedy)
and
SGE,
According
to
First
Responses: Rot Listed 1678-1679
OMB
BHS (704) (Also on Group 12)-FTE
Sen. Labor (CD, Vol. I, P. 395)
(Also on Groups 1-5)
White Bouse (704) (Also on Groups 15) Cornell Medical School ( 30049)
Harvard
COIIIIU!lity Health Plan;
Boston consulting Group
( 704) :
consultant (First Responses) : SGE
(1678)
"BPRG"
( 704) :
Pediatrician,
Montefiore Hospital (See Health
Professions! Review Group, 'l'ab ) ;
Signs in as •Liaison to Health
Professions! Review Group•) ( 30049) ;
Ro Official status
White Bouse (704); Stanford, Hopkins
(30049); SGE (1678)
OMB (Also on Group 22)-FTE
Volunteer; Psychiatrist (704) (Also
on Groups 23 and 26) (Graduate of
102
�Johns Hopkins Medical School, 1992)
(30049)
Dean, University of Texas Medical
School (704); SGE (1679)
University Hospitals of Cleveland
(704)
(Also on Groups 1, 20);
Consultant, First Responses.
SUMAYA, CIRO
WALTERS I FARAH
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
704, 705, 707, 708, 1242, 1243, 1244, 706, 1587, 30048,
30050. See Tab 54 attached to this Memorandum.
Working Group 41, •workers' Compensation Task Force•, was not
part of any Cluster Group, but, rather, was free-standing.
Working
Group 41, •workers' Compensation Task Force•, was composed of the
following members:
GROUP 41 -
WORKERS 1 COMPENSATION TASK FORCE ( 30090)
GROUP 41 LEADER -
GARY CLAXTON, National Association
of Insurance Commissioners ( 1345) ;
SGE (1678)
BAKER,
LAWRENCE
BATEKAH I KEITH
BORZI, PHYLLIS
BRODBECK, L.
BURTON I JOHN
CLAX'l'ON I GARY
CLAY'l'ON I
ANN
DUGGAN I JAMES
ELLENBERGER, J.
GRANNEMANN, T.
Princeton University; Ro Official
Status (30133)
Alliance
of
American
Insurers
(1344); No Official Status
House
Subcommittee
on
Labor/Management Relations-PTE ( 841)
Rep. McCurdy (CD, Vol. I, P. 589)FTE
Editor,
John Burton's Workers 1
Compensation Monitor ( 1285) , Rutgers
University;
No Official Status
(1270 1 1271, 1344) (NOTE: on 1285 1
in
Typewritten
COJIIIIlent
Below
Burton's Name, it says 1 "Kreuger
Indicated
That
Burton
can
Participate.•
Does This Convey
Leadership Status on Kreuqer??)
National Association of Insurance
Commissioners (1345); SGE (1678)
Florida Insurance Commission ( 1285) ;
No Official status
Treasury-PTE (842)
AFL-ciO; No Official Status
Workers'
Compensation
Researcch
Institute
(30133);
No Official
Status
103
�GREENWOOD, JUDITH
HAUGH, KEVIN
KREUGER, ALAN
LEVITT LARRY
LLEWELLYN, BARRY
MEANS I KATHLEEN
MOLLOY I JANE
NELSON I WILLIAM
NOTB, DAVID
PAYNE I MARY ELLA
SISKIND, FRED
'l'BORHQUIST, LISA
VICTOR, RICHARD
WEEKS, GARY
WERNER, MICHAEL
Workers' Compensation Fund, West
Virginia; No Official Status (1344)
Institute
for
Health
Policy
Solutions; No Official Status
Princeton University - Consultant
(First Responses); SGE (1678)
(1272)
Staff
of
California
Department
of
Insurance,
Commissioner's Health Care Advisory
Commission; SGE (1678)
National Council on Compensation
Insurance (1344); No Official Status
HHS-HCFA-FTE
Treasury-FTE
SSA-Office of Research & Statistics
(1270); Not Listed as FTE, 840-849
Johnson
&
Higgins
( 1344) ;
No
Official Status
Sen. Rockefeller (CD, Vol. I, P.
352)-FTE
Department of Labor-FTE
Minnesota
Workers'
Compensation
Research (1270): Ho Official Status
Workers'
Compensation
Research
Institute (1344); No Official Status
_
oreqon J:nsurance Commission ( 1270) ;
Ho Official Status
Sen. Democratic Policy Committee
(CD, Vol. I, P. 403)-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1270-1276, 1285, 1344, 1345, 30069, 30085, 30090, 30115,
30132, 30133. See Tab 55 attached to this Memorandum.
E.
PERSONNEL WITHIN THE UHITED STATES DEPARTMENT OF HEALTH AND
HUMAN SERVICES WITH DIBECT TIES TO THE HEMBY J. KAISWER FAMILY
FOUNDATION AND THE ROBERT WOOD JOUNSON FQUNPATION
According to the 1992 Annual Report of the Henry J. Kaiser
Family Foundation, Philip R. Lee, M.D., and Bruce c. Vladeck,
Ph.D., were Trustees of the Henry J. Kaiser Family Foundation.
See, Declaration of Genevieve H. Young, Exh. 10, 1992 Annual Report
of the Henry J. Kaiser Family Foundation.
Philip R. Lee, M.D., had
a role in the Interdepartmental Working Group and its Cluster
Groups, Working Groups, and Subgroups, while he was still serving
104
�as
a
Trustee of Kaiser
in
San Francisco,
California.
(See,
Declaration of Marjorie Tarmey, Document No. 1100, which indicates
he is to serve "Full-time, with compensation, Different Budget" on
the Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.)
Philip R. Lee, M.D., was subsequently
appointed to Assistant Secretary of the United States Department of
Health and Human Services below Secretary Donna Shalala.
Bruce
c.
Vladeck, Ph.D., was appointed as the Administrator of the Health
Care Financing Administration (a division of the United States
Department of Health and Human Services), one of the regulatory
agencies that will implement health reform and which is currently
charged with the administration of Medicare and Medicaid.
Id.
In 1992, the Defendant, Judith Feder, Ph.D., now the Clinton
Administration's Assistant Secretary for Planning and Evaluation at
the
Department of
Health
and
Human
Services,
was
a
Senior
Investigator for the Robert Wood Johnson Foundation's Health Care
Financing Organization ("HCFO") Project at Georgetown University,
a $623,482 project to study "Efficiency/Quality/OUtcome Trade-Offs
in Medicare's Prospective Payment system".
See, Declaration of
Genevieve H. Young, Exh. 11, "Call for Proposals, Changes in Health
Care Financing and organization 1993", RWJF.
Ph.D.,
an Urban
Stephen Zuckerman,
Institute economist who also served on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups
and
Subgroups,
(see,
Declaration of Marjorie
Tarmey,
Document No. 875), was also a Senior Investigator for the HCFO
Project. Ken Thorpe, ·ph.D., who was the Principal Investigator for
105
....
�the University of North Carolina,
Managed Care Work?
Chapel Hill Project,
"Does
An Empirical Study of Corporate Health Care
Cost Containment Initiatives, 11 and "Evaluation of State Risk Pools:
The Current and Potential Experience", which were financed to the
tune of $428,442 and $405,633, respectively, by the HCFO Program,
became the Deputy Assistant Secretary for Planning and Evaluation
under the Defendant,
Judith Feder.
Id.
Other HCFO Program
Investigators who were members of the Interdepartmental Working
Group and its Cluster Groups, Working Groups and Subgroups include:
*
E. Richard Brown. Ph.D. , from the University of
California Los Angeles School of Public Health, a
key player in Cluster II,
New System Coverage
(Designing Benefits Packages) • See, Declarations o:f
Marjorie Tarmey, Documents Nos. 773, 775, 864).
*
Stephen Lona, RAND Corporation (see Document No.
875 produced by Defendants) served on Cluster VI,
Cost Containment (Declarations o:f Marjorie Tarmey,
Document No. 875) and Cluster XII, Working Group
32, Quantitative Analysis (Declarations o:f Marjorie
Tarmey, Document No. 1333).
*
John Holahan. Ph.D., and Sheila Zedlewski. Pb.D.,
of the Urban Institute,
Working
Group
Declarations
32,
o:f
served on Cluster XII,
Quantitative
Marjorie
1333).
106
Tarmey,
Analysis
Document
(see,
No.
�*
Arnold Epstein. M.D.,
of the Harvard University
School of Medicine, served as the Leader of Cluster
III, New system Infrastructure, Group 9, Quality
Measurement (see, Declarations of Marjorie Tarmey,
Document
No.
Academic
Health
233),
and
Centers
on
Working
(see,
Group
Declarations
40,
of
Marjorie Tarmey, Document No. 704), in his capacity
as a Robert Wood Johnson Fellow for the Office of
· Senator Kennedy. 10
The
Defendant,
Judith
Feder,
chaired
the
Clinton
Administration's Health Policy Transition Team (see, Declarations
of Marjorie Tarmey,
Document No. 1099).
Other members of the
Clinton Administration Health Policy Transition Team were the
following persons:
*
Atul Gawande. Ph.D., now Senior Policy Advisor to
Judith Feder at the Department of Health and Human
Services
(see, Declarations of Marjorie Tarmey,
Document No. 1099).
*
Dayid Satcher . M.D. ,
President, Meharry Medical
College, Nashville, Tennessee, now Chief, Center
~he
Robert Wood Johnson Fellows who served on the
Interdepartmental Working Group are discussed in depth, infra. It
must be noted, however, that the Defendants overtly mislead the
Plaintiffs in their initial responses to discovery requests by
classifying numerous persons as being members of Congressional
staffs (implying they were full-time federal government employees)
when they were, in fact, RWJF Fellows being paid with RWJF money.
The only hint the'Defendants gave of this fact was their listing of
Keith Powell on the "Benefits Package" subgroup as being assigned
from "Senate Labor & ·Human Resources Committee (Fellow)".
1
107
�for Disease Control (see, Declarations of Marjorie
Tarmey, Document No. 1096).
*
Ken Thorpe. Ph.D.
(see, Declarations of Marjorie
Tarmey, Document No. 1102).
*
Judy Whang,
Public
MPH,
Health
Tarmey,
Columbia
(see,
Document
University
Declarations
No.
School
of
Marjorie
now
1103),
of
at
the
Administration on Aging, HHS.
*
Robert Berenson. M.D. , co-founder, National Capital
Preferred Provider·organization (see, Declarations
of Marjorie Tarmey, Document No. 1098).
*
tynn Etheredge, self-employed consultant, formerly
at Office of
Managed
Management
Competition
and Budget,
(Declarations
expert
of
on
Marjorie
Tarmey, Document No. 1095).
*
Thomas Chapman.
Care
System
MPH·
CEO, Greater Southeast Health
(Declaration
of
Marjorie
Tarmey,
Document #1088 produced by Defendants). 11
Tho:mas Chapman was also the Program Director of a program
entitled "Opening Doors: A Program to Reduce Sociocultural Barriers
to Health Care", a joint program of the Robert Wood Johnson
Foundation and the Henry J. Kaiser Family Foundation. Declaration
of Genevieve M. Young, Exh. 12, "Call for Proposals: Opening
Doors", at 5. Mark Smith, another member of the Interdepartmental
Working Group, was one of the coordinating staff for the program at
the Henry J. Kaiser Family Foundation. Id. The program brochure
describes the purpose of the program as follows:
11
Opening Doors: A Program to Reduce Sociocultural Barriers
to Health care, is a new national program of the Robert
Wood Johnson Foundation and the Henry J. Kaiser Family
Foundation that will provide grants for demonstration and
research projects to improve access to maternal, child,
108
...
�F.
ROBERT WOOD JOHNSON FOQNDATION HEALTH POLICY FELLOWS WHO
SERVED ON THE INTERDEPARTMENTAL WORKING GROUP AND ITS CLUSTER
GROUPS. WORKING GROUPS AND SUBGROUPS THEREOF
There
several
were
Interdepartmental
Group
Working
participants who were Robert Wood Johnson Foundation Health Policy
Fellows serving in various offices of Democratic Congressional
representatives.
Declaration of Genevieve M. Young, Exh. 3.
In
what has now become typical misleading fashion of the Defendants,
they were all, with the exception of Arnold Epstein, classified as
"full-time government employees" by the Defendants.
Arnold Epstein,
of
all
Curiously,
the RWJF Fellows who served on the
Interdepartmental Working Group, was classified as an "SGE", while
the others were classified as "full-time employees".
Personal
summaries on the Working Group activities of the Robert Wood
Johnson Foundation Fellows who served on the Interdepartmental
Working Group are attached in Tab 56 to this Memorandum.u
Opening .Doors: A Program to Reduce Sociocultural Barriers
to Health Care, is a new national program of the Robert
Wood Johnson Foundation and the Henry J. Kaiser Family
Foundation that will provide grants for demonstration and
research projects to improve access to maternal, child,
and reproductive health services.
We expect this
initiative to proyide useful information to policymakers,
providers, and community groups about overcoming
sociocultural barriers. (Emphasis added.)
Declaration of Genevieve H. Young, Exh. 12, "Call for Proposals:
Opening Doors", at 2.
12
All of the personal summaries on participants in the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups thereof are based upon the documents produced
by the Defendants to date as their Answers to Interrogatories and
Responses to the Second Request for Production of Documents. In
each of these summaries, the references are as follows:
109
�refers to earnings and leave
statements from the United states Department of Health and Human
Services.
DHHS Earnings and Leave Statement
refers to Public Financial Disclosure Forms, if any, that
were or were not filled out by members of the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups
thereof.
SF 278
refers to Confidential Financial Disclosure Forms, if any,
that were or were not filled out by members of the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups thereof.
SF 450
refers to travel vouchers showing reimbursement
given to members of the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups thereof. According to
the previous statements of the Defendants, "SGEs" were allowed
reimbursement for one round-trip between Washington, D.c. and their
hometown, and "consultants" were typically reimbursed for their
travel on a per diem basis.
Travel Vouchers
# WAVl92BS refers to the records of entry into the Old
Executive Office Building for the period February 14, 1993 through
May 21, 1993 showing the names of individuals placed on the health
care "access list".
Persons. were permitted entry into the Old
Executive Office Building on the dates and times indicated without
pre-appointment, but would obtain an appointment pass from the
Secret Service when they checked in at the Old Executive Office
Building. These records basically show only the minimum nlDiber of
entries into the Old Executive Office Building because of the time
period to which it is restricted, which is shorter than the time
period during which the Working Group, according to Defendants,
allegedly came into existence and expired, January 21, 1993 through
May 31, 1993.
Another reason for this document not being
exhaustive is because of the Defendants' own assertion that the
list was "frequently revised" either because these persons were no
longer participating on the Working Group or because they had
obtained a "picture pass" that enabled them to enter without
obtaining an appointment pass from the Secret Service. Defendants'
Fourth Supplemental Responses, at 2.
Report
# WAVl99BS refers to the records of entry into the Old
Executive Office Building for the period January 25, 1993 through
May 31, 1993. Persons were permitted entry into the Old Executive
Office Building on an appointment basis, or who possessed a picture
pass, but did not have it with them upon entry. According to the
Defendants, this list is incomplete because if a participant's name
was misspelled when entered into the computer, the persons's name
may not have been recorded on this record.
Defendants' Fourth
Record
110
�The
December,
August,
1992
1993
Robert
Wood
Johnson
Foundation Health Policy Fellows (obtained from Brochure, "RWJF
Health Policy Fellowships, 1974-1993 11 , Declaration of Genevieve M.
Young, Exh. 3) who served on the Interdepartmental Working Groups,
and
its Cluster Groups,
Working Groups,
and Subgroups,
with
relevant information on each person, are as follows:
David F. Altman, M.D.
Center for the Health Professions
University of California, San Francisco
School of Medicine
Office of senator John D. Rockefeller, IV, D-WVA
Dr.
Altman was sponsored by the University of California
School of Medicine, which received $55,780 from the Robert Wood
Johnson Foundation.
0
Declaration of Genevieve H. Young, Exh. 4,
1992 RWJF Annual Report"
(ID No. 4888).
Dr. Altman served on
Cluster II, "New System Coverage", Group 8," Coverage for LowIncome and Non-Working Families" (Declarations of Marjorie Tarmey,
Document
No.
197) 1
served
on
Cluster
III,
"New
System
Infrastructure", Group 12, "Facilitating Professional Development"
(Declarations of Marjorie Tarmey, Document No. 206), and also
Supplemental Responses, at 3.
Record # WAV 194BS refers to the record of Working Group
participants who were provided picture passes. Redactions to this
list included the names of individuals whose picture passes expired
prior to January 25, 1993, and those who had the same name as a
working group participant, whatever that means. Defendants' Fourth
Supplemental Responses, at 6.
Administrative Time and Leave Records refers to the administrative
time and leave records, if any, for a smattering of "SGEs"
recruited by the Department of Health and Human Services, all of
which appear to be completed by the same person.
111
�served on Group 40, "Academic Health Centers" (Declarations of
Marjorie Tarmey,
Document No. 704).
Dr. Altman entered the Old
Executive Office Building at least 17 times between February 19,
1993 and April 22, 1993.
No
earninqs and leave statements,
DHHS
travel vouchers, or conflict of interest forms were produced by
Defendants reqardinq Dr. Altman.
It should be noted that the
Robert Wood Johnson Foundation gave the following sums to the
University of California,
San Francisco,
School of Medicine,
according to the 1992 Annual Report of the Robert Wood Johnson
Foundation:
*
$152,500 to the University of
California,
San
Francisco, School of Medicine for a proqram to
provide two-year biomedical postdoctoral research
fellowships
(Declaration
of Genevieve M.
Young,
Exh. 4, 1992 RWJF ·Annual Report, ID No. 7854, at
33).
*
$3,899,833 to the University of California, san
Francisco,
School
of
Medicine
for
a
44-month
proqram to stimulate academic health centers to
become more responsive to the health needs or
populations
Genevieve
and
M.
communities
Young,
Exh.
4,
(Declaration
1992
RWJF
of
Annual
Report, ID No. 20933, at 39).
*
$654,266 to the University of California, School of
Medicine, for postdoctoral fellowships for young
physicians- to
develop
112
research
skills
on
new
�biological disciplines relevant to medical care
(Declaration of Genevieve M. Young, Exh. 4, 1992
RWJF Annual Report, ID No. 55109, at 56).
William B. Clark, DDS, DMS
Professor of Oral Biology and Director,
Periodontal Disease Research Center
University of Florida College of Dentistry
Office of Senator Dale Bumpers, D-AR
Dr. Clark was sponsored by the University of Florida, College
of Dentistry, which received $58,011 for the year.
(Declaration of
Genevieve M. Young, Exh. 4, 1992 RWJF Annual Report, ID No. 4888,
at 57) •
Dr. Clark served on Cluster II, "New System Coverage",
Group 6, "Benefits" (Declarations of Marjorie Tarmey, Document No.
118), and also served on Cluster VIII,· "Health Policy Initiatives
for the Underserved", Group 22 (Declarations of Marjorie Tarmey,
Document No. 715).
Dr. Clark entered the Old Executive Office
Building at least 33 times between February 19, 1993 and May 25,
1993.
llo DBBS earnings and leave stattments, travel vouchers, or
conflict of interest forms were produced by Defendants regarding
Dr. Clark.
see
Tab 56
attached to this Memorandum.
J. Kevin Eckart, Ph. D.
Professor, Sociology, Anthropology, and Policy Studies
Associate Dean, Arts and Sciences
University of Maryland-Baltimore County
Office of Senator Harris Wofford, D-PA
Dr. Eckart was sponsored by the University of Maryland, which
received $54,900 for the year.
(Declaration of Genevieve H. Young,
Exh. 4, 1992 RWJF Annual Report, ID No. 4888, at 57).
Dr. Eckart
served on Cluster X, "Long Term care" (Declaration of Marjorie
Tarmey, Document No. ·581), Group 29, "Program Design" (Declaration
113
�of Marjorie Tarmey, Document No.
591), and Group 28,
"Public
Design" (Declaration of Marjorie Tarmey, Document No. 591).
Dr.
Eckart entered the Old Executive Office Building at least 22 times
between February 25, 1993 and April 29, 1993.
lfo DIDIS earnings and
leave statements, travel vouchers, or conflict of interest forms
were provided by the Defendants regarding Dr. Eckart.
The Robert
Wood Johnson Foundation gave $199,747 to the University of Maryland
College of Behavioral and Social Sciences to study the priority of
public health issues for county government leaders.
(Declaration
of Genevieve H. Young, Exh. 4, 1992 RWJF Annual Report, ID No.
20074, at 58).
See Tab 56 attached to this Memorandum.
Arnold M. Epstein, M.D., M.A.
Associate Professor of Medicine & Health care Policy
Harvard Medical School
Office of Senator Edward Kennedy, D-MA
Committee on Labor and Human Resources
Co-Chair, ·Quality of Care Committee, White House
Interagency Task Force on Health Care Reform
Dr. Epstein was sponsored by the Harvard Medical School, which
received $51,536 for the program.
(Declaration of Genevieve H.
Young, Exh. 4, 1992 RWJF Annual Report, ID No. 4888, at 57).
Dr.
Epstein played an integral role on the Interdepartmental Working
Group, serving on Cluster III, "New System Infrastructure and
Support", Group 9, "Quality Measurement" (Declaration of Marjorie
Tarmey, Document No. 260), and Working Group 40, "Academic Health
Centers" (Declaration of Marjorie Tar.mey, Document No. 704).
~stein
Dr.
entered the Old Executive Office Building at least 37 times
between February 15, 1993 and April 1, 1993.
Dr. Epstein also had
a White House pass, so he may have entered the Old Executive Office
114
....
�Building on numerous other occasions •. No DHHS earnings and leave
statements or travel vouchers were provided by the Defendants
regarding Dr. Epstein.
interest
produced.
Dr. Epstein filed an SF 450 conflict of
form on March
15,
1993,
which the Defendants have
Dr. Epstein was a Task Group Leader for Group
9,
Quality
Measurement (Declaration of Marjorie Tarmey, Document No. 186).
Harvard Medical School received the following sums from the Robert
Wood Johnson Foundation in 1992:
*
$170,658, an Ad Hoc Education and Training Grant,
to provide technical assistance for the Minority
Faculty
Development
Program
Declaration of Genevieve M.
(for
Young,
one
year) ,
Exh. 4, 1992
RWJF Annual Report, ID No. 19685, at 32.
*
$152,320 for 2 years to Brigham & Women's Hospital,
Inc.,
to
provide
a
two-year
postdoctoral research fellowship.
biomedical,
Id.,
ID No.
7854, at 33.
*
$181,372 for 1.5 years to analyze the Medicaid
prescription drug reimbursement policies.
Id., ID
NO. 19782, at 36.
*
$296,960 to Harvard University, School of Public
Health, for a new forecasting and simulation model
of the United States Health Care Sector (for one
year).
*
Id., ID No. 2066, at 53.
$482,425 to Harvard Medical School for 3 years to
support projects to examine and test how changes in
115
�the financing and organization of health services
affect health care costs,
quality,
and access.
Id., ID No. 12590, at 54.
*
$398,733
to
Harvard
University,
School
of
Government, for 2 years to examine and test how
changes in the financing and organization of health
services affect health care costs,
access.
*
quality and
ID No. 12590, at 54.
Id.,
$32,441 to Harvard Medical School for a synthesis
and summary of the outcomes research field (for 5
months).
*
Id.,
No. 20337, at 58.
$82,000 to Harvard University to develop a project
to
analyze
months).
domestic
Id.,
policy
gridlock
(for
11
ID No. 20355, at 58.
Brigham and Women's Hospital received:
*
$75,000 for a study of the effects of health system
reform on medical practice.
Id., ID No. 18858, at
58.
See Tab 56 attached to this Memorandum.
Keith P. Powell, M.D.
Professor and Associate Chair of Clinical Affairs
Department of Pediatrics
Chief, Division of Infectious Diseases
University of Rochester Medical Center
Office of Senator Edward Kennedy, D-MA
committee on Labor and Human Resources
Dr.
Powell was sponsored by the University of Rochester, which
received $56,925 for the year.
Declaration of Genevieve M. Young,
Exh. 4, 1992 RWJF Annual Report, ID No. 4888, at 57.
116
Dr. Powell
�served on Cluster II, "New system Coverage", Group 6, "Benefits".
(Declaration of Marjorie Tarmey, Document No. 119). The University
of Rochester School of Medicine and Dentistry received $2,499,501
from the Robert Wood Johnson Foundation for 52 months for a program
entitled,
"Preparing Physicians for the Future: A Program in
Id., ID No. 15397, at 57.
Medical Education."
Dr. Powell entered
the Old· Executive Office Building at least 14 times between
February 23, 1993, and April 28, 1993.
Ho DBHS earnings and leave
statements, travel vouchers, or conflict of interest forms were
produced by the Defendants regarding Dr. Powell.
See Tab 56
attached to this Memorandum.
Julie SOchalski, Ph.D.
Assistant Professor
School of Nursing
College of Physicians and Surgeons
Columbia University
Office of Senator Bill Bradley, D-NJ
Dr. Sochalski was sponsored by Columbia University, College of
Physicians and Surgeons, which received .$60,075 for the program.
Declaration of Genevieve M. Young, Exh. 4, 1992 RWJF Annual Report,
ID No. 4888, at 57.
System Coverage",
Dr. SOChalski served on Cluster II,
Group
6,
"Benefits"
Marjorie Tarmey, Document No. 119) •
(see,
"New
Declarations
of
Dr. SOchalski entered the Old
Executive Office Building at least 21 times between February 15,
1993, and May 5, 1993.
Ho DBHS earnings and leave statements,
travel vouchers, or conflict of interest forms were produced by the
Defendants regarding Dr. Sochalski.
Columbia University, College
of Physicians and Surgeons, received $2,501,497 from the Robert
Wood
Johnson
Foundation
for
a
117
program
entitled,
"Preparing
�Physicians
for
the
Future:
A Program in Medical
Education" •
Declaration of Genevieve M. Young, Exh. 4, 1992 RWJF Annual Report,
ID No. 15397, at 57.
See Tab 56 attached to this Memorandum.
Other individuals who served on the Interdepartmental Working
Group, and its Cluster Groups, Working Groups and Subgroups also
identified themselves
as
Fellows,
although
the
name
of
the
sponsoring organization and the source of their funding is unclear.
Those persons were as follows:
*
Monica Davies,
Bingaman
congressional
Fellow to
Senator
(see Declarations of Marjorie Tarmey,
Documents Nos. 198 and 705).
*
Thomas Finigan, congressional . Fellow, no sponsor
named
(see
Declarations
of
Marjorie
Tarmey,
Document No. 715).
*
Lawrence Golub, White House Fellow.
*
Greqq Meyer,
Massachusetts General
Fellow
(see
Declarations of Marjorie Tarmey, Document No. 705).
G.
PRIVATE SECTOR MEMBERS OF THE INTERDEPARTMENTAL WQRKING GROUPS
ITS CLUSTER GROUPS WORKING GRQUPS AND SUBGROUPS
AND
I
The documents produced by the Defendants to date leave no
doubt that the Interdepartmental Working Group, and its Cluster
Groups Working Groups and Subgroups were heavily populated by
members of the private sector.
A number
of
health
care
providers
participated
on
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups, and Subgroups, including many practicing physicians from
the private sector.
Declarations of Marjorie Tarmey, Documents
118
�Nos.
762,
763,
764,
765,
766,
attached to this Memorandum.
980,
981
and 982; See Tab
~06
Document No. 764 clearly shows a
large number of practicing physicians from the private sector.
Additionally,
numerous
persons
who
were
members
of
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups were from either state or local government
organizations or private consulting groups.
Declarations
of
Marjorie Tarmey, Documents Nos. 864, 865, 866, 867, 868, 869; See
Tabs
~oo,
~o~
and
~02
attached to this Memorandum.
Document No.
864 explicitly refers to the list as "Members of the Health Care
Reform Task Force Working Group".
Representatives from state
governments, representatives of intergovernmental organizations,
self-employed
consultants,
individuals
who
are
officers
or
employees of private, non-profit foundations, grant recipients of
non-profit foundation funds, ·and other members of the private
sector participated on the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups as shown by documents
produced by the Defendants.
Declarations of Marjorie Tarmey,
Documents Nos. 983, 1786, 1787, 734, 477; See
attached
to
this
Memorandum.
Some
of
~abs
these
56 through
other
~~8
private
individuals included persons employed by the Democratic National
Committee, the Democratic Governors Association, Long, Aldridge and
Norman, Attorneys at Law, Atlanta, Georgia, MCI Communications
Corporation, the National Academy of State Health, the National
Association of Insurance Companies, the National Conference of
State Legislatures, :the Pennsylvania Governor's Office and the
119
�Colorado Governor's Office.
Documents Nos. 1680-1692.
1.
Declarations
See Tab
~~B
of Marjorie
Tarmey,
attached to this Memorandum.
Full-Time SGEs
Documents Nos. 1082, 1083 and 1086 (Declarations of Marjorie
Tarmey)
are facsimiles from the Department of Health and Human
Services, Office of the General Counsel, Office of the Special
counsel for Ethics dated April 5, 1993.
Documents Nos. 1082 and
1083 contain a list of "EXPERTS: FULL TIME WORK GROUP MEMBERS"
dated March 26, 1993, listing totally private members and their
salaries, some up to $97,000, and also showing when these persons
came "on board".
Most of the persons listed are shown as coming
"on board" in February, 1993, although two (2) persons are listed
as coming "on board" in early March, 1993.
See
Tab ~03
attached to
this Memorandum.
Document No. 1082, produced by the Defendants, appears to have
been dated March 26, 1993, after this Court's initial decision in
this case, and it states there were twenty-four (24) paid fulltime, special government employee working group members.
The date
of the receipt of the SF 171 (the application form which all
federal employees must file in order to be paid by the federal
government), the date of hire, and the salary level for all those
persons are all set forth in this document.
After thoroughly
reviewing all of the documents provided by the Defendants to date,
which are not subject to the Protective Order, summaries on the
role
of
each
of
these
twenty-four
(24)
individuals
on
the
Interdepartmental Working Group and its Cluster Groups, working
120
�Groups and Subgroups, and documents produced by the Defendants
relative to each person13 , are attached at Tabs 57
Memorandum.
~o 80
to this
These summaries of the twenty-four (24) individuals
who were members of the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups reveals the following:
Robert Berenson, M.D.
Practicing Internist and co-Founder of the National Capital
Preferred Provider Organization: Chair, Health Reform Task Group on
Quality,
Malpractice
and
Technology
for
the
Health
Policy
Transition Team (Declaration of Marjorie Tarmey, Document No.
1089).
There can be no doubt that Dr. Berenson played a major role
in the Interdepartmental Working Group, and its Cluster Groups,
Working Groups and Subgroups.
According to his DHHS earnings and
leave statements, Dr. Berenson was paid for at least 512 hours of
participation on the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
According to the
The summary reports contained at Tabs 57 ~o 80 to this
Memorandum are based upon the documents produced by the Defendants
to date. These summary reports are similar to the summary reports
regarding Robert Wood Johnson Fellows (see footnote 8, supra), with
the addition of dates and hours working. The heading "PPE" refers
to "pay period ending" based upon the DHHS earnings and leave
statements provided by Defendants.
It must be noted that the
recorded entries into the Old Executive Office Building are not
exhaustive of the participation of the various me~rs of the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups. In addition to many members holding passes
to the OEOB, the Defendants have stated that many meetings took
place at locations other than the OEOB, such as the Vista Hotel,
Shoreham Hotel, various rooms at the Department of Health and Human
Services Building and conference rooms at the Veterans Affairs
Building.
Food, it appears, was often obtained for meeting
participants from a Chinese Restaurant, "The City Lights of China."
Declarations of Marjorie Tarmey, Documents Nos. 1682 and 1685.
13
121
�records of entry to the Old Executive Office Building, Dr. Berenson
entered that building on at least 39 occasions,
because Dr.
Berenson's name also appears on the passholder's list supplied by
the Defendants.
interests,
Dr. Berenson has close ties to managed care
as well as. having been a consultant to the Urban
Institute (a prominent player on the Working Group) and the Alpha
Center /Robert Wood Johnson Foundation.
Dr. Berenson is on the
Editorial Board of Health Affairs, a publication published by
Project HOPE and funded by the Henry J. Kaiser Family Foundation.
Dr. Berenson, for some reason, filed two (2) SF 278 conflict of
interest forms.
The two (2) forms differ slightly, but it is
unknown why two (2) SF 278s were submitted.
Neither form was
submitted within thirty (30) days of beginning his duties on the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
See Tab 57 attached to this Memorandum.
Linda Bergthold, Ph. D.
Employed as Benefits Consultant by William M. Mercer, Inc.:
Principal,
Medical Audit Services and Expert in Managed care
(Declaration o:f Marjorie Tarmey, Document No •. 1089).
question
that
Dr.
Bergthold
played
a
major
There is no
role
in
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
According to her DHHS earnings and leave
statements, Dr. Bergthold was paid for at least 560 hours of
participation on the
Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
records
of entry to
According to the
the Old Executive Office Building,
122
Dr.
�Bergthold entered that building on at least 29 occasions, because
Dr. Bergthold's name also appears on the passholder's list supplied
by the Defendants.
Dr. Bergthold served on Cluster I, "New System
Organization", Group 5, "Insurance Reform" (Declaration of Marjorie
Document
Tarmey,
Families",
No.
1286),
Cluster II,
Group
7,
"Coverage
"New System Coverage"
for
Working
(Declaration
of
Marjorie Tarmey, Document No. 136), and Group 8, "Coverage for Low-
Income and Non-Working Families" (Declaration of Marjorie Tarmey,
Document No. 775).
See Tab 58 attached to this Memorandum.
Eugene R. (Rick) Brown, Ph.D.
Professor of Behavioral Sciences,
UCLA School
of Public
Health, Health Policy Analyst (Declaration of Marjorie Tarmey,
Document No. 1089).
There is no question that Rick Brown played a
major role in the Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups.
According to his DHHS
earnings and leave statements, Rick Brown was paid for at least 400
hours of participation on the Interdepartmental Working Group and
its Cluster Groups, Working Groups and subgroups.
According to the
records of entry into the Old Executive Office Building, Rick Brown
entered that building at least 23 times.
Rick Brown was the
Principal Investigator for a Robert Wood Johnson Project under the
Health
Care
(discussed,
Financing Organization
supra),
entitled
(HCFO)
"Californians'
Funding
Health
Initiative
Insurance
coverage: Research for Public Policy Making and Planning" at the
UCLA School of Public Health, which was funded by the RWJF for
$128,137.
Rick Brown Served on Cluster II, "New system coverage"
123
�(Declaration of Marjorie Tarmey, Document No. 116), Cluster IIA,
Work Group 6, "Benefits" (Declaration of Marjorie Tarmey, Document
No. 118), Work Group 7, "Coverage for Working Families (Declaration
of Marjorie Tarmey, Document No. 136), Work Group 8, "Coverage for
Low-Income and Non-Working Families"
(Declaration of Marjorie
Tarmey, Document No. 155), where he was a Co-Subgroup Leader with
Shoshana ·sofaer, and Cluster IX, "Long Term Care", Work Group 30,
"Disability cross-cutting Group" (Declaration of Marjorie Tarmey,
Document No. 671).
Gary J.
See Tab 59 attached to this Memorandum.
Claxton
senior Policy Analyst,
National Association of Insurance
Commissioners (Declaration of Marjorie Tarmey, Document No. 1089).
There is no question that Hr. Claxton played a prominent role in
the Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
statements,
Hr.
According to his DHHS earnings and leave
Claxton was paid for at least 640 hours of
participation on the Interdepartmental Working Groups, its Cluster
Groups, Working Groups and Subgroups.
According to the records of
entry into the Old executive Office Building, Hr. Claxton entered
that building on at least 32 occasions.
Cluster I,
"New System Organization",
Hr. Claxton served on
as Leader of Group 5,
"Insurance Reform" (Declaration of Marjorie Tarmey, Document No.
1357),
and also
served on Group 41,
"Workers'
Compensation"
(Declaration of Marjorie Tarmey, Document No. 30090).
attached to this Memorandum.
124
See Tab 60
�Shelly L. Crow, RN, MS
Second Chief, Muscogee (Creek Nation), Office of the Chief
(Declaration of Marjorie Tarmey, Document No. 1089).
Shelly crow
was also a key participant in the Interdepartmental Working Group
and its Cluster Groups, Working Groups and Subgroups.
According to
DHHS earnings and leave statements, Shelly crow was paid for at
least 44.0 hours of participation on the Interdepartmental Working
Group,
and its Cluster Groups,
Working Groups and subgroups.
Shelly crow entered the Old Executive Office Building at least 13
times.
Shelly crow served
Government
Programs",
on
Cluster
Subgroup 16A,
IV,
11
Integration
"Indian Health
of
Services"
(Declaration of Marjorie Tarmey, Document No. 447), and Cluster
VIII, Work Group 22, Subgroup A, "Underserved Rural and Inner city
Areas" (Declaration of Marjorie Tarmey, Document No. 523).
See Tab
61 attached to this Memorandum.
Richard E. curtis, 11PP
President, Institute for Health Policy Solutions, Inc., and
former Director of Policy, Health Insurance Association of America
(Declarations of Marjorie Tarmey, Document Nos. 1089 and 864). Mr.
CUrtis was a key player in the Interdepartmental Working Group and
its Cluster Groups, Working Groups and Subgroups.
According to his
DHHS earnings and leave statements, Mr. curtis was paid for at
least 640 hours of participation on the Interdepartmental Working
Groups and its Cluster Groups, Working Groups and Subgroups.
Mr.
curtis also entered the Old Executive Office Building on at least
34 occasions.
Mr. · curtis
served on Cluster I,
125
"New System
�Organization", Group 3, "Governance", as Group Leader (Declaration
of Marjorie Tarmey, Document No. 12).
The SF 278 of Mr. curtis,
otherwise totally handwritten, for some reason, has a typed date on
it.
See Tab 62 attached to this Memorandum.
Denise A. Denton, MS
Executive Director, Colorado Rural Health Resource Center,
President-Elect
of
the
National
Rural
Health
Association
·,
(Declaration of Marjorie Tarmey, Document No. 1090).
Ms.
Denton
played a major role in the Interdepartmental Working Group and its
Cluster Groups, Working Groups and Subgroups.
According to her
DHHS earnings and leave statements, Ms. Denton was compensated for
at least 400 hours of participation on the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups.
Ms.
Denton entered the Old Executive Office Building on at least 47
occasions.
Ms.
Organization",
Denton was assigned to Cluster I
Group
2,
"Managed care/Toward
(Declaration of Marjorie Tarmey, Document No. 7).
participated on Cluster II,
I
"New system
& Beyond-Rural"
Ms.
"New System coverage",
Denton also
Group 13,
"Coverage for Low-Income and Non-Working Families" (Declaration of
Marjorie Tarmey, Document No. 166).
under
"Chairs
and
Consultants,
lis.
Cluster
Marjorie Tarmey, Document No. 304).
Denton was also listed
III"
(Declaration
of
The SF 278 of Ms. Denton,
otherwise totally handwritten, for some reason, has a typed date on
it.
The Robert Wood Johnson Foundation gave $566,999 to the Office
of the Governor, State of Colorado, for an initiative to help
states plan and develop reforms that improve the financing and
126
�delivery of health care.
See, Declaration of Genevieve M. Young,
Exh. 4, 1992 RWJF Annual Report, ID No. 18519, at 37.
See Tab 63
attached to this Memorandum.
David Eddy, M.D., Ph.D.
Professor, Duke University Medical School, Senior Advisor for
Health
Policy,
Kaiser
Permanente1 • ,
Research
Specialist
(Declaration of Marjorie Tarmey, Document No. 1090). Dr. Eddy, and
his wife, Judith Eddy, played major roles in the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups.
According to the DHHS earnings and leave statements, David Eddy was
reimbursed
for
at
least
184
hours
of
participation
on
the
Interdepartmental Working Group and its Cluster Groups, Working
Groups and Subgroups.
This does not count the other hours after
Dr. Eddy allegedly became "part-time".
Dr. Eddy entered the Old
Executive Office Building at least 25 times.
Dr. Eddy was the Task
Group Leader for Cluster III, Group 10, "Information Systems"
(Declaration of Marjorie Tarmey, Document No. 187), and was also a
special consultant for Cluster III, Group 9, "Quality Measurement".
Dr.
Eddy was also a participant on Group 40, "Academic Health
Centers"
(Declaration of Marjorie Tarmey,
Document No.
704).
Judith Eddy was listed as "Cluster Assistant" and "Staff-Health
Care Workforce" for Cluster III (Declarations of Marjorie Tarmey,
Documents Nos. 357 and 364).
Both David Eddy's and Judith Eddy's
conflict of interest forms have date discrepancies when compared
1
•Kaiser Permanents is a large managed care corporation.
127
�
Dublin Core
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Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
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White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
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1993
Identifier
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2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
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72 files in 6 boxes
Provenance
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Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
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William J. Clinton Presidential Library & Museum
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<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
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American Physicians Lawsuit HCTF (Health Care Task Force); March 23, 1994 [2] [1]
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First Lady's Office
Maggie Williams
Evan Ryan
Melanne Verveer
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2006-0223-F
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Box 6
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
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Clinton Presidential Records: White House Staff and Office Files
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42-t-2194630-20060223F-006-002-2015
2194630
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https://clinton.presidentiallibraries.us/files/original/03e6a6a77d4997e3435b26df67552ee2.pdf
152f1c966131dbe89c968c86361a49f9
PDF Text
Text
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
AMERICAN COUNCIL FOR HEALTH
CARE REFORM AND NATIONAL
LEGAL & POLICY CENTER,
Plaintiffs,
v.
HILLARY RODHAM CLINTON,
DONNA E. SHALALA, Secretary of
Health and Human services,
LLOYD E. BENTSEN, Secretary of
the Treasury, LES ASPIN,
Secretary of Defense, JESSE
BROWN, Secretary of Veterans
Affairs, RONALD H. BROWN,
Secretary of Commerce, ROBERT
B. REICH, Secretary of Labor,
LEON E. PANETTA, Director of
the Office of Management and
Budget, ALICE RIVLIN, Deputy
Director of the Office of
Management and Budget, CAROL
RASCO, IRA MAGAZINER and
JUDITH FEDER, White House
Advisors, THE PRESIDENT'S
TASK FORCE ON NATIONAL
HEALTH CARE REFORM, . and the
INTERDEPARTMENTAL WORKING
GROUP OF THE PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE
REFORM, AND ITS CLUSTER GROUPS,
WORKING GROUPS AND SUBGROUPS
(the Specific Names and Group
Numbers of Which are Set Forth
Hereinbelow at Paragraph 18),
Defendants.
)
)
)
)
)
)
)
)
)
)
Civil Action
No. 93-399
(Judge Lamberth)
)
)
)
)
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)
)
)
)
)
)
)
)
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)
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)
)
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)
)
)
)
)
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)
)
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)
)
)
VBRIFIBD
SECOND AHBNDBD AND SUBS!'I'l'Cr.l'BD COIIPLAIN'l' FOR DECLARATORY
JUDGIIBNT, RBS!'RAINING ORDER, AND PRBLilfiNARY
AND PBRIIANBN'l' INJUNCTIVE RELIEF
1
�a.
NOW COME the Plaintiffs, ASSOCIATION OF AMERICAN PHYSICIANS &
SURGEONS,
INC.,
an Indiana not-for-profit corporation,
through Jane M. Orient, M.D.,
Executive Director,
COUNCIL FOR HEALTH CARE REFORM,
by and
the AMERICAN
a Virginia corporation,
by and
through William Shaker, President, and the NATIONAL LEGAL & POLICY
CENTER, a District of Columbia not-for-profit corporation, by and
through Kenneth F. Boehm, Chairman and C.E.O., pursuant to Rule 15
of the Federal Rules of Civil Procedure, after being duly sworn,
and for their verified second banded and Substituted complaint for
Declaratory
Judgment,
Restraining
Order
and
Preliminary
Permanent Xnjunctive Relief against the Defendants, HILLARY
and
ROD~
CLINTON, DONNA E. SHALALA, Secretary of Health & Human Services;
LLOYD E. BENTSEN, Secretary of the Treasury; LES ASP IN, Secretary
of Defense; JESSE BROWN, Secretary of Veterans Affairs; RONALD H.
BROWN, Secretary of Commerce; ROBERT B. REICH, Secretary of Labor,
LEON E. PANETTA, Director of the Office of Management and Budget;
ALICE RIVLIN,
Deputy Director of the Office of Management and
Budget, CAROL RASCO, IRA MAGAZINER and JUDITH FEDER, White House
Advisors, individually, and in their official capacities as members
of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
and the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS, WORKING GROUPS
and SUBGROUPS (the specific names and group numbers of which are
set
forth
hereinbelow at paragraph 18) ,
follows:
2
allege
and
state
as
�..
_.
JURISDICTION
That this is a civil action arising under the laws of the
1.
United states, specifically the Federal Advisory Committee Act
("FACA"), Titles u.s.c. App.,
in the sunshine Act,
§§
Title 5 u.s.c.
Information Act, Title 5 u.s.c.
pursuant to Title 28 u.s.c.
§§
552b and 702.
1 through 14, and the Government
§§
§
§
552b,
the Freedom of
552a ("FOIA"), and is brought
1331, 1361, 1651 and Title 5 u.s.c.
· This Court may grant the declaratory and
injunctive relief sought herein pursuant to Title 28, u.s.c.
§
1631
and 2201 and Rules 57 and 65 of the Federal Rules of Civil
Procedure.
2.
That this action involves the legality and course of
conduct of federal advisory committees and the interpretation and
meaning of the Federal Advisory Committee Act (FACA), Title 5
u.s.c. App.,
§§
Title 5 u.s.c.
u.s.c.
§
1 through 14, the Government in the Sunshine Act,
552b, and the Freedom of Information Act, Title 5
§
552a, enacted by the Congress of the United States of
American, and, therefore, the Attorney General of the United States
shall be served with a copy of the Verified ·second Amended and
Substituted complaint for Declaratory Judgment, Restraining Order,
and Preliminary and Permanent Injunct!ve Relief, and shall be
entitled to be heard as required by Rule 4 of the Federal Rules of
Civil Procedure.
VDIUB
3.
That venue is laid in this judicial district
Title 28 u.s.c.
§
p~suant
to
1391·(e) in that the individual Defendant members
3
�·of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM, with the exception of HILLARY RODHAM CLINTON, are officers
and agents of, and employed by, the Government of the United
States, and all of the individual Defendants are acting_ in an
official capacity for the Government of the United States as
members of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM,
and all of the individual Defendants have their
offices--in the case of the Defendant, HILLARY RODHAM CLINTON, her
residence--within this judicial district;
and,
the Defendant,
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
Defendants, the INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS,
WORKING GROUPS AND SUBGROUPS (the specific names and group numbers
of which are set forth hereinbelow at paragraph 18), have their
offices located within this judicial district; the cause of action
arose within this judicial district, and, no real property is
involved herein.
PLAIIITII78
4.
That the Plaintiff, ASSOCIATION OF AMERICAN PHYSICIANS
SURGEONS, INC.
&
("AAPS"), is a national physician and osteopath
membership corporation, organized and existing under and by virtue
of the not-for-profit corporation laws of the state of Indiana,
with its principal offices located at 1601 North Tucson Boulevard,
Suite 9, Tucson, Arizona 85716. AAPS consists of member physicians
and osteopaths from every state and territory in the Union and the
District of Columbia.-
The purpose of the association is to
4
�•
preserve
and
osteopathy.
protect
the
practice
of
private
medicine
and
The members of AAPS have a deep concern over the
formation of national health care policy and any health care reform
measures which may be devised, and, accordingly, desire to attend
and participate in the meetings and deliberations and examine the
records, reports, transcripts, minutes, appendixes, working papers,
drafts, studies, agenda, and all other documents of the individual
Defendants, as members of the PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL
HEALTH
CARE
REFORM,
and
the
Defendants,
the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS, WORKING GROUPS
AND SUBGROUPS (the specific names and group numbers of which are
set forth hereinbelow at paragraph 18), in order to advance and
protect the interests of physicians and osteopaths. The Plaintiff,
AAPS, and its members are "interested persons" within the meaning
of the FACA.
4.
REFORM
That the Plaintiff, AMERICAN COUNCIL FOR HEALTH CARE
("ACHCR")
is
a
national
public
interest,
membership
corporation, organized and existing under and by virtue of the notfor-profit corporation laws of the Commonwealth of Virginia, with
its principal offices located at 5155 North 37th street, Arlington,
Virginia 22207.
The purpose of the ACHCR is to represent consumers
of health care services in an effort to ensure that the health care
market
remains
free
of
unnecessary
and
costly
9overnment
regulations and for ·the implementation of reforms within the
5
�insurance
industry
to
protect
the
consumers
of
health
care
services. Like the members of AAPS, the members of ACHCR desire to
attend and participate in the meetings and examine the records,
reports, transcripts, minutes, appendixes, working papers, drafts,
studies,
agenda
and
all
other
documents
of
the
individual
Defendants, as members of the PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL
HEALTH
CARE
REFORM,
and
the
Defendants,
the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS, WORKING GROUPS
AND SUBGROUPS (the specific names and group numbers of which are
set forth hereinbelow at paragraph 18), in order to advance and
protect the interests of consumers of health care services.
The
Plaintiff, ACHCR, and its members are"interested persons" within
the meaning of the FACA.
6.
That the Plaintiff 1
NATIONAL LEGAL
&
POLICY CENTER
("NLPC") is a private foundation, organized and existing under and
by virtue of the not-for-profit corporation laws of the District of
Columbia, with its offices located at 1156 15th.Street, suite 500,
Washington, D.c. 20005
The Plaintiff, NLPC, was established to
promote ethics in qovernment by publicizinq and distributinq a
"Code of Ethics for Government" which it believes is essential to
the health of the nation's democratic institutions.
The NLPC has
a deep concern over the fact that the Defendants, the PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM and the Defendants, the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
6
�...
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS, WORKING GROUPS
AND SUBGROUPS (the specific names and group numbers of which are
set forth hereinbelow at paragraph 18),
are not operating under
advisory committee charters and are not conducting their meetings
in public with advance notice thereof in the Federal Register, or
opening their records, reports, transcripts, minutes, appendixes,
working papers, drafts, studies, agenda, and other documents to the
public for inspection and copying, and it regards such conduct as
violative of federal law.
Like the members AAPS and ACHCR, the
members of NLPC desire to attend ·and participate in the meetings
and examine the records, reports, transcripts, minutes, appendixes,
working papers, drafts, studies, agenda, and all other documents of
the individual Defendants, as members of the PRESIDENT'S TASK FORCE
ON NATIONAL HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM,
and the Defendant,
the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS AND SUBGROUPS,
not only due to Plaintiffs' and its officers' interest in health
care reform,
but their interest in the
government and the task force itself.
prope~
operation of
The Plaintiff, NLPC, and its
members are "interested persons" within the meaning of the FACA.
DD'DDUTS
7.
That the Defendant, HILLARY RODHAM CLINTON, is the wife
of the President of the United states, William Jefferson Clinton,
and resides at 1600 Pennsylvania Avenue, Washington,
D.~.
20500.
The Defendant, HILLARY· RODHAM CLINTON, is not now an employee or
7
�.4111
••
..
official of the Government of the United states and receives no
remuneration from the Government of the United States.
The
Defendant, HILLARY RODHAM CLINTON, was named Chairperson of the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
on January 25, 1993 by President Clinton.
8.
That the Defendant, DONNA E. SHALALA, is now, and at all
times mentioned herein has been, the Secretary of the United States
Department of Health & Human Services, an official of the federal
government, with her offices located at 615 F Hubert H. Humphrey
Building_, 200 Independence Avenue, s.w., Washinqton, D.C. 20410.
on January 25, 1993, the Defendant, DONNA E. SHALALA, was named a
member of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM, by President Clinton.
9.
That the Defendant, LLOYD E. BENTSEN, is now, and at all
times mentioned herein has been, the Secretary of the United States
Department of the Treasury, an official of the federal government,
with his offices located at 3330 Main Treasury Building, 1500
Pennsylvania Avenue, N.W.
I
Washinqton, D.C. 20220.
on January 25,
1993, the Defendant, LLOYD E. BENTSEN, was named a member of the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
by President Clinton.
10.
That the Defendant, LES ASPIN, at all times relevant
hereto, was the Secretary of the United States Department of
Defense, an official of the federal government, with his offices
located at 3880 the Pentagon, Washinqton, D.C. 20301.
on January
25, 1993, the Defendant, LES ASPIN, was named a member of the
8
�•
••
.'
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
by President Clinton.
11.
That the Defendant, JESSE BROWN, is now, and at all times
mentioned herein has been, the Secretary of the United States
Department
of
Veterans Affairs,
an
official
of
the
federal
government, with his offices located at 114 Tech World Plaza, 801
Eye Street, N.W. (the mailing address is 810 Vermont Avenue, N.W.,
Washington, D.C. 20420), Washington, D.C. 20001.
1993,
the Defendant, JESSE BROWN,
On January 25,
was named a member of the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
by President Clinton.
12.
That the Defendant, RONALD H. BROWN, is now, and at all
times mentioned herein has been, the Secretary of the United States
Department of Commerce, an official of the federal government, with
his offices located at 5858 Herbert Clark Hoover Building 14th
Street and Constitution Avenue, N.W., Washington, D.C. 20230.
On
January 25, 1993, the Defendant, RONALD H. BROWN, was named a
member of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM, by President Clinton.
13.
The Defendant, ROBERT B. REICH, is now, and at all times
mentioned herein has been, the Secretary of the United States
Department of Labor, an official of the federal government, with
his
offices
located at
52018
Frances
Perkins
Constitution Avenue, N.W., Washington, D.C. 20210.
Building,
200
on January 25,
1993, the Defendant, ROBERT B. REICH, was named a member of the
9
�•
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
by President Clinton.
14.
The Defendant, LEON E. PANETTA, is now and at all times
mentioned herein has been, the Director of the Office of Manaqement
and Budqet of the United states,
an official of the federal
qovernment, with his offices located at 52018 Frances Perkins
Buildinq, 200 Constitution Avenue, N.W., Washinqton, D.C. 20210 •
•
on January 25, 1993, the Defendant, LEON E. PANETTA, was named a
member of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM, by President Clinton.
15.
The Defendant, ALICE RIVLIN, is now, and at all times
mentioned herein has been, the Deputy Director of the Office of
Manaqement and Budqet of the United States, an official of the
federal qovernment, with her offices located at Executive Office of
the President, Washinqton, D.C. 20503.
On January 25, 1993, the
Defendant, ALICE RIVLIN, was named a member of the Defendant,
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, by President
Clinton.
16.
The Defendants, CAROL RASCO, IRA MAGAZINER, and JUDITH
FEDER, are now, and at all times mentioned herein have been,
domestic advisors to President Clinton, and are officials of the
federal qovernment, with their offices located in the Executive
Office of the President, Washinqton, D.C. 20500.
On January 25,
1993, the Defendants, CAROL RASCO, IRA MAGAZINER and JUDITH FEDER,
were named as members of the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, by President Clinton.
10
�.:
.......
17.
.
The Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM, is an "Advisory committee" composed of the Defendants,
HILLARY RODHAM CLINTON,
wife of President Clinton;
DONNA E.
SHALALA, Secretary of the Department of Health & Human Services;
LLOYD E. BENTSEN, Secretary of the Treasury; LES ASPIN, Secretary
of Defense; JESSE BROWN, Secretary of Veterans Affairs; RONALD H.
BROWN, secretary of commerce; ROBERT B. REICH, Secretary of Labor;
LEON E. PANETTA, Director of the Office of Management and Budget;
ALICE RIVLIN, Deputy Director of the Office of Management and
Budqet; CAROL RASCO, IRA MAGAZINER and JUDITH FEDER, White House
advisors, formed by the President of the United States on January
25, 1993, for the purpose of listening to all parties and preparing
health
care
Conqress.
reform
legislation which
could
be
submitted
to
The offices of the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH
CARE
REFORM, are located at the Executive Office of
the President, washington, D.C. 20500.
The Defendant, PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM, is named as a party
herein for all purposes of Rule 17(b) of the Federal Rules of Civil
Procedure.
Service of Process shall be made upon the Chairperson
of the Defendant, HILLARY RODHAM CLINTON, at her address, the White
House, 1600 Pennsylvania Avenue, Washington, D.C.
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
20500.
CARE
The
REFORM is
referred to hereinbelow at times as the "TASK FORCE".
18.
The Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CLUSTER GROUPS, WORKING GROUPS
AND
11
CARE
REFORM_, and its
SUBGROUPS; namely, Cluster Group
�I, "New system Organization", and Working Group 1, "Principles and
operation of Purchasing Cooperatives"; Working Group 1A, "Health
Plans,
Patients
care/Toward
Group 4,
&
and
Providers";
Working
Group
2,
"Managed
Beyond"; Working Group 3, "Governance"; "Working
"A Global Budget",
and Working Group 5,
"Insurance
Reform"; Cluster Group II, "New System Coverage", and Working Group
6,
"Benefits Package"; Working Group 7,
Families"; Working Group 8,
"Coverage for Working
"Coverage for Low Income and Non-
Workinq Families"; Cluster Group III, "New System Infrastructure",
and Workinq Group 9, "Quality Measurement"; Working Group 10,
"Information Systems"; Working Group 11, "Malpractice and T9rt
Reform",
and
Development";
Workinq
Cluster
Group
Group
12,
IV,,
"Facilitating
"Integration
Professional
of
Government
Programs into the New system", and Workinq Group 13, "Medicare";
Workinq Group 14,
"Department of Defense"; Workinq Group 15,
"Veterans"; Workinq Group 16, "Federal Employers Health Benefits
Plan"; Working Group 16A, "Other Government Programs"; Cluster
Group V, "Bioethics or Ethical Foundations of the New System", and
Workinq Group 17, "Bioethics";
Cluster Group VI, "Transition to
the New System, Short-Term Cost Controls", and Working Group 18,
"Accelerating
New
System
Development 11 ;
Working
Group
19,
"Administrative Simplification"; Working Group 20, "Interim cost
Controls"; Cluster Group VII, "Financing", and Workinq Group 21,
"Financinq"; Cluster Group VIII, "Health Policy Initiatives for the
Underserved", and Working Group 22, "Health Policy
Initia~ives
for
the Underserved", and Subqroup A, "Underserved Rural and Inner City
12
�•
Areas"; Subqroup B, "Vulnerable/Hiqh Risk Populations"; Subqroup C,
"Women and Children",
and Subqroup D,
"Population-Based Public
Health and Prevention"; Cluster Group IX,
"Mental Health", and
Workinq Group 23; "Mental Health Benefits Packaqe"; Workinq Group
24, "Substance Abuse"; Workinq Group 25, "Children's Services";
Workinq Group 26,
"PUblic System Impact/Special Populations";
Cluster Group X, "Lonq Term Care", and Workinq Group 27, "Lonq Term
care-Backqround";
Options";
Workinq
Group
Workinq Group 29,
28,
"Lonq
Term
Care-Public
"Lonq Term Care-Private Options";
Workinq Group 30, "Cost and Revenue"; Cluster Group XI, "Economic
Impact", and Working Group 31, "Economic Impact"; Cluster
G~oup
XII, "Quantitative Analysis"; and Workinq Group 32, "Quantitative
Analysis; Cluster Group XIII, "Leqal Audit", and Workinq Group 33,
"Leqal Audit"; · Cluster Group XIV, "Numbers Audit ••, and Workinq
Group 34, "Numbers Audit"; Cluster Group XV, "The Drafting Group",
and Workinq Group 35, "The Draftinq Group", and Working Group 36,
"Disability Cross-cutting Work Group"; Workinq Group 37, "Rural
Cross-cutting Group"; Workinq Group 38, "Benefits Coordination";
Workinq Group 39, "Minority Issues Review Group"; Working Group 40,
"Academic
Health
Centers",
and
Workinq
Group
41,
"Workers'
compensation Task Force", are "advisory committees" formed by or
under the direction of the President of the United States on
January 25, 1993 and utilized by the President for the purpose of
"documenting the impact of existing health care policies and
gathering information concerninq present health care systems and
alternatives for health care reform legislation to be recommended
13
�......
to the TASK FORCE and to the President of the United States.
The
offices of the Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS, aforementioned, are
located at the Executive Office of the President, Washington, D.C.
20500.
The Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS, aforementioned, are
named as parties herein for all purposes of Rule 17 (b) of the
Federal Rules of Civil Procedure.
Service of process shall be made
upon the Chairperson of the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM,
HILLARY RODHAM CLINTON,
at her
address, the White House, 1600 Pennsylvania Avenue, Washington,
D.• c.
20500.
STATEMENT OF THE CASE
A.
THE FORMATION OF THE PBESIDENT 1 S TASK FORCE ON NATIONAL HEALTH
CARE REFORM AS AN AQVISORY COMMITTEE
19.
Jefferson
That on or about January 25, 1993 President William
Clinton announced
the
formation
of
the
Defendant,
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, at the White
House, the announced purpose of which was, according to the press
release from the White House,
campaign and the transition.
n
[to} build on the work of the
Listen to all parties and prepare
health care reform legislation to be submitted to Congress within
one-hundred (100) days of our taking office [on January 20, 1993]."
A true and correct copy of the President's Remarks on Health Care
Reform of January 25, 1993, is attached hereto and made a part
14
�hereof as though set out at length herein and marked, for purposes
of identification, as Exhibit "A".
20.
That the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM, was formed by the President for the purpose of
furnishing him with "expert advice, ideas and diverse opinions,"
and is a "task force" and "advisory committee" established and
utilized by the President in the interest of obtaining advice and
recommendations on national health reform, and consists of at least
one member who is not a full-time officer or employee of the
federal government.
B.
THE FORMATION OF THE IHTERPEPABTMENTAL WOBKING GROUP OF THE
PRESIDENT Is TASK FORCE ON NATIONAL HEALTH CARE BEFORK AND ITS
CLUSTER GROYPS WOBKING GROYPS AND SQBGROUPS
I
I
21.
That on or about January 25, 1993, the President of the
United States, through the Defendant, IRA MAGAZINER, established
the Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT 1 S
TASK FORCE ON NATIONAL HEALTH CARE FORM and its CLUSTER GROUPS,
WORKING GROUPS and SUBGROUPS, which met [and possibly still meets]
"regularly as part of an intensive effort to document the impact of
existing health care policies and to gather information concerning
the present health care system and alternatives for [health care]
reform
[legislation]"
to
be
recommended
to
the
individual
Defendants and the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM, and to the President of the United states.
22.
That the Defendants 1 INTERDEPARTMENTAL WORKING GROUP OF
THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFOR)I, and its
CLUSTER GROUPS 1 WORKING GROUPS AND SUBGROUPS 1
include, Cluster
15
-
--~-~--~------------------------------------__j
�.,
Group
I,
"New
System
Organization",
and
Working
Group
1,
"Principles and Operation of Purchasing Cooperatives"; Working
Group 1A, "Health Plans, Patients and Providers"; Working Group 2,
"Managed care/Toward
"Working Group
4,
&
Beyond"; Working Group 3, "Governance";
"A Global
Budget",
and Working
Group
5,
"Insurance Reform"; Cluster Group II, "New System Coverage", and
Working Group 6, "Benefits Package"; Working Group 7, "Coverage for
Working Families"; Working Group 8, "Coverage for Low Income and
Non-Working
Families";
Infrastructure••,
Working
Group
Cluster
Group
and Working Group
10,
"Information
9,
III,
"New
System
"Quality Measurement";
Systems";
Working
Group
11,
"Malpractice and Tort Reform", and Working Group 12, "Facilitating
Professional
Development";
Cluster Group
IV,
"Integration of
Government Programs into the New System", and Working Group 13,
"Medicare"; Working Group 14, "Department of Defense"; Working
Group 15, "Veterans"; Working Group 16, "Federal Employers Health
Benefits Plan"; Working Group 16A, "Other Government Programs";
Cluster Group V, "Bioethics or Ethical Foundations of the New
System", and Working Group 17, "Bioethics";
Cluster Group VI,
"Transition to the New System, Short-Term Cost controls", and
Working Group 18, "Accelerating New System Development"; Working
Group
19,
"Administrative Simplification";
"Interim Cost Controls";
Cluster Group VII,
Working
Group
20,
"Financing",
and
Working Group 21, "Financing"; Cluster Group VIII, "Health Policy
Initiatives for the Underserved", and Working Group 22, "Health
Policy
Initiatives
for
the
Underserved",
16
and
Subgroup
A,
�.
"Underserved
..
Rural
"Vulnerable/High
Risk
and
Inner
City
Populations";
Children", and Subgroup D,
Areas";
Subgroup
Subgroup
B,
"Women
and
c,
"Population-Based Public Health and
Prevention" ; Cluster Group IX, "Mental Health", and Working Group
23, "Mental Health Benefits Package"; Working Group 24, "Substance
Abuse"; Working Group 25, "Children's Services"; Working Group 26,
"Public System Impact/Special Populations"; Cluster Group X, "Long
Term care", and Working Group 27, "Long Term care-Background";
Working Group 28, "Long Term Care-Public Options"; Working Group
29, "Long Term Care-Private Options"; Working Group 30, "Cost and
Revenue"; Cluster Group XI, "Economic Impact", and Working Group
31, "Economic Impact"; Cluster Group XII, "Quantitative Analysis";
and Working Group 32, "Quantitative Analysis; Cluster Group XIII,
"Legal Audit", and Working Group 33, "Legal Audit"; Cluster Group
XIV,
"Numbers Audit",
and Working Group 34,
"Numbers Audit";
Cluster Group XV, "The Drafting Group", and Working Group 35, "The
Drafting Group", and Working Group 36, "Disability Cross-cutting
Work Group"; Working Group 37, "Rural Cross-cutting Group"; Working
Group 38,
"Benefits Coordination"; Working Group 39, "Minority
Issues Review Group"; Working Group 40, "Academic Health Centers",
and Working Group 41, "Workers' Compensation Task Force. n That the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS, WORKING GROUPS
AND SUBGROUPS, aforementioned, consist of members who are not fulltime officers or employees of the federal government.
17
�C.
THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM IS
AN ADVISORY COMMITTEE WITHIN THE MEANING OF THE FEDERAL
ADVISORY COMMITTEE ACT.
23.
committee"
That, pursuant to Title 5 u.s.c. App.,
is
any
"committee,
board,
§
3, an "advisory
commission,
council,
conference, panel, task force, or other similar group" which is
"established or utilized by the President. • • in the interest of
obtaining advice or recommendations for the President or one or
more agencies of the federal government, except that such term
excludes. • • any committee which is composed wholly of full-time
officers or employees of the Federal Government."
24.
That the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM,
was "esta!)lishe411 and
11
utilize4"
by the
President of the United States in the interest of obtaining advice
and recommendations on national health care reform and legislation,
and the Defendant, HILLARY RODHAM CLINTON, Chairperson of the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
and wife of the President of the United States, is not now,.nor at
any time relevant hereto has been, a full-time officer or employee
of the Government of the United States.
25.
That
the
Defendant,
HILLARY
RODHAM
CLINTON,
the
Chairperson of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM, and wife of the President of the United states, is barred
from being a full-time officer or employee of the Government of the
United States under the Kennedy Act, Title 5 u.s.c.
26.
§
3110.
That the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM, is an "advisory committee" within the meaning
18
�••
of the Federal Advisory Committee Act, 5 u.s.c. App.,
§§
1 through
14.
D.
THE PRESIDENT 1 S TASK FORCE ON NATIONAL HEALTH CARE REFORM
FILED AN ADVISORY COMMITTEE CHARTER UNDER COURT ORDER.
27.
That, according to Title 5 u.s. c. App., S 9 (a), "no
advisory committee shall meet or take any action until an advisory
committee charter has been filed with the Director [of the Office
of Management and Budget][Administrator of the General Services
Administration]."
such charter shall contain, according to Title
5 u.s. c. App.,
9 (c),
§
the following information:
"(A)
the
committee's official designation; (B) the committee's objectives
and the scope of its activity; (c) the period of time necessary for
the committee to carr¥ out its purposes; (D) the agency or official
to whom the· committee reports;
providing
the
necessary
(E) the agency responsible for
support
for
the
committee;
(F)
a
description of the duties for which the committee is responsible,
and, if such duties are not solely advisory, a specification of the
authority for such functions; (G) the estimated annual operating
costs
in dollars
and man-years for
such committee;
estimated number and frequency of committee meetings;
(H)
the
(I) the
committee's termination date, if less than two years from the date
of the committee's establishment; and, (J) the date the charter is
filed." The advisory committee charter shall be filed as well with
the Library of Congress.
28.
Amended
That as of the date of the filing of this Verified Second
and
Substituted
Complaint
for
Declaratory ·Judgment,
Restraining Order, and Temporary and Permanent Injunctive Relief,
19
�an
advisory
committee
charter
establishing
the
Defendant,
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, was filed
pursuant to FACA, Title 5
Preliminary
Injunction,
u.s.c. App., § 9(c), and this Court's
dated
March
10,
1993,
although
the
Preliminary Injunction aforementioned was dissolved by the United
States Court of Appeals for the District of Columbia on June 22,
1993.
E.
THE MEETINGS OF. THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM MUST BE OPEN TO THE PUBLIC WITH ADVANCE NOTICE
PUBLISHED IN THE FEDERAL REGISTER.
29.
That, pursuant to Title 5,
u.s.c. App., § 10(a) (1), "Each
advisory committee meetinq shall be open to the public."
Further,
under said§ 10(a)(2) of said Title, "Except when the President
determines otherwise for reasons of national security,
timely
notice of each such meeting shall be published in the Federal
Register,
and the Director
[of the Office of Management and
Budget] [Administrator of the General Services Administration] shall
prescribe regulations to provide for other types of public notice
to ensure that all interested persons are notified of such meetinq
prior thereto. 11
According to subsection (3) 'of § 10 (a) of said
Title, "Interested persons shall 'be permitted to attend, appear
before, or file statements with any advisory committee, subject to
reasonable rules or regulations as the Director [Administrator] may
prescribe."
u.s.c., App., §
10(d), and the Government in the Sunshine Act, Title 5 u.s.c. §
30.
That accordinq to the FACA, Title 5
552b(b), "every portion of every meeting of an agency shall be open
20
�to public participation" except where the agency finds that its
meeting or meetings shall be closed because not closing the meeting
or meetings would involve the disclosure of matters outlined in
Title 5
u.s.c.
forth in Title 5
An
§
552b(c), and it takes the requisite steps set
u.s.c.
App.,
§
10(d), and Title 5
u.s.c. §
Title 5 u.s.c.
"agency" according to Title 5
those entities set forth in
u.s.c.
§
552(d).
552b, shall include all
§
552(d), including any
"establishment in the executive branch of the Government".
F.
THE PRESIDENT 1 S TASK FORCE ON NATIONAL HEALTH CARE REFORM MOST
OPEN FOR PUBLIC INSPECTION ITS RECORDS REPORTS TRANSCRIPTS
MINQTES. APPENDIXES. WORKING PAPERS. DRAFTS. STUDIES. AGENDA
AND OTHER DOCUMENTS.
I
31.
That, pursuant to Title 5
u.s.c.
I
App.
§
I
10(b), "subject
to Section 552 of Title 5, United States Code (FOIA), the records,
reports, transcripts, minutes, appendixes, working papers, drafts,
studies, agenda or other documents which were made available to or
prepared for or by each advisory committee shall be available for
public inspection and copying at a single location in the offices
of the advisory committee or the agency to which the advisory
committee reports until the advisory committee_ ceases to exist."
32.
The Defendants and the Defendant Task Force must maintain
certain records consisting generally of: (1) the Advisory Committee
Charter of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM; (2) all records, reports, transcripts, minutes (including
minutes containing a record of the persons present and a complete
and accurate description of the matters discussed and conclusions
reached) , appendixes, working papers, drafts, studies, · or other
documents which have been or will be ma4e available to or have been
21
�••
prepared ))y the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM; (3) all schedules of meetings and agenda of the PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM; and (4) the names and
background histories of all persons who are members of or consult
or advise (whether on a full-time or part-time basis and whether
they are paid or not, and the amount paid where applicable) the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, which relate
to the conduct of the meetings of the PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and Plaintiffs have an interest in
said documents and records by reason of the fact that they are and
will be directly affected by the work and deliberations of the
Defendants and the Defendant TASK FORCE.
G.
TBE INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM. ANP ITS CLUSTER GROUPS.
WORKING GROUPS AND SYBGROUPS ARE APVISORY COMMITTEES WITBIN
THE MEANING OF TBE FEDERAL APVISORX COMMITTEE ACT.
33.
committee"
That, pursuant to Title 5,
is
any
"committee,
u.s. c. App.,
board,
§
3, an "advisory
commission,
council,
conference, panel, task force, or other similar group" which is
"established or utilized by the President. • • in the interest of
obtaining advice or recommendation for the President or one or more
aqencies of the federal government, except that such term excludes.
• • any committee which is composed wholly of full-time officers or
employees of the Federal Government."
34.
That the Defendant, INTERDEPARTMENTAL WORKING GROUP OF
THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS; namely, Cluster Group
I, "New System Orqanization", and Working Group 1, "Principles and
22
�Operation of Purchasing Cooperatives"; Working Group 1A, "Health
Plans,
Patients
care/Toward
Group 4,
&
and
Providers";
Working
Beyond"; Working Group 3,
"A Global Budget",
Group
2,
"Managed
"Governance";
and Working Group 5,
"Working
"Insurance
Reform"; Cluster Group II, "New system Coverage", and Working Group
6,
"Benefits Package"; Working Group 7,
Families"; Working Group 8,
"Coverage for Working
"Coverage for Low Income and Non-
Working Families"; Cluster Group III, "New System Infrastructure",
and Working Group 9,
"Quality Measurement"; Working Group 10,
"Information systems"; Working Group 11, "Malpractice and Tort
Reform",
and
Working
Group
12,
"Facilitating
Professional
Development"; Cluster Group IV, "Integration of Government Programs
into the New System", and Working Group 13, "Medicare"; Working
Group 14, "Department of Defense"; Working Group 15, "Veterans";
Working Group 16, "Federal Employers Health Benefits Plan"; Working
Group 16A, "Other Government Programs"; Cluster Group V, "Bioethics
or Ethical Foundations of the New System", and Working Group 17,
"Bioethics";
Cluster Group VI, "Transition to the New system,
Short-Term Cost Controls", and Working Group 18, "Accelerating New
System
Development";
Working
Group
19,
"Administrative
Simplification"; Working Group 20, "Interim Cost Controls"; Cluster
Group VII, "Financing", and Working Group 21, "Financing"; Cluster
Group VIII, "Health Policy Initiatives for the Underserved", and
Working Group 22, "Health Policy Initiatives for the Underserved",
and Subgroup A, "Underserved Rural and Inner City Areas"; Subgroup
B,
"Vulnerable/High Risk Populations";
23
Subgroup
c,
"Women and
�•••
Children", and Subgroup D, "Population-Based Public Health and
Prevention"; Cluster Group IX, "Mental Health", and Working Group
23, "Mental Health Benefits Package"; Working Group 24, "Substance
Abuse"; Working Group 25, "Children's Services"; Working Group. 26,
"Public System Impact/Special Populations"; Cluster Group X, "Long
Term Care", and Working Group 27, "Long Term Care-Background";
Working Group 28, "Long Term care-Public Options"; Working Group
29, "Long Term care-Private Options"; Working Group 30, "Cost and
Revenue"; Cluster Group XI, "Economic Impact", and Working Group
31, "Economic Impact"; Cluster Group XII, "Quantitative Analysis";
and Working Group 32, "Quantitative Analysis; Cluster Group XIII,
"Legal Audit", and Working Group 33, "Legal Audit"; Cluster Group
XIV,
"Numbers Audit" , and Working Group 34 ,
"Numbers Audit" ;
Cluster Group XV, "The Drafting Group", and Working Group 35, "The
Drafting Group", and Working Group 36, "Disability cross-cutting
Work Group"; Working Group 37, "Rural cross-cutting Group"; Working
Group 38, "Benefits Coordination"; Working Group 39, "Minority
Issues Review Group"; Working Group 40, "Academic Health Centers",
and working Group 41, "Workers' Compensation· Task Force", were
established and utilized by the President of the United States in
the interest of obtaining advice and recommendations on national
health care reform and legislation, and, the INTERDEPARTMENTAL
WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM, and its CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS,
aforementioned, were not composed wholly of full-time officers or
employees of the Federal Government.
24
�...
•
..
That the Defendants, INTERDEPARTMENTAL WORKING GROUP OF
35.
THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS; namely, Cluster Group
I, "New System organization", and Working Group 1, "Principles and
Operation of Purchasing Cooperatives"; Working Group lA, "Health
Plans,
Patients
and
Providers";
Working
care/Toward & Beyond"; Working Group 3,
Group 4,
"A Global Budget",
Group
2,
"Managed
"Governance";
and Working .Group 5,
"Working
"Insurance
Reform"; Cluster· Group II, "New System Coverage", and Working Group
6,
"Benefits Package"; Working Group 7,
Families"; Working Group 8,
"Coverage for Working
"Coverage for Low Income and Non-
Working Families"; Cluster Group III, "New System Infrastructure",
and Working Group 9,
"Quality Measurement"; Working Group 10,
"Information systems"; Working Group 11,
Reform",
and
Development";
Working
Cluster
Group
Group
12,
IV,,
"Malpractice and Tort
"Facilitating
"Integration
Professional
of
Government
Programs into· the New System", and Working Group 13, "Medicare";
Working Group 14,
"Department of Defense";
Working Group 15,
"Veterans"; Working Group 16, "Federal Employers Health Benefits
Plan"; Working Group 16A,
"Other Government Programs"; Cluster
Group V, "Bioethics or Ethical Foundations of the New System", and
Working Group 17, "Bioethics";
Cluster Group VI, "Transition to
the New System, Short-Term Cost Controls", and Working Group 18,
"Accelerating
New
system
Development n;
Working
Group
19 I
"Administrative Simplification"; Working Group 20, "Interim Cost
Controls"; Cluster Group VII, "Financing", and Working Group 21,
25
�~
••
...
"Financing"; Cluster Group VIII, "Health Policy Initiatives for the
Underserved", and Working Group 22, "Health Policy Initiatives for
the Under served" , and Subgroup A, "Underserved Rural and Inner City
Areas"; Subgroup B, "Vulnerable/High Risk Populations"; Subgroup
"Women and Children", and Subgroup D,
Health and Prevention 11 ;
c,
"Population-Based Public
Cluster Group IX,
"Mental Health" , and
Working Group 23, "Mental Health Benefits Package"; Working Group
24,
"Substance Abuse"; Working Group 25, "Children's Services";
Working Group
26,
"Public system Impact/Special
Populations";
Cluster Group X, "Long Term Care", and Working Group 27, "Long Term
Care-Background";
Options";
Working
Group
Working Group 29,
28,
"Long
Term
Care-Public
"Long Term Care-Private Options";
Working Group 30, "Cost and Revenue"; Cluster Group XI, "Economic
Impact", and Working Group 31, "Economic Impact";· Cluster Group
XII, "Quantitative Analysis"; and Working Group 32, "Quantitative
Analysis; Cluster Group XIII, "Legal Audit", and Working Group 33,
"Legal Audit 11 ;
Cluster Group XIV,
"Numbers Audit", and Working
Group 34, "Numbers Audit"; Cluster Group XV, "The Drafting Group",
and
Wor~ing
Group 35, "The Drafting Group", and Working Group 36,
"Disability Cross-cutting Work Group"; Working Group 37, "Rural
Cross-cutting Group"; Working Group 38, "Benefits Coordination";
Working Group 39, "Minority Issues Review Group"; working Group 40,
"Academic
Health
Centers",
and
Working
Group
41,
"Workers'
Compensation Task Force", are "advisory committees" within the
meaning of the Federal Advisory Committee Act,
through 14.
26
5 u.s.c.
§§
1
�H.
THE INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM AND ITS CLUSTER GROUPS
WORKING GROUPS AND SUBGROUPS HAVE FAILED TO FILE ADVISORY
COMMITTEE CHARTERS.
I
36.
That, according to Title 5
I
u.s.c. App.,
9 (a),
§
"no
advisory committee shall meet or take any action until an advisory
committee charter has been filed with the Director [of the Office
of Management and Budget] [Administrator of the General Services
Administration]."
5
u.s.c. App.,
Such charter shall
§
9(c),
the
con~ain,
following
according to Title
information:
"(A)
the
committee's official designation; (B) the committee's objectives
and the scope of its activity; (C) the period of time necessary for
the committee to carry out its purposes; (D) the agency or official
to whom the committee reports;
providing
the
necessary
(E) the agency responsible for
support
for
the
committee;
(F)
a
description of the duties for which the committee is responsible,
and, if such duties are not solely advisory, a specification of the
authority for such functions; (G) the estimated annual operating
costs
in dollars and man-years for
such committee;
estimated number and frequency of committee meetings;
(H)
the
(I)
the
committee's termination date, if less than two years from the date
of the committee's establishment; and, (J) the date the charter is
filed."
The advisory committee charter shall be filed as well with
the Library of Congress.
37.
Amended
That as of the date of the filing of this Verified Second
and
Substituted
Complaint
for
Declaratory
Judgment,
Restraining Order, and Temporary and Permanent Injunctive Relief,
no
advisory
committee
charters
27
establishing
the
Defendants,
�••
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS, WORKING GROUPS
AND SUBGROUPS, namely, Cluster Group I, "New System Organization",
and Working Group 1,
Cooperatives";
Providers";
"Principles and Operation of Purchasing
Working Group
Working Group
1A,
2,
"Health Plans,
Patients
"Managed care/Toward
and
Beyond";
&
Working Group 3, "Governance"; "Working Group 4, "A Global Budget",
and Working Group 5, "Insurance Reform"; Cluster Group II, "New
System Coverage", and Working Group 6, "Benefits Package"; Working
Group
7,
"Coverage
for
Working
Families";
Working
Group
8,
"Coverage for Low Income and Non-Working Families"; Cluster Group
III, "New System Infrastructure", and Working Group 9, "Quality
Measurement"; Working Group 10,
"Information systems"; Working
Group 11, "Malpractice and Tort Reform", and Working Group 12,
"Facilitating
Professional
Development";
Cluster
Group
"Integration of Government Programs into the New system",
Working Group 13,
IV,
and
"Medicare"; Working Group 14, "Department of
Defense"; Working Group 15, "Veterans"; Working Group 16, "Federal
Employers
Government
Health
Benefits
Programs";
Plan";
Working
Cluster Group V,
Group
"Bioethics
16A,
"Other
or Ethical
Foundations of the New system", and Working Group 17, "Bioethics";
Cluster Group VI, "Transition to the New System, Short-Term Cost
Controls",
and
Working
Group
18,
"Accelerating
New
System
Development"; Working Group 19, "Administrative Simplification";
Working Group 20,
"Interim Cost Controls"; Cluster Group VII,
"Financing", and Working Group 21, "Financing"; Cluster Group VIII,
28
�....
.tiL
"Health Policy Initiatives for the Underserved", and Working Group
22, "Health Policy Initiatives for the Underserved", and Subgroup
A,
"Underserved
"Vulnerable/High
Rural
Risk
and
Inner
Populations";
City
Areas";
Subgroup
C,
Subgroup
B,
"Women
and
Children", and Subgroup D, "Population-Based Public Health and
Prevention"; Cluster Group IX, "Mental Health", and Working Group
23, "Mental Health Benefits Package"; Working Group 24, "Substance
Abuse"; Working Group 25, "Children's Services"; Working Group 26,
"Public System Impact/Special Populations"; Cluster Group X, "Long
Term care", and working Group 27, "Long Term care-Background";
Working Group 28, "Long Term care-Public Options"; Working Group
29, "Long Term Care-Private Options"; Working Group 30, "Cost and
Revenue"; Cluster Group XI, "Economic Impact", and Working Group
31, "Economic Impact"; Cluster Group XII, "Quantitative Analysis";
and Working Group 32,
11
QuantitativeAnalysis; Cluster Group XIII,
"Legal Audit", and Working Group 33, "Legal Audit"; Cluster Group
XIV,
"Numbers Audit", and Working Group 34,
"Numbers Audit";
Cluster Group XV, "The Drafting Group", and Working Group 35, "The
Drafting Group", and Working Group 36, "Disability cross-cutting
Work Group"; Working Group 37, "Rural cross-cutting Group"; Working
Group 38, "Benefits Coordination"; Working Group 39,
"Minority
Issues Review Group"; Working Group 40, "Academic Health Centers",
and Working Group 41, "Workers' Compensation Task Force", have been
filed pursuant to FACA, Title 5 u.s.c. App.,
I.
§
9(c).
THE MEETINGS OF THE INTERDEPARTMENTAL WQRKING GROpp OF THE
PRESIDENT Is TASK FORCE ON NATIONAL HEALTH CARE REFORM AND ITS
CLUSTER GROQPS WORKING GROQPS AND SQBGROYPS MUST BE OPEN TO
I
1
29
�._
...
THE PUBLIC WITH ADVANCE NOTICE PUBLISHED IN THE FEDERAL
REGISTER.
38.
That, pursuant to Title 5,
u.s.c. App.,
lO(a)91), "Each
§
advisory committee meeting shall be open to the public. "
under said
§
Further,
10 (a) (2) of said Title, "Except when the President
determines otherwise for reasons of national security,
timely
notice of each such meeting shall be published in the Federal
Register, and the Director (of the Office of Management and Budget]
[Administrator
of
the General
Services Administration]
shall
prescribe regulations to provide for other types of public notice
to ensure that all interested persons are notified of such meeting
prior thereto."
According to subsection (3) of
§
lO(a) of said
Title, "Interested persons shall be permitted to attend, appear
before, or file statements with any advisory committee, subject to
reasonable rules or regulations as the Director [Administrator] may
prescribe."
u.s.c, App., § lO(d),
and the Government in the Sunshine Act, Title 5 u.s.c. § 552(b),
39.
That according to the FACA, Title 5
"every portion of every meeting of an agency shall be open to
public participation except where the agency finds that its meeting
or meetings shall be closed because not closinq the meetinq or
meetings would involve the disclosure of matters outlined in Title
5
u.s.c.
Title 5
§
552b(c), and it takes the requisite steps set forth in
u.s.c.
App., S lO(d), and Title 5
u.s.c.
§
552(d).
u.s.c. § 552b, shall include
Title 5 u.s.c. § 552(d), including
An
"agency" accordinq to Title 5
all
those entities set forth in
any
"establishment in the executive branch of the Government."
30
�. ..
40.
·--
The Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
CLUSTER GROUPS,
WORKING GROUPS and SUBGROUPS,
aforementioned,
functioned, and continue to function in total secrecy, and have
refused, and now refuse, to permit Plaintiffs or the public-atlarge to attend and participate in said meetings.
J.
THE INTERDEPARTMENTAL WOBKING GROPP OF THE PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM AND ITS CLUSTER GROUPS
WORKING GROUPS ·AND SYBGROUPS MUST OPEN FOR PUBLIC INSPECTION
THEIR RECORPS REPORTS TRANSCRIPTS MINYTES APPENDIXES
WOBKING PAPERS DRAFTS STUDIES AGENDA AND OTHER DOCUMENTS.
I
I
I
I
41.
I
I
I
I
I
I
That, pursuant to Title 5
u.s. c. App.,
§
10 (b), "subject
to Section 552 of Title 5, United States Code (FOIA), the records,
reports, transcripts, minutes, appendixes, working papers, drafts,
studies, agenda or other documents which were made available to or
prepared for or by each advisory committee shall be-available for
public inspection and copying at a single location in the offices
of the advisory committee or the agency to which the advisory
committee reports until the advisory committee ceases to exist.
42.
The Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS, aforementioned, are
required to maintain certain records consisting generally of: (1)
the Advisory Committee Charters of the INTERDEPARTMENTAL WORKING
GROUP OF THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
and
its
CLUSTER
aforementioned;
GROUPS 1
WORKING
GROUPS
AND
SUBGROUPS
(2) all records, reports, transcripts, minutes,
(including minutes containing a record of the persons present and
31
~--~~
---~-------
---
�a complete and accurate description of the matters discussed and
conclusions reached), appendixes, working papers, drafts, studies,
or other documents which have been or will be made available to or
have been prepared by the INTERDEPARTMENTAL WORKING GROUP OF THE
PRESIDENT 1 S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
CLUSTER GROUPS, WORKING GROUPS AND SUBGROUPS aforementioned; (3)
all schedules of meetings and agenda of the INTERDEPARTMENTAL
WORKING GROUP OF THE PRESIDENT 1 S TASK FORCE ON NATIONAL HEALTH CARE
REFORM,
and its CLUSTER GROUPS,
WORKING GROUPS AND SUBGROUPS
aforementioned; and (4) the names and background histories of all
persons who are members of or consult or advise (whether on a fulltime or part-time basis and whether they·are paid or not, and the
amount paid where applicable) of the INTERDEPARTMENTAL WORKING
GROUP OF THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
and
its
CLUSTER
GROUPS,
WORKING
GROUPS
AND
SUBGROUPS,
aforementioned, which relate to the conduct of the meetings of the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS, WORKING GROUPS
AND SUBGROUPS, aforementioned; and Plaintiffs·have an interest in
said documents and records by reason of the fact that they are and
will be directly affected by the work and deliberations of the
Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, and. its CLUSTER GROUPS,
WORKING GROUPS AND SUBGROUPS, aforementioned.
43.
The Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
32
�CLUSTER GROUPS,
WORKING GROUPS and SUBGROUPS,
aforementioned,
functioned, and continue to function in total secrecy, and have
refused, and now refuse, to permit Plaintiffs or the public-atlarge to inspect and copy the records aforementioned.
K.
PLAINTIFFS HAVE REQUESTED TO PARTICIPATE IN ALL OF THE
MEETINGS OF THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM.
44.
That on February 10, 1993, the Plaintiff, AAPS, by and
through its Executive Director, Jane M. Orient, M.D., forwarded a
letter, overnight mail, to the Defendant, HILLARY RODHAM CLINTON,
Chairperson of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM, with a copy to Bon. Bernard w.
Nussba~,
counsel to the President of the Untied States, demanding that she
and members of the Plaintiff, AAPS, be permitted to attend the
meetings
of
the
individual
Defendants,
as
members
of
the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
and that she and it receive advance notice of all subsequent
meetings, pursuant to Title 5
u.s.c. App.,
§
10.
A true and
correct copy of the aforementioned letter is attached hereto and
made a part hereof as though set out at length herein and marked,
for purposes of identification, as Exhibit "B".
45.
That on February 10, 1993, the Plaintiff ACHCR, by and
through its executive director, William Shaker, forwarded a letter,
overnight
mail,
to
the
Defendant,
HILLARY
RODHAM
CLINTON,
Chairperson of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM, with a copy to Bon. Bernard
33
w.
Nussbaum, counsel to the
�....
••
..
President of the United States, demanding that he and members of
the Plaintiff, ACHCR,
be permitted to attend meetings of the
individual Defendants, as members of the PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, and that he and it receive
advance notice of all subsequent meetings pursuant to Title 5
u.s.c. App.,
§
10.
A true and correct copy of the aforementioned
letter is attached hereto and made a part hereof as though set out
at length herein and marked, for purposes of identification, as
Exhibit
46.
11
C11 •
That on February 11, 1993, the Plaintiff, NLPC, by and
through its President, Peter T. Flaherty, forwarded a letter to the
Defendant, HILLARY RODHAM CLINTON, Chairperson of the PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM, with a copy to Hon.
Bernard w. Nussbaum, counsel to the President of the United States,
demanding that he and members of the Plaintiff, NLPC, be permitted
to attend the meetings of the individual Defendants, as members of
the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL'HEALTH CARE REFORM,
and that he and it receive .advance notice of all subsequent
meetings pursuant to Title 5
u.s.c. App.,
§
10.
A true and correct
copy of the aforementioned letter is attached hereto and made a
part hereof as though set out at length herein and marked, for
purposes of identification, as Exhibit "D".
L.
THE DEFENDANTS ASSERT THAT THE FEDERAL AQYISORY COMMITTEE ACT
DOES NOT APPLY TO THEM AND THYS HAVE REFUSED · TO ALLOW
PLAINTIFFS TO AT'l'ENP AI.I. OF THE MEETINGS OF THE PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE BEFORK.
34
�••
......
47.
That the Defendants, by and through Bernard
w.
Nussbaum,
counsel to the President, notified the Plaintiffs, AAPS, ACHCR and
NLPC, by letters dated February 12 and 16 1993, that no meetings of
the individual Defendants, as members of the PRESIDENT'S TASK FORCE
ON NATIONAL HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, had been held and, further,
responded to the demands of the Plaintiffs, AAPS, ACHCR and NLPC,
regarding their attendance and participation in the meetings and
providing advance notice thereof in the Federal Register,
and
otherwise following the Federal Advisory Committee Act, 5 u.s.c.
App.,
§§
1 through 14, and the Government in the sunshine Act,
Title 5 u.s.c.
552b, by stating the following:
§
It is our opinion that the Federal Advisory Committee Act
does not, and was not intended by Congress to, apply to
the health task force--composed solely of Cabinet
secretaries, senior White House officials and the First
Lady. The participation of the First Lady on the task
force does not trigger application of the Act.
True and correct copies of the aforesaid letters from Bernard
w.
Nussbaum, counsel to the President, to the Plaintiffs, AAPS,
ACHCR and NLPC, dated February 12 and 16, 1993, are attached hereto
and made a part hereof as though set out at lenqth herein and
marked, for purposes of identification, as Exhibits "E", "F" and
"G".
M.
THE PLAINTIFFS HAVE REQUESTED COPIES OF AI,I. RECORDS REPORTS
TRANSCRIPTS MINYTES APPENDIXES WORKING PAPERS DRAFTS
STUPIES AND AT,T, OTHER DOCUMENTS OF THE DEFENDANTS PBESIPENT' s
TASK FORCE ON NATIONAL HEALTH CARE REFORM AND THE
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE
ON NATIONAL HEALTH CARE REFORM AND ITS CLUSTER GROUPS
WORKING GROUPS AND SUBGROUPS.
I
I
I
I
I
I
I
I
I
35
I
�.:.
48.
On or about March 17, 1993, Plaintiffs, ASSOCIATION OF
AMERICAN PHYSICIANS AND SURGEONS, INC. and AMERICAN COUNCIL FOR
HEALTH CARE REFORM, duly requested, in writing, that the Defendants
and Defendant TASK FORCE, through the Defendants, HILLARY RODHAM
CLINTON and IRA MAGAZINER, and Bernard Nussbaum, council to the
President, pursuant to the Federal Advisory Committee Act, 5
§
10(b) CFACA), and the Freedom of Information Act, 5
u.s.c.
u.s.c.
§
552a
(FOIA), disclose records of the Defendant, PRESIDENT'S TASK FORCE
ON
NATIONAL
HEALTH
CARE
REFORM
and
the
Defendants,
THE
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS, WORKING GROUPS
and SUBGROUPS aforementioned, to the Plaintiffs, ASSOCIATION OF
AMERICAN PHYSICIANS AND SURGEONS, INC., and the
AMERICAN COUNCIL
FOR HEALTH CARE REFORM, and that they and it permit· inspection and
copying thereof by the Plaintiffs.
The Plaintiff, NATIONAL LEGAL
& POLICY CENTER, forwarded its request (which was identical to the
aforesaid requests of the Plaintiffs, ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC. and AMERICAN COUNCIL FOR HEALTH CARE
REFORM) on April 8, 1993.
49.
On or about April 1,
1993,
the Defendants and the
Defendant TASK FORCE, by letters to the Plaintiffs, ASSOCIATION OF
AMERICAN PHYSICIANS AND SURGEONS, INC and AMERICAN COUNCIL FOR
HEALTH CARE REFORM, refused to produce to the Plaintiffs: (1) all
records,
reports,
transcripts,
minutes
(including
minutes
containing a record of the persons present and a complete and
accurate description · of the matters discussed and conclusions
36
�··~
reached),
appendixes, working papers,
drafts,
studies,
or other
documents which have been or will be made available to or have been
prepared :by the PRESIDENT 1 S TASK FORCE ON NATIONAL HEALTH CARE
REFORM; (2) all schedules of meetings and agenda of the PRESIDENT'S
TASK
FORCE
reports,
record
ON
NATIONAL HEALTH
transcripts,
of
the
minutes
persons
CARE
REFORM;
(3)
(including minutes
present
and
a
complete
all
records,
containing
and
a
accurate
description of the matters discussed and the conclusions reached),
appendixes,
working papers,
drafts,
studies,
or other documents
which have been or will be made available to or have been prepared
:by the INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT 1 S TASK
FORCE ON NATIONAL HEALTH CARE REFORM,
and its CLUSTER GROUPS,
WORKING GROUPS AND SUBGROUPS, aforementioned; ( 4) the schedules of
all meetings and agenda of the INTERDEPARTMENTAL WORKING GROUP OF
THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its
CLUSTER GROUPS 1 WORKING GROUPS AND SUBGROUPS, aforementioned; and
( 5)
the names and background histories of all persons who are
members of or consult or advise (whether on a full-time or parttime basis and whether they are paid or not, and the amount paid
where applicable), the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM, THE INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS,
WORKING GROUPS AND SUBGROUPS, aforementioned.
The Defendants have
not responded to the FOIA and FACA requests of the Plaintiff,
NATIONAL LEGAL & POLICY CENTER.
I t is presumed the response of the
Defendants to the Plaintiff, NATIONAL LEGAL & POLICY CENTER, would
37
�.....
be
identical to the responses to the requests
filed by the
Plaintiffs, ASSOCIATION OF AMERICAN PHYSICIANS AND SURGEONS, INC.
and AMERICAN COUNCIL FOR HEALTH CARE REFORM, as said request of the
Plaintiff, NATIONAL LEGAL & POLICY CENTER, is identical to those of
the Plaintiffs, ASSOCIATION OF AMERICAN PHYSICIANS AND SURGEONS,
INC. and AMERICAN COUNCIL FOR HEALTH CARE REFORM.
so.
Attached hereto as Exhibits "H", "I" and "J" are true and
correct copies of the FACA and FOIA requests made by the Plaintiffs
and attached hereto as Exhibits "K" and "L", are true and correct
copies of the letters from the Defendants, refusinq the requests.
51.
Plaintiffs have employed attorneys to represent them in
this action and have incurred and will continue to incur expenses
for attorneys' fees and costs herein.
52.
The
identifiable
records
records
hereinabove
within
the
referred
meaninq
to
of
were
the
and
Freedom
are
of
u.s.c. S 552a (FOIA), and the Federal Advisory
u.s.c. App., S 10(b) (FACA), and the Defendants'
Information Act, 5
Committee Act, 5
and the Defendants refusal to disclose the same to the Plaintiffs
is wronqful and without lawful reason to excuse, and Plaintiffs are
entitled to the relief provided by the aforesaid acts.
N.
THE DEFENDANTS ARE IN VIOLATION OF THE FEDERAL ADVISORY
COMMITTEE ACT AND THE GOVERNMENT IN THE SYNSHINE ACT AND THE
FREEDOM OF INFQRMATION ACT.
53.
The Defendants, HILLARY RODHAM CLINTON, DONNA E. SHALALA,
LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, ROBERT B. REICH, LEON
PANETTA, ALICE RIVLIN, CAROL RASCO, IRA MAGAZINER, JUDITH FEDER, as
members of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
38
�REFORM, and the Defendant, PRESIDENT'S TASK FOR ON NATIONAL HEALTH
CARE REFORM,
PRESIDENT'S
by not opening their meetings of the Defendant,
TASK
FORCE
ON
NATIONAL
HEALTH
CARE
REFORM,
to
attendance and participation by the Plaintiffs and the public-atlarge, and by not providing advance notice of said meetings in the
Federal Register, and by not making available for inspection and
copying by the Plaintiffs and the public-at-large at a single
location in the OFFICES OF THE PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM, the records, reports, transcripts, minutes,
appendixes, working papers, drafts,
studies,
agenda,
or other
documents which were made available to or prepared for or by the
PRESIDENT 1 S TASK FORCE ON NATIONAL HEALTH CARE REFORM, are in
violation of the FACA,
5 u.s. c.
App.,
§§ 1 through 4,
and
specifically §§ 10 thereof, the Government in the Sunshine Act, 5
u.s.c. § 552b, and the Freedom of Information Act, 5 u.s.c. §552a.
The Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT 1 S
TASK FORCE ON NATIONAL HEALTH CARE REFORM and its CLUSTER GROUPS,
WORKING GROUPS and SUBGROUPS 1 namely, Cluster Group I, "New System
Organization", and Working Group 1, "Principles and Operation of
Purchasing Cooperatives"; Working Group lA, "Health Plans, Patients
and Providers"; Working Group 2, "Managed care/Toward & Beyond";
Working Group 3, "Governance"; "Working Group 4, "A Global Budget",
and Working Group 5, "Insurance Reform"; Cluster Group II, "New
System Coverage", and Working Group 6, "Benefits Package"; Working
Group
7,
"Coverage
for
Working Families";
Working Group
8,
"Coverage for Low Income and Non-Working Families"; Cluster Group
39
�.
•••
..
III, "New System Infrastructure", and Working Group 9, "Quality
Measurement"; Working Group 10,
"Information Systems"; Working
Group 11, "Malpractice and Tort Reform", and Working Group 12,
"Facilitating
Professional
Development";
Cluster
Group
"Integration of Government Programs into the New System",
IV,
and
Working Group 13, "Medicare"; Working Group 14, "Department of
Defense"; Working Group 15, "Veterans"; Working Group 16, "Federal
Employers
Health
Benefits
Government Programs";
Plan";
Working
Cluster Group V,
Group
"Bioethics
16A,
"Other
or Ethical
Foundations of the New System", and Working Group 17, "Bioethics";
Cluster Group VI, "Transition to the New System, Short-Term Cost
Controls",
and
Working
Group
18,
"Accelerating
New
System
Development"; Working Group 19, "Administrative Simplification";
Working Group 20,
"Interim Cost Controls"; Cluster Group VII,
"Financing", and Working Group 21, "Financing"; Cluster Group VIII,
"Health Policy Initiatives for the Underserved", and Working Group
22, "Health Policy Initiatives for the Underserved", and Subgroup
A,
"Underserved
"Vulnerable/High
Rural
Risk
and
Inner
City
Populations";
Children", and Subgroup D,
Areas";
Subgroup
c,
Subgroup
B,
"Women
and
"Population-Based Public Health and
Prevention"; Cluster Group IX, "Mental Health", and Working Group
23, "Mental Health Benefits Package"; Working Group 24, "Substance
Abuse"; Working Group 25, "Children's Services"; Working Group 26,
"Public System Impact/Special Populations"; Cluster Group X, "Long
Term care", and Working Group 27,
"Long Term care-Background";
Working Group 28, "Long Term Care-Public Options"; Working Group
40
�......
29, "Long Term Care-Private Options"; Working Group 30, "Cost and
Revenue"; Cluster Group XI, "Economic Impact", and Working Group
31, "Economic Impact"; Cluster Group XII, "Quantitative Analysis";
and Working Group 32, "Quantitative Analysis; Cluster Group XIII,
"Legal Audit", and Working Group 33, "Legal Audit"; Cluster Group
XIV,
"Numbers Audit",
and Working Group 34,
"Numbers Audit";
Cluster Group XV, "The Drafting Group", and Working Group 35, "The
Drafting Group", and Working Group 36, "Disability Cross-cutting
Work Group"; Working Group 37, "Rural Cross-cutting Group"; Working
Group 38, "Benefits coordination"; Working Group 39, "Minority
Issues Review Group"; Working Group 40, "Academic Health Centers",
and Working Group 41, "Workers' Compensation Task Force", by not
filing advisory committee charters and by not opening their
meetings to attendance and participation by the Plaintiffs and the
public-at-large,
and by not providing advance notice of said
meetings in the Federal Register, and, by not making available for
inspection and copying by the Plaintiffs and the public-at large at
a single location in the offices of said Defendants the records,
reports, transcripts, minutes, appendixes, working papers, drafts,
studies, agenda, or other documents which were made available to or
prepared for or by said Defendants are in violation of the FACA, 5
u.s.c.
App., §§ 1 through 4, and specifically§§ 10 thereof, the
Government in the Sunshine Act, 5
Information Act, 5
O.
u.s.c.
u.s.c. S 552b,
and the Freedom of
§552a.
THE PLAINTIFFS ARE BEING DENIED TBEIR RIGHTS TO PARTICIPATE IN
TBE MEETINGS OF TBE DEFENDANTS
TO BE INFORMED OF THE
DEFENDANTS 1 LIMITS OF AUTHORITY UNDER AQVISORY COMMITTEE
CHARTERS AND TO EXAMINE THE BECORPS OF THE DEFENDANTS.
I
41
�·:·.
54.
That as a direct and proximate result of the acts of the
Defendants, the Plaintiffs, AAPS, ACHCR and NLPC, are being, and
will be, denied their right, under the Federal Advisory Committee
Act, 5 u.s.c.
5 u.s.c.
§
§
1 through 14, the Government in the sunshine Act,
522b, and the Freedom of Information Act, 5 u.s.c.
552a to attend and participate in all
of
the meetings
§
and
deliberations of the individual Defendants, and are being denied
their right to be informed of the limits of authority of the
Defendants, particularly the Defendants, INTERDEPARTMENTAL WORKING
GROUP OF THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
and
its
CLUSTER
GROUPS,
WORKING
GROUPS
and
CARE
REFORM
SUBGROUPS,
aforementioned, by said Defendants failing and refusing to file
advisory committee charters, and are being denied their right to
inspect and copy at a single location in the off ices of the
Defendants the records, reports, transcripts, minutes, appendixes,
working papers, drafts, studies, agenda, or other documents which
were made available to or prepared for or by said Defendants, all
to Plaintiffs' damage and detriment.
55.
That by reason of the Defendants' conduct aforesaid , the·
Plaintiffs, AAPS, ACHCR and NLPC have suffered, and will continue
to suffer,
immediate, actual and irreparable harm in that the
Defendants, INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS,
WORKING GROUPS and SUBGROUPS, aforementioned, will continue to
conduct their meetings without advisory committee charters being
filed, and the Plaintiffs are being and will be denied their right
42
--
---------
________
_____)
�•••
to participate in the meetings and deliberations of the Defendants,
including the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM
and the INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS,
WORKING GROUPS and SUBGROUPS, aforementioned, unless this Honorable
Court grants the relief sought herein.
56.
That by reason of the Defendants' conduct aforesaid, the
Plaintiffs, AAPS, ACHCR, and NLPC, have suffered, and will continue
to suffer,
immediate, actual and irreparable harm in that the
Plaintiffs have been, and will continue to be, denied their right
to inspect and copy at a single location in the offices of the
Defendants the records, reports, transcripts, minutes, appendixes,
working papers, drafts, studies, agenda, or other documents which
were made available to or prepared for or by said Defendants, the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM and the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and its CLUSTER GROUPS, WORKING GROUPS
and SUBGROUPS, aforementioned, unless this Honorable Court grants
the relief sought herein.
57.
Plaintiffs have no adequate remedy at
law and are
suffering and will suffer immediate and irreparable harm unless the
Grout grants the relief sought herein.
PBAYER
WHEREFORE, Plaintiffs, ASSOCIATION OF AMERICAN PHYSICIANS AND
SURGEONS, INC., AMERICAN COUNCJ.l, FOR HEALTH CARE REFORM, and THE
NATIONAL LEGAL
&
POLICY CENTER, pray that this Honorable Court
43
�enter judgment against the Defendants,
HILLARY RODHAM CLINTON,
DONNA E. SHALALA, LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, RONALD
BROWN, ROBERT B. REICH, LEON PANETTA, ALICE RIVLIN, CAROL RASCO,
IRA MAGAZINER, JUDITH FEDER, individually, and as members of the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
and the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
and
the
Defendants,
INTERDEPARTMENTAL
WORKING
GROUP
OF
THE
PRESIDENT 1 S TASK FORCE ON NATIONAL HEALTH CARE REFORM and its
CLUSTER GROUPS, WORKING GROUPS and SUBGROUPS aforementioned,
as
follows:
(A)
Declare that the said Defendants, HILLARY RODHAM CLINTON,
DONNA E. SHALALA, LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, RONALD
BROWN, ROBERT REICH, LEON PANETTA, ALICE RIVLIN, CAROL RASCO, IRA
MAGAZINER,
JUDITH
FEDER,
individually,
and
as
members
of
THE
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM and .the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM and its CLUSTER GROUPS 1 WORKING GROUPS
and SUBGROUPS, namely, Cluster Group I, "New System Organization",
and Working
Group 1,
Cooperatives";
Providers";
"Principles
Working
Working
Group
Group
2,
1A,
and Operation of
"Health
"Managed
Plans,
Purchasing
Patients
care/Toward
&
and
Beyond";
Working Group 3, "Governance"; "Working Group 4, "A Global Budget",
and Working Group. 5, "Insurance Reform"; Cluster Group II,
"New
System Coverage", and Working Group 6, "Benefits Package"; Working
Group
7,
"Coverage
for
Working
Families";
Working
Group
8,
"Coverage for Low Income and Non-Working Families"; Cluster Group
44
�·-·
III, "New System Infrastructure", and Working Group 9, "Quality
Measurement"; Working Group 10,
"Information Systems"; Working
Group 11, "Malpractice and Tort Reform", and Working Group 12,
"Facilitating
Professional
Development";
Cluster
Group
"Integration of Government Programs into the New System",
IV,
and
Working Group 13, "Medicare"; Working Group 14, "Department of
Defense"; working Group 15, "Veterans"; Working Group 16, "Federal
Employers
Health
Benefits
Government Programs";
Plan";
Working
Cluster Group V,
Group
"Bioethics
16A,
"Other
or Ethical
Foundations of the New Systq", and Working Group 17, "Bioethics";
Cluster Group VI, "Transition to the New System, Short-Term Cost
Controls",
and
Working
Group
18,
"Accelerating
New
System
Development"; Working Group 19, "Administrative Simplification";
Working Group 20,
"Interim Cost Controls";
Cluster Group VII,
"Financing", and Working Group 21, "Financing"; Cluster Group VIII,
"Health Policy Initiatives for the Underserved", and Working Group
22, "Health Policy Initiatives for the Underserved", and Subgroup
A,
"Underserved
"Vulnerable/High
Rural
Risk
and
Inner
City
Populations";
Children", and Subgroup D,
Areas";
Subgroup
c,
Subgroup
B,
"Women
and
"Population-Based Public Health and
Prevention"; Cluster Group IX, "Mental Health", and Working Group
23, "Mental Health Benefits Package"; Working Group 24, "Substance
Abuse"; Working Group 25, "Children's Services"; Working Group 26,
"Public System Impact/Special Populations"; Cluster Group X, "Long
Term Care", and Working Group 27,
"Long Term Care-Background";
Working Group 28, "Long Term Care-Public Options"; Working Group
45
�••
29, "Long Term Care-Private Options"; working Group 30, "Cost and
Revenue"; Cluster Group XI, "Economic Impact", and Working Group
31, "Economic Impact"; Cluster Group XII, "Quantitative Analysis";
and Working Group 32, "Quantitative Analysis; Cluster Group XIII,
"Legal Audit", and Working Group 33, "Legal Audit"; Cluster Group
XIV,
"Numbers Audit",
and Working Group 34,
"Numbers Audit";
Cluster Group XV, "The Drafting Group", and Working Group 35, "The
Drafting Group", and Working Group 36, "Disability Cross-cutting
Work Group"; Working Group 37, "Rural cross-cutting Group"; Working
Group 38, "Benefits Coordination''; Working Group 39, "Minority
Issues Review Group"; Working Group 40, "Academic Health Centers",
and Working Group 41,
"Workers' Compensation Task Force", are
"advisory committees" under the Federal Advisory Committee Act, 5
u.s.c.
App.,
§§
1 through 14, and that they are in violation of the
Federal Advisory Committee Act, Title 5
u.s.c.
14, the Government in the Sunshine Act, Title 5
the Freedom of Information Act, 5
u.s.c.
App.,
u.s.c.
§§
1 through
§
552b, and
S 552a, in that they have
failed to file advisory committee charters, and have refused and
are refusing to open all of their meetings to ·the Plaintiffs, and
have refused and are refusing to permit Plaintiffs' participation
therein, and have refused and are refusing to notify the Plaintiffs
of their meetings by formally announcing said meetings in the
Federal Register, and have refused and are refusing to permit the
Plaintiffs to inspect and copy at a single location in the officers
of the Defendants, the records, reports, transcripts, minutes,
appendixes, working papers, drafts, studies, agendas, and other
46
�.til:.
documents which were made available to or prepared for or by the
Defendants.
(B)
Enter a
Temporary Restraining Order and a
Permanent
Injunction, pursuant to Rule 65 of the Federal Rules of Civil
Procedure, enjoining the Defendants, HILLARY RODHAM CLINTON, DONNA
SHALALA, LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, RONALD BROWN,
ROBERT B. REICH,
MAGAZINER,
JUDITH
PRESIDENT'S
TASK
LEON PANETTA, ALICE RIVLIN,
FEDER,
FORCE
individually
ON
NATIONAL
and
CAROL RASCO,
as
HEALTH
members
IRA
the
REFORM,
CARE
of
the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
INTERDEPARTMENTAL WORKING GROUP OF THE PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM and its CLUSTER GROUPS, WORKING GROUPS
AND SUBGROUPS, namely, Cluster Group I, "New System Organization",
and Working Group 1,
Cooperatives";
Providers";
"Principles and Operation .of Purchasing
Working Group
Working Group
lA,
2,
"Health
Plans,
Patients
"Managed care/Toward
&
and
Beyond";
Working Group 3, "Governance"; "Working Group 4, "A Global Budget",
and Working Group 5, "Insurance Reform"; Cluster Group II, "New
System Coverage", and Working Group 6, "Benefits Package"; Working
Group
7,
"Coverage
for
Working
Families";
Working
Group
8,
"Coverage for Low Income and Non-working Families"; Cluster Group
III,
"New system Infrastructure", and Working Group 9, "Quality
Measurement"; Working Group 10,
"Information Systems"; Working
Group 11, "Malpractice and Tort Reform", and Working Group 12,
"Facilitating
Professional
Development";
Cluster
Group
"Integration of Government Programs into the New System",
47
IV,
and
�working Group 13, "Medicare"; Working Group 14, "Department of
Defense"; Working Group 15, "Veterans"; Working Group 16, "Federal
Employers
Health
Benefits
Government Programs";
Plan";
Working
Cluster Group V,
Group
16A,
"Other
"Bioethics or Ethical
Foundations of the New System", and Working Group 17, "Bioethics";
Cluster Group VI, "Transition to the New System, Short-Term Cost
controls",
and
Working
Group
18,
"Accelerating
New
System
Development"; Working Group 19, "Administrative Simplification";
Working Group 20,
"Interim Cost Controls"; Cluster Group VII,
"Financing", and Working Group 21, "Financing"; Cluster Group VIII,
"Health Policy Initiatives for the Underserved", and Working Group
22, "Health Policy Initiatives for the Underserved", and Subgroup
A,
"Underserved
"Vulnerable/High
Rural
Risk
and
Inner
Populations"·;
City
Areas";
Subgroup
c,
Subgroup
B,
"Women
and
Children", and Subgroup D, "Population-Based PUblic Health and
Prevention"; Cluster Group IX, "Mental Health", and Working Group
23, "Mental Health Benefits Package"; Working Group 24, "Substance
Abuse"; Working Group 25, "Children's Services"; Working Group 26,
"Public System Impact/Special Populations"; Cluster Group X, "Long
Term Care", and Working Group 27, "Long Term Care-Background";
Working·Group 28, "Long Term care-Public Options"; Working Group
29, "Long Term Care-Private Options"; Working Group 30, "Cost and
Revenue"; Cluster Group XI, "Economic Impact", and Working Group
31, "Economic Impact"; Cluster Group XII, "Quantitative Analysis";
and Working Group 32, "Quantitative Analysis; Cluster Group XIII,
"Legal Audit", and Working Group 33, "Legal Audit"; Cluster Group
48
�••
XIV,
"Numbers Audit" ,
and Working Group 34 ,
"Numbers Audit" ;
Cluster Group XV, "The Drafting Group", and Working Group 35, "The
Drafting Group", and Working Group 36, "Disability Cross-cutting
Work Group"; Working Group 37, "Rural Cross-cutting Group"; Working
Group 38, "Benefits Coordination"; Working Group 39, "Minority
Issues Review Group"; Working Group 40, "Academic Health Centers",
and Working Group 41, "Workers' Compensation Task Force", and all
those in active concert or participation therewith, from holding or
conducting any meetings, or destroying or otherwise defacing any
records, until a final hearing and determination of this action,
perpetually enjoining the said Defendants, and all those in active
concert therewith, from holding or conducting any meetings until
advisory committee charters are filed in accordance with the
Federal Advisory Committee Act, 5
u.s.c.
App.,
§
9, and mandatorily
enjoining said Defendants, and all those in active concert and
participation therewith, to open all of their meetings to the
Plaintiffs (and the public's) attendance and participation, and to
announce said meetings in advance in the Federal Register in
accordance with the Federal Advisory Committee·Act, 5
§
10, and the Government in the Sunshine Act, 5
u.s.c.
u.s.c.
§
App.,
552b, and
permit the Plaintiffs (and the public) to inspect and copy at a
single location in the offices of the Defendants, the records,
reports, transcripts, minutes, appendixes, working papers, drafts,
studies, agendas, and all other documents which were made available
to or prepared for or by the said Defendants in accordance with the
49
�"' ~
.
Federal Advisory Committee Act,
5 u.s.c. App.,
Freedom of Information Act, 5 u.s.c.
(C)
§
§
10, and the
552a.
Award Plaintiffs such other and further relief, including
attorneys' fees and costs, to which this Honorable Court may deem
Plaintiffs entitled.
I, Jane M. Orient, M.D., declare under penalty of perjury that
the foregoing is true and correct.
Executed on this
ci<;~ of
March, 1994.
DISTRICT OF COLUMBIA )
WASHINGTON, D.C.
)
sworn an_d _l!uqscribed to before me by Jane M. Orient, M.D., all
on this the~ay of March, 1994.
My commission Expires: _y"'----..:....f...~...~_-_9:....;;;;.~ _ _ •
&it· . oe: ~-r
Y PUBLIC
perjury that the
DISTRICT OF COLUMBIA)
WASHINGTON, D.C.
)
50
�·:-._
Sworn and~~ubscribed to before me by William Shaker, all on
this the gl¢~Y of March, 1994.
My commission Expires:
~
-rcr-r '-
I, Kenneth F. Boehm, declare under penalty of perjury that the
foreqoinq is true and correct.
Executed on this the d-
,._~ of March,
1994.
KENNETH F. BOEHM
DISTRICT OF COLUMBIA)
WASHINGTON, D.C.
)
Sworn an~subscribed to before me by Kenneth F. Boehm, all on
this the &; (J. v~ay of March, 1994.
-
'f_-_r_eo-=---·
My Commission Expires: --~-----...;.l
......
KENT MASTERSON BROWN, ESQ.
CHRISTOPHER J. SHAUGHNESSY, ESQ.
1114 First National Buildinq
167 West Main street
Lexinqton, Kentucky 40507
(606) 233-7879
(606) 252-6791 - facsimile
cP~. k1 f?Pa;-~
NORTHAM, ESQ~~
Bar No. 206110
ALAN P. DYE, ESQ.
FRANK M.
51
�·-·
Bar No. 2125379
WEBSTER, CHAMBERLAIN & BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF AMERICAN PHYSICIANS AND SURGEONS 1
INC. 1 AMERICAN COUNCIL FOR HEALTH
CARE REFORM, and NATIONAL LEGAL &
POLICY CENTER
CERTIFICATE OF SEBVICE
This is to certify that a true and correct copy of the
foreqoinq
Verified
Judqment,
Restraininq
Injunctive Relief
Second
has
Amended
Order,
been
and
Complaint
for
Preliminary
served upon
Declaratory
and
Permanent
Defendants
by hand-
deliverinq a copy of same to Defendants' counsel of record as
follows:
Whitman,
Hon. Elizabeth Puqh, Hon. Jeffrey Gutman, -Hon. Robert
u.s.
s.
Department of Justice, Civil Division, 901 E Street,
N.W., Room 952, Washington,
o.c.
20004-2037, all on this the
day of March, 1994.
KENT MASTERSON BROWN
c\wpwin\clinton\amendcom.2nd
52
;t~r~
�.....
Weekly Compilation of
Presidential
Documents .
• Mcmday, Februa:jl, 1993
Volume 29-Number 4
Pages 93-114
.
...
..
.......................
EXHIBIT A
-A24
�·~·
Jan. 2S I .~dmini.s~rc::ion cf William]. Cli~::-n,l993
once agnin they s:tid. i!.' you want to c:~ something to help rebuild :he auto inc:!lt.-y, do
something to ecnt:ol hellt."t C:lre c:::sts. And
William J. Clinlon
as Mr. Pane~..a just said again, in a rather
Tne \\nite House,
plaintive way before you c:ame in. t.~ere is
January2S,l993.
no way we .....Ul eve:- get c:ontrol of the F eder.U
budget ciefic:it unless we do something about
[Filed ~-r.b. the Offic: nf t.~e F edenl Regi.tter, health care.
2!07 p.m., Ja."\uaty 25, 1993]
The message is pret"ty simple. It's time to
make sense of America's heald'l care svstem.
Nan: 'n'.i.t C::.Xecutive nrc!er .,..,..t pubUshed in the It's time to bring c:-osts under oon::::-::1 ~d to
Fedenl Register on Janu.,.· 27.
make our families and b•uinesses s~~:-e. It's
t:i:ne to make good on :.'te America.-:. ?!'Omise
th:: too many people have talked about for
too long. while we ha..·e c:-ontinued :o spend
Remarks on Health Care Reform and more than 30 pe:-:ent more of O\!:' income
an Exchange 'Vith Reporters
on health c::t:-e than anv other ~t:ien in the
]cr.uary 25,1993
wo:-!d. get less !'or it. a:1~ see lOO.OOJ .A.merica."ls :l mont.'l losir.g ·their h~th i::r.:ranee.. ·
I wan: :o say good .U:ernoon to me:nbe:s
.o\s a first ste? in respondi."lg to :!le deof t.'te press. We have jus: finished a very
m:.."lcis of lite:a.i!y miilicns of A..-::ericans,
lively cllic:-.:ssion :1bout the al&Ssive task before w in hwth c:ue. vice P:-esidect Core today I am annou.."lc:ing the formaee: of the
and 1 ~e a st::-ong commitment to the P:-esident's Tasic Fore: on National Health
.Americ:az: ;>eaple during the last elec::ion that Re!or:n. Although the issue is com?ic:. the
task force's mission is riint)le: Bl:ild on the
we woulc present to the United States Congress. wi:bi."l 100 d:ys. a ~~ that would take worlc of the =..-::paign and the tn:ui:ion,lisstrong ac:ion to control cealth care costs in ten to all par:es, and pn=are h~:: care
Ameri=. and to begin :c prcvide for the reform legislation to be submit:ee :o Cong:-ess within 100 days of our talc:::g office.
health care needs of all.~ericans.
Tnis task fore: .....Ul be chaired b-.· :!:e FU'St
~ I t:-aveled ac:css ce c=unt:y last year,
no stories moved me more than the healt.~ I...ady,. Hillazy Roci.~am Clinton. ;..;e, ·.a.ill iDc:re stories. ~ I think :11 oi you know, many ch:de the Sec:e::r.:ies of He:Uth anC: ~uman
of t.~e peocle in our Faces of Hooe luncheon Se:v;c:=s, Treasury. Oefeose, Vete:a.ns A!last week curing dte Inaugur.al ~repeople fai:s, Comme:c:, Labor. :lS well as t.~e Direcwho were st.-uggling to overcome incfed.ible tor of the Offic:= of M:.."l:lge:nent a."ld 3udget
. adversity occasioned by their health care and senior White House staff memhe:s.
I am grate£~1 that Hillary has ago:-eed to
problems. We've me~ elderly people choosing every week betweeo :nedic:ne and food: chaiz' this task for= and not onlv becwse
we've met people for-c:ed to leave their jobs it means she'll be sba.r'.ng some o'r :e beat
I e=ee: to geneDte. lu many or )''e\! lcnaw,
tc get on ?ublic assistance to deal wit."t children wit!l :e::i!'ic prcble::u; we·..·e met count-. whife I wa.s Covernor of my State. Hillary
less ~pie who c:an': C::an~e d'leir jobs be- chaired the A:iwuas Eduacon Sta.::dards
cause the-.· or someone i:l tnei: family have Commi:tee. wh.ic.~ c:-nted public cool acc:ediction s=nCa.-ds t.~t have siDe:: became
bad hwt.~ =re preblems.
You will all remember. :lt t.i.e economic a model for nat:ion:ll reform. She se~ u
conference th:lt we sponsored i:l tittle Rock. my designee on the Southem Regioc.al Task
perhllps t!:e overwhe!.oni::g conc:=m of the For-ee on Infant Morulity. was also 6.air or
business people there. of all sizes, was doing ou: St:ue's r'Unl be:llt.l.i commit:ee i.."l l9i9
something about the c=rt and the availability and 1980, a time in whic.~ we initiated a uumof health c::are. When the Vic= President and ber or health cue n:ror:ns that be:ent: the
I met wit!l the big three auto makers and people of my State to t.~e present eay. And
the presic=t of the Ynited Auto Workers, on tne board of the .o\rbns:lS Child.""'e::'s Hosthe Counc:il as the Cou:1c::l may request, to
the e=:en: pe:-mitted by law.
A25
·.
�••
97
;p~t.al. she· he! pee to establish our St:lte's fint
-.n.eocatal unit.
I think that in the ccming months ~
.Ar.lericm pCQple .,..'ill learn, as the people of
·ou: State did. th.at we have a First L.ady Qf
"ma.-ty talents, t.lu.t who most of all c:.:Ln bririg
"people together around complex· and difficult
ru::sl area.s, co,·erage for li::le c:hi.ld:en, dealing with the AIDS c::-'.sis adeq1.:ateiy, still
unrnet nee~ in the are:~. of women's health
care, the proble:n of the , .. ete~"'.l in this
country who don't h:ve aceess to care, eve:
a.s their own network goes broke. All these
issues will be dealt with in :his wk force.
issues to lwnmer out consensus and get This is going to be an unprecedented effort.
And let me just say, in general. we're going
things done.
· Here in the White House, Hillary will to set up a work:rcom. lend 'Of like· the war
·work with my dcmestic policy ad..iser. Carol :rcom we had in the campaign, over in the
:Rasco: my se:Uor policy adviser, Ira E:ecutive ocr~ Building..~"ld all of the deMagaziner; and the head of our health care partments you see here , re:m:s~nted and
transition team, Judy Feder. I've a.slced all leaders )IOU see representee a.-ounc this table
of them to be as inc!wive as possibie. And will be reorese:ued in th:~.: :rcorn. And we
a.s a part of that. we are inviting the American are going to 'III'Ork consb."ldy. ~y and lligbt.
public to write w here at the White House until we have a health =re :la."l reaev to subwit.~ their SU!3cr..ions. All of them should be mit to the Congress t.~t .;,e believ~ we em
sent to the Task Force on Nationai Health pass.
Fi..-wly, le: me SAy I a.-n cornmi::ed to
Care Re£'onn at the \Vhite House in Washin;:ton, DC 20500.
doing :his in a oat:\ership ...."i:h :he Congress.
\ve will no C::,ubt be c:itici%eci by some I ... aslc t..'le le:!.Cership of :.~e Congress to
for under-.:Ucing somethi."\g very. ve:y ambi- waric wit.~ me en a bio:1:":isa.-: b~is md to
tious. But as I sa.ic! in my IAaugural ACdress, CO whatever we C.."l to malce SU:"C :.hat as we
we're going to have to malce some tough present the pian. we have wo rna-':ni:=d its
choices in order :o control health care costs, Chances oi eariypassage in t.~e Congress.
to bring them c!own within inflation. md to
I thank all these people !'or the!: willmg,provide he~th =re far all. In order to pre- ness to serve and to woric together. I hope
serve the vitality of the American pri..-ate sec- the American people will sec. jus: how pastor. in order to keep the Americm people's sionately I personally :m cornmi:::d :o damg
budget here at th.:s national level f:rcm gomg something about health ca:: refor=. We've
totally bAnkrupt, we are going to have to tallced abOut it long enou;:h. The time bas
malce some tough c.~oic:s. Powerfui lobbies come to a.c::. and I hAve Chose: :he course
and sp~ inte:-esu m:y seek to de:-:W our th:~ot I t."Unk is most likely :o lead to adon
efforts, and we m:~.y m~e some people angry. that will improve the li,·es oi tnillions of
But we are ciete::nined to come uc with the Americans.
best possible solution. And in my lifetime,
Q. Mr. President. c::m you provide univer·
at le~. there has never been so muc.~ con- s:U coverage without driving up the deficit?
sensus that something
to be done.
The P~. I think vou ~"l do it i£
We have a plan from t.'-le American Nunes you cont:ol the cost of heal~ care. You have
A.uoc=tion, rrom the Ameri=n Acc!emy of to ~et me just-1 c!on't want to get
Pb.ysicians, f:rcm the American Academy of into one or these things t.~at prc"Cice & let
F:mily Prac:ic:. from the h=th insurance of CU"tcons about my polic::1 wonlc weabess.
industry itsel.f. We h:ve a plan uniting busi- hut we're at 14 percent oi ou:- \:'.come em
ness and labor. Tne:-e is :n overwhelming h=ch care now. The nex: mos: ~
knowledge th:t we have to move and move· be:lth c:are svstem in the wcrici i.s cWda's.
now. We are going tc do our best to reform It's at about '9.2 percent ct" inco~e. 'lAat Ls
.O&Jr system. We are going to do our best to a huge difference, massive. .o\nd yet. tM:ty
meet the human need.s oF the people of this orher major count:y with which we compete
countty.
p~des some basic he:lth -care to evetyThere are :11 \cinds or p:rcblems th:t have body. somet."&i.-,g we don't do. So the answer
to be d=t wit."& thole we haven't even dis· to your Ciuesticn is. in my judgment, if' we
c:-.:ssed yet Ac:c=ss to care in inner cities and do this right eve:- the nez: 8 ynrs. yau':e
-.u
w
A26
�4111111
98
'
Jan. 2.5 I Adrr.i:'\i.stn:tion of Will£cm J. Clin:an,lS93
going to see h1.:ge s=.vings in tax doll~ and
even bigger sa..ings, more :han t-Aice the savings. in rrivate dollars th:lt will free up hundreds o billions of dollan Uter:Uly between
now and the end of the decade to reinvest
in ~nomic growth and opportunity.
·
In the she~ nm, our tough call will be
how do you tAke the savings and phase ln
universal coverage. Or shoulCi there be some
ot.~er way to pay for that? We've got some
sho~-term calls to make. But there's no question that in the median term, S to 8 yean.
you're looking at massive savings with uni.vers:U cove::1ge in both t:x doU:u"S and private
s~or dollars if we do it right.
Q. Mr. President. do you intend to p:iy
· t.'le First Lady for her effor-..s?
Tis. PnaiJ.ent. No. No. I never h:ve p:Ud
he:- for he:- public servic: efforts. I don't w:mt
we will never, neve:- get :lft)-...·here if we stand
paralyzed, because there's no such thing as
a perfect alternative.
Q. W'hat factors did you =nsider in giving
this high-protue position to Mrs. Clintca?
The Prc•idcm.. Of all the people rve eYer
worked with in my Ufe, she's better at organizing and leading people from a complc:z
beginning to a c:rtain end than anybody I've
ever worlced with in my life. And that's what
I want done here.
NOTE; The President Jpc'llre u 2:02 p.m. In the
RoosCYelt Room at the White House at a meeting
oC rhe Health Care Worlcing Cmup.
tost~now.
Q. Is 100 d:ys h:lrd :."'1d fast, or are you Statement by the Director of
willi..,§ to be flexible on tZ..:t if it's not quite Communications on the Presicient•s
re:a.dv.
Meeting With the Joint Chiefs of
The Preailknt.. If it were 101 days I Staff
wouldn't have: hc:\rt :ltt:lc:lc. but 1 don't w:mt JanUDry 2S. 1993
to-1 want it done now. I think we know
whAt the major alternatives are. 'What we
The President anci the Joint Chie!s of StaE
have to do now is somet.'Ung nobod.y's done. had a co~ honest. and respectful meeting.
and :=t is to meld them into the best pos- T'ney coYCred a range of issues but !ocuseCl
sible legislation, t:alcing account or some of primarily on gays in the military.
the proale:ns t.~t ezist with C'YCf)' course.
The President reiterated his c:om:nitment
And let me mAke one ac:lcnowleegment on to ending disc::imination against hotnOsc:zcals
the front end about this. Legitimate objec- in the military solely on the basis of status
tions can be ::Used to any course of action md to maintaining morale and cohesion iD
in this area. Tn:t is, the:-e is no such thing the military.
as a peri'ec:: solution. So wh:tever course we
The Joint Chiefs of Staf'I' ezpresseci their
choose to take, somebody can say. -weD. it's concerns aud dimc:ulties with the President's
not ?e:fec: for these re:sons.-To tbt,l have
commit:nent but also er.:ressed their re=ect
t'NO =swers, and I'm going to say this until
for his decisionmalang pC,wer as Co~der
I'm "blue in t.'te face for this enti.~ yea.r until
we get action. N umbe:- one, the want thing in Chief.
we an do is lceep on doing wh~t we're doing·
now, be=use more and more people are falling out oi the system :ind the cost is becoming more and more burdensome to those who
are still "be:uing it. So wh:tever course we Appointment of John D. Hart as
talce, we will preserve wh:lt is best about Deputy Assistant to the President
Ameri=n hdth care, some consumer choice and Deputy Director of the O£Bce o£
mci the qUAlity or care. So whatCYer pral>- Intergoveramental.Ufairs
lcms we b&ve. they won't be as bad as the Jcnw:ry 2S.l99J
•
ones we've got now. Number t'NO. this is not
The President tr::Mhy appointed Jolm D.
going to 1:te the end of the line. Whatever
problems are there can be fU:ed later. But Hart to the position of Deputy Assistant CD
A27
�·~·
1601 N. Tucson Blvd. Suite 9
Tucson, N. 85716
(800) 635-1196
( 602) 327-4885 in A1.
Association of American Physicians ond Surgeons, Inc.
February 9, l99J
O~i-!C!RS
Notte: •..t
C:~N. MD.
;:,~
Nc--.a.
o•
c:n::..s w. ~.Jt. t.l~;
:"'SS((CN.i:hl:t
1\-='~.r.t-:. Goa
t."co,g~C ~..
~'01''
N:i~hl...r.t
:..tc.
II
~. ~ Oole!l ~M.D.
"''C:UVI
t;:nic:crct. TA
.ocr.-.r. H
boa. ·"_ '.t D.
~-l"z"~
c,;;;,lleM~~t. Ott
DIRECTORS
Oc-~"
ac,cr.1. M.D.
l..iQI.t#Q. Gf,
0,.1osW ec..,.~. M.D.
~s::l\.t.S
I.Cio. J. ~ \'lD.
H:li~
.JC.-~ I.
I'IJ
C..-v. :.t~
Dc-.~k
r.t~n J ew~. r.tO
o~•
VL
~r,.~).
Hillary Redham Clinton
Chairperson
'
President's Task Force on National Health care Reform
The White House
Washington, DC 20500
Dear Ms. Clinton:
on behalf of the Association of American Physicians
and Surqeons, Inc., a national association of private,
practicinq physicians, please be advised that ! and its
members desire ~o attend the next and all subsecuent
meetin;s of the President's Task Force on National Health
Care Refon1.
This request is made pursuant to Section ~o of the
Federal Advisory Committee A.ct, vhich mandate~ that all
such advisory committees be open to the public. Advance
notice of the next meeting and any and all sUbsequent
mee~in9s would be appreciated so tha~ I and other members
may make plans ~o travel to·washin;ton to be in
attendance.
~.:r.
r-n..• t.. Goos..c..... s. . :..ta'").
$on I"YifC:O'I'O. JX
I will appreciate a reply at the
earlies~
possible
dat:e.
w.~~.r.·~
.1\IICI'Itft.. G:A
1¥0- L at.c::'IC1t. '"'r..
O=lttt:ln'.J
:.m
Sincerely,
.
~tu~
llC:" w """"·\tO
luc:tr... ~
JI'IWICI'I Sc."'oiil.:w. M.~
~<~IV..'QIIL 1,1
M.\:1\Qf!! r.c:N~!t.
~~~Oft. Y.!.l\
ex:CUtM: C:AfCIOA
.,~ur...,
Jane M. Orient, MD
Executive Director
"·"' c
r.\. ~-MI.)
("'..;:1\!E:!~A: C:OUfGI.
~· .......
.nl--.ltvMr"
KMB/jmo
cc:
Bernard w. Nussbaum
Counsel to the President
The White House
..
·-----··----••,
EXHIBIT B
A28
�..
A.rnerica11
•
.
Council for Health Care Reform
$155 North 37tb Street
Arlington, Virginia 22207
Febnury 9, l99J
·.
Hillary ~ ,,dham Clinton
Ch:1irpcrson
President's T:I.Sk Force on National Healtbcare Reform
The White House
Washinbton, D.C. 20006
Dear M~. <1inton:
I am writing on behalf of the American Cauncill~lr Heal~ Care Rd'orm. We were
establi:ih\:d in 1983 as a non-profit organization to protect consumer rights and help lower the
cost of hCllth care delivery.
t•t=se nceept my request to attend the next and all subsequent mc:tings o(the President'~
Task fnrc:e on National Healthcarc Reform. The American Council for Rcal~'t Care Reform is.
making this request pursu.ant to S~on 10 of the Federal Advisory Committee Ac:c. As you
must know, this Act mandates that all suc.'t advisory ccmmiuee m=inss be open tO the public.
We are asked cbily if. we suppcn the President's health care rcf'orm initiatives. Our t1nly
answer c:m be that we have: no idea of what is being proposed because all delibentions arc: hc:inlt
conduc."'tc:d in secret. We would be supportive of a numbt-:r of changes in health care policy.
Howevc:r these changes mu..st be thoroughly examinc:d; SC"\.&et deliberations can produce nothing
but hBti ('ublic policy.
Plc:a:;c: reply to our request a.t yr:mr earliest possible convenience.
;_:::_, L -----__.wm;D a~
H.
Exet utive Director
c;c:
~mard
W. Nussbaum
\uunsc:l to the President
The: White House ·
PI Case.provide us with advanced notice of' the nc>~t and any and all subsequent meetingJ;
so that we= may plan accordingly.
.....................
EXHIBI'I· C
A29
..
�,
NATIONAL LEGAL & POLICY CENTER
1156 15th Street, Suite 550, vV;1shington, DC 20005 202-331-0541
Februa~
11, 1993
Mrs. Hillari'
Rcdha.rr~
Clint.on
·.
Chairm=:n
President's Task Force
on National E:alth Care Reform
The w~ite House
.
Wasr~geon, DC
20006
Oaar Mrs.
Cli~ton:
Please be advised that members of the staff of the National
Legal and Policy Cer.ter wish to attend ehe next and all s~se~~~~t
maetings of t:.e President's Task Force o~ Eealth ca=e Ref==~This re~~est is made pu:su~~t to Section 10 c! ~he AcviSO=Y
Committee Act, whic~ re~uires that. all such ad.visory CO:!'.::tittee
meetings be open to the public~ Advance notice of the ne~: ~d all
s~bsequent
meetin~s
would be appreciated so t:.a~ cur
representatives may at.t.end.
The Natio::.al. Legal ar..d Policy. Center pro::oc.es e:.hics in
government. we do r..ot. believe that the secrecy of Task Force
delibera:io::.s, inclcding the closed r~ture of its ~eet.i~gs. serves
this end.
I t.ave enclosed a coi)~' of tl:.e •code of Ethics for co·..-e::-:.er..t
Se~;ice.• Yocr atter.:ion is direc:ed to item #2 wtich states, ·~~Y
~erson in Gove~~e~c service shculd uphold the Cor~citution~ la~s.
regu~ations of the United States ar.d all ;overnme~cs therein ane
n~ver
CCF~
be a parcy to their evasion.• I encourage yo~ to circtilace a
of the Code to all m~~e~s and staff of the Task Force.
I look
fc~ward
to your reply.
~et.er T. Flaherty
President
cc: Bernard
w.
Nussbau~.
Counsel to the President
........................
EXHIBIT D
A30
�'
THE: WHITE HOUSE:
WASI-'41NGTON
February 12, 1993
Jane M. Orient, M.D.
··
Executive Director
Association of American Physicians
and surgeons, Inc.
~601 N. Tucson Blvd., Suite 9
Tucson, Arizona 85716
Dear Or. Orient:.
The First Lady has asked me to respond to your letter,
dated February 9, 1993, concerning the President's health care
task force.
The President has selected the First Lady, Hillary
to chair the health care task force. In addition
-:o the First Lady, the task force currently includes t."le
Secretaries of·the Treasury, Defense, Commerce, Labor, Health and
Human Services, and Veterans Affairs; the Director of t.~e Office
of Management and Budget; the Assistant to the President for
Domestic Policy; the Assistant to the President tor Economic
Pcli·cy; the C."lair of the Council of Econold.c Advisors; and the
Senior Adviser to the President fer Policy Development.
Ro~am Clin~on,
The task force has not yet held a meetin;, although
of t."le task force were present on January 25 when t.~e
¥resident announced the formation of the task force and defined
its mission. The task force is planning to hold some public
~eetings in the future.
Those meetings have not yet been
scheduled.
~embers
.
As the President aMouncec! en January 25, the Senior·
Adviser to the President for Policy Development will lead an
interdepartmental working group that will gather inforcation tor,
and provide information to, the task force. The working group
will consist of government employees, and will ec~sul~ with a
vide ranqe of citizens in the public ana private sectors. The
task force, in turn, will review information provided by the
working group and make recommendations to the President.
'It is our opinion that the Federal Ad.yisory Committee
Act does not, and was net intended ~y Congress to, apply to the
health care task force -- compcsed solely of Cabinet secretaries,
senior White House otficials and the First Lady. The participation of the First Lady on the task force does not triqqer
application of the Act.
Fi=!OM COY
·-----··-----EXHIBIT E
A3l
�A ._
••
Jane M. orient, M.D.
February 12, 1993
Paqe 2
As noted above, the task force will be holdin9 some
public meetings at which citizens, orqanizations and institutions
will have an opportunity to present their views. ~ose meetings
have not yet been scheduled, but will be announced in advance.
Xf you and other representatives·of the Association of American
Physicians and Surgeons, Inc., are interested in attentinq such
public meetings, please contact Mike Lux at 202-456-2930.
Please feel free to contact me, my deputy Vincent
Foster cr Associate Counsel Stephen Neuwirth should you require
further information in response to your request.
Bernard W. N'Ussbat.m
Counsel to the ·President
.. A32
�THE: WHITE: HOUSE:
WASHINGTON
·.February 12, 1993
William H. Shaker, P.E.
Executive Director
American Council tor Health Care Reform
SlSS North 37th Street
Arlington, Virqinia 22207
... -. ·.
The First Lady has asked :e to respond to your letter,
da~ed February 9, 1993, concerninq the President's health c~re
't.ask force.
The rresident has selectee the First Lady, Hill~~
Rcdham Clinton, to chair ~~e health care task force. In addition
to the First Lady, the task force currently includes the
Sec:-etaries of the Treasury, Defense, Co::zmerce, Labor, Health and
Hu::1an Services, and Veterans Affairs; the Director of the Office
of Manaqement and Budqet; the Assistant to the President for
Domestic Policy; the Assistant to the President for Economic
Policy; the Chair of the council of Economic Advisors; and the
Senior Advisor to the President for Policy Development.
The task force has not yet held a meet~r.q, althcu~~
of the task force were present on January 25 when the
President an.~ounce4 the formation of the task force and de!ined
its mission. 'l'he task force is planning to hold. some public
meetinqs in the future. These meetings have not yet been
scheduled.
me~ers
·As t:le Presi~ent announced on Jan~a:;,y·:··~S·,_,.. th~.~s~nio..;:
Advisor to the President for Policy Oevelopment will leaa an
1nter4epartmental wcrkinq qroup that will gather infor=ation ~or,
and provicie information to, the taslc terce. 'rhe working qroup
will consist of government employees, and will consult with a
wide range of citizens in ~e public and private sectors. The
task force, in turn, will review information provided by the ·
working qroup and make recommendations to the President.
It is our opinion that the Federal Advisory Committee
Act does not, and was not intended ~Y congress to, apply to the •
health care task force -- composed solely ot Cabinet secretaries,·
senior White House officials and the First Lady~ The participation of the First Lady on the task force 4oes not trlq;er
~pplication of the Act •
...................
~
EXHIBIT F
A33
�William H. Shaker, P.E.
February 12, 1993
Page~
As noted above, the task rorce will be holdinq some
public meetings at which citi~ens, organizations and institution
will have an opportu~ity to present their views. Those meetings
have not yet been scheduled, ~ut will be announced in advance.
If you and other representatives of the American CoUncil for
Health Care Re~orm are lnter~sted in at~endinq such public
meetinqs, please contact Mike Lux at 202-456-2930.
.
Please feel free to contact me, my deput;! Vincent
Foster or Associate Cour~el Stephen Neuwirth should you require
fu~ther information in response to your request.
~34
�.......
':..
•
.....
_
___ _
I
THE: WHITE: HOUSE
WASH.INGTON
.Fe~ruary
16, 1993
Peter T. Flaherty
President
National Leqal and Policy Cente~
~~56 15th Street, Suite 550
Washington, o.c. 20005
Dear Mr.
Fla.he...~y:
The First Lady has asked m~ to respond to your letter,
dated Febr~ary ~l, ~993, concerninq the Presidentrs healt.~ care
task force.
The President has selec~ed the First.Lady, Hillary
Clinton, to chair the health care task force •. ~r. addition
to the First Lady, the task force currently includes the
Secretaries of the Treasury, Defense, Commerce, La!)or, Heal.th and
Human Services, and Veterans A! fairs; the Direc:.or of tlle Office
of Manaqement and Budget; the Assistant to the President ~or
Domestic Policy; the Assistant to the President fer Economic
Pol.icy; the Chair of the council of Econcmic Aaviscrs; and the
Senicr Adviser to the President for Policy Development.
~odham
The task fcrce has not yet held a meetir.q, al~:ouqh
:e:za.bers cf the task force were present on Ja.nua...-y 2 s when the
President annc~~ced the formation of the task force and defined
its mission. The task force is plar.ni.'"lq to hold so:ne puJ:2lic
meetings in t.~e future. Those meetings have not yet ~een
scheduled.
·
.
.
.
As the President announced on January 25, the Senior
Advisor to the P=esident for Policy Development will lead an
i~terdepartmental working qrcup that will gather in!o~ation for,
ana provide intormation to, the task force. ~he wcrkinq qroup
will consist of government employees, and will consult with a
wide ranqe of citizens in the public and private sectors. The
task force, in turn, will review information proviaed bv the
wcrkinq group and make recommendations· to the President:
.
It is our opinion th~t UJc Fe~er~l Adviccry Cc=mit~~A
Ace does not, and was not intended by Congress to, apply to the
health care task force -- composed solely of Ca~inet secretaries,
senior White House .officials and the First Lady. The partici•
pation of the. First Lady on the task force does not trigger
application of the Act.
Jane M. orient, M.D .
......................
EXHIBIT G
A35
�February 16, 1993
Page 2
As noted above, the task force will be holdinq some
public meetings at which citizens, orqanizations and institutionf
will have an opportunity to present their views. ~hose meetings
have not yet been scheduled, . but will be announced in advance.
If you and other representatives·of the Association of A:merican
Physicians and .surgeons, Inc., are interested in attendinq such
public meetings, please contact Mike Lux at 202-456-2930.
Please feel free to co~tact me, my ·deputy Vincent
Foster or Associate Counsel Stephen Neuwirth should you require
further infor:ation in response to your re~est.
Very truly yours,
A36
�Association of American Physicians and Surgeons, Inc.
1601 N. Tucson Blvd. Suite 9
Tucson. AZ 85716
(800) 635-1196
(602) 327~885 in AZ.
March 17, 1993
c~rc~RS
N;nc r.~ (;urr.o:rc:kue. tAn.
~':~tsi'.:ent
~k.OII
C!"'C".nes W. McOYWeti, .:r.. M.&").
"'cso:~anl-l:lcf
Altli1UI~ttlo.
L;;Jn~
c::;.a..
OA!inton. MD.
SP.c'.ll!!lOIV
~~CI1nfJCtO.
il
r~. ;.OWQ!I Currpbell, M.O.
lntCSIIff.!f
C01stcono.lX
J~ "'· Suvtes. ·"·· M.n.
lr':"'mtfe:.;,t~ Past Pfe-.,iCJCnl
CeniP.rlil:e. Cu
BEQUEST FOR·QQCUMENTS ANP INFORMATION fROM THE
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE BEFOBM,
lTS INTERDEPARTMENTAL WORKING GROUP AND ALL CLUSTER
GROUPS, PURSUANT TO THE fREEDOM OF INFOBMATION ACT. 5
U.S.C. SECTION 552 AND THE FEDERAL ADVISORY COMMITTEE
ACT. 5 U.S.C. APP. lOCbl
TO:
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM C/O HILLARY ROOHAM CLINTON, Chair, ana
IRA MAGAZINER, senior Advisor to the President for
. Policy Development
BERNARD NUSSBAUM, Counsel
Executive Office of the President
The White House
Washington, D.C. 20500
DIRCCTO~
C!c:u~ .A,. ~. Jr..
M.D.
i..UWSIQ. C.:.
C1 Jr.l$ W C~n<il. Sr .• M.D.
Jo:J'::k$0;>. MS
to:s.l. CQPelond.
1-!·QSdOiC r.:J
JC'lmo:. ~.
M.O.
Cr:t. M.O.
Pursuant to the Freedom of Information Act,
5
u.s.c.
Section 552, and the Federal Advisory committee Act, S
u.s.c. App., Section
~O(b),
the Association of American
wLand. F.
r>..w. MO.
ChtCCI'JC. IL
v.;,. C...-!lr;. ~tO
BOIS!!. II'.'
!'c:u; i Gr..csvCh. 51.. M.O.
Son M:a11io. TX
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W
~uniltl.lcltrinn,
M. (;
Allnntc.GII
/..n.;Jrr:.v :. M-;rr-"· M.D.
0<.1klcr\d, 1\M')
lkn W. f'Pimz. M.O.
7uCICcr. ~
Jc;opn Sc:n-. M.D.
Sc;cllsdOIA, ,1;'
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f'.et\iUt. M.O
Physicians and Surgeons, Inc., by and through Jane
M. Orient, M.D., Executive Director, hereby requests from
the President's Task Force on National Health care Reform
and its interdepartmental working groups and all cluster
groups thereof the following
doc~ments
to be made
available for public inspection and copying at the
r~o~:cr•. WI\
offices of the President's Task Force on National Health
!:Y.!'=C\Jl'fvc DIU!:CTOR
ltr.(t h/1 (.)liunl.
M.O.
G~N!:IfAL COJNSEL
IC~' ~.'IOs:vr:a::r;
Care Reform:
1.
Brown
2.
~
The Advisory committee Charter of the
President's Task Force on National Health care
Reform.
All records, reports, transcripts, minutes
(including minutes containing a record of the
persons present and a complete and accurate
description of the matters discussed and
conclusions reached), appendixes, working
.....................
EXHIBIT H
�••
3.
4.
5.
6.
papers, drafts, studies, or other documents which have
been or will be made available to or have been prepared
by the President's Task Force on National Health care
Reform;
All schedules of meetings and agenda of the President's
Task Force on National Health care Reform;
All records, reports, transcripts, minutes (including
minutes containing. a record of persons present and a
complete and accurate description of the matters
discussed and the conclusions reached), appendixes,
working papers, drafts, studies, or other documents
which have been or will be made available to or have
been prepared by the interdepartmental woi·kinq qroup
and any and all of its cluster groups for the
President's Task Force on National Health Care Reform;
The schedules of all meetings and agenda of the
interdepartmental working group and each of its cluster
groups; and
The names and background histories of all persons who
are members of or consult or advise (whether on a fulltime or part-time basis and whether they are paid or
not, and the amount paid where applicable), the
President's Task Force on National Health care Reform,
the interdepartmental working group and all of the
cluster groups thereof.
As this request will contribute significantly to public
understanding of the operations and activities of the President's
Task Force on National Health care Reform and its
interdepartmental working group and cluster groups and the
activities of the government itself, the aforesaid documents and
information should be furnished without any charge or at a charge
reduced below
t~e
fees established in
s u.s.c.
Section
552 (a) (4) (A) (ii).
Pursuant to 5
u.s.c.
Section 552(a)(6)(A), a determination
of compliance is expected within ten (10) days.
Dated March 17, 1993.
Respectfully submitted,
cl'-- m tJ • :
~
Jane M. Orient, M.D.
Executive Director
�••
AMERICAN COUNCIL FOR HEALTH CARE REFORM
5155 North 37th Street • Arlington. Virginia 22207
(703) 534-6028
REQUEST FOR DOCUMENTS AND INFORMATION FROM
THE PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM. ITS TNTEBDEPARTMENTAL WORKING GROllPAND ALL
CLUSTER GROUPS. PURSUANT TO THE FREEDOM Of. INFORMATION
ACT. 5 U.S.C SECTTON 522 AND THE FEDERAL ADVTSOR'Y
.
COMMITTEE ACT. Sl,j_.S.CAPP. JO(bl
M:arch 11. 1993
Tt•:
PRESIDENT'S TASK FORCE ON NAT10NAI. HEALTH CARE REFORM
Ctn HILLARY RODHAM CLINTON, Chair. and
IRA MAOAZINER, Senior Advisur to the President for Policy Development
I~ERNARD NUSSBAUM, Counsel
E"ccutive Office of the President
l'h~ White House
Washington, D.C. 20050
l,ursuant to the Freedom of Information Act. 5 II.S.c·~ Section S52, and the Federal
Advisory <"nmmittee Act, S lJ.S.C. App., Section 10(1~). the American Council for Health ('nrc
Rd(Jrm, hy and through William Shaker, Executive Oin:ctor, hereby requests from its interdepartmental working groups and all cluster aroups thereof the following documents to be m:1eic
availahlc thr public inspection and copying at the ofti,:es of the President's Task Force on
Natiunal Health Care Reform:
The Advisory Committee Charter of the.! Prc5ident's Task Force on National
Health Care Reform•
2.
AU records, transcripts, minutes (inclucfing minutes containing a record ofth"·
persons present and a complete: and ac.:"·uratc d~cription of the matters discus.~'tl
and conclusions reached). appendixes. working papers, drafts, studies, or uthcl'
documents which have been or will be made available to or have been p~an:d
by the President's Task Force on National Health Care Refonn:
...................
~
EXHIBI'I· I
�PRFSIDI~N·rs TASK FORCF. ON NATIONAL HF.Al.TH CARE
C/0 HILLARY RODHAM CLINTON, Chair. c:t al.
REFORM
Mun:h 17. ll)93
Page 1.
'
All schedules of meetings and asenda of the President's Task Force on National
Health Care Reform;
:
4.
All records, reports, transcripts, minute:~; (including minutes containing a rec(mt
nf the p<..~ons present and a complete and accurate description of the matters
discussed and conclusions reached).
~-
The schedules of all meetings and agen,fa of the interdepartmental working
groups and each of its cluster groups; aud
h
·me names and background histories of all persons who are members of or
consult or advise (whether on a full tim': ur part time basis and whether they an: .
paid or not, and the amount paid wher~ applicable), the President's Task Pure'~ on
National Health Care Reform, the intentepartmental working group and all uf the.~
cluster groups, thereof.
As this rc:qucst will contribute siynificantly lo public understanding of the opemtiun.~ und
activities of the President's Task Force on National He•llth Care Refonn and its interdepa.rtmt:nt~l wnrking groupt :and lll ofth1 c1U£tar group& and ootivitioc of the sovcmmont it~lf. the
afnrc8aid documents and information shou1d be furnished without any charge or at a charge
n:duccd ~Jt,w the fees estab1ished in 5 U.S. C. Sectinu 5S2(a)(4)(A)(ii).
Pursuant to S U.S. C. Section 522(a)(6)A9A), u detennination of compliance is expected
within ten ( 10) days.
Rc:~peetfuiJy
submitted
4.v;l(:- .1(
~c:c:utive Director
�••
APR- 8-93 THU 15:02
FAX NO. 2028285625
MMWR WDH NEB
P. 02
HAPiD DELIVERED
r'
REQ'C.lEST FO.R DOCUMENTS AND TNF'QRMA.TlON FROM THE
PRESIDENT'S TASK FORCE ON NAUONAL HE.4LTH CARE REFQRM. ITS
INTERDEPARTMENTAL WORKJ,\lG GROUP AND ALL CLUSTER GROUPS.
PURSUANT TO TTTF: F'REEDOM OF LVFORMA.TlON ACT. 5 U.S.C, SECTION
,;,-;2 AND THE FEDERAL ADVISORY COMMITTEE ACT. 5 U.S.C. AP,e 1n£QJ.
'
TO:
PRESIDE~"T'S TASK FORCE ON NATIONAL HEALTit CARE REFORlvl
c/o Hll..LARY RODHA..\1 CLJ:!I.a'TON, Chair, and
lRA MAGAZINER, Senior Advisor to the President .for Policy Development
BERNARD NUSSBAUM, counsel
Executive Office of the President
The White House ·
Washington, DC 20500
Pursuant to the Freedom ofinfonnation Act, S U.S.C. Section 552, and the Federal
Advisory Committee Act, S U.S.C. App .• Section ·lO(b). the ~ar.ional Legal & Policy Center, by
and through Peter T. Flaherty, President, hereby requests from the President's Task Force on
National Health Care Refonn and its interdepartmental worldng groups and all cluster groups
thereof the following documc:ms to be made available for public inspection and copying at the
offices of the President's Task Force on N<llional Health Care Refonn:
1.
The Advisory Committee Charter of the President's Task
Force on National Health Care Reform;
2.
All records, reportS, transcripts, minutestincluding minutes containing a record of
the persons present a complete and accurate description of the matterS discussed
and conclusions reached), appendixes, working paoers, drafts,
studies, or
other documents which have been or will be made available to or have been
prepared by the President's Task Force en National Health Care Reform;
~.
All schedules of meetings and agenda of the President's Task Force on National
Health Care Reform;
4.
All records, reports, transcripts, minutes (including minutes containing a record of
the persons present a complete and accurate description of the matters discussed and
conclusions reached), appendi."<es, working papers, drafts, studies, or other
documents which have been or will be made available to or have been prepared by
the interdepartmental working group_ and any and all of its cluster groups fer the
President's Task Force on National Health Care Reform;
..
S.
The schedules of all meetings and agenda of the interdepartmental working group
·and each of its cluster groups; and
·
1
........................
EXHIBIT
J
�MMWR WDH NEB
APR- 8-93 THU 15:02
....
6.
FAX NO. 2028285625
P.03
The names and background histories of all persons who are members of or consult
or advise (whether on a full-time or part-time basis and whether they are paid or
not, and t!1e amount paid where applicable), the President's Task Force on National
Health Care Reform, the interdepartmental working group and any of the cluster
groups thereof.
''
As thi~ request will contribute significantly to public understanding of the operations and
activities of the President's Task F~rce on N"ational Health Care Reform and its interdepartmental
working group and cluster groups and rhe activities of the government itself, the aforesaid
docume11ts and infonnation should be furnished without any charge or at a charge reduced below
the fees established in 5 U.S.C. Section 522(a)(4)(A)(li).
Pursuant to S U.S.C. Section S22 (a)(6)(A), a determination of compliance is expected
within ten (10) days.
Dated:
'f/8(93
Respectfully submined,
p~2~
President
.
2
�·-·
--------------------------
CFi:OUI=o
THE WHITE •tOUS£
WASI-41NG ... ON
April 1, tCJ93
•.
· .Dr. Jane M. Orient
P.xecutive Director
~oc:iation of American Physician~
and Surseo!2S, Inc.
·160t·N. Tucson Boulevard
Suite 9
Tucson. Arizona 85716
Re~
Request for Documents and Information
Dear ·or. Orient:
On behalf of the President's Task Force on National Health Care Reform (the
"Task Force"), lam responding to your March 17. 1993 request .for documents and
information pursuAnt to the Federal Advisory Committee Act \fACA•), 5 U.S.C. App. 2
f lO(b) and the Freedom of Information Act f'FOIA"), 5 U.S.C. I SS2. 1'be Task Force
reeeived your request on March 18.
With reaard to )'Ol:lr request under FACA. the Court in kj~;pc;iatign gf Am;rican
PJtysicians and Suqenns (AAPS.). et al. v. Clinton et aL No. 93·0399 (D.D.C. Mar. 10,
1993) held that the Task Force is an advisory committee under fACA. Although the
defendants believe that rulins to be an error as a statutory and constitutional matter, and
huve uppeated it io the United States Court of Appeals for the Distrl~ of Columbia
Citc:W&, the T~ ;'ore~ lntencts tu make uo.o-cxc~lLpt documents which have been and
'WW M •made available to or prepared for or bY' rhe Task Porce, 'FACA, l10(b),
available for publie inspection and copyins (Request 2). As explained in peater detail
below. the Court's Opinion permits the Task Fore~ to withhold documents covered by
privileges protecting deh1~eratlve processes and Presidential co~nicatlons.
The· Task Force has established a public readin& room located in Room 1010 of
the Humphrey Builc!ins. U.S. Department of Health and Human Services, 200
lftdependence Avenue, S.W. The reactins room L\ open to the public between the hours
of 9:00 a.m. and S:OO p.m. Monday through Friday. Please contact Steven Pigeon at
_
..........,...........
(202) 69Q.7000 mor~er to ar.ranse for access to Uie reading room.
EXHIBIT K.
...
�..
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..
.. •· • -·
._ ~ """""' ..,.
••1 ... ......
1-11"'~ ld~ '0.::"3 11: '37 WEE'5TER CHA~1BERLAIN & BEAt~
I
'-a PIC U
U
-------------.
P.3/4
~-C,-::11
~
- 2 -
The T~k For~e's intake ~e.nter has received over SO,OOO pieces of corr~ponc1ence
from the public and 1s now recewt;,g several thct~Jsanclletters daily. These and other
documents that have been received and reviewed are being moved into this reading
room for public inspection. The Task Foree will send newly receivec:l.or created non· .
exempt Task Force documents to the readin& roe')m pcriodicaU)' after they arc reviewed. .
.
.. .
· In addition. the Task Foree's charter (Request 1). non-exempt meeting agendas ·
(Request 3), and non-exempt Task Foree documents (Requests 2 and 4) will be available
in the reading room.
. ·..
The Court also held that the interdepartmental working group is not an advisory
committee under FACA.. The Task Force resards Request 4 to seek a Sl.lbset nf the
documentS sous~t in Request 2. However. lO the: extent ~.~.f~.J!.qU!,~t.oY.~~~n~ cut
subsumed unaot Request 2 that were made available to or prepare«! fOl"Of..bY'tlie
working group or its cluster groups, they are not subject to c!iscloaurc UDder llO(b). ID
particular, tho documents requested in Requests 5 and 6, if they exist -at all, would be
workin& sroup records, not documents mad~ available to the Task Force mat are subject
to disclosure. As you a.-e probably aware, however, the names of persons on the working
aroup and its consultantS have been made public.
In accordance with FACA, § lO{b), S U.S.C. § SS2(b). and the Court's Opinion
and Order, tho Task Force· hu and will withhold documents determined tO be QOVered
by privileges protectma deliberative processes and President!al communications and
other applicable privileses.
In panic:ular, the Task Force is withholdinlt the categories of documents listed
below. Tbe Task Force may withhold additional ~tesori~ of material detenrJned to be
privile&ed that have not yet been created or reviewed.
1.
Personal Jetters,submitted by members of me public to the Task Force that
contain. for example, descriptions of health probl:ms and financial information are
wichhcld pursuant to S lJ.S.C. § SS2(b)(6);
2.
.Pe~onalletters, many attaching resumes. submitted by ~embers of.me
publie offerin& to help the Task Force are withheld pursuant to S U.S.C. f SS2{b)(6)~
3.
Coding and routing slips for correspnndence received by the intake center
are withheld pursuant to S U.S.C. f SS2(b)(2);
4. Backsround and options papers prepared by workina poup members an<! seen
by Task roree members or the President related t~ national health care reform are
withheld putsUant to privlleaes protectin& deliberative processes ancl Presidential
communicadons. ~ S U.S.C. I SS2(b)(S) and A:.~ sUp op. at 18-26.
Insofar as your request
may be based on FOIA, that statute applies only to
records maintained by "agencies" within the Executive Branch.
kA S U.S.C. I S52(a)(3).
..
�•.. II.
APR 08 '93 11:58 WEBSTER CHAMBERLAIN & BEAN
APR-
-.
~-9Z.
MO~
i-·e~
' •
W~SH
·
M~KT
P.4/4 p .
GROUP
- 3 ..
Neither the Task Force nor che interdepartmental working sroup or its •ctuster" groups
are agencies for purposes of FOIA because thtir functions are. respectively, to advise
and to assist the President. 5= KiFsinpr v. Beporte!'$ CQZDm. for Ereedom of the Press.
445 U.S. 136 (1980): Mcye: v. ~ ~81 F.2d 1288 (D.C. Cfr. 1993). The Task Force,
working group and •cluster" groups are, therefore, not subject to FOIA.
.
·sincut·ly.
~1 :?-··y
.. . ... ..~\ll..,..-c..·
K'.L,_,If}....._ _
B :~nr,~ W. Nus.~baum
Cwnsc:l to tbe President
..
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1
cc: Kent Masterson Brown
Framk M. Northam
..
~.
'
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8350243
TO
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..... .
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'
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.
.
P.02
....•
.
..
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-...
.·.•
THE WHIT£ HOUS£
WASHINGTON
April 1, l 993
Mr. William H.· Sh:1kcr ·
Executive Director
American Council for Health
Care Reform
51SS North 37th Street
ArlinJton, Virginia 22207 ·
Re: Request for Documents and Information
·Dear Mr. Shaker:
On behalf of the President's Task Force on National Health Care Reform (the
'Task Porccj, I am responding to your March 17, 1993 request for documtnts and·
information pursuant to the Federal Advisory Committee Act ("FACA"), S U.S.C. App. 2
I lO(b) and the Freedom of Information Act ("FOIA"), S U.S.C. § 552. The Task Force
received your request on March 18.
With regard to your request under FACA. the Court in Association of American
Pbysiqaps and Sur1eons CAAPS). et at. v. Cintop. et al.. No. 93-0399 (D.D.C. Mar. 10,
-·1993) held that the Task Force u an advasory committee under PACA: AlibouJh the defendants believe that ruling to be an eaor as .a statutocy an4 constitutional matter, and
have appealed-it tu·tbe ·United States Court ~fAy~ for the DistriCt of Columbia
Circuit, the Task Foree intends to make non-exempt documents which have been and
will be "made available to or preparec! for,.or by" the Task Force, FACA, llO(b),
available for public Inspection and copying (Request 2). As explained &reater detail
below, the Coun's Opinion permits the Task Force to withhold docwnents covered by
privileges protecting dehc~tive processes and Presiden~ial communications.
m
The Task Force has e$tablished a public reading room located in Room 1010 of
me Humphrey Buildina, U.S. Department of Health and Human Services. 200
-~·-· -··-- lndepeudem:~AVenue, S.W. The readiftgTOOmin>p:en to the public· between the lm\lrS
.':
of 9:00a.m. and 5:00p.m. Monday through Friday. Please contact Steven Pigeon at
(202) 690-7000 in order. to arrange for access to the reading room.
.....................
-
EXHIBI'r· L
:.
�...
HPR-OS-l993
08:37AM
·-
'
FPOM St ~nc:l.!r d Prep. I r.c.
TO
83SC.2~'3
P.03
- 2-
The Task Force's intake center h~ts rccdved over 50,000 pieces of correspondence
from the public and is n<>w receiving several thousand )etters daily. These ancl other
documentS that have been received and reviewed are being moved into this reading
room for public inspection. The Task Force will srnd newly recehred or created nonexempt Task Force documents to the reading room pc.riodically after they are reviewed.
In addition, the Task Force's charter (Request 1), non-exempt meeting agendas
(Request 3), and records, reports, transcripts and minutes of Task Force meetings
involving fact·fin(]ing and fact-reporting (Request 4) will be available in the reading
room.
I
"1"he Court also held tho.~t the interdepartmental working group is not an advisory
committee under FACA. The document.~ requested in Requests Sand 6, if they exist at
all. would be working group records, not documents made available to the Task Force
that are subject to disclosure..
In accordance with FACA, f lO(b), S 'U.S.C. § S52(b), and the Court's Opinion
and Order, the Task Force has and will withhold documents determined to be covered
. by privileges protecting deliberative processes and PresicleJ1tial tOmmunications and
other applicable privileges.
In panicular, the Task Force is withholding the cateao~es of documents listed
below. The Task Force may withhold additional categories of material determined to be
privileged that have not yet been created or reviewed.
1.
Personal letters submitted by members of the public to the Task Force that
·contain, for example. descriptions of health problems and finanCial information are
withheld pursuant to 5 U.S.C. § 552(b}(6);
2.
Personal letters, many attaching resumes, submitted by members of the
public offering to help the Task Fo~c:c are wjthheld pursuant to~ U.S.C. § S52(b).(J.;:6;a);~---
---·-·-···-··. ·-- ·--·---·.
3.
Coding and routJn& slips for correspondence received by the intake center
are withheld pursuant to S U.S.C. § 552(b)(2);
4. Backaround and option5 papers prepared by working group members and seen
by Task Force members or the President related to national health care reform are
withhel~ pursuant to prlvDeges protecting deliberative processes and Presidential
wmmunications. ~ s U.S.C § S52(b)(S) and AAPS.. slip op. at 18-26.
Insofar as your request may be based on FOIA. that statute applies only to
records maintained by "agencies" within the Executive Branch. ~ 5 U.S.C. § S52(a)(3).
Neither. the Task Force nor the interdepartmental·workiDJ group or its ..clustet" groups ·
are agencies for purposes of FOIA because their functions are, respectively, to advise
and to assist the President ~Kissinger v. Beponea Comm. for Freedom of the Press.
�....
APF:-IaS-1993
08:37AM
FROM
Su.r,cJar~
P,.op. Inc.
TO
835024'3
- 3-
445 U.S. 136 (1980); Mevcr v. Bum. 981 F.2d 1288 (D.C. Cir. 1993). The Task Force,
working group and "cluster" groups are, therefore, not subject to FOIA.
Sincerely,
Bernard W. Nussbaum
Counsel to the President
cc Kent· Masterson Brown
Frank M. Northam·'
----··
,0:
------------- --- ·-··--·
··-····---···· ·- .. ·-
·-···.
P.G-4
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit HCTF (Health Care Task Force); March 23, 1994 [1] [2]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Evan Ryan
Melanne Verveer
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 6
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-006-001-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/8132f8c5c8122fac721c05b8181175cf.pdf
e06e4704ae9d2387824511ae638444e5
PDF Text
Text
FOIA Number: 2006~0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan; Melanne Verveer
Subseries:
Misc. Subject Files
OAIID Number:
12822
FolderiD:
Folder Title:
American Physicians Lawsuit-HCTF (Health Care Task Force); March 23, 1994 [1]
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
7
2
�UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS,
INC., et al.,
Plaintiffs,
v.
)
)
)
)
)
)
)
civil Action No. 93-399
(Judge Lamberth)
)
HILLARY RODHAM CLINTON, et al., )
Defendants.
)
)
)
)
PLAINTIFFS' STATEMENT OF MATERIAL
FACTS AS TO WHICH THERE IS NO
GENUINE ISSUE
Kent Masterson Brown
BROWN & BROWN
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
}\o.sc"-. Z-'S, l Cf. qV
]
Frank M. Northam
D.C. Bar No. 206110
WEBSTER, CHAMBERLAIN & BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.c. 20006
(202) 785-9500
Attorneys for Plaintiffs
�UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS,
INC. , et al • ,
)
)
)
)
)
)
)
Plaintiffs,
Civil Action
No. 93-399
(Judge Lamberth)
)
v.
)
HILLARY RODHAM CLINTON, et al., )
)
Defendants.
)
)
)
PLAINTIFFS' STATEMENT OF MATERIAL FACTS
AS TO JIIIICB THERE IS NO GENQIHE ISSUE
Pursuant to Local Rule 108(h), and in support of their Motion
for Summary Judgment, plaintiffs submit the following statement of
material facts as those which they believe there is no genuine
issue to be tried.
1.
On
January
25,
1993,
the
President
announced
the
formation of the TASK FORCE ON NATIONAL HEALTH CARE REFORM ("the
TASK FORCE"), to make recommendations and advise him on proposals
for comprehensive national health care reform.
(Second Amended
Complaint, Ex. A; Declaration of Ira Magaziner, paragraph 1.)
2.
The
TASK
FORCE
was
charged
with
developing
recommendations for possible legislation on comprehensive health
care reform to the President.
(Second Amended Complaint, Ex. A;
Declaration of Ira Magaziner, paragraph 5.)
3.
The President appointed First Lady HILLARY RODHAM CLINTON
as a member of and to chair the TASK FORCE.
(Second Amended
�Complaint Ex. A; Declaration of Ira Magaziner, paragraph 3.)
4.
The TASK FORCE included the following other members:
secretary of the Treasury, LLOYD BENTSEN; Secretary of Defense, LES
ASP IN; secretary of commerce, RON BROWN; Secretary of Labor, ROBERT
REICH; secretary of Health and Human Services, DONNA SHALALA;
secretary of Veterans Affairs, JESSE BROWN; Office of Management
and Budget Director, LEON PANETTA; Assistant to the President for
Domestic Policy, ROBERT RUBINi Council of Economic Advisors Chair,
LAMA TYSON, and Senior to the President for Policy Development, IRA
MAGAZINER.
5.
(Declaration of Ira Magaziner, paragraph 3.)
IRA MAGAZINER, a member of the TASK FORCE,
assembled.~nd
led an "Interdepartmental Working Group" of the TASK FORCE.
The
Interdepartmental Working Group consisted of 15 "Cluster Groups,"
43 "Working Groups," and 4 "Subgroups," namely, Cluster Group I,
"New System Organization:, and Working Group 1, "Principles and
Operation of Purchasing cooperatives"; Working Group 1A, "Health
Plans, Patients and Providers"; Working Group 2, "Managed care
Toward & Beyond"; Working Group 3, "Governance"; Working Group 4,
"A Global Budget 11 , and Working Group 5, "Insurance Reform"; Cluster
Group II, "New System Coverage", and Working Group 6, "Benefits
Package"; Working Group 7, "Coverage for Working Families"; Working
Group 8,
"Coverage for Low Income and Non-Working Families";
Cluster Group III, "New System Infrastructure", and Working Group
9, "Quality Measurement"; Working Group 10, "Information Systems";
Working Group 11, "Malpractice and Tort Reform", and Working Group
12, "Facilitating Professional Development"; Cluster Group IV,
"Integration of Government Programs Into the New System", and
2
�Working Group 13 1 "Medicare"; working Group 141 "Department of
Defense"; Working Group 15 1 "Veterans"; Working Group 161 "Federal
Employees;
Health
Benefits
Government Programs";
Plan";
Working
Cluster Group V1
Group
16AI
"Other
"Bioethics or Ethical
Foundations of the New System", and Working Group 17, "Bioethics";
Cluster Group VI, "Transition to the New System, Short-Term Cost
controls",
and
Working
Group
18,
"Accelerating
New
System
Development"; Working Group 19, "Administrative Simplification";
Working Group 20,
"Interim Cost Controls"; Cluster Group VII,
"Financing", and Working Group 21, "Financing"; Cluster Group VIII,
"Health Policy Initiatives for the Underserved", and Working Group
22 1 "Health Policy Initiatives fore the Underserved", and Subgroup
A,
"Underserved
"Vulnerable/High
Rural
Risk
and
Inner
Populations";
City
Areas";
Subgroup
Subgroup
c,
B,
"Women
and
Children", and Subgroup D, "Population-Based Public Health and
Prevention"; Cluster Group IX, "Mental Health", and Working Group
23, "Mental Health Benefits Package"; Working Group 24, "Substance
Abuse"; Working Group 25, "Children's Services"; Working Group 26,
"Public System Impact/Special Populations";
Clust~r
Group X, "Long
Term Care", and Working Group 27, "Long Term Care-Background";
Working Group 28, "Long Term care-Public Options"; Working Group
29, "Long Term Care-Private Options"; Working Group 30, "Cost and
Revenue"; Cluster Group XI, "Economic Impact", and Working Group
31, "Economic Impact"; Cluster Group XII, "Quantitative Analysis";
and Working Group 32, "Quantitative Analysis"; Cluster Group XIII,
"Legal Audit", and Working Group 33, "Legal Audit"; Cluster Group
XIV,
"Numbers Audit",
and Working Group 34,
3
"Numbers Audit":
�Cluster Group XV, "The Drafting Group", and Working Group 35, "The
Drafting Group", and Working Group 36, "Disability Cross-Cutting
Work Group"; Working Group 37, "Rural Cross-Cutting Group"; Working
Group 38, "Benefits Coordination"; Working Group #39, "Minority
Issues Review Group"; Working Group 40, "Academic Health Centers",
and Working Group 41, "Workers' Compensation Task Force."
8.
IRA MAGAZINER,
a
TASK FORCE member,
assembled
and
regularly met and meets with the "Interdepartmental Working Group"
and all of the Cluster Groups, Working Groups and Subgroups.
(Declaration of Ira Magaziner, paragraph 20.)
9.
CAROL ROSCO, a TASK FORCE member, has met and meets with
the "Interdepartmental Working Group" and its Cluster Groups,
Working Groups and the Subgroups.
(Declaration of Ira Magaziner,
paragraph 20.)
10.
IRA MAGAZINER, a TASK FORCE member, regularly reports the
work of the "Interdepartmental Working Group" and its Cluster
Groups, working Groups and Subgroups to the First Lady, HILLARY
RODHAM
CLINTON
and
to
the
President.
(Declaration
of
Ira
Magaziner, paragraph 9.)
11.
Members of the "Interdepartmental Working Group" and its
Cluster· Groups, Working Groups and Subgroups have met with and
reported to the First Lady, HILLARY RODHAM CLINTON.
(Declaration
of Ira Magaziner, paragraph 9.)
12.
The Composition of the Interdepartmental Working Group
and its Cluster Groups, Working Groups and Subgroups (with non
full-time officers or·employees of the federal government noted in
bold black) are as follows:
4
�Cluster Group I, "New system Organization", was composed of
working
Group
cooperatives";
Providers";
1,
"Principles
and
Working Group lA,
Working Group 2,
Operation
"Health Plans,
of
Purchasing
Patients and
"Managed CarejToward
&
Beyondn;
Working Group 3, nGovernance"; Working Group 4, "A Global Budgetn,
and Working Group 5, "Insurance Reform.n See Tab 2 attached to the
Memorandum of Points and Authorities ("the Memorandum").
Cluster I, nNew System organization", and its cluster leader
was listed as follows:
CLUSTER I CLUSTER LEADER
NEW SYSTEM ORGAHIZATIOR
WALTER ZELMAR, Chairman of the
Health Care Advisory commission and
Special Deputy for Health Insurance
in the California Department of
Insurance (864) - SGE (1679) 1
Working Group 1 of Cluster Group I, was composed of the
following members:
1
All non-full-time officers and/or employees of the federal
government are listed in bold-black with their private affiliations
also listed in bold black. "CD" refers to the 1993 Brownson, A.,
ed. congressional Staxf Directory, Vol. 1 which was crossreferenced for purposes of exact identification of all
Congressional personnel.
All numbers in parentheses refer to
documents authenticated by the Declarations of Marjorie Tarmey.
For reference, participants from the Veterans Administration are
included in Tab 199, participants from the Department of Labor in
Tab 120, participants from the Department of Health and Human
Services in Tab 121, participants from the Office of Management and
Budget in Tab 122, participants from the Department of the Treasury
in Tab 123, participants from the Department of Defense in Tab 124,
participants from the Department of Justice in Tab 125,
participants from the Department of Commerce in , Tab 126,
participants from the Department of Education in Tab 127 and
participants from Congressional staffs in Tab 128. All private
persons will be discussed at length, infra.
5
�GROUP 1 - PRINCIPLES
AND
COOPERATIVES
RICK KRONICK
WM.
(PETE)
WELCH
ALBERGHINI 1 THERESA
ALLEN, LUCY
ALTMAN, DAVID
ANTOS, JOSEPH
ATKINSON, LESLIE
BERENSON, ROBERT
BERRY I ROGER
BRIGGS, BETTY
BURNETT I LAIRD
COHEN, RIMA
COSTER,
JOHN
CURTIS, RICHARD
DEIGNAN 1 KATHLEEN
DRUMMOND, FAYE
EDGELL I JONATHAN
EGAN, JAMES
ENTBOVEN, AI..Al:N
FRANTZ, MOLLY
FUY, GEORGE
HADLEY, JAMES
HATTON, MELINDA
HASH, MIKE
HICKMAN I PETER
OPERATION
OF
PURCHASING
Group 1 Leader (1) UCLA School of
Public HealthfRand Corporation(864)
- SGE (1678)
Group 1 co-Chair ( 1) Urban Institute
(866) - SGE (1679)
sen. Leahy (Congressional Directory
[Hereinafter, "CD"], Vol. I, P.327)FTE
Council on Economic Advisors (CEA)FTE
Robert
Wood
Johnson
Fellow,
Sponsored b¥ Center for the Health
Professions, UCSF [Tab 56 Attached
to this Memorandum] , Office of Sen.
Rockefeller (835)-PTE (840)
HHS-FTE
Rep. L. Stokes/Health Issues for
Ways and Means Committee (CD Vol. I,
P.653)-FTE
Rational Capital Preferred Provider
organization (868, 30016, 30136) SGE (1678)
Rep. Harry Johnston (CD Vol. I, P.
562)-FTE
Labor-FTE
Sen. Breaux (CD, Vol. I, P. 930)-FTE
Sen. Daschle (CD, Vol. I, P. 942)FTE
House Select Committee on Aqing
(Lost Funding 3/31/93)-FTE (841)
President, Institute for Health
Policy Solutions, Washington, DC SGE (1678)
.
sen. Budget Committee-FTE
sen. Finance committee (CD, Vol. I,
P. 963)-FTE
Commerce-FTE
Federal Trade Commission-FTE
The Jackson Hole Group, Inc. ( 2) : No
Official Status Assigned
Rep. Earl Pomeroy (CD, Vol. I, P.
705)-FTE
HHS-FTE
HHS-FTE
Senate
Judiciary/
Antitrust
Subcommittee (CD, Vol. I, P. 392)FTE
Rep. Waxman (CD, Vol. I, P. 712)-FTE
HHS-FTE
6
�Sen. Special Committee on Aging (CD,
Vol. I, P.401)-FTE
Senate Special Committee on Aging
HUMAN, JEFFREY
(CD, Vol. I, P.
)-FTE (843)
Not in Directory - FTE (843)
JODREY, DARREL
veterans Affairs-FTE
JONES, SANDRA
Sen. Breaux {CD, Vol. I, P. 276)-FTE
JONES, MARCIA
Treasury-FTE
KAZDIN, ROBERT
Federal Trade Commission-FTE
KENYON, KATHLEEN
OPM-FTE
KICHAK, NANCY
Senate Finance (CD, Vol. I, P.
KING, KATHLEEN
1025)-FTE
UCLA/School of Public Heal thjRand
KRONICK, RICHARD
Corporationi SGE (1678)
Listed as Participant ( 835) - No
KUSH, GAIL
Affiliation, No Status Given
JACK OMB-FTE
LANGENBRUNNER,
Physician Payment Review Commission
LASKER, ROZ
(864-868)-SGE (1678)
Treasury-FTE
LAWSON, KURT
Staff of California Department of
LEVITT, LAWRENCE
Insurance,
Commissioner's Heal tb
Care Advisory Commission (864) - SGE
(1678)
MANTEL, LEWIS
Veterans Affairs-FTE
MILLER, CAROL
Mountain Manaqement Company, 101 - No
Employment Status Given · on 16781679)-SGE (First Responses)
MILLER, MICHAEL
Rep. S. Levin (CD,, Vol. I, P.
1056)-FTE
MUNNELL, ALICIA
Treasury-FTE
NARROW, DAVID
Federal Trade Commission-FTE
NEUMAN, TRICIA
House Ways and Means (CD, Vol. I, P.
1065)-FTE
O'BRIEN MARY JO
National
Governors
Association,
State of Minnesota ( 835)
No
Official Status Assiqned i Listed as
Representative of Interqovernmental
Organization (1786-87)
O'NEILL, PATRICIA
Veterans Affairs-FTE
OBEY, CRAIG
Sen. Conrad (CD, Vol. I, P. 1068)FTE
OFFNER, PAUL
Senate Finance (CD, Vol. I, P.
1069)-FTE
PATEL, PARASHAR
OMB-FTE
PAYTON I SALLYAHNE
University of Michigan School of Law
( 2) i No Employment Status Assiqned
POTETZ, LISA
HHS-FTE
REINECKE, PETER
Sen. Harkin (CD, Vol. I, P. 396)-FTE
RICHARDSON I SALLY
West Virqinia Health care Planning
Commissioni
Ho Official
status
Assiqned
ROSS I MARJORIE
White Bouse Policy Analyst (835) i
Johns Hopkins University (732)-SGE
HOGUE, BONNIE
I
7
�(1678)
HHS - HCFA - FTE
ROVIN, LISA
House Energy & Commerce (CD, Vol. I,
SHRIBER, DONALD
P. 1109)-FTE
OPM-FTE
SMITH, CURTIS
George Washington University Medical
SOFAER, SHOSHANHA
Center - SGE (1678)
VARNHAGEN, MICHELLE Sen. Metzenbaum (CD, Vol. I, P.
396)-FTE
President
&
CEO,
University
WALTERS, FARAH
Hospitals of Cleveland, Ohio (2) Consultant (First Responses)
Rational Governors Association, Gov.
WElL, ALAR
Romer of Colorado (3); Ro Official
Status
Assigned;
Listed
as
Representative of Intergovernmental
organization (1786-87)
The Urban Institute - SGE (1679)
WELCH, WILLIAM
sen. Democratic Policy committee
WERNER, MICHAEL
(CD, Vol. I, P. 403)-FTE
WILLIAMS, CHRISTINE Sen. Mitchell (CD, Vol. I, P. 338)FTE
HHS-HCFA-FTE (835)
ZARABOZO, CARLOS
Chairman of the Health Care Advisory
ZELIIAH, WALTER
Commission, and Special Deputy for
· Health Insurance in the california
Department of Insurance ( 864) - SGE
(1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1-4, 17-25, 37-42, 54-56, 732, 767-768, 798-799, 834-835,
864-868, 1516-1517, 1560-1561, 1678-1679, 1795-1796. See
Tab 3 attached to the Memorandum.
Working Group 1A of Cluster Group I, was composed of the
following members:
GROUP 1A-
HEALTH PLANS, PROVIDERS, AND
THE HEW SYSTEM
PATIENTS
:IR
GROUP 1A LEADER
ROBERT BERERSOR, M.D., (1568)
Rational Capital Preferred Provider
Organization ( 30016, 30136) - SGE
(1678)
GROUP 1A co-LEADER
ROZ LASKER, Physician Payment Review
Commission (1568)
ALTIIAH, DAVID
Robert Wood Johnson Health Policy
Fellow, Sponsored by Center for the
Health Professions, University of
california, san Francisco, in the
office of Senator Rockefeller [Tab
8
�56 Attached to This Memorandum] (6)
- FTE (840)
National capital Preferred Provider
BERENSON, ROBERT
Organization ( 30016, 30136) - SGE
(1678)
Department of Justice - FTE
BLOCH, ROBERT
HHS/General Counsel - FTE
CADE, DAVID
FTC - FTE
EGAN, JAMES
Department of Justice - FTE
GOODMAN, NANCY
senate
Judiciary/Antitrust
HATTON, MELINDA
Subcommittee (CD, Vol. I, P. 392) FTE
FTC - FTE
KENYON, KATHY
No Affiliation; No Employment Status
KUSH, GAJ:L
Given (5, 1513, 1514)
Veterans Affairs - FTE
MANTEL, LEWIS
ForDler President of the American
MILES, STEVEN
College of Physicians, Hennepin
County Medical Center, University of
Minnesota (1513 1 1514); No Official
Status Assigned
NARROW, DAVID
FTCC-FTE
National
Governors
Association,
O'BRIEN, MARY JO
State of Minnesota
(835);
No
Official Status Assigned; Listed as
Representative of Intergovernmental
organization (1786-87)
O'NEILL, PATRICIA
Veterans Affairs-FTE
RICHARDSON, SALLY
West Virqinia Health Care Planning
Comlllission;
No Official Status
Assigned
ROVIN, LISA
HHS - HCFA - FTE
VARNHAGEN, MICHELLE Sen. Metzenbaum (CD 1 Vol. I , P.
396)-FTE
WINSLOW, WALTER
FTC-FTE
SULLIVAN I T. J.
Internal Revenue service
FTE
(1513, 1514)
SOURCES: Declarations of Marjorie 2'armey, Documents Nos.
51
6 1 26 1 57 1 1513-1515.
see Tab 4 attached to the
Memorandum.
Working Group 2 of Cluster Group I
was composed of the
following members:
GROUP
2 -
MANAGED
CARE/TOWARD & BEYOND
IN PURCHASING COOPERATIVES
GROUP 2 LEADER -
- SPECIAL ISSUES
LOIS QUAM ( 7) ForDler Chairman of the
Minnesota
Health
care
Access
commission
and
current
Vice
President,
United
Health
Care
corporation, Minneapolis, MM-SGE
9
�(1678)
GROUP 2 CO-CHAIR
CLAUDIA BAQUET, M.D. - HHS- FTE (7)
ALBERGHINI, THERESA Sen. Leahy (CD, Vol. I, P. 327)-FTE
council on Economic Advisers (1364)ALLEN, LUCY
FTE
ALMENDAREZ, ISABEL Rep. Washington (CD, Vol. I, P.904)FTE
Rep. L. stokes/Health Issues, Ways
ATKINSON, LESLIE
and Means committee (CD, Vol. I, P.
653)-FTE
HHS-FTE
BAQUET, CLAUDIA
HCPPO (30005)-SGE (1678)
BERENSON, ROBERT
HHS - HRSA - FTE
BOWEN, STEVEN
DC Chartered Health Plan, Inc.
BOWLES, ROBERT L.
(1364 1 1371): No Official Status
AsSiCJDed
Rep. Towns (1371) - FTE
BRANSON, CHERRI
Rep. Foglietta (CD, Vol. I, P. 424)BRODNITZ, PETER
FTE
National
Governors
Association:
BROWN, MARY LEIGH
Representative of Intergovernmental
organization: No Official Status
(1496)
CARLSON, RON
HHS - HRSA - FTE
CLAY, JIMMIE L.
Veterans Affairs - FTE
Rep. Conyers (Chair, Gov. Ops.)(CD,
CLEMENTE I FRANK
Vol. I, P. 717) - FTE
COHEN, RIMA
Sen. Daschle (CD, Vol. I, P. 942)FTE
CONTRERAS I HENRY
Rep. Roybal-Allard (CD, Vol. I, P.
633)-FTE
COOK, FRANCESCA
Sen. Moseley-Braun (CD, Vol. I, P.
339)-FTE
CURTIS, RICHARD
President 1 I:nstitute for Health
Policy SOlutions (30005)-SGE (1678)
DAVIS, LOUIS, JR.
Rep. Serrano (CD, Vol. I, P. 955)FTE
DENON, MARGARET
Rep. Meek (CD, Vol. I, P. 1371)-FTE
DEH'l'OH, DEHJ:SE
COlorado Rural Health Resource
Center-SGE (First Responses) 1 Hot
Listed 1678-1679
DRUMMOND, FAYE
Senate Finance (CD, Vol. I, P. 963)FTE
FALETTI, THOMAS
Rep. Durbin (CD, Vol. I, P. 969)-FTE
FORTIER, JULIA
Rep. WaxmanjEnergy & Commerce (CD,
Vol I:I, P. 711)-FTE
FRANTZ, MOLLY
Rep. Pomeroy (CD, Vol. I, P. 705)FTE
FUENTES, JENNICE
Rep. Gutierrez (CD, Vol. I, P. 979)FTE
GASTON, MARYLYN
HHS-HRSA-FTE
GOODELL, JEFFREY
Rep. Lipiniski (CD, Vol. I, P. 987)-
10
�FTE
Rep. Rep conyers (CD, Vol. I, P.
987)-FTE
Sen. Pell (CD, Vol. I, P. 991)-FTE
GROSS, LAUREN
Rep. Serrano (CD, Vol. I, P. 995)HAND, LUCY
FTE
Rep. Waxman/Energy & Commerce (CD,
HASH, ·MICHAEL
Vol. I, P. 712)-FTE
HENRY, CHRISTOPHER Rep. Flake (CD, Vol. I, P. 1002)-FTE
Rep. Ortiz (1373)-FTE
HUNTER I MARK
JACKSON, MORGAN, M.D.
HHS-ACHPR {1373)-FTE
Rep. Watts {1374)-FTE
JONES, LEROY
Veterans' Affairs-FTE
JONES I SANDRA
Rep. Stenholm {CD, Vol. I, P. 768)KEPNER I COLLEEN
FTE
Rep. Becerra {CD, Vol. I, P. 1024)KIM, DAVID
FTE
Assistant
Professor,
Community
KING, GARY
Medicine, University of Connecticut
Health Center (1374) 1 Ho Official
Status Assigned
KINGHT, R.
Rep. Franks {CD~ Vol. I, P. 528)-FTE
KOVNER I RONNIE
Rep. Reed {CD, Vol. I, P. 766)-FTE
LACEY, LORETTA
Associate
Professor,
Community
Health Sciences,
University of
Illinois at Chicago School of Public
Health ( 1365, 1374) 1 Ho Official
status Assigned
LUTTBERG I CARRIE
Rep. Coleman {CD, Vol. I, P. 496)FTE
MARCONI I KATHY
HHS-HRSE {1375)-FTE
MARQUEZ, MIGUEL
Rep. Richardson {CD, Vol. I , P.
626)-FTE
McCABE, EUGENE
President,
CEO,
North
General
Rospi tal, NY ( 30209) 1 Ho Official
Status Assigned
·
McDONOUGH, DONEG
Rep. Stark (CD, Vol. II, P. 1065)FTE
MANTEL, LEWIS
Veterans Affairs-FTE
MILLER, CAROL
University of Hew Mexico SChool of
Public Realth ( 30000) -SGE (First
Responses) , Hot Listed on 1678-1679
MILLS I 'JOHN
Rep. Engel {CD, Vol. I, P. 1056)-FTE
MITCHELL, MARLOW
Rep. Dixon {CD, Vol. I, P. 511)-FTE
MURGUIA I JANET
Rep. Slattery (CD, Vol. I, P. 741)FTE
HORMAH, PATRICIA
VP Finance,
CFO,
North General
Hospital, NY (30209) 1 Ho Official
Status Assigned
O'NEILL, PATRICIA
Veterans' Affairs-FTE
PATEL, PARASHAR
OMB-FTE
POLANCO, IIArtBEW
Rep.
Tejeda
(Hot
Listed
in
Directory) - Hot Listed in First
GORMAN, JOHN
11
�QUAM, LOIS
RICHARDSON I SALLY
RODRIGUEZ, GLADYS
RODRIGUEZ, SUSANA
ROSS, SHEILA
SEGARRA, MARIA
SELTMAN I PAUL
SHEEHAN I KATHLEEN
SHEINER I JOHN
SIMPSON 1 NANCY
SMITH I BARBARA
SPIELBERG, DEBORAH
TERRY I
DOHALD
TESTORI, MAUREEN
TINTARY I RUTH
TOMLINSON, LISA
TRUBITT I MITCifEJ.J.
VARMA, VIVEK
WEI:L I
ALAif
Responses, Not Listed as FTE.
Former Chairman of the Minnesota
Health Care Access Commission and
current
Vice
President,
United
Health
Care
Corporation,
Minneapolis, HN-SGE (1678)
West Virginia Health care Planning
Commission ( 30005) - No Official
Status Assiqned
Rep. Pastor (CD, Vol. I, P. 613)-FTE
Rep. McKinney (CD, Vol. I, P. 1093)FTE
Rep.
Delugo
(Hot
Listed
in
Directory) - Hot Listed as FTE; No
Official Status Assiqned
Rep. Bishop (1376); HHS- Office of
Minority Health (First Responses) Hot Listed as FTE
House Select Committee on Education
and Civil Rights (CD, Vol I, P.
1106)-FTE
Rep. Vento (CD, Vol. I, P. 668)-FTE
Rep. Rangel (CD, Vol. I, P. 1107)FTE
HHS - National Cancer Institute FTE
National
Governors
Association,
South Dakota (1366 & 1786); Rep.
KcDermott (1377) - Hot Listed as
FTE; Listed as Representative of
Intergovernmental
Organization
(1786-87);
No
Official
Status
Assiqned (Note: on 1508 I Handwriting
8 Barbara
Says,
A.
Smith,
SD
Department
of
Health,
605/7733361)(1508)
Rep. Lewis (CD, Vol. ·I, P. 578)-FTE
No
Affiliation;
No
Official
Elllployment Status Assiqned
Sen. Baucus (CD, Vol. I, P. 268)-FTE
Rep. Torres (CD, Vol I, P. 663)-FTE
Rep. Collins (CD, Vol. I, P. 496)FTE
Chicago
Health
Maintenance
orqanization ( 30209) : No Official
Elllployment Status Assiqned
Rep. Synar (CD, Vol. I, P. 1132)-FTE
National
Governors
Association
(1786) Office Governor Romer, state
of
Colorado:
Listed · as
Representative of :tnterqovernmental
orqanizations ( 1786-87) : Ito Official
Employment Status Assiqned
12
�Rep. Richardson (CD, Vol. I, P.
711)-FTE
WILLIAMS, CHRISTINE Sen. Mitchell (CD, Vol I, P. 338)FTE
HHS/Cbairman,
Health
Advisory
ZELMAN I WALTER
Commission, and special Deputy for
Health Insurance in the California
Department of Insurance ( 864)
WESTFALL, LISA
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
7-11, 27-30, 52, 53, 58, 59, 66-91, 96, 97, 102-105, 769,
800, 836, 1496-1508, 1524, 1562-1564, 1801-1807, 3000030005, 30179-30223.
See Tab 5 attached to the
Memorandum.
Working Group 3, •Governance•, of Cluster Group I, consisted
of the following members:
GROUP 3 - GOVERNANCE
GROUP 3 LEADER -
RICK
CURTIS, President, Institute
for Health Policy Solutions ( 12) -SGE
(1678)
GROUP 3 CO-CHAIR -
NANCY DELEW, HHS (12)-FTE
ALBERGHINI , T.
BEMPOHG I ANDREA
Sen. Leahy (CD, Vol. I, P. 327)-FTE
( 1786)
Rational
Association
of
Counties
Representative
of
Intergovernmental
Organization,
Assigned to Group 3; No Official
status
BRIGGS, BETTE
Labor-FTE
DELEW, NANCY
HHS-FTE
GREENBERG, G.
HHS-FTE
KENDALL, DAVID
Rep. Andrews
Not in Directory:
Listed as FTE (844)
LANGENBRUNNER, JACK OMB-FTE
LINK, KENNETH
Veterans Affairs-FTE
McNAMEE I NIKKI
Rational
Governors
Association,
Office of the Governor of South
carolina (13)(837) - Representative
of Intergovernmental Organization
(1786-87);
state
Government
Representative (983); No Official
Status Assigned
MEANS, KATHLEEN
HHS-FTE
NAVARRO, VINCENTE
The
Johns
Hopkins
University
(13) (837) - SGE, White Bouse Office
(First Responses); Hot Listed, 167879
OFFNER, PAUL
Senate Finance (CD, Vol. I, P.
1069)-FTE
13
�PATEL, PARASHAR
RICHARDSON, SALLY
ROSS, MARJORIE
SOFAER, S.
STEELE, PAMELA
SULFRIDGE, H.
SYKES I KATHLEEN
VOLPE, LANE CARL
WELCH, WI:LLIAK
WERNER 1 MICHAEL
ZELMAN, WALTER
OMB-FTE
West
Virqinia
Public
Employee
Insurance Aqency and Health care
Planninq Commission ( 1520) - SGE
(First Responses); Hot Listed on
1678-79
White House Policy Assistant - SGE;
The Johns Hopkins University (732)
Georqe Washinqton University Medical
Center (1520, 30148)-SGE
Veterans Affairs-FTE
HHS-FTE
Rep. Obey (CD, Vol. I, P. 1122)-FTE
National
Governors
Association
(13)(837)
Representative
of
Intergovernmental
Organization
(1786-87);
state
Government
Representative ( 983) ; Ro Official
status
The Urban Institute - SGE (1678)
Sen. Democratic Policy Committee
(CD, Vol. I, P. 403)-FTE
HBS/Cb.airman,
Health
Advisory
Commission, and Special Deputy for
Health Insurance in the California
Department of Insurance ( 864) -SGE
(1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
12, 13, 46, 47, 61, 92-95, 770, 801, 837, 1509, 1510,
1520, 30148. See Tab 6 attached to the Memorandum.
Workinq
Group
4,
•Global
Budget•,
of
Cluster
Group
consisted of the followinq members:
GROUP 4 - GLOBAL BUDGET
GROUP 4 LEADER -
LARRY LEVITT I
Staff,
california
Department
of
Insurance,
Commissioner's Health care Advisory
Commission (14, 864)-SGE
GROUP 4 LEADER -
SHERRY GLIED, OMB (14)-FTE
BERRY I ROGER
Rep. Johnston (CD, Vol.
FTE
Sen. Binqaman (CD, Vol.
FTE
HHS-FTE
Rep. Cooper (CD, Vol. I,
Treasury-FTE
Rep. Pomeroy (CD. Vol.
FTE
BILLY, CARRY
BUTO, KATHLEEN
CHAMBER, C.
COHEN, ALLAN
FRANTZ, MOLLY
14
I, P. 562)I, P. 271)P. 936)-FTE
I, P. 705)-
I,
�GLIED, SHERRY
GOOD, BRIGID
GREENWALD, LESLIE
GRUNDMANN, MARTHA
IRWIN, JEAN
JONES, SANDRA
KING, ANDREA
KRONICK, RICHARD
LEVITT I
LARRY
LUTTER, RANDY
MILLER, MICHAEL
MUNNELL, ALICIA
NEXON, DAVID
O'NEILL, PATRICIA
OFFNER, PAUL
RADER, AHYA
ROSS I MARJORIE
SAMUELSON, ELLEN
SCHIEBER, G.
SCHULKE, DAVID
SCHRIBER, D.
TESTORI, M.
VARMA, VIVEK
VARNHAGEN, M.
WELCH, W.
CEA (White House Employee)(838)-FTE
HHS-FTE
HHS-HCFA-FTE
Rep. Sabo (CD, Vol. I, P. 704)-FTE
Rep. Cantwell (CD, Vol. I, P. 490)FTE
Veterans' Affairs-FTE
Rep. Gephardt (CD, Vol. I, P. 532)FTE
UCLA/RAND
Corporation
(864)-SGE
(1678)
Staff, California Department of
Insurance,
Commissioner's Health
care Advisory commission ( 864 )-SGE
(1678)
OMB-FTE
Rep. Levin (CD, Vol. I, P. 1056)-FTE
Treasury-FTE
Sen. Kennedy (CD, Vol. I, P. 395)FTE
Veterans Affairs-FTE
Senate Finance (CD, Vol. I, P.
1069)-FTE
National
Governors
Association,
Office of Governor Dean, Vermont
(838),
Representative
of
Intergovernmental
Organization
(1786-87),
State
Government
Representative ( 984)
White Bouse Policy Assistant: The
Johns Hopkins University (732)-SGE
Rep. Sabo (CD, Vol. I, P. 695)-FTE
HHS-HCFA-FTE
Rep. Wyden (CD, Vol. I, P. 1104)-FTE
Energy & Commerce (CD, Vol. I, P.
1109)-FTE
Sen. Baucus (CD, Vol~ I, P. 268)-FTE
Sen. Synar (CD, Vol. I, P. 1132)-FTE
Sen. Metzenbaum (CD, Vol. I , P.
396)-FTE
The Urban Institute (866}-SGE (1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
14-161 . 31-331 43-451 621 631 98-1011 7711 8021 15111
1512, 1518, 1519, 1565, 1566, 30006, 30007, 30177. See
Tab 7 attached to the Memorandum.
Working Group 5,
•Insurance Reform•, of Cluster Group I,
consisted of the following members:
15
�GROUP 5 - INSURANCE REFORM
GROUP 5 LEADER -
GARY CLAXTON, National Association
of Insurance commissioners (106,
969)-SGE (1678)
AUBIN I LESLIE
(1326)
National
Federation
of
Independent Businesses: No Official
status
(1326) Chamber of Commerce: No
Official status
( 30075)
Alliance
of
American
Insurers
(1286) w. H. Mercer, Inc.-SGE (1678)
(Also on Cluster II, Group 6,
Benefits)
Rep. Hoagland (CD, Vol. I, P. 549)PTE (840)
(30075).
Subcommittee
on
Labor/Management Relations-PTE (840)
Rep. McCUrdy (CD, Vol. I, P. 589)PTE
Rep. Kennelly (CD, Vol. I, P. 565)PTE
(1265) - Rutgers University: No
Official status
(1326) - National s:ma11· Business
United: Ro Official Status
Rational Association of Insurance
COmmissioners (106, 969)-SGE (1678)
Labor-FTE
Treasury-PTE (841)
Rep. Durbin (CD, Vol. I, P. 969)-FTE
(30075)
Alliance
of
American
Insurers
HHS-HCFA
( 30075) wausau Insurance Company: No
Official Status
Veterans Affairs-FTE
Rep. Collins/Energy & Commerce (Not
Listed in Directory)-FTE (844)
(1265)
Coopers
& Lybrand:
No
Official Status
Alliance of American :Insurers: No
Official Status
Rep. Delauro (CD, Vol. I, P. 506)PTE
Staff of California Department of
Insurance Commissioner's Realth care
Advisory Commission ( 866) -SGE ·
(1265)
Rational
Council
on
CoJDpensation :Insurance: No Official
status
Council on Economic Advisors-FTE
BASS, KRISTIN
BATEKAR I KEITH
BERGTHOLD I LINDA
BLAUWET I ROGER
BORZI, PHYLLIS
BRODBECK, LAURA
BUONORA, DAVID .
BURTON I JOHR
CATOR, TOM
CLAXTON I GARY
COPELAND, ROBERT
DUGGAN I JAMES
FALETTI 1 THOMAS
FARMER, DAV:ID
HICKMAN I PETER
HOFFERT I STAN
JONES SANDRA
KEENE, BRAD
I
K:IST, FRED
LAWSON,· ROGER
LEVINE I GREGORY
LEVITT I LAWRENCE
LLEWELLYN I B.
LOFTI, SHERIF
16
�LUCAS, DEBORAH
LUBITZ, JAMES
MAGURIE I DANIEL
MATTERA, PAUL
MAYS,
HUBERT, JR.
MEANS I KATHLEEN
MILLSTEIN, ARNIE
MOLLOY I JANE
O'NEILL, PATRICIA
PATRICELLI: I ROBERT
PAYNE, MARY ELLA
POTETZ, LISA
RAY, TDIOTHY
ROSS, IIARJOR:IE
SCOLLY, TOM
SISKIND, FRED
STUART, MARK
STEVERSON, DAV:ID
VALDEZ,
ROBERT
WERNER I
MICHAEL
WOODS, STEVEN
ZELKAR, WALTER
Council on Economic Advisors-FTE
HHS-HCFA-FTE
Labor-FTE
(30075) Liberty Mutual Insurance; Ro
Official Status
( 30075)
Attorney,
Alliance for
American Insurers:
Ro Official
Status
HHS-FTE
w. H. Mercer, Inc. : Ro Official
status
Commerce-FTE
Veterans Affairs-FTE
(1326) Cb.alllber of Commerce; Ro
Official status
sen. Rockefeller (CD, Vol. I, P.
352)
.
Senate . Finance (Not Listed in
Directory)-FTE (845)
( 1265) Coopers & Lybrand
Policy Assistant, llhite Bouse: The
Johns Hopkins University (732) - SGE
(1326) Rational Retail Federation;
Ro Official status
Labor-FTE
( 1326)
Rational Association of
Manufacturers; Ro Official status
(1326)
Rational
Federation
of
Independent Businesses; Ro Official
Status
UCLA/RAIID COrporation - SGE ( 1679)
(Also on Cluster :II:, Group 6,
Benefits)
Senate Democratic Policy Committee
(CD. Vol. I, P. 403}
(1326)
Rational
Federation
of
:Independent Businesses; Ro Official
Status
Cb.airDIBil of the Bealth care Advisory
COmmission and Special Deputy for
Health
:Insurance,
California
Departmm:tt of :Insurance ( 864)
SOURCES: Declarations or Marjorie Tarmey, Documents Nos.
34-36, 48-51, 64, 65, 106-115, 772, 803, 839, 1521, 1567.
See Tab 8 attached to the Memorandum.
Cluster Group :II:,
•xew
system coverage•, was composed of
Working Group 6, •Benefits Package•, Working Group 7, •coverage for
Working Families•, and Working Group 8 1 •coverage for Low :Income
and Ron-Working Families•.
See Tab 9 attached to the Memorandum.
17
�Cluster Group II, nNew System Coveragen, and its leader was
listed as follows:
CLUSTER II -
NEW SYSTEM COVERAGE
CLUSTER II LEADER - ATUL GAWANDE 1 HHS-FTE
Working Group 6, nsenefits Packagen of Cluster Group II, was
composed of the following members:
GROUP 6 - BENEFITS PACKAGE
GROUP 6 LEADER -
LINDA BERGTHOLD, Employee Benefits
Consultant
to
W.
H.
Mercer
Corporation (864)-SGE (1678)
co-LEADER-
BOB VALDEZ ( 118) , UCLA School of
PUblic Health, Senior Health Policy
Analyst, Rand Corporation ( 865) -SGE
(1679)
BERENSON I ROBERT
National capital Preferred Provider
Organization (868, 30016, 30136) SGE (1678)
William 11. Mercer, Inc. (864) - SGE
(1678)
UCLA School of PUblic Health ( 864) SGB (1678)
Robert
Wood
Johnson
Fellow,
Sponsored by university of Florida,
in sen. Dale Bumpers Office (DAR) ( 773) [Tab 56 Attached to this
lleaorandUJB]-P'l'B ( 841)
HHS-HCFA-FTE
Senior Advisor for Health Policy &
Management to Kaiser-Permanente;
Professor of Health
Policy
&
Management, Duke University ( 118,
866)-SGE (1678)
Commerce-FTE
Rational Association of counties
(134)(1786)
Representative of
Intergovernmental
Organization
( 1786) ; Ro Official status Assigned
Rep. Glickman (CD, Vol. I, P. 535)FTE
Sen. Kennedy (P. 395)-FTE
Rational Association of COUnties
(134)(1786)
Representative of
Intergovernmental
Organization
( 1786) ; Ro Official Status Assigned
Treasury-FTE
BERGTHOLD 1 LINDA
BROWH I RICHARD
CLARK, WJ:LLJ:AII
CLAUSER I STEVEN
EDDY, DAVID
EDGELL I JOHN
EGBERT, MARCJ:A
FRASCHE I MARY
FISKE MARY BETH
GARCJ:A, JOSEPH
I
GILLINGHAM I ROBERT
18
�GOLD, MARTHA
JOHNSON, SCHELEEN
KRUEGER,
ALAN
LIPNER, ROBYN
MANOWITZ I MICHELLE
KILLER, CAROL
MURPHY, SHEILA
NELSON, KAREN
NEXON, DAVID
NIX, SHEILA
POWELL, KEITH
PRICE, ANDREA
REINECKE, PETER
RICE, CHERI
ROSWELL, ROBERT
SHORT, PAMELA
SMITH, ELMER
SOCBALSKI I JOLIB
VALDEZ I ROBERT
WOOD, SUSAN
WREN I ROBERT
ZBLIWf ~ WALTER
HHS-PHS-FTE
Rep. Bryant (CD, Vol. I, P. 1015)FTE
Princeton University (116)(773)-SGE
(1678)
Consultant
(First
Responses)
Sen. Mikulski (CD, Vol. I, P. 395) FTE
White Bouse Policy Assistant (119);
The Johns Hopkins University (732) SGE, White Bouse Office (1678)
Mountain Management Co. , OJO Sarco,
101; No Official Status Given ( 1678) ;
SGB (First Responses)(134)
Sen. Kerrey (CD, Vol. 1, P. 332)-FTE
Rep. Waxman (CD, Vol. I, P. 711)-FTE
Sen. Kennedy (CD, Vol. I, P. 395)FTE
Sen. Kerrey (CD, Vol. I, P. 322)-FTE
Robert
Wood
Johnson
Fellow,
Sponsored by University of Rochester
Medical Center, in Office of Sen.
Kennedy (119) (135)[Tab 56 Attached
to this Memorandum]; No Official
Status Assigned
Rep. Payne (CD, Vol. I, P. 615)-FTE
Sen. Harkin (CD, Vol. I, P. 396)-FTE
OMB-FTE
Veterans Affairs-FTE
HHS-ACHPR-FTE
HHS-HCFA-FTE
Robert
Wood·
Johnson
Fellow,
Sponsored by Columbia University
School of Nursing, in Office of Sen.
Bradley
(D-NJ)(135)(773)[Tab
56
Attached to this Memorandum] - FTB
(847)
.
UCLA School of Public Health; Senior
Health
Policy
Analyst,
Rand
Corporation (865) - SGB (1679)
Congressional Caucus for Women's
Issues-FTE
HHS-FTE
Chairman of the Health Care Advisory
COJIIIDi.ssion and Special Deputy for
Health
Insurance,
California
Department of Insurance ( 864) - SGB
(1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
116-135, 773, 804, 1590.
See Tab 10 attached to the
Memorandum.
Working Group 7, •coverage for Working Families•, of Cluster
19
�Group II, was composed of the following members:
GROUP 7 - COVERAGE FOR WORKING FAMILIES
GROUP 7 LEADER GROUP 7 LEADER GROUP 7 LEADER -
STEVEN FINAN, Labor-FTE
LAWRENCE CAMPBELL, Commerce-FTE
RANDY HARDOCK, Treasury-FTE
ANDERSON, ROBERT
BERGTHOLD I LINDA
OMB-FTE
William M. Mercer, Inc. (864) - SGE
(1678)
sen. Bingaman (CD, Vol. I, P. 271)FTE
Education & Labor Commission (Not
Listed in Directory)-FTE (840)
National Governors Association - MN
(153),
Representative
of
Intergovernmental
Organization
(1786): No Official Status Assigned
Rep.
Gray /Deputy
GC
to
House
committee on Post Office & Civil
Service (CD, Vol. I, P. 928)-FTE
Sen. Breaux (CD, Vol. I, P. 930)-FTE
Sen, Riegle (CD, Vol. I, P. 350)-FTE
Robert Wood Johnson
Fellow
Sponsored by University of Florida,
Office
of
Sen.
Bumpers
(DAR) ( 153 )[Tab 56 Attached to This
lleJDorandum) - PTE (841)
HHS-HCFA-FTE
Commerce-FTE
Sen. Pryor (CD, Vol. I, P. 348)-FTE
Bouse select COJIIIIli.ttee on Aging Hot in Directory.
As of 3/31/93
When Bouse select COJIIIIli.ttee on
Aging's Appropriations Expired and
Were Not Renewed, Coldstein Began
Working on Task Force (153)(See Bio
Sheet) : No Official Status Assigned
- She Now Works in sen. Jefford's
Office
CEO, Blacks Educate Blacks About
Sexual Health Issues (153) - SGE
(1678)
Treasury-FTE
Treasury-FTE
Sen. Riegle (CD, Vol. I, P. 377)-FTE
Senate Finance {CD, Vol. I, P.
1025)-FTE
UCLA (184-864)-SGE (1678)
Princeton University ( 153)
SGE
(1678), COnsultant (First Responses)
Labor-FTE
CEA-FTE
BILLY, CARRIE
BORZI, PHYLLIS
BROWN, MARY LEIGH
BRUNS, KEVIN
BURNETT, LAIRD
CHANG, DEBBIE
CLARK, WI:LLIAM
CLAUSER, STEVEN
EDGELL, JOHN
GLAZE, STEVEN
GOLDSTEIN I ELAINA
HARDY I
CAROLYN
HUNTER, GILLIAN
IWRY, MARK
JARBOE, KENAN
KING, KATHLEEN
ICRONICK, RI:CK
KRUEGER, ALAN
LINDREW, GERALD
LYON, ANDREW
20
�MAGUIRE I DANIEL
MINK, DOUG
MONHEIT, ALAN
NELSON, KAREN
QUIST I JAHET
ROZEN, ROBERT
SHORT, PAMELA
SOLOMON, LOEL
TRUJILLO, THOMAS
VALDEZ, ROBERT
ZAWISTOWICH 1 LU
LABOR-FTE
Rep. Johnson (CD, Vol. I, P. 560)FTE
HHS-ACHPR-FTE
Rep. Waxman (CD, Vol. I, P. 711)-FTE
Rational League of Cities · ( 154) Representative of Intergovernmental
Organization (1786); No Official
status Assigned
Sen. Mitchell (CD, Vol. I, P. 1096)FTE
HHS-ACHPR-FTE
Sen. Labor (Not in Directory) - FTE
(848)
Veterans Administration-FTE
UCLA/Rand
Corporation
(865)-SGE
(1679)
HHS-HCFA-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
136-154, 184, 185, 774, 805, 1591. See Tab 11 attached
to the Memorandum.
Working Group 8, •coverage for Low Income and Ron-Working
Families•, of Cluster Group II, was composed of the following
members:
GROUP 8 - COVERAGE
FOR
IDW-IHCOME
AND
HON-WORKIHG
FAMILIES
GROUP
a
LEADER -
BERENSON 1 _ R
BERTHOLD I LINDA
BEVERLY, J.
BROWN, RICK
CHANG, DEBORAH
CLAUSER, STEVEN
COOPER, DAVID
DEN'l'OH, DENISE
FEDER, JUDY
FISKE, MARY B.
GAWANDE, ATUL
SHOSBARHA SOFAER
( 969) ,
George
Washington University Medical Center
- SGE (1678)
Rational capital Preferred Provider
orqanization
( 181, . 868,
30016,
30136) - SGE (1678)
William M. Mercer, Inc. (864) - SGE
(1678)
Labor-FTE
UCLA/School of Public Health (182,
864) - SGE (1678)
Sen. Riegle (CD, Vol. I, P. 350)-FTE
HHS-HCFA-FTE
HHS-ASPE-FTE
Colorado Office of Rural Health; Ho
Official Status Assigned ( 1678 ) ;
SGE (First Responses)
HHS-FTE
Sen. Kennedy (CD, Vol. I, P. 395)FTE
HHS-FTE
21
�GILLINGHAM, ROBERT
GLAZE, STEVEN
GOLD I MARTHA
HARDY I CAROLYN
HEADLEY, EDWOOD
HIGHT, JOSEPH
HOLTZBLATT I JANET
HORVATH, JANE
JOHNSON I DONALD
KRUEGER, ALAN
MAROWI:TZ I KI:CJIET.T.E
KI:I..I.MAR I KI:CHAEL
MINK I DOUGLAS
NIX, SHEILA
PARADISE, JULIA
RICE, CHERI
ROWLARD I
DI:ARB
ROZEN, ROBERT
SHORT I PAMELA
SIMON I MARSHA
SMITH I MARY BETH
SMITH, ELMER
VALDEZ I ROBERT
VELOZ I
RI:CBARD
WILLS I DARRYL
Treasury-FTE
Sen. Pryor (CD, Vol. I, P. 348)-FTE
HHS-PHS-FTE
CEO - Blacks Educate Blacks About
sexual Health Issues - SGE (1678)
Veterans Affairs-FTE
Labor-FTE
Treasury-FTE
Senate Finance; Not in Directory FTE (843)
HHS-HCFA-FTE
Princeton University (182) - SGE
(1678); Consultant (First Responses)
White House Policy Assistant - SGE:
The Johns Hopkins University (732)
Rational
Academy
of
SCiences/Institute of Medicine-FTEIDIS (843)
Rep. Johnson (CD, Vol. I, P. 560)FTE
Sen. Kerrey (CD, Vol. I, P. 322)-FTE
HHS-FTE
OMB-FTE
The Johns Hopkins University/Kaiser
COlllllli.ssion on the Future of Medicaid
[Tab 56 Attached to this Memorandum]
(173, 806)
SGE (1678)
Ro
Affiliation: Ro Official Status
Given (First Responses)
Sen. Mitchell (CD, Vol. I, P. 1096)FTE
HHS-AHCPR-FTE
Sen. Kennedy (CD, Vol. I, P. 395)FTE
Veterans Affairs-FTE
HHS-HCFA-FTE
UCLA/Rand Corporation(865)
SGE
(1679)
Formerly Bouse select COlllllli.ttee on
Aqing, Lost Appropriation 3/31/93 Ro Official Status Given (16781679): SGE (First Responses)
CEA-FTE
SOURCES: Declarations o:f Marjorie Tarmey, Documents Nos.
155-179, 775, 806, 1592.
See Tab 12 attached to the
Memorandum.
Cluster Group I:I:I:, "Hew system I:nfrastructure",
Workinq
Group
9,
"Quality
Measurement•:
Working
co~sisted
Group
of
10,
"I:nformation Systems•, Working Group 11, "Malpractice and Tort
22
�Reform",
and
Development".
Working
Group
12,
"Facilitating
Professional
See Tab 13 attached to the Memorandum.
Cluster Group
III,
"Hew system
Infrastructure",
and
its
Cluster Leaders, were as follows:
CLUSTER III -
:MEW SYSTEM I:NFRASTRUCTURE
CLUSTER LEADERS -
TOM PYLE, Boston Consulting Group
and Harvard Community Health Plan
(969, 1218) - SGB (1678), consultant
(First Responses) and Subsequently,
BILL SAGE - WHO - Policy Analyst
(HB: on Bates :Number 300, sage is
Described in Someone's Handwriting,
•Bill Sage Liaison - Magaziner, MD
JD Stanford") (300)
Working Group 9, "Quality Measurement•, of Cluster Group J;:I:I,
was composed of the following members:
GROUP 9 - QUAL:ITY IIEASUREMEMT
GROUP 9 LEADER -
8
ARNOLD EPSTE:IR, Robert Wood Johnson
Fellow,
Sponsored
by
HarVard
University
Medical
School
and
Brigham and Women's Hospital, Office
of Sen. Kennedy (D-IIA) (233) [Tab 56
ATtached to · this Memorandum]
Status Given as SGE ( CF. , Other RWJ
Fellows'
Status
is
"PTE" or
:Ignored) •
Rote:
Handwritten Rote
:Next to Epstein's Kame on 948
Indicates That Be is the •Recorder•.
several References, in Different
Handwriting, Indicate that Be Will
Be "External• to the Group: 944,
946, 948, 950.
COKSULTANTS TO WORKGROUP•: (261)
ALAll BII..IJIAJf,
Pennsylvania~
11. D. , University of
215/898-9400 (261)
KATHT.EEN, LOIIR, Ph.D.,
2165 (261)
lOll~
202/334-
SARDY SCHWARTZ, II.D., University of
Pennsylvania~ 215/898-5611 (261)
23
�WORK GROUP 9 MEMBERS:
University of Pennsylvania, School
of Nursinq
Consultant
(First
Responses); SGE (1678)
Veterans Affairs-FTE
BARBOUR I GALEN
Greater southeast Health Care System
CHAPMAN I THOMAS
(30008),
Director,
Robert
Wood
Johnson Foundation Proqram, "Openinq
Doors• ( 523) [Tab 56 Attached to this
Memorandum]; (Rote: On 724 says,
"HBS". Chapman Rot Listed in First
Responses; Listed as SGE on 1678)
HHS-AHCPR-FTE
DEMLO, LINDA
Senior Advisor for Health Policy &
EDDY, DAVID
llanaqement
to
Kaiser-Permanente;
Professor
of
Health
Policy
&
Manaqement, Duke University (119,
866) - SGE (1678)
Research Associate, Duke University
EDDY I JUDITH
- SGE (1678)
Robert
Wood
Johnson
Fellow,
EPSTEIN, ARMOlD
Sponsored b7 Harvard University
Medical SChool & Briqham & Women's
Hospital, Office of Sen. Kennedy (DIIA)(233)[Tab 56 Attached to this
Memorandum] - Listed as SGE (1678)
GAGEL, BARBARA
HHS-HCFA-FTE
GAUDETTE, SYLVIA
Rep. Oliver (CD, Vol. I, P. 609)-FTE
Sen. Pell (CD, Vol. I, P. 991)-FTE
GROSS I LAUREN
CEO, Assurqual (233, 260, 262, 276)
JACKSON I DAVID
- SGE (First Responses): No Official
Status Assiqned (1678-1679)
JENCKS I STEVEN
HHS-HCFA-FTE
JORLIRG, JIM
White House - Special Assistant SGE (1678); Unemployed (732)
KRAKAUER I HENRY
HHS-PHS-Uniform Services, University
of Health Sciences, Bethesda, MD-FTE
LASKER, ROZ
Physicians'
Payment
Review
Commission
(186)
No Official
Status
LAVIZZO-MOUREY, RISA
HHS-AHCPR-FTE
LOHR, KATHERINE
Rational
Academy
of
SCiences/Institute of Medicine
Consultant (First Responses)
McKEE, TOMOTHY
DOD-FTE
PYLE I THOMAS
Boston Consulting Group, Harvard
COmmunity Health Plan - Consultant
(First Responses)- SGB (1678) ··
SA'l'CBER, DAVID
President, lleharry Medical College
(186,
869)
Consultant
(First
Responses)
SCHULKE, DAVID
Rep. Wyden (CD, Vol. I, P. 1104)-FTE
AIKEN I LINDA
24
�TIBBITS, PAUL
Defense-FTE
WILLIAMSON, JONATHAN
Veterans Affairs-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
189, 190, 193, 194, 200, 201, 213, 214, 215, 216, 232265, 273-278, 776, 807, 1593, 1594, 30019-30022, 3016830172. See Tab 14 attached to the Memorandum.
Working Group 10, •Information Systems", of Cluster Group III,
was composed of the following members:
INFORMATION SYSTEMS
GROUP
10 -
GROUP
10 LEADER -
AUKERMAN I
GLEN
BLED, PETER
BUFFINGTON, MAX
DOWLING, ALAN
EDDY, DAVID
EDDY, JuDITH
FITZMAURICE, J.M.
HILL I TIMOTHY
HORVATH I JANE
JACKSON, DAVID
JEWS, WILLIAM
JORLING,
JAMES
KOLODNER ROBERT
KOSS, SHANHAH
KRAUKAUER I HENRY
I
KUZMACK, RICHARD
MALONEY I DANIEL .
McCONNELL, BRUCE
PYLE, THOMAS
DAVID EDDY, Senior Advisor for
Health Policy and Manaqement to
Kaiser-Permanente:
Professor
of
Health Policy and Management, Duke
University (119, 866)
HHS-HRSA-FTE
(282) No Affiliation, No Official
Status Given
HHS-HCFA-FTE
(281) No Affiliation, No Official
Status Given
Senior Advisor for Health Policy &
Management to Kaiser-Permanente:
Professor
of
Health
Policy
&
Management, Duke University (119,
866) - SGE (1678)
Research Associate, Duke University
- SGB (1678)
HHS-AHCPR-FTE
HHS-HCFA-FTE
Senate Finance-FTE ( 846) - Not in
Directory
CEO, Assurqual (233, 281, 289): No
Official Status Assigned
Phone (301) 925-7000 - Dimensions,
Inc.
(281): No Official Status
Assigned
White House Special Assistant - SGB:
Unemployed (732)
Veterans Affairs-FTE
OMB-FTE
HHS-PHS- Uniform Services University
of
Health
Sciences,
Bethesda,
Maryland-FTE
OMB-FTE
Veterans Affairs-FTE
OMB-FTE
Boston Consultinq Group & Harvard
Community Health Plan (969, 1218) -
25
�SAGE, WILLIAM
SILVER, JONATHAN
STEINAUER, DENNIS
SGE
(1678),
Consultant
(First
Responses)
MD, JD, Stanford - SGE {1678)
Commerce-FTE
commerce - National Institute of
Sta~dards and Technology (282)-FTE
SOURCES: Declarations o:t Marjorie Tarmey, Documents Nos.
191, 192, 195, 196, 202, 203, 266-269, 279-322, 777, 808,
1143-1150, 30023, 30024, 30073. See Tab 15 attached to
the Memorandum.
Working Group 11, nxalpractice and Tort Reformn of Cluster
Group III, was composed of the following members:
MALPRACTICE ARD TORT REFORM
GROUP
11 -
GROUP
11 LEADER -
ROBERT BERERSOR I Rational capital
Preferred
Provider
Organization
(30016, 30136) - SGE (1678)
GROUP 11 LEADER -
K. HASTINGS, JD, RN, HH-PHS-ACHPRFTE (843)
ABRAHAM, KENHETII
Professor of Law {1331) - Ro
Official status
University of Pennsylvania SChool of
Rursing
(188)
SGE
(1678):
COnsultant (First Responses)
HHS-HRSA-FTE
HHS-HCFA-FTE
Rational capital Preferred Provider
organization (868) - SGE (1678)
The Urban Institute· - Ro Official
Status {1331)
.
Harvard School of Public Health: Ro
Official Status (1331)
Risk Management Foundation, Harvard
Medical Institution: Ho Official
Status (1331)
The Wharton SChool - Health Care
Policy and Insurance - University of
Pennsylvania: Ro Official Status
(1331)
Sen. Rockefeller (CD, Vol. I, P.
352)-FTE
Senior Advisor for Health Policy &
Management to Kaiser-Permanente i
Professor of
Health Policy
&
Management, Duke University (119,
866)(188) - SGE (1678)
AIKEN I LIHDA
AUKERMAN, GLEN
BAUM, NANCY
BERENSON I ROBERT
BOVBJERG I
RARDALL
BRERRAif I
TROYER
CREASEY I
DANIEL
DANZOR, PATRICIA
DONESKI, ELLEN
EDDY, DAVID
UVA -
26
- - - - - - - - - - - - - - - - - - - - '
�EDDY I JUDITH
GOSFIELD I ALICE
HADLEY, ELIZABETH
HASTINGS, KATHLEEN
HAVIGHURST I CLARK
HUCKABY, MICHELLE
JORLING I JAMES
MEADOW, CYNTHIA
MILLER, FRARCES
MORLOCK,
LAURA
O'CONNELL, JEFFREY
PYLE I
THOMAS
REEVES I LINDA
SATCHER,
DAVID
SCHULTZ, WILLIAM
TAPLIN, CAROLINE
VARNHAGEN I M.
WADLIRGTON I WALTER
WEICH, RONALD
WEILER, PAUL
Research Associate, Duke University
(188)
Law Offices of Alice Gosfield,
Philadelphia,
Pennsylvania:
No
Official status (1331)
HHS-ASPE-FTE
HHS-PHS-ACHPR-FTE
Duke University School of Law: No
Official Status (1331)
Rep. Clement (CD, Vol. I, P. 494)FTE
White Bouse Special Assistant: SGE
(1678): Unemployed (732)
Rep. Brooks (CD, Vol. I, P. 723)-FTE
B. u. School of Law - Ro Official
Status (1331)
The Johns Hopkins University School
of Public Health: No Official Status
(1331)
UVA School of Law: Ro Official
status ( 1331)
Boston consulting Group & Harvard
Community Health Plan (969, 1218) SGE
(1678),
Consultant
(First
Responses)
HHS-PHS-AHCPR-FTE (847): Veterans
Affairs-FTE (First Responses)
President, Meharry Medical College
(188) -Consultant (First Responses)
Rep. Waxman (CD, Vol. I, P. 1104)FTE
HHS-PHS-FTE
Sen. Metzenbaum (CD, Vol. I , P.
396)-FTE
UVA School of Law: Ro Official
Status (1331)
Sen. Labor & Human , Resources (CD,
Vol. I, P. 737)-FTE
Professor, Harvard Law: Ro Official
status ( 1331)
SOURCES:
Decelarations of Marjorie Tarmey, Documents
Nos. 204, 205, 209, 210-212, 217, 218, 291-294, 323-332,
778, 809, 1610, 1330-1331, 30026. Note:
See Sign-in
List at 30026, Attached at Tab 16, Describing a Seminar
on March 5, DHHS, Room 800, 200 Independence Avenue, sw,
for Task Force Members and Private Lawyers and other
Individuals. See Tab 16 attached to the Memorandum.
Working Group 12, "Facilitating Professional Development•, of
Cluster Group III, was composed of the following members:
27
�GROUP 12 -
FACILITATING
(206)
PROFESSIONAL
DEVELOPMENT
STEERING COMMITTEE: FITZHUGH
MULLAN,
HHS/HRSA/BHPR
Chair,
Senior Consultant,
LINDA AIKEN,
University of Pennsylvania School of
Nursing (197)
DAVID SATCHER, Senior Consultant,
President, Meharry Medical College
(197)
cmo
SUIIAYA,
Associate
Dean,
Universsity of Texas Health sciences
center, San Antonio, Texas (197)
SPECIAL CONSULTANT: CAROLYN BANDY 1 CEO 1 Blacks Educate
Blacks About Sexual Health Issues
CONSULTANT:
JANE SCBADLE ( 371) J:owa Department
of Health, Des Moines, Iowa
PART-TIME CONSULTANTS:
MARCIA BRAND HHS-HRSA (372)
NEIL SAMPSON HHS-HRSA (372)
Handwritten Note:
"Suzy El Attar, David, Medical
Students From Pitt" (300).
Handwritten Note:
"Dave,
Include Us, suzy" (303). According to Bates Humber 351,
David Evans and suzanne El Attar are "Workgroup
Assistants" in the Division of Medicine, Bureau of the
Health Professions, HHA-HRSA (351). ·
ALTMAN, DAVJ:D .
Robert
Wood
Johnson
Fellow,
Sponsored by the center for Health
Professions,
University
of
california, San Francisco, Office of
Sen.
Rockefeller
(D-WV) [Tab
56
attached to this MemorandUDl] (197,
BEASON, CHARLOTTE
BIERWIRTH, M.
Veterans Affairs-FTE
Rep. Gejdensen (CD, Vol. I, P. 531)FTE
Legislative Fellow, Office of sen.
Bingaman
(Not
Listed
in
Congressional Directory) (198)-FTE
206) - PTE (840)
DAVJ:ES, MONICA
(841)
DENTON, DENJ:SE
DUNN, VAN
Colorado Rural Health Office (300)SGE (First Responses): No Official
Status Given (1678-1679)
Sen. Kennedy (CD, Vol. I, P. 395)FTE
28
�DUZOR, DIERDRE
EDDY, JUDY
FORBES, RIPLEY
GOLUB, LAWREIICE
GROSS, MARCY
HANDY, CAROLYif
HUNAN I JEFFREY
JOHNSON, SCHELEEN
JORLIIIG, JAMES
McLENNEY, LUCRETIA
MULLAN, FITZHUGH
lfiCBOLS, LDmA
PYLE, THOMAS
RIVO, MARC
SALMON, MARLA
SCBADLE, JAIIE
SOJIAYA, CIRO
VELOZ, RICHARD
WILSON I FRANK
HHS-HCFA-FTE
Research Associate, Duke UniversitySGE (1678)
.
Rep. Waxman (CD, Vol. I, P. 976)-FTE
White House Fellow/lfHS (198) - No
Affiliation;
No Official
Status
Given
HHS/OSHA-FTE
CEO, Blacks Educate Blacks About
sexual Health Issues-SGE (1678)
Senate Special committee on Aging
(Not in Directory)-FTE (843)
Rep. Bryant (CD, Vol. I, P. 1015)FTE
White House Special Assistant-SGE;
Unellployed (732)
DOD-FTE
HHS-PHS-FTE
Director of Interdisciplinary Team
Traininq, Ramada Renaissance Hotel,
999 Ninth street, HW, Washington, DC
20001; 202/535-7527 (0); 202/5357522 (F) (369) - VA-FTB (846)
Boston consulting Group; Harvard
CODIIIUility Healtb Plan-SGE ( 1678) ;
lfot Listed (First Responses)
HHS-HRSA-FTE
HHS-HRSA-FTE
Iowa
Department
of
Health;
Consultant (371, First Responses);
Associate Dean, University of TeXas
Health sciences center, San Antonio
(197)-SGE (1679)
Bouse Special Comdttee on Aqinq,
Lost Appropriation 3/31/93, Worked
for BBS ( 779 )-SGE (First Responses) ;
Not Listed as SGE on 1678-1679)
DOL-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
197-199, 206-208, 219-221, 270-272, 295-297, 298-405,
779, 810, 1602-1609.
See Tab 17 attached to the
Memorandum.
Cluster Group IV, "Integration of Government Health PrograJDS
Into lfew System•,
consisted of Workinq Group
Workinq Group
"Department of
14,
•veterans•, Workinq Group 16,
Plan", and Workinq Group 16A,
11
Defense•,
13,
11edicare11 ,
11
Workinq . Group
15,
Federal Employees Health Benefitss
11
otber Government Programs•.
29
See
�Tabe 18 attached to the Memorandum.
Cluster Group IV, •Integration of Government Health Programs
Into New System•, and its leaders were listed as follows:
CLUSTER IV-
INTEGRATION OF GOVERNMENT HEALTH PROGRAMS
INTO HEW SYSTEM (969)
CHAIR -
STEVE BANDEIAN, OMB-FTE
Working Group 13,
•Medicare•,
of Cluster Group
IV,
composed of the following members:
GROQP 13 -
MEDICARE
GROUP 13 LEADER -
BARBARA COOPER, HHS (406)-FTE .
ADDISON-BURTON, LAVARNE
Rep. Sabo (CD, Vol. I, P. 930)
Policy
Assistant,
White
House
BUENO I IRERE
(1634)-SGE (First Responses) - Not
Listed 1678-1679 - Unemployed (732)
BANDEIAN, STEVE
OMB-FTE
BURNEY, IRA .
HHS-HCFA-FTE
COOPER, BARBARA
HHS-FTE
GOLDWATER, DAVID
Rep. Bilbray (CD, Vol. I, P. 986)FTE
HARTZ, THOMAS
HHS-FTE
HICKMAN I PETER
HHS-HCFA-FTE
HUCKABY 1 MICHELLE
Rep. Clement (CD, Vol. I, P. 484)FTE
KAZDIN I ROBERT
Treasury-FTE
LIU, ERIC
Sen. Boren (CD, Vol. I, P. 1038)-FTE
KILLER, IIELAHI:B
Rep. Andrews - Not in Directory-PTB
(846)
PAYNE, MARY ELLA
Sen. Rockefeller (CD, Vol. I, P.
352)-FTE
PRATT I DONALD
Veterans Affairs
SHIRLEY I AARON
Director,
Jackson-Hinds
COmprehensive Health Center ( 407,
780, 811, 1534)-SGE (1678)
SOLOMON 1 AOEHEA
census-FTE
WELCH, PETE
The Urban Institute ( 406) -SGE ( OIIB)
- 1679
WIBNBR, JOSH
The Brookings Institution (780)SGE/BBS ( 1679)
ZARABOZO, CARLOS
HHS-HCFA-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
406-410, 780, 811, 1534, 1614. See Tab 19 attached to
the Memorandum.
30
was
�Working Group 14, nDepartment of Defensen, of Cluster Group
IV, was composed of the following members:
GROUP 14 GROUP 14
DEPARTMENT OF DEFENSE
LEADER -
BANDEIAN, STEVE
BATES, JIM
CLAYPOOL I ROBERT
COOPER, BARBARA
FISH, JIM
HAMMERSCHLAG I ART
HEATH KAREN
I
HIGGINS, MICHAEL
HIX I
MICHAEL
HOSEK,
SUSAN
LILLIE, STEVE
MORGAN, JACQUELINE
PANG I FREDERICK
SLACKMAN I JOEL
SPAULDING I VERNON
WIENER, JOSH
JOEL SLACKMAN, DOD-FTE
OMB-FTE
Navy Surgeon General ( 425) - Not
Listed as FTE in 840-849; Listed in
First Responses-FTE
u.s. Army Surgeon General-FTE
HHS-FTE
OMB-FTE
Veterans Affairs-FTE
House Armed Services Committee (CD,
Vol. I, P. 1001)-FTE
Rep. Dellums {CD, Vol. I, P. 697)FTE
Rand Corporation-SGE/DOD (1678)
Rand Corporation, 310, 393, 0411
(419): Hot Listed: Ho Status Given
DOD-FTE
DOD-FTE
Senate Armed Services Committee (CD,
Vol. I, P. 395)-FTE
DOD-FTE
DOD-FTE
Brookings
Institution
(424)-SGE
(1678)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
411-425, 787, 1537, 1615. See Tab 20 attached to the
Memorandum.
Working Group 15, •veterans•, of Cluster Group IV was composed
of the following members:
GROUP 15 -
VETERANS
GROUP 15 LEADER -
KAREN WALTERS, Veterans Affairs-FTE
ALPERT I CYNTHIA
BANDEIAN I STEVE
BREW, WILLIAM
BUENO I ZREifE
Veterans Affairs-FTE
OMB-FTE
House VA Comm--Check CD.
Policy Assistant ( 426) SGE, White
Bouse (First Responses) : Hot Listed
1678-1679 - unemployed (732)
DOD-FTE
HHS-HCFA-FTE
Sen. Campbell {CD, Vol. I, P. 282)FTE
cox KENNETH
ERMANN, DAN
EVANS, JENNIFER
I
31
�GRAMS, TODD
HORVATH I THOMAS
IBSEN, RALPH
LINCOLN, MICHAEL
NORMAN, ALLINE
RAYMOND, VIC
WEIHER, JOSH
OMB-FTE
Associate Dean,
VA,
SUNY/Stony
Brook,
79
Middleville
Road,
. :Northport, HY 11768; 914/939-2745
(427, 428, 429)-FTE (843)
Veterans Affairs-FTE
HHS-IHS-FTE
Veterans Affairs-FTE
Designee of commerce secretary Ron
Brown to the Task Force: Acting
Assistant Secretary for Policy &
Planning (432)-FTE (847) - Veterans
Affairs
Brookings (426)-SGE/BHS (1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
426-437, 788, 1536.
See Tab 21 attached to the
Memorandum.
Working Group 16, "Federal Employees' Health Benefits Plan" of
Cluster Group IV was composed of the following members:
GROUP
16 -
FEDERAL EMPLOYEES HEALTH
BENEFITS PLAN
GROUP 16 LEADER -
CURT SMITH (443), OPM-FTE
BANDEIAN, STEVE
BOERUM, DENISE
BLOCK, ABIGAIL
BRUNS I KEVIN
COPELAND, ROBERT
CROW, SHELLY
OMB-FTE
Senate Committee (CD, Vol. I, P. )
OPM-FTE
Rep. Gray (CD, Vol. I, P. 928)-FTE
Labor-FTE
second Chief, Kuscoqee Creek HationSGE (1678)
White Bouse Policy Assistant-SGE
(First Responses); Rot Listed 16781679
.
Senate
Governmental
Affairs
Committee (CD, Vol I, P. 30)-FTE
( 446) Ho Official Status Given Contractor [See Tab ]
Senate Select Committee on Indian
Affairs, P. 1018)-FTE
HHS-IHS-FTE
Education & Labor (CD, Vol. I, P. )
OMB-FTE
CEA-FTE
HHS-FTE
OPM-FTE
Labor-FTE
Rep. Gray (CD, Vol I, P.
)
OMB-FTE
GEBAR, MARGERY
GLEIMAN, EDWARD
JOBES, STANLEY
JOSEPH-FOX, YVETTE
LINCOLN I MICHAEL
LOPATIN, ALAN
NAKAHATA I PETER
POSEY I KENDALL
SCHMID, STUART
SMITH I CURTIS
SVENONIUS, DIANE
WEISS, GAIL
WYLER I ROBERT
32
�SOURCES: Declarations of Marjorie Tarmey, Document Nos.
438-446, 789, 1535, 30029. See Tab 22 attached to the
Memorandum.
Working Group 16A, •other Government Programs• of Cluster
Group IV, was composed of the following members:
GROUP 16A -
PROGRAMS
OTHER GOVERNMENT
GROUP 16A LEADER -
MICHAEL LINCOLN, HHS-IHS-FTE
BANDEIAN I STEVE
SHELLY
OMB-FTE
Second Chief I lluscogee creek NationSGE (1678)
OMB-FTE
senate Committee on Indian Affairs
(CD, Vol I, P. 1018)-FTE
WHO - Policy Assistant-SGE ( 1678)
IHS-FTE
IHS-FTE
Mountain Management Co. 1 MN-SGE
(First Responses) - Not Listed 16781679)
OMB-FTE
HHS-IHS-FTE
HHS-IHS-FTE
Brookings Institution-SGE/IDfS ( 1679)
HHS-IHS-FTE
CROW I
DOROTINSKY, BILL
JOSEPH-FOX, YVETTE
KLINE I JENHIFER
LINCOLN, MICHAEL
McCLOUD, MARMADUKE
MILLER, CAROL
NAKAHATA PETER
REYES, LUANA
SCHOENING, ATHENA
WEIHER, JOSH
WIGGINS, CLIFF
I
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
449-452, 30030, 30031.
See Tab 23 attached to the
Memorandum.
Cluster V,
"Bioethics or Ethical Foundations of the Hew
System", consisted of one Working Group, that.being Working Group
17, "Bioethics•.
Working Group 17,
11
Bioethics•, of Cluster Group
v, consisted of the following members:
CLUSTER V -
ETHICAL FOtJHDATIOHS OF THE 11EW SYSTEM
WORKDIG GROUP 17 -
BIOETBICS
GROUP 17 - co-LEADER
HAifCY
DUBLER,
Medical Center
MARIAH
SECUHDY,
University
ASCII, ADRIENNE
BAYER, RONALD
llontefiore
Boward
B.U. SChool of Social Work
Columbia University SChool of Public
33
- - - - - - - - - - - - - -
�BROCK, DAHIEAL
CAPLAN, ARTHUR
DANIELS, NORMAN
DORFF I ELLIOTT
DULA, ANNETTE
ELLIS, GARY
Health
Director of Center for Biomedical
Ethics
University of Minnesota, Center for
Biomedical Ethics
Tufts University
Provost, Professor, University of
Judaism
Rockefeller Fellow, University of
Colorado
Office for Protection from Research
Risks
Harvard Medical SChool/Dana Farber
Cancer Institute
EVAH, ABIGAIL R.
Princeton Theological Seminary
FAHEY, MGSR CHARLES Third Age Center
FLECK, LEN
Michigan State
FOST, HORMAN
University of Wisconsin
GIBSON, JOAN
University of Hew Mexico, Director,
Center for Health law and Ethics
American Society of Law, Medicine &
GOSTIN, LAWRENCE
Ethics
KING, PAT
Georgetown University Law Center
Chief,
Medical
Staff,
Larabida
LAHTOS, JOIDI
Hospital
-·
LEVINE, CAROL
The orphan Project FUnd
USCF, Director, Progr8lll in Medical
LO, BERNARD
Ethics
KAY, BILL
SMD Professor of Ethics
MEISEL, ALAR
University of Pittsburgh Center for
Medical Ethics
MEZEY, KATHY
NYU
Independence
Professor
of
Nursing
MILES, STEVER
University of Minnesota, Center for
Biomedical Ethics
O'CORHELL, LAWRENCE Boward University SChool of Medicine
OSSORl:O, PI:LAR
Post-Doc Associate, Yale University
SChool of Medicine
PORTILO, RUTH
Creighton University center for
Health Policy and Ethics
SANDERS, CHERYL
Boward University Divinity School
SECUNDY, IIA1UAH
Boward University, Medical Ethics
TURMAN I RICHARD
OMB-Not Listed as an FTE on 840-849
EIIAHOEL, EZEKIAL
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
453-469, 867 1 1538.
See Tab 24 attached to the
Memorandum.
Cluster Group
v:r, •Transition to the Hew System _ Short-Tera
Cost Controls•, consisted of Working Group 18, •Accelerating Hew
System
Development•,
Working
34
Group
19,
•ac:bdnistrative
�Simplification• and Working Group 20, "Interim Cost Controls".
See
Tab 25 attached to the Memorandum.
Cluster Group VI, "Transition to the New System Short-Term
Cost Constrols",
and its leader was listed as follows:
CLUSTER VI -
TRANSITION TO THE NEW SYSTEM
SHORT-TERM COST CONTROLS .
CLUSTER LEADER -
PAUL STARR, Princeton
(1763)-SGE/BBS (1678)
University
Working Group 18, "Accelerating New System Development•, of
Cluster Group VI, was composed of the following members:
ACCELERATING HEW SYSTEM DEVEIDPIIEMT
GROUP 18 -
GROUP 18 LEADER -
LOIS QUAil (1760), SGE-HHS (1678)
ON TAP:
ALADf ERTIIOVEM, FROM OTHER CLUSTERS: WALTER
ZELMAN, RICK KROHICK, RICK CURTIS, ATUL GAWANDE (474)
BENAVIDES 1
ET.T.Q
CAVANAUGH I SEAN
DELEW I NANCY
BPS'l'EDf, ARNOLD
GARCIA, JOSEPH
Hennepin County, Minnesota Bureau of
Health, Director of Health Policy
(Stayed at the Holiday Inn Crowne
Plaza, Metro Center)
(478); No
Official Status Listed; Listed as
•Intergovernmental
Representative
from
Rational
Association
of
COunties on 1786, But List Does Not
Show Participation in Group 18;
Listed as Participant in the Task
Force in First Responses
Rep. Cardin (CD, Vol~ I, P. 936)-FTE
HHS-FTE
Robert
Wood
Johnson
Pellow,
Sponsored by Harvard Medical School
&
Brigham & Women's Bospital;
Serving in the Office of sen. J.
Rockefeller IV ( 4 79) ; Listed as SGE
( 1678) [See Tab 56 Attached to the
Memorandum)
CUyahoga County, Ohio Department of
Human Services
(stayed at the
Americana Botel)(478) - Listed as a
Participant; Ho Official status
Given; Hot Listed as SGE on 16781679: Listed as •Intergovernmental
Representative•
from
Rational
Association of COunties on 1786, But
List Does Not Indicate Participation
35
�in Group 18.
HHS-FTE
White House Policy Assistant - SGE
(1678); Columbia university (732)
LANGENBRUNNER, JACK OMB-FTE
LEMASURIER, JEAN
HHS-HCFA-FTE
LUKOMNIK, JOANNE
Contractor from HYC (478); SGE/HHS
(1678)
Ho Affiliation Listed; Stayed at the
McLAUGHLIN, DAR
Holiday Inn crowne Plaza, Metro
Center ( 4 78) , Like Benavides; Ho
Official Status
Mountain Management Co. , Hll - SGE .
MILLER, CAROL
(First Responses) - Hot Listed as
SGE on 1678-1679
Rational
Governors
Association,
O'BRIEN I MARY JO
Minnesota; Listed as Representative
fro• Intergovernmental organization
on 1786; Ho Official Status Listed
VP, United Health care Corporation,
QUAM, LOIS
SGE (1678)
Listed
as
Representative
of
QUIST, JAHET
Intergovernmental Organization from
Rational Leaque of Cities ( 1786) ; Ho
Official Status Given
SCHUMANN, BETH
HHS-FTE
STARR, PAUL
Princeton University - SGE (1678)
WELCH, PETE
The Urban Institute - SGE/OIIB ( 1679)
BBS; Hot Listed as an PTE on 840WIIANG I JUDY
849; called •Policy Analyst• in
First Responses
ZAWISTOWICH, LU
HHS-FTE
ZARABOZO, C.
HHS-FTE
GREENBERG, GEORGE
KELLEY I LAUREH
SOURCES: Declarations of Marjorie Tarmey, Documents Hos.
478-487, 724-729, 790, 1313-1315, 30101.
see Tab 26
attached to the Memorandum.
·
Working Group 19, •Administrative Silllplification•, of Cluster
Group VI, was composed of the following members:
GROUP 19 -
ADIIIHISTRATIVE SIIIPLIFICATIOH
GROUP 19 LEADER -
TIM HILL, HHS-FTE
ON TAP - BERT TOBIN I RICHARD SHARPE I THE IIAR'l'FORD
FOONDATIOH (477); FROM OTHER CLUSTERS: TOM PYLE, DAVID
EDDY (477)
ABRAMCHECK, F.
ABRAMSOH I LEOHARD
ALBERTIHB, JDI
EDS Real th care; Ho Official Status
(30027)
US Health care; Ho Official Status
Albertine Enterprises (SIIS} (30028};
36
�ALEXANDRE, LESLIE
BARRETT, LEE
BATALDEH, PAUL, MD
BUFFINGTON, MAX
CAULEY, BANK
CHERTOFF, STEVE
CONNELL, RICHARD
CDRTIS, BENJAMIN
DOWLING,
ALAR
FITZMAUIUCE, J.
GAUCHER, EJ.I.£H
GIEL,
MICHAEL
GILLIGAN, T.J.
HILL, TIM
HERRELL, ILEANA
HUMPHRIES, BETSY
KRAKAUER, HENRY
KOSS I SHANNAH
CHRJ:STIHE
KOVHER,
KUZMACK, RICH
LEDBE'rl'Ek, LEE
MOSSER, GORDON
HUDELMAH I
PETER
O'DOHHELL, KEH
O'ROARK, FRAHK
PJ:CKEIUifG I JDI
lfOREHE
SCHROEDER, KATHY
RICKSON,
SCOTT I
JEAHifE
SILVA, JOHN
SOUDER, BARBARA
No Official Status
EDS (30028); No Official Status
Aetna (30028); No Official Status
Hospital Corporation of America; No
Official status
HHS-FTE
Telesis; No Official Status
PCS Health Systems; No Official
Status
HEIC
(How Aetna)
(30073);
No
Official Status
lfEIC (How Aetna); No Official Status
(30028)
Task Force (Hot Listed as FTE Phone 216/338-5866 - Which is the
Dowling's Home Number)
AHCPR-BHS-FTE
University of Michigan Hospital; No
Official status
Cooperative Healthcare Networks; No
Official Status
CIS;Ifo Official Status
HHS-FTE
us Public Health Service-FTE
National Library of Medicine-FTE
Uniformed services University of
Health Sciences-FTE
OMB-FTE
Hew York University; lfo Official
Status
OMB-FTE
SMS; lfo Official status (30027,
30028)
SMS Corporation - No Official Status
Veterans' Affairs-FTE (844)
First Health; lfo Official status
(30027, 30028)
J:nternist/Minnesota; lfo Official
Status
Group Health Cooperative of PUget
sound; lfo Official Status
HEJ:C (lfow Aetna): No Official Status
{30027)
Blue Cross/Blue Shied Ass'n/WEI)J:; lfo
Official Status (30028)
HEJ:C (How Aetna); No Official status
Telesis; lfo Official Status
William
Beumont
Hospital;
No
Official Status
CJ:S Technologies; lfo Official Status
OMB-FTE
WEDI:/Travelers; lfo Official Status
(30027)
37
�SOVDIERS I R.
STEPHENS I JACK
WESTON I DAVID
WILSON, MARK
WOLFORD, G. RODNEY
CIS Technologies; Ho Official Status
(30027)
Lakeland Regional Medical Center; Ho
Official Status
The Travelers/WED!; Ho Official
Status (30028)
OMB-FTE
Alliant Health System; Ho Official
status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
477, 791, 30025, 30027, 30028, 30073, 30100, and List
Included in First Responses Entitled, "Administrative
Simplification", See Tab 27 attached to the Memorandum.
Working Group 20, •Interim Cost Controls•, of Cluster Group
VI, was composed of the following members:
GROUP
20 -
INTERIM COST CONTROLS
GROUP 20 LEADER -
DAVID CUTLER, CEA-FTE
ADDISON-BURTON, LAVARNE
ALTMAR I
STUART
BALL, JUDY
BRIGGS, BETTY
BUFFINGTON, MAX
BURNEY, IRA
BUTO I KATHLEEN
CAVANAUGH I SEAN
CHAMBERS I CAROLINE
COSTER, JOBH
CUTLER, DAVID
DAVIS, KAREN
DEWANE I MARY
Rep. Sabo (CD, Vol. I, P. 930) "Recorder" (30052)-FTE
The
Beller
School,
Brandeis
University.
In Handwriting, •BBSConsultant•
(480);
Ho Official
Status
Given;
Hot
Listed
as
Participant in First Responses; Ho
other Docum.entation. l'fote: Alan B.
COhen, Former RWJF Trustee is now at
the Beller SChool and is on the
Editorial Board of Beal:tb M:fairs
[See Tab 56 Attached to the
llemorandWil]
HHS-ACBPR-FTE
LABOR-PWBA-FTE
HHS-FTE
HHS-HCFA-FTE
HHS-HCFA-FTE
Rep. Cardin (CD, Vol. I, P. 936)-FTE
Rep. Cooper (CD, Vol. I, P. 936)-FTE
Select COmmittee on Aging (Lost
Appropriation 3/31/93 )-Listed as
PTE-841
CEA-FTE
Vice President, the commonwealth
Fund, Kember of Physicians Payment
Review Commission (PP.RC) (See Also
484, 488, 492, 496, 499); Ho
Official Status Given; Hot Listed as
a Participant in First Responses
HHS-HCFA-FTE
38
�Sen. Budget (CD, Vol. I, P.
)-FTE
Sen. Rockefeller (CD, Vol. I, P.
352-FTE
In Handwriting, •consultant• {480,
ENTHOVEH, ALAIN
488, 493, 496) ; The Jackson Hole
Group, Inc.; No Official Status
Given; Hot Listed as a Participant
in First Responses.
Sen. Baucus {CD, Vol. I, P. 268)-FTE
FINIGAN, TOM
(Identifies Self as "Congressional
Fellow• on Sign-In List)
FITZMAURICE, MICHAEL
HHS-FTE
HHS-FTE
FRIEDMAN I BERNARD
HHS-FTE
GREENBERG, GEORGE
Rep. Waxman (CD, Vol. I, P. 712)-FTE
HASH I MICHAEL
HHS-HCFA-FTE
HILL, TIM
White
House
Policy
Assistant
KELLEY, LAUREN
{30052); Columbia University {732)SGE (1678)
Rep. Gephardt (CD, Vol. I, P. 532)KING I ANDREA
FTE
KOLUDNER, ROBERT
Veterans Affairs-FTE
KOSS I SHANNAH
OMB-FTE
Uniformed Services University of
KRAKAUER I HENRY
Health Sciences-FTE
KUZMACK, RICH ·
OMB-FTE
LANGENBRUNNER, JACK OMB-FTE
LEATHERS I HOWARD
CEA-FTE
LEE, PHILIP
(In
Handwriting,
•BBS-Special
Government Employee•) •
Director,
Robert Wood Johnson Foundation {See
A1so 485, 489, 494, 497, 500) (See
Tab 56 Attached to the Memorandum) ;
No Official Status Given, Rot Listed
as a Participant in First Responses.
OMB-FTE
.
LUTTER I RANDY
NEXON, DAVID
Labor Comm. (CD, Vol. I, P.395)-FTE
NICHOLS, LEN
OMB-FTE
O'NEILL, KIM
CEA-FTE
O'BRIEN, MARY JO
Rational
Governors
Association,
Minnesota (490); Ro Official status
Given - Listed as Representative of
Intergovernmental Organization, HGA
on 1786)
POTETZ, LISA
Sen. Finance (CD, Vol. I, P.
)QUAM, LOIS
(In Bandwriting, •BBS Spec Gov Elllp•)
(482, 490, 494, 497, 500) VP, United
Health care Corp-SGE ( 1678)
REINHARDT, UWE
(In Handwriting, •consul tant•) ( 482,
486, 490, 494, 497, 500) Princeton
University;
Ro Official status
Given; Hot Listed as a Participant
in First Responses
DEIGNAN I KATHY
DONESKI, ELLEN
39
�RILEY I IRENE
RODRIGUEZ, LOUISE
ROSEN, BOB
SHEINGOLD, STEVE
SILVA, JOHN
SOLOMON, LOEL
STARR, PAUL
THORPE, KEN
UKOCKIS, JAMES
WERNER I MICHAEL
WILSON, MARK
National Association of Counties
(1787); Listed as Representative of
Interqovernmental organization; No
Official Status
Veterans Affairs-FTE
Sen. Mitchell (CD, Vol. I, P. 1096)FTE
HHS-HCFA-FTE
Uniformed Services University of
Health sciences-FTE
Sen. Kennedy (CD, Vol. I, P.
)(In Bandwriting, "HBS-Spec Govt
Emp") (482), Princeton UniversitySGE (1678)
HHS-HCFA
Treasury-FTE
senate Democratic Policy Committee
(CD, Vol. I, P. 403)-FTE
Labor-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
480-498, 790, 1539-1543, 1617-1625, 30052. See Tab 28
attached to the Memorandum.
Cluster Group VXI,
"Financing", consisted of one Working
Group I that being Working Group 21 I "Financing. n Working Group 21 I
"Financing•, of Cluster Group VXI was composed of the following
members:
CLUSTER VXI -
FINANCING
CLUSTER LEADER GROUP
21 -
MARINA WEISS, Treasury-FTE
FIHANCING
ANTOS, JOSEPH
BERNER, KEVIN
CHARLES, GERALD
CORONADO I DAVXD
FLYNN, ED
GALE, JOSEPH
GLAZE, STEVEN
HARDOCK, RANDY
HELLINGER, FRED ·
JACKSON, PAUL
KERY, PAT
HHS-FTE
Veterans' Affairs-FTE
Treasury-FTE
DC
Commissioner of Health care
Finance (505); No Official Status
Given; Listed as Intergovernmental
Employee in First Responses
OPM (503)-FTE
Sen. Moynihan (CD, Vol. I, P. 980)FTE
Sen. Pryor (CD, Vol. I, P. 348)-FTE
Treasury-FTE
HHS-FTE
HHS-FTE
Rep. Kenelly (CD, Vol. I, P. 1023)FTE
40
�KING, ROLAND
LYON, RANDY
MUNNELL, ALICIA
PATEL, PARASHAR
PETERSON I DOUGLAS
RAYMOND, VICTOR
RILEY I IRENE
SCIIEPPACB I RAYMOND
SCHNEIDER, ANDREW
SWIRE, ANDREW
TITUS, FRANK
UYEDA, MARY
WEISS, MARINA
WOO, MICHAEL
HHS-FTE
OMB (502)-FTE
Treasury-FTE
OMB-FTE
National League of Cities (505,
512); No Official Status Given;
Listed
as
Representative
of
Intergovernmental
Organization
(1787)
Veterans Affairs-FTE
L.A. County Health Department -NACO
(505, 512) - No Official Status
Given, Listed as Representative of
Intergovernmental organization on
1787)
National Governors Association ( 521,
504, 509, 511, 514, 516, 518, 519);
No Official Status Given, Listed as
Represen·tative
From
Intergovernmental
Organization
(1787)
Rep. Waxman (CD, Vol. I, P. 711)-FTE
OMB-FTE
OPM (502)-FTE
National Association of counties
(505,
512); No Official Status
Given; Listed as Representative of
Intergovernmental
Organization
(1787)
Treasury-FTE
Energy & Comm (CD, Vol. I, P. 710)FTE
SOURCES: Declarations of Marjorie 2'armey, Documents Nos.
501-522, 793, 1544, 1545, 30109, 30110, 30032. see Tab
29 attached to the Memorandum.
Cluster
Underserved",
Group
Vl:II,
consists
of
"Health
Working
Policy
Group
Initiatives
22,
"Health
for
the
Policy
Initiatives for the Underserved", Subgroup A, "Underserved Rural
and Inner City Areas", Subgroup B, "Vulnerable Populations/High
Risk Populations•, Subgroup
c,
"Women and Children", and Subgroup
D, "Population-Based Public Health and Prevention".
See Tab 30
attached to the Memorandum.
Cluster
Underserved•,
Group
VIII,
"Health
Plicy
Initiatives
and its leader was listed as follows:
41
for
the
�CLUSTER VIII - HEALTH
POLICY
UNDERSERVED
INITIATIVES
FOR
THE
MARK SMITH, Vice President, Kaiser
CLUSTER LEADER -
Family Foundation
Working
Group
22,
"Health
Policy
Initiatives
for
the
Underserved", Subgroup A, "Underserved Rural and Inner City Areas",
of Cluster Group VIII, listed the following members:
GROUP 22 -
HEALTH
POLICY
UNDERSERVED
SUBGROUP A -
UNDERSERVED RURAL AND IKNER CITY AREAS
GROUP 22 LEADER GROUP 22 co-LEADER
GROUP 22A LEADER
ALLEN, LUCY
CARLSON, RON
CLARK, WILLIAM
CROW, SHELLY
DENTON, DENISE
DUNN, VAN
FINIGAN, TOM
GROSS I LAUREN
HAYES, SHERRY
KEPNER, COLLEEN
LINK, KENNETH
PATEL, PARASHAR
SHIRLEY, AARON
SOBEL I LARRY
SPRINGER, M.
STEELE, PAMELA
INITIATIVES
FOR
THE
BONNIE LEFKOWITZ, HHS-FTE
SMITH, Vice President Kaiser
Family Foundation (1546)-SGE (1678);
Consultant (526)
AJOf
ZUVEKAS,
center for Health
Policy Research (962); No Official
Status-SGE (First Responses) , Rot
Listed on 1678-1679
MARK
CEA-FTE
··HHS•FTE
Robert Wood Johnson Fellow Sponsored
by University of Florida; in Sen.
Bulllpers (D-AR) Office-PTE (841) [See
Tab 56 Attached to this xe.orandWD]
Second Chief, Muscogee creek Ration
(30034)-SGE (1678)
Colorado
Rural
Health
Resource
Center-SGB (First Responses) ; Rot
Listed in 1678-1679 ··
Sen. Kennedy (CD, Vol. I, P. 395)FTE (30034)
Congressional Fellow Sponsored by ??
in sen. Baucus' Office-PTE (842)
Sen. Pell (CD, Vol. I, P. 991)-FTE
(30034
Sen. Kohl (CD, Vol. I, P. 1001)-FTE
Rep. Stenholm (CD, Vol. I, P. 768)FTE
Veterans Affairs-FTE
OMB-FTE
Director,
Jackson-Hinds
Comprehensive
Health
Center-SGB
(1678) (30034)
DOD-FTE
Treasury-FTE
Veterans Affairs-FTE
42
�SYKES, KATHEY
RICHARD
VELOZ,
ZUVEKAS, AHH
Rep. Obey (CD, Vol. I, P. 1122)-FTE
Formerly, House Aging Committee
Which Lost Funding 3/31/93-SGE
(First Responses) : Hot Listed as SGE
on 1678-1679
Center for Health Policy Research:
Ho
Official
Status-SGE
(First
Responses Only
GROUP 22A SUBGROUP - HIV
SMITH, Vice President, Kaiser
Family Foundation
HIV SUBGROUP CHAIR
MARK
BERGTHOLD I LDmA
BROSTROM, MOLLY
BEEHAH, CHRISTINE
w.
ISKOWITZ, MICHAEL
ROZ
MATHER, SUSAN
LASKER,
MAXWELL, CELIA
STORE I ROBYN
PETERSON I BOBBIE
WESTMORELAND I TOM
MET
WI~
H. Mercer, Inc.-SGE (1678) (1239)
WHQ-SGE-Policy Assistant
Domestic Policy Staff, White House
(1239) - Listed as FTE-HHS (843)
Sen. Kennedy (843)-FTE
PPRC-SGE ( 1678)
Veterans Affairs-FTE (846)
Volunteer
Project HOPE-SGE (1679)
Ho Official Status (1238)
Rep. Waxman (CD, Vol. I, P. 711)-FTE
GROUP 22A
REGINA ARAGAH
BILL BAILEY
CORNELIUS BAKER
TERRY BESWICK
san Franciso AIDS Foundation
American Psychological Association
Rational Association of People With
AIDS
.
AIDS Research Policy Analyst With
HRCF
LEOHARD BLOOM
AHHE BROOMFIELD
PAUL DEDOHATO
SONDRA ESTEPA
ROTH FIHKELSTEIH
JIM GRAHAM
DAVID HARVEY
DEBRA PRZER-HOWZE
DR. BILLY JONES
PAUL KAWATA
JEFF LEVI
CHRISTINE LUBINSKI
JANE SILVER
CEO, AIDS Project Los Angeles
Greater Baltimore HIV & Health
services Planning CoUncil
Health care Finance Expert (San
Francisco)
Latino commission on AIDS
Director, Public Policy, GMHC, Hew
York
Executive Director, Whitman-Walker
Clinic
Rational Pediatric BIV Resource
Center
CEO, Black Leadership Commission on
AIDS
Executive
Director,
Health
&
Hospitals Corporation
Rational Minority AIDS Council
AIDS Action Council
AIDS Action council
American
Foundation
for
AIDS
43
�Research
Treatment Action Group
AIDS Housing Corporation
AID Atlanta
RCA
PETER STALEY
TODD SUMMERS
SANDY THtlRMAH
ROY WIDDES
LAUREN FOGT
DEREK HODEL
TAG
B. J. SYLES
HLCA
DAVID BARR
JULIE SCOFIELD
REGGIE WILLIAMS
EJ.I.Q RIKER
TAG, GMHC
HASDAD
RTFAP
National Hemophilia Foundation
National Minority Gay and ·Lesbian
Association
PHIL WILSON .
KRISTIN GEBBIE
APHA
APHA
JEFF. JACOBS
AARON SHIRLEY
Jackson-Binds Comprehensive Health
Center
STEPHEN BOWEN
HBS
FREDA KITCHEN
HACHC
BYRON J. BARRJ:S
u.s. Conference of Mayors
C. ATCHISON
ASTHO
VALERIA MOREJ.I.I
ASTHO
SUSAN FORBES-MARTIN Commission on Immigration Reform
ARTIIORY J. LAWRENCE PHS
PENELOPE PIHO
MICHAEL KAISER, MD
ALICIA BEATTY TEE
BlUAH FElT
DAVID HARVEY
HCFA
Pediatric AIDS PrograJD
The Circle of care
Dimock Community Health Center
Department of Policy Analysis,
National Pediatric BIV Resource
Center
SOURCES: Declarations or Marjorie Tarmey 1 Documents Nos.
715, 716, 1234-1239, 1252-1253, 1327, 1328, 30033, 30034,
30035, 30058, 30059, 30091, 30120, 30173, 30176. See Tab
31 attached to the Memorandum.
·
Working Group 22, Subgroup B, -vulnerable Populations/High
Risk
Populations•,
of
Cluster
Group VIII,
consisted
of
following members:
GROUP
22 -
HEALTH
POLICY
INITIATIVES
POR
THE
UIIDERSERVED
GROUP 22 LEADER I.
GROUP
22 co-LEADER
BONNIE LEFKOWITZ, HHS-FTE
MARK SMITH, Vice President, Kaiser
Family Foundation ( 1546) -SGE ( 1678) ;
Consultant ( 526)
44
the
�SUBGROUP B
POPULATIONS/HIGH
VULNERABLE
POPULATIONS
SUBGROUP B LEADER - JOANNE LUKOMNIK,
{545)-SGE {1678)
DUNN, VAN
ELDERS I
JOYCELYN
FIEDELHOLTZ, J.
FINIGAN I TOM
FISKE, MARY BETH
IIAlfDY I CAROLYN
HAYES, SHERRY
HEADLEY, ELWOOD
HUMAN, J.
ISKOWITZ, M.
KATTAN I AZAR
KEPNER, COLLEEN
KOPLAN, JEFF
LEFKOWITZ, BONNIE
LEWIS-IDENA, D.
LEVINE I
DEBBIE
LURIE I ALEXANDER
LINK I KENNETH
LUKOMNIK, JOARHE
MATHER SUSAN
McKENNEY, NAMPEO
OBEY, CRAIG
OLIVER, JUDY
PATEL, PARASHAR
QUAM, LOIS
REINECKE 1 PETER
RICHARDSON I SALLY
RODGERS I JUDITH
ROWLAHD, DIANE
SHINN, RITH
SHIRLEY I AARON
M.D. ,
RISK
Consultant
Sen. Kennedy (CD, Vol. I, P. 395)FTE
Arkansas
Department
of
Health
( 1310) ; No Official Status Assigned
HHS-PHS-FTE
Congressional Fellow; Sen. Baucus;
Not Listed in Directory-PTE {842)
Sen. Labor (Kennedy) (CD Vol. I, P.
395)-FTE
CEO, Blacks Educate Blacks About
sexual Health Issues-SGE {1678)
Sen. Kohl (CD, Vol. I, P. 1001)-FTE
VA-FTE
Commission
on
Aging;
Not
in
Directory-FTE ( 843)
Sen. Kennedy (CD, Vol. I, P.
)
Rep. Matsui (CD, Vol. I, P. 586)-FTE
Rep. Stenholm (CD, Vol. I, P. 768)FTE
Centers for Disease Control-FTE
HHS-FTE
MDS · Associates
(consultant) -FTE
{844)
White House Policy Assistant-SGE
(1678)
No Official Status Assigned
Veterans Affairs-FTE
Consultant-SGE {1678)
Veterans Affairs-FTE
Census-FTE
Sen. Conrad (CD, Voi. I, P. 1068)FTE
HHS-FTE
OMB-FTE
V.P.,
United
Health
Care
Corporation-SGE {1678)
Sen. Harkin (CD, Vol. I, P. 396)-FTE
West Virqinia Health care Planning
commission; (•consultant•) {1312)SGE (First Responses)-Not Listed
1678-1679
BBS-Not Listed as PTE, 840-846
Kaiser Commission on the Future of
Medicaid; Johns Hopkins UniversitySGE {1678); No OFficial Status, Not
Listed in First Responses
Department of Labor-FTE
Jackson-Hinds comprehensive Health
45
�SMITH, BARBARA
SMITH, ELMER
SMITH, MARK
SOBEL, LARRY
SPRINGER, M.
STEELE, PAMELA
SYKES, KATHY
TOWNSEND, JESSICA
Center-SGE (1678)
National Governors Association ( SD)No Official Status: Listed as
Representative of Intergovernmental
Organization (1786-1787)
HHS-HCFA-FTE
Vice
President,
Kaiser
Family
Foundation ("Consultant") (1312)-SGE
(1678)
DOD-FTE
Treasury-FTE
Veterans Affairs-FTE
Rep. Obey (CD, Vol. I, P. 1122)-FTE
HHS-PHS-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1310-1312, 30056. see Tab 32 attached to the Memorandum.
Working Group 22, Subgroup C, "Women and Children", of Cluster
Group V7II, consisted of the following members:
GROUP 22 -
HEALTH
POLICY . INITIATIVES
FOR
THE
UHDERSERVED
GROUP 22 LEADER
BONNIE LEFKOWITZ, HHS-FTE
GROUP 22 co-LEADER MARK SJaTH, Vice President, Kaiser
Fudly Foundation ( 1546) -SGE ( 1678) :
Consultant (526)
·
SUBGROUP C -
WOMEN ARD CHILDREN
American College of Obstetricians
and Gynecologists
JEAIOIIB ROSO
Alan Guttmacher Institute
RACHEL GOLD
Alan Gutblacher Institute
RAE CERAD
National Co.mission to Prevent
Infant Mortality
MARY CARPENTER
National COlllmi.ssion to Prevent
Infant Mortality
AARON SHDU.EY
Signs in as "BBS", Gives JacksonBinds Comprehensive Health center,
Jackson, liS, Phone HUDiber: RB: on
2/18/93 signed in as "Jackson-Binds
HC" (30059)
PETERS I D. WILLIAM National Association of Children's
Hospitals and Related Institutions
LARRY McANDEREWS
National Association of Children's
Hospitals and Related Institutions
AGNES H. DONAHUE
Office on Women's Health: u.s.
PUblic Health service/HHS
JERRY BENNET
PHS, Office of Population Affairs
CAROL GALATZ
MCHB/HRSA/PHS
KATHY BASSET
46
�RONALD J. VOGEL
JACKIE NOYES
ANNE SEGAL
EJ.I.EN BATISTILLI
B:ILL HAIULTOH
CAROL REGAN
ADOLPH P. FALCON
EJ.I.mt YUHG-FATAH
FREDERICK C. FOARD
LEROY ROBINSON
B:ILL CBAIIBRES
LUCY ALLEN
RUTH SHINN
Department of Agriculture/Food &
NutritionjWIC
American Academy of Pediatrics
ASPE/HHS
Planned Parenthood Federation
Planned Parenthood Federation
Children's Defense Fund
National Coalition of Hispanic
Health
&
Human
Services
orqanizations
Chief,
OUtpatient Services,
DC
Department
of
Consumer
and
Requlatory Affairs
Chair, National Operations Board,
National Minority Health Association
Executive
Director,
National
Minority Health Association
KMBA Meetinq & Conference Planner,
Newsletter Editor
Council on Economic Advisors
Women's Bureau, Department of Labor
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
30092, 30093.
See Tab 33 attached to the Memorandum.
Workinq Group
22,
Subpart D, "Population-Based Public Health
and Prevention", of Cluster Group VI:I:I, consisted of the following
members:
GROUP
22 -
GROUP
22
GROUP
22 co-LEADER
SUPGROUP
HEALTH
POLICY
UNDERSERVED
LEADER
D-
:IN:IT:IAT:IVES
FOR
THE
BONNIE LEFKOWITZ, BHS-FTE
Vice President, Kaiser
Family Foundation (1546)-SGE (1678);
Consultant ( 526)
MARK SIUTH,
POPULATION-BASED
PREVENTION
PUBLIC
HEALTH
AND
JOANKE 'LUKOMN:IK, MD JIYC Phone NUDber Given--Private
Physician (BBS) (525)-SGE (1678)COnsultant ( 545)
SUSAN MATHER, MD
OMB-FTE
LUCY ALLEN
CEA-FTE
KEN LINK
Veterans Affairs
NAMPEO McKENNEY
Census-FTE
ROSEHBAOII, SARAH
Georqe Washinqton University Center
for Health Policy Research; Listed
as "others to Wham :Information
Should be sent" (545); Listed as
47
�•White House• on 1546, but Phone
Number Listed is for the GWU CHPR;
Signs in as "White House", but Gives
Phone Number for GWU CHPR ( 30150,
30151) ; Same Phone Number as Ann
Zuvekas Below
Johns Hopkins University, Kaiser
Commission
on
the
Future
of
Medicaid; Listed Among "Others to
Whom Information Should be Sent• on
545; Listed as SGE-White House
(1678)
Rep. Slaughter (CD, Vol. I, P.
),
Women's Task Subgroup-FTE (847)
Labor (526)-FTE
Jackson-Hinds COmprehensive Health
Center (526)-SGE (1678)
Vice
President,
Kaiser
Family
Foundation (526); consultant (526,
1312); SGE-HHS (1678)
Defense-FTE
Veterans Affairs-FTE
Formerly House Select Committee on
Aging,
Appropriations
Expired
3/31/93; Rot Listed as FTE 840-840,
Listed as Consultant ( 526)
Rep. Abercrombie (CD, Vol • I , P.
436)-FTE
Rep. Strickland (CD, Vol. I, P.
654)-FTE
George Washington University Center
for Health Policy 296-6922 (527);
Listed as COnsultant ( 545) ; Ro
Official Status in Any of the
Responses
CDC Phone Number Given-FTE
CDC Phone Number Given-FTE
CDC Phone Number Given-FTE
HHS Phone Number-FTE
Sen. Bingaman (CD, Vol. I, P. 271)FTE
ROWLAND I DIANE
RYAN, ELAINE
SHINN, RUTH
SHIRLEY I AARON
SIIITH I
MARK
SOBEL I LARRY
STEELE I PAMELA
VEIDZ I IUCBARD
YAMAMOTO, ALAN
ZETTLER, SUSAN
ZUVEKAS I
AHR
JEFF KOPLAN
KATZ
BOB KEEGAN
CHERYL AUSTEIN
CARRIE, BILLY
MARTHA
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1546, 1547, 30036.
See Tab 34 attached to the
Memorandum.
Cluster Group XX, •Mental Health", consisted of Working Group
23,
"Benefits Package",
Working Group 25,
Working Group
24,
Children's Services•,
"Public System Impact/Special Populations•.
48
"Substance Abuse",
and Working Group 26,
See Tab 35 attached to
�the Memorandum.
Cluster Group IX, "Mental Health", and its leader are listed
as follows:
CLUSTER IX -
MENTAL HEALTH
CLUSTER IX LEADER - BERNARD ARONS, HHS-NIMH-FTE
Working Group
23,
"Benefits Package", of Cluster Group IX,
consisted of the following:
GROUP 23 -
GROUP
23
BENEFIT PACKAGE
LEADER -
ARONS, BERNARD
BARSTOW SCOTT
BOORSTIN, ROBERT
BROCK, PETER
FRANK, RICHARD
GOLDMAN, HOWARD
GORE, TIPPER
GUST,
STEVER
NONE LISTED (1761)
HHS-NIMH-FTE
Rep. Kopetski (CD, Vol. I, P. 570)FTE
White House Communications-FTE
Defense-FTE
(566) Mental Health Economist, Johns
Hopkins University
BBS CMHS-SGE (1678)
Office of the Vice President
BBS-HIH, Rep. Strickland-r.l'E (842):
Part-time
COngressional
Liaison
(1626)
BARRIS, SIULA
HAYES, CBARLOT'l'E
HORVATH, THOMAS
IIELKAH,LORI
MELNICK, DANIEL
NORQUIST, GRAYSON
PIRES, SHEILA
ROSENMAN, PAT
SCHUSTER, JAMES
STEPHENS, SHARMAN
STOLID, AHHE, liD
Office of the Vice President
Office of the Vice President
Veterans Affairs
IDIS-SGE ( 1678) : Part-time Volunteer
(1626)
HHS-FTE (846)
HHS-FTE (846)
Part-time COnsultant, BBS (1627):
202/333/1892,
Human
Services
COllaborative (1692) - See Sign-in
List (30038}: Hot in Directory:
Responses Say She Works for Riegle:
Riegle's Office Rever Heard of Her
HHS-FTE (847)
Rep. Strickland (Hot in Directory) Law Student from George Washington
University: How Back at SChool
According to Strickland's Office at
10:45 a.m. on 1/27/94 - He was an
Intern
HHS-FTE
Psychiatrist at Springfield State
49
�Hospital, Maryland (867); Classified
as "White House" on 796 and as a
Full-time Volunteer from the State
of Maryland (572, 1627)
Part-time Consultant to HHS (1627);
SGE-IUIS-CMHS
( 1679) : Dimensions,
Inc., According to Phone Number on
30041
HHS-FTE
Sen. Labor and HR Committee (CD,
Vol. I, P. 1137)-FTE
Rep. Strickland (CD, Vol. I, P.
654)-FTE
STROUL, BETH
TIMS, FRANK
WEICH, RONALD
ZETTLER, SUSAN
ON 566 THE FOLIDWING NAMES ARB ADDED TO THE GROUP:
SPECIAL AREAS:
EFFECTIVENESS ( 566)
FULLER, DICK
HAVERKOS, HARRY
KEITH, SAM
TIMS, FRANK
DATA AND QUANTITATIVE ANALYSIS
FRANK, RICHARD
MELNICK, DAN
MANDRSCHIED, RON
REFIER, DARRELL
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
537-580, 796, 1140, 1240, 1241, 1338, 1549, 1550, 16261630, 30034-30037, 30111, 30145-30167, 30178. See Tab 36
attached to the Memorandum.
Working Group 24, "Substance Abuse", of Cluster Group IX,
consisted of the following Members:
GROUP 24 -
SUBSTANCE ABUSE
GROUP 24 LEADER -
NONE LISTED (1761)
ARONS, BERNARD
BLOSS, GREGORY
BROCK I PETER
GOPLERUD I ERIC
GUST, STEVE
HHS-NIMH-FTE
HHS-FTE
DOD-FTE
HHS-FTE
BBS-NIB (First Responses)-FTE-Rep.
Strickland ( 841) : Rep. Strickland's
Office Never Beard of Him; nor Sen.
Wellstone's Office
OVP-FTE
Montgomery County Department of
Addiction Services ( 537, 539 1 543)
HARRIS, SKILA
BOLT I HERBERT
50
�MELMAN, LORI
MELNICK, DANIEL
NOBLE, JONATHAN
ROUSE, BEATRICE
SCHECKEL, LISA
STEPHENS, SHARMA
STOLINE, ANNE
TRACHTENBERT I ALAN
WOODWARD 1 ALAN
HHS-Not Listed as FTE on 846; Listed
as SGE (1678); Listed as Part-time
Volunteer (1626)
HHS-FTE
NIAAA/HHS-FTE (846)
HHS-FTE
HHS-FTE
HHS-FTE
Psychiatrist at Springfield State
Hospital, Maryland (867); Courtesy
staff Psychiatrist, Sheppard-Pratt
Hospital,
Baltimore
(764)-SGE
(1695); Full-time Volunteer, State
of Maryland ( 1627)
HHS-FTE
HHS-FTE
SOURCES: Declarations o:f Marjorie Tarmey, Documents Nos.
552, 556, 569, 578, 795, 1316, 1317. See Tab 37 attached
to the Memorandum.
Working Group 25, "Children's Services•, of Cluster Group· IX,
consisted of the foilowing members:
GROUP 25-
CHILDREN'S SERVICES
GROUP 25 LEADER -
NONE LISTED (1761)
ARONS I BERNARD
GOLDMAN, SYBIL
HHS-NIMH-FTE
Georgetown
University
Child
Deveopment Center ( 538)
Office of the Vice President
Office of the Vice President
HHS
BBS-Not Listed as PTE; Listed as SGE
( 1678) ;
Listed
as
Part-time
Volunteer ( 1627)
HHS-FTE
Human Service Collaborative (538)
Sen. Riegle - Office Never Beard of
Her
HHS-FTE
Psychiatrist,
Springfield
State
Bospital, Maryland ( 867)
Management Training & Innovations,
Inc. (703/790-0990) (538)
GORE, TIPPER
HARRIS, SKILA
KATZ-LEAVY I JUDITH
KELMAN, LORI
MELNICK, DANIEL
PIRES, SBElLA
RICKEL, ANNETTE
STEPHENS, SHARMAN
S'l'OLINE, ANNE
STROUL, BETH
SOURCES: Declarations o:f Marjorie Tarmey, Documents Nos.
558, 563, 567, 576, 797.
See Tab 38 attached to the
Memorandum.
51
�Working Group 26, "Public System Impact/Special Populations•,
of Cluster Group IX, consisted of the following members:
GROUP 26 -
PUBLIC SYSTEM IMPACT/SPECIAL POPULATIONS
GROUP 26 LEADER -
NONE LISTED (1761)
ARONS, BERNARD
GUST, STEVEN
HHS-NIMH-FTE
HHS-NIH, Rep. Strickland-FTE (842):
Part-time
congressional
Liaison
(1626)
HHS: Part-time (1627): Listed as FTE
(843)
Office of the Vice President
Office of the Vice President
Veterans Affairs
BBS-SGE. (1678): Part-time Volunteer
(1626)
HHS-FTE (846)
HHS-FTE
Psychiatrist at Springfield State
Hospital, Maryland (867): Classified
as "White Bouse• on 796, and as
Full-time Volunteer from the State
of Maryland (572, 1627)
HARPER I
MARY
HARRIS I SKILA
HAYES, CHARLOTTE
HORVATH, THOMAS
IIELMAH,LORI
MELNICK I DANIEL
STEPHENS, SHARMAN
S'l'OLIHE I ARHE I liD
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
557, 562, 568, 577, 812, 813. See Tab 39 attached to the
Memorandum.
Cluster Group X, •Long Term care•, consists of Working Group
27 I "Long Term Care-Background• I Working Group 28 I "Long Term carePUblic Options•, Working Group 29, •Long Term Private Options•, and
Working Group 30, •cost and Revenue•.
See Tab 40 attached to the
Memorandum.
Cluster Group X , "Long Term care•, and its leader was as
follows:
CLUSTER LEADER -
ROBYR S'l'OHE, Project HOPE (584)
STAFF -
ATUL GAWANDE, "ASPE Staff Assistant.
Can Provide the Latest Master
Calendar." (585)
Working Group 27, "Long Term care - Background•, of Cluster
Group X, consisted of the following members:
52
�GROUP 27 -
LOifG TERM CARE -
CHAIR -
MARY HARAHAN, (591) HHS-FTE
ALTMIRE, JASON
ADLER, MICHELE
ASH, SHERRY
BLOOM, FELICIA
BODE, HOLLY
CLARK, ROBERT
CLAUSER, STEVEN
DANIELS, SUSAN
DONESKI, ELLEN
DOTY, PAMELA
DRABEK, JOHN L.
ECKERT I KEVIIf
GOODWIN, MARSHA
HARAHAN, MARY
KATZ, RUTH
KELLEY, . LAUREN
LIPNER, ROBYN
MILLER; NANCY
OTRIIf I
SUSAif
SIMON, MARSHA
SMITH, BETH
SOCHALSKI: I
JOI..7E
STORE I ROBYif
YBLOZ
I
RICHARD
BACKGROUifD
Rep. Peterson (CD, Vol. I, P. 921)FTE
HHS-ASPE-FTE (840)
HHS-FTE (840)
Rep. Slaughter (CD, Vol. I, P. 647)FTE
Senate committee on Aging-FTE
HHS-ASPE-FTE (841)
HHS-HCFA (781)-FTE (841)
HHS-ACF-ADD-FTE (841)
(781) Sen. Rockefeller (CD, Vol. I,
P. 352)-FTE
HHS-FTE
HHS-ASPE (No Official Status Given)
Robert
Wood
Johnson
Fellow,
Sponsored by University of Maryland
in the Office of Sen. Wofford (D-PA)
[See Tab 56 attached to the
llmaorandum] : ri'E-841
Veterans Affairs-PTE
HHS-ASPE-FTE
HHS-ASPE-FTE
(585) Policy Assistant -·WHo- SGE
· (First
Responses);
Columbia
University (732)
Sen. Mikulski (CD, Vol. I, P. 395)FTE
HHS-HCFA-FTE
( 585) WHO - Policy Assistant - SGE
(First
Responses):
Columbia
University (732)
Sen. Kennedy (CD, Vol. I, P. 395)FTE
.
Veterans Affairs-PTE
Robert
Wood
Johnson
Fellow,
Sponsored by Columbia University in
Sen. Bradley's Office [See Tab 56
attached to the Memorandum] : FTE
(846)
Project HOPE-SGE ( 1679)
Rot Listed as PTE: Formerly Staff
Director, House Select COlaJDi.ttee on
Aqing, Lost Funding 3/31/93. (Gives
Home Address and Phone lflDiber as
Task Force Contact ( 584) )
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
581-686, 781, 1309, 1552. See Tab 41 attached to the
Memorandum.
53
�Working Group 28,
nLong Term care -
Public Optionsn,
of
Cluster Group X, consisted of the following members:
LONG TERM CARE - PUBL:IC OPT:IOHS
GROUP 28 CHAIR -
PETER KEMPER, AHCPR (659)-PTE
BODE, HOLLY
Sen. Pryor (Senate Aging Committee)
(840)-FTE
HHS-PTE (841)
Sen. Rockefeller (CD, Vol. I, P.
352)-FTE
HHS-ASPE-PTE (842)
HHS-FTE (843)
Senate Aging Committee (CD, Vol. I,
P. 401)-PTE
HHS-ASPE-FTE (844)
Rep. Collins (CD, Vol. I, P. 1019)PTE
Council on Economic Advisors
OMB-PTE (844)
State of Arkansas
Veterans Affairs-PTE
Project HOPE-BBS SGE ( 1678)
OMB-FTE
Brookings :Institution (Gives Phone
Humber - 797-6266) ( 1553) - SGE
(1679)
DANIELS, SUSAN
DONESKI, ELLEN
HARAHAN, M.
HARVELL, J.
HOGUE, BONNIE
RUTH
KEENE, BRAD
KATZ,
LUCAS, DEBBIE
McCONNELL, S.
SIMPSON I BOBB:IE
SMITH, MARY B.
STORE I ROBYN
WASSERMAN, M.
W:IEHER, JOSH
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
782, 1553. See Tab 42 attached to.the Memorandum.
Working Group 29,
nLong Term care -
Cluster Group X, consisted of the following
GROUP 29 -
Private Optionsn, of
m~mbers:
LOlfG TERM CARE - PR:IVATE OPT:IOlfS
GROUP CIIA:IR -
PETER ICEIIPER ( 659)
DANIELS I SUSAN
DONESKI, ELLEN
HHS-FTE (841)
Sen. Rockefeller (CD, Vol. I, P.
352)-FTE
Veterans Affairs-FTE
HHS-FTE (843)
Rep. Collins (CD, Vol. I, P. 1019)PTE
Council on Economic Advisors
OMB-FTE (844)
Veterans Affairs-PTE
Project BOPE-BBS-SGE ( 1678)
OMB-FTE
Brookings :Institution (Gives Phone
GOODWIN I MARSHA
HARVELL I J.
KEENE, BRAD
LUCAS, DEBBIE
McCONNELL, s.
SMITH I MARY B.
STORE I ROBYN
WASSERMAN, M.
W:IEHER, JOSH
54
�Humber 797-6266) (1553)-SGE {1679)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
783, 1554, 30045. See Tab 43 attached to the Memorandum.
Working Group 30, "Long Term Care - Cost and Revenue•, of
Cluster Group X, consisted of the following members:
GROUP
LONG
30 -
BLOOM, FELICIA
BROWH I MARY L.
BUCK, JEFF
DANIELS, SUSAN
ENGLISH, MIKE
FRANK, RICHARD
FRIEDHOLM, DEARH
McNAMEE, NIKKI
SIMON I MARSHA
SMITH, BARBARA
STONE,
VOLPE,
ROBYN
CARL
TERM CARE -
COST
AND REVENUE
Rep. Slaughter (CD, Vol. I, P. 647)FTE
National
Governors
Association
{30138): No Official Status
HHS-HCFA-FTE (840)
HHS-FTE
HHS-FTE. (841)
Johns Hopkins University-SGE (1678)
National Governors Association (TX) :
Representative of Intergovernmental
organization, Assigned to Group 8
(1787): No Official Status
National Governors Association (SC):
No Official Status - Representative
of Interqovernmental organization Assigned to Group 3 (1787)
Sen. Kennedy (CD, Vol. I, P. 395)FTE
National Governors Association ( SD) :
No Official status - Representative
of Interqovernmental organization,
Assigned to Group 22 ( 1787)
Project BOPE-SGE (1679)
National Governors Association: No
Official status: Representative of
Intergovernmental · Organization,
Assigned to Groups 28 and 30 ( 1787)
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
784, 1551, 30046, 30138.
See Tab 44 attached to the
Memorandum.
Cluster Group XI, "EconoDdc Impacts•, consisted of one (1)
Working Group, that being Working Group 31, •Economic Impacts.•
Working Group
31,
"EconODi.c
Impacts•,
consisted of the following members:
CLUSTER XI GROUP
31 -
ECONOMIC IMPACTS
ECONOMIC IMPACTS
55
of
Cluster Group
XI,
�GROUP LEADER -
DAVID CUTLER, OMB (971)-FTE
ANDERSON, ROBERT
BAKER, LAURENCE
OMB (695)-FTE
Princeton University (687, 695, 697)
(Office Number and FAX Number at
Princeton) (697) - Listed as "SGE"
(1678)
Census Bureau (695)-FTE
Treasury (695)-FTE
CEA-FTE
BEA/Commerce (695)-FTE
Princeton University (687, 691,
694)-SGE-BBS (1678)
OMB (695)-FTE
Policy Assistant (695) White Bouse
SGE (1678)
Princeton University (687, 691,
694);
Ho
Official
Status;
Participation Hot Acknowledged in
First Responses
Joint Tax Committee (CD, Vol. I, P.
) (695)-FTE
Sen. Wofford (CD, Vol. I, P. 1115)
(695)-FTE
HHS (696)-FTE
HHS (696)-FTE
HHS-HCFA (696)-FTE
Sen.· Dingell (CD, Vol. I, P. 710)
(696)-FTE
CAMPBELL, PAUL
DINKELACKER, BILL
GLIED, SHERRY
KASS, DAVID
KRUEGER, ALAN
NICHOLS, LEN
PI CILLO I THERESA
REINHARDT I UWE
SHEINER, LOUISE
SOLOMON 1 DAN
TAYLOR, AMY
THORPE, KEN
WALDO, DAN
WOO, MICHAEL
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
687-698, 785, 1555.
See Tab 45 attached to the
Memorandum.
Cluster Group XII, "Quantitative Analysis•, consisted of one
( 1) Working Group, that being Working Group 32, •Quantitative
Analysis•.
Working Group 32, •Quantitative Analysis•, of Cluster
Group XII, consisted of the following members:
CLOSTER XII
QUANTITATIVE AHALYSIS
GROUP 32 -
QUANTITATIVE AHALYSIS
CLUSTER/GROUP LEADER
ALECXIH,LISA
ANDERSON, ROBERT
ARNETT I ROSS
BANTHIN, JESSICA
BURNER, SALLY
KEN THORPE, HHS-FTE (971)
Lewin ( 1335) ; Ho Official Status
Given
OMB (699)-FTE
HHS-HCFA (699)-FTE
HHS-ACHPR (699)-FTE
HHS-HCFA (699)-FTE
56
�CALAHAN, CATIII
COHEN, JOEL
CUTLER, DAVID
FRANK,
RICHARD
FREELAND, MARK
HOLAIIAN, JOliN
HOLTZBLATT, JANET
HUNTER, GILLIAN
ILLSTON, LAURA
KASS, DAVID
DAVJ:D
KEMNELL,
KING, ROLAND
LONG, STEPHEN
KRUEGER, ALAN
MAXFIELD, KYLES
llcKUSICK, DAVJ:D
NELSON, CHUCK
NICHOLS, LEN
SHELDON, GEORGE
SHEINER, LOUISE
Actuarial Research Corporation ( 699)
- Consultant (First Responses)
HHS-AHCPR (699)-FTE
council on Economic Advisors (699)FTE
Johns Hopkins University (1334) CSIII
(699) - SGE HHS NIMH (1678)
HHS-HCFA (699)-FTE
Urban Institute (1333): No Official
status Given
Treasury (699)-FTE
Treasury (699)-FTE
Lewin ( 1335) : No Official Status
Given
BEA/Commerce (699)-FTE
Lewin (1335): No Official Status
Given
HHS-HCFA (699)-FTE
Rand Corporation ( 1333) : No Official
Status Given
Princeton
University
(702)-SGE
(1678): Consultant (First Responses)
KatbDiatical Policy Research (1333):
Mo Official Status Given
Actuarial
Research
Corporation
( 699) : No Official Status: No
Participation Acknowledged (First
Responses)
Census (699)-FTE
OMB (699)-FTE
Veterans Affairs-FTE
Joint Taxation committee (CD, Vol.
I, P.
SHORT, PAMELA F.
TAUBER, CYNTHIA
THORPE, KEN
TRAPNELL, GORDON
VISTRIES, JESSICA
WALDO, DAN
WASSERMAN, MARK
WIENER, JOSH
ZBDLEWSKI, SHEILA
)
HHS-AHCPR (699)-FTE
Census (699)-FTE
HHS-FTE
Actuarial Research Corporation ( 699)
- consultant (First Responses)
HHS-AHCPR (699)-FTE
HHS-HCFA (699)-FTE
OMB
Brookings (1335) - SGE (1679
Urban Institute: No Official Status
Given (1333)
SOURCES: Declarations o~ Marjorie Tarmey, Documents Nos.
699-703, 713' 714, 786, 1333-1337, 1556, 1557, 1633,
30047. See Tab 46 attached to the Memorandum.
Cluster Group XIII I
"Legal Audit• I
consisted of one
( 1)
Working Group, that being Working Group 33, "Legal Audit•. working
Group 33, "Legal Audit•, of Cluster Group XIII, consisted of the
57
�following members:
CLUSTER XIII - LEGAL AUDIT
LEGAL AUDIT
GROUP 33 -
ANTHONY I BARBARA
BARNES I MARK
BIDDLE I BARBARA
BRIFFAULT I RICHRAD
GOLDMAK, ED
GRAETZ I MICHAEL
HOLDER, AHGELA
McGAREY I
BARBARA
MEYER I KATIIRYR
MILLOCK, PETER
RYAH I BETSY
SCHULTZ I MARJORIE
SLOWES I
RICK
ZELHER, BARBARA
Office of the Massachusetts Attorney
General: No Official Status
NYC
Department
of
Health:
No
Official Status
DOJ-Civil {30149)-FTE
Columbia Law School: Ho Official
status
university of Michigan Hospitals: Ho
Official Status
Yale Law School: No Official Status
Yale University School of Medicine:
No Official Status
National Institutes of Health-PTE
Beth Israel Medical Center: No
Official Status
Hew York State Department of Health:
Ro Official status
Hew Jersey Department of Health: Ro
Official status
Boalt
Hall School of Law:
No
Official status
Office of the Attorney General of
Minnesota: Ro Official Status
Rational Association of Attorneys
General (30149): Ro Official status
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1558, 30149, unnumbered page, "Legal Issues". See Tab 47
attached to the Memorandum.
Cluster Group XIV I
Working Group,
•Numbers Audit• I
consisted of one
that being Working Group 34,
8
( 1)
RUDibers Audit•.
Working Group 34, •Numbers Audi t•, of Cluster Group XIV, consisted
of the following members:
CLUSTER XIV -
IIOIIBERS AUDIT
GROUP 34 -
IIOIIBERS AUDIT
ATiaRSOM I HOWARD
BERTKO I JOHN
DORAN I PHYLLIS .
GREENWOOD I BRENT
BELliS I
DICK
osrow 1 RICH
Atkinson & co. 1 Inc.
COOpers & Lybrand
llill:man & Robertson
TillinghastjTowers Perrin
Tbe Principal Financial Group
Towers Perrin
58
�The DuPont Co.
Price Waterhouse
PORTER, KEH
RODGERS, JACK
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1559, unnumbered page, "Cost Issues".
See Tab 48
attached to the Memorandum.
Cluster Group XV, "The Drafting Group•, consisted of one (1)
Working Group, that being Working Group 35, "The Drafting Group•.
Working Group
35,
"The Drafting Group•
of Cluster Group XV,
consisted of the following members:
CLUSTER XV-
THE DRAFTIHG GROUP
GROUP 35 -
THE DRAFTING. GROUP
OMB (738)
STEVE BANDEAIAN
BETTE BRIGGS
SHIRLEY SAGAWA
MARINA WEISS
SOURCES:
738-761.
DOL (739)
?? (756)
Treasury (761)
Declarations of Marjorie Tarmey, Documents Nos.
See Tab 49 attached to the Memorandum.
Working Group 36, "Disability cross-cutting Work Group•, was
not part of any Cluster Group, but 1 rather, was free-standing.
Working Group
36 1
"Disability cross-cutting Work Group, •
composed of the following members:
GROUP 36 LEADER -
SIMI LITVAK,
Disability
BROWH I
UCLAf.Rand COrpo~ation - SGE {1678)
Rational
Rehabilitation Bospital
Research Center; Ho Official Status
Assigned
(671)-HHS-ASPE-FTE (1672)
Representative of Interqovernmental
Orqanization ( 1786) ; Signed in as
•Texas Medicaid/Task Force• ( 30080) ;
Assigned to Group 8, Underserved
( 1786) ; Ho Official Status Assigned
HHS-Office of Disability Policy-FTE
(842)
.
(30080)
State
of
california
Department
of
Health
services,
Chief, Children's Medical Services;
Ho Official Status
lUCK
DeJOHG, GERBER
DOTY, PAMELA
PRIBDBOLM, DEAH.If
GOLD, MARTHA
GREGORY, II.
59
World
Institute
on
was
�GRISS I ROBERT
JENSEN I ALAN
JOHNSON, DON
LITVAK I SIMI
McGRALY, KATHLEEN
O'KEEFE, JANET
OTRI:N I
SUSAN
SCJDaDT I
BILL
SELTMAN I
PAUL
SILVERSTEIN, BOB
STONE I ROBYN
STRAHAN, IIAIUE
SYLVESTER, GREG
THOMAS I PETER
THOMPSON I GERI
WODATCH, JOHN
United Cerebral Palsy (30080); No
Official Status
Georqe washinqton University, Center
for Health Policy Research; No
Official Status Assiqned
HHS-HCFA-FTE (843)
World Institute on Disability - SGE
(First Responses) ; Not Listed as SGE
on 1678-1679
(30080) The Association of Retarded
Citizens; No Official Status
American Psychological Association,
Assistant
Director
for
Public
Interest Policy; No Official Status
Assiqned
WHo-Policy Assistant
Columbia
university (732) (30174)
(30080)
Epilepsy
Foundation
of
America; No Official Status
House Education & Labor Committee
(CD, Vol. I, P. 1106)
U.s.
Senate
Subcommittee
on
Disability
Project HOPE (671)
ADD/Protection & Advocacy ( 30080);
No Official Status
u.s.
Senate,
Subcommittee
on
Disability
Amputee
COalition
of
America
(30080); No Official Status
National
Chronic
Care
Consortium/Beth
Israel
Hospital
(3008); No Official Status
American
Speech-Lanquaqe-Hearinq
Association (30080); No Official
Status
Department of Justice, Civil Riqhts
Division
FTEs:
ASH, SHERR!
BROWN, RICK
CLAUSER I STEVE
DANIELS 1 SUSAN
DOTY I PAMELA
HARAHAN I MARY
KATZ, RUTH
MANDERSCHEID, RON
PARADISE, JULIA
REINECKE, PETER ·
HHS-ACF
UCLA
HHS-HCFA
HHS-ACF
HHS-ASPE
HHS-ASPE
HHS-ASPE
HHS-PHS
HHS-ASPE
Sen. Harkin (CD, Vol. I, P. 396)
60
�SIGN-IN LIST (UNDATED):
BILLY WEBSTER
ELAINE HOLLAND
ANITA BICKSTELL
WILLIAM MODZOLESKI
AARON SHIRLEY
DEBORAH LEVINE
CONNIE GARAU
GAIL HOULE
JUDITH KATZ-LEAVY
CAROLYif BANDY
SHEILA PIRES
PAT ROSENMAN
SHIRLEY JACKSON
CHARLOTTE BEASON
SUSAN OTRIN
JULIA TILLMAN
CHERYL AUSTEIN
SUSAN DANIELS
SHERR! ASH
MARGERY GEHAH
RUTH SHINN
LARRY SOBEL
CARRIE BILLY
BLANCA RODRIGUEZ
FRANK CORRIGAN
JON WADE
KIMMON RICHARDS
Chief of Staff, Department of
Education
Department
of
Education,
Intergovernmental Office
Department of Education
Department of Education
Jackson-Hinds Comprehensive Health
Center
WHO-Policy Assistant - Unemployed
(732) - SGE (1678)
Department of Education, Office of
Special Education and Rehabilitation
Department of Education, Office of
Special Education and Rehabilitation
co-Chair,
Child
Mental
Health
Workgroup - HHS, Center for Mental
Health Services
CEO, Blacks Educate Blacks About
sexual Health Issues (Cluster III,
New System Infrastructure, Group 12,
Health care Workforce)
Human service Collaborative: coChair, Mental Health and Substance
Abuse Work Groups
HHS (Substance Abuse Work· Group)
Department of Education
HHS-Cluster
III,
New
System
Infrastructure, Group 12, Health
Care Workforce)
Health care POlicy Analyst - SGE
(First
Responses):
Columbia
University (732): Not Listed 16781679: Assistant to Cluster X, Long
Term care
HHS/PHS
HHS/PHS
HHS - LTC Work Group
HHS - LTC Work Group
WHO - Health care Policy Assistant
to Clusters rv (Integration of
Govermaent Health Programs Into New
System) , V (Ethical Foundations of
the New System), and VII (Financing)
Department of Labor, Women's Bureau
Department of Defense
Sen. Bingaman (CD, Vol. I, P. 271)FTE
White House on Education Excellence
for Hispanic Americans
Department of Education
Department of Education
Department of Education
61
�VAL KISKO
.
Department of Education
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
671, 717-718, 1068, 30128, 30141, 30048, 30051, 30174,
30175. See Tab 50 attached to the Memorandum.
Working Group 3 7, "Rural Cross-cutting Group•, was not part of
any Cluster Group, but, rather was free-standing.
37,
Working Group
"Rural Cross-cutting Group", was composed of the following
members:
. RURAL CROSS-CUTTING GROUP
GROUP 37 -
ADLER, MICHELE
ALBERGHINI, THERESA
ALLEN, LUCY
ARCADOZ, RICHARD
BOEHM, JENNIFER
COHEN, RIMA
CLAY, JIMMY
DENTON, ·DENISE
EVANS, JENNIFER
FALETTI, TOM
FRANTZ, MOLLY
KEPNER, COLLEEN
MANDERSCHEID, RON
MANTEL, LEWIS
KILLER, CAROL
MINTZER, CAROL
MURGUIA, JANET
O'BRIEN,
MARY
JO
PUSKIN, DENA
QUAM, LOIS
REINECKE, PETER
RICHARDSON, SALLY
HHS/ASPE-FTE (840)
Sen. Leahy (CD, Vol. I, P. 327)
CEA-FTE (840)
BBS (709): No Official Status Given
Rep. Long (CD, Vol. I, P. 581)
Sen. Daschle (CD, Vol. I, P. 942)
Veterans Affairs-FTE (841)
Colorado
Rural
Health
Resource
Center-SGE (First Responses) : Not
Listed 1678-1679
Sen. Campbell (CD, Vol. Ii P. 282)FTE
Sen. Durbin (CD, Vol. I, P. 969)-FTE
Rep. Pomeroy (CD, Vol. I, P. 705)FTE
Rep. Stenholm (CD, Vol. I, P. 768)FTE
HHS-CMHS-FTE (844)
Veterans Affairs-FTE (844)
Mountain
Management
Co. ,
NM
(Handwritten Note, •MM•, BHS Phone
Number Given)
(709)-SGE
(First
Responses, Not Listed 1678-1679)
Public Health Service (Not Listed as
a Public Employee)
Rep. Slattery (CD, Vol. I, P. 741)FTE
National
Governors
Association
( 709) ; SGE (First Responses, Not
Listed on 1678-1679)
PHS-FTE (847)
Handwritten Note •u. o• (709), VP,
United
Health
care
Corp.,
Minneapolis:
SGE
( 1678,
First
Responses)
Sen. Harkin (CD, Vol. I, P. 396)-FTE
West Virginia Health care Planning
Commission: SGE (First Responses,
62
�Not Listed 1678-1679)
Iowa Department of Public Health Consultant (First Responses)
Jackson-Hinds Comprehensive Health
SHIRLEY I AARON
center; SGE (1678)
National
Governors
Association
SMITH I BARBARA
(1787); No Official Status
Veterans Affairs-FTE
STEELE, PAMELA
Rep. Obey (CD, Vol. I, P. 1122)-FTE
SYKES, KATHLEEN
Sen. Baucus (CD, Vol. I, P. 268)-FTE
TESTORI, MAUREEN
National Association of Counties
UYEDA, MARY
(1787); No Official Status Given
Sen. Mitchell (CD, Vol. I, P. 338)WILLIAMS, CHRISTINE
FTE
HHS-FTE (848)
WOODWARD, ALBERT
SCHADLE I JANE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
709-712, 1634, 1635.
See Tab 51 attached to the
Memorandum.
Working Group 38, "Benefits Coordination", was not part of any
Cluster Group, but, rather, was free-standing.
Working Group 38,
"Benefits Coordination", was composed of the following members:
GROUP
BROWN I
38 -
BENEFJ:TS COORDJ:HATJ:ON
LEFKOWITZ, BONNIE
GATZ I CAROLYN
PUSKIN, DEENA
SOFAER, SHOSHANA
RJ:CHARDSON I
SALLY
IIANOWJ:TZ I IIJ:CIJET.T.E
BERGTHOLD I LJ:NDA
VALDEZ, BOB
SMJ:TR, MARK
SChool of Public Health
(Group 22) Practicing Physician from
New York City; SGE (1678)
(Group 22) HHS, Bureau of Primary
Health care
Louisville - COmmerce - Louisville
Mayor's Office (First Responses
only): Ro Official status Assigned.
Rote That She Was BirSd by Commerce,
Employed in Whi.te Bouse
(Group 2) HRSA (Earlier, PROPAC)
(Group
8)
George
washington
University Medical Center:
SGE
(1678)
(Groups 2 & 22) West Virginia
Department
of
Health
Public
Employees J:nsurance COmmission: SGE
(First Responses) : Rot Listed in
1678-1679
The Johns Hopkins University (732)
(Group 6) wm.. Mercer (SF)-SGE (1678)
(Group 6) UCLA SChool of Public
Health; SGE (1679)
(Group 22) Vice President, Kaiser
Family Foundation: SGE ( 1678)
UCLA
RJ:CK
LUKOIINJ:K I JOANNE
63
�JOHNSON, DON
FISKE, MARY BETH
RICE, CHERI
(Group 8) HCFA - Medicaid DivisionPTE
(Groups 6 & 8) Labor Committee
(Previous: HCFA)-FTE
(Group 8) OMB-FTE
SOURCES: Declarations of Marjorie Tarmey, Document No.
30129, "Sign-in Sheet".
See Tab 52 attached to the
Memorandum.
Workinq Group 39, nMinority Issues Review Group•, was not part
of any Cluster Group, but, rather, was free-standing.
Group 39,
Workinq
•Minority Issues Review Group• was composed of the
following members:
KINORITY ISSUES REVIEW GROUP
JAKES ACEVEDO
JESSE BARBER
PHILLIP BROOKS
RICHARD BUTCHER
KICIIAEL BYRD
PAMELA CASHEW
LIIfDA CLAYTON
ROSEMARY DAVIS
SU~ D~
ADOLPH FALCON
KAlUA ELENA FLOOD
HECTOR FLORES
JOYCE ESSIEN
Assistant
Director,
American
Healthcare Management, Huntington
Park, CA
National Medical Association, Chair
of council Medical Legislation,
Washinqton, DC
National Black Hospital Association,
President,
Norfolk
Community
Hospital, lforfolk, VA
President,
National
Medical
Association, El cajon, CA
Research
Fellow,
Department
of
Health Policy & llanaqement, Harvard
School of Public Health, Boston, IIA
Assistant Administrator, Riverside
General Hospital, Houston, TX
Research
Fellow,
Department
of
Health Policy & Management, Harvard
School of Public Health, Boston, IIA
National
Medical
Association,
Washington, DC
Senior
Attorney,
National
IDIIIliqration Law Center, Los Angeles,
CA
National
COalition
of
Hispanic
Health
&
Human
Services
orqanizations, Washinqton, DC
Proqrua Director, Health Sciences
Center, Texas Tech, El Paso, TX
co-Director,
Family
Practice
Residency Proqrua, Wb.i te Memorial
Medical Center, Los Anqeles, CA
Director, Office of Public Health
Practice, School of Public Health,
64
�LUIS ESTEVEZ
THURMAN EVANS
ERNEST GIBSON III
TESSIE GUILLERMO
HAZEL HARPER
JOSEPH HEMRY
ANNE BILL
SADAKO HOLMES
ELIZABETH KING
DAPHNE
JOHN
B. WAINE .KONG
OSVALDO LOPEZ
RANDALL MAXEY
RAMONA MCCARTHY
LAURIN MAYENO
TER1U SMITH MOORE
VERNELLIA RANDALL
ELENA RIOS
RENE
RODRIGUEZ
Emory University, Atlanta, GA
Medical
Director,
Segundo
Ruiz
Belvis, Neiqbborhood Family Care
Center, Bronx, lfY
President
&
CEO,
WholeLife
Associates, Elkins Park, PA
Administrator/CEO, Riverside General
Hospital, Houston, TX
Executive Director, Asian American
Health Forum, San Francisco, CA
National
Dental
Association,
Washinqton, DC
Associate Dean, Harvard School of
Dental Medicine, Boston, MA
National Urban Leaque, New York, lfY
Executive Director, National Black
Nurses'
Association,
Inc.,
Washinqton, DC
National
COuncil
of
La
Raza,
Washinqton, DC
Medical Director, Queens Villaqe
CO:mmunity for Mental Health, St.
Albany, lfY
Riverside General Hospital, Houston,
TX
Executive Director, The Association
of Black Cardioloqists, Miami, FL
Chairman, Department of Opthomoloqy,
Chicaqo, IL
President,
CEO,
BealthQuest,
Hawthorne, CA
President, lfational Pharmaceutical
Association, Silver Sprinq, MD
Association
of
Asian
Pacific
Community
Health
organizations,
oakland, CA
National PharmaceutiCal Association,
Washinqton, DC
Assistant Professor of Law, SChool
of Law,
University of Dayton,
Dayton, OR
President,
The
ChicanojLatino
Medical Association of california,
Buntinqton Park, CA
President, Interamerican COlleqe of
Physicians and Surqeons, Washinqton,
DC
DIANE SANCHEZ
FRANK SESSOMS
WES SHOLES
SAMUEL
SDIMOlfS
PAUL SDIIIS
Women's Medical Arts, Milpitas, CA
Pittsburqh, PA
National Association of Black County
Officials, Rancho Palos Verdes, CA
caucus and Center on Black Aqed,
Washinqton, DC
Department of Health Services, San
65
�Diego, CA
National Association of Hispanic
Nurses, College of Nursing - USF,
Tampa, FL
Family Practice Center, Memorial
Medical Center, Corpus Christi, TX
Administrator
&
CEO,
Southwest
Hospital & Medical Center, Atlanta,
SARA ToRRES
DAVID VALDEZ
HERBERT WELDON
GA
SOURCES:
Declarations of Marjorie Tarmey, "Minority
Issues Review Group", unnumbered-. See Tab 53 attached to
the Memorandum.
Working Group 40, •Academic Health Centers•, was not part of
any Cluster Group, but, rather, was free-standing.
40,
"Academic Health Centers•,
was
Working Group
composed of the
following
members:
ACADEIIIC HEALTH CENTERS
GROUP 40 -
GROUP 40 LEADER AL'l'MAH I
DAVID
BERENSON I
BOB
CLARK, WILLIAM
DAUMIT I GAIL.
DAVIES, MONICA
EDDY, DAVID
EKANUEL, EZEKIAL
ELIZABETH SHORT, Veterans AffairsFTE (846)
Robert
Wood
Johnson
Fellow,
Sponsored by UCSF Center for Health
Professionals
{704);
in
Sen.
Rockefeller's Office [See Tab 56
Attached to this MemorandUDl] (Also
on Group 12)
Rational capital Preferred Provider
Organization ( 704) (Also on Groups 11
and 1A)
Robert
Wood
Johnson
Fellow,
Sponsored by University.of Florida;
in Sen. Bmapers Office (708) [See Tab
56 Attached to this MemorandlDl]
White House ( 704) ; Also on Groups 15;
Elllory University School of
Medicine, Medical Student ( 734) ;
Internal Medicine KGB Intern 6/93
{30049)
Massachusetts
General
Hospital
Legislative
Fellow
in
Sen.
Bingaman's Office {708); Bot in
Directory-PTE {841)
Senior
Policy
Advisor,
Kaiser
Permanente; Duke University Medical
School Professor (708)-SGE {1678)
Harvard
Medical
School
{704)
{30049); Also on Cluster V, Group
66
�EPSTEIN 1 ARMOLD
HANDY I CAROLYN
HORVATH TOM
LASKER, ROZ
MEYERS I
GREGG
MIN, NANCY
MULLAN, FITZHUGH
NEXON, DAVID
PAUL, KARER
PYLE, THOMAS
REDLENER, IRWIR
SAGE I WILLIAM
STEELE, PAMELA
STOLID I ARRE
stJIIAYA, CIRO
WALTERS I
FARAH
17; Dana Farber Cancer Institute
(1587)-SGE (First Responses)
Robert
Wood
Johnson
Fellow,
Sponsored by Harvard Medical School
&
Briqham
&
Women's
Hospital;
Servinq Sen. Kennedy on Senate Labor
Committee (704) [See Tab 56 attached
to the Memorandum]
CEO, Blacks Educate Blacks on Sexual
Health Issues (704) (Also on Groups
8 & 12)
Veterans Affairs (704)
Physician Payment Review Commission
(704); SGE {1678)
Massachusetts
General
Hospital
Fellow,
Senate
Labor
& Human
Resources Committee (Sen. Kennedy)
and
SGE,
Accordinq
to
First
Responses; Rot Listed 1678-1679
OMB
HHS (704) (Also on Group 12)-FTE
Sen. Labor (CD, Vol. I, P. 395)
(Also on Groups 1-5)
White House {704) (Also on Groups 15) cornell Medical School ( 30049)
Harvard
Community
Health
Plan:
Boston
Consultinq
Group
( 704) :
consultant (First Responses) ; SGE
(1678)
8 HPRG•
{704);
Pediatrician,
Montefiore Hospital
{See Health
Professions! Review Group, Tab
);
Signs in as •Liaison to Health
Professions! Review Group•) ( 30049) ;
Ro Official Status
White House {704); Stanford, Hopkins
{30049); SGE {1678) .
OMB (Also on Group 22)-FTE
Volunteer; Psychiatrist {704) (Also
on Groups 23 and 26) (Graduate of
Johns Hopkins Medical SChool, 1992)
{30049)
Dean, University of Texas Medical
School {704); SGE {1679)
University Hospitals of Cleveland
{704)
(Also on Groups 1,
20);
Consultant, First Responses.
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
704, 705, 707, 708, 1242, 1243, 1244, 706, 1587, 30048,
30050. See Tab·54 attached to the Memorandum.
67
�Working Group 41, nworkers' Compensation Task Forcen, was not
part of any Cluster Group, but, rather, was free-standing.
Working
Group 41, nworkers' Compensation Task Forcen, was composed of the
following members:
WORKERS' COMPERSATI:ON TASK FORCE (30090)
GROUP 41 -
GROUP 41 LEADER -
GARY CLAXTON, Rational Association
of I:nsurance Commissioners ( 1345) ;
SGE (1678)
BAKER, LAWRENCE
BATEMAN,
KEI:TH
BORZI, PHYLLIS
BRODBECK, L.
BURTON, JOHN
CLAXTON I
GARY
CLAYTOR, AlUf
DUGGAN, JAMES
ELLENBERGER, J.
GRANlfEMARlf, T.
GREENWOOD,
BAUGH 1
JUDI:TB
KEVI:R
KREUGER, ALAR
LEVITT LARRY
LLEWELLYN, BARRY
KATHLEEN
MOLLOY I JANE
MEANS,
Princeton University; No Official
status ( 30133)
Alliance
of
American
I:nsurers
(1344); No Official Status
House
Subcommittee
on
Labor/Management Relations-FTE ( 841)
Rep. McCurdy (CD, Vol. I, P. 589)FTE
Editor,
John Burton's Workers'
Compensation Monitor ( 1285) , Rutqers
University;
No Official Status
(1270, 1271, 1344) (ROTE: on 1285,
in
Typewritten
Comment
Below
Burton's RaJDe, it says, 11Kreuqer
Indicated
That
Burton
can
Participate."
Does This Convey
Leadership Status on Kreuqer??)
Rational Association of I:nsurance
Commissioners (1345); SGE (1678)
Florida I:nsurance COllai.ssion ( 1285) ;
No Official status
Treasury-FTE (842)
AFL-ciO; No Official Status
Workers'
Compensation
Researcch
Institute
(30133);
No Official
Status
Workers' Compensation Fund, West
Virqinia; No Official Status (1344)
I:nstitute
for
Health
Policy
SOlutions; No Official Status
Princeton Univarsity - Consultant
(First Responses); SGE (1678)
(1272)
Staff
of
california
Department
of
I:nsurance,
Commissioner's Health care Advisory
Commission; SGE (1678)
·
National Council on Compensation
Insurance (1344); No Official Status
HHS-HCFA-FTE
Treasury-FTE
68
�NELSON, WILLIAM
MOTH, DAVID
PAYNE, MARY ELLA
SISKIND, FRED
TBORHQUIST I LISA
VICTOR, RICHARD
WEEKS, GARY
WERNER, MICHAEL
SSA-Office of Research & Statistics
(1270); Not Listed as FTE, 840-849
Johnson
&
Higgins
(1344);
No
Official status
Sen. Rockefeller (CD, Vol. I, P.
352)-FTE
Department of Labor-FTE
Minnesota
Workers'
Compensation
Research (1270); No Official Status
Workers'
Compensation
Research
Institute ( 1344) ; No Official Status
oreqon Insurance Commission ( 1270) ;
No Official status
Sen. Democratic Policy Committee
(CD, Vol. I, P. 403)-FTE
SOURCES: Declarations of Marjorie Tarmey, Documents Nos.
1270-1276, 1285, 1344, 1345, 30069, 30085, 30090, 30115,
30132, 30133. See Tab 55 attached to the Memorandum.
13.
The "Interdepartmental Working Group", and its Cluster
Groups, Working Groups and Subgroups met regularly since January
25, 1993.
14.
(Declaration of Ira Magaziner, paragraphs 10 and 19.)
The work of the TASK FORCE and its "Interdepartmental
Working Group" and its Cluster Groups the Working Groups ·and
Subgroups was to be completed within one hundred ( 100) days of
January 20, 1993.
15.
(Second Amended Complaint, Ex. A)
By letters to the First Lady, representatives of the
Plaintiff organizations requested to be permitted to attend and
participate in all of the meetings of the TASK FORCE, pursuant to
the Federal Advisory Committee Act, (FACA) 5 u.s.c. App., Section
10.
(Second Amended Complaint, Exs. B, c and D)
16.
of the
Bernard Nussbaum, counsel to the President, and on behalf
First Lady and the Task Force,
advised each of the
Plaintiffs in writing that they could not attend or participate in
all of the meetings· of the TASK FORCE,
and that the Federal
Advisory Committee Act did not ·apply to the TASK FORCE.
69
He further
�asserted that the presence of the First Lady did not trigger the
application of the Federal Advisory committee Act.
(Second Amended
Complaint, Exs. E, F and G).
17.
By letter to Bernard Nussbaum, representatives of the
Plaintiffs organizations requested to inspect and copy the records,
reports, transcripts, minutes, appendixes, working papers, drafts,
studies, agenda and other documents which were made available to
and prepared for or by the TASK FORCE,
the Interdepartmental
Working Group and its Cluster Groups, Working Groups and Subgroups,
pursuant to the Federal Advisory Committee Act, 5 u.s.c. App. §10
that the Freedom of Information Act,
5 u.s.c.
§552a.
(Second
Amended Complaint, Exs. H, I, and J).
18.
By letters dated April 1, 1993, the defendants and the
defendant Task Force,
denied the
FOIA and
FACA requests of
plaintiffs Association of American Physicians and Surgeons, Inc.
and American Council for Health Care
Reform~
plaintiff National
Legal & Policy Center never received a response to its FOIA and
FACA request.
19.
The
(Second Amended complaint Exs. K and L)
individuals
identified in paragraph 12 of this
Statement of Material Facts, who were non full-time officers or
employees of the federal government, participated as members of the
Interdepartmental Working Group and its Cluster Groups, Working
Groups,
and the Subgroups,
and participated in the meetings,
deliberations,· and recommendations of those groups.
20.
The Interdepartmental Working Group of the Task Force and
its Cluster Groups, Working Groups and Subgroups aforementioned was
established in January 25, 1993 by the President, through the
70
�Defendant Ira Magaziner, to "[gather] information concerning the
impact of existing health care policies and delivery services, and
possible alternatives to those policies.
The information that
[was] gathered and analyzed by the aforesaid Interdepartmental
Working Group of the Task Force and its Cluster Groups, Working
Groups
and
Subgroups
aforesaid
was
used
to
formulate
recommendations to the President" regarding national health reform
legislation. Declaration of Ira Magaziner March 3, 1993, paragraph
5.
21.
Plaintiffs have submitted to the Court, under seal, a
section of their Memorandum of Points and Authorities that further
delineates and references sealed documents that demonstrate that
non full-time officers or employees of the federal government
participated as members of the Interdepartmental Working Group and
its Cluster Groups, Working Groups, and Subgroups.
The sealed
documents further demonstrate that there was a formal structure to
those groups.
The Interdepartmental Working Group and its Cluster
Groups, Working Groups and Subgroups had a fixed membership, an
organized structure and a specific purpose. ··They were cohesive,
well-planned and well-integrated committees which interfaced with
one another regularly and which met at multiple . "tollgates" in
order to reach consensus on the recommendations for health reform
legislation for the President: to wit, the Health Security Act of
1993.
(All of the specific facts cannot be set forth in detail
here as
some are privileged under the order of this court.
Declaration of Marjorie Tarmey, Document Nos. 10030, 10034, 10036,
100371 100391 100401 101391 1004 71 200211 200241
71
200281
200351
�200401
200501 200491 200501 200551 200561 100571 200691 200101
200731 200121 200181 200191
200801
200991
201101 201191 201201
20129, 20134.
22.
The Interdepartmental Working Group of the Task Force and
its Cluster Groups, Working Groups and Subgroups were "established"
and "utilized by the President, and made recommendations to the
President on national heath reform legislation, to wit, the Health
Security Act of 1993.
Ad.: Declaration of Ira Magaziner, March 3,
1993, !5.
Respectfully submitted,
KENT MASTERSON BROWN, ESQ.
CHRISTOPHER J. SHAUGHNESSY 1 ESQ.
BROWN & BROWN
1114 First National Building
167 West Main Street
Lexington, KY 40507
(606) 233-7879
(606) 252-6791 - facsimile
J~z IY\ ~Pk._.FRANK M. NORTHAM, ESQ
WEBSTER, CHAMBERLAIN & BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
72
�CERTIFICATE OF SERVICE
This is to certify that a true and correct copy of the
foregoing Plaintiffs' Statement of Material Facts As To Which There
is No Genuine Dispute has been served upon Defendants by handdelivering a copy of same to Defendants' counsel of record, Jeffrey
Gutman, Esq., David Andersen, Esq., u.s. Department of Justice,
Civil Division, 901 E street, N.W., Room 952, Washington, D.C.
20004-2037 on this
:'" r;!.day of March, 1994.
~~
~..;2/v
Frank M. Northam
73
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
American Physicians Lawsuit HCTF (Health Care Task Force); March 23, 1994 [1] [1]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Evan Ryan
Melanne Verveer
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 5
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-005-007-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/8a7b44f1d837a346f267528bae12f95d.pdf
0556999ab50fb56e2615e3164e7eab1f
PDF Text
Text
Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
�.
. :~-.~ .
··~ . . .
The Need for Health Care Reform
..
.
'
~f ,;;~
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Task Force [2]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Evan Ryan
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 5
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-005-006-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/f6165e7d588a7807507f37b1077d7a0a.pdf
26fae9358e8e3dff6015b7b5c5c76b79
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams; Evan Ryan
Subseries:
Misc. Subject Files
OA/ID Number:
12735
FolderiD:
Folder Title:
Health Care Task Force
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
6
1
�THE WHITE HOUSE
Dear Friend:
I
Thank you for writing and sharing your views on health care reform.
President Clinton is committed to reforming our nation's health care
system-controlling runaway costs and providing security to every
American family.
I
It won't be easy and it won't happen overnight, but with your help, we
will bring costs under control while maintaining quality medical care
and preserving the choice so important to us all.
Thank you again for your views and for your support.
THE WHITE HOUSE
Dear Friend:
[
Thank you for writing and sharing your views on health care reform.
President Clinton is committed to reforming our nation's health care
system-controlling runaway costs and providing security to every
American family.
It won't be easy and it won't happen overnight, but with your help, we
will bring costs under control while maintaining quality medical care
and preserving the choice so important to us all.
Thank you again for your views and for your support.
I
�THE WHITE HOUSE
Dear Friend:
I
Thank you for writing and sharing your views on health care reform.
President Clinton is committed to reforming our nation's health care
system-controlling runaway costs and providing security to every
American family.
l
It won't be easy and it won't happen overnight, but with your help, we
will bring costs under control while maintaining quality medical care
and preserving the choice so important to us all.
Thank you again for your views and for your support.
THE WHITE HOUSE
Dear Friend:
Thank you for writing and sharing your views on health care reform.
President Clinton is committed to reforming our nation's health care
system-controlling runaway costs and providing security to every
American family.
l
It won't be easy and it won't happen overnight, but with your help, we
will bring costs under control while maintaining quality medical care
and preserving the choice so important to us all.
Thank you again for your views and for your support.
1
�-.
NAME
HEALTH CARE WORKING GROUPS
SORTED BY STATUS
PAGE:l
r-
ORGANIZATION
, BENAVIDES, ELLEN
WHO-HENNEPIN COUNTY, MN BUREAU OF HEALTH, DIR.
HEALTH POLICY
WHO-PA COUNTY COMMISSIONERS
WHO-NGA-GOVERNOR'S COMMISSION ON OKLAHOMA HEALTH
I
f
I
BENEDICT, ROBERT
BROWN, MARY
CARE
: CORONADO, DAVID
. EGBERT, MARCIA
FRIEDHOLM, DEANN
GARCIA, JOSEPH
I
HEATH, ALFRED
HOLT, HERBERT
JOSEPH, THOMAS
MCNAMEE, NIKKI
MILLIKEN, CHRISTINE
I
MYERS, EMILY
O'~RIEN, MARY JO
O'MEARA, JANIS
PETERSON, DOUGLAS
' QUIST, JANET
RADER, ANYA
RILEY, IRENE
SCHEPPACH, RAY
SMITH, BARBARA
; UYEDA, MARY
VAZQUEZ-QUINTAN, ENRIQUE
VOLPE, LANE
.. WADA, ROYLINNE
WEIL, ALAN
HHS-DC DEPARTMENT OF HUMAN SERVICES
WHO-CUYAHOGA CTY, OHIO-BRD OF COMMISSIONERSINTERGOV'TL AFF.
WHO-NGA-TEXAS MEDICAID DIRECTOR
WHO-CUYAHOGA COUNTY, OHIO-DEPARTMENT OF HUMAN
SERVICES
WHO-COMMISSIONER OF HEALTH-U.S. VIRGIN ISLANDS
WHO-DIR. DEPT. OF ADDT'N, VICTIM & MEN. HLTH
SVCS-MONTGY. CO
NATIONAL ASSOCIATION OF COUNTIES
WHO-NATIONAL GOVERNORS ASSOCIATION
WHO-NAT' L ASSOC. ATTORNEY GENERALS-EXECUTIVE
DIRECTOR
WHO-NATIONAL ASSOCIATION OF ATTORNEY GENERALS
WHO-DEPUTY COMMISSIONER-MINNESOTA DEPARTMENT OF
HEALTH
WHO-INTERGOVERNMENTAL AFFAIRS
WHO-NATIONAL LEAGUE OF CITIES
NATIONAL LEAGUE OF CITIES
WHO-DEP. COS & SPEC. ASST.\HEALTH CARE POL. FOR
GOV. DEAN
WHO-LOS ANGELES COUNTY-DEPARTMENT OF HEALTH
SERVICES
WHO-NATIONAL GOVERNORS ASSOCIATION-EXECUTIVE
DIR.-VIRGINIA
WHO-NGA-SEC'TY /HEALTH-SOUTH DAKOTA DEPARTMENT OF
HEALTH
WHO-DIR. CTY HEALTH POL. PROJECT-NAT'L ASSOC. OF
COUNTIES
WHO-SECRETARY OF HEALTH/PUERTO RICO
WHO-NATIONAL GOVERNORS ASSOCIATION
WHO-PACIFIC ISLAND HEALTH OFFICERS ASSOC.
(PIHOA)-EXEC. DIR.
WHO-GOVERNOR'S OFFICE-COLORADO-HEALTH POLICY
ADVISER
�HEALTH CARE WORKING GROUPS
SORTED BY STATUS
NAME
CONSULTANT
AIKEN, LINDA
CALLAHAN, CATHI
HILLMAN, ALAN
HIX, WILLIAM
JONES, STANLEY
KRUEGER, ALAN
LOHR, KATHERINE
MAYS, JAMES
PYLE, THOMAS
SATCHER, DAVID
SCHADLE, JANE
SMITH, MARK
TRAPNELL, GORDON
WALTERS, FARAH
PAGE:l
ORGANIZATION
HHS-UNIV. OF PENN.-PROF. NURSING-DIRECTOR-CTR.
HEALTH SVCS
HHS-ACTUARIAL RESEARCH CORP. (ASPE)
HHS-UNIV. OF PENNSYLVANIA-ASSISTANT PROFESSOR
DOD-RAND
.
OFFICE OF PERSONNEL MANAGEMENT-INDEPENDENT
CONSULTANT
HHS-PRINCETON UNIVERSITY
HHS-HEALTH CARE SVCS-INST. OF MEDICINE/NAS
HHS-ACTUARIAL RESEARCH CORPORATION
HHS-HARVARD COMMUNITY HEALTH PLAN/BOSTON
CONSULTING GROUP
HHS-PRESIDENT-MEHARRY MEDICAL COLLEGE-TENNESSEE
HHS-IOWA DEPT. PUBLIC HEALTH-HEALTH PROGRAM
ANALYST
HHS-KAISER FAMILY FOUNDATION-VICE PRESIDENT
HHS-ACTUARIAL RESEARCH CORPORATION
HHS-UNIVERSITY HOSPITALS OF CLEVELAND, ORPRESIDENT & CEO
�HEALTH CARE WORKING CROUPS
SORTED BY STATUS
,NAME
,_
,FULL TIME GOV'T EMPLOYEE
iADAMSKE, STEVEN
!ADDISON-BURTON, LAVARNE
:ADLER, MICHELE
.AGUILERA, ESTHER
• ALBERGHINI, THERESA
i ALBERT, SUSAN
. ALLEN, LUCY
i ALLISON, ROBERT
. ALMENDAREZ, ISABEL
ALPERT, CYNTHIA
, ALTMAN, DAVID
I ALTMIRE, JASON
. ANDERSON, ROBERT
j ANTOS,
JOSEPH
. ARNETT, ROSS
; ARONS, BERNIE
ASH, SHERRI
ATKINSON, LESLIE
AUKERMAN, GLEN
I
AUSTEIN, CHERYL
BACO·SANCHEZ, LUIS
BAILY, SARAH
BALL, JUDY
.· BANDEIAN, STEPHEN
I
BANTHIN, JESSICA
BAQUET, CLAUDIA
BARBOUR, GALEN
BARSTOW, SCOTT
BATES, JAMES
BAUM, NANCY
BAYNE, CHRISTY
BEASON, CHARLOTTE
BERMINGHAM, MAYA
BERNER, JOHN
BERRY, ROGER
BEVERLY, JOHN
BIERWIRTH, MARGARET
BILLY, CARRIE
BLAUWET, ROGER
, BLICKSTEIN, JILL
BLOCK, ABBY
BLOOM, FELICIA
BLOSS, GREGORY
BLUMENTHAL, SUSAN
BODE, HOLLY
BOEHM, JENNIFER
BOERUM, DENISE
I
PACB:l
ORGANIZATION
HHS-SPECIAL ASSISTANT
HOUSE BUDGET COMMITTEE
HEALTH & HUMAN SERVICES(HHS)-OFC. ASST SEC'Y PLAN
& EVAL
CONGRESSIONAL HISPANIC CAUCUS
SENATOR PATRICK J. LEAHY
SENATOR CHARLES ROBB
COUNCIL OF ECONOMIC ADVISORS (CEA)
OFFICE OF MANAGEMENT & BUDGET ( OMB)
REPRESENTATIVE CRAIG A. WASHINGTON
VETERANS AFFAIRS (VA)
SENATOR JAY ROCKEFELLER
REPRESENTATIVE DOUGLAS "PETE" PETERSON
OMB
HHS-HEALTH CARE FINANCING ADMINISTRATION (HCFA)
HHS-HCFA
HHS-NATIONAL INSTITUTE OF MENTAL HEALTH (NIMH)
HHS
REP. LOUIS STOKES
HHS-HEALTH RESOURCES & SERVICES ADMINISTRATION
(HRSA)
HHS-ASPE
RESIDENT COMMISSIONER CARLOS ROMERO-BARCELO
SENATOR DONALD W. RIEGLE, JR.
HHS-AGENCY FOR HEALTH CARE POLICY AND RESEARCH
(AHCPR)
OMB
HHS-AHCPR
HHS
VETERANS AFFAIRS
REPRESENTATIVE MIKE KOPETSKI
DEPARTMENT OF DEFENSE-NAVY BUREAU OF MEDICINE &
SURGERY
HHS-HCFA
HHS
VETERANS AFFAIRS
SENATE FINANCE COMMITTEE
COUNCIL OF ECONOMIC ADVISORS
REPRESENTATIVE HARRY JOHNSTON
DEPARTMENT OF LABOR
REPRESENTATIVE SAM GEJDENSEN
SENATOR JEFF BINGAMAN
REPRESENTATIVE PETER HOAGLAND
OMB
OFFICE OF PERSONNEL MANAGEMENT
REPRESENTATIVE LOUISE SLAUGHTER
HHS-PHS
HHS-NIMH
SENATE-SPECIAL COMMITTEE ON AGING
REPRESENTATIVE JILL LONG
SEN. GOV'L AFFAIRS CMTE, SUBCMTE FED. SVCS,
�HEALTH CARE WORKING GROUPS
SORTED BY STATUS
·~
PAGB:2
ORGANIZATION
FULL TIME GOV'T EMPLOYEE
BORZI, PHYLLIS
I BOWEN, GEORGE
! BOYER, THOMAS
BREW, WILLIAM
. BRIGGS, BETTE
: BROCK, CHARLES
' BRODBECK, LAURA
! BRODNITZ, PETER
• BROSTROM, MOLLY
BRUNS, KEVIN
I
I
. BUCK, JEFFREY
: BUCKINGHAM, I I I , WARREN
BUFFINGTON, MAX
BUONORA, DAVID
BURNER, SALLY
BURNETT, LAIRD
BURNEY, IRA
BUTO, KATHLEEN
CADE, DAVID
CAMPBELL, LAURENCE
CAMPBELL, PAUL
CARLSON, RONALD
CASCIOTTI, JOHN
CAVANAUGH, SEAN
CHAMBERS, CAROLINE
CHANG, DEBORAH
CHARLES, GERALD
CHILDRESS, MARK
CHUN, CHISUN
CLARK, WILLIAM
CLARK, ROBERT
CLAUSER, STEVEN
CLAY JIMMIE
CLAYPOOL, ROBERT
CLEMENTE, FRANK
I
COHEN, RIMA
COHEN, ALAN
COHEN, JOEL
CONTRERAS, HENRY
COOK, FRANCESCA
COOPER, DAVID
COOPER, PHILIP
COOPER, BARBARA
• . COPELAND, ROBERT
COSTER, JOHN
COX, KENNETH
CRUMP I JANICE
POST/CIVIL SVCS
HOUSE EDUCATION/LABOR COMMITTEE
HHS-HRSA
REPRESENTATIVE BLANCHE LAMBERT
SENATE.VETERANS AFFAIRS COMMITTEE
LABOR
DEPARTMENT OF DEFENSE (DOD)
REPRESENTATIVE DAVE MCCURDY
REPRESENATIVE THOMAS FOGLIETTA
HHS-SPECIAL ASSISTANT
REP. BILL CLAY-HOUSE CMTE ON POST OFFICE & CIVIL
SERVICE
HHS-HCFA
HHS-PHS
HHS-HCFA
REPRESENTATIVE BARBARA KENNELLY
HHS
SENATOR JOHN BREAUX
HHS-HCFA
HHS-HCFA
HHS-OFFICE OF GENERAL COUNSEL
DEPARTMENT OF COMMERCE
DEPARTMENT OF COMMERCE-BUREAU OF THE CENSUS
HHS-HRSA
DOD
REPRESENTATIVE BEN CARDIN
REPRESENTATIVE JIM COOPER
SENATOR DONALD W. RIEGLE
VETERANS AFFAIRS
SENATE LABOR & HUMAN RESOURCES COMMITTEE
HHS-PUBLIC HEALTH SERVICE-HRSA
SENATOR DALE BUMPERS
HHS-OFFICE OF ASST. SEC'Y FOR PLANNING &
EVALUATION
HHS-HCFA
VETERANS AFFAIRS
DOD-U.S. ARMY SURGEON GENERAL
REPRESENTATIVE JOHN CONYERS-HOUSE CMTE ON GOV'T
OPERATIONS
SENATOR TOM DASCHLE
SENATE FINANCE COMMITTEE
HHS-AHCPR
REPRESENTATIVE LUCILLE ROYBAL-ALLARD'
SENATOR CAROL MOSELEY-BRAUN
HHS-ASPE
HHS-AHCPR
HHS-HCFA
LABOR
SENATE-SPECIAL COMMITTEE ON AGING
DOD
REPRESENTATIVE EVA CLAYTON
..............._______________________________
�HEALTH CARE WORKING CROUPS
SORTED BY STATUS
:NAME
PACE:3
ORGANIZATION
I
; FULL TIME GOV'T EMPLOYEE
CUTLER, DAVID
: DANIELS, SUSAN
• DAVENPORT, KAREN
: DAVIES, MONICA
. DAV.IS, LOUIS
DEIGNAN, KATHLEEN
I DELEW, NANCY
' DEMLO, LINDA
1 DENHAM, LORI
DEWANE, MARY
DINKELACKER, E. WILLIAM
DONESKI, ELLEN
DOONAN, MICHAEL
DOROTINSKY, WILLIAM
DOTY, PAMELA
DOYLE, PATRICIA
DRABEK, LEONARD
DRUMMOND, FAYE
· DUGGAN, JAMES
DUNN, VAN
I
I
I
DURAN, ANTONIO
DUZOR, DEIRDRE
ECKERT, J. KEVIN
EDELSTEIN, STEVEN
EDGELL, JOHN
EGAN, JAMES
EINHORN, THEODORE
ELLIS, GARY
EMANUELS, KRISTINA
EMMER, SUSAN
ENGLISH, MICHAEL
ERMANN, DAN
EULER, JOHN
EVANS, JENNIFER
EYDT, ALLISON
FALETTI, THOMAS
FARLEY, DEAN
FEDER, JUDY
FIEDELHOLTZ, JENNIFER
FINAN, STEVEN
FINIGAN, THOMAS
FISH, JAMES
FISKE, MARY BETH
FITZMAURICE, J. MICHAEL
FLYNN, WILLIAM
FORBES, RIPLEY
FORTIER, JULIA
FRANTZ, MOLLY
FRASCHE, MARY
CEA
HHS-ADMINISTRATION ON DEVELOPMENTAL DISABILITIES
HHS-HCFA
SENATOR JEFF BINGAMAN
REPRESENTATIVE JOSE E. SERRANO
SENATE BUDGET COMMITTEE
HHS-ASPE
HHS-AHCPR
REPRESENTATIVE CALVIN DOOLEY
HHS-HCFA
TREASURY
SENATOR JAY ROCKEFELLER
HHS-ASPE
OMB
HHS-ASPE
HHS-AHCPR
HHS-ASPE
SENATE FINANCE COMMITTEE
TREASURY
SENATOR EDWARD KENNEDY-SEN. CMTE ON LABOR & HUMAN
RESOURCES
HHS-HRSA-BUREAU OF PRIMARY HEALTH CARE
HHS-HCFA
SENATOR HARRIS WOFFORD
HHS-SPECIAL ASSISTANT
COMMERCE
FEDERAL TRADE COMMISSION
REPRESENTATIVE PETER DEUTSCH
NIH
OMB
SENATOR BOB GRAHAM
HHS
HHS-HCFA
JUSTICE
SENATOR BEN CAMPBELL
OMB
REPRESENTATIVE DICK DURBIN
HHS-ACHPR
HHS
HHS-PHS
LABOR
SENATOR MAX BAUCUS
OMB
.
SEN. EDWARD KENNEDY-SEN. CMTE ON LABOR & HUMAN
RESOURCES
HHS-AHCPR
.
OFFICE OF PERSONNEL MANAGEMENT ( OPM)
REP. HENRY A. WAXMAN-HOUSE CMTE ENERGY/COMMERCE
REP. HENRY A. WAXMAN-HOUSE CMTE EMERGY/COMMERCE
REPRESENTATIVE EARL POMEROY
REPRESENTATIVE DAN GLIC~
�HEALTH CARE WORKING GROUPS
SORTED BY STATUS
·~
: FULL TIME GOV'T EMPLOYEE
: FREDERICK, PAUL
j FREELAND, MARK
i FRIEDMAN, BERNARD
! FUENTES, JENNICE
~ GAGEL, BARBARA
GALE, JOSEPH
I
I
I
I
I
GASTON, MARILYN
GAUDETTE, SYLVIA
GAWANDE, ATUL
GILLINGHAM, ROBERT
GLAZE, STEVEN
GLEIMAN, EDWARD
GLIED, SHERRY
GOLD, MARTHE
GOLDSTEIN, ELAINA
GOLDSTONE, DONALD
GOLDWATER, DAVID
GOODELL, JEFFREY
GOODMAN, NANCY
GOODWIN, MARSHA
GOODY, BRIGID
GOPLERUD, ERIC
GORMAN, JOHN
GOVAN, REGINALD
GRABEL, LINDA
GRAFF, TOBY
GRAMS, TODD
GREENBERG, GEORGE
GREENWALD, LESLIE
GRODEN, JEFFREY
GROSS, MARCY
GROSS, LAUREN
GRUNDMANN, MARTHA
GUST, STEVEN
HADLEY, JAMES
HADLEY, ELIZABETH
HAHON, MELINDA
HALL, ANNE
HAMERSCHLAG, ART
HAND, LUCY
HARAHAN, MARY
HARDOCK, RANDY
HARPER, MARY
HARRIS, SKILA
HARVELL, JENNIFER
HARVEY, PATRICIA
HASH, MICHAEL
HASTINGS, KATHLEEN
HATTON, MELINDA
PAGB:4
ORGANIZATION
DOD-OFFICE OF ASSISTANT SECRETARY OF DEFENSE
HHS-HCFA
HHS-AHCPR
REPRESENTATIVE LUIS GUTIERREZ
HHS-HCFA
SENATOR DANIEL P. MOYNIHAN-SENATE FINANCE
COMMITTEE
HHS-HRSA
REPRESENTATIVE JOHN OLVER
HHS
TREASURY
SENATOR DAVID PRYOR
SENATE GOVERNMENT AFFAIRS COMMITTEE
CEA
HHS-PHS
HOUSE SELECT COMMITTEE ON AGING
HHS
REPRESENTATIVE JIM BILBRAY
REPRESENTATIVE WILLIAM LIPINSKI
JUSTICE
VETERANS AFFAIRS
HHS-HCFA
HHS-SUB. ABUSE & MENTAL HEALTH SERVICES
ADMINISTRATION
REPRESENTATIVE JOHN CONYERS
HOUSE COMMITTEE ON EDUCATION AND LABOR
HHS-OFFICE OF GENERAL COUNSEL
HHS-SPECIAL ASSISTANT
OMB
HHS-ASPE
HHS-HCFA
DOD
HHS
SENATOR CLAIBORNE PELL
REPRESENTATIVE MARTIN SABO-HOUSE BUDGET COMMITTEE
HHS-NIH
HHS-HCFA
HHS-ASPE
JUDICIARY COMMITTEE-ANTITRUST SUBCOMMITTEE
HHS
VA
REPRESENTATIVE JOSE SERRANO
HHS-ASPE
TREASURY
HHS-NIMH
OFFICE OF THE VICE PRESIDENT
HHS-HCFA
HHS-AHCPR
REP. HENRY A. WAXMAN-HOUSE CMTE ENERGY/COMMERCE
HHS-PHS-AHCPR
SENATE JUDICIARY COMMITTEE-ANTITRUST SUBCOMMITTEE
�HEALTH CARE WORK%HO GROUPS
SORTED BY STATUS
I NAME
; FULL TIME GOV'T EMPLOYEE
1HAYES, CHARLOTTE
HAYES, SHERRY
! HEADLEY, ELWOOD
; HEATH, KAREN
. HEENAN, CHRISTINE
; HELLINGER, FRED
; HENRY, CHRISTOPHE
! HERRELL, ILEANA
HERTZ, THOMAS
' HICKMAN, PETER
: HIGGINS, MICHAEL
ORGANIZATION
I
I
. HIGHT, JOSEPH
HILL, TIMOTHY
. HINZ, RICHARD
HOFFMAN, ALAN
HOGUE, BONNIE
HOLTON, DWIGHT
HOLTZBLATT, JANET
HORVATH, JANE
HORVATH, THOMAS
HUCKABY, MICHELLE
' HUMAN, CLARKSON
HUNTER, GILLIAN
IBSEN, RALPH
IRWIN, JEAN
ISKOWITZ, MICHAEL
IWRY, J. MARK
JACKSON, MORGAN
JACKSON, PAUL
JACOBS, TERRY
JACOBSON, LAURENCE
JARBOE, KENAN.
I
JENCKS, STEPHEN
JENNINGS, CHRISTOPHE
JODREY, DARREL
JOHNSON, ERIK
JOHNSON, JAMES
JOHNSON, K. SCHELEE
JOHNSON, PATRICIA
JOHNSON, DONALD
JONES, MARCIA
JONES, SANDRA
JORLING, JAMES
JOSEPH-FOX, YVETTE
I
KANE, BRAD
KASS, DAVID
~TTAN, AZAR
PAOB:S
/
OFFICE OF THE VICE PRESIDENT
SENATOR HERB KOHL
VETERANS AFFAIRS
HOUSE ARMED SERVICES COMMITTEE
WHITE HOUSE POLICY ANALYST
HHS-AHCPR
REPRESENTATIVE FLOYD H. FLAKE
HHS-HRSA
HHS-ASPE
HHS-HCFA
REP. RONALD DELLUMS-HOUSE ARMED SERVICES
COMMITTEE
LABOR
HHS-HCFA
LABOR
HHS-SPECIAL ASSISTANT
SENATE SPECIAL COMMITTEE ON AGING
WHITE HOUSE
TREASURY
SENATE FINANCE COMMITTEE
VETERANS AFFAIRS
REPRESENTATIVE BOB CLEMENT
HHS-OFFICE OF RURAL HEALTH POLICY
TREASURY
HOUSE VETERANS AFFAIRS COMMITTEE
REPRESENTATIVE MARIA CANTWELL
SENATOR EDWARD KENNEDY-SEN. OMTE ON LABOR & HUMAN
RESOURCES
TREASURY
HHS-AHCPR
HHS-PHS
TREASURY
OMB
SENATOR DONALD RIEGLE-SEN. BANK, HOUSING & URBAN
AFF. OMTE.
HHS-HCFA
HHS
SENATOR HARRIS WOFFORD
OMB
REPRESENTATIVE L.F. PAYNE
REPRESENTATIVE JOHN BRYANT
COMMERCE-BUREAU OF THE CENSUS
HHS-HCFA
SENATOR JOHN BREAUX
VETERANS AFFAIRS
HHS-POLICY ASSISTANT
SENATOR DANIEL K. INOUYE-SENATE COMMITTEE ON
INDIAN AFFAIRS
REPRESENTATIVE CARDISS COLLINS
COMMERCE
REPRESENTATIVE ROBERT MATSUI
�-
HEALTH CARE WORKINC CROUPS
SORTED BY STATUS
·NAME
;-
PACE:&
ORGANIZATION
I
; FULL TIME GOV' T EMPLOYEE
!KATZ, RUTH
:KATZ-LEAVY, JUDITH
' KAVANAGH, GARY
IKAZDIN, ROBERT
'KEARNS, III, WILLIAM
, KEITH, SAMUEL
· KEMPER, PETER
'KENDALL, DAVID
' KENYON, MARY
, KEPNER, COLLEEN
: KERY, PATRICIA
; KICHAK, NANCY
; KIM, DAVID
: KING, ANDREA
! ·KING, KATHLEEN
KING, ROLAND
KNIGHT, RICHARD
KOLODNER, ROBERT
KOPLAN, JEFFREY
KOSS, SHANNAH
KOVNER, RONNIE
KRAKAUER, HENRY
I
I
I
1
KRESS, JACK
KUZMACK, RICHARD
LANGENBRUNNER, JOHN
LAVIZZO-MOUREY, RISA
LAWSON, KURT
LEATHERS, HOWARD
LEFKOWITZ, BONNIE
LEHMANN, LAURENT
LEMASURIER, JEAN
LEVINE, DEBORAH
LEVINE, GREGORY
LEVY, HELEN
LEWIS, JOHN
LIDBURY, CHRISTINE
LILLIE, STEVEN
LINCOLN, MICHEL
LIND, KEITH
LINDREW, GERALD
LINK, KENNETH
LIPNER, ROBYN
LIU, ERIC
LOPATIN, ALAN
LOTFI, MOHAMED
LUBITZ, JAMES
LUCAS, DEBORAH
LUTTBEG, CAROLINE
LUTTER, RANDALL
LYON, ANDREW
HHS-ASPE
HHS-CENTER FOR MENTAL HEALTH SERVICES
HHS-HCFA
TREASURY-OTS
OOD-OASD HEALTH AFFAIRS
HHS-NIMH
HHS-AHCPR
REPRESENTATIVE MICHAEL ANDREWS
FEDERAL TRADE COMMISSION
REPRESENTATIVE CHARLES STENHOLM
REPRESENTATIVE BARBARA KENNELLY
OPM
REPRESENTATIVE XAVIER BECERRA
REPRESENTATIVE RICHARD GEPHARDT
SENATE FINANCE COMMITTEE
HHS-HCFA
REPRESENTATIVE GARY FRANKS
VETERANS AFFAIRS
HHS-CDC
OMB
REPRESENTATIVE JACK REED
HHS-PHS-UNIFORMED SERVICES UNIVERSITY OF HEALTH
SCIENCES
HHS
OMB
OMB
HHS-AHCPR
TREASURY
CEA
HHS-PHS
VETERANS AFFAIRS
HHS-HCFA
HHS-POLICY ASSISTANT
REPRESENTATIVE ROSA DELAURO
HHS-AHCPR
SENATE LABOR & HUMAN RESOURCES COMMITTEE
OMB
DOD
HHS-INDIAN HEALTH SERVICES (IHS)
REPRESENTATIVE GERRY STUDDS
LABOR
VETERANS AFFAIRS
SENATOR BARBARA MIKULSKI
SENATOR DAVID BOREN
HOUSE EDUCATION AND LABOR COMMITTEE
CEA
HHS-HCFA
CEA
REPRESENTATIVE RON COLEMAN
0~
CEA
�IIEALTB CARE WORKING GROUPS
SORTED BY STATUS
:NAME
.-
PAGE:7
ORGANIZATION
I
FULL TIME GOV'T EMPLOYEE
;LYON, RANDOLPH
;MAGAZINER, IRA
i MAGUIRE,
DANIEL
' MALDONADO DE OM, MAGALI
. MALONEY, DANIEL
; MANDERSCHEID, RONALD
· MANTEL, LEWIS
1 MARCONI,
KATHERINE
i MARGHERIO, LYNN
: MARQUEZ, MIGUEL
i MARTINEZ,
FELIX
: MAXWELL, CELIA
, MCCLENNEY-ELLIO, LUCRETIA
MCCLOUD, MARMADUKE
MCDONOUGH, DONEG
MCKEE, TIMOTHY
MCKENNEY, NAMPEO
MEADOW, CYNTHIA
1
1
'
I
,
,
.
1
I
MEANS, KATHLEEN
MILLER, BERNARD
MILLER, MELANIE
MILLER, MICHAEL
MILLER, EDWARD
MILLER, NANCY
MILLMAN, MICHAEL
MILLS, JOHN
MIN, NANCY-ANN
MINK, DOUGLAS
MITCHELL, MARLOW
MOELLER, JONATHAN
MOLLOY, JANE
MONHEIT, ALAN
MONTES, JESS
MORGAN, JACQUELINE
MORRISSETTE, KAREN
MULLAN, FITZHUGH
MUNNELL, ALICIA
MURGUIA, JANET
MURPHY, SHEILA
MYERS, BARBARA
NAKAHATA, PETER
NARROW, DAVID
NELSON, CHARLES
NELSON, KAREN
NEUMAN, TRICIA
NEXON, DAVID
NICHOLS, LEN
NICHOLS, LINDA
OMB
WHITE HOUSE
LABOR
HHS-HCFA
VETERANS AFFAIRS
HHS-CMHS
VETERANS AFFAIRS
HHS-HRSA
WHITE HOUSE-POLICY ANALYST
REPRESENTATIVE BILL RICHARDSON
REPRESENTATIVE JIM BILBRAY
HHS-FDA
DOD-OASD HEALTH AFFAIRS
HHS-OFFICE OF GENERAL COUNSEL
REPRESENTATIVE PETE STARK
DOD
COMMERCE-BUREAU OF THE CENSUS
REPRESENTATIVE JACK BROOKS-HOUSE JUDICIARY
COMMITTEE
HHS-HCFA
DOD
REPRESENTATIVE MIKE ANDREWS
REPRESENTATIVE SANDER LEVIN
DOD
HHS-HCFA
HHS-NATIONAL ACADEMY OF SCIENCES
REPRESENTATIVE ELIOT ENGEL
OMB
REPRESENTATIVE EDDIE BERNICE JOHNSON
REPRESENTATIVE JULIAN DIXON
HHS-AHCPR
COMMERCE
HHS-AHCPR
HHS-CENTER FOR DISEASE CONTROL & PREVENTION
DOD-AIRFORCE
JUSTICE
HHS-PHS
TREASURY
REPRESENTATIVE JIM SLATTERY
SENATOR BOB KERREY
· HHS-OFFICE OF GENERAL COUNSEL
OMB
FEDERAL TRADE COMMISSION
COMMERCE-BUREAU OF THE CENSUS
REP. HENRY A. WAXMAN-HOUSE CMTE. ENERGY &
COMMERCE
HOUSE WAYS AND MEANS COMMITTEE
SEN. EDWARD M. KENNEDY-SENATE LABOR & EDUCATION
COMMITTEE
HHS-AHCPR
VETERANS AFFAIRS
�HEALTH CARE WORKING GROUPS
SORTED BY STATUS
I
I
NAME
:-
: FULL TIME GOV' T EMPLOYEE
: NIX, SHEILA
, NOBLE, JOHN
NORMAN, ALLINE
NORQUIST, GRAYSON
O'NEIL, PATRICIA
: O'NEILL, KIMBERLY
OBEY, CRAIG
OFFNER, PAUL
OLIVER, JUDITH
OLSEN, WILLIAM
OSHER, FREDERICK
PANG, FREDERICK
PARADISE, JULIA
PATEL, PARASHAR
PAYNE, MARY ELLA
PETERSON, MARVELU
PIGEON, STEVEN
PILLORS, BRENDA
PLAUT, THOMAS
POLLITZ, KAREN
PORTMAN, ROBERT
POSEY, KENDALL
POTETZ, LISA
POWELL, KEITH
PRATT, DONALD
PRICE, ANDREA
PUSKIN, DENA
RADACK, LAURA
RAFUSE, JR, ROBERT
RAYMOND, VICTOR
REEVES, LINDA
REGIER, DARREL
REINECKE, PETER
REYES, LUANA
RICE, CHERI
RICKEL, ANNETTE
RICKETSON, DENISE
RIVO, MARC
ROBINSON, SANDRA
RODGERS, JUDITH
RODRIGUEZ, LOUISE
RODRIGUEZ; GLADYS
RODRIGUEZ, SUSANA
ROMAGUERA, RAUL
ROSENMAN, PATRICIA
ROSS, SHEILA
ROSS-ROBINSON, HAZEL
ROSWELL, ROBERT
ROUSE, BEATRICE
ROVIN, LISA
i
PAGB:8
ORGANIZATION
SENATOR ROBERT KERREY
HHS-NATIONAL INSTITUTE ON ALCOHOL ABUSE &
ALCOHOLISM
VETERANS AFFAIRS
HHS-NIMH
VETERANS AFFAIRS
CEA
SENATOR KENT CONRAD
SENATE FINANCE COMMITTEE
HHS
REPRESENTATIVE DAN GLICKMAN
HHS-CMHS
SENATE ARMED SERVICES COMMITTEE
HHS
OMB
SENATOR JAY ROCKEFELLER
VETERANS AFFAIRS
HHS
REPRESENTATIVE EDOLPHUS TOWNS
HHS-NIMH
HHS
LABOR
VETERANS AFFAIRS
SENATE FINANCE COMMITTEE
SENATE LABOR & HUMAN RESOURCES COMMITEEE (FELLOW)
VETERANS AFFAIRS
REPRESENTATIVE LEWIS PAYNE
HHS-HRSA
JUSTICE
TREASURY
VETERANS AFFAIRS
HHS-AHCPR
HHS-NIMH-NIH
SENATOR TOM HARKIN
HHS-IHS
OMB
SENATOR DONALD W. RIEGLE
HHS-SPECIAL ASSISTANT
HHS-HRSA
HHS-AHCPR
HHS-HRSA
VETERANS AFFAIRS
REPRESENTATIVE ED PASTOR
REPRESENTATIVE CYNTHIA MCKINNEY
HHS-HRSA
HHS-NATIONAL INSTITUTE ON DRUG ABUSE
DELEGATE RON DE LUGO
REPRESENTATIVE BILL CLAY
VETERANS AFFAIRS
HHS-SAMHSA
HHS-HCFA
�'
.
NAME
!FULL TIME GOV'T EMPLOYEE
ROZEN, ROBERT
RYAN, ELAINE
. SALMON, MARLA
SAMUELSON, ELLEN
· SANDERSON, NICHOLE
i SANDLER, ·DAVID
: SCHECKEL, LISA
SCHIEBER, GEORGE
: SCHMID, STUART
: SCHNEIDER, ANDREAS
, SCHOENING, ATHENA
SCHULKE, DAVID
I SCHULTZ,
WILLIAM
SCHUMANN, BETH
· SCHUNEMAN, MARY
SCHUSTER, JAMES
SEGARRA, MARIA
SELTMAN, PAUL
J
SHAFFER, ELLEN
SHEEHAN, KATHLEEN
, SHEINER, JONATHAN
SHEINER, LOUISE
SHEINGOLD, STEVEN
SHELDON, GEORGE
SHINN, RUTH
SHORT, ELIZABETH
SHORT, PAMELA
SHRIBER, DONALD
SILVA, JOHN
i
1
SILVER, JONATHAN
SIMMONS, NICOLE
SIMON, MARSHA
SIMPSON, NANCY
SISKIND, FREDERIC
SLACKMAN I JOEL
SLOVER, GEORGE
SMITH, CURTIS
SMITH, ELMER
SMITH, MARY
SMITH, PHILLIP
: SOBEL, LAWRENCE
SOCHALSKI, JULIE
SOLOMON, LOEL
SOLOMON, DANIEL
SPAULDING,,VERNON
SPIELBERG, DEBORAH
SPRINGER, MICHAEL
HEALTH CARE WORKING CROUPS
SORTED BY STATUS
PACE:9
ORGANIZATION
SENATOR GEORGE MITCHELL
REPRESENTATIVE LOUISE SLAUGHTER
HHS-HRSA
REPRESENTATIVE MARTIN SABO
OMB
SENATOR DANIEL AKAKA
HHS-SAMHSA
HHS-HCFA
HHS-ASPE
REP. HENRY A. WAXMAN-HOUSE CMTE ENERGY/COMMERCE
HHS-IHS
REPRESENTATIVE RON WYDEN
REP. HENRY A. WAXMAN-HOUSE CMTE ENERGY/COMMERCE
DEPARTMENT OF LABOR
HHS-SPECIAL ASSISTANT
REPRESENTATIVE TED STRICKLAND
HHS-OFFICE OF MINORITY HEALTH
HOUSE EDUC. & LABOR CMTE-SELECT EDUC. & CIVIL
RIGHTS SUBCMTE
SENATOR PAUL WELLSTONE
REPRESENTATIVE BRUCE VENTO
REPRESENTATIVE CHARLES RANGEL
JOINT TAXATION COMMITTEE
HHS-HCFA
VETERANS AFFAIRS
LABOR
VETERANS AFFAIRS
HHS-AHCPR
HOUSE COMMITTEE ON ENERGY AND COMMERCE
DOD-UNIFORMED SERVICES UNIVERSITY OF THE HEALTH
SCIENCES
COMMERCE
HHS-HCFA
SEN. EDWARD KENNEDY-SEN. CMTE. ON LABOR & HUMAN
RESOURCES
HHS-NATIONAL CANCER INSTITUTE
LABOR
DOD
HOUSE JUDICIARY COMMITTEE
OPM
HHS-HCFA
VETERANS AFFAIRS
HHS-PHS-IHS
DOD
SENATOR BILL BRADLEY
SEN. EDWARD KENNEDY-SEN. CMTE ON LABOR AND HUMAN
RESOURCES
SENATOR HARRIS WOFFORD
DOD
REPRE$ENTATIVE JOHN LEWIS
TREASURY
�HEALTH CARE WORKING CROUPS
SORTED BY STATUS
INAME
,-
JFULL TIME GOV' T EMPLOYEE
,STACHELBERG, CYNTHIA
;STANTON, TAMERA
,STEELE, PAMELA
'STEFOS, THEODORE
:STEINAUER, DENNIS
,STEPHENS, SHARMAN
SUCHINSKY, RICHARD
:SULFRIDGE, HERSHELL
SULLIVAN, TIMOTHY
SVENONIUS, DIANE
:SWIRE, ANDREW
;SYKES, KATHERINE
;TAEUBER, CYNTHIA
:TAPLIN, CAROLINE
TARMEY, MARJORIE
, TAYLOR, AMY
;TESTONI, MAUREEN
!THORNTON, DANIEL
THORPE, KENNETH
: TIBBITS, PAUL
TILLMAN, JULIA
• TIMS, FRANK
I TINTARY,
RUTH
, TITUS, FRANK
' TOMLINSON,, LISA
, TRACHTENBERG, ALAN
: TRACY, JUNE
; TRUJILLO, THOMAS
' TURMAN, RICHARD
UKOCKIS, JAMES
, VAGLEY, KAREN
, VARMA, VIVEK
VARNHAGEN, MICHELE
VEAZEY, BRENDA
VISTNES, GREG
VISTNES, JESSICA
WALDO, DANIEL
WALKER, EDWIN
WALTERS, KAREN
WARD, TIMOTHY
WASSERMAN, MARK
WEICH, RONALD
WEISS, MARINA
WEISS, GAIL
WERNER, MICHAEL
WESTFALL, ELIZABETH
WESTMORELAND, TIMOTHY
1
I
I
I
I
WHANG, JUDY
WHITT, JOHN
WIGGINS, CLIFTON
WILLIAMS, CHRISTINE
PAGE:lO
ORGANIZATION
OMB
SENATOR JAY ROCKEFELLER
VETERANS AFFAIRS
VETERANS AFFAIRS
COMMERCE
HHS-ASPE
VETERANS AFFAIRS
HHS
IRS
LABOR
OMB
REPRESENTATIVE DAVID OBEY
COMMERCE
HHS-PHS
HHS-SPECIAL ASSISTANT
HHS
SENATOR MAX BAUCUS
HHS-OFFICE OF GENERAL COUNSEL
HHS
DOD
HHS-PHS-HRSA
HHS-NIH-NATIONAL INSTITUTE ON DRUG ABUSE
REPRESENTATIVE ESTEBAN E. TORRES
OPM
REPRESENTATIVE BARBARA-ROSE COLLINS
HHS
REPRESENTATIVE DENNIS DECONCINI
VETERANS ADMININISTRATION
OMB
TREASURY
HOUSE COMMITTEE ON EDUCATION & LABOR
REPRESENTATIVE MIKE SYNAR
SENATOR HOWARD METZENBAUM
HHS-ASPE
JUSTICE
HHS-AHCPR
HHS-HCFA
HHS
VETERANS AFFAIRS
DOD
OMB
SENATE LABOR AND HUMAN RESOURCES COMMITTEE
TREASURY
HOUSE COMMITTEE ON POST OFFICE & CIVIL SERVICE
SENATE DEMOCRATIC POLICY COMMITTEE
REPRESENTATIVE BILL RICHARDSON
REP. HENRY A. WAXMAN-HOUSE CMTE ENERGY/COMMERCE
HHS-POLICY ANALYST
REPRESENTATIVE ROBERT A. UNDERWOOD
HHS-IHS
SENATOR GEORGE MITCHELL
�i
..
HEALTH CARE WORKING GROUPS
SORTED BY STATUS
I
'NAME
ORGANIZATION
jFULL TIME GOV'T EMPLOYEE
!WILLIAMSON, JOHN
WILSON, DIXON
1
,WILSON, FRANK
WITTER, JONATHAN
,WOO, MICHAEL
: WOOD, SUSAN
'WOODWARD, ALBERT
:woOLEY, BARBARA.
!WREN, ROBERT
:WYLER, ROBERT
:YAMAMOTO, ALAN
YOSHIKAWA, THOMAS
' YOUKET PAUL
ZAFRA, VICTOR
: ZARABOZO, CARLOS
ZAWISTOWICH, LUDMILA
ZETTLER, SUSAN
I
I
PAGB:ll
VETERANS AFFAIRS
LABOR
LABOR
HHS-AHCPR
HOUSE ENERGY & COMMERCE COMMITTEE
CONGRESSIONAL CAUCUS FOR WOMEN'S ISSUES
HHS-PHS
HHS-SPECIAL ASSISTANT
HHS-HCFA
OMB
REPRESENTATIVE NEIL ABERCROMBIE
VETERANS AFFAIRS
WHITE HOUSE
OMB
HHS-HCFA
HHS-HCFA
REPRESENTATIVE TED STRICKLAND
�~~NT
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ror Imma41ate R•laaae
llai.'Ob 21, 111J
Attached is a list of the membara of the working
President's Task Forca on Health eare Reform.
-30-
g~oupa
tor tha
�HEAr.m CARE REFORM WORKING GROUPS
The attached list\ sets fotth the participants tn the health care reform working grouJ)s. There
m three categories, and only tuU time government employees and specialaovemment
employees are members of the workina groups. Congressional staff OA this Ust serve as
liaison for their Member or Congress to the workina IJ'OUp. ConNltants ate not members or
the working groups.
ne three categories of participants are:
1. Full-Time Government Employees··
Individuals who work for the Executive Office of the President, for fe4eral
qencics, Cor Members of Congress or Senate and House committees. Federal employees are
subject to the conflict of interest provisions in 18 U.S.C. Section 102-209 and Standards of
Ethical Conduct for Employees of the Executive Branch ana all related ethica laws and
regulations.
2. Special Goverument Employees-·
a. Individuals who are employed by any asenoy or the Executive Oftlee of the
President for less than 130 days in a 365 da.y period either with ur without compensation.
Such individuals are aubject t.o a limhed versiOn of the conflict of interest provisions in 18
U.S.C. Section 202·2~ and Standards of Ethical Conduct for Employee~ of the Executive
Branch and all related ethics laws and regulations for the period of time they serve on the
working group. Furthermore, they are required to abide by Umitad.ona on public: speaklna
and by post-employment restrictions. Such individuals may serve as workinaaroup leaders •
...
b. Consultants-Individuals who· are consulted by the working aroup and who attend
working group meetin1s on an intermittent buis with or without oompensation. These
consultants are subject to some provisions of 18 U.S.C. Section 201-208 and Standards of
Ethical Conduct for Employees of the Executive Branch and all related ethics laws and
n:¥ulations. Such individuals have no decision-making authority within the w.grldnggroups
and may not serve as worldnaaroup leaders and have other limitations on their participation.
�..
''
BIIL!H CARl WORKING CROUPS
IOR~ED BY ST&IUS
ORGANIZA'l'lON
~
FULL
PaGI:l
fl~ ~V'T
IMPLOYIB
ADDISON-BU4TON, LAVARNE
ADI!IR, MICHELS
ALBBRGHINI, THERESA
ALLIN. LUO'
ALP2RT, OYN"!'H.IA
ALTMAN, DAV%D
ALTMIRI, .:JASON
ANTOS, JOSBPH
AOILUA, SOLOMONA
ARNI'l''l', ROSS
ARONS, SBRNIJt
ASH, SHIRR%
ATKINSON, LESwiB
AtJ1tllitMAN, Gt.BN
AUSTIUN, CHBRYL
8Altit, SARAH
BALI., JUDY
BAN'l'HIN, JISSICA
BAQUIT, CLAUDIA
BARBOUR, GALEN
BARSTOW, SCOTT
BAUM, NANCY
BAYN_I, CHRIS'l'Y
BIASON, CHARLOTTE
BDN2R,
JoHN
BERRY, ROCJIR
BIVBRLV, JONATHAN
BIIRUM, DBNISB
BIERWIRTH, MARGARET
BILLY, CAM%E
BLAUWIT, ROGIR
BLOCK, AB::tGAlt.
BLOOM, FILlCIA
BLOSS, GUGCRY
BODii, HOLLY
BOIKM, JBNNIFBR
BCftZI, PHYLLIS
BOW, WILLIAM
BRIGGS, BIT'l'l
CHRMN.M. SABO HOUSE BUDGET COMMITTEE
HHG, ASPE
SENATOR LEAHY
COUNCIL ON ICONCMIC ADVISORS
VB'l'DANS ATFAXRS
SIN. ROCUf'ELLIR
RIP. PITE PITIRSON
KH5
COMMERCE
HHS, HCPA
HHS NIMH
HHS
RIP,. LOUIS STOkES
HHS .. HRSA ·
HHS
CONGRESSIONAL - SBNAfa/SBN. RIEGBL
RHS
HHS
HHS•PHS
VETERANS AFFAIRS
RBP. MIV.E KOPITSKI
HHS - HCFA
HHS
VBTIMANS AFFAIRS
COUNC::tL ON ICONOMIC ADVISORS
RBP. HARRY JOHNS~ON
LABOI(
SBNATI COMMITTIE
RIP. SAM GIJDINSIN
SBNATOR BINGHAM
RBP. PITIR HOAGLAND
OPM
UP, LOUISE SLAUtniTD
HHS
SINATI AGING COMMlTTBB
RIP. JILL LONC
HOUSE EDUCATION/tABOR COMMITTE!
HOUSE VITIRANS AFFAIRS COMMlTTIE
LABOR
BROCK, CHARLBS
BRODBECK,. LAURA
DOD
BROSTROM, MOtLY
BRUNS, KEVIN
HHS
lUCK, JBFP'RBY
BUCICINOHAM, II.!, WARREN
BUFPING'l'ON, MAX
IUONORA, DAVID
BURNER, SALLY
BURNK'l''l', LA%RD
BURNEY, IRA
BU'l'O, ICATHLBBN
HCFA
HRI
UP • DAVB MCCURDY
RIP .. :lULL GM.Y
HHS • KCFA
RIP. BARBARA KENNELLY
KHS
SINATOR BREAUX
KKS, HCFA
HKS, HCFA
,
�HBILTH CIRI WORKINC GROUPS
IOR'IID BY I'IA'l'UI
-
HAM!i
FULL TlMB GOV'T EMPLQYEE
dltiE, DAVID
CALLAHAN, CATHI
CAMPBILL, LAURENCE
CAMPBELL. PAUL
CAPLAN, ARTHUR
CARLSON, RONALD
CAVANAUGH, SIAN
CHAMBERS, CAROLINE
CHANG, DEBORAH
CHARLES, QbALD
CLARJ(, W% L:t.l.AM
CLARK, ROBERT
CLAUSER, S'l'IVSN
CLAY, JIMM%B
Ct.AYPCOL, ROBERT
CLBMINTI, FRANK
COHEN, JOISL
HHS
oe
I:!OMMBRCI
CBNSUS - COMMIRCB
UNtYIRSI'l'Y OF NIW MEXICO
HHS
RIP, BBN CARDlN
RIP. JIM COOPIR
SENATOR DONA~ W. RIEGLE
VITIRANS AFFAIRS
SIMATCR DALE BUMPERS
HHS, ASPI
lUIS, HCFA
VITBRANS AFFAIRS
U.S. ARMY SURGEON OINIRAL
CHR. JOHN CONYERS
COIIBN, RIMA
HHS
SINATOR TOM DASCHLB
COHBN, ALLAN
COOP&R, Ml:CHABL
'l'RIASURY
INTAKE CENTER
COOPER, PHIL
HHS
COOPIR, DAVID
COOPIR, BARBARA
HRS
IlKS,
COPILAND, ROBERT
COS'l'BR, 30HN
COX, KINNITH
CRUMP, JANICE
CUTLER, DAVID
DANIILS,
SUSAN
DAVBNPORT, kARIN
DAVXKS, MONICA
DEIGNAN, KATH~!IN
HC:I'A
LABOR
SBLICT COMM.ON AGING
I)()I)
RIP. CI.IAYTON
CIA
HHI, ACF, ADD
SIN. BOB KBRRIY
SIMATOR JBFF BINGAMAN
SINATI BUDGET COMMITTEE
DBLIW, NANCY
DIMLO, LlNDA
DINHAM, I.aORl
niiWANB, MARY
HHS
DIKKSLACKBR, I. WILLIA
TRIASURY
SENATOR ROCKEFELLER
OMB
DONI!iSKI, IL.t.BN
DOROTINSKY, WlLLIAM
D0'1'Y, PAMBLA
DOYLE, PATRICIA
DRUMMOND, FAYE
DUOOAN, 3AMBS
DUNN, VAN
DUZOR, DIIRDRB
ECICIR'l', XIV IN
IDCBLL, JONATHAN
lOAN, JJ\MIS
IINHORN. THBODORR
IMMIR, SUSAN
INGLISH, MtCHABL
HHB, AHCPR
RIP. DOOLEY
HCPA
HMS .. ASP!
HHS, AHCPR
I'INANCS COMHITTSB
SBNA~B
~RU.SURY
SINA'l'OR ICKNNEDY
MRS, Hei'A
SIN. HARRIS WOPPORD
COMMIRCI
PIDBRAL TRADE COMM%SSION
RIP. PITBR DEUTSCH
SBN. BOB GRM»t
HHS
.
PAG8:2
�1 I.............. I...... 0
..
,..
• • ""T ....... TT"
••
,..._
r
r
r
- ,..._r11•1
'
IIDL'l'H CIRI WORKING GROUPS
SOR!ID BY ITATUA
NAME
- 'l'IMB GOV' T IMPIQYBE
FULL
BRMANN, DAN
PAG8;3
ORQ»>lZATION
HHS,. HCF.A
IULIR, JOHN
JU8TlCI
EVANS, DAVID
BVANS, JINNIJI'BR
EYDT ~ ALLISON
FALIT'l'I, THOMAS
HH8
FARLEY, DIAN
PID2R, JUDY
HK8
HHS
KHS
I.AIOR
SBN, MAX BAUCUS
OMS
FI!DBLHOLTZ, JBNNIFBR
FINAN, STBVIN
J'%N%GAN, 'l'HOMAS
li'%SH, JAMBS
F%8KI, MARY BETH
Ft'l'ZMAURXCB, J. MICHAEL
FLYNN, WXLLIAM
FORBSS, IUPLBY
FRANTZ, MOLLY
FMSCKB, MARY
P'RIDIRICK, PAUL
FRBILAND, MA1UC
BIN, BBN CAMPBILL
OHB
RIP, DICk DURBIN
SENATOR KBNNIDY
HHS - AHCPR
OFFICE OF PIRSONNIL MANA.CEMIN'l'
RBP, HIHRY A. WAXMAN
RIP. RARL POMIROY
RIP. OLlCICMAN
OPVlCI OF ASSIST. SECRBTAftY OF OEFKNSB
HHS
FRIBDMAN I IIRNARD
KRS, AHCPR
HHS
HHS, HCFA
GAUDITTI, SYLVIA
RIP. .70HN Or..VIR
GILLINGHAM, ROBIRT
GLAZE, S'l'IVIN
HHS
TftiASUR't
SINA'l'OR PRYOR
I'UY, GIORGI
GAGIL, BARBARA
GALl, JOSIPH
CANANDI, ATUL
GtBIMAN, IDWARD
GLlBC, SHBRRY
COLD, MAR'l'HI
CCLDSTONS, DONALJ)
OOLDWATBR, DAVID
OOODMAN, NAMC:Y
CJOODWtK, MARSHA
GOODY, BRlOlD
GOPLIRUD, BRIC
GRAMS, TODD
GRBBNBIRG, OIORCJB
CJUBNWALD, LBSL%1
QROSS, MARCY
OROSI, LAURIN
GRUNDMAN I MARTHA
GUST, STIVBH
HADLBY. ILJ:IABBTH
HADLIY, JAMBS
HAMON I MBLINDA
HAI.L. ANNE
SBNA'l'OR MOYN%KAN
SBNATB OOVIRNMBNT AFFAXRS COMMXTTBB
CIA
.
HilS, PHS, ODPHP
HHS, AHCPR
RIP. JIM BII.BRAY
JU8'1'1CB
VBTBRANS AFFAIRS
HHS
HHS, SAMHSA
OMB
RHS, AIPB
HHS, HCFA
HHS/OASH
SBN. CU.lBOMB PILI.
UP. MMT:tM &ABO • CHAIRMAN
RIP. STRICKLAND
HHS, AIPB
HBS
SBNATB ANTITRUST CCMMITTBB
HHS
HAMIRSCHLAG. AR'l'
HARAHAN, MARY
.VA
HHS, ASPB
HARDOCX, RANDY
'mBASURY
..
�... _,.....,.,n"
•.
.·
HEALTH CARl WORICXHO CROUPS
SORTED BY StATUS
-
ORGANIZATION
RXRPBR, NARY
HARVBLL, JINNIPER
HHS, NIMH
OVP
HHS, HCFA, OLP
HASTINGS, KATHLIEN
RIP. WAXMAN
HHS, PHS, .AHCPR
HAYBS, SHERRY
HAYES, OHARLO'l''l'l
PAGI:4
OVP
NAMB
FULL TIME GOy' T EMPLOYER
HARRIS , SKit.A
HASH, MICHAEL
MBADLSY, Ji:LWOOD
HEATH, KARIN
HIENAN, CHRISTINB
HBLtiNGIR, FRID
HD'l'Z, THOMAS
HlCICMAN I PITU
HlGOXNI, MlCHAJU,
HICJH'l', 30SIPH
HILL, TIMOTHY
HINZ, ftlCHARD
HOGUE, BONNIE
HOLTON, DWIGHT
HOLTZBLATT, JANET
HORVATH~
'l'HOMAS
HORVATH, JANI
HUCKABY, MICHILLE
HUNAN, JIFFREY
HUN'I'IR 1 CILtlAN
S!iN, KBRB KOHL
VETERANS AFFAIRS
HOU51 ARMED SERVICES C·OMMI'l'TE
HHS
HHS
HHS, ASPI
HHS, HCFA
CHR. RONALD DELLUMS/ARMED SERVICES
LABOR
HKS, HCPA
LABOR
SBN. AGING CM'l'E.
WHITS HOUSE
TREASURY
VITIRANS AFFAIRS
SENATB FINANCI COMMIT~EB
RIP. 808 CLIMBNT
SBNA!I
COMMlT~EB
ON AGING
'l'RBAIURY
IBIIN, RALPH
IRWIN, JIAN
VB'l'BMANS
ISKOWITZ, MICHAEL
SEN. KBNNBDY
IWRY, J. MARIC
J'AelCSON, PAUL
JACOBS I 'l'SRRY
JACOBSON, LAURINCI
JMBOI, XBNAN
31NCKS, STIPHIN
JBNNINGS, CHRISTOPHE
JODRBY, OAMIL
JOHNSON, K. BCHEI.II
JOHNSON, IRIK
JOHNSON, PATRICIA
JOHNSON, DONALD
JOHNSON, JAMBS
JONIS, MIERCIA
JONIS, SANDRA
JOSIPH-FOX
I
JUNG, PAUL
YVBTTE
KANE, BRAD
ICASS, DAVID
ICA'l''l'AN, AZAR
KATZ, RUTH
ICA'l'Z, RUTH
KATZ•LIAVY, 3UD1TH
ftiP,MARlA CANTWELL
'l'RIASURY
HHS, PHS
TREASURY
OMI
SBNTOR RIEGLE
HHS, HCPA
HHS
SINATOR WOFFOilD
REP. JOHN BRYANT
OMB
COMMERCE, CENSUS
HKS, KCFA
RBP. L.P.
PAYNB
SBN.BREAUX
VITiRANS AFFAIRS
asN, DANIBL K. INOUYE
NIH, DHP
CONGRI88IONAL • HOUSE
COMMIRCB
RBP, ROBiftT MATSUI
RIP. WAXMAN
HHS, A&PE
HKS, CIN'l'ER FOR MENTAL HEALTH SERVICES
I
�HZIL!H CUI WORKIKC GROUPS
PACB:5
SOR'l'ID BY l'.l'A'IVI
NAME
- TIME GOV'
FULl!
KAVANAGH, GARY
KAZDIN, ROBBRT
ORQANIZJ\TI~
'I' EMPLOYEE
ICIINE I BRAD
HCll'l'
TREASURY
REP. COLtlNS/BNSRGY & COMMIRCE SUSCMTE.
lCIMPIR, PITBR
KINDALL, DAVID
HHS, AHCPR
KINYON. MARY
FIDBML TRADI! COMMI&810N.
ICIPNBR, COLLJ!!IN
RIP. H%CHABL ANDREWS
UP. CHMLBS S'l'INHOLM
RIP. BARBARA KINNBLt.Y
KIRY11 PATRtOIA
ICICHAK, NANCY
OPM
KING, A.NDRD
RIP. GBPHARD'l' • HOUSE MAJORITY LEADER
KING, ROUND
KtNG, KATHLBBN
XOLODNIR, ROBERT
HKS, HCl'A
SINATI FINANCE COMMITTEE
VITIRANS AFrAXRS
HHS, CDC • ATLANTA
KOPLAN, "BJ'FRIY
KOIS, SHANNNI
KRAKAUBR, HBNRY
OMB
KRESS, JACK
HHS
ICUZMACX, RICHARD
HHS, PHPA
OMB
LANGBNBRUNNBR, JACk
LAVIZZO•MOURIY, RISA
OMB
LEATHERS, HOWARD
LI~ITZ, BONNII
LIBMAN, LAURINCI
TRIASURY
CIA
HHS, PHS
VITERANS AFFAIRS
VETERANS AFPAIRS
LAWSON, KURT
LIIIMANN, LAURIN'l'
LBMASURIER .. JEAN
L!VINB. GREGORY
LBYY. HILBN
LBWIS·InRMA, DEBORAH
LILL!!, STIVRN
LINCOLN, M%CHASL
HHS~
AHCPR
HHS, HCFA
RBP. ROSA DBLAURO
HHS, AHCPft
HHS
IX)D
HHS,IHS
LINDABW, GBRALD
LMOR
Ll:NK, KINNBTH
t.lPNh, ROBYN
VBTIRANS AFFAIRS
LXU, BRIO
SIN. DAVID BORIN
HOUII EDUCATION AND LABOR
LOPATIN, A~
t.UDI'l'Z, JAMES
LUCAS, DBIORAM
LURll, ALIXANOER
LUTTBIG, CAROLINB
LUTTSR, RANDALL
LYON, ANDRBW
LYON, RANDOLPH
MAGAZINIR, IRA
MAGUIRI, DAHilL
SINATOR MIKULSKI
HCFA
COUNCIL ON BCONOMie ADVISORS
SBNA'l'OR
RIP. RON COLEMAN
OMB
CKA
OMB
.
WHITE HOUII
LABOR
MANDBRSCHIID, RONALD
VBTERANS AFFAIRS
HHS
MARCONI, KA'l'HY
HH8
MALONBY, DANIBL
MAN'l'IL, LIWIS
MARGHBRIO, LYNN
MAR'l'INIZ, FELIX
VE'l'R!UN$ AFFAIRS
WHl'l'l HOUSE
RIP. JlM BILBRAY
�---
---
-w~n·l
w·1 ·-"vi vn
~rv
1 vvv·.,-,-v,-
• v·•v
T
w
••
,...
'
1 r • ,...,., ..,,..,
-·
HIALTR CARE WORKING CROUPS
SOI!ID IY STAtUS
ORGANIZATION'
~
fULL TIME
GOV'~
EMPLOYEE
MATHER, SUSAN
MceLINNEY-BLL%0,
MCCONNELL, BRUCE
LUORET~A
. MCKEE, TIMOTHY
MCKENNEY, NAHPBO
MEADOW, CYNTHIA
MEANS, ICATHLBBN
MELNICK, DAN%2:11
MIRQHEAY, JANET
MILt.BR, NANCY
MU.,LBR, HE:t.ANIB
MlitLER, MlCHAII.
VSTBRANS AFFAIRS
DOP
OMB
DOD
COMMERCE
RIP. JACK BROOKS
HHS
HHS
KIP. SLAUGHTER
HHS
RIP. MIKE ANDREWS
RIP. SANDER LEVIN
MILLER, BDWARD
MILLMAN, MICHAEL
MlN, NANCY-ANN
OASD
MINK, DOUGLAS
RIP. JOHNSON
MCILLBR, JONATHAN
MOLLOY, JANE
MONHBIT I ALAN
MORGAN, JACQUELINE
MULLAN, FITZHUGH
MUNNELL, ALICIA
MURPHY. SHEI LtA
NAIWIATA, PITBR
NARROW. DAVID
NILSON, CHUCK
NILSON, KAREN
NBUMAN, TRICIA
NIXON, OAVID
NICHOLS, I.IN
NICHOLS, LINDA
HHS
OMS
KHS
COMMERCE
HHS, AHCPR
DOD
HHS.
TREASURY
IENA'fOR I<BRREY
OMB
PBDIRAL TRADB COMMISSION
USBC
RBP. WAXMAN
HOUSE WAYS AND MEANS
SIKATQR K.IMNEDY
OMI
NIX, SHEILA
VITIRANS AFFAIRS
SBNATOR KIRREY
NORQUIST, GRA'rSON
VITIRANS AFFAIRS
HHS
NOBLB, .:JONATHAN
NORMAN, ALt.%NB
HIAAA
O'NBZLL, KlM
O'NEILL, PATRlCIA
OBBY, CftAIG
CIA
VBTIRANS AFFAIRS
OFFN!R, PAUL
SBNATE FINANCE
OLlVBR, JUDITH
OSHIR, FRBDIRICK
PANG, FRIDil\ICK
PMADtSB, JULIA
PATEL, PARASHAR
PAYNI, MARY BLLA
PIDGEON, STEVIN
Pt.AUT, THOMAS
POL.Ll'l'Z, KARBN
PORTMAN I ROBIR'l'
POSEY, KBNCAI..L
PO'l'ITZ, LISA
SENATOR CONRAD
HHS
HHS
SENATE ARMED S!RVICIS
HHS
OMB
SENATOR ROCKBF&LL2R
tiHS
HMS
HMS
LABOR
CIA
SENATE FINANCB COMMITTEE
PAGIU6
�.. .·
HEALTH CARl WORKING GROUPS
SORTED IY STATUS
ORGANIZATION
~
FULL TIME GOV 1 T EMPLOYEE
PRAT'l', DONALD
PRICE, ANDQA
VA
RBP. LEWIS PAYNE
PUSJCIN, DINA
HHS
kADAC:K I LAURA
RAJ'USE, ROIBRT
JUSTICE
TREASURY
VITERANS AFFAIRS
HKS
RAYHOND, YIC'l'OR
REEYBS,
LINDA
RBGISR, DARREL
REINBCKB, Pl'l'ER
RBYBEI, LUANA
RIC!, CHIRI
RICX!L, ANNE'l''l'l!i
RlCKl!iTSON, DBNISE
RIVO, MARC
RODGERS,
JUDI'l'H
RODRIQUEZ, LCUISB
ROSIN, ROBERT
ROSENMAN, PAT
ROSWBLL, ROBIR'l'
ROU&B, BIA'l'RICB
ROVIN, LISA
ROZIN, ROBBR'l'
RYAN, BLAINE
SALMON, MARLA
SAMUELSON, ILLIN
SCHECDL, LISA
SCHIE!IR, GIOJtCE
SCHMID, S'l'UART
SCHNEIDER, ANDRIW
SCHPININQ, ATHINA
SCHU'LQ, DAVID
HKS
SS:NATOR HARKIN
HHS, IHS
OM!
SENATOR RIEGLE
KHS
HHS/HRSA
HHS
VA
SEN. GEORGE MITC:HBLL
HHS
VETERANS AFFAIRS
HHS
HHS
SENATOR MITCHELL
REP. L. SLAUGHTER
HHS/HIRSA
REP. MAR~IN SADO - CHAIRMAN
MKS
HHG, HCFA
HHS
RBP. WAXMAN
HHS, IHS
R!P. WIDMAN
SCHULTZ, WILL%AM
SCHUSTER, JAMBS
RBP. WAXMAN
SHAFPB~,
BLLIN
SH!lNBR, t.OUISB
SBN. WELLSTON!
SKilNGOt.D, ITIVB
SKILDON, GBOKGB
SHINN, RUTH
HCFA
SHORT, 8LIZABITH
SHRIBER, DONALD
SILVA, JOHN
SILYIR, JONATHAN
SIMMONS, NICOLE
SIMON, MARSHA
RBP. 5TfttCltLA.ND
JOINT TAX COMMITTEE
VBTBRANS
LABOR
AFFAIRS
VA
RBP.
USUHS
COMMERCE
HCFA
SMITH, ILMIR
SLACICMAN, JOEL
SIN. TED KENNEDY
LABOR
DOD
HHS
SMI'l'H I CURT%S
OPM
SISKIND, FRIEJ
SMITH, MARY BETH
SOBEL, LAWRBNC:!
•. SOCHALSKI, JULIE
VETERANS AFFAIRS
DEFENSE .
SENATOR BRADLEY
PAOI:7
�HIAL~H
CARE WORKIMO CROUPS
SOR'flb BY STATUS
PAGE:&
ORCANIZA'fiON
~LL
TIME
GOV'~
EMPLOYEE
LOMON, LOlL
SBN. KSNNBDY
SPAULDING, VERNON
DOl)
SPBRANDBO REEVE, LINDA JO
SPRINGBR, MICHAEL
HHS/PHS/ACHPft
STANTON, TAMiRA
SBN. JAY ROCKEFEL~ER
VETERANS AFFAlRS
S'l'IEL!, PAMELA
STEINAUER, DINNIS
STIPHENS, SHARMAN
SUCHINSRY, RICHARD
SVISNONIUS, DIANB
SWIRE, ANDRBW
SYKBS, KATHERINE
TAPLIN, CAROLINE
TARMBY, MA~JORIE
TAUEBER, CYNTHIA
TAYLOR, AMY
TERRY, DONALD
Tlii8TONI, MAUREEN
THORP!, KBN
TIBBITS, PAUL
'riMS, FRANK
ll'ORRBS-QIL, FERNANDO
TOWNSBND, JESSICA'
r.RACHTBNBBRG. ALAN
'I'RAPNILt, GORDON
UkOCKIS, JAMBS
VARMA, VIVEK
VARNHAOEN. MICHELE
VDZIY, BRENDA
VE'l'TLD,
SUSAN
VIITNIS, QRBO
VISTRIBS, JBSSICA
'l'R;-ASURY
COMM~RCE
HH&
VBT8RANS AFFAIRS
l.ABOR
OMB
RIP.OBEY
HHS
HHS
COHM!RC!
HHS
CHR. J. LAFALCB/CMTE. ON SMALL BUSINESS
SENATOR
HHS
DEFENSE
HHS
HHS
HHS
HHS
KOUSI WAYS AND MEANS
TREASURY
RIP.
SENATOR MITZZNBAUM
HHS
REP. STRICKLANtJ
JUSTICE
HKS
WAJ:.DO, DANIBL
HHS
WAL'l'BRS, KARBN
VETERANS AFFAIRS
HHS
WARD, TIM
WASSERMAN, MAM
WBICJI, ftONALD
WBISS, MARlNA
WIISS, GAIL
WERNER, MICHAEL
WESTMORELAND, TIM
WI~~lAMB, CHRISTINE
Wl~~lAMSON, JONATHAN
WI Lta, DARRYL
Wll.IBON, FRANK
WILSON, MAFtiC
WITTIER, JONATHAN
WOO, MICHAEL
WOOl), SUSAN
WOODWARD, ALAN
WYLER, ROBERT
OMB
SBNATI HEALTH AND HUMAN RESOURCES
TREASURY
HOUSE 'l'RBASURY/POSTAt CM~E.
SINA'l'B DEMOCRATIC POLICY COMMITTEE
RIP. HENRY WAXMAN
SINA'l'OR MITCHELL
VETERANS AFFAIRS
CBA
LABOR
LASOR
HHS
HOUSE ENERGY & COMMERCE
CONGRESSIONAL CAUCUS-WOMEN'S ISSUES
HHS
OMB
�--····
..
-I-,.-..,,.., ......
I 'W' 0 ............. ,..,
I
........
'
W
-·
....
o
I
I
W
... ,
11"0
'
.·
HUL'1'H tAU WORKINC DROUPS
SOR~BD
S~ATUI
ORGANIZA'l'lON
NAME:
FULL tiME
It
~ !MPLOY~E
YAMAMOTO. A
YOSHIKAWA, THOMAS
ZARABOZO, CARLOS
ZITTLIR, SUSAN
RIP. Nllt
AB~RCROMBIE
VITIRANS AFFAIRS
HHS HCPA
RBP. T. STRICKLAND
PAGI:9
�• ... '._.._. .._...,."• ._..,
• .,.,... '
., •• ,...,
• ' ' •••·u·•
'
.•
HEALTH eARE WORKING GROUPS
SORTED BY
S~ATUS
PAGI:l
ORGANIZATION
SPECIAL GOV'T EMPLOYEE
ADAMSICE, STEVEN
ASCHB, ADIUINNR
BAJCS:R LAURENCE
BERENSON, ROBIR'l'
BIRO'l'HOUI, LINDA
BROCIC, DAN
BROWN, £. RICHARD
CLAXTON, GARY
CROW, SHBLLBY
CURTIS, RlCHA!tD
I
DANIELS,
NOJitMAN
DAUMt'l', GAIL
DENTON, DBNIS!
DUBLER, NANCY
EDDY, DAVID
BDDY, JUt»ITH
EDBLSTBIN, STBVIN
EPS'l'IIN, ARNOLD
FAHEY, CHARLES
FRANK, RICHARD
CJATZ, CAROLYN
GEHAN, MARGERY
GIBSON, JOAN
CJLBASON, STIPHEN
GOLDMAN, SYII L
IN-TAKE
BOSTON UNIVERSITY
KHS
HHS
HHS
BROWN UNIVBRSITY
HHS
HHS
HHS
HHS
TUFTS UNIVERSITY
POLICY ASSISTANT
HHS
EINSTEIN UNIVERSITY
HHS
HHS
HHS
HHS
FORDHAM UNIVERSITY
HKS N!MH
OOSTIN, LAWRENCI
GRAFF, TOBY
COMMERCE
POLICY ASSISTANT·
UNIVIRSITY OF NBW MBX1CO
MBRCY MEDICAL C~INIC
HHS
HHS, NIMH, PHS
AHBR. SOCIETY OF LAW, MEDICINE & iTHICS
INTAKB CBNTBft
MANDY, CAROLYN
HHS
HARRY, PATIU:CIA
HARVEY, PATR%C%A
HHS, AHCPR
QOLDMAN, HOWARD
INTAKE CINT!iR
Hl:X, W:tLLIAM
DOD/RAND
HOFFMAN, ALJ.N
HHS
JORtlNG, JAMES
KBLLBY, LAUREN
KLEIN, JBNNIFIR
KftONlCK, RICKARD
HHS
POLICY ASSISTANT
POLICY ASSISTANT
HKS
ICRU!GIR, AI.aAN
HHS
LAHTOS, JOHN
LASKER, ROZ
UNIVERSITY OF CHICAGO
LAWLER, GREGORY
POLICY ASSISTANT
POLICY ASSISTANT
ORPHAN PROJECT/NEW YORK CITY
HHS
HHS
LEVINE, ORBORAH
LIVINI, CAROL
LBVITT, LAWRINCE
LITVAK, SIMI
t.O,· BERNARD
WKOMNlK, JOANNE
MANOWITZ, MICHELE
MEZEY, MATHY
MILES, S'I'IVI
MILLER, CAROL
HHS
UNIVERSITY
0~
CALIFORNIA
HHS, BPHC, HRA"
POLICY ASSISTANT
NEW YORK UNtVBRSITY
HENNIMSN COUNTY I
KHS
MN
�-----
.
----~,.-·---·•
-·
- •. .,..,..,-,..r,.
.- ..... -... ...............
.,
,...._....
.
-- --... ... -
·-.
,.
---·-·-····--·· --
--
'
H!At!H CARE WORKING GROUPS
SOR!ID BY S~ATUS
ORGANIZATION
~
SPECIAL GOV' T EMPLOYE! .
ktii'l'HA,
DONALD
O'CONNELL, LAURBNCB
OSSOIUO, PILAR
O'l'JU:N, SUSAN
PlClt.tO, THBRESA
PlRIS, SHBII.A
QUAM, LOIS
RICHARDSON, SALLY
ROSS, MARJORIE
RUBSCH!MBYSR, SIMONE
SAGS, WILLIAM
SCKUNIMAN,
MA~Y
INTAKE CENTISft
THB PARK RIDGZ CBNTER - CHICAGO
YALE UNIVERSITY
POLICY ASSISTANT
POLICY ASSISTANT
HilS CMHS
MHS
HHS
POLICY ASSISTANT
COMMERCB
WHITS ROUSE
HHS
&ICUNDY, MARIAN
&HBBBS CROW, &HILLY
SHIRLEY, AARON
HOWARD UNIVERSITY
SMI 'l'H, MARK
HHS
SOFAIR,. SHOSHANA
STAIR, PAUL
STCLINI, ANNE
STONE, ROBYN
STROUL. ELIZABETH
HKS
HHS
HHS
HHS
POLICY ASSISTANT
HHS
HHS CMHS
SUMAYA.. CIRO
HHI
VILOZ, RICHARD
HHS
VALDEZ, ROIIRT
WAt'l'IRS, lPARRAH
WELCH, WILLIAM PIE
WELLFORD, SUSANNAH
WHANO, JUDY
WilNER, JOSH
WOOLLEY, BMBARA
Zlt.MAN, WALTER
KHS
HHB
OHB
POLICY ASSlSTANT
HHS
HH8
HHS
HH8
P&GI&Z·
�·".
RIALTH CARl WORKlNG GROUPS
IORTig IY ITATUS
NAME
-
ORGANIZATION
A!iCiN, LINDA
BINBCICT, RCBIRT
HHS
C::ONSULTANT
PA COUN~Y COMMISSIONER
NGA
HHS
BROWN, MARY
CHAPMAN, THOMAS
FRIBDHOLM, DIANNE
HILLMAN I ALAN
NQA
HHS
I.OHR, KA'l'HIRINB
MCNAMBI I NIKKI
HMS
NQA
O'BRIEN, MARY JO
NCA
PYLE I THOMAS
HARVARD COMMUN:ETY HBAt.TH PLAN
RADIR. ANYA
NQA
SATCHER. DAVtD
HHS
HHS
SCHADBL, JAN!
SCHBPPACH, RAY
SMITH, BARBARA
VOLPE, CARL
Witt. I At.AN
-
NGA
NGA
NOA
NGA
PAGE:l
�•
•
The following is a key to the acronyms used in the list;
ASI'E, Office or the AsslsWtt Secretary of Planning and Evaluation. HHS
HRSA, Health Resources and Services Administration, HHS
PHS, Publlc Health Service, HRS .
AHCPR, Agency for Health Care PoUc;y and
lte,!~euch,
HHS
ODPHP, Office of Disease Prevention and Health Promotion, HHS
SAMHSA, Substance Abuse and Mental Health Services Adm;r.l.stra.tion, HHS
OASH, Office of the Assistant Secretary for Health, HHS
CDC. Centers for DiMase Control, HHS
OPM, Office of PersOMel Manaaemcnt
OVP, Offtcc of the Vicr;.PRsident
CEA, CuuncU of Economic Advisers
ARC, Appalachian Regional Commission
USBC, United States Bureau of the Census
NIAAA, National Inatitutc on Alcohol Abuse and Alcoholism
�contact: Dee Dee Myers
(202) 456-2100
Lisa Caputo
(202) 456-6266
POR IMMEDIATE RELEASE
Monday, January 25, 1993
PRESIDENT CLINTON PORMS HEALTH CARE TASKFORCE
WASHINGTON, D.c. -- In effort to develop a plan for high quality,
affordable health care for all Americans, the President today
announced the formation of a taskforce to develop legislation for
comprehensive health care reform.
"It's time to
time to bring
secure in the
will not mean
bring quality
paperwork and
privilege."
make America's health care system make sense. It's
costs under control -- so that every family can be
thought that a medical emergency or a long illness
bankruptcy," the President said. "And it•s time to
coverage to every American -- to cut back on the
the excuses and make health care a right, not a
The President's taskforce, which is expected to report a plan by
the end of May, will be chaired by First Lady Hillary Rodham
Clinton. The health care taskforce will include Secretary of the
Treasury Lloyd Bentsen, Secretary of Defense Les Aspin, Secretary
of Commerce Ron Brown, Secretary of Labor Robert Reich, Secretary
of Health and Human Services Donna Shalala, Secretary of v~terans
Affairs Jesse Brown, Office of Management and Budget Direc~or
Leon Panetta, Assistant to the President for Domestic Policy
Carol Rasco, Assistant to the President for Economic Policy
Robert Rubin, council of Economic Advisors Chair Laura Tyson and
Senior Advisor to the President for.Policy Development Ira
Magaziner.
Magaziner will lead an interdepartmental working group which will
coordinate policy development for the taskforce. Health care
transition director Judith Feder will assist Magaziner and other
senior transition officials will be members of the working group.
The taskforce will work cooperatively with members of Congress as
well as with state, city and county officials in developing its
proposals. It will conduct an outreach program to seek verbal
input and formal written submissions from interested citizens and
groups across the country.
The process will seek advice from people like the many the
President met during the campaign, for whom rising health care
costs and lack of adequate health care coverage are causing
severe hardship.
-- more --
�The President said the legislation will be based on the following
principles:
o
To slow the growth of national health care spending.
o
To provide universal access to high quality care for
all Americans.
o
To ensure consumer choice.
o
To maintain a private, competitive health care system.
o
To cut the health care bureaucracy.
While her husband was Governor of Arkansas, Mrs. Clinton chaired
the Arkansas Education Standards Committee, which in 1984 created
public school accreditation standards that have since become a
model for national reform. In 1984-1985, Mrs. Clinton served as
her husband's designee on the Southern Regional Taskforce on
Infant Mortality. She served as the chair of the Arkansas Rural
Health Committee in 1979-1980, and has served on the board of the
Arkansas Children's Hospital, where she helped establish the
state's first ne~-natal unit. In addition, Mrs. Clinton
introduced a pioneering program that trained parents to work with
their children in pre-school preparedness and literacy through
Arkansas• Home Instruction Program (HIPPY).
Those interested in submitting ideas should write to:
President's Health Care Taskforce
The White House
Washington, o.c. 20500
###
�...
Contact: Dee Dee Myers
(202) 456-2100
Lisa caputo
(202) 456-6266
FOR IMMEDIATE RBLEASB
Monday, January 25, 1993
PRESIDENT CLINTON FORMS HEALTH CARE TASKFORCE
WASHINGTON, D.C. -- In effort to develop a plan for high quality,
affordable health care for all Americans, the President today
announced the formation of a taskforce to develop legislation for
comprehensive health care reform.
"It's time to
time to bring
secure in the
will not mean
bring quality
paperwork and
privilege."
make America's health care system make sense. It's
costs under control -- so that every family can be
thought that a medical emergency or a long illness
bankruptcy," the President said. "And it's time to
coverage to every American -- to cut back on the
the excuses and make health care a right, not a
The President's taskforce, which is expected to report a plan by
the end of May, will be chaired by First Lady Hillary Rodham
Clinton. The health care taskforce will include Secretary of the
Treasury Lloyd Bentsen, Secretary of Defense Les Aspin, Secretary
of Commerce Ron Brown, Secretary of Labor Robert Reich, Secretary
of Health and Human Services Donna Shalala, Secretary of v~terans
Affairs Jesse Brown, Office of Management and Budget Direc~or
Leon Panetta, Assistant to the President for Domestic Policy
Carol Rasco, Assistant to the President for Economic Policy
Robert Rubin, Council of Economic Advisors Chair Laura Tyson and
Senior Advisor to the President for.Policy Development Ira
Magaziner.
Magaziner will lead an interdepartmental working group which will
coordinate policy development for the taskforce. Health care
transition director Judith Feder will assist Magaziner and other
senior transition officials will be members of the working group.
The taskforce will work cooperatively with members of Congress as
well as with state, city and county officials in developing its
proposals. It will conduct an outreach program to seek verbal
input and formal written submissions from interested citizens and
groups across the country.
The process will seek advice from people like the many the
President met during the campaign, for whom rising health care
costs and lack of adequate health care coverage are causing
severe hardship.
-- more --
.................____________________________
�The President said the legislation will be based on the following
principles:
o
To slow the growth of national health care spending.
o
To provide universal access to high quality care for
all Americans.
o
To ensure consumer choice.
o
To maintain a private, competitive health care system.
o
To cut the health care bureaucracy.
While her husband was Governor of Arkansas, Mrs. Clinton chaired
the Arkansas Education Standards committee, which in 1984 created
public school accreditation standards that have since become a
model for national reform. In 1984-1985, Mrs. Clinton served as
her husband's designee on the Southern Regional Taskforce on
Infant Mortality. She served as the chair of the Arkansas Rural
Health Committee in 1979-1980, and has served on the board of the
Arkansas Children's Hospital, where she helped establish the
state's first ne~-natal unit. In addition, Mrs. Clinton
introduced a pioneering program that trained parents to work with
their children in pre-school preparedness and literacy through
Arkansas• Home Instruction Program (HIPPY).
Those interested in submitting ideas should write to:
President's Health Care Taskforce
The White House
Washington, D.C. 20500
###
�MEDIA ADVISORY
MEDIA ADVISORY
FOR IMMEDIATE RELEASE
MARCH 23, 1993
MEDIA ADVISORY
CONTACT:
LISA CAPUTO
NEEL LATTIMORE
KAREN FINNEY
202-456-2960
PRESIDENT'S HEALTH CARE TASK FORCE TO HOLD MEETING ON MONDAY,
MARCH 29 1 1993
The President's Health Care Task Force will hold
WASHINGTON, DC -it's first meeting on Monday, March 29, 1993. The meeting will take
place at The Smith Center on the campus of George Washington
University. First Lady Hillary Rodham Clinton will chair the meeting.
Task Force members are: Secretary of the Treasury Lloyd Bentsen,
Secretary of Defense Les Aspin, Secretary of Commerce Ron Brown,
Secretary of Labor Robert Reich, Secretary Health and Human Services
Donna Shalala, Secretary of Veterans Affairs Jesse Brown, Office of
Management and Budget Director Leon Panetta, Assistant to the
President for Domestic Policy Carol Rasco, Assistant to the President
for Economic Policy Robert Rubin, Council of Economic Advisors Chair
Laura Tyson and Senior Advisor to the President to the President for
Policy Development Ira Magaziner.
PRESIDENT'S HEALTH CARE TASK FORCE MEETING:
DATE:
TIME:
LOCATION:
Monday, March 29
8:00 AM - 8:00 PM
The Smith Center
George Washington University
22 and G Street, NW
Washington, DC
TO REQUEST CREDENTIALS: To cover the President's Health Care Task
Force fax, on your media organization's letterhead, the full name,
date of birth and social security ndmber of all persons wishing to be
credentialed to 202-456-7805. To revise your credential request call
202-456-7787. Credentials will be available, at the Smith Center, the
day of the meeting.
TO ORDER PHONES:
There are a limited number of phone lines that can
be dropped in the press room of the Smith Center. To order phone
lines fax your request to Lisa Edsel, with George Washington
Unversity, at 202-994-6818.
Each phone line will cost approximately
$70. A calling card will be required to make long distance calls from
these ordered phones. Phone orders must be placed by close of
business Wednesday, March 24.
�PRESS NOTE:
Additional information regarding the meeting of
the President's Health Care Task Force will be released as it
becomes available.
###
�MEDIA ADVISORY
MEDIA ADVISORY
FOR IMMEDIATE RELEASE
MARCH 25, 1993
MEDIA ADVISORY
CONTACT:
LISA CAPUTO
NEEL LATTIMORE
KAREN FINNEY
202-456-2960
PRESIDENT'S HEALTH CARE TASK FORCE TO BOLD .MEETING ON MONDAY,
MARCH 29 1 1993
WASHINGTON, DC -The President's Health Care Task Force will hold
its first meetinq on Monday, March 29, 1993. The meetinq will take
place at The Smith center on the campus of Georqe Washinqton
University. First Lady Hillary Rodham Clinton will chair the meetinq.
REQUEST CREDENTIALS:
To cover the President's Health Care Task
Force fax, on your media orqanization's letterhead, the full name,
date of; birth and social security number of all persons wishinq to be
credentialed to 202-456-7805. To revise your credential request call
202-456-7787. Credentials will be available, at the Smith Center, the
day of the meetinq.
The followinq is a TENTATIVE SCHEDULE of orqanizations expected to
participate:
Panel 1: 8:05 - 9:05
National Council of Senior Citizens
Families USA
National Committee to Preserve Social Security/Medicare
Consortium of Citizens with Disabilities
American Association of Retired Persons
Panel 2: 9:10 - 10:10
National Federation of Independent Businesses
small Business Leqislative Council
National Small Business United
National Association of Women Business Owners
Minority Contractors Association
National Restaurant Association
Panel 3: 10:15 - 11:15
National Association of County Orqanizations
Urban Leaque
National Farmers Union
United Farm Workers
National Council of La Raza
National conqress of American Indians
-more-
�page 2
Panel 4:
American
American
American
American
National
American
Panel 5:
American
American
National
American
American
American
11:20 - 12:20
Nurses Association
Dental Association
Academy of Physicians Assistants
Chiropractic Association
Association of Social Workers
Psychological Association
12:35 - 1:35
Medical Association
Association of Physicians and Surgeons
Medical Association
Academy of Family Physicians
Academy of Pediatrics
Psychiatric Association
Panel 6:
1:40 - 2:40
Panel 7:
2:45 - 3:35
Health Insurance Association of America
Independent Insurance Agents of America
Blue cross Blue Shield Association
Alliance for Managed Competition
Group Health Association of America
Pharmaceutical Manufacturers Association
Generic Pharmaceutical Industry Association
National Association of Retail Druggists
Industrial Biotechnoloqy Association
a:
3:40 - 4:40
Panel 9:
4:55 - 5:45
Panel
American Hospital Association
Federation of American Health Systems
American Protestant Health Association
Catholic Health Association
National Association of Children's Hospitals
National Association for Home Care
American Health Care Association (Nursing Homes)
National Hospice Association
Health Industry Manufacturers Association
Panel 10: 5:50- 6:50
AFL-CIO
Service Employees International Union
American Federation of State, County and Municipal Employees
International Brotherhood of Teamsters
Building and Construction Trade Council of the AFL-CIO
United Auto Workers
Panel 11: 6:55 - 7:55
Citizen Action
Children's Defense Fund
National Council of Churches
Mental Health Liaison Group
Campaign for Women's Health
National Health Care Council
�page 3
Panel 12:
a:oo -
9:00
National Association of Manufacturers
Business Roundtable
Chamber of Commerce
National Retail Federation
Washington Business Group on Health
American Private Pension and Welfare Plans
Task Force members are: Secretary of the Treasury Lloyd Bentsen,
Secretary of Defense Les Aspin, Secretary of Commerce Ron Brown,
Secretary of Labor Robert Reich, Secretary Health and Human Services
Donna Shalala, Secretary of Veterans Affairs Jesse Brown, Office of
Management and Budget Director Leon Panetta, Assistant to the
President for Domestic Policy Carol Rasco, Assistant to the President
for Economic Policy Robert Rubin, Council of Economic Advisors Chair
Laura Tyson and Senior Advisor to the President to the President for
Policy Development Ira Magaziner.
PRESIDENT'S HEALTH CARE TASK FORCE MEETING:
DATE:
TIME:
LOCATION:
Press Entrance:
Monday, March 29
8:00 AM - 9:00 PM
The Smith Center
George Washington University
22 and G Street, NW
Washington, DC
22 and F Street, NW
###
�contact: Dee Dee Myers
FOR IMMEDIATE RELEASE
Monday, January 25, 1993
(202) .456-2100
Lisa caputo
(202) 456-6266
PRESIDENT CLINTON FORMS HEALTH CARE TASKFORCE
WASHINGTON, D.c. -- In effort to develop a plan for high quality,
affordable health care for all Americans, the President today
announced the formati-on of a taskforce to develop legislation for
comprehensive health care reform.
"It's time to
time to bring
secure in the
will not mean
bring quality
paperwork and
privilege."
make America's health care system make sense. It's
costs under control -- so that every family can be
thought that a medical emergency or a long illness
bankruptcy," the President said. "And it's time to
coverage to every American -- to cut back on the
the excuses and make health care a right, not a
The President's taskforce, which is expected to report a plan by
the end of May, will be chaired by First Lady Hillary Rodham
Clinton. The health care taskforce will include Secretary of the
Treasury Lloyd Bentsen, Secretary of Defense Les Aspin, Secretary
of Commerce Ron Brown, Secretary of Labor Robert Reich, Secretary
of Health and Human Services Donna Shalala, Secretary of Veterans
Affairs Jesse Brown, Office of Management and Budget Director
Leon Panetta, Assistant to the President for Domestic Policy
Carol Rasco, Assistant to the President for Economic Policy
Robert Rubin, Council of Economic Advisors Chair Laura Tyson and
Senior Advisor to the President for Policy Development Ira
Magaziner.
Magaziner will lead an interdepartmental working group which will
coordinate policy development for th~ taskforce. Health care
transition director Judith Feder will assist Magaziner and other
senior transition officials will be members of the working group.
The taskforce will work cooperatively with members of Congress as
well as with state, city and county officials in developing its
proposals. It will conduct an outreach program to seek verbal
input and formal written submissions from interested citizens and
groups across the country.
The process will seek advice from people like the many the
President met during the campaign, for whom rising health care
costs and lack of adequate health care coverage are causing
severe hardship.
-- !':lore --
�The President said the legislation will be based on the following
principles:
o
To slow the growth of national health care spending.
o
To provide universal access to high quality care for
all Americans.
o
To ensure consumer choice.
o
To maintain a private, competitive health care system.
o
To cut the health care bureaucracy.
While her husband was Governor of Arkansas, Mrs. Clinton chaired
the Arkansas Education Standards Committee, which in 1984 created
public school accreditation standards that have since become a
model for national reform. In 1984-1985, Mrs. Clinton served as
her husband's designee on the southern Regional Taskforce on
Infant Mortality. She served as the chair of the Arkansas Rural
Health Committee in 1979-1980, and has served on the board of the
Arkansas Children's Hospital, where she helped establish the
state's first neo-natal unit. In addition, Mrs. Clinton
introduced a pioneering program that trained parents to work with
their children in pre-school preparedness and literacy through
Arkansas• Home Instruction Program (HIPPY).
Those interested in submitting ideas should write to:
President's Health Care Taskforce
The White House
Washington, D.C. 20500
###
�SCHEDULE OF AITENDANCE
Members of Health Care Task Force
Public Meeting
March 29, 1993
~
Group
8:05-9:05
Consumers
HRC, Shalala, Magaziner,
Rasco
9:10-10:10
Business
HRC, Magaziner, Rasco,
Shalala, Rubin
10:15-11:15
Underserved
HRC, Magaziner, Rasco,
Shalala, Rubin, Reno
11:20-12:20
Gen. Health Care
Providers
HRC, Magaziner, Rasco,
MEG, Reno
12:35-1:35
Physicians
HRC, Magaziner, Rasco,
Tyson, MEG
1:40-2:40
Insurance
HRC, Magaziner, Rasco,
Tyson, Bentsen
2:45-3:35
Pharmaceuticals
HRC, Shalala, Magaziner,
Rasco, Tyson, Bentsen, Jesse Brown
3:40-4:40
Hospitals
HRC, Shalala, Magaziner,
Rasco, Jesse Brown
4:55-5:45
Gen. Health
HRC, Shalala, Magaziner,
Rasco, Jesse Brown, Reich
5:50-6:50
Labor
Shalala, Magaziner, Rasco,
MEG
6:55-7:55
Consumer
Shalala, Magaziner, Rasco,
MEG
8:00-9:00
Business (Large)
Magaziner, Rasco, Shalala,
MEG
To Attend
�PANEL 2: 9:10 - 10:10
Business
Gary Frank Petty
Treasurer and Member of the Board of Directors
Small Business Legislative Council
Margaret Smith
Chair, Legislation
National Small Business United
Samuel Carradine
Executive Director
Minority Contractors Association
Stephen Elmont
Vice President
National Restaurant Association
Andra Bennett
Executive Director
National Association of Private Enterprise
�Agenda
8:00 - 8:05
Opening Statement - HRC
PANEL 1: 8:05- 9:05
Consumers
Daniel Schulder
Director of Legislation
National Council of Senior Citizens
Phyllis Torda
Director of Health and Social Policy
Families USA
Max I. Richtman
Executive Vice President
National Committee to Preserve Social Security/Medicare
Peter Thomas
Attorney, Representing Members of CCD
Consortium for Citizens with Disabilities
Lavola Burgess
President
American Association of Retired Persons
Bill Keane
Board member of coalition member organization (on behalf of)
Long-Term Care Campaign
�THE WHITE HOUSE
WASHINGTON
RE:
Health Care Task Force Reading Room
DATE:
March 30, 1993
FOR PUBLIC INFORMATION:
THE HEALTH CARE TASK FORCE HAS ESTABLISHED A READING ROOM IN THE
FOLLOWING LOCATION:
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ROOM 101-G
200 INDEPENDENCE AVE., S.W.
WASHINGTON, DC 20201
MANY DEPARTMENTS HAVE RECEIVED INQUIRIES FROM THE PUBLIC
PERTAINING TO THE AVAILABILITY OF THE AGENDA AND TRANSCRIPTS FROM
YESTERDAY'S PUBLIC HEARING AT G/W UNIVERSITY. THIS INFORMATION,
AND ALL MATERIALS PERTAINING TO THE WORK AND PROGRESS OF THE TASK
FORCE, ARE AVAILABLE TO THE PUBLIC FOR REVIEW IN THE READING ROOM
BETWEEN THE HOURS OF 9 AM. - 5 PM. COPIES OF ANY INFORMATION MAY
BE MADE IN THE READING ROOM AT THE COST OF .10/each.
IF ANY ADDITIONAL INFORMATION ABOUT THE READING ROOM IS REQUIRED
PLEASE DIRECT YOUR CALLER TO (202) 690-7000.
THANK YOU,
HEALTH CARE TASK FORCE
INTAKE CENTER
�THE: WHITE: HOUSE:
WASHINGTON
RE:
Health Care Task Force Reading Room
DATE:
March 30, 1993
FOR PUBLIC INFORMATION:
THE HEALTH CARE TASK FORCE HAS ESTABLISHED A READING ROOM IN THE
FOLLOWING LOCATION:
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ROOM 101-G
200 INDEPENDENCE AVE., S.W.
WASHINGTON, DC 20201
MANY DEPARTMENTS HAVE RECEIVED INQUIRIES FROM THE PUBLIC
PERTAINING TO THE AVAILABILITY OF THE AGENDA AND TRANSCRIPTS FROM
YESTERDAY'S PUBLIC HEARING AT G/W UNIVERSITY. THIS INFORMATION,
AND ALL MATERIALS PERTAINING TO THE WORK AND PROGRESS OF THE TASK
FORCE, ARE AVAILABLE TO THE PUBLIC FOR REVIEW IN THE READING ROOM
BETWEEN THE HOURS OF 9 AM. - 5 PM. COPIES OF ANY INFORMATION MAY
BE MADE IN THE READING ROOM AT THE COST OF .10/each.
IF ANY ADDITIONAL INFORMATION ABOUT THE READING ROOM IS REQUIRED
PLEASE DIRECT YOUR CALLER TO (202) 690-7000.
THANK YOU,
HEALTH CARE TASK FORCE
INTAKE CENTER
�THE WHITE HOUSE
WASHINGTON
RE:
Health Care Task Force Reading Room
DATE:
March 30, 1993
FOR PUBLIC INFORMATION:
THE HEALTH CARE TASK FORCE HAS ESTABLISHED A READING ROOM IN THE
FOLLOWING LOCATION:
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ROOM 101-G
200 INDEPENDENCE AVE., S.W.
WASHINGTON, DC 20201
MANY DEPARTMENTS HAVE RECEIVED INQUIRIES FROM THE PUBLIC
PERTAINING TO THE AVAILABILITY OF THE AGENDA AND TRANSCRIPTS FROM
YESTERDAY'S PUBLIC HEARING AT G/W UNIVERSITY. THIS INFORMATION,
AND ALL MATERIALS PERTAINING TO THE WORK AND PROGRESS OF THE TASK
FORCE, ARE AVAILABLE TO THE PUBLIC FOR REVIEW IN THE READING ROOM
BETWEEN THE HOURS OF 9 AM. - 5 PM. COPIES OF ANY INFORMATION MAY
BE MADE IN THE READING ROOM AT THE COST OF .10/each.
IF ANY ADDITIONAL INFORMATION ABOUT THE READING ROOM IS REQUIRED
PLEASE DIRECT YOUR CALLER TO (202) 690-7000.
THANK YOU,
HEALTH CARE TASK FORCE
INTAKE CENTER
�THE WHITE HOUSE
WASHINGTON
RE:
Health Care Task Force Reading Room
DATE:
March 30, 1993
FOR PUBLIC INFORMATION:
THE HEALTH CARE TASK FORCE HAS ESTABLISHED A READING ROOM IN THE
FOLLOWING LOCATION:
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ROOM 101-G
200 INDEPENDENCE AVE., S.W.
WASHINGTON, DC 20201
MANY DEPARTMENTS HAVE RECEIVED INQUIRIES FROM THE PUBLIC
PERTAINING TO THE AVAILABILITY OF THE AGENDA AND TRANSCRIPTS FROM
YESTERDAY'S PUBLIC HEARING AT G/W UNIVERSITY. THIS INFORMATION,
AND ALL MATERIALS PERTAINING TO THE WORK AND PROGRESS OF THE TASK
FORCE, ARE AVAILABLE TO THE PUBLIC FOR REVIEW IN THE READING ROOM
BETWEEN THE HOURS OF 9 AM. - 5 PM. COPIES OF ANY INFORMATION MAY
BE MADE IN THE READING ROOM AT THE COST OF .10/each.
IF ANY ADDITIONAL INFORMATION ABOUT THE READING ROOM IS REQUIRED
PLEASE DIRECT YOUR CALLER TO (202) 690-7000.
THANK YOU,
HEALTH CARE TASK FORCE
INTAKE CENTER
�..
THE WHITE HOUSE
WASHINGTON
RE:
Health Care Task Force Reading Room
DATE:
March 30, 1993
FOR PUBLIC INFORMATION:
THE HEALTH CARE TASK FORCE HAS ESTABLISHED A READING ROOM IN THE
FOLLOWING LOCATION:
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ROOM 101-G
200 INDEPENDENCE AVE., S.W.
WASHINGTON, DC 20201
MANY DEPARTMENTS HAVE RECEIVED INQUIRIES FROM THE PUBLIC
PERTAINING TO THE AVAILABILITY OF THE AGENDA AND TRANSCRIPTS FROM
YESTERDAY'S PUBLIC HEARING AT G/W UNIVERSITY. THIS INFORMATION,
AND ALL MATERIALS PERTAINING TO THE WORK AND PROGRESS OF THE TASK
FORCE, ARE AVAILABLE TO THE PUBLIC FOR REVIEW IN THE READING ROOM
BETWEEN THE HOURS OF 9 AM. - 5 PM. COPIES OF ANY INFORMATION MAY
BE MADE IN THE READING ROOM AT THE COST OF .10/each.
IF ANY ADDITIONAL INFORMATION ABOUT THE READING ROOM IS REQUIRED
PLEASE DIRECT YOUR CALLER TO (202) 690-7000.
THANK YOU,
HEALTH CARE TASK FORCE
INTAKE CENTER
�THE WHITE HOUSE
WASHINGTON
RE:
Health Care Task Force Reading Room
DATE:
March 30, 1993.
FOR PUBLIC INFORMATION:
THE HEALTH CARE TASK FORCE HAS ESTABLISHED A READING ROOM IN THE
FOLLOWING LOCATION:
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ROOM 101-G
200 INDEPENDENCE AVE., S.W.
WASHINGTON, DC 20201
MANY DEPARTMENTS HAVE RECEIVED INQUIRIES FROM THE PUBLIC
PERTAINING TO THE AVAILABILITY OF THE AGENDA AND TRANSCRIPTS FROM
YESTERDAY'S PUBLIC HEARING AT G/W UNIVERSITY. THIS INFORMATION,
AND ALL MATERIALS PERTAINING TO THE WORK AND PROGRESS OF THE TASK
FORCE, ARE AVAILABLE TO THE PUBLIC FOR REVIEW IN THE READING ROOM
BETWEEN THE HOURS OF 9 AM. - 5 PM. COPIES OF ANY INFORMATION MAY
BE MADE IN THE READING ROOM AT THE COST OF .10/each.
IF ANY ADDITIONAL INFORMATION ABOUT THE READING ROOM IS REQUIRED
PLEASE DIRECT YOUR CALLER TO (202) 690-7000.
THANK YOU,
HEALTH CARE TASK FORCE
INTAKE CENTER
�THE WHITE HOUSE
WASHINGTON
RE:
Health Care Task Force Reading Room
DATE:
March 30, 1993
FOR PUBLIC INFORMATION:
THE HEALTH CARE TASK FORCE HAS ESTABLISHED A READING ROOM IN THE
FOLLOWING LOCATION:
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ROOM 101-G
200 INDEPENDENCE AVE., S.W.
WASHINGTON, DC 20201
MANY DEPARTMENTS HAVE RECEIVED INQUIRIES FROM THE PUBLIC
PERTAINING TO THE AVAILABILITY OF THE AGENDA AND TRANSCRIPTS FROM
YESTERDAY'S PUBLIC HEARING AT G/W UNIVERSITY. THIS INFORMATION,
AND ALL MATERIALS PERTAINING TO THE WORK AND PROGRESS OF THE TASK
FORCE, ARE AVAILABLE TO THE PUBLIC FOR REVIEW IN THE READING ROOM
BETWEEN THE HOURS OF 9 AM. - 5 PM. COPIES OF ANY INFORMATION MAY
BE MADE IN THE READING ROOM AT THE COST OF .10/each.
IF ANY ADDITIONAL INFORMATION ABOUT THE READING ROOM IS REQUIRED
PLEASE DIRECT YOUR CALLER TO (202) 690-7000.
THANK YOU,
HEALTH CARE TASK FORCE
INTAKE CENTER
�Health Care Task Force
Public BeariDB
Mardi 2P, 19f3
8:00 - 8:05
PANil. 1;
Opening Pl'oc«dinp
8;05
9:05
CQnwmeg
Daald Sl:bulcllr, Director CJf Lepalaticm, NatioDal Coi2DCil of SeDlar Qdzeu
1'11¥1111 TDI'IIa, Dinctor of Health IDCI Social Polley, PamWca USA
Mu L lUdiiiDU, BDcuti~e Vice President, NatiODil Commiuee 10
rreaetvt Social Secmity/Medlcare
:rater Tbom~ Anorbey. RepJeiCiltiQg Membcn of CCD, OmaonJum fot Citiza with Disabilities
LBVDia Burgess, Prealdema Americm Alloclatioa of Reti:cd Ptuom
BW Eea~t Board Member of Coalition Member O:pniza1icm an boba1f of, LaDs-Tean Caie Clmpaisll
PANEl,
2·
0;10 -10;10
Bualpcas
Gaq Fnak PM~)'. ntasmr md Member of tbe Baud of DirectoR. Small BtlliDees uplatlve Co1mcil
ltlarprH 8Ddtll, Cbait, l.e&11l&tioa, NatioDil Small Buhle• UDited
Samuel C8rradiDe, Bxec1nive Dheatot,
Minori~
Conuacto11 Aasodatlcm
SCepllea Elmoat. VIce Pnlidcllt, NadcnW R.est&Utut .AiaodatiDD
All4ra llelmelt, PDcattve Director, Naticmal Auodatloa of Private Eatwpriee
PANBJ. 3:
10•1 ~ .. 1l :lJ
Updonseryed
Aaae Bill, Dlnaat of Program Devclopmat. Nadoual Urban IMp
N•cr DaaieiHII. Lepta'live
~tl•o.
Natiozaal Famlea 'UDfou
Raal Y•gulrn, Prealdeld, Natimlal CooDcil of La llza
Mlcllael Aadmo' E:recutiVe Di!K10r, Natioaal
c::oqr. of AmcdcaD IDdla
�<
.•
PANBL 7; Z:4S - 3;35
l'hanuaceudcals
Dee l'eJUtenr, Pretldeat, GeDeric Pha=aoelltioal lalduatry Allaoc:iadOD
Dr. (.."'uadea W•t. Bztoulivo Vieo Prcsidcm_ Natioual Auociatiw ol ~ Drvglt11
c. ICidc Raab, Board ot Dbcctora. C2:aak OD Healtb Cr.l~ aarunu. IDdaelrill B1otedmol08)' AlaocilliOD
PANBL 8: 3:40 - 4;40
Hmpitals
Dick Da'ridsoJa. President. American Rnspital Assoeiadcm
Mlcllael Bnmbera, BYeet1tivto Direetor, FederatioD of AmedoaJl Health
Slat llenllee
~
~
ConU. SeDior Vloe Prtaidem, CathoUo Hoaltla Aaaoc:iatiOD
A. Mc.b•NWa. PrecideDt, Natioml AslodatlOD of Olihttca'e Hospillla
PANEJd 9; 4;SS - 5;45
Gtmora1 Health em Pmyidm
Val BaiiiiiUdaria. Presidem, Nadonal Allloclati01 for Home Care
Dr. Paal Wllabl&. EDcutive Vioe Preaidem.Ameticaa
.Jolaa MallOUJ, Preaidcm. Naticmal Hospice
Health C".ate Assoclatioa
Orp11iutioll
Stuart Ellealtlt. O:maultant. Hultlt IDdumy ~m AuociatioD
PANBI 10;
c
S:SO -
6;50
Llhm:
Kana Jpal, Dhec:tor ot Employee Beacfita. AFL-aO
JoJua J. aw....,. IDtematloual Pzeaidet, Stlvic:e Employees ID=at1oul VDion
Gerald McEntee. IDtematiDDal President, AmeriCID Pec1eraticm of State. Coumy, a:.od Mumcfpal "..mptoyees
Qady Zebader, Isatemational ~"'• IDtemadonal :Brotberhood of Teamatars
Rabert Geoqbae, Prtaidelll. Buildiq Tradea
AlaD bather. Leafalative DUec:tor. UAW
Q)uaci1
�PANE', 4: 11 :20 - 11:20 General Hr.alth Oarc Providm
'VU1iJala
TI'Otttl' Betta, Ples!dent, Amerlc.n Nuraet Aaoeiati=
Dr. Jack a..m.. Presidem. AmerioaD Dental AssoNtiGD
ADa I'Merlda, Pn:alcbt Bloct. AmClidoaD kadomy vf l'byatclaa Aaailtal:lta
a...e Askew,
M~,
Doant of Oo\'onaot~, American Cbitopraetio AlsociadOD
SbeldDa Golcll&ela. E&wutlv" Dim.1ur6 Na1luual ~(ldaUUil ut Sodal Wotbrs
Joha M. Tador,
~-- Anlerica Acadomy of Famny Ph)'llioiaa
Boward ....... Plo61dolt, Amed~
PANBic 6;
1;40 - 2;40
~demy
ot Pedlatric:e
Jn&ur8ftCe
BUI Gndl1011, Preaiclem, Heal'lb lne1ft1lce Aaociatlan nf America
liCk M0)'8illaa, ~\"c ViGC Prcaldcm, Oroap fDauraaco. MotropolitaD Ltfo Co:pcrrAdcm
(OD behalf of) AlliiiiCI for Mallapd Campeti!fml
J~m•
Doll.eJV, President, Group Health Asaodaticm of AmeriQ
�PA~
11: 6:SS - 7:55
Consunw
Calby HllrwJU. Leaillalive DJreclor, Cfti7.en Actfnt:
O.ral Rlapa. Directm nf Health. Osildn='•
:)efeDse
FUDd
Jau Xaariu~Jq1 BuoatiYo Dilocto:, Campaicu 1or Womm'a Health
WIIUut Slaalrar, Bxocutivo Dlroc&or, Amcr&lca
PANEL 12; 8;00 - 9:0Q
Cwzlgit
lor lkaltb Ca:e btcmll
Bmdnosa
Tracy M..W., PresideD!. Govcnmat aad
.
~bllc Affeb Dlvlaioss, Natio.W
P.ot.U Federation
Patrtala N......... DU.otot of S.ctitle Xcroz C'.mporatioD em WWf of w~~~~ B...U..CA <kwp
.mea Goldsteta, Dboctar of Hoatrb J'ollGT IIDd
Oommual"tkl~~~t
OD
Ha&l.1h
Alilluwuiuu o! Pdvaw PCDilon and Weltaro
'P1IDI
Task Force on Nadonal Health Care Reform
PresideDt Clinton established the fask Force on National Health Cam Reform to
develop a proposal tha' would briDJ spiraling healtll care C08t8 undet control and give
American families the peace of mind and security they deserve. The Task Force is chaiTed hy
Fir8t Lad)' Hillary Rodham Clinton. 1be task force also includes the Secretaries of Health
and Human Services. Labor. Trcasuty, Comm()rcc, Det'cuo &lld Vctc.nms Affairs u woll as
senior White House offidals.
�THE WHITE HOUSE
WASHINGTON
June 29, 1993
MEMORANDUM TO THE STAFF
FROM:
MAGGIE WILLIAMS
SUBJECT:
Health Care
As you all know, the Health Care Task Force and the health care
reform working groups no longer exist. Calls related to health
care are being directed to Health Care Communications at
(202) 456-2566. Health Care Communications is located in the War
Room. The fax number is (202) 456-2362.
Correspondence is being directed to:
Office of Domestic Policy
ATTN: Health Care Correspondence
Old Executive Office Building
Room 410
Washington, DC 20500
Standard language for outgoing correspondence should include the
following paragraph:
L _ __ _ _ _ _ _ _ _ _ _
At this point, the Health Care Task Force and the
health care reform working groups have terminated. You
should forward in writing any policy suggestions or
opinions to the Office of Domestic Policy at the White
House.
- - - - -
-------------
-------------
�THE WHITE HOUSE
WASHINGTON
June 29, 1993
MEMORANDUM TO THE STAFF
FROM:
MAGGIE WILLIAMS
SUBJECT:
Health Care
As you all know, the Health Care Task Force and the health care
reform working groups no longer exist. Calls related to health
care are being directed to Health Care Communications at
(202) 456-2566. Health Care Communications is located in the War
Room. The fax number is (202) 456-2362.
Correspondence is being directed to:
Office of Domestic Policy
ATTN: Health Care Correspondence
Old Executive Office Building
Room 410
Washington, DC 20500
standard language for outgoing correspondence should include the
following paragraph:
At this point, the Health Care Task Force and the
health care reform working groups have terminated. You
should forward in writing any policy suggestions or
opinions to the Office of Domestic Policy at the White
House.
�The White Hottse
Health Care Reform Today
July 2,1993
•
concerned Americans are already gearing up to help spread the word about the need
for health care reform. ThP. Wn.thinetrm Pnst reports that more than a rlo7.en groups
representing more than 50 million Americans have come together to coordinate a
nationwide, grassroots campai~ tor health retbnn. Called The Health Project, the coalition
brings together groups representing every side of the health care debate-- business, labor,
uoclors, nurses~ seniors, anu a vera.ge Americans s~k.ing llea.llll car~ secwity. Tlris group
will combat the rhetoric of the special interest lobbyist opposed to change, and will help
President Clinton and the Congress solve this country's health care crisis once and for all by
helping pass comprehensive health refonn legislation.
+
First Lady I Iillary Rodham Clinton, appearing yesterday by satellite, applauded
Missouri's etlorts providing improved health care to the residents of that state.
Speakin~
at the
bill signing of Missouri's new health care reform law, !Y.r:rs. Clinton said: 'ThtJ country will btJ
able to look to you us u :stute thut i:s coming to ierm:s with the :slwrtc.:omings of our pre:sent
health care system and beginning to implement the form which will benefit the people of
Afissouri, no·w CIJ2d into the future for generations to come."
•
St11.rt.ing next week, we'll he senciing ont these information
sheet~ nn
MoncUI.y anrl
Wednesday nights. If there is a need to respond on an issue, you'll hear from us quickly.
In the meantime, don't hesitate to give us a call at 202-456-2256 or tax us at 202-456-2362.
+
Tl1t= Prt=siut=nl a.uu lht= Firsl La.U)' will bt= in Japa.u a.l Lht= G-7 mt=t=ling a.uu Kort=a.
starting on Monday. In the meantime. the health care effort will continue here at the "White
House. Have a safe and fun holiday!
Health Care Reform Today • The White House •202-456-2566 • Fax: 202-456-2362
J
- - - - -
-------------~---
- - - - - - - - - -
~
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Task Force [1]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Evan Ryan
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 5
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-005-005-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/9401949d5cbbbf3beef7fc241feed449.pdf
867b284073e181bd007b65beba1042ca
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MAR~~R
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Misc. Subject Files
OAIID Number:
10813
FolderiD:
Folder Title:
Interagency Health Team Binder
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
2
3
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECfffiTLE
RESTRICTION
001. resume
Kelly F. O'Connor. [partial] (3 pages)
05/24/1993
P6/b(6)
002a. map
The Old Executive Office Building (5 pages)
[none]
b(2), b(7)(E)
002b.map
The Old Executive Office Building (1 page)
[none]
b(2), b(7)(E)
003. fax
Letter from Collin Peterson to Charles Bowsher. [partial] (1 page)
05/14/1993
P5
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
Interagency Health Team Binder
2006-0223-F
ab621
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a))
Freedom of Information Act -IS U.S.C. SS2(b))
PI National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(J) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(2) Release would diselose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(J) Release would violate a Federal statute ((b)(J) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information ((b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
.b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�PERSONNEL
\
.
.
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�JOHN 0. ROCKEFELLER IV
•
W5$T VI"CliNIA
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WASHINGTON, OC 20510-4802
Office:
From:
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Senator Rockefeller's P~s Office
Date: --~~~........;;;:::......=z.. .s'-~-,_1,..._'1-.,_;.1=---.
Number of pages, including cover _'3
__
Please call 224-6101 if you have any questions, or if there are any
problems with the transmission.
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�COORDINAilQN PROJECT
I. Functions
Clle)tcle~h.. ~.
Planning and targeting
Regular communication (and feedback) with White House, DNC,
Congressionalleadersh1p1 any Republican organizations etc.
Rapid response
CeePeiluatien •••• laEeer.~ard asai:lst cr;.u~traai~tio-A
.
Vehicle foi poeliHA res'"'eee for specific projects, ~~~41 ,~~ C....UO~ .,. ._,
oftl!cmit ueov pe:ttieiJilliR~B iR i99nii~a•iea eneM
f'Act v~o~ •
~otO"""\(•
9:
E.
P.
II. Options:
A. t='orm 501 £ 4
Strictly non-partisan
Structure:
Board of Directors (legally required)- could be just three people,
with little authority, or could be full coordinating counsel.
Coordinating Council- made up uf fuunding members
plus those added with the agreement of the founding
members. All 11invested" in the project. Weekly/Daily
meetings. All authority of the c 4 rests with these
members.
General Council •• made up of founding members + other groups
wishing to join to coordinate and communicate their activities on
health care reform. Meetings held monthly/weekly.
Infrastructure- Sub·groups meet weekly. Include:
1. Media/communications taskforce (w/ CC l.hair)
2. Grassroots taskforce (w I CC Chair)
3. Lobbying taskforce (w I CC Chair)
Other detajls
Independent office space (in kind contribution). Probably
3 rooms. Phones and faxes. Computers and copier. Other
• equipment.
1 to 5 staff people including a Project Manager, with flexibility
to use others on special projects. Work with member organizations.
•
�...... ·
.-...
.
Funding
From private donations (JDR lead the effort)
Member organizations make minimum donations, if
possible (not 501 c 3 groups).
Su:gcstcd names
''41 :iF '
5
I
a
"The Health Project''
Others
np"
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••
•
DETE~~1f~F.D TO BE A~ AD:\1I~ISTRATIVE
MARI{I:\G Per E.O.l29S8 as amended, Sec. 3.3 (c)
Initials: pte...~
Date: O'i /of( /11
.
TO: Distribution
June 1, 1993
FR: Chris Jennings
RE: Proposed Congressional Meeting Schedule
•
To create an environment best suited for a positive Congressional
reception to the President's health proposal, it will be necessary to hold a
series of intense, substantive consultations with key Members of Congress.
Attached for your review and for planning purposes is a proposed schedule of
meetings that was prepared for the First Lady. The Legislative Affairs offices of
both the White House and the Department of Health and Human Services have
reviewed and approved this document.
The proposed schedule assumes an admittedly ambitious June 23rd
target date for the plan's unveiling. In so doing, we are also assuming that
final first cut decisions will be made by late this week in order to assure that
substantive meetings can take place beginning early next week. We are,
however, waiting until this assumption becomes more of a reality before
formally scheduling these meetings. Please don't hesitate to call me at X-2645
with any questions.
DISTRIBUTION:
Bob Boorstin
Susan Brophy
Steve Edelstein
Jeff Eller
Judy Feder
Skila Harris
John Hart
Shirley Sagawa
•
Charlotte Hayes
Jerry Klepner
Mike Lux
Ira Magaziner
Lorraine Miller
Howard Paster
Karen Pollitz
Kim Tilley
Carol Rasco
Steve Rlcchetti
Patti Solis
Marge Tarmey
Melanne Verveer
Maggie Williams
Christine Heenan
�••
• • • • PRMLEGED AND CONFIDENTIAL • • • •
MEMORANDUM
TO:
FR:
RE:
cc:
Hillary Rodham Clinton
June 1, 1993
Chris Jennings I Steve Ricchetti
Proposed Schedule for Congressional Consultative Meetings and Preintroduction Briefings for a Scheduled June 23rd Release Date
Distribution
In discussions with the staff of the House and Senate Majority Leaders,
it has become clear that it is advisable to implement a two step Congressional
outreach process aftm: the first cut on final policy decisions has been made.
With this in mind, the attached schedule of consultative meetings and preintroduction briefings was developed.
The first series of meetings would be detailed policy discussions with
Members of Congress, the purpose of which would be to advise Members of the
initial decisions made and to obtain their political reads and suggestions for
improvement. The second series of briefing sessions would be used to describe
the President's final decisions on the plan and to help make the Members more
comfortable in explaining it to their constituents and local media. This would
occur immediately prior to the unvelling of the proposal.
Four Points About Timing. Consultation. Communications and Hearings:
(1)
(2)
•
Timetable Needs to be Finalized. As the attached list clearly
illustrates, the necessary amount of consultation can only take place if
we squeeze it into a very brief period of time. If the policy is delayed
beyond this week, however, it will be literally impossible to have a
sufticient amount of time to conduct adequate consultations prior
to June 23rd. Should the policy be unavailable, we need to immediately
revisit and restructure what is already a very ambitious timetable.
Substantive Consultation Must Occur. We understand the concerns
about leaks and the general frustration with working with many
Members of Congress. However. it would be extremely counterproductive to attempt to release a package in which the Members have
little or no investment.
�•
It is important to remember that consultations will be signlftcantly more
fruitful and constructive when we have a policy as a basis for discussion.
To protect the process from problematic leaks, all discussions can be
accurately characterized as purely exploratory, with no FINAL decisions
yet made.
If we do not engage in signlftcant consultation, the Congress will almost
invariably wllt in the face of the inevitable concerns that will be raised.
Moreover. the Members -- particularly those in the House -- have made
it clear that they believe that this legislation will be "dead on arrival" if
unless substantive consultations occur as the President makes his final
decisions. Lastly, it is important to note that those Members who
advise no further consultation are generally those who are afraid of
being -- or perceived as being -- coopted.
(3)
•
•
Senator Daschle's Outreach Proposals Should Be limplemented. We
believe that Senator Daschle's suggestions for a message/whip group
and a focus group are very constructive. We believe that we should get
started on these meetings as soon as the Members return from recess
regardless of the final decision on the timing of the unvelling. These
meetings can be interspersed with the attached schedule of consultative
meetings OR conducted on a separate track .
(4)
Appropriate Witnesses Should Be Prepared for Inevitable Hearings.
Immediately after the unveiling, numerous Committees will request that
the Administration supply witnesses for their inevitable series of
hearings. We need to carefully consider where we should testify first,
who we believe are the most appropriate people to send, and begin to
develop the message(s) we want delivered .
�-~·
SCHEDULE FOR CONGRESSIONAL CONSULTATIVE MEETINGS AND BRIEFINGS
CONSULTATIVE MEETINGS:
Sunday, June 6th:
House Leadership and Committees of Jurisdiction Staff
IM, JF
(To help staff prepare members for meeting with First Lady)
Senate Leadership and Committees of Jurisdiction Staff
IM, JF
(To help staff prepare members for meeting with First Lady)
June 8th:
•
House Leadership and Chairmen of Committee of Jursidiction
HRC, IM, JF
Location: White House
(To brief Members and set up consultative process)
Foley
Gephardt
Bonier
Rostenkowski
Stark
Dingell
Waxman
Ford
Williams
Senate Leadership and Chairmen of Committees of Jurisdiction
HRC, IM, JF
Location: White House
(To brief Members and set up consultative process)
•
Mitchell
Ford
Pryor
Daschle
Moynihan
Kennedy
Rockefeller
Riegle
Mikulski
Breaux
�..
Wednesday, June 9th:
Congressional Republican Leadership - HRC, IM, JF
Location: White House
Dole and designees
Michel and designees
Daschle Message/Whip Group:
Rockefeller, Pryor, Daschle, Kerrey, Wofford, Bonier,
Gephardt (if available and willing), and other House Member
"friends." (WEEKLY MEETING)
Staff: Jeff Eller, Bob Boorstin, Steve Ricchetti, Chris
Jennings, Melanne Verveer, Jerry Klepner, Karen Pollitz
Thursday, June lOth:
Single Payer Leaders - HRC, IM, JF
Location: Capitol Hill (Gephardt to Host)
•
McDermott
Conyers
Wells tone
Conservative Democratic Forum - HRC, IM, JF
Location: Capitol Hill (Gephardt to Host)
Cooper
Andrews
Stenholm
Breaux
Boren
Daschle Focus Group:
Daschle/Pryor and moderate/conservative Democrats:
Breaux, Reid, Exon, and Conrad
Staff: Ricchetti, Jennings, Klepner, Pollitz
Bryan,
Friday, June 11th (Possibly Saturday. June 12th. as well):
House Leadership and Committees of Jurisdiction Staff
IM, JF
(Ongoing detailed staff-level discussions)
•
Senate Leadership and Committees of Jurisdiction Staff
IM, JF
(Ongoing detailed staff-level discussions)
�~.
Monday, June 14:
House Ways and Means Committee - HRC, IM, JF
Location: Capitol Hill
(Chairman determines attendees and whether bipartisan)
Senate Finance Committee - HRC, IM, JF
Location: Capitol Hill
(Bipartisan)
House Energy and Commerce Committee - HRC, IM, JF
Location: Capitol Hill
(Chairman determines attendees and whether bipartisan)
Daschle Message/Whip Group:
Rockefeller, Pryor, Daschle, Kerrey, Wofford, Bonier,
Gephardt (if available and willing), and other House Member
"friends." (WEEKLY MEETING)
Staff: Jeff Eller, Bob Boorstin, Steve Ricchetti, Chris
Jennings, Melanne Verveer, Jerry Klepner, Karen Pollitz
•
Tuesday, June 15th:
Senate Labor and Human Resources Committee - HRC, IM, JF
Location: Capitol Hill
(Bipartisan)
House Education and Labor Committee - HRC, IM, JF
Location: Capitol Hill
(Chairman determines attendees and whether bipartisan)
House Caucuses - IM, JF
Congressional Black Caucus
Congressional Caucus on Women's Issues
Wednesday, June 16th:
House Democratic Whip Organization - HRC, IM, JF
Location: Capitol Hill
House Republican Health Care Task Force - HRC, IM, JF
Location: Capitol Hill
•
u.s.
Senate (Bipartisan) - HRC, IM, JF
Location: Capitol Hill
House Caucuses - IM, JF
Congressional Hispanic Caucus
�To Be Scheduled:
Other Meetings with Committees as Needed Location: Capitol Hill
Biden, Judiciary
Rockefeller, Veterans
Nunn, Armed Services
Bumpers, Small Business
Glenn, Governmental Affairs
Inouye, Indian Affairs
:•
•
IM, JF, Other Staff
Brooks, Judiciary
Montgomery, Veterans
Dellums, Armed Services
LaFalce, Small Business
Clay, Post Office
Miller, Natural Resources
�••
PRE-UNVEILING BRIEFINGS:
Saturday, June 19th:
House Leadership and Committees of Jurisdiction Staff
IM, JF
(Ongoing detailed discussions and to help staff prepare
members for meeting with President and First Lady)
Senate Leadership and Committees of Jurisdiction Staff
IM, JF
(Ongoing detatiled disscussions and to help staff prepare
members for meeting with President and First Lady)
Sunday, June 20th:
House Leadership and Chairmen of Committee of Jursidiction
HRC, BC(?)
Location: White House
•
Foley
Gephardt
Bonior
Rostenkowski
Stark
Dingell
Waxman
Ford
Williams
Senate Leadership and Chairmen of Committees of Jurisdiction
HRC, BC(?)
Location: White House
Mitchell
Ford
Pryor
Daschle
Moynihan
Kennedy
Rockefeller
Riegle
Mikulski
Breaux
•
Congressional Republican Leadership - HRC, BC (?)
Location: White House
Dole and designees
Michel and designees
�Monday. June 21st:
Senate Democratic Policy Committee - BC?, HRC, IM, JF
Location: Capitol Hill
House Democratic Caucus - HRC, IM, JF
Location: Capitol Hill
Tuesday, June 22nd:
House Republican Caucus - HRC, IM, JF
Location: Capitol Hill
Senate Republican Policy Committee - HRC, IM, JF
Location: Capitol Hill
House Democratic Staff Briefing - IM, JF or appropriate surrogate
Location: Capitol Hill
House Republican Staff Briefing - IM, JF or appropriate surrogate
Location: Capitol Hill
•
•
Senate Staff Briefing - IM, JF or appropriate surrogate
Location: Capitol Hill
Other Meetings with Committees and Members as Needed
�•
•
•
SCHEDULE FOR CONGRESSIONAL CONSULTATIVE MEETINGS AND BRIEFINGS
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
6/6
6/7
6/8
6/9
6/10
6/11
6/12
House
Leadership
and Cmte
of Jdx
Staff
House
Leadership
and Chmn of
Cmtes of
Jdx
Cong.
Republican
Leadership
Single
Payer
Leaders
HRC/IM/JF
HRC/IM/JF
House
Leadership
and Cmtes
of Jdx
Staff
IM/JF
HRC/IM/JF
Senate
Leadership
and Cmte
of Jdx
Staff
Senate
Leadership
and Chmn of
Cmtes of
Jdx
IM/JF
HRC/IM/JF
IM/JF
Daschle
Message/
Whip Group
CDF
HRC/IM/JF
Eller/SR/CJ
et. al.
IM/JF
Daschle
Focus Group
SR/CJ
et. al.
*
Senate
Leadership
and Cmtes
of Jdx
Staff
Other Meetings with Administration Staff to be Scheduled.
�•
•
•
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
6/13
6/14
6/15
6/16
6/17
6/18
6/19
Senate
Finance
Committee
Senate
Labor and
Human
Resources
Committee
House
Democratic
Whip Org.
HRC/IM/JF
HRC/IM/JF
HRC/IM/JF
House
Leadership
and Cmtes
of Jdx
Staff
IM/JF
House
Energy and
Commerce
Committee
House
Education
and Labor
Committee
House
Republican
Health Care
Task Force
HRC/IM/JF
HRC/IM/JF
HRC/IM/JF
Senate
Leadership
and Cmtes
of Jdx
Staff
IM/JF
Ways and
Means
Committee
Cong.
Caucus on
Women's
Issues
u.s.
Senate
Bipartisan
HRC/IM/JF
HRC/IM/JF
IM/JF
Daschle
Message/
Whip Group
Cong. Black
Caucus
Cong.
Hispanic
Caucus
IM/JF
Eller/SR/CJ
IM/JF
�•
•
•
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
6/20
6/21
6/22
6/23
6/24
6/25
6/26
House
Leadership
and Chmn
of Cmtes
of Jdx
Senate DPC
House
Republican
Caucus
BC(?)/HRC/
IM/JF
HRC/IM/JF
HRC/BC(?)
Senate
Leadership
and Chmn
of Cmtes
of Jdx
House
Democratic
Caucus
Senate
Republican
Policy
Committee
HRC/IM/JF
HRC/IM/JF
HRC/BC(?)
Cong.
Republican
Leadership
House
Democratic
Staff
Briefing
HRC/BC(?)
Staff
House
Republican
Staff
Briefing
Staff
Senate
Staff
Briefing
Staff
1
•.
�,
June 2, 1993
MEMORANDUM FOR MAGGIE WILLIAMS
FROM:
JEFF ELLER
RE:
'f---
Personnel
1.
Don't forget our plans for Jock Gill. If possible, I'd like this
wrapped up with other personnel stuff.
2.
Meg Offit from Ag. Are we close on this?
3.
Attached is a memo that Ira and I collaborated on.
�I
-2-
Administration
carolyn Gatz
Position:
Location:
Payroll:
Communications liaison
OEOB
Commerce/120 days
Christine Heenan
Position:
Liaison with communications, public liaison and
intergovernmental
OEOB
Location:
·Domestic Policy
Payroll:
Jennifer Klein
Position:
Drafting
Location:
OEOB
Payroll:
Volunteer (would like to keep)
Greg Lawler
Position:
Location:
Payroll:
Drafting/legislative negotiating
OEOB
(resume sent to Bernie Nussbaum for Counsel's
office)
Lynn Margherio
Policy Development
Position:
OEOB
Location:
Domestic Policy
Payroll:
Denise Ricketson
Position:
Administration Assistant
Location:
OEOB
Payroll:
HHS
Marjorie Tarmey
Position:
Special Assistant
Location:
OEOB
Payroll:
HHS
Policy Assistant (Simone Rueschemeyer or equivalent)
Position:
Location:
Payroll:
Commerce/120 days (Can we renew?)
Secretary
Position:
Location:
Payroll:
Assignee from another agency
�-3-
Policy Experts
Gary Claxton
Position:
Location:
Payroll:
Insurance Reform
HHS
HHS full time hire (assigned to Task Force)
Judy Feder
Position:
Location:
Payroll:
Deputy Secretary/liaison to the Task Force
HHS
HHS full time hire (assigned to Task Force)
Roz Lasker
Position:
Location:
Payroll:
Quality and Information system
HHS
HHS full time hire (assigned to Task Force)
Risa Lavizzo-Mourey
Position:
Quality
Location:
HHS
Payroll:
HHS full time hire (assigned to Task Force)
'
Lois Quam
Position:
Location:
Payroll:
Underserved and rural issues
OEOB
HHS contract
Paul Starr
Position:
Location:
Payroll:
General Communication of the plan
Robyn Stone
Position:
Location:
Payroll:
Long Term Care
HHS
HHS full time hire (assignee to Task Force)
Walter Zelman
Position:
Location:
Payroll:
OEOB
HHS contract
New Systems Development
OEOB
HHS contract (contract may extend until end of
year)
�e
•
-4-
communications
Boorstin, Bob
Position:
Location:
Payroll:
Cohen, Steve
Position:
Location:
Payroll:
National Press Scheduling
OEOB
White House
Jones, Arthur
Position:
Location:
Payroll:
:'
Communications Director
OEOB
White House
Deputy Press Secretary 1 2nd Spokesperson - HHS
OEOB
White House
Muscatine, Allison (not hired yet)
Speechwriter
Position:
OEOB
Location:
Payroll:
White House
Offit, Meg
Position:
Location:
Payroll:
Specialty Press
Department of Agriculture {Can we assign?)
Prunti, Meeghan
Position:
Researcher
Location:
OEOB
Payroll:
White House
Solomon, Jason
Position:
Communication Aide
Location:
OEOB
Payroll:
White House
Slot/News Analysis
(on loan from a Department Slot/News Analysis
(on loan from a Department)
Slot/News Analysis
(on loan from a Department)
Slot/Researcher
(on loan from a Department)
Susannah Wellford, commerce)
�I
-5-
consultants
Begala, Paul -- DNC
Greenberg, Stan
DNC
Grunwald, Mandy
DNC
Schedulinq
Hayes, Charlotte
Position:
Surrogate Scheduling/Minority Outreach
Location:
OEOB
Payroll:
White House/VP
Hoffman, Alan
Position:
Location:
Payroll:
Surrogate Scheduling
OEOB
HHS (half/time)
Holton, Dwight
Surrogate Scheduling/Coordinator
Position:
Location:
OEOB
Payroll:
White House/Deputy Chief of Staff Office
Moffett, Julia
Position:
Location:
Payroll:
??
Event/Principles
OEOB
White House/Communication
Draftinq
Budetti, Peter
Position:
Drafter
Location:
Payroll:
HHS
Rosenbaum, Sara
Drafter
Position:
Location:
Payroll:
Through contract with HHS/Renegotiated
(in Sara's contract Greg Lawler)
•
*Rowland, Diane
Position:
Drafter
Location:
Payroll:
Kaiser Foundation VP through John Hopkins - free -
�I
-6-
Leqislative
Edelstein, Steve
Position:
Data Bank Project
Location:
OEOB
Payroll:
120 Days/White House
Jenninqs, Chris
Position:
Leqislative strateqist
Location:
OEOB
Payroll:
HHS
Correspondence
Slot/Correspondence
Position:
Director of Health Care Correspondence
Location:
Payroll:
(Included in budget submitted to David Watkins)
Slot/Correspondence
(on loan from a Department)
'
Slot/Correspondence
(on loan from a Department)
Slot/Correspondence
(on loan from a Department)
Slot/Correspondence
(on loan from a Department)
•
�-7-
Public Liaison/Political/Intergovernmental
Mike Lux
Position:
Location:
Payroll:
Interest Group Coordinator/Outreach
OEOB
White House/Public Liaison
Molly Brostrom
Interest Groups
Position:
Location:
Payroll:
John Hart
Position:
Location:
Payroll:
Liaison to the Governors
OEOB
White House/Intergovernmental
Karen Politz
Position:
Location:
Payroll:
Liaison to Interest Groups
HHS
HHS
Barbara Wooley
Interest Groups/Health
Position:
OEOB
Location:
HHS 120 day
Payroll:
Slot/Business
Position:
Location:
Payroll:
Liaison to business
OEOB
Slot/Mayors
Position:
Location:
Payroll:
Liaison to Mayors
OEOB
Slot/Counties/State Legislators
Position:
Liaison to county and state officials
Location:
Payroll:
�I
-8-
Additional Requests
Jock Gill
Position:
Location:
Payroll:
Computer/technical assistance
Stan Gorsky
Position:
Location:
Payroll:
Telephone/technical assistance
AT&T
Additional positions
Policy Assistant (Susan Otrin or equivalent)
Position:
Location:
Payroll:
I
:\
•
I
Rick Miller (or equivalent)
Business negotiations
Position:
OEOB
Location:
Payroll:
Jeff Davis (or equivalent)
Position:
Attorney/Negotiations and legislative drafting
Location:
OEOB
Payroll:
�.
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. resume
SUBJECTffiTLE
DATE
Kelly F. O'Connor. [partial] (3 pages)
05/24/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: l 0813
FOLDER TITLE:
Interagency Health Team Binder
2006-0223-F
ab62l
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. ll04(a))
Freedom of Information Act - (5 U.S.C. 55l(b))
PI National Security Classified Information ((aXI) ofthe PRA)
Pl Relating to the appointment to Federal office ((aXl) of the PRA)
P3 Release would violate a Federal statute ((aX3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
fmancial information [(aX4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (aXS) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(bXI) of the FOIA)
b(l) Release would disclose internal personnel rules and practices of
an agency [(bXl) of the FOIA)
b(3) Release would violate a Federal statute ((bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(bX4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((bX6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(bX7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs [(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfde defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�;
MA'!"-~4-1993,
17: 13,
FROI'I
TO
vJ
4561655
P.01
i
:I
I
he Clinton/Gore Administration
i~o management o~ logistics. My commitment,
au4 skills will mupport the naeas ot ~he White
'
.!
,I
I
a
WID DOIOI alii
,DC/Little Rock,Arkansas ·
hrouqh April 1993
possible for assisting in the assessment,
!dation and -shipment of remaining assets
the transition/campaign.
·
isted in distribution of correspondence
the expeditinq process for the White House and
cutive Branch staff.
CL npl/
'PRIIlDBUIAL CIMPAIQ'If
Li tle Ro k, Arkansas
Ap il, 19 2 - NOVember,. 1992
• Pr ority Handler: mxpaditer
,, Re
nsible for all Airborne, UPS and Paderal Expres11
shipments
r, Headquarters Ralooation Staff
011 OOR.PORA~XOII•· \1~ I'IORIS, l.C.•
, Arkan:aas
g - Rovamber, 1992
ping ~d Ree•iving
r Processing Clerk
I
'•
Audi~or
)
TOTAL P.01
�..
MRY-24-199J
..
17:14
..
.·[
FROM
TO
4561655
P.01
I
page t:wo
s~.
St.
May,
19.88
ial and res14ent1al property maintenance
lee corporation
ed, sold, serviced and maintained over
y corporate accounts.
EDUCUIOlfa !
STITUTI; MIDLAnD, MICHIGAN
84 - May, 1985
ess Management
• ST·. I LAIR
PORT HtJRON, MICHIGAN
May ·1983
Maj
: Gen al Business
Psi Business fraternity
ian, Distributive Educational Clubs
a
dar, United Way, 1989
, Esq.
Frye, Esq.
TOTAL P.01
�..
e
Vff\.NON
E. }OP.DAN, JR.
CHAIRMAN
February 19, 1993
'1'0 WHOM I'l' HAY CONCERN'
I am pleased to warmly endorse Kelley O'Connor a candidate
for a position within the Clinton Administration. Under
challen~ing and often hectic circumstances, Kelley's
·
·
profess1onalism and willingness to give mo~ than 100 percent
enabled the Transition to accomplish its i111portant tasks·.
His work was always thorough and often done under extreme
deadlines. Kelley has strong organizational as well as
communication skills which can be applied to a host of positions
in any number ot agencies or the White House staff.
Kelley 4id an,exemplary job for the Transition. He is
anxious to continue to serve President Clinton and I believe
he has earned the most serious consideration for a position with
the administration.
Sin erely,
OfFICE OF THE PP.ESIOENTIAL AND
VIC£ PRESIDENTIAL TRANSITION
1120
VERMONT AvENUE:.
WASHJNCTON,
D. C. 20270 (202) 973·2600
�..
..
OBJIIClfl
To gain a position within the Clinton/Gore Administration
in ehe ~ield of facilities management or log1st1os.
BXPBRIBHCBI
C11DtOD/Gore W1D4 DOWD
washington,DC/L1ttle Rock,AR
February,March & 1 l993
-Responsible for liquidating all computers,TV's
and remaining assets. (including shippment of
assets.)
·
-Assisted in mail distribution and expediting
for The White House and OEOB.
Presidential Transition Offioe
Little Rock,AR
November 1992-January 1993
Clin~on/Cora
of Shipping & Receiving
-Responsible for all mail distribution
-Handled all priority expediting
Di~eo~o~
I
!
,
I
I
I
I
Clinton/Oo~e P~esidential
Little Rock,AR
April 1992- November 1992
Campaign
Priority Bxpe4iter
•Responsible for all Airborne,Federal Express, and
United Parcel services.
-Member headquarters relocation staff
~arget
Stores, lnc., Distribution Center
Little Rock,AR
Auqust 1989- November 1992
warehouse Auditor
•Shipping & Receiving auditor
-order processing clerk
�...
..
.,
Continue
lxpa~periencea
St. Clair Maintenance Co.
St. Clair,MI
May 1981- November 1gaa
owne~/Ope~ator
•Residential & Commercial interior & exterior
building maintenance. (lawn care, snow removal,
and cleaning services.)
-Sold,serviced, and maintained over 60 accounts
on a regular basis
Bcluaationa
Northwood Institute, February 1984- May 1985
Major: Business Management
St. Clair County Community College September 1982May 1983
Major: General Business
References Available Upon Request
I
- -
- - - - - - - - - - -
-----
----
-
�---·--·--·----~-----~ ~----~-
.•
}
To whom it may concern:
I am submittina my resume and a brief note of my experience with the campaian. I
was responsible for all outside expediting during the auupaign. My main responsibility was
to expedite any materials which needed to be delivered ~ithln two to forty-eight hours.
During transition. J was the director of all written materials for Little Rock
operations. Thic Included distribution of all incoming mail and parcels. I was responsible
for all outgoing mail and expediti111.
I am simply looking to serve the administration in a capacity ror which my skills may
best be suited. I feel that a position in any form of shipping and receiving would best suit
my abilities and interests.
)
j
�TO:
Christine Varney
FR:
Mary
DT:
5/20/93
RB:
Detailees from Veterans Affairs
Schuneman~~
Maggie Williams
Marge Tarmey
Patricia Campbell and Jane Hawkins have been detailed from
Veterans Affairs to the health care task force intake center for
the past four weeks. Tomorrow, May 21, will be their last day on
assignment to the intake center as per Martha Bertrand in the VA
personnel office. Pat and Jane have been very hard workers and
have expressed interest in continuing with the intake center. I
think that they should be considered to return to the intake
center when it is reorganized after May 30.
Martha can be reached at 233-2694.
extension is 2813.
I
If you have any questions, my
/
�Intergovernmental Working Group
Special Government Employees
Gary Claxton
Roz Lasker
Lois Quam
Paul Starr
Robyn Stone
Walter Zelman
Larry Levitt
Arnold Epstein
Richard Veloz
�Schedule C
Denice Ricketson
Marjorie Tarmey
Steve Edlestein
Chris Jennings
Molly Brostrom
Barbara Wooley
�Commerce
Carolyn Gatz/ Communication Liaison
Simone Rueschemeyer/ Policy Assistant
Susannah Wellford/ News Analysis
�ASPE
Sara Rosenbaum
Peter Budetti
Diane Rowland
.e
�Additional Positions
Drafting (Jennifer Klein)
Drafting /Legislative negotiating Greg Lawler
Policy Assistant (Susan Otrin)
Business Negotiation (Rick Miller)
Attorney/negotiations and legislative drafting (Jeff Davis)
.e
I
'
�Slots Needed
Secretary
News Analysis
News Analysis
Researcher
Correspondence, Director
Correspondence
Correspondence
Correspondence
Correspondence
Mayors/Intergovernmental
Counties -State Legislators/ Intergovernmental
�Agency Representatives
White House
Ira Magaziner
Jeff Eller
Bob Boorstin
Steve Cohen
Arthur Jones
Allison Muscatine
Jason Solomon
Dwight Holton
Julia Moffett
Mike Lux
John Hart
Meeghan Prunty
Jock Gill
Domestic Policy
Christine Heenan
Lynn Margherio
OVP
Charlotte Hayes
Agriculture
Meg Offit
DHHS
Judy Feder
Alan Hoffman
Karen Politz
Risa Lavizzo-Mourey
�SPACE
�THE WHITE HOUSE
WASHINGTON
May 27, 1993
MEMORANDUM FOR PATSY THOMASSON
Director, Office of Administration
FROM:
Jeff EllrrC
Deputy Ui~t to the President
Director of Media Affairs
CC:
Maggie Williams
Assistant to the President
Chief of Staff to the First Lady
Roy Neel
Assistant to the President
Deputy Chief of Staff
Peter Siegal
Health Care Budget Officer
RE:
Health Care Coordination
This is to update you on the status of decisions made concerning the
formation of a central location to coordinate the passage of the Health Care
package.
We are now ready to proceed with the installation of telephones and
computers. We need to have Room 160 in the OEOB outfitted by June 4,
ready for operation on June 7. Peter Siegal has plans from both AT&T,
IRMD and facilities management to accomplish this task.
To that end, in consultation with the Office of the First Lady, I am
requesting that the computer system for Room 160 be an extension of the
Communications Office Pilot Project and that installation begin
immediately.
I am requesting that Jerry Carlsen and Jim McDonald from IRMD be
assigned to this task through completion. They have been involved from
the beginning of the project.
�Have tried to call you back yesterday and today ... no luck in
qettinq a phone answered.
As to space •••• we need for Domestic Policy Council the following
rooms which have been utilized by Health Care Reformt
210, 213, 213 1/2.
plan to utilize space if you need ... thanks .
•
•
205, 207,
I can go over full plan with you of how we
�Withdrawal/Redaction Marker
"''
DOCUMENT NO.
AND TYPE
002a.map
Clinton Library
SUBJECTffiTLE
DATE
The Old Executive Office Building (5 pages)
[none]
RESTRICTION
b(2), b(7)(E)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number:
I 0813
FOLDER TITLE:
Interagency Health Team Binder
2006-0223-F
ab621
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. ll04(a))
Freedom of Information Act -IS U.S.C. SSl(b))
PI National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(l) of the PRA)
P3 Release would violate a Federal statute ((a)(3) ofthe PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a dearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(l) Release would disclose internal personnel rules and practices of
an agency ((b)(l) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information ((b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) ofthe FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfUe defmed in accordance with 44 U.S.C.
ll01(3).
RR. Document will be reviewed upon request.
�)
.
)
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_______ _ _ _ _ _ _ j
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002b. map
DATE
SuBJECTffiTLE
The Old Executive Office Building (1 page)
[none]
RESTRICTION
b(2), b(7)(E)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
Interagency Health Team Binder
2006-0223-F
ab621
RESTRICTION CODES
Presidential Records Aet- [44 U.S.C. 1104(a)]
Freedom of Information Aet- [5 U.S.C. 551(b))
PI National Security Classified Information [(a)(l) of the PRA]
Pl Relating to the appointment to Federal office [(a)(1) of the PRA]
P3 Release would violate a Federal statute ((a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy [(a)(6) of the PRA]
b(l) National security classified information ((b)(l) of the FOIA)
b(1) Release would disclose Internal personnel rules and practices of
an agency ((b)(1) of the FOIA]
b(3) Release would violate a Federal statute [(b)(3) ofthe FOIA]
b(4) Release would disclose trade secrets or confidential or financial
Information [(b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted Invasion of
personal privacy [(b)(6) of the FOIAJ
b(7) Release would disclose Information complied for law enforcement
purposes((b)(7) of the FOIAJ
b(8) Release would disclose Information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
1101(3).
RR. Document wiD be reviewed upon request.
�•
BUDGET SCHEDULE
1. PERSONNEL
2. SPACE
3. COMPUTERS
4. TELEPHONES
5. SATTELITE AND RADIO
6. PRINTING
7. FURNITURE
8. TRAVEL
9. SUPPLIES
•
•
10. POSTAGE & FEDERAL EXPRESS
11. OTHER CONTRACTS
�BUDGET
�•
\.
EMPLOYEE
SALARY
'
IRA MAGAZINER
~
BOB BOO~STIN
\
STEVE COHEN
•
..
ARTHUR JONES
MEEGHAN
PRU~TY
-
\
JASON SOLOMO~
I
\
ALLISON MUSCA~INE
(TO BE HIRED) \
;
I
/
CHARL9TTE HAYES\
OVP ~F
DWiGHT HOLTON
, 'MIKE LUX
\
,
~
JOHN HART
'JULIS MOFFETT
JEFF .. ELLER
•
..
/
I
�•
DENISE RICKETSON
MARJORIE TARMEY
-
LOIS QUAM
PAUL STARR
WALTER ZELMAN
PB'I'8R BtJBE'f"f I
•
••
DOMESTIC POLICY
EMPLOYEE
CHRISTINE HEENAN
LYNN MARGHERIO
SALARY
�•
AGENCY NOT DETERMINED
~'I.L.I:'AJio'
..,
~G LAWLEV···
/
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~
I~EG OFFITT
IIH
AGRICULTURE
~A!L(/.AA Te/Js
NEWS ANALYSIS
_(j
NEWS ANALYSIS-
u
REASEARCHER
.SifE\t:B B9LBS9i!8,J;N
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CORRESPONDENCE
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CORRESPONDENCE
CORRESPONDENCE
CORRESPONDENCj:
if9~~lj,'!:
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PUBL:IC LTAISON
•
-
MAYORS
INTERGOVERNMENTAL
COUNTIES/STATE LEG/
yum
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.. S!;CAN 86RSK'i'
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...
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POLICY ASSISTANT
~
U:U:~:bBR
OR
BUSINESS
..J£¥P
·-
~INfS"""OR
LAWYER
ON DHHS FULL TIME EMPLOYEES:
eARi CLAXTON
od''tffJ 1 I EWR"'
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•
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�•
•
DNC
PAUL BEGALA
STAN GREENBERG
MANDY GRUNWALD
�\
·,
•
May 14, 1993
MEMORANDUM FOR ROY NEEL
FROM:
Jeff Eller
SUBJECT:
Resource Inventory Request
CC:
Maggie Williams
Here is what I would like to request to set up the war-room for
the health care plan.
In the initial stages, I would like a full-time AT&T person
allocated to get the phones up an running. In addition, a full
time computer person·needs to be allocated to get the computer
resources functioning and communicating with the rest of the
White House complex.
I will need help from the people who deal with desks and
furniture, etc.
••
There also needs to be some money set aside for satellites and
radio feeds. As of now, we do not have an actuality service.
I've been waiting o~ the.new phone system in order to accomodate
this without a· lot of cost. I can't wait for the phone system
with health care.pending:
From a budget standpoint, I think that $100,000 should cover
satellites and radio through the end of this fiscal year, october
1.
That's the first cut ••. more to follow.
''
•••
----
-
- - - - - - -
�•
May 12, 1993
MEMORANDUM FOR Hillary Clinton
FROM:
Ira C. Magaziner
SUBJECT:
Staffing
We anticipate taking responsibility for:
•
•
Translating the policy into drafting of the bill.
•
Making sure that the policy remains viable as it
evolves during congressional debate. Developing policy
options to amend the bill in response to the legitimate
concerns of congress, interest groups and the public.
•
Conducting negotiations and communications with
congress, states and interest groups as policy evolves
during congressional debate.
•
Providing policy experts to speak around the country to
testify and assist the communication strategy.
•
•
Finalizing initial policy.
Working with communications, legislative affairs,
intergovernmental and public liaison in the
implementation of the program as necessary.
In order to accomplish this we need the following positions:
•
�•
•
•
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�STRATEGIES
�·--
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·-···-
. -·~
HEALTH CARE PROJECT LIST
··~Zsj
617/93
Project Name
Dept. Responsible
Person
Responsible
Targeting List
Policy
Materials List
Est.
Start
Est.
Finish
Chris Jennings
6-7-93
6-9-93
Research
Meegh~
6-7-93
6-10-93
.Ira Magaziner Press Packet
Policy
Carolyn Gatz
6-7-93
6-11-93
Talking Points List
Public Liaisoin
· Mike Lux & Chris
6-7-93
6-11-93
Communications Strategy·
Research
Meeghan Prunty
6-7-93
6-11-93
Scheduling
Alan Hoffman
6-7-93
6-14-93
Bob Boorstin
6-7-93
6-14-93
· Surrogate Strategy
Network T~levision Strategy
· Communications
Prunty
Daytime Television Strategy
Lisa Caputo
6-7-93
6-14-93
Morning Show Strategy
Communications
Bob Boorstin
6-7-93
6-14-93
Local Television Strategy
Media Affairs
David Anderson
6-7-93
6-14-93
Radio Talk Show Strategy
Media Affairs
Richard Strauss
6-7-93
6-14-93
Madison Avenue Ad Group
Communications
Mandy Grundwald
6-7-93
6-14-93
Health Care Dictionary
Conimunications
Bob Boorstin
6-7-93
6-14-93
Health Care University
Policy
Chris Jennings
6-7-93
6-14-93
Supporters List
Public Liaison
Mike Lux
6-7-93
6-14-93
Health Care Press Packet
Communications
Bob Boorstin
6-7-93
6-15-93
Graphics Package
•
First Lady
Research
Meeghan Prunty
6-7-93
6-15-93
•
Page 1
�.-.r
. _,,..
· Targeting List
•
Information Sheet
White House Health Care Campaign
Targeting List
Project Name
Schedule Status
6-7-93
6-9-93
Est. Finish Date
Est. Start Date
Responsibility
Policy
Chris Jennings
Dept. Responsible
Person Responsible
Description
Prepare the best guess list of swing states and congressional districts needed for passage of health care.
••
••
Future Requirements
List
�...
.~
. _r:·
Materials List
•
Information Sheet
White House Health Care Campaign
Materials List
Project Name
Schedule ·Status
6-7-93
6-10-93
Est. Finish Date
Est. Start Date
Responsibility
Research
Meeghan Prunty .
Dept. Responsible ·
Person Responsible
Description
Prepare list of materials needed for Health Care Campaign
•
Future Requirements
List
Projected Costs
�-·
Ira Magaziner · Press Packet
~
•
"
Information Sheet
White House Health Care Campaign
Ira Magaziner Press Packet
Project Name
Schedule Status
6-7-93
6-11-93
Est. Finish Date
Est. Start Date
Responsibility
Policy
Carolyn Gatz
Dept. Responsible
Person Responsible
Description
Prepare press packet on Ira Magaziner. Should include B&W photo, bio, comments from the President.
•
•
Future Requirements
_ Get Photo Taken and Reproduced
Printing
�·-· ..
·~
•
..,
Talking Points List
.
Information Sheet
White House Health Care Campaign
Talking Points List
Project Name
Schedule Status
6-7-93
6-11-93
Est. Finish Date
Est. Start Date
Responsibility
Public Liaisoin
Mike Lux & Chris Jennings
Dept. Responsible
Person Responsible
Description
Prepare a list of fax numbers of people and organizations that would need to get a daily set of health care
talking points
Future Requirements
••
.
•.
_
Fax List
·
�.-...
.~.···
Communications Strategy Memo ·
Information Sheet
White House Health Care Campaign·
Communications Strategy Memo
Project Name
Schedule Status
6-7-93
6-11-93
Est. Finish Date
Est. Start Date
Responsibility
~R~e~se~M~c~h----~--------------------~M_e_e~gh_a~n~P_ru_n~ty~~------------------Dept. Responsible
Description
Best of Rockefeller plus the best of our meetings
•
•
Future Requirements
Written Plan
Person Responsible
�. ~.--·
__
....
• _.r>-
Surrogate Strategy .
•
Information Sheet
White House Health Care Campaign
Surrogate Strategy
Ahead
Project Name
Schedule Status
6-7-93
6-14-93
Est. Finish Date
Est. · Start Date
Responsibility
-=S=-c_he=-d~u=-li_.ng~--:~---------- ·Alan Hoffman
Dept. Responsible
Person Responsible
Description
Concieve and write a strategy for placing health care surrogates .in targeted media markets beginning
10-days prior to the announcement and continuing 2-weeks after.
•
•
Future Requirements
Writen Plan
Calendar
�,;!_......
.....
Network ·Television Strategy
Information Sheet
White House Health Care Campaign
Network Television Strategy
Project . Name
Schedule Status
6-7-93
6-14-93
Est. Finish Date
Est. Start Date
Responsibility
Communications
Bob Boorstin
Dept. Responsible
Person Responsible
Description
Concieve and write a strategy for selling health care on network television starting 10-days prior to the
announcement and continuing for 2-weeks following the announcement.
•
•••
Future Requirements
Written Plan
Calendar
�·-.··
.~
Daytime Television Strategy
•
Information Sheet
White House Health Care Campaign
Daytime Television Strategy
Project Name
Schedule Status
6-7-93
6-14-93
Est. Finish Date
Est. Start Date
. Responsibility
First Lady
Lisa Caputo
Dept. Responsible
Person Responsible
Description
Concieve and write a strategy for dealing with daytime television, re: Donahue, Ophra, beginning
10-days prior to the announcement and continuing 2-weeks after.
•
Future Requirements .
Written Plan
Calendar
�·-.~·
. --~
Morning Show Strategy
•
.
· Information Sheet
White House Health Care Campaign
Morning Show Strategy
Schedule Status
. Project Name
6-14-93
6-7-93
Est. Finish Date
Est. Start Date
Responsibility
Communications
Bob Boorstin
Dept. Responsible
Person Responsible
Description
Concieve and write a strategy for having a presence on the network morning shows beginning 10-days
prior·to the announcement and continuing 2-weeks after.
••
•••
Future Requirements
Written Plan
Calendar
�........
. ..,§
...
. __ ,..
___...
Local Television Strategy
•
Information Sheet
White House Health Care Campaign·
Local Television Strategy
Project Name
Schedule Status
6-7-93
6-14-93
Est. Finish Date
Est. Start · Date
Responsibility
Media Affairs
David Anderson
Dept. Responsible
Person Responsible
Description
Concieve and write a strategy for placing health care surrogates in targeted media markets on local
television beginning 10-days prior to the ai:mouncement and continuing 2-weeks after: The focus should
be on health care reporters as well as on local television talk/variety shows.
•
•
Future Requirements
Written Plan
Calendar
�.
-.......
-~
Radio .T-alk Show Strategy
Information Sheet
White House Health Care Campaign
Radio Talk Show Strategy
Project Name
Schedule Status
6-7-93
6-14-93
Est. Finish Date
Est. Start Date
Responsibility
Media Affairs
Richard Strauss
Dept. Responsible
Person Responsible
Description
Concieve and write a strategy for deaJing with TaJk Radio and for placing surrogates on these shows
beginning 10-days prior to the announcement and continuing 2-weeks after.
••
•
Future Requirements
Written Plan
Calendar
�:~--
...,,;·
.. --~·
Madison- Avenue Ad Group
•
Information Sheet
White House Health Care Campaign
Madison A venue Ad Group
Project Name
Schedule Status
6-7-93
6-14-93
Est. Finish Date
Est. Start Date
Responsibility
· Communications
Dept. Responsible
Mandy Grundwald
Person Responsible
Description
Pull together the campaign group of ad executives on how to talk about health care
•
••
Future Requirements
Meeting Schedule
�:;!..... -
.-,il
Health· Care· Dictionary·
•
Information Sheet
White House Health Care Campaign
Health Care Dictionary
Project Name .
Schedule Status
6-7-93
6-14-93
Est. Finish Date
Est. Start Date
Responsibility
Communications
Bob Boorstin
Dept. Responsible
Person Responsible
Description
Prepare a dictionary of terms to be used to explain health care plan.
•
•
Future Requirements
Glossary of Terms
Printing Cost
�:;L -.
__ ...
·-.oi
Health.. Care University
•
Information Sheet
White House Health Care Campaign
Health Care University
Project Name
Schedule Status
6-7-93
6-14-93
Est. Finish Date
Est. Start Date
Responsibility
Policy
Chris Jennings
Dept. Responsible
Person Responsible
Description
Prepare curriculum and schedule for education House, Senate and White House staff on the health care
plan. Work with Rockefeller and Daschle staff on logistics
••
•••
Future Requirements
Written Plan
Calendar
�.Z... ....
·"'···
. _.r
·Supporters. List
••
Information Sheet
White House Health Care Campaign
Supporters List
Project Name
Schedule Status
6-7-93
6-14-93
Est. Finish Date
Est. Start Date
Responsibility
Public Liaison
Mike Lux
Dept. Responsible
Person Responsible
Description
Prepare early list of groups that will support the health care plan. Indicate degree of support
•
•
Future Requirements
List
�---6~
.....
.--...
·-..-·
• ..-1':"
Health- Care Press Packet·
•
Information Sheet
White Hotf,se Health Care Campaign
Health Care Press Packet
Project Name
Schedule Status
6-7-93
6-15-93
Est. Finish Date
Est. Start Date
Responsibility
· Communications
Dept. Responsible
Bob Boorstin
Person Responsible
Description
Prepare a generic press packet that can be sent out upon demand by the WH Press Office and Media
Affairs
·
••
Future Requirements
Prepare Packet
Printing
�·-...
.-;::........
. _.r
A
Graphics Package
•
Information Sheet
White House Health Care Campaign
Graphics Package
Project Name
Schedule Status
6-7-93
6-15-93
Est. Finish Date
Est. Start Date
Responsibility
Research
Meeghan Prunty ·
Dept. Responsible
Person Responsible
Description
Per Boorstin, work up a graphics package for both print and television.
•
'
.•
·Future Requirements
Plan
Materials and resources needed
�•
TO:
Maggt..! Williams
FR:
Mary Schuneman
DT:
6/5/93
R7
Despite the risk of my repu tatlon of correspondence genius being dispelled
forever, I have outlined the current operation in the health care
correspondence office. This will enable the new director to have some form of
training without my being here. It is self-explanatory and should provide
answers to the questions that one would ask upon taking such headacheprone responsibility considering the mountains and mountains of paper
involved. I Wish everyone involved well. And I am happy to offer my consulting
services (pro bono) if necessary.
Thank you for your guidance and assistance throughout the last seven
months. This has been a very interesting and exciting opportunity that I will
never forget. I look forward to having the chance to visit soon.
- - - -
--·-------
�•
TO:
Magsie Williams
Marge Tarmey
Helaine Greenfeld
FR:
Mary
DT:
6/4/9:-i
RE:
Health Care Correspondence Procedures
Schuneman~!?
Following is a brief description of supervisory responsibilities and the people who
are currently serving in these roles:
1. Director -
e
.Supervises daily operations; serves as liaison to First
Lady's office, First Lady's correspondence, Ira's office,
First Lady's personal correspondence, Volunteer office,
and Communications; provides status reports to and
troubleshoots with Ira's and First Lady's offices;
authority for ordering supplies, stationery and printed
postcards for responses (need approval from First Lady's
office for print language), contact to IlllS reading room,
Department of Justice, and Administration.
2. Helaine 0reenfeld -
responsible for VIP mail, emptying in-box, forwarding
unrelated mail, determining response for letterhead
mail, maintaining log of letterhead letter responses for
Mike Lux
3. Mike Cooper -
special stories project, assisting with volunteer
recruitment
4. Holly Nelson -
maintains and updates volunteer list, responsible for
phone schedule, assists with in-box
5. Mike Mudha-
responsible for opening, inventory of mail, assists Mike
Cooper with special projects
6. Barbara Allen -
recruits volunteers, assists Holly with list upkeep and
volunteer files
7. Geoff TiLbetts -
supervises data entry and printer output of physicians
and policy mail
More detailed descriptions of these roles are attached. The number in the left
column corr-=sponds with the attachment.
�lJ_)
.e
DIRECTOR·~;
OVERVIEW
ARRIVAL
Mail room delivers mail addressed to First Lady and/or Health Care Task Force
daily to intake center. Incoming mail is either placed in IN -BOX or arrives in
boxes with number of pieces marked on outside of box on white address label that
are placed outside the door. Incoming mail is moved to back room where it is
placed on sl.elf for mail to be opened. Box is marked in black marker with date
and type of mail (#10, flat, bulky, etc.).
OPENING
Mail is open~d in order of date received. (i.e. mail received 3/2/93 must be opened
before mail received 5/15/93.) Letter is retreived from envelope and scanned for
full return Qddress. If a full return address is included with the letter, then the
envelope may be discarded. If full address is not on the letter but is on the
envelope, the envelope should be stapled to the left corner behind the letter. If
there is no address on either the letter or the envelope, the envelope may be
thrown away and the letter should be marked "NRN" in the top right corner.
Mter the letter is scanned for the address, a coding sheet should be stapled to the
left corner of the letter "back-to-hack" with the type facing outward. The letter
should then be pre-coded as either "light," "heavy," "physicians," or "letter
campaign," o.md placed in the appropriate box. When the light and heavy boxes
are full, the.>' are placed on the shelf for mail to be coded. Presorted letter
campaign and physician mail should be moved to the appropriate boxes in the
"needs respo.1se" area. Letter campaign letters do not receive a response -therefore, wl1en there are more than five boxes of letter campaign stacked in this
area, the bo.-::es need to be moved to the reading room at HHS. (See Reading
Room belO\v.) The physicians mail is ready for inputting by the data entry
workers.
CODING
Mail coded Light and Heavy is read thoroughly to deterP.Hzte in which cat&gory on
the coding sl1eet it belongs. (See attached for definition~and coding shee'e.J After
the proper cuding category is marked on the coding sheet, the mail is sorted by
category intu the appropriate boxes in the "needs response" area. The exceptions
to this are U.e categories in the "ReRoute" section of the coding sheet:
Casework - l'eroute via interoffice mail to Jenny McCarthy in OEOB 91.
Scheduling - reroute via interoffice mail to Alan Hoffman in OEOB 160.
President's mail - reroute via interoffice mail to Correspondence in OEOB 90.
61
Other mail, including VIP mail- see attacheamemo from Helaine.
�.e
RESPOND:.iNG
The mail in the boxes in the "needs response" area is responded to with either a
postcard or iorm letter:
POSTCARDS - General mail, personal stories and letterhead mail marked
with a "P" all receives postcard 1 -- with the First Lady's signature on it.
Offers to help and resumes receive postcard 2 -- signed by the Health Care
Task Force. Postcards are hand-addressed by volunteers. The letters in
each category should be individually date-stamped and kept together for
filing after the responses are generated. The group of letters in each
category should be placed in the appropriate boxes in the "FILE" area.
FORM LETI'ERS - Physicians, policy and letterhead mail marked with an
"L" all receive~ form letter. Letterhead is handled by Helaine (see her
attach2d me~) Policy and physicians letters are inP._Rtted into a
name/address list in wordperfect. (See attached me~from Geoff.) The
letterB in each category should be individually date-stamped and kept
togeth2r for filing after the responses are generated. The group of letters in
each category should be placed in the appropriate boxes in the "FILE" area.
** The language in the letters and the postcards has evolved since the
task force Legan. New language should be drafted now that the task
force has dissolved and the effort to introduce and pass the legislation is
underway. Contact Melanne Verveer, Jeff Eller, and Bob Boorstin for
informatioJ, to include in the language as well as for f"mal approval before
the language can be printed and sent out.
FILING
The letters already responded to and marked with a date-stamp, should be filed
by category in an archives box. Letters should be filed standing up, sideways
{they fit best this way) until the box is filled. The filled box should be labeled
with the date, category, and which response it received. The category decides
where it goes:
Personal Stories are stored in our offices for special projects.
PoliC)', Letterhead and Letter Campaign are sent to the HHS reading
room. (See next paragraph detailing this procedure.)
Gene1·al mail, other health providers, offers to help/resumes, and
physidans are sent to Archives. Call the office of records management at
x2242 and request a pick-up of boxes to be archived.
�w--
·•
HHS HEALiNG ROOM
The health care correspondence office is required by law to make selected
materials available to the public. A reading room has been set up at the
Department of Health and Human Services for the public to view these selected
documents.
After they huve been responded to, policy, letterhead and letter campaign letters
should be stnt to the reading room. But first, the coding sheet must be removed
and bate-stamped along with the letter. Jeff Gutman, Dept. of Justice, 514-4775,
is your contact for detailing DoJ employees for bate-stamping the documents.
Stacia Croprjer, EOP administration, 395-6963, is your contact for requesting a
pick-up of the boxes. The boxes should have an outside cover sheet identifying
what is inside. (See attached.~our contact at the reading room is Meghan, 6906797. You should be in touch with her and/or Stacia when the reading room is
closing <TBD) to arrange for the return of the boxes to Archives.
ADMINISTH.ATION
Any requirements or problems with office supplies, equipment and furniture,
WAVES, etc. shuuld be directed to Peter Siegel at x3133.
�MEMORANDUM
TO:
FROM:
SUBJECT:
DATE:
Mary Schuneman
Helaine Greenfeld
My duties in the Intake Center
May 24, 1993
My duties at the Intake Center have evolved into six main
categories, most of which involve identifying mail that needs
special treatment or responses.
1}
Congressional Mail
I handle all incoming mail from members of Congress. This
mail generally falls into 3 categories:
o Member advocating her/his own position on health care
o Member forwarding mail/ suggestion/ policy of
constituent on health care
o Member recommending someone for position with task
force
Letters in the first category are sent directly to Shirley
Sagawa - WW/2FL. For letters in the other two categories, I
prepare pre-approved form letters for autopen signature and send
them, along with a copy of the first page of the letter I am
responding to, to Mr. Everett Hauser in Room 76. He has the
autopen sign the letters and sends them out. (If I make a
mistake, or forget to enclose a copy of a letter, he will send
the mistake back for correction}. The originals of the letters
in the last two categories then get sent on to Shirley, with my
initials on the top of the page so she knows they've been
responded to.
3)
Intergovernmental Mail
Any mail on health care from a state or local government
elected official gets routed to Michael Sussmann in the Office of
Intergovernmental Affairs - 106 OEOB. He handles this
correspondence for John Hart in IGA.
3)
HRC Personal Mail
This is mail that we identify either as it comes in the "In
Box" or through coding as VIP mail, and should be mail from
people who actually know Mrs. Clinton. I send these letters to
Millie Alston - EW/2FL, Mrs. Clinton's personal secretary.
Sometimes it is difficult to tell whether or not Mrs. Clinton
actually knows the correspondent, but I usually err in their
favor, with a cautionary note to Millie telling her to send back
any mail HRC does not want to answer.
Sometimes Millie routes the responses and the originals back
through me. If the letter she has written says that the letter/
policy/ suggestions, etc., have been given to the task force, I
take it to Susannah Wellford in Ira Magaziner's office. If no
such promise has been made, I file them in a box eventually bound
for storage in the archives or the reading room.
�Memo to Mary
Helaine's duties
4)
Other "Special Handling"/ Reroute
Most of the other mail that ends up in the special handling
box is miscoded, and can be receded more properly as general mail
or letterhead. Some of it is casework, which I simply place on
the casework shelf in the third room. Any other special mail
usually falls into the categories of HRC mail, Presidential mail
or HRC Personal mail. The HRC mail gets rerouted (without the
Intake Center coding sheets) to First Lady Correspondence - 19
OEOB; Presidential mail, i.e., all mail addressed to the
President, gets rerouted to Presidential Correspondence - 94
OEOB.
5)
Letterhead
Letterhead mail gets divided into two categories: Letter
and Postcard. I have been trying to get to the letterhead mail
after it has been coded and mark each piece as either L or P.
The P mail receives the regular postcard response, while the L
mail gets a form letter directed to the associations. L mail is
usually from national associations, unions, non-profits, and
other politically sensitive groups. After I type in the names
and addresses of the L mail correspondents, I send a list of them
down to Mike Lux - 116 OEOB, for his approval. A day later I
mail the letters out.
Sometimes there are L letterhead letters that should not get
a form response. These include major labor unions, major medical
or nursing associations, major non-profits, major religious
organizations, and letters from groups who explain that they have
already met with representatives of the task force, and are
sending requested follow up information. These types of letters
get sent directly to Mike Lux.
6)
In Box
I have also become the unofficial keeper of the In Box
whenever I am here. This simply means that I open and sort the
mail delivered through the interoffice system. I try to
categorize as much of it as I can before giving it to the back
room as "raw mail." This is a time when the person opening the
in box mail should be on the lookout for mail addressed to
specific people on the task force, for scheduling mail, or for
letter campaigns. It is also a good time to weed out and reroute
letters addressed to the President or Vice-President (the latter
go to 263 OEOB).
And • . . 7) Miscellaneous
I also address postcards, answer the phone, and sort through
mystery piles which accumulate around the office.
-2-
�HCTF Intake Center
Assistant, Special Projects
1.) Supervise recruitment and retention of volunteers for office
operations, telephones coverage, mail coding/sorting, data entry.
Troubleshoot personnel issues.
2.) Coordinate volunteer managers' supervision of day/evening
shifts of intake operations. Assist Correspondence Director to
obtain shifts coverage and in communication of daily priorities.
3.) Assist in-house volunteer coordinator to welcome new
volunteers, process necessary security-clearance paperwork,
facilitate daily access of volunteers into OEOB, liaison with
OEOB Volunteers Operations Center (Rooms 77 & 39), search for new
recruits, and develop activities aimed at retaining existing
volunteers pool.
4.) Establish databases of correspondence in coordination with
Director of the Intake Center pertaining to priority political
issues including potential witnesses for public testimony,
documentation from clinical personnel, issues of specific
regional importance, policy positions of interest groups, and
personal stories. Respond to requests from Task Force or Members
of Congress for primary sources of these issues.
5.) Maintain a sense of humor about the enormity of the task,
and enthusiastically communicate the same to those around me.
�.41t
Update volunteer list
The volunteer list is on the disk marked "volunteers," in
the file named "masterls." For each entry, we note the
exact name the person uses for identification (put nickname
in parentheses), the time they will be here (for 9:30, put
9:) in the correct column to indicate the day, the person's
date of birth, the social security number, the phone number
(home phone listed first, office phone beneath), and "f" for
completed White House Office Supplemental Information Sheet
for Personnel Action form and "r" for resume. Note if the
form has not been filled out ("no form yet") and indicate
the date the person has agreed to start. I make three
copies, one for Barbara Allen, a Master List to tack to the
bulletin board, and one for myself.
New name list for room 77: Each time I add a name to the
volunteer list for whom we also have a completed form, I add
that name to a "new name" list. I create a new name list for
each day I update the master list. I simply block the first
two lines of the entry on the volunteer list and copy it to
a second document ("newnames.603" for June 3). You can also
indicate deletions for those who are no longer volunteering.
I make two copies of this list, one for our file and the
other for room 77. Take this copy to room 77 and hand it to
Claude or another in-charge-looking person and be sure he or
she knows this is for updates to the Health Care Task Force
volunteer list.
Encourage people to write changes on the Master List and try
to update it weekly.
Phones
'
Answer the phone by saying 1t•••II!SII&ii&'IS··••t £•1iiiif"health care correspondence."
/
Review carefully the instructions "Guidelines for Health
Care Task Force Calls." This is on the disk in the file
,.. named "HCTF" and should be on the wall next to the phone.
Persons trained to answer the phones are listed on the
"Telephone Schedule" found on the disk as "Phones."
�.e
INTAKE CENTER
WORK ROOM SUPERVISOR
The overall responsibility of the work room supervisor is to
identify and keep track of all correspondence and related
materials, from the time it is received at the drop-off site
outside the Intake Center until it has been coded and placed in the
hallway for pick-up and further processing, and to supervise and
direct the work of the volunteer staff throughout the mail opening
and coding procedures. Typical duties for the work room supervisor
include the following:
A.
Preparing Mail for Processing
Performing the various steps in the Mail Preparation task as
outlined in Mail Processing Procedures. This is appropriately
a supervisory function since it is important for the mail to
be organized, packed and stored in a manner which best
facilitates further processing, and because of the opportunity
this provides to determine the quantity and nature of the
incoming mail.
B.
supervising Triage Procedures
Selecting and positioning the stock of mail for use by
volunteers, organizing or directing the organizing of work
materials, orienting new volunteers, generally overseeing the
work of the volunteers on the triage activity as outlined in
the procedures, answering volunteer questions and dealing with
unusual correspondence, packing or supervising the packing of
filled storage boxes, the transfer of filled boxes to the
storage area, and the preparation of replacement boxes.
c.
supervising Regular Coding Procedures
Selecting and positioning the stock of mail for use by
volunteers, working with veteran volunteers to ensure that
work materials are available and that new volunteers are
oriented and supervised, generally overseeing the coding
activity following the procedures as outlined, supervising the
transfer of coded materials to storage in the hallway, packing
or supervising the packing of General Mail and Other Health
Care Provider boxes and arranging for them to be placed in the
appropriate location in the hallway.
�.e
WORK ROOM SUPERVISOR continued
D.
supervising Special Coding Activities
Selecting materials for special coding projects, supervising
the transfer of materials to the special coding site,
orienting and supervising volunteers in the coding activity,
answering questions and dealing with unusual situations as
they occur, supervising the repacking and return of coded and
uncoded materials to storage in the work area, supervising the
subsequent sorting of coded materials.
E.
Processing Flat and Irregular Mail
Either personally processing the mail or supervising the work
of one or more experienced volunteers, following the outlined
procedures, arranging for the collection and storage of books,
videotapes, audio tapes and health artifacts, notifying the
Director of the Intake Center of any unusual materials
received, transferring or supervising the transfer of filled
boxes of materials to the hallway.
F.
Ordering supplies and Materials
Informally or formally inventorying available supplies and
work materials, supervising the requisitioning of replacement
supplies, as needed, placing order for the printing of new
coding sheets, working with the print shop on the completion
of the order, transporting newly printed coding sheets to the
work area.
G.
working with Volunteers
Informally monitoring and evaluating the work of the
volunteers in the mail processing area, providing assistance
to any volunteers that appear to experiencing difficulty and
identifying the most successful performers, selecting and
orienting volunteers for special assignments or supervisory
functions.
B.
controlling the Work Flow
Monitoring the flow of correspondence within the work place,
including making a daily inventory of the number of boxes of
new incoming mail, the backlog of unopened #10 mail and
unprocessed letter mail, and the backlog of opened but uncoded
mail. Reporting to senior staff and adjusting the mail
processing procedures and priorities as needed.
-----------------
-
--~----
----------
-~------
-
-
-------~
- - - - - - - - -
�.e
MEMORANDUll
TO:
Mary Schuneman
FR:
Barbara Allen
RE:
HCTF Responsibilities
In addition to assisting Mary Schuneman with the day-to-day
operations of the office, I have been primarily responsible for
the recruitment, retention and training of volunteers for the
Health Care Task Force Intake Center.
Currently, the Health Care Task Force Intake Center has 183
active volunteers who assist with the opening, coding and
responding to HFTC-related mail.
Recruitment
Recruitment of new volunteers fall into two categories:
individuals and groups.
Many individuals who are working on the Task Force have been
recommended to us by Task Force members, while others may have
contacted the Task Force directly to inquire as to volunteer
opportunities. Due to the specificity of the work and the need
for confidentiality, groups contacted to assist us have primarily
come from traditional Democratic sources: Democratic National
Committee, Women's Democratic Club, College Democrats at various
local colleges, etc. Now that the working groups have completed
their work, we are now expanding our recruitment to groups such
as Older Women's League, Women's Information Network, Teen
Democrats, Black Social Workers of DC, church and social
organizations.
For individuals contacting the HCTF to volunteer, ~ resume
is required as well as a pre-screening interview, usually over
the phone. This pre-screening is designed to remove any question
of a conflict of interest on behalf of the volunteer. Following
the initial contact and interview, an appointment is scheduled
for the volunteer to complete the appropriate security forms,
attend a briefing on access requirements and the HCTF operation.
Training is coordinated with available staff.
To handle the great volume of mail, we periodically have
"mail marathons" on Saturdays where we bring in groups of
volunteers, assemble in a conference room and code opened and
pre-sorted mail.
Retention
We have been extremely fortunate with consistency of our
volunteers. We have a core group of volunteers that have been
the mainstay of the HCTF Intake Center. With recruitment running
�.e
an averag~ of 5-10 new volunteers per week, this seems to have
kept our numbers at about 20-25 volunteers per day which is what
we can accommodate in our space currently. Summer and vacations
are taking its toll in the last week. Greater emphasis is being
placed on planning and coordination during this critical summer
months to ensure that our numbers of volunteers remain
consistent.
In addition, we have tried to provide unique opportunities
to our volunteers that are only available at the White House.
For example, special White House tours, attendance on the South
Lawn for Presidential departures, tours of the OEOB, etc. On
special "mail marathon" days, lunch/snacks are provided.
Incentives are very important for morale and consistency.
Training
Training in each of the operations of the mail opening,
coding and postcard/letter responses is done on an individual
basis with oversight by a number of staff. It is my
understanding that this process has been described in detail in
another section.
�MEMO
To:
From:
Re:
Mary ::;chuneman
Geoff Tibbetts
Supervision in printing HCTF letters
A process for printing task force correspondence has been
established Hith designated "policy" or "physician" letters. These
letters have been identified in the coding process, and have been set
aside in boxes marked either "policy" or "physician."
Among the responsibilties in supervising this section include:
(1) training capable volunteers in the art of accurate data entry; (2)
providing oversight in editing and spell-checking of the data-files;
and (3) managing the printing of the letters/envelopes on White House
stationery. In general, these responsibilities should expect a high
degree of "quality control" because of the visibility these letters
will recieve once they are mailed.
The procedure for printing the letters is as follows:
First, a volunteer data-enters the names and addresses of
individuals using the Merge-format in Wordperfect. Only two merge
fields are utilized, so this process is fairly simple. Other than a
correct format-entry, the most important thing is to ensure the data
includes an accurate spelling of names, titles, organizations,
residences, states, zip codes, etc.
After data entry, the file is saved on the hard-drive or a
specified diskette, and the file should be named by date, letter-type,
and the volunteer's initials. This system denotes an easy recognition
of the lette£-type and also helps establish printing priority.
For printing, simply merge the "policy" or "physician" letter with
the name and address files. Before the merge, visually scan the file
and check fo£ spelling errors and correct format usage. Prior to
printing the file, place White House letterhead in the print tray. Use
the same merge format for printing labels for the envelopes. If there
are questions as to computer commands for this function, please refer
to the attached the Data-Entry Instruction Sheet.
Finally, enter all files in the notebook designated "Print Log."
This log giv8s a systematic record of the files printed to date, and
also provides the number of letters printed on a daily basis.
�,,·
HEALTH CARE TASK FORCE DATA-ENTRY INSTRUCTIONS
.e
LOGGING ON AND SETTING LABELS FORMAT
1. Logging on to the Computer & Entering WordPerfect
A. When the user name appears; HH Enter twice
B. When the password appears; Type 123456
C. When the menu appears; Hit Enter twice
D. You are now in a blank WordPerfect document
2. Setting up Labels Format
A. Hold down Shift, Hit FB
B. Choose 2, page
C.
•
7, paper size
D. When the list of labels appear Choose the appropriate size
label with your cursor, and Hit Enter
Note: We only use two types of labels (4 x 1 1/3; 14 and 2 5/8 x 1; 30)
E. Hit F7, until you are back at the blank document
F. Hold down
Ct~.
Hit FB
G. Choose F, Font
H. Choose Swiss Narrow; Hit Enter
I. Enter 12, for point; Hit Enter
J. Hit F7, unitl you are back at the blank document
�.e
--------
LABELS FORMAT
3. Entering Labels
A. Type the name of the constituent, Use prefixes for Dr.'s Q
NOTE: Do not type any suffix, e.g. Ph.D, M.D., R.N.
1. Type the title if applicable.
2. Type name of business if applicable
B. Type the street address of the constituent; when possible spell out all information, abbreviate
when necessary to make label fit.
NOTE: Abbreviate words such as, North & South, etc.; Street & Road,
Always abbreviate "Apartment"; Apt.
C. Type the city and state; Only use 2 letter postal codes for states
D. Type Zip Code; Hit F9
E. Type Salutation (Policy Letter Only); Hit F9
NOTE: Do not add any punctuation, No Commas or Semi Colons
F. Hold Down Ctrl, Hit F9
G. Choose 2, for End Record
EXAMPLE OF LABELS:
Home Address
John R. Smith
111 Anywhere Street, Apt. 23
Anytown, XX 11111-1111
Mr. Smith
Business Address
John R. Smnh
Head Hauncho
Health Care ke Us
111 Anywhere Street, Suite 222
Anytown, XX 11111-1111
Mr. Smith
REFER TO THE STYLE GUIDE WHENEVER YOU FEEL THAT YOUR LABEL DOES
NOT FIT THE GENERAL FORMATS ILLUSTRATED ABOVE.
-------------------------------------
�SAVING AND RETREIVING LABEL DOCUMENTS
1. SAVING LABELS DOCUMENT AND EXITING WORDPERFECT
A Hit F7
B. Hit Y, for Yes save document; Hit Enter
C. Type in the name of the document
Note: Do not specify a drive name, the system bas a default
D. Hit Enter
E. Hit N, for No to Exit WordPerfect
1a. SAVING LABELS DOCUMENT WITHOUT EXITING WORDPERFECT
A Hit F10, Follow Instructions of 4A-4D
2. RETREIVING LABELS DOCUMENT (2 methods)
Method 1:
A Hit FS (twice)
B. Place cursor on your document; Hit 1, to retrieve document
C. Document will then load and appear on your screen
Method 2: Use only when you know the document name
A Hold down Shift; Hit F1 0
B. Type the name of the document; Hit Enter
C. Document will then load and appear on your screen
�PRINTING LABEL DOCUMENTS
1. PRINTING LABELS AND LETTER DOCUMENT FOR PROOFING
A. Hold down Shift, Hit F7
B. Hit 1, Full Document
C. Pick-up Labels in Printer and deliver to proofers
1a. PRINTING LABELS AND LETTER DOCUMENTS (FINAL)
A. Hold down Ctrl, Hit F9
B. Choose 1, Merge
C. For Labels: Type "Label.pf", for primary file; Hit Enter
• Letters: Type "policy.let, for primary file; Hit Enter
D. Type Your Label file name, for Secondary file; Hit Enter
E. Hold down Shift, Hit F7
F. Hit 1, Full Document
G. Pick up the labels from printer and deliver to proofers and stuffers
�CATEGORY DEFINITIONS
POSTCARD 1
GENERAL MAIL
General correspondence to the Task Force related to health care that
does no.t merit special attention and does .run fit Into another category
PERSONAL STORIES
Sharing experiences with health care system and
Intervention or assistance
nm asking for
OTHER HEALTH PROVIDERS
Any writer who works In the health profession who Is nat an M.D. or Its
equivalent
LEnER CAMPAIGN
Form letter advocating specific Interests (I.e. chiropractic coverage,
medicare reform)
POSTCARD 2
OFFERS TO HELP/EMPLOYMENT
Seek to volunteer or gain employment
FORM LEUERS
LEnERHEAO
Interest groups, organizations, companies, etc. related to health care
POLICY
Well-researched solutions for reform
PHYSICIANS
Any writer who Is an M.D. or Its equivalent
REROUTE
•
•
•
•
•
VIP/Prlorlty- Elected officials, celebrities, friends
Scheduling Requests - Invitation to event or to set up meeting
Casework - Personal story requesting help for •crisis• situation
President's Mall - Mall addressed to President Clinton
Other mall (not related to health care)- Doesn't fit any other category
�CODER: _ _
HEALTH CARE TASK FORCE SORTING SHEET
INPUT DATE:._ _
GENERAL SORT:
_General mail
__Personal stories
__Other Health Providers
POSTCARD 1:
_Letter Campaign
POSTCARD 2:
_Offers to help/Employment
FORM LETTER:
_Letterhead
_Polley
REROUTE:
_Casework
_Scheduling _President
_Ph)'llicians
__Other
POLICY AND PERSONAL STORIES:
_ORGANIZATION (I)
_COST ISSUES (VI)
_drug prices
__physician fees
_hospital fees
_medical equipment
_fraud &: abuse
_insurance premiums
_insurance reform
_insurance pools
_boards and oversight
_COVERAGE (II)
_working families
_unemployed/low income
_benefits
__providers
_FINANCING (VII)
_MENTAL HEALTH (IX)
_INFRASTRUCTURE/WORKFORCE
_quality assurance (guidelines)
_administration, reimbursement
&: information systems
_malpractice &: tort reform
_manpower issues (training)
_unnecessary procedures
_GOVERNMENT PROGRAMS
_medicare
_medicaid
_veterans
_DoD
_Indian health
(IV)
em>
_LONG-TERM CARE (X)
_PUBLIC HEALTH/
SPECIAL POPULATIONS (XII)
__prevention
_AIDS
_women's health
_immunizations/children
_rural
_urban
_OT.HER~-----------------------
�TO:
DATE:
~·
~• FROM:
OFFICE OF RECORDS MANAGEMENT
Room/ v Extension 2- 2.-t-j'?--
E3
File
Drawer
DO:
So you want to retire office files!
Here are ten simple Do's and Dont's to make your task easier.
Put each carton together correctly.
Press the bottom flaps down inside the carton.
·
Tuck the top flaps when full.
Don't leaue the bottom flaps upright.
Don't tape the bottom or top flaps.
DO:
Use manila file or accordian folders.
Don't use ,.handing folders" or binders.
DO:
Send security classified documents separately.
Don't mix with nonclassified material, .
DO:
Place the files upright in the carton.
Don't lay them down.
DO:
111
Arrange the files in the carton as they are in the file drawer.
Arranged
"---c::=F=ile::::s=::..J
Don't rearrange them.
DO:
Prepare an inventory with ~taff and office name describing the
file arrangement and listing the file folder labels.
Don't send without inuentory.
DO:
Inventory
. List
Place a copy of the inventory inside the carton.
Don't tape it to the outside.
DO:
l\Iark the carton with the staff member's name and
office and the c~n's number.
#001
"-~----'
Don't send the carton unidentified.
DO:
Call regarding carton(s) pick up.
Don't send without aduance notice.
DO:
CALi. \VITH ANY QUESTIONS.
Jane Smith
Memorandum
of Call
�,
TO:
Maggie Williams /
Marge Tarmey
Bob Boorstin
Pam Barnett
Kelly Carnes
FR:
Mary Schuneman
DT:
6/4/93
RE:
Health Care Correspondence
CC:
Helaine Greenfeld
V9?
Beginning Monday, June 7th, Helaine Greenfeld will serve as the acting director
of the health care correspondence offices, now located in OEOB 410 and 412. Any
questions related to health care correspondence should be directed to her at x2813.
Beginning Tuesday, June 8th, I will be working for Anne Lewis at the Department
of Labor. I can be reached at 219-8211.
�THE WHITE HOUSE
WASHINGTON
May 17, 1993
MEMORANDUM FOR HILLARY RODHAM CLINTON
Through
Maggie Williams
FROM:
Jeff Eller
RE:
Susan Thomases Ideas and
I
Acti~m-r.-an--~
-
=================================================================
Susan Thomases and I talked at length on Sunday night about the
health care roll-out. Here are those ideas with an action plan
for implementation.
1.
Magazine Strategy
Goal:
To put forth the President and health care in women's magazines.
End result would by to have a salvo of magazine covers running
from July through September.
~
Action to be taken:
susan, through Ellen Levine at Redbook would set up an informal
lunch with the President and yourself to talk generally about
health care. That would be followed by separate editorial
interviews with the President. Minimum time required for each
sit down interview and photo would be one hour.
Timing:
Lunch during week of 5/24.
Interviews during week of
5/30.
Lead:
Bob Boorstin - George Stephanopoulos
2.
Health-Speak - Ten Hot Words
Goal:
~
To develop a common glossary of terms to be used when discussing
health care. This would be used by WH staff, surrogates and
supporters. It would be a road map for the speech writers and
message developers to promote consistency. From that will come
the "ten hot words", the words we think will best describe what
the health care plan is and means to people. Those words will be
taped to people's computers as a reference guide to health care.
susan indicated that wordsmiths from the advertising world would
be willing to lend a hand.
�•
Action to be taken:
Three meetings.
1.
Outlines of project.
Initial cut on terms.
2.
Revisions, changes corrections.
3.
Final product.
Needed in those meetings: Ad folks, Boorstin, Dreyer,
Grunwald, Eskew, Greenburg, Caputo, HHS rep.,
Christine, Lux, Hart, Michael Sheehan
Timinq:
5/24
5/26
5/28
Bob Boorstin - Mandy Grunwald
Lead:
3.
Meeting 1:
Meeting 2:
Meeting 3:
Media Training
Goal:
Train staff and surrogates to more effectively communicate the
message of health care.
Action to be taken:
Determine from Michael Sheehan if he can provide this service and
for what fee. Determine if there are funds to pay for this.
First cut on list would be Rubin, Sperling, Shalala, Riley,
Brown, top 10-task force members as determined by Boorstin.
Timinq:
Sheehan inquiry on 5/18.
Lead:
Jeff Eller
- - - - ------------
----
- - - - - - - - - - - - - - - - - - - - - - - '
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. fax
SUBJECTffiTLE
DATE
Letter from Collin Peterson to Charles Bowsher. [partial] (1 page)
05/14/1993
RESTRICTION
P5
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: I 0813
FOLDER TITLE:
Interagency Health Team Binder
2006-0223-F
ab621
RESTRICTION CODES
Presidential Reeords Aet -144 U.S.C. 2104(a))
Freedom of Information Aet -IS U.S.C. SS2(b))
PI National Seeurity Classified Information [(aXl) of the PRA)
Pl Relating to the appointment to Federal offiee [(aX2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would diselose trade seerets or eonfidential eommereial or
finaneial information [(a)(4) of the PRA)
PS Release would diselose eonfidential adviee between the President
and his advisors, or between sueh advisors (aXS) of the PRA)
P6 Release would eonstitute a dearly unwarranted invasion of
personal prlvaey ((a)(6) of the PRA)
b(l) National seeurity elassified information ((b)(l) ofthe FOIA)
b(2) Release would disdose internal personnel rules and praetiees of
an agency l(bX2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would diselose trade seerets or eonfidential or finaneial
information ((b)(4) of the FOIA)
b(6) Release would eonstitute a dearly unwarranted invasion of
personal privaey ((b)(6) oftbe FOIA)
b(7) Release would diselose information eompiled for law enforeement
purposes [(bX7) ofthe FOIA)
b(8) Release would diselose information eoneerning the regulation of
finaneial institutions [(b)(8) of the FOIA)
b(9) Release would disdose geologieal or geophysieal information
eoneerning weDs ((bX9)oftbe FOIAJ
C. Closed in aeeordanee with restrietions eontained in donor's deed
of gift.
PRM. Personal reeord misfile defined in aeeordanee with 44 U.S.C.
2201(3).
RR. Doeument will be reviewed upon request.
-----------------------
�·~MWV
14 '93 15:83
or
~onp•
tht ttnittd ~tatrs
IUnJJt or tlrpracacalta
COMMITTlll otC GOVERNMIHT OrEMTION8
2111 fiAYIIUIIII Hova ()RiiCa 8~
w~.DCaoe, ... •••
Charles Bovaher
Coapt.z911el: Gene&-al
u.s.
Geheral Account!Dv Office
st., K.W.
washington, p.e.
441 G
20548
Daar 11r. Bowsher a
on xay
12, 19t3,
~sad.o.:-
~-ntativo, ai\DOUftOeel tn a press
,
••
Oft t:ha ~:~~~.
or the United states Tract• Representative
•tonatloD ot tba leadership qroup of Bleoted Of'ficial•
t:he ottice
a l)lpartiaan group or higlaly :respeote4 eta~ UMS local 1.81~-.~•
• • [Who) will work to CJ&nerate support for the
Meric:an Free 'll:ada AcJx"eeMI\'t). The Coali~lon•a 11111JDbeZ'BJil1D
oontd.hue to expmct. • It: vas aecompaniecl by statemMU
'""larllll
officials on why tbay favored NAFTA.
•Aabaasadar
Mickey
lantor
(S.. attached
Announoee
l.eadarsb.ip Group ot Blectad Offloial.a tor HAFTA,"
--~i~ed
'ltrli!•-
z,a~j8Mie
11J3).
The press :release li•tad three osn .aploreaa
peraona and provi4e4 an tJSTR telepboDe nwaber.
A call
SubOODittee etaff to that. DWIDer vas ru~ecs -t.o an 8lllliP~o.ne
US'l'R • • 1Dtarvovermaenta1 s~icm.
Tbat call
infOdl&tioD that tila aoal.ition ~ been cn:qaaizecs !)ecauae aataa
looal elected offiolale bacl called vsm Ud asked wbat. i:bey FV'&4u
do to euppo.ct !IUTA. It wu14 be expanded by the a44it.ion of ~at:~.ar
e18Gted off 1oiale Who
alp~ co~ VSD aid
aiCJb~ join upon
Uat• aJI4 also by those who
•would be .D\It
tbe peracmal nllUGtllt
bY bbaasaclor ltantor.
lleiiJ)ers would be enoouaged
.au~ar1a1 articles to~ local a041a aid uu otheE'
encourap &\IPJIOrt of RM'ft.
Based on this ~elhdDary lnqld~ by tJle
appears that the pro-KAnA lea4usbip 9l'OUP will J>e '%1UI
U&ft • • ~~ioea. '!he level. o~ 'JOV•rnaent. auppon to ba _ ..........._
this grassroots lobbyinfJ QrOUP ia as yet unclear.
t'beae act1v1ties xaise ser1o\l8 queaticme aboG~
etbi.cal v1olat.1ons an4 poas1ble arimlnel act1vit.1ea ou tlle
.,.
.......... ,.,
...
�MAY 14 '93 15:04
FROM DEC
---- PRGt. I::Ho;,:,
•
Ch~rlee
BovoheJ:
Hay 14, 1.993
Page Tvo
US'l'R official&' and employees.
section 1913 of Title 18 of
t1nited Statu COde declaras that.
No part of the money appropriated by any enactmen~ of
conqrass shall, in tha absence of express authorization
by Con<Jress be used direci:ly or indirectly to pay for IDY
pereona.l •~rvigo. a.c!vertis~111.vnt. tel em:.am. telephone,
letter. printed or written mptter 1 or other gevica.
intendgd or designed to influence in any manner a Member
2f congress. to fayor ~ qepose, by vqtc or oth•rwi•t·
anv legislation • • . wbethe~ before or after the
illtrodYction ot any bill or resolution pr9Rosinq sugh
legislation. (Emphasis added)
vio1:..t.ion of this provision of the criminal COde by govet"n11110n
offioia.ls is a misdemeanor, punishable by a fine of not more
$500 and/Or impt"isonment of not more than one year and,
notice and hearing, removal from offioe
o~
those orficials.
A1t.hough officers of the Executive Branch are free to co
Members of Congress to urge the introc1uct1on, JJASSaCJ• or dete
any leg-islation which affects their proqrams, very serious pro
arlsa wb.arl they bc!ccme 1nvolvad in ertorts to induce or· enCO'\b
aeahers of the public to lobby members of Conqrasa OJI
l8CJ1slat1on.
A GAO publication,
•PJ:>inciples of F
Approp~:iatd.oJUS LAw," de£:i.r~os such 0 graAaroots lobbying• aa fol
As you )mow, the HAl"TA agreement i:~ cxpeGtecl to J:,o 111
to Congress tol" approval sometl11\e later th1a year.
'J.'here
great deal of opposition to the agreement aa written in bo1:h
o~ CoJlgresa an<l 1n both parties, and Alllba.aaaclor Xantor haa ·
passage one
o~
his prioritias.
:I
can only assume t:hat tile
nu~~~
'see also. Committee on Axaed servicea, Su):,commJ.tt
Invuti;at:ions, "Allegations of Improper Lobbying by Depa
Defense Personnel of the e-sB and B-11 Aircraft and Sale to au4i
Arabia of the· Airborne Wa%1\iftCJ and Control systu, " c011111ttea Print
23, Dec. 30, 1982, pp. 1'-17.
�(
.
: MAY 14 '93 15:04
rl•
FROM DEC
PAGE.004
'
•
Cbarlea aovsher
14, 1993
Hay
Page Tbree
of OTR 1 s efforts in forminq this pro-RAFTA group is to
Members of congress to vote in favor of MArtA.
KoJ:"eover
appears that government appropriations have already boon us
produce printed materia1s aDd provide administrative
tbia effort, anct that more such axpenditures are P.&.IUlJlLea.
coming weeks.
Therefore, I aa rQquestinc;r tbat the General AceountinCJ
conduct a full 1nveatig<ion of these ac:tions by the Office of the
Otlited States Tracie Representative to c.!etermine ancl report
to
the S\ll)Committee whether there has been a use of appropriated
by the Offic::a of the Trade Representative to establish a tJr•o-JfA.B
lobbying qroup in possible viol<ion of 18 o.s.c. 1913.
of hea'V'Y lobbyin9 ourrently underway on thia issue ancl
expoo~tion tba~ ~o Administration will submit 4 NAFrA aq.~~~E~~
to congress by August or early septembor of this year,
•
requesting tbat this work he dono on an expedited basis •
Please have your staff contact Bdith Holleman,
staff director, at (202) 225-6751 to discuss a work
obtain any other information you may need for th1s
YO\U" ...ssi&tance in this
IHCa
•
~~a~~wLel
matter is 9'l'eatly appreciated.
�-------------------~
ORGANIZATIONS
�'
June 1, 1993
MEMORANDUM FOR HILLARY RODHAM CLINTON
FROM:
IRA MAGAZINER
JEFF ELLER
RE:
HEALTH CARE REFORM STRUCTURE
The purpose of this memo is to outline the working structure for the next phase of health
care reform. This structure assumes that we will have the full attention of senior White
House Staff at crucial times and that we will need full time coordination from within the
White House both for marketing the plan and guiding the policy through Congress. This
memo is broken into two parts; communications and policy.
POLICY
The policy we send to Congress will undergo substantial challenges, even by strong
supporters. Some members will offer amendments. Others will offer substitute bills.
Interest groups will urge battles on almost every issue in the bill.
As we work through this process, there must be tight, integrated coordination among
Legislative, Public Liaison, Intergovernmental Affairs and Policy Analysis. Coordination
should flow through the health care war room where negotiating strategies are established
and revised on a day to day basis.
Teams must be organized around issue areas to guide the progress of each set of issues
through the relevant committees. These teams should include policy, congressional, public
liaison, intergovernmental and communications.
A coordinating group should tie together these separate groups to consistently take the
temperature of the bill, its policy and political viability.
The policy coordinating group should help organize the issues to be brought to the
President and First Lady; should prepare materials for cabinet officials and respond to their
concerns; prepare materials for Members of Congress; and provide a liaison with the
marketing/communications effort.
This organization should form soon to coordinate the final drafting of the bill, the
Congressional briefings, the final interest group negotiations and final write up of the
policy. Jurisdictional issues must be decided soon as well as issues related to the interest
group coalition we expect to build.
An accompanying chart breaks down the staffing required. It should be staffed as soon as
possible so a coordinated timetable can be established.
1
�PAGE TWO
COMMUNICATIONS
The war room, based in room 160 of the OEOB, will function as the information center for
White House staff as well as be the focal point for rapid response, for both proactive and
reactive press. Within the war room, there will be a representative of each relevant White
House department as well as HHS. They will feed information back to their departments
as well as be a daily contact point for people within the White House and interested parties
from outside the White House.
The key to the war room will be information sharing and communication.
Everyone in the war room will have cross connections to various working groups. Policy,
legislative drafters and congressional relations are linked. Communications, press,
research and scheduling are linked. Each war room representative will be responsible for
reaching out to those people in the White House who are both directly and indirectly
involved with health care. Here is the breakdown of the war room structure:
Policy:
The policy representative will be responsible for
communicating the health care policy to the war room group, preparing response
information and being the chief translator between the message people and the policy
people.
HHS:
Responsible for keeping close ties with the primary
health care cabinet officials. Track what is done on a daily basis in HS and provide
information back to HS.
Surrogate Scheduling:
Surrogate scheduling will continue to place
surrogates as well as influence the scheduling of the cabinet secretaries. They will also
provide comprehensive tracking information and correlate it to targeting.
Public Liaison:
Track interest groups, manage briefing schedule and
provide information on where resources need to be targeted.
Congressional :Relations:
Manage briefmg schedule, provide daily hard count
of votes and provide daily targeting list of states and congressional districts in play.
Intergovernmental:
Track interest groups, manage briefing schedule and
provide information on where resources need to be targeted.
Communications:
Be liaison between White House Press Office, Media
Affairs, Research, Speech Writing and Planning
News Analysis:
Provide daily health care clips, analyze news trends,
do daily briefing on hot spots and positive stories.
Administration:
Make sure the trains run on time.
2
�PAGE THREE
Proposed Policy Organization
Coordinator: Ira Magaziner
Legislative Group
Greg Lawler
Karen Politz HHS
? Labor
? DOD
Policy Oversight
Judy Feder
Paul Starr
Robyn Stone
Sherry Gleid
Drafters
Melanne Veveer WH Steve Ricchetti WH
Chris Jennings HHS Mike Levy Treas.
? Commerce
? Justice
Charlotte Hayes OVP
Rick Kronick
Louis Quam
Larry Levitt
Ken Thorpe
Lynn Margherio
Arnie Epstein
Richard Veloz
Len Nichols
Marilyn Yeager
? Business Liaison
Intergovernmental
John Hart
??
Public Liaison
Mike Lux
Policy Liaison
Christine Heenan
Communications Liaison
Carolyn Gatz
3
Jerry Klepner HHS
Nancy Ann Min OMB
? Veterans
Walter Zelman
Risa Lavizzo-Mourey
David Cutler
Randy Hardock
�..
•
PAGE FOUR
Proposed War Room Staff
Coordinator: Jeff Eller
Christine Heenan
TBD
TBD
Alan Hoffman
Barbara Wooley
Chris Jennings
Steve Edelstein
Simone Rueschemeyer
Jason Soloman
Meeghan Prunty
Julie Oppenheimer
Policy
HHS
Intergovernmental
Surrogate Scheduling
Public Liaison
Congressional Relations
Congressional Relations
Administration
Communications
Communications/Research
News Analysis
Additional Communications Staff
Julia Moffett
Bob Boorstin
Josh Silverman
Steve Cohen
Lorraine Voles
Arthur Jones
Strategic Scheduling
Communications Director
Regional Press
National Press
National Press
National Press
Current plans are to have 160 OEOB up and running by Monday, June 7th.
4
�..
•
·-
MEMORANDUM TO MAGGIE WD..LIAMS
DATE:
June l, 1993
FROM:
OuutoUe Hayes
SUBJECf:
Ongoing Participation in the Health Care Refonn Effort--Risa Lavisso-Mourey
Like you, I am concerned that we have adequate staff to assist Ira and the principals work on
the underlying policy and passage of the health care reform plan. To ensure success in this
regard, retaining Risa Lavisso-Mourey in the effort is critical. She has extensive knowledge
of more than the quality issues she addressed during the working group phase and can give us
a good deal of assistance with many constituencies as she has done throughout. I know that
Ira requested that she be assigned to help here on site for the next six months. Her
experience and wisdom have been of great help and should continue to be so with her
presence here.
�.•·
•
June 1, 1993
MEMORANDUM FOR HILLARY RODHAM CLINTON
FROM:
IRA MAGAZINER
JEFF ELLER
RE:
HEALTH CARE REFORM STRUCTURE
The purpose of this memo is to outline the working structure for the next phase of health
care reform. This structure assumes that we will have the full attention of senior White
House Staff at crucial times and that we will need full time coordination from within the
White House both for marketing the plan and guiding the policy through Congress. This
memo is broken into two parts; communications and policy.
POLICY
The policy we send to Congress will undergo substantial challenges, even by strong
supporters. Some members will offer amendments. Others will offer substitute bills.
Interest groups will urge battles on almost every issue in the bill.
••
.e
I
As we work through this process, there must be tight, integrated coordination among
Legislative, Public Liaison, Intergovernmental Affairs and Policy Analysis. Coordination
should flow through the health care war room where negotiating strategies are established
and revised on a day to day basis .
Teams must be organized around issue areas to guide the progress of each set of issues
through the relevant committees. These teams should include policy, congressional, public
liaison, intergovernmental and communications.
A coordinating group should tie together these separate groups to consistently take the
temperature of the bill, its policy and political viability.
The policy coordinating group should help organize the issues to be brought to the
President and First Lady; should prepare materials for cabinet officials and respond to their
concerns; prepare materials for Members of Congress; and provide a liaison with the
marketing/communications effort.
This organization should form soon to coordinate the final drafting of the bill, the
Congressional briefings, the final interest group negotiations and final write up of the
policy. Jurisdictional issues must be decided soon as well as issues related to the interest
group coalition we expect to build.
An accompanying chart breaks down the staffing required. It should be staffed as soon as
possible so a coordinated timetable can be established.
1
�•
PAGE TWO
COMMUNICATIONS
The war room, based in room 160 of the OEOB, will function as the information center for
White House staff as well as be the focal point for rapid response, for both proactive and
reactive press. Within the war room, there will be a representative of each relevant White
House department as well as HHS. They will feed information back to their departments
as well as be a daily contact point for people within the White House and interested parties
from outside the White House.
The key to the war room will be information sharing and communication.
Everyone in the war room will have cross connections to various working groups. Policy,
legislative drafters and congressional relations are linked. Communications, press,
research and scheduling are linked. Each war room representative will be responsible for
reaching out to those people in the White House who are both directly and indirectly
involved with health care. Here is the breakdown of the war room structure:
Policy:
The policy representative will be responsible for
communicating the health care policy to the war room group, preparing response
information and being the chief translator between the message people and the policy
people.
HHS:
Responsible for keeping close ties with the primary
health care cabinet officials. Track what is done on a daily basis in HS and provide
information back to HS.
Surrogate Scheduling:
Surrogate scheduling will continue to place
surrogates as well as influence the scheduling of the cabinet secretaries. They will also
provide comprehensive tracking information and correlate it to targeting.
Public Liaison:
Track interest groups, manage briefing schedule and
provide information on where resources need to be targeted.
Congressional Relations:
Manage briefmg schedule, provide daily hard count
of votes and provide daily targeting list of states and congressional districts in play.
Intergovernmental:
Track interest groups, manage briefing schedule and
provide information on where resources need to be targeted.
Communications:
Be liaison between White House Press Office, Media
Affairs, Research, Speech Writing and Planning
News Analysis:
Provide daily health care clips, analyze news trends,
do daily briefing on hot spots and positive stories.
•
Administration:
Make sure the trains run on time .
2
--~----------------
---
------------
�•
PAGE THREE
Proposed Policy Organization
Coordinator: Ira Magaziner
( Le~islative Group
Greg Lawler
~elanne Veveer WH Steve Ricchetti WH
Chris Jennings HHS Mike Levy Treas.
1 Karen Politz HHS
? Commerce
? Justice
? Labor
? DOD
• Charlotte Hayes OVP
Jerry Klepner HHS
Nancy Ann Min OMB
? Veterans
Policy Oversi~ht
Judy Feder
Paul Starr
, Robyn Stone~
..Sherry Gleid
Drafters
Walter Zelman.
Risa Lavizzo-Mourey •
David Cutler
Randy Hardock
Rick Kronick
Lois Quam 1
Larry Levitt·
•Ken Thorpe
!
Lynn Margherio
Arnie Epstein ·
Richard Veloz
Len Nichols ()~6
Inter~ovemmental
John Hart
??
•
•
Public Liaison
Mike Lux
? Business Liaison
Marilyn Yeager
Policy Liaison
Christine Heenan
Communications Liaison
Carolyn Gatz
3
~st f'\.<J
�•
PAGE FOUR
Proposed War Room Staff
Coordinator: Jeff Eller
Christine Heenan
TBD
TBD
·=JT
Alan Hoffman
'1
·~nings
teve Edelstein ~
Simone Rueschemeyer
Jason Soloman
Meeghan Prunty
Julie Oppenheimer
Policy
r
'·" "'\
HHS - ~e4)
\,U()A ~oofY\ \.3u.cbj 'V&l'\~j
Intergovernmental-1\J~ DA ~k-1 t'\ )
Surrogate Scheduling- _,.f\ct~ ~dx- Oif~+
Public Liaison C
U 0·
Congressional Relations
Congressional Relations
Administration
Communications
Communications/Research
News Analysis
tcJt.
Additional Communications Staff
•
•
Julia Moffett
Bob Boorstin
Josh Silverman
Steve Cohen
Lorraine Voles
Arthur Jones
Strategic Scheduling
Communications Director
Regional Press
National Press
National Press
National Press
Current plans are to have 160 OEOB up and running by Monday, June 7th .
4
�THE WHITE HOUSE
WASHINGTON
May 18, 1993
MEMORANDUM FOR MELANNE VERVEER
SUBJECT:
National Health Policy Council
FROM:
Mike LUX
The National Health Policy Council is an educational based
foundation consisting of both providers and consumers, whose
leadership and steering committee include several key activists
who supported and participated in the health care efforts during
the campaign. They are currently holding the keynote speech of
their conference in hopes that Mrs. Clinton will speak. (Friday
May 21, anytime between 12:30 and 2PM, at the Grand Hyatt.)
The purpose of the two-day conference is to bring together
grassroots provider and consumer health activists, representing
urban and rural communities and diverse socio-economic and ethnic
backgrounds.
Delegates represent almost every state, as well as
state leaders of health projects, academic leaders, and a variety
of providers and hospital and clinic administrators, state
legislators, union members, and consumers.
NHPC has a national network of over 8,000, mostly pro-Clinton
providers and consumers. I think this is a great opportunity to
start mobilizing those who are pro-reform and whose support will
be essential for a successful national campaign for health
reform.
Thanks for your consideration. If you would more information or
details on the conference, please let me know.
�THE WHITE HOUSE
I
WASHINGTON
May 17, 1993
MEMORANDUM FOR MAGGIE WILLIAMS, MELANNE VERVEER AND PATTI SOLIS
FROM:
Mike Lux
SUBJECT:
Attached Invitation
Attached is the invite from SEIU for Mrs. Clinton to come speak.
SEIU is the biggest health care union, and critical for our
future success. I would strongly urge her acceptance of this
invitation. Thanks for your consideration.
�SERVICE
EMPimEES
INTERNATIONAL UNION. AFL·CIO. CI.C
'313 L
JOHN J. SWEENE'f
"i~EFI'•.U
RICI-!AAC W. CORCTZ
01•11- "I:I~'S·t:£', •
'IITI'R~onii,IIIAI
'ilt;CI&nA• ':lll.r.L.ctll:l
March 2, 1993
The President
The White House
Washington, DC
20500
Oaar Mr. Praaidantt
Let me be9in by offe~in9 my personal con;ratulat1ona on your
victory in November. This was not only a victory for you, but a
vio~o~ £oz eve~ wo~kin; family in this country.
I would l1ke to extend an invitation to you to attend and
address the Service Bmployeea International Union's 1993
Le;1alat1ve Confe:ence. We wguld like for you to addreBs the
group Monday, May 24, sometime in the mcrnin;. Of cou~se, if you
are not availa~le at that time, we would welcome you~ attendance
at any time Monday, May 24 through Wednesday, May 26 .
The SIIU Le9ielative Conference will take place at the Omnishoreham Kotel, 2500 calvert st~eet, RW, Washington, D.C.
We
are anticipatin; at least 500 SllU mambe~a, from acroaa the
countzy, all veterans of you~ campaign, will attend the
confa~ence.
With mora than one million mambara, working in a wide
aervice occup•tiona, SBIU 11 the fourth·largeat,
faateat·g~owLng and ao1t diversified affiliate of tha AFL-CIO.
And with 400,000 of those membe~• employed in hospitals, nu~aing
homes, HNOa and clin!ca in tha UnltGd States, eanada and Puerto
Rico, SI!U is the biggest union of healthcara workers in Harth
va~iety o~
AmariCJa.
SIIU ia a ma~o~ auppo~•~ of the Demoo~atic National
Committee and the other national and state party committees. In
addition, we have a very auaae•sful COPI p~ov~am and •uppo~ted
the candidacies of over 200 confreaaional and gubernatorial
aandidatea 1n 1992.
..
\
~
'
�....
~
•
- 2 -
II
Finalli, thousands of SIIU officers, atatf, and members from
!nclud~ng moat of the
International staff volunteered thei~ personal time to support
you: candidacy.
I cannot tell you how thrilled they wa~e when
their dream of having a President who stands up fo~ workers
~iiht• came true.
That enthusiasm continues today. I cannot
stress enough how honored and excited our memba~s would be to
witne11 first hand, the continuing effort on your part of puttin;
people first.
state counc la and local union•,
The ieaues that concern our members. include health care
reform, atr1ker replacement, the balanced budget amendment,
family and medical leave, civil ri;hta, worker health and safety,
and support of state and local public services.
Please have your ataff contact Jane Hall in our Politieal
Department and aha will be happy to work out the details. She
can be reached at 202/898-336L. Thank you for your
consideration.
J'JS/jeh
cc1
Nanay Hezn:eLoh, Deputy AB•1•tant to the President for
Appointment• and Scheduling
gavid Wilhela, Chairman of the gemoora~ic National Co.mmittee
Howe~ Paator, ~eistant to the Praai~ent and Director for
Leii•lative Alfaire
Rahm Immanuel, Aaa1etant to the Preai4ent and Director for
Political Affairs
�JUNE 1, 1993
TO:
HEALTHCARE STAFF
FROM:
IRA C. MAGAZINER
SUBJECT:
THE HEALTHCARE PLAN
Now that we have received some guidance on the Healthcare
Policy, we must specify policy details in a number of areas so
that final legislative drafting can proceed.
I will schedule meetings this coming week with people
responsible for each area.
,
"/
The attached schedule must be met to incorporate each of
these section into the final plan.
�••
RESPONSIBLE
PEOPLE
INITIAL
MEETING
INTERIM
REVIEW
DUE
DATE
1. PAYROLL PREMIUM
WALTER ZELMAN
612
614
6/7
2. UNEARNED INCOME ASSESSMENT
RICK KRONICK
612
614
6/7
3. TOBACCO TAX
RANDY HARDOCK
5126
RANDY HARDOCK
5126
5. UNCOMPENSATED CARE RECAPTURE
BRUCE VLADECK I
RANDY HARDOCK
5126
-
614
4. FUTA WAGE BASE ADJUSTMENT
6. RULES FOR LARGE COMPANIES OUTSIDE OF
ALLIANCE
WALTER ZELMAN
612
614
6/7
7. INSURANCE REFORMS DURING TRANSITION
GARY CLAXTON
LOIS QUAM
612
6/6
618
8. WORKERS COMP AND AUTO REFORM
GARY CLAXTON
GREGG LAWLER
5119
611
613
9.
LEN NICHOLS
GARY CLAXTON
RANDY LUTTER
BRUCE VLADECK
612
6/7
6111
10. BUDGET DEVELOPMENT AND ENFORCEMENT
LARRY LEVITT
BRUCE VLADECK
5125
611
6111
11. ANTITRUST
AMY STEWART
GREG LAWLER
5127
611
6111
12. MALPRACTICE
'
TOPIC
AMY STEWART
VINCE FOSTER
BOB BERENSON
5117
5/28
614
13. FRAUD AND ABUSE
AMY STEWART
GREG LAWLER
5117
5/30
6/4
14. MEDICARE SAVINGS I INTEGRATION
JUDY FEDER
BRUCE VLADECK
NANCY ANN MIN
612
614
618
15. MEDICAID SAVINGS I INTEGRATION
JUDY FEDER
BRUCE VLADECK
NANCY ANN MIN
612
614
618
16. FINAL BENEFIT PACKAGE DESIGN
ATUL GAWANDE
KEN THORPE
PHIL LEE
612
616
619
17. ADMINISTRATIVE SAVINGS
LYNN MARGHERIO
BRUCE VLADECK
NANCY ANN MIN
612
616
619
18. QUALITY ASSURANCE
RISA LAVIZZOMOUREY
ARNIE EPSTEIN
LYNN MARGHERIO
PHIL LEE
612
616
6/9
JUDY FEDER
BONNIE
LEFKOWITZ
PHIL LEE
5119
5127
614
20. MENTAL HEALTH
BERNIE ARONS
KEN THORPE
5128
613
616
21. ECONOMIC IMPACT
DAVOD CUTLER
SHERRY GLEID
LABOR
612
6110
6113
SHORT TERM CONTROLS (PREMIUM)
19. PUBLIC HEALTH I
UNDERSERVED
RESEARCH INVESTMENT I
~---------
-
614
614
~-~----~---~----~----~-----
_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ j
�•
••
22. LONGTERM CARE
ROBYN STONE
JOSH WEINER
5/20
5/30
6/3
23. MEDICARE DRUG BENEFIT
CHRIS JENNINGS
5/20
5/31
6/3
24. COST OF INSURING UNINSURED AND
UNDERINSURED
KEN THORPE
LEN NICHOLS
RANDY HARDOCK
DAVID CUTLER
5/27
6/1
6/8
25. SAVINGS
RICK KRONICK
5/20
6/1
6/8
26. FINAL COSTING OF PROGRAM
IRA MAGAZINER
QUANTITATIVE
5/20
6/1
6/8
6/8
6/10
6/13
TEAM
27. INTERALLIANCE BANK
••
GARY CLAXTON
�June 14, 1993
MEMORANDUM FOR MAGGIE WILLIAMS
MELANNE VERVEER
FROM:
JEFF ELLER
RE:
Health Care Items
Here is an C'~sbme items discus
on Sunday with HRC.
1.
The operational date t
e war-room is Friday, June 18. HRC
indicated she would like gather all relevant health care staff on Friday to
tell them how import this job is and that this moving into a new phase
will be very i m r t to the White Hous~.
.
2.
That would call for us to have the
p1eces of staffing put~ n
together by Thursday. We hav
esolve the surrogate schedulingl\ a)V\
operation now that AI · etuming to HHS. If Andre Oliver is that
option, we need
to Gearan about that transfer and get him with Alan
this week.
SIS CRUCIAL.
(Uf/.
\
\
3. ~HRC indicated she
ed the three of us to meet with Gearan and
Gergen on health c C<?mmunications. That will need to happen today or
Tuesday.
01. ~ l (\.
·-----~
ongly recommend that fhe timing meeting be held this week wit
enior staff. Too many people are languishing and we dont' have clear
direction. There's a lot riding on this .... .let's make it happen.
/
�I
�~~~
-~J'~'f
MEMORANDUM
TO:
Maggie Williams
FROM:
Bob Boorstin
Meeghan Prunty
CC:
Mr. Steve Jewell
DATE:
May 10, 1993
RE:
·PUBLISHING DOCUMENTS FOR RELEASE OF HEALTH PLAN
Please find attached the estimates we received from Steve Jewell, the Printing and
Publishing Production Manager, pertaining to the production and publication of the
three main documents we have discussed releasing upon the announcement of the
Health Reform plan.
1.
Report to Congress: A 100-page document -- similar to the OMB report
produced for the day after the Joint Session Address-- that outlines the current
situation and the way in which our reform solves these problems. It will be
detailed yet written for more popular consumption -- with color graphs, sidebars,
charts, black and white photos, etc.
We initially estimated 4,000 copies at a cost of $9,752 (and $2,268 for each
additional thousand).
2.
Booklet: A 20 to 30-page document for health professionals that write in asking
for information about the plan. Mr. Jewell included an estimate for color and for
black and white.
We initially estimated 4,000 copies at a cost of $2,304 (and $433 for each
additional thousand). This rises to $3,557 (and $549 for additional) if we use
color.
3.
Pamphlet: An 8-16 page document to be very widely distributed -- at rallies,
speeches, in letters, etc. It will be printed in black and white.
We initially estimated 20,000 copies at a cost of $3,071 (and $132 for each
additional thousand).
We have also recently discussed a couple of other items (such as ''breast cards" for
Congresspeople and surrogate speakers which contain talking points for different
constituencies and issue areas) for which we may need to request further funding.
�Memo to Maggie
May 10, 1993
Page Two
The Graphics Department has also agreed to produce most of the graphs that will be
needed for speeches, releases to print and news media, etc. as well as large format
props for speeches. Costs for these will be assessed on a case by case basis.
Mr. Jewell says that the nest step is to get these approved by Chris Vein -- also in the
Office of Administration at x2500 -- well before we need to get these produced. H you
need any further information from us, please let us know.
UNRELATED TOPIC •• NUMBERS FOR RELEASE OF PLAN (FYI):
We have been working with the people who are doing all the numbers for the plan (Ken
Thorpe et al.) on a response to the Daschle OpEd.
Daschle, as you'll recall, argued that people do· not realize how much they really pay for
health care -- because they only see their direct health care costs while the majority of
health spending is funded indirectly (taxes, cost-shifting). He asked if anyone could
figure out what people really pay now so that they will be able to honestly compare what
they might pay in a reformed system.
We have decided, if it's O.K. with you, to hold off on this project until we have numbers
that everyone -- the numbers people, Ira, Judy, Mrs. Clinton -- is equally comfortable
with.
�REQUEST FOR INFORMAL ESTIMATE
Date:
To:
Meeghan Prunty/WHO
From:
Steve Jewell/OA
Subject:
5/5/93
Estimate - Health Pamphlet
20.000
Copies, Self-cover ••••.• $3.071.00
________________copies, Paper Bound .•••.
________________Copies, Case Bound ••••••
Added Thousands:
Self-cover ••••••••••••••••••••
%$~1~3~2~·~3~0____________
Paper Bound ••••••••••••••••••
Case Bound ••....••••..•.••...
Specifications;
Quantity:
20,000
No. pages:
16
Trim size:
8 1/2 11 X 5 1/2 11
Quality Level:
III
Material furnished:
camera copy
Halftones:
none
Method of printing:
offset
Paper:
Text:
Cover:
60 lb. matte coated text (recycled)
Ink:
Text:
Cover:
black
Binding:
saddle stitch
Delivery:
one destination in the Washington area
Remarks;
this estimate is based on a 3-4 day work
schedule
�REQUEST FOR INFORMAL ESTIMATE
To:
From:
5/5/93
Steve Jewell/OA
Subject:
Date:
Meeghan Prunty/WHO
Estimate - Booklet
~4~·=o=o=o___________ Copies,
Self-cover
$2.304.00
________________Copies, Paper Bound ••••.
------------~--Copies,
Case Bound ••.•••
Added Thousands:
Self-cover ••...•.•••....•••.•.
~$-4=3=3~·=2=0____________
Paper Bound •..•••••••••••••••
Case Bound .••.....•.••..•••..
specifications;
Quantity:
4,000
No. pages:
32
Trim size:
8 1/2 11 X 11 11
Quality Level:
III
Material furnished:
camera copy
Halftones:
none
Method of printing:
offset
Paper:
Text:
cover:
70 lb. matte coated text (recycled)
Ink:
Text:
Cover:
black
Binding:
saddle stitch
Delivery:
one destination in the Washington area
Remarks;
this estimate is based on a 3-4 day work
schedule
�.
. ..
REQUEST FOR INFORMAL ESTIMATE
Date:
To:
Meeghan Prunty/WHO
From:
Steve Jewell/OA
Subject:
5/5/93
Estimate - Booklet (2 colors)
Copies, Self-cover ....•• $3,557.00
4 000
________________Copies, Paper Bound •...•
________________copies, Case Bound ••...•
Added Thousands:
Self-cover •.•••••..••••..•••••
~$=5~4=9~·=0=0____________
Paper Bound •••••••••••••.••••
case Bound •••..••..••.•...•..
Specifications;
Quantity:
4,000
No. pages:
32
Trim size:
8 1/2 11 X 11 11
Quality Level:
III
Material furnished:
camera copy
Halftones:
none
Method of printing:
offset
Paper:
Text:
Cover:
70
lb. matte coated text (recycled)
Ink:
Text:
Cover:
black plus one additional color
Binding:
saddle stitch
Delivery:
one destination in the washington area
Remarks;
this estimate is based on a 3-4 day work
schedule
�CABINET
�'
...
•
October 8, 1993
·e
MEMORANDUM
FOR:
Christine Varney
FROM:
Dana Hyde
Jennifer O'Connor
SUBJECT:
Cabinet involvement in Health Care Reform
We have been working with Charlotte Hayes this week to get the
Cabinet on the air on health care. We have drafted some ideas
for further developing a strategy for Cabinet involvement in
health care reform efforts.
1.
Control Message & Events
Regular hours per week on regional media
1 or 2 trips before Thanksgiving
(fly-around at time of legislation introduction;
another trip?)
Daily talking points on Chief of Staff conference call
(brief synopsis of daily talking points)
Calendar of themes -- 3 or 4 weeks out -- to prepare them
for media and trips and to ask for their ideas on what
events they might do that would fit with each theme.
Schedule one-on-one briefings for each Secretary (general
or theme related)
2.
Utilize agency resources to promote Health Care Reform
Objective:
use agency resources to reach consumers
(Replicate SBA effort)
Survey agencies about calls, mail, questions regarding
health care to determine demand for information
Survey agencies about regular avenues of communication
with 11 clients 11 (e.g. field offices, regular mailings, answer
lines, etc. )
Survey agencies about which staff are working on health
care -- names, phone numbers, titles
Ask agency to draft a plan, in consultation with War Room
staff, for how to disseminate information and answer
�consumer concerns via existing means or means that we can
create. (e.g., development of tailored pamphlets, creation
of answer lines, posters in field offices with pamphlets,
info-pamphlets with mailings of Treasury checks, IRS
mailings, etc.)
Agencies for this effort: VA, HHS, Commerce, Treasury,
Labor, Agriculture, Justice, Interior, BUD, Energy,
Education, GSA
3.
Internal Agency Education-
Mo~
.{1/ef,f
Objective: federal government employees become informed
about the benefits of the plan
Ask each agency to develop, in consultation with War
Room, a plan for dissemination of health care reform
information to its employees. (e.g. lunch time discussions,
pamphlets circulated throughout agency, internal answer
center, seminars, etc.)
Ask them to develop (or offer to develop for them)
materials to be used in this effort.
Agencies for this effort:
Agriculture, large ones.
4.
Hill Lobbyinq
all, but especially DOD,
",ki!(..(MJ1~/~ 1 LuJ ~~~
At whatever point it makes sense\to start this eftort,
create pairings among Cabinet Secretaries and targeted Hill
Members. We're targeting their districts and media markets
now. When will we want one-on-one contacts to begin?
----------....... Coordination
Interagency
exc~ges
Set up meetings/ message
for linked agencfeR
DOD & VA, HHS & VA, HHS & Education, HHS & Labor)
6.
Division of responsibilities
AM War Room meetings: Jen
PM War Room Meetings: Dana (sometimes)
Ask Eller for a desk in the War Room to rotate out of
Split agency responsibilities:
Jen
HHS
BUD
VA
ONDCP
1~
Dana
DOD
GSA
SBA
Labor
:J
�•
•
Justice
commerce
Energy
Aqriculture
Interior
EPA
Education
Treasury
�\
STRUCTURE
\
I
�e
e
ECONOMIC RESPONSE
I. STRUCTURE:
1. Response to all Events in Paper and throughout the day.
8:30 meeting with HC/economic staff
Monitoring throughout the day
Review following evening meeting at 7:30p.m.
2. Coordinate All Major Stories:
Kevin A., etc and all NEC would call into us whenever notified of any story
about HC economic issues in NYT, WSJ, WP, AP, IAT, NBC, CBS, ABC,
CNN, Consult with others Kevin, Bob B. and Ira on response strategy
3. Keep Centralized Books and Info on What would go Out to Administration speakers,
surrogate etc.
Monitor status of numbers and consult with
Ira and economists on tentative numbers
4. Monitor Statements and Events by NFIB a~ Q~~
5. Update and Inform NEC and Surrogates:
Provide quick Q&A responses to immediate events for speakers that day.
II. VALIDATION:
• Collect all Positive Quotes
• Current Jobs Studies
• Economists
(:_
CEOs -
(M_jJ _ A(Q~~~
lli. COORDINATE ECONOMIC OP-EDS:
IV. ECONOMIST OUTREACH:
• Economist Specific Strategy
• Princeton Conference _ t)c}o~ ~~
-
V: MAJOR STRATEGIC ISSUES
e
e
• Legislation Announcement/Changes?
• What are later possibilities to consider when responding
• Process for substantive decisions
�e
e
e
e
�I
CONFIDENTIAL
DETERMI~EO
TO BE A~ AO~ISISTR.\TIH:
MARKISG Per E.O. 12958 as amended, S~. 3.3 ~~·;
Initials: A.c. 3
Date: 0 'i I o"1-/ ll
Here are three models for a centralized coalition that does not
require a multi-million dollar budget. I did not list models
that have been discussed by some people at either extreme: the
$37 million, fifty staff person, Presidential campaign style
coalition originally suggested by the DNC, or the completely
decentralized "get one of us to just call weekly meetings" model
suggested by some of the groups (although model 2 is closest to
that approach.) Based on our conversation I have also not listed
the model where we pick one group that is our designee to lead
the charge and ask all other groups to take direction from them.
I have tried to base the models on discussions over the last
three days about coalitions that have worked in the past, such as
the Bork battle and the 1986 tax reform battle (model 3 is most
similar to how they structured the tax reform coalition.)
I wanted to show these models to you before I sent them to
Tamara. We probably all have our preferences (mine is model 1),
but the key thing we need to decide is whether any of the three
is acceptable to us if it is adapted, since we won't be there for
the discussion.
�tit
MODELS
1.
Co-Conveners
A. To be a convener, you must contribute resources to the common
effort. You must contribute at least three of the following five
things:
$10, 000
Full-time D.C. staff (lobbying, communications, field
direction, administrative)
Part-time consulting (legal, polling, communications)
Field staff (outside of D.C.) devoted exclusively to
health reform
Office resources (space, equipment, phones, faxes,
postage, computer hardware or software)
B.
Organization would have as staff:
Executive Director
Legislative Director
Communications Director
Field Director
3 to 5 administrative assistants
•
c. Decisions on raising money for media buys or other major
commitments of resources would be made later.
2.
Secretariat
A. One senior level person, along with support staff, would be
hired to call and staff the following sets of meetings, and
provide necessary follow-up and accountability:
1. Steering committee, which would meet weekly to provide
overall strategy.
2.
Communications committee, which would meet weekly.
3.
Field committee, which would meet weekly.
4. House lobbying committee and Senate lobbying committee,
which would have weekly meetings during the summer, but
probably move to daily meetings in the fall.
B. Organizations with the resources to do it would be asked to
buy newspaper, radio or tv advertising in strategic markets at
strategic times.
3.
Lobbying/consulting Firm Hired to Coordinate
A major D.C. lobbying/consulting firm would be hired to
coordinate activities and staff the necessary weekly meetings.
�•
•
·Each big group supporting health reform would be asked to pay a
portion of the costs necessary to retain the firm. The same
committees listed in model 2 would be formed and would meet
regularly. Decisions on media buys would be made in the fall •
�I
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Interagency Health Team Binder
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 5
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-005-004-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/fe4c7c6e4bc3c5e5cb5806c14d067804.pdf
74c1401ee20553aa4f72fb3cedb85512
PDF Text
Text
CODER:~
HEALTH CARE TASK FORCE SORTING SHEET
INPUT DATE:_ _
GENERAL SORT:
POSTCARD 2:
FORM LE'ITER:
REROUTE:
_General mall
__Personal stories
--~er
POSTCARD 1:
_Letter Campaign
Health Providel'8
_Offei'S to help/Employment
X
Letterhead
_Casework
_Policy
_Physicians
_Scheduling _President
__Other
POLICY AND PERSONAL STORIES:
_ORGANIZATION (I)
_insurance premiums
_insurance reform
_insurance pools
_boards and oversight
_COVERAGE (ll)
_working families
_unemployed/low income
_benefits
____providers
_INFRASTRUCTURE/WORKFORCE (ill)
_quality assurance (guidelines)
_administration, reimbursement
& information systems
_malpractice & tort reform
_manpower issues (training)
_unnecessary procedures
_GOVERNMENT PROGRAMS (IV)
_medicare
_medicaid
_veterans
_DoD
_Indian health
_COST ISSUES (VI)
_drug prices
____physician fees
_hospital fees
_medical equipment
_fraud & abuse
_FINANCING (VII)
. _MENTAL HEALTH (IX)
_LONG-TERM CARE (X)
_PUBLIC HEALTH/
SPECIAL POPULATIONS (XII)
____prevention
_AIDS
_women's health
_immunizations/children
_rural
_urban
_OTHER~-----------------------
�CX>DER:4 --.,
HEALTH CARE TASK FORCE SORTING SHEET
_General mail
_Personal stories
_Letterhead
~era
_Letter Campaign
_Polley
\/-..
_Casework
to help
_Requests:
_Employment
__Advociu:y ··-
-speech
-meeting
··--·~Other
Explanation:,.L~~~
~=...;;-~__;;;;,-~...=~:;;;....;..-~....;;;.:;.......;~~~..;;;....."'7't;,.M.~~-~.;.;....;;;;.;;;;;;..........;;...=..._
~
~
ADVISORY PANEL?
_physician
_Jarte emplo)'81'8
_other health provider
ExpiiiDilti""'
amall business
_aeniors
..,)Cother COD&mDer&
~ 1 ~ ~ ey .£L..d.I5Le ~.
PRIMARY iNTEREST:
COST ISSUES
_Drug Prices
_Physician Fees
_Hospital Fees
_
UDDecessary Procedures
_
Medical Equipment
Fraud and Abuse
_PUBLIC HEALTBISPECIAL POPULATIONS
PJeV'ellti.On
_AIDS
_Women's Health
Immunizations
·--..: ..--. --=- -·-·- -----=- . .... ·-;
_Rural
Ul'ban
COVERAGE
_Working Families
_
Unemployed/Low Income
Benefits
Providers
_GOVERNMENT PROGBAMS
ORGANIZATION
Insurance Premiums
__..:_ Insurance Reform
Insurance Pools
_Boards and Oversight
_INFRASTRUC'nJRE/WOBKFORCE
_
Quality Assurance (Guidelines)
~dmiDiatrat!on, ReimbU1'8e11lent
A Patient llllformatlcm. 8)'8tems
_Malpractice A Tort Reform
-
MediC8l"e
Medicaid
_Veterans
_DoD
_llaDpower lames ('l'rabdng)
_MENTAL HEALTH
LONG-TERM CARE
OTHER._______________
Explanation:._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
PLAN PREFERENCE· (Support=+; Oppose=-)
CP
SP
OP
Clinton Plan
Single Payer
Other Plan
MC
PP
CV
Managed Competition
Pay or Play
Credits, Vouchers,
Medical SaviDp Accts.
CA
BR
GE
Canadian
British
German
•
�LAW OFFICES
HILFMAN
&
FoGEL,
P.C.
First Lady Hillary Rodham Clinton
Page Two
January 26, 1993
I am offering to serve on the Task Force or assist in any
way possible in its analysis and development of a new Health Care
Reform.- proposal.
I be]. ieve I can contribute in a unique way to
your efforts.
Very truly yourks, ..
.,
"
:
·;
}
(flv,(i:f.
/'
Rdbert L. Fogel
RLF:keb
cc: Amy Zisook
Special Assistant to the President
Executive Office Building
Washington, D.C. 20500
.,
tr(
/
'
-
/
l
;
�LAW
OFFICES
FhLFMAN& FooEL,P.C.
LOUIS HILFMAN
33 NORTH DEARBORN STREET
ROBERT L. FOGEL
CHICAGO, ILLINOIS 60602
PATRICK .J. SULLIVAN
.JOHN M. KOVAC
WILLIAM F. MARTIN
January 26, 1993
TELEPHONE
(312) 236-5207
FAX
MICHAEL I. STARKMAN
(312) 236-2321
STEVEN C. FUOCO
OF COUNSEL
.JEFFREY M. GOLDBERG
ZENON .J. BtDZINSKt•
• ADMITTED IN ILLINOIS AND COLORADO
First Lady Hillary Rodham Clinton
National Health Care Task Force
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20510
0
Dear Hillary:
As a father of three and an employer, I am personally aware
of health care costs.
As a litigation attorney, I am acutely
aware of the importance of quality health care to my injured
clients and those who are victims of substandard health care. As
an early supporter, member of the National Finance Committee, and
a new trustee of the DNC, I am eager to assist the Clinton/Gore
Administration in any way to assure success in its policies.
Unfortunately, there has been unwarranted attention and
focus on medical malpractice as the scape goat of ever-increasing
health care costs.
However,
there are numerous studies
evidencing that malpractice represents less than 1 percent of
total health care costs.
Moreover, recent studies confirm that
malpractice claim filings are decreasing and that almost all
lawsuits have a reasonable and meritorious basis for being filed.
In those States where purported tort reforms, such as caps
on damages have been established, there has been no measurable
decrease in malpractice premiums or claims of malpractice.
Perhaps most importantly is the appreciation of an
individual State's right to manage and control its civil justice
system. Intervention andjor preemption by the federal government
would represent an unnecessary, unjustified and costly intrusion
into a system long revered for its ability to serve the public
interest and good.
Health care reform is too critical an issue
to be subverted by efforts to tag on tort reform features.
�)
.I
THE WHITE HOUSE
WASHINGTON
March 23, 1993
Robert L. Fogel, Esquire
Hilfman & Fogel, P.C.
33 North Dearborn Street
Chicago, Dlinois 60602
Dear Robert:
Thank you for your offer of assistance to the Health Care Task Force. The Task
Force includes the Secretaries of the Treasury, Defense, Commerce, Labor, Health and
Human Services, and Veterans Affairs; the Director of the Office of Management and
Budget; the Assistant to the President for Domestic Policy; the Assistant to the President for
Economic Policy; the Chair of the Council of Economic Advisors; and the Senior Advisor to
the President for Policy Development.
In addition, the Senior Advisor to the President for Policy Development will lead
interdepartmental working groups which will gather information for, and provide information
to, the Task Force. The working groups, which are working closely with Members of
Congress and their staffs, are comprised of government employees.
While the working groups have begun the process of preparing policy options for
reforming our health care system, their work is an ongoing process. The members of the
Task Force are anxious to consult with knowledgeable and concerned people. I especially
appreciated receiving your suggestions and am directing a copy of your letter to the
appropriate working group.
Again, .thank you for your offer of assistance and your continued support for the
success of our endeavor.
Sincerely yours,
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECTffiTLE
DATE
RESTRICTION
001. resume
Curriculum Vitae. Margaret Thaler Singer. [partial] (1 page)
[none]
P6/b(6)
002.letter
Hillary Clinton to Carol Dodson. [partial] (1 page)
04/06/ 1993
P6/b(6)
003. letter
Carol Dodson to Hillary Clinton. (2 pages)
03/01/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number:
I 0813
FOLDER TITLE:
HRC Healthcare Correspondence [5]
2006-0223-F
ab620
RESTRICTION CODES
Presidential Records Ad- (44 U.S.C. 2204(a)(
Freedom of Information Ad- (S U.S.C. SS2(b)J
Pl National Security Classified Information ((a)(l) of the PRAJ
P2 Relating to the appointment to Federal office ((a)(2) of the PRAJ
P3 Release would violate a Federal statute ((a)(3) of the PRAJ
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRAJ
P6 Release would constitute a dearly unwarranted Invasion of
personal privacy ((a)(6) of the PRAJ
b(l) National security classified Information ((b)(l) of the FOIAJ
b(2) Release would disclose Internal personnel rules and practices of
an agency ((b)(2) of the FOIAJ
b(3) Release would violate a Federal statute ((b)(3) of the FOIAJ
b(4) Release would disclose trade secrets or confidential or financial
information ((b)(4) of the FOIAJ
b(6) Release would constitute a dearly unwarranted invasion of
personal privacy ((b)(6) of the FOIAJ
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIAJ
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIAJ
C. Closed in accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�'
'
~-· ~
THE WHITE HOUSE
March 24, 1993
Margaret T. Singer, Ph.D.
17 E1 camino Real
Berkley, California 94705
Dear Dr. Singer:
Thank you for your letter forwarded to me by David J.
Bardin, in which you enclosed your statement sharing experiences in
working with cult veterans and your concern about the unique
problems they face regarding health care. I appreciate your calling
this to my attention and am directing it to the Task Force for
inclusion in its considerations.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Thank you again for your views and for your support as we
seek solutions to this incredibly complex issue.
Sincerely yours,
cc: David J. Bardin
�.
'
DAVID j. BARDIN
1050 Connecticut Avenue, N.W.
Washington, D.C. 20036-5339
Phone: 202-857-6089; Fax: 202-857-6395
March 16, 1993
By Messenger
Hillary Rodham Clinton
Health Care Task Force
The White House
Washington, D.C.
Dear Mrs. Clinton:
Professor Margaret Singer has asked me to deliver the enclosed statement of support for the work
of the Task Force and offer to testify at a public hearing, if you so desire. The Statement focusses
on unmet and uninsured health care (including mental health care) needs of ex-members of
destructive cults.
Dr. Singer is an outstanding expert and frequent, excellent speaker on cult phenomena. Her
perpsective may seem especially timely because of current media attention to the Waco situation.
However, it is really another year-round illustration of why your work is so important.
Enclosures:
Singer letter to Mrs. Clinton
Singer statement to Task Force
Singer c.v,
cc:
Margaret T. Singer, Ph.D.
�..
- ----
--- -----
-·
--
.
MARGARET T. SINGER, Ph.D.,.Inc.
A
Profi.'J;J;inn>~l
C".l1fl01'8tion
17 EL CAMINO REAL
BERKELEY, California 94705
(510) 848 3863
FAX: (510) 84R 86/R
Mrs. Hilary Rodham Clinton
Office of the First Lady
The White House
1600 Pennsylvania Avenue, N.W.
FAX: (202) 456-2461
Ooar Mrs. Clinton:
Con9ratulations and warmest wishes. I feel great enthusiasm
your leadershiP in studvinc:r our nation's health care neec:ls
and rectifyinq omissions and injustices. I am writing to help
you make the record of need in respect to a vulnerbale group with
desperate needs that lacks health insurance but is often
overlooked: thousands of people who exit from the numerous
destructive cult groups each year.
These cult veterans exi.t -- somtimes after many years
with no insurance and, of~en, with physical and mental health
needs. Needs may have accumulated unattended during the period
of cult membership. New needs may arise after exit. In some
cases there are no ~amily or friends available to help.
Because I have counseled and befriended roughly 3000 cult
veterans, both personally and professionally, over the past 24
years, I am acutely troubled by their problems in securing
medical and mental health care, including residential and
outpatient help as needed. I have prepared the enclosed
statement, summari2ing experience and concerns and request that
you share it with members of your Task Force and include it in
the record of your p~oceedings. Should you wish to take live
testimony from me, please have me contacted by fax at 510-8488618 or phone at 510-848-1855, and I shall make every effort to
appear either in the Berkeley-San Francisco area or in
Washington, D.C. T. also enclose my c.v. for your Task Force file.
Again, best wishes for your vital enterprise.
~hnnt:
Sincerely yours,
•
Margaret T. Singer, Ph.D.
Enclosures
.........
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£.6.'S•T--J•~.w..........~sS~8~T~8~v~8~S~T~v-·~oN:_l~3~1~------------~~~3;9NIS
�..
STATEMENT OF MARGARET T. SINGER, Ph.D.
TO THE CLINTON HEALTH CARE TASK FORCE
I want to thank President and Mrs. Clinton and the members of the Task Force for
your leadership in studying our nation's health care needs and rectifying serious ommissions
and injustices. I have been a clinical psychologist for over 40 years. I am an emeritus
adjunct professor of psychology in the psychology department of the University of
California, Berkeley, a former President of the American Psychosomatic Society, a member
of the American Psychological Association and a recipient of the NIMH Research Scientist
Award. My curriculum vitae is attached to this statement.
My present purpose is to call attention to a most wlnerable, ·often-overlooked
segment of the population that desperately needs health care of many kinds but totally lacks
health insurance. I refer to thousands of people who exit from the numerous destructive
cult groups each year, sometimes after a dozen or more years outside of mainstream society.
In recent years, we have seen not only individuals but whole families emerge together,
ranging in age from grandparents to small children.
I have counseled, befriended and worked with roughly 3,000 cult veterans, both
personally and professionally, over the past 24 years, probably more than any other
individual health care professional in the United States or elsewhere. As a result, I am
acutely troubled by cult veterans' problems in securing medical and mental health care,
including residential and outpatient help as needed.
Many people in cult groups regress as to their independence of thought and action
and become highly dependent on their group and its leaders for day to day decisions and
arrangements of all kinds. Virtually none of these groups arranges any kind of medical or
dental
insuranc~
or retirement plan for members. Rarely do these groups attend to medical
and dental needs of members. Cult leaders may regard expenditures on health care to be
"wasteful;" they commonly blame illnesses of members or their children on their own faulty
behavior.
As a result, cult veterans exit with no insurance coverage. All too often, they suffer
from physical and mental health problems. In many cases, needs may have accumulated
unattended during the period of cult membership. In any event, when needs may arise after
�-2exit there is no insurance coverage and, very often, little grasp of how to go about securing
help.
To illustrate these problems of cult veterans, let me offer two cases (changing the
names in order to preserve annonymity):
KAREN: A twenty-five year old woman with two young children fathered by
the leader of the small cult she had been in for eight years, ran away during the
night because of her fear of the cult leader who beat her, the various children and
his other "wives." He recently had enforced his demands by shooting guns off inside
the large building the group occupied and had begun to use street drugs. Earlier,
Karen had renounced her parents at the behest of the cult leader and lost contact
with them.
With the children, she had run to an all-night diner where a trucker gave
them a ride to another city, as Karen feared the cult leader would be looking for her.
The trucker left her at a police station, as be told Karen she needed someone to
look after her. She and the children were taken to a women's shelter. Both she and
the children were not well. Residency and other requirements precluded Karen from
getting help. Karen learned of my name as someone who helped people who had
been in cults. She visited my office and we were able to reach her mother by phone
and reestablish that family tie. Karen stayed at the shelter a few days until her mother arrived by car from another state and took Karen home. Karen called to thank
me and asked how she might get medical help in her mother's state. As with many
cult vete~ans, she bad no idea of how to seek help, etc. I suggested several agencies.
After some months, I received a phone call from an agency to discuss with me the
cult leader and the potential danger he posed to Karen and the children if he knew
where they were.
MARK: Mark at age 27 left a cult he had been in nine years. Since leaving
the cult some months before he first met with me, he had been living in an old car,
working at odd jobs, and was given small stipends by a private charitable
organization which referred him to me. He looked emaciated, had a hacking cough,
�-3and said he had not felt well for a long time. In addition to his physical needs, I felt
that he needed psychiatric evaluation, for his severe depression. But he had no
insurance, no money, and had long been estranged from his family at the orders of
his cult leader who had told him to "disconnect" from them. We did not succeed in
reestablishing family ties. When last heard from, Mark had abandoned the car and
hitchhiked to another state. Mark wrote that he was still ill, depressed and unable
to get help.
Lucky cult veterans have families from whom to seek help. Others have to rely on
welfare -- if they can find it -- until they can establish themselves. Often they have no
where to go, no family or friends available to help. In some cases the cult veteran doesn't
understand how to enlist help.
Most seek minimum wage jobs and temporary work because life in the cult group
ended education and significant job training, their work in the cult having consisted of
seeking contnbutions, recruiting others and the simplest forms of labor.
Help available now to cult veterans is all volunteer and mainly educational and psychologically supportive help. The degree of need varies, of course, from veteran to veteran.
No adequate survey has ever been undertaken of the degree of exposure to such cult
groups. There are about 5,000 such groups in the United States, some large, some very
small. I estimate that about 10-20 million people have at some point in recent years been
in one or more of such groups.
It is extremely important to the well-being of these cult veterans that a new program
.
cover their emotional and mental rehabilitation needs, as well as continuing health needs
of all kinds, including preventive, out-patient and residential treatments. It is extremely
important that the program include social work guidance that will help the regressed,
immature cult veteran regain or develop an adult competence to manage day to day affairs.
It is extremely important that such workers understand how cultic influence and control
impacted the ex-members. Ex-cultists need psycho-educational and social work help, not
ordinary psychotherapy except in rare circumstances.
�-4In closing, let me note that these so-called cults are by no means all religiously
oriented. Cults form around many themes, including political, racial, and psychotherapy
themes. Common threads include loss of independence and critical thinking skills and extreme reliance on leaders. The end result for you to consider is a desperate lack of vital
health care.
I will be happy to provide any further information the Task Force may need. Thank
you again for all your important work and for considering this statement.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. resume
SUBJECTfi'ITLE
DATE
Curriculum Vitae. Margaret Thaler Singer. [partial] (1 page)
[none]
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [5]
2006-0223-F
ab620
RESTRICTION CODES
Presidential Records Act -(44 U.S.C. 2204(a)l
Freedom of Information Act -IS U.S.C. SS2(b)J
PI National Security Classified Information ((a)(l) of the PRAJ
P2 Relating to the appointment to Federal office ((a)(2) of the PRAJ
P3 Release would violate a Federal statute ((a)(3) of the PRAJ
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRAI
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRAJ
b(l) National security classified information ((b)(l) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIAJ
b(3) Release would violate a Federal statute ((b)(3) of the FOIAI
b(4) Release would disclose trade secrets or confidential or financial
Information ((b)(4) of the FOIAJ
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIAJ
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Curriculum Vltaa
Naaa1
Margarat Thal ~er fH nger, Ph. D.
lRS
Addr1111SU
!'tart tal Status a Marr11!HS
t ,Jqrome R.
51 nger, Ph. D.
Phy1iiic:ist., tJ.C., Berkeley,Emttl"'it:us Pro.fs&sor
Licensure• Clinical Psyr.holoqy,
Cali~ornia,
1959,~1740
Educatton1 19:59-43 IJniv&rsity of Denver, B.A. Speech
1944-45 Univer~ity of DRnver, M.A. Speech
Patholoogy. Spacial
1950-52 University of
Denv~r,
Educati~l
Ph.D. Clinical
Puycholagy
Honors a Ho·fhaimar Prt 7.AI .fnr REtsearch. American Psychiatric
Assa~iation,
t96b
Stanley R. Oean Award ·for Research in Schizophrenia,
American College of Psychiatrists, 1976
McAlpin Award for Achiev~mP.nt in Research, Mental
Health As•ociation of the United States, 1~77
Research Scientist Award, National
of Mental Haalth, 1977
lnstitl.lte
American Family Therapy Associ01tion Award ·for
Distinguished Achievement in Family Therapy
Research., 191::11
Ryan MP.mnr\~1 Award .for Research on Cults.
Citizens Freedom Founrtr.ltion., 1961
L.9o .l.
Distinguished Teaching Award., Northern California
Society of
Pr~sident,
Clintr::.~l
Hypnosis, 1992
Amarican Psychosomatic Society, 1972-1973
President Ford's Biomedical Re~e~rch Panal 7 Social
and Developmental Section, 1975
Amari can Anc;nr=i. r..'ti .,n .fnr Marriage and Famt 1 y Therapy
Award for Cumulative Contributions to Research in
Family Therapy, 1991
SS8l8~8S1~'0N
l31
~39tH·
�Edita~1al
Boards•
Editorial
Board~
Psychoaamat1c
Madicin•~1963-1973
Advisory Editor 7 Family Proeass,
19~8-1975
Editorial Baard and Secretary-Treasurar 1 FaMily
Pr-ac:ess 7 197b tM flr''':u:;~nt:
Editorial Board, Familiendynam1k,
Entwtclclung,
197~
t.o
Thar~ia,Forschung,
1987
Editorial Soard, Rasaarch Communt~attons in
Psychalaoy,Psychiatry, and B•hav1or,1975 to present
Editorial Board,Cultic Studt•• Journa1,1984 to
pregent
Editorial Congul tc:u1t. Jaurnal of Fami 1 y Psyt:hal aoy,
198b to present
s.,..vtc:••
National Insti tube o-f f1ental Health Proqram Projects
Review Committee, 1972-1975
Council Member~ American Psycho9omat1~ Society, 1966bS;1972-73; Program Committee 1971,1977; Membership Committed 1971-74; President 1972-1973
Kaiser Foundation Research Instit.ut.Q
Review Board .1978 to present
ln~titutional
Board o.f Advisors,American Family Foundation 19801989; Bo•.,·d of Directors 1989 to pr-Q~&nt
Board of Directors, American Family Therapy AsGociation~ 1981 to 19Bb
Tru'Stee, The Wright Institute, Berkeley, C.ali·fornia,
1985 to present
Honorary Patron, Cult Project Resource and Education
Center. MQntreal, Canada
Con~ultant~
Americ.an Psychiatric Assor:iat.ion Task
Force on Treatment
o~
Psychiatric Disorder$
Chairperson: American Psychological
A~~ociatton
Task Force on thooJ tnd.irect and Deceptive
Uses o~ Psyc:hol oqi c:.~l Toc:hni ques
Advisory Board, Cult. Awareness Network
Scientific and Profes~ional Advisory Board,
False Momory Syndrome Foundation
~39NI
�-·
3
?articipant: Conference to Explora the Psychological
Effect~ of Chemic~! and Biological Warfare. Airliey
Virginia.,December, 1986, Uniform Services University
of the Health Scienceq.
Parttcpant: Conference to EKplore Training for
Operatianal and Medi~a1 Personnel for Coping,
Adaptation and Perfor·cnanr:e in the High Stre5s
Environment of ChP.mtc:al and Biological Warfat"e.
A1rl1e, Virginia,1987, Uniformed Services University
of the Health Sciences.
Member: Committee to Survey the Health Effects of
Mustard G~~ and Lewisite~ Institute of Medi~ine,
National Academy of Sciences, 1992.
Board of Regent5, American Board of Forensic
Ha11dwrittng Analy'!:lts, tnc., 1992.
Advisory Board, Maynard Bernstein Resource Center
an Cults
rlllmbarshipsl AfQeri c:an Psy(;hosomati. c Stlt=i et:.y (Past President)
American Psychological Association
Internat.ional Soci.aty elf Political Psyc:halogy
World Federation of Mental Health Committee on
Needs o~ Victims ( Charter Member)
National Conference on Treatment and Rehabilitation o-f Survivors of Torture., Terrorism,
and Hostage-Taking
Northern Californ;.:. !=iociety of Clinical Hypnosis
Hono..-ary Member East 9ay Psychiatric Ass~iation
Honorary Member Tit.uc;; Harris Psychiatric Assoc.
Society for Clinical and Experimental Hypnosis
American Boar•J of Forensic Handwriting Analysts
P~af•sstonal
Int•~•sts•
Language and communir:ation
persuasion,thought reform
rel ati "ns i'"\~; c;;c:hizoohrenics
Psychosomatic research
Cults,brainwashing.,co~r~\ve
Fami 1 y
I.
I
'.
Paslttan••
1~42-1945
Th•rapist: Hi 11·-Young School., University of Denver;
Fitzsimons Army Hospital, .and Denver
Public Schools; Spaach.,reading and
writing training for blind ,daaf,and
aphaGic children,adults and war casualties.
Univargity of Colorado School
of Medir.ine:aseessment,therapy.,te•ching,
rese.ar·c:h in Hedic:al Center and
supervi~ing p~yehological services ~or
P•y~hologist:
. .
.
IIIIIIIII~ITI"Ii'li~~n~n~·~~n~.,~~n~h~.i·I011.~ ~.·-~-T ~J·P·I··'. . . . . . . . . . . . .~~-~c~~~·T~.~~·~~~~~C~T~"~·~·~o~~·~l~l~1jl._______________________~~39NI~
..
..
�-·
4
Consultant• Dl!nver Public:: Schools
Psychology Staff
Fami 1 y lolel-f.,.re Servi c:e
Children's Aid So~ie~y
V.A. Hospital,Fort Sheridan,
Wycming
Colorado Sta~e Ho~pital
1953-1958 88nior Investigator;
Collaborative
Labora~cry of Clinical
Psychology,Naltar Reed
Army ln~titute o~ Research,
Washington, D.C.
Resear~ha
Division of Clinical
Science, National
Ins~i~u~e
of Men~al Health, Bethesda,
Maryland
Cl inj.c::al Psychology., Albert
Einstein College of
Medicine,N•w York
Washington Schnal of
Psychiatry,and Howard
Uni vertii ty
United Statile Military
Academy,West Point,N.Y.
USAF S~ress and Fatigue Laboratory,Wright-Pattereon
AFB,Ohio
AMA Committee on Aging
University o-f Colorado
School a·F Medicine
un;vero;;ity of Maryland
School o-f Medi~ine
1958-1973 Bp•etal Consultant <Rasaarch Aascciat•l• Adult
Psychiatry Branch, National Instltu~e
of Mental He~lth, Bethesda, Maryland
Ccn•ultent: and r-t!llsearch
asao~i•t•• Univer-si~y o.f
C.ar-tHOV-"'t;':C:Ul.-;ar Resa.ar-eh
tnstitut.e, San Francisco 1958-1964,
C~li.f:orni~,
1971
L.ac:turar-1
University o-f Ca.li-forni.a 7 Berkeley
Psycholo9y D_,part:mctnt:,19h4-l973
�Cant~ult.antl
Massar.ht. l~P.tts In-stitute o.f TQ«::hnology,
Schofll o·f I ndustr t a 1 Management;
CaliJornia Youth Authority; C.alifornia
State Department of Educationp United
States Air Force, Travis Field; Langley
Port~r Neuropgychiatric Institute;
Kaiser Foundation Hospitals; V.A.
Oakland ~nd V.A. Martinez,Cali.forniaJ
At:.a,;ca.dero,N.ap<"• and Stockton Stata
Hospital~, California
1973-1977 Clinical Prof•••orl Dep~rtment of Psychiatry,
<Clinical PsychologyJ,University of
Rochester Sr:hocJl a.f ME!dic:ine,
Roc:hestar, New York
La~turer1
University of California, Berkeley,
Psychology Department
Univeruit.y Df California,Los Angeles
Psychology Department
Univ~r~ity of California~ San
Francisco, Dept. o+ Psy~hiatry
Wright Institute, 9er-keley.,California
R••••rc:h
ProJo~t
Director•
Schizophreni~s
and their
familias.Wright
lnstitute,8erkeley,
Cali~ornia. Grant
Foundation Awa~da@
Boston Universi~y
School of Medicine
Studies of Air Traffic
Cont.rollctr-s
VI si tlnQ Pr-o~assor-: Departn1ent of P~yr:holagical and
Social Medlcine,1975. Pacific
Coneultont•
EK•~uttv•
Medical Centctr,San Francisco
Committe•• West Coast Cancer Foundation,
San Francisc~T1975-76
Vt•lting Sc:holar tn
R••••~ch
Ra•id~tn~••
Scl•nttst Award•
Prof•••ar in
Aasidan~••
UCLA, Summer- . . 1976
l977-1982
National
Health
Institute of Mental
Department of Psychiatry,University
Cali~ornia, San Francisco
Prof•••ar in Rasidanc•= Department of Pgychology,
~~R18v8Stv"ON
l31
... __ .. _. -·.
~39N:
�Clinical
P~~f•••a~•
OepartmQnt
of
o~
Roc:he~·tar
P~ychiatry,
School
o~
Univar'Sity
l"'adicine
1982 to 19Bb:
Prof•••ar in Ra•idanca•
University
o·~
f)pp,:;art:m~nt
C.;;\ I i
fo~ni
of Psychology,
a, Ba~kel ay
Prafeasor in Raaidanca ;
fJ~partment o.f Psychiatry,
University of California, San Fr~ncisc:a
Clinical Profawaor1 Department o·F Psychiatry, University
of Rochest.er School o-f Medicine
Adjunct Professor•
California School of Professional Psychology
Sayb~ook Instit.'-'tA
California Graduata School of Marital and Family
ThE!rapy
1996
'=a
Adjunct
p~asanb
P~of•••a~•
09-par~men~
of Psychology,
o~ California, Berkeley
Emaritu"O status sinca 1991
Univer~ity
California School of
Psychology
Saybrook
P~ofessional
lnsti~uta
Cali ·Forni. a. School o-F Marital aJ'\d
Family Therapy
Cllnleal
P~~f•••a~=
Oep~rtment
Untv~r~ity
o~ Psyr.hiatry <Psychology)
of Rochector School of
M@dicine and Dentistry
Privat• Practtc••
D-iagnosis, therapy < individual ,marital,
and family), r~sear~h,~uparvisionT
forensic c:onsult.at:ion, in-service training~
teaching ~ld lecturing
IIIIIIII~IITI'II'I-I,I~I~I·In~~~~.. .......~ h.··c·T--·J·P·I,~t............~C~C~~~T~9.;,~n~9.~,C~T~rr:_·~o~~:l~I~~~~--------------------~~39N!
n." o ..
�-·
7
PUBLICATIONS
1. Henrilf.son, E.H. and Thaler, M. (1944). Assump~ions
underlying speech drills. American Journal of Bpe•ch.
2.
Htr~chberg,
C.,Coleman, J •• Rogers,R.L.,Stubbl&field,R.L.,Thaler,
ilnd Princi, F. ( 1950) .A study o·f miners in relation to the
a~cidant probl9m. American Journal of Orthopsychiatry,552559.
M.
3. Th.alar, M. U950> THe role o·F a. psycholot~ist in
psychiatric clinic.Mental Hyqtena, 219-227.
4. Mulder, D.,Parrott, M.,
~nd
western @quine encephalitis.
.11.
traveling
Thaler, M. (1951). Sequelae of
Neuralogy,1.3tB-327.
5. Frost, L .. , Thaler, 1'1. ,9•..u;sg 7 E.W • ., .lind Shy,G.M. ( 19:52).
St.udi •• in th• prn~e~s of ag i nQ: I I • Rorscl1ach f i nd i ngs as
correla~ed with physiological chant~es of the aging process.
Jaurnal af &eP"antalaav.7.479.
b. Silverman, A.J.,Bu~se, E.W., Barnes. R.H •• Fros~, L • ., and
Thaler, M. (19S3>.Studies in the process of aging: IV.
Physiological in-fluanc:gs on psychic .functioning in elderly
people.B•riatrics, B,370-:~76.
7. Busse, E.W.,Barnes, R.H. ,Silverman, A.J.,Thaler, M., and
Fro•t, L. <1954>. Studies in the pro~es§ of aging:Faetors
that influanc• the psycha o-f elderly persons. Ameri~.n
Jaurnal oof Payc:htatry, 110,897-9,)3.
8. Thaler,M.
(1954>. Culture and
medi~al
t;.;are. Military
Mwdicin• and Alltad Science, Volume 1954. Washington,
D.C.IArey Medical Service Graduate School.
Thal~r, M. <1954>. Communi-ty psychi•~ry• The t.rav•ling
p•y~hiatric clinic. Topeka~Kansas: Menninger Fcundation-
9.
t<ansas State Department. of Public Welfare Publ icati.ons.
I
I'
10. Raiser, M.F.,Thaler, M., and Neiner,H. (195:5). 'The
experim•ntal manipulation of proiective s~imuli in the study
of psychophys• ological r·espon!!lt!S. P•yc:hasamatic
ttwdtctn•,17,480.
11. BussR, E.W., Barn&!;, B.H. ,Silverman,A.J • ., ihaler,M., and
Frost, L. (1955). Studies in the prQcess oi aging: X. The
strengths ~nd weakna~~es of psychie functioning in ~he ag•d.
Am.rtcan Journal ai Psychi•try,tt1,896-90t.
12. Thalar-,M.(1956).
Psychtat~ic
49J.Washing~an, D.C.:
l•arning.
of stressful situations an
Rasaarch Raparts.3,<pp.46American Psychiatric Association.
Effect:5
lllllllllliilll..-•.-.•-...-.-~,~-~~~~~~~~~~~~~~~~~....r.r.~..
•.
T.~~~~~~r~~~.~~·~n~>~l~·~J~'--------------------~~~~~~~IT'
�a
13. Strassman, H. B., ·rhaler, M., and Schein, E. H. <1956). A
prisoner af war syndrome= Ap~thy as a reaction to gQvere
stress. Amertean Journal of Psychiatry, 112,998-1003.
14. Thaler,M. (1956). RPl~~innships amon9 WechslQr,
Waigl,Rorsch.ac::h and EES fil'u:lin•J~ and abstract-c:om:rete
behavior in a group o.f normal aged sub.iects.Journal of
•ron~ology,11,404-409.
Thaler, M. <195bl.
15.
Foundations of
p5ychcso~Gatic
resaarc:h.Radto Untvareity Seri_ag,Na.46-a. Washington,D.C.c
Voice of America, ·united States Information
Agency,December,1956.
16.
Note~ on three theories of personality
the Rorschar.h test. Semlkea,10,121-154.
Thaler 9 M.(l9~bl.
applied
~o
17. Price, D., Th~ler, H.,and Mason, J.W. (1957). Studies of
preoperative emo~i~nal stateG and adrenal cortical activity
in cardiac and pulmonary ~"rgery patients.Archives of
N8urolooy end Psychiatry,77,646-656.
lB. Thaler, M.<1957). Review:Psychological aspects of
a9ining: Proceeding~ of a conference on planning
research.Jcurnal ol Garan~aloQY•
19. Thaler, M.,Reiser, M.F., and Weiner, H. (1957). An
e)(plot"at:ion of the doctor-pa.t:i.ent relationship through
prajecttva t:achniques:-Their use in psychosomati~ illness.
P•ychasanaat:h: l'l•dt.c:lne, t9,2:ZS-239.
20. Wainer, H.,Thaler, M., Reiser, M.F.,and Mirsky,I.A.
<19'57). Etiology o-f dundP.t'\Al ulc:er:Relation of specific
psychological charactaristir.~ to rate of g.astric: secretion
<c;eruta pepsinogen) .Psychoeomattc Medicina,19, 1-10.
21. Singer. M.T. and Schein. E.H. <1958>. Projective tast
responses of prisoners of w«r following
repatri at ian. Psychletry, 21 ,S7!5-:sss.
22. Loveland, N.T. and Singer. M.T. (1959). ProjRCtive test
as•assmant of the a-f-fet:f:s f7l·F c;leep deprivation. Journal of
ProJwctlve Tachn1quas.23,323-334.
E.H.~Coolev,W.E. 7 and Sing~r. M.T. (1960). A
psychalOQtcal fallaw-up of former prison•r• of w.r of tha
Chin••• cammunletsa Part I. R•sult• of in~•rvtew study. (pp.l-
23. Schain,
91l.C:ambridge7 Massachuc;ett'c;;: Massachusetts Institute of
Technology.
24.Stnger, M. T and Spei5rnan .. J.C. <19bll Rorschach
correlates in five groups wtth organic pathology. Journal of
ProJective Tachniques,2~ 1 356-359 •
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2'5 .. Morris, G.O. and Singer. M. 1'. <1961). Sleep depr-ivation:
Transactional and subje~tivg obGervations. Ar~hiv•• of
General Psych1atry,S,4S3-461.
26. Schein, E. H • .,Singer, M. T • ., and Cooley, W.E.
<1'i61>. A
psychalagical fallow-up of ~armar- p~tsanars of war of th•
Chin•. . communis~•• Part II. Result• of p•ycholOQl~Al tasta.
Cambridge, Massachusett~tMassachusetts Institute of
Technology.
27. Schein, E.H. and Singer, M.T. (1962>. Follow-up
in~elligence test dat~ nn prisoners repat~iatad from North
Korea. Psychalogical Reports,11,193-194.
2S.Weiner, H.,Singer, M.T. and Reiser? M.F. (1962).
Cardiovascular respons~s and their phy$iological ~orralatas:
A study in healthy young adults and patients with pepti~
ulcer and hypertension. Psychosomatic "adtcina,24,447-4~a.
29. Feingold, B.F.,Gorman, F • .,Singer, M.T. and S~hlesinger,
K. (1962>. Psychological studies of allergi~ women1 The
relation between sk;n reactivity and
per•onality.Psychoaomattc Madtcin•,24,19b-202.
30. Hardyck, C., Singer, H.·r., and Harris, R.E.U962>.
Tran~ient ~hanges in affoct and
blood pressu~e .. Archiv•• of
General Psychiatry, 7, 15··7.t),.
31. Singer, M.T.U963). A Rot-·~ch~ch view of the family. In D ..
Rosenthal, <Ed.).Th• Ganain quadruplets; A ca. . study and
theor-•tical analyaia of heredity and environment in
schtzophrania. (pp.3t~-326>. New York; Basic Books.
32.Wynne 1 L.C. and Sinqer, M. T. <1963). Tha ~r-ansc:ultural
study of schi:u,phrc;mics and t:h'=!'ir families. Proceedings of
Joint meeting of the American Psychiatric Association and the
Japan•~• Society of P~ychiatry and Neurology.Folia
Psychiatr-ic at Nauralagtca Japonica,.Suppl•ment No. ?,28-39.
33. Singer., M.T. (19~3). P9r~onality measurement in thR aged.
J. Birr@n <Ed.).Human agtng1 A blOlDQi~al and behavioral
study.(pp-159-217). Washington, O.C.; Publi~ H.alth Service
Publication No.9B6. U.S.Government Printing Offi~e.
34. Loveland, N.T.,Singer 1 M.r., and Wynne,L.C.
~~mily
Ro~sehach=
A new
m~~hori
of 9tUdY1ng
<1963)~
The
~amily
inter.action. Family Pr-ac11'1s,2, 187--:215.
35 .. Singer, M.T. and Wynne, L.C. (1963). Differentiatinq
characte~istics of the parents of childhood
schizophreni~g,childhood n~urotics and young adult
schi~o~hrenics.Amerlcan Journal of Psychtat~y,120,234-243.
�10
36. Wynne, L.C. and Singer, M.T. (196.3). Thought. dh;ordar- .and
f•mily relations of schizophrenic~: I. A raseareh gtrategy.
Archives of Ben•ral P•v~hiatry,9.191-19B.
37. Wynne, L.C. and Singer, M.T. <1963>. Thought disorder and
family relations of sc:hi;:opa,re•1ics: II.A classi-fication o-f
forms of thtnkin~. Archtves of Saneral Psychtatry,9,1~9-206.
38. Nynne,L~C- and Stnger, M.T. (1964).ThinklnQ dtsarders and
f . .tly tran•acttans. K~ynote address: Joint Meeting of tha
American Psychiatric As60Ciation and the American
Posychoanalytic Association.
39. Singer., M.·T. and Wynn~, L.G. t19b:SJ. Thcn.,ght dl$order and
family relations of ~r-hizophrenics; Ili.Methodology using
projective te~hniques. Archives a-f eanaral Psy~hiat.ry, 12.
197-200.
Singar, M. T- and Wynne, I_. C. (1965). Thouqnt disorder and
family relatton5 of schizophreni~s: IV. Results and
implications. Arehtvas of General Psychlatry,12, 201-212.
4c"l.
41. Singer, M.T. and Wynne, L.C. <1964).9~ylistlc variablas
In family r••••rch.Milwaukae.W"isconsinc Marquette UniversityMilwaukee Psychiatric Hospital.
42. Wild., C., s;.nger, M.T •• Rosman,B •• Ric~t.J.,and
Lidz,T.t19b5).Measuring disordered styles of thinking: Using
the object sorting tegt- on pa,..ent!5 o-f schizophrenic
p~tiants.Arehiv•• of General Psychiatry, 13,471-476.
43. Singer., M.T. and Wynne. L.C. (1965>. Communication styles
in parents of normal9 7 neurotie~ and schizohrenics: Some
findings using a new Ror9ch~ch manual.Psychlatri~ R•. .arch
Ftapart 20,<pp.25-3B). Washinqtcn,D.C.: American PSychiatric
A~tsaciation •
.
44.Wynne, L.C. and Singer, M.T. <1966). Schizophrenic
impairments of shared focal attention:: A strategic concept.
far research and therapy. Tenth Annual Ber-tram Roberts
Mamartal L•ctu~e. New Haven. Connec:ticut~Yal~ University.
45. Singer, M.T. and Wynne, L.C. <1966). Principles for
scoring communication rle-f~cts and deviances in paran~s of
schizopohrenics: Rorschach qnd TAT scaring manuals.
Psychiat~y,29,260-298.
4b. Feingold, B.F. 7 Singer, M.T.,Freeman, ~.H., and Daskin$,
A. (1966).Psychological variables in allergic di$eage: A
cri~ieal appraisal of mqthodology.Journal of Allergy,38,143155.
' T •
'
- r"~""
•n
"'
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f'""'l
,....
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11
47. Freeman, E.H.,Gorman,F.J., Singer, M.T., Affelder. M.A.,
arid Feingold, B.F. (1967). F'eroonatity variables and allergic:
skin reactivity' A cro~~-validation study. Psychosomatic
Medteina,29,~t2-322.
~a. Singer, M.T. <1967>. Family tran~actions and
gchizophrenia: I. Recq,nt research ~indinqs. In J.
Ro•ano<Ed.>, Origins of Schizophrenia (pp.147-164l.
Am~tardam, Holland~ E~~er~ta Medi~a International Congress
Series, No. 1::11 •.
49. Morris, G.O. and Sin~Rr, M.T. <1967). Sleep
daprivation1The context o~ ronsciousness. Journal af N.rvau•
and .._ni:al Dl••••ee, 143, Z91··304.
50. Stngar, M.T. (1967>. Endurtnq personality styles and
ra$ponses to stra•~- Tran•action• of i:h• Assactattan af Lif•
In•uranca Madtcal Directors of America,31,150-173.
5t. Harris, R.E.and Singer, M.T. (1968). Interaction of
personality and stress in the pathogenesis of esaential
hypertan5ian~ Hyparten•lan, XYI, Neural Cdn~~al af Art.rial
Pr•••u~•· American Heart A•.;soc:iation .. 104-115.
52. Singer~ M.T. C1969>. The consensus Rorschach and family
transactions. Journal of Projective Techniqu•••32 1 348-351.
53.
Singer~
M.T. anrl
quiz. Playboy.,.
Fr~eman
7 E.H.
(1970).
Distaf~
ss~
54. Wynne, L.C.~Caudill. W.,Ka5ahara.Y •• Kuromaru. S., Singer,
M.T., and Higa~ M. (1971). rranslation problems in the crass~vl~ural study of p~ychopathology; A comparison g~ Japane~o
and American disorders a~ thinking ~nd communication. In
Man-tal H•IUth Resa.arch in A4Dta and the Pacific. Honolul1J.
Hawaii~ University of Hawaii •
.
Singer, M.T. <1973). Scoring manual for communication
d•vlenc•• seen in individually adminl•~•r•d Ror•eha~h•.
Revision,1973 <mimeographed 100 ~p.).
5~.
56. Singer, M.T. (1974>. Enqagement-involvement: A central
phenomenon in psychophysiological re~earc:h. < Presidential
addreas>. Paychoso•ati~ M•dicina,36,1-17.
~7. Hurst, M.W. and Singer~ M.T.
Ct974>. PsychalaQlcal te•t•
d••19n•d for Air Traffic Controll•r•. Progress report to
Federal Aviation Administr~tion.
59. Hur90t, M.W. and
Sint}~•--, M. T. <19741 8ubJ•ct-tva dif~icul~y
in al,. traf.fic control. Progr·est; report to Federal Aviation
Ad111inistrat1on.
�l.
I
12
Gunderson, J.G. and Sinqer. M.T. ( 1975). De~inin9
borderline patients: An overviaw. American Journal of
P•yehiatrv,l32,1-tO.
5~.
Wvnne,. L.C.,Singer, M.·r., Bartko; J., and Toohey, M.L~
<l«i76). Sc:hizoohrenic:s and their ~~milie!;l R•saarch on
parental c:ommuncat'i.on. In J.M. Tanner <Ed.)., D•velap...,t• tn
P•vchiatrtc: Ra•erch .. SI!venoal<.s, Kent, England: Hodder and
Stoughton, Ltd. A revised for~ o~ the Sir GQof~rey Vieker~
Lec:turu.
60.
61. Singer, M.T. <197bl. S~htzophranta, f.mtlla• and
cammuneatian dl•arder•• I. Ovarviaw and reeearch ftndtnga.
Stanley R. Dean Award Lecture, American Collega of
Psyc;hiatrists.
62. Wynne, L.C • .,Singer. M.T., and Toohey, M.L..• <1976).
Ca.•unicatian of the ddopttve parentg of schizophranic:s. In
J. Jorstad and E. Ugelstad lEds.), Schizophrenia 7~1
Psychath.,..apy.,fam11Y studies and resaarch .. Cpp.413-431). O!ilo.,
Norway• UniversitQt-forlaqet.
63. Sin9er, M.T. <1977>. The Rorschach as a transaction. In
M.A. Rickers-Ovsiankina <ed.>. Rorschach psychology.
Huntington,N~w York,45S-495.
64. Singet",. H.T. <19"17>. ThP. borderline diagnosis and
psychalog1cal test§: RP.view and ~aaearch. In P.
Hartccollis,<Ed.>.Bardarline p•r•onallty dt.ardar•• The
cance~t,tha syndrame, the patient. New York: International
Universitias Prass 9 193-212.
65.
Singer. ".T. (1977). P~ycholo9ical dimensions in
psychosomatic patiants.Psychatharapy and Psychasamatlcs,2S,l327.
66.
S"inger, M.T. {1978>. Communieation disorders and tha
of ~chi~ophrenics. In L.t. Wynne,R.L. Cromwell, and
S.Matthvsse <Eds.>.Tha natura of schtzophr.n1aa N.w
appraech•• ta r••••rch end treetmant. New York: Wiley.,499~a.ilies
::i11.
67.
Singer, H.T. (197B>.Attentional processes in varbal
behavior. In L.C. Wynne,R.L. Cromwell,and s. Matthysse
<Eds. >.The nature of schizophrent.:u New apprOACh•• to
resear~h and treatment. New York: Wiley,329-33b.
bB.
Wynne, L.C., Singer, M.T. and Toohey, M.L. (1977>.
Kommunikatian von adoptiv9ltern ~chizophrener.
Famill•ndynamik~2,125-t58.
�13
69.
Singer, M.T.C1978). Projective testing and psychiatric
dioa9nosis:: Validity and the future.
In R.L. Spitzer and D.F.
Klein, Eds. C~ttt~al Issues in Psychiatri~ Dlagno•ia. New
York: Raven Press.14-1S.
Singar, M.T. <1978>. Therapy with ax-cult merabers.
af tha National Assactatton of Private P•yehlatrlc
Haspttal•. 91 <4),14-18.
70.
~ou~nal
71.
Sinqer,M.T.<1978). Processi di at.t.an2ione nal
camportament.o varbale. Tarapia Familiae. 3,95-105.
72.
Singer, M.T. (1979>. Cominq out of the cults. PaycholOQY
Today .12 • January,. 7?.··97.
73.
Singer, M.T.(1979). Topics on Target: Cults. Foreea•t•
Schol act t c: l'lavaz i n•, May, :-s7.
74.
Singer, M.T.(1979>. Coer~ive persuasian un die proble.e
dar "e)C-cult cnambers." In 11. Muller-Kuppers and F. Specht
<Eds.> Nau• Jugend-relioionen. Gottingen, Germ~ny:
Vanderhoec:k and Ruprecht, 104-120..
I ;
75.
Singer, M.T. (1980). Teenage suicides: A growing
problem. Far•c~st1 Schalas~ic Maga%ina,January,~4-35,S5.
I;
:~
1b.
West, L.J. ~nd Singer, M.T. (1~80). Cul~s, quacks, and
nonprofe!isional psychotherapies.
In H. I. •~aplan,A.M.
Freedman, and B.J. Sadock tEds.) Camp~•h•nsiv• T•Mtboak of
P•vchiatrv III. Balttmorer William~ and Wilkins.
;
'I
'!
I
~
77.
SinQe~. M.T. and Largon 9 D.G. <1991>. The borderline
per!ianality and the r~orschac:h: A compar-ison wi~h ac:uta and
chronic: sc:hizophrenics.normals and neurotics. Archivea of
Elener.al Psychi .atry, 38, 69:3-698.
(l
78.
Singer, M.T. <1981). Viet Nam priaoners of war, stress,
personality resilien~y. Amart~an Journal of Psychiatry,
1'3813,345-346.
~'d
I:
I.
I;
I i
19. Rit~ler. B., G~vll,S.~ Kiecolt-Glaser, J., Jane•, F.,
and Singer, M. (1981). Predicting off5pring vulnerability to
psychopathology from parents' test data. Journal of
P•~•anal i t:y Assessment, 45,6. 600·-607.
'I
i
''
I;
80.
Doane 7 J.A., Jones,J.E., Fisher, L.,
Rit~lar,B •
.,Singer,
M.T. and Wynne, L.C. (1982>. Parental communi~ation deviance
as a predt~tor o~ competence in children at ~iak ~or
adult psychiatri~ disorder. Family Pracasw. 21,211-223.
n7
• .J
7
n n • n ~-' n" · o
c- (::. • c
T
1P 1.1
�14
81.
Singer, M.T. (1982). Comm~nts:Re&earch on intrafa•ilial
risk factors related to offspring vulnerability. In
Michael J. Goldstein,<Ed.), Preventive Intarvant1on
in S~hizaphr•ni•• Are We Ready.
u.s. Department a.f
Health and Human Services, National ln!ltitute o.f
Mental HC!al th., 173-'75.
Jone•, J.E.,Wynne., L..r.:., Al-Khayal,M.,
Daana,.J • .,Ri tzler, B • .,Singer, M. T. and Fisher., L. ( 1984)Predicting current school competen~e o~ high rish children
with a composite cros~-situational measure af parental
~ommunciation.
In Childr•n at Risk for S~htzophr•niaa A
Longitudinal Perspective. Norman Watt, E.J. Anthony,L.C.
WYnne., and J. Rolf., eds. New Vork: Cambridge l.Jniversity
B2.
Pre~s.
83. Sa5s, L.A., Gunderson, J.C., Singer., M.·r., and Wynne,
L.C. <1984). Parental eommunication deviance and farms of
thinking in mala 9Chizaphrer\1c: of-Fspring.
Jaurnal of N41rvauw
and rlantal Diseases, 172.,513·-520.
84. Singer. M. T. and Wynne, 1... r:. ct9B5l.
SchiZOClhrenics,families and communic:ation disordariit. In
Robert Cancroy<Ed.), R•••areh in th• schlzaph~anic disorder••
Th• Stanley R. D•an award lacturae.,Valuma 1. ( pp. 231-249).
New York: Spectrum Publications.
85.
Singer, M.T. ( 1986).
Consultation with faiAilies of
cultists. In L.C. Wvnne,S.H. Me Daniel, and T.T. Weber (Eds.>
Syat. .• Consultation• A Naw Parspactiva far Fa•tly Tharapy.
( pp.27Q-2B:SJ.
Ne"" Yor-k: 8uil.ford Prsss.
66. Ofshe,R. and Singer, M.T. ( 1986). Attacks on peripharal
versus e•ntral elements of self and the impa~t of thought
reforming t~chniques1 Revigw ~nd analysis.Culttc 9tudi••
Journal. 3, 3-24 •
.
87. Ditton, P.,Green, R.J. and SingerT M.T. (1997>.
Communi~ation deviances: A comparison betwaan parents of
laarning di~abled and normally achieving studen~s.F.-ily
Process. 26, 75-87.
88.
Singnr-., M.T. and Nievod. A.< 1'187). Consulting and
testtfy1nq in court. In Irving 8. WRtner. and Allen HmssT
<Eda.>, H•ndbaok af Faren•ic Psychology. New York: John Wil@y
and Sans, Inc.
Sinqer, M.T. ( 1987). Group fl~Yt:hodynamic&.
In
Manual. Rahway.,New Jarsey:Mer~k Sharp
and Dahma Research l ..=~.boratories.
99.
R.Berkaw.<Ed.)~Harck
_,__~_,_l""''r-T,_
•
~l.l
-,-,I
'J"JC:HI T r
�-.
15
90. Singer. H.T. ( 1988). From Hungarianm ~o Hmangs.
A
v.riant of the ostrich syndrome. < Review of R•fuv•• Man~al
~lth in R•settlem•nt Countries.) Contampar•ry Psychology.
33,231-232.
91.
Singer, M.T.
(1989>
Book Review: Marc oalanter: Cultw,
Ox~ord Univermity
Prems~ 19a9.
ln Cult Awaranaga Network New•~ September.19B9.
Reprin~ed tn Cultic Studia• Journal,
<1989) 6,1,107-116.
Faith, Ha•ltng •nd Coercion. New York:
92.
Schuldberg. D., Sinqar. M.T. and Wynne, L.C. < 1990)
Compatence-enhancing cccnmunic:ation by parents of
hiqh-risk children.
Journal of FamilY PsycholDOY• 3, 255·272.
93. Singer, M.T. and Ofshe, R.
(1~0)
Thought Raform
and the Production of Psy~htatric C•sualties.
Psychiatric Annals, 20: 188--1~?:~.
Progra~$
94. Singer, M.T.
(1990)
People and paths along
the way: A trek through words and imaqes.
In Vale•• in
Fa.llv Psychalo~y. Florencs w. Kaslow < ed.>
Newbury Park,
California: Sage Publ icat.lons, 192-206.
95.
TE!mr.~rlin, M.
( 1991).
Studtaa Journal,71 101-125.
Singer, M.T., Langone!, M., and
Psy~hotherapy
Cults.
Culti~
96.
Singer. M.T. ( 1991). Book review:
M. H. Erickson and
E. L. Rossi C1989) • The Febr·uary Man: Evcl vi ng Consciousness
and ldenti ty in Hypno·therapy. New Yorke Brunner/Mazel.
AMerican Journal af Hypnosis.
97. 51m~er, M. T. ~ 1991). Book review: F. J. l"'ac:Hc:lvec <1999).
Cult!ii and Per"»onality. Spr"ing·Ueld. Illinois: Charles C.
Thomas.
In Intarnattonal Journal of Clinical •nd
EMperlmantal Hypna9is.
98. Singer, M.T. (1992). Cults. In Canaprwhenslva Adoleacant
Health Carg. S.B. Friedman. M. Fisher, and 9.k. Schonber9
(ads.). St. Louis, Misso'-.lri: Quality Medical Publishing, Inc.
69Y-704.
99. Singer, M.·r. and Addi!:i,M.E. <1992>. Cults, Coercion and
Contumely. In The Mosaic of Contemporary Psychiatry in
P•raepctiva. A. Kales, C.M. Pier~e and M.Greenblatt <eds.>.
Zuri~hll
Springer Verlag.
t:,.O-t42.
100. Singer, M.T. and Ofshe. R.J. ( 1992~ in prass).
Psychiatric Injuries Caused by a Large aroup A~acene.~~
Training1 Li-fespr:ing. Amartc-A .l'GUFAAl
Psyehiat~v~ .
ef
tOl·
••ne.r. M.T. Cl992t.
AsfMic~s.
~~due
In~lu~c••Psychalaoical
,...,.,.., O.f Gluliatl.,t._ .,..uaunt INPinat.tan.
1, 4-13.
--------------------------------------------------~-~-~-~--· - - - · - · ~~·
~---'--------------------~-~_Q_~_I_T_r~
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,_
16
102. Singer. M.T. (1992). Field research in high to maximal
situationss A commentary. Journal a* Applied Baetal
Psyeholagy,22, 1625-1630.
~tress
103. Singer, M.T. and Nievod. A. < !993 7 in press).
Psychological casualties of extreme influence in office,
factory and workplace. Cultt~ Studias Journal.
104. Singsr, M.T. (1992) Book review: R. Enroth (1992).
Churches That Abuse. Grand Rapids, Mi~higan: Zondervan
Publishing House. RadtK Ma9aztne,21, 24,25,31.
105. Singer, M.T. < 1993). Relaticnsnip of mustard agent and
Lewisite exposure to p5ychologir.~l dysfunction.
In Y•~ar•n• at Riskl Tha Health Effact• af Mustard Sa• ~
L..,:lsU:w. Committee "to Sur·vev the 1-tealt.h Effects of Mustard
Gas and L~isite, Division of Health Promotion and Disaa~
Prevention, Institute of Medicine. Washinoton, D.C. National
Acadeny of Science. Chapter 11.
'!
'I
'
~
106. Singer. M.T. <1«193,. in pregs). Cults and Familia!;. In
R.H. Mikesall~ D.D. Lusterman~ and S.H. McDaniel,<Eds.).
Family P•vehalogy •nd Systems Therapy• A Handbock.Washinqton,
D.c •• American Psychological A~sociation Press.
107. Sinc;JI!r, M.T. and Ofshe. R. (1993,in pres&) ..
With and withou~ hypnQsis. Intarnattonal
Journal of Cllnteal and Expartmen~al Hypnaet•.
Pseudom~mories:
4
l"lar~h
93
......................................................--~-~-~-~·~-~-~·~·--==-~·------------------~~~~-~-"_r_J_
�THE WHITE HOUSE
March 29, 1993
Doris C. Graham, R.N.
Pulaski County Special School District
P. 0. Box 8601
Little Rock, Arkansas 72216
Dear Doris:
Thank you for writing and sharing your suggestions about the
need for children to receive eye examinations and glasses. I will
share your letter with the Task Force for consideration in its work.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Again, thank you for your views and for your support for the
success of our endeavor.
Sincerely yours,
�PULASKI COUNTY SPECIAL SCHOOL DISTRICT
925 East Dixon Road/P.O. Box 8601
Little Rock, Arkansas 72216
(501) 490-2000
March 14, 1993
Hillary Rodham Clinton, The First Lady
Task Force on Health Care Refo:rm
The White House
Washington, D.C. 20500
Dear Mrs. Clinton:
This is my second year as a school nurse for the Pulaski County Special School
District. I do all the vision rescreening (using the Tibnus Optical machine),
for 24 elementary schools.
I am writing to draw your attention to an .important, unmet medical need. The
greatest health problem I see for our children is the need for eye examinations
and glasses. The Lion 1 s Club and United Way rronies can meet a small percentage
of these needs. The same children are screened year after year, fail and do not
receive follow-ups. These children ultimately have difficulty with school work.
The Pulaski County School District (PTA rrothers) screened 8,109 students during
the 1991-92 school year, of which 1,059 were rescreened by a school nurse with 576
referred. There were 229 children seen by a physician and roost needed glasses.
This means that 47% received eye examinations.
The principals, teachers and other school nurses and I believe the vision follow-ups
fall into one of the following categories:
1.
Parents who can afford to take their children for an exam ( including
Medicaid).
2.
Parents who can afford to take their children, but won 1 t.
3.
Parents who would like to provide eye exams, but can't afford the cost.
We estimate that 34%, or 196 children, in this group will not have exams.
I have talked with other health and school personnel and have found vision referrals
and follow-ups are unrnet needs in their areas.
Your interest in education and health services is apppreciated by alJ of us. This
vision problem involves both the health and education of our children. As head of
the President's Task Force on Health Care Refo:rm, your consideration of this problem
would be greatly appreciated.
Sincerely,
4~ t . .~~
Doris C. Graham, R.N.
DCG:rnn
.-<.1/.
�....
THE WHITE HOUSE
WASHINGTON
March 29, 1993
Clare O'Callaghan, R.N., Ed.D.
1419 Beacon Street, Suite 33
Brookline, Massachusetts 02146
Dear Clare:
Thank you for your offer of assistance to the Health Care Task Force. The Task
Force includes the Secretaries of the Treasury, Defense, Commerce, Labor, Health and
Human Services, and Veterans Affairs; the Director of the Office of Management and
Budget; the Assistant to the President for Domestic Policy; the Assistant to the President for
Economic Policy; the Chair of the Council of Economic Advisors; and the Senior Advisor to
the President for Policy Development.
In addition, the Senior Advisor to the President for Policy Development will lead
interdepartmental working groups which will gather information for, and provide information
to, the Task Force. The working groups, which are working closely with Members of
Congress and their staffs, are comprised of government employees.
While the working groups have begun the process of preparing policy options for
reforming our health care system, their work is an ongoing process. The members of the
Task Force are anxious to consult with knowledgeable and concerned people. I am sending
your letter and curriculum vitae along to the appropriate working group. Again, thank you
for your offer of assistance and your continued support for the success of our endeavor.
Sincerely yours,
�CLARE O'CALLAGHAN,
R.N .. ED.D.
PSYCHOLOGIST
1419 BEACON STREET. SUITE 33
BROOKLINE. MASSACHUSETTS 02 146
(6 1 71 232· 1 505
March 15, 1993
Mrs. Hillary R. Clinton
Room 100
Office of the First Lady
Old Executive Office Building
Washington, DC 20500
Dear Hillary:
I had originally given my resume to Eldie Acheson to bring to the
Transition Team, but since I am not sure if you ever received it, I
thought I would forward another copy to you and Steven Eddlestein. I
am still interested in helping with the Health Care Task Force. I
have been working as a neuropsychologist/psychotherapist in private
practice with children and adults for the past 15+ years. I have also
continued to work in an inner city community mental health center
outpatient department (now managed by the South End Community Health
Center) for the past 20 years.
Thus, as both a nurse and a
psychologist, I have some familiarity with the delivery of health
care services, especially mental health services, in both the
private and public sector (and have seen countless cases of underinsured and uninsured patients). In both situations, I have also
done consultations with public and private schools.
Prior to the convention, I was asked by the Boston Clinton Headquarters to deliver a synopsis of Bill's Health Care Policy to a
community meeting in Hyde Park, MA. Later, I was invited by a Boston
women's group of health care administrators to discuss the same
topic.
If I can help in any way, please let me know. Best of 1uck with your
fterculean undertaking. I think you are doing a great job.
Sincerely, ·
~
Clare O'Callaghan, R.N., Ed.D.
COC/M&E
Enc.
cc: Mr. Steven Eddlestein
PS: I suggested to my sister, Joan O'Callaghan, who has been working
for many years as a writer/editor for EPA and now with a private firm,
to also send a copy of her resume. She might be of some help in
pulling together some of the deliberations from the meetings.
�CURRICULUM VITAE
CLARE O'CALLAGHAN
HOME:
42 Old Quarry Drive
Weymouth, MA 02188
(617) 337-2118
WORK:
1419 Beacon Street
Brookline, MA 02146
(617) 232-1505
EDUCATION
Doctoral Degree in Special Education - May 1976
BOSTON UNIVERSITY, SCHOOL OF EDUCATION
Dissertation:
A General Systems Theory Approach to the Diagnosis of
Emo~1onal, Behavioral, and Learning "Disorders of Childhood.
Master's Degree in Child Psychiatric Nursing - May 1970
BOSTON UNIYERSITY, SCHOOL OF NURSING
Thesis:
A Study of the Nature and Frequency of Tactile Contacts in
an Activity Group for Autistic Children.
Bachelor of S~ience Degree in Nursing - June 1968
GEORGETOWN UNIVERSITY, SCHOOL OF NURSING
ADDITIONAL PROFESSIONAL TRAINING
1981 - 1983
BOSTON VETERANS' ADMINISTRATION HOSPITAL
Post-Doctoral Fellowship in Neuropsychology
Supervisor: Dr. Edith Kaplan
19821 - 1981
BOSTON VETERANS' ADMINISTRATION HOSPITAL
Weekly Seminars in NeuropsychoLogical Testing and
Neurobehavioral Rounds
-
PROFESSIONAL EXPERIENCE
·,
!. '
••
1979 Present
PRIVATE PRACTICE -- NEUROPSYCHOLOGY/PSYCHOTHERAPY
Practice includes.children, adults, and families,
con~ultation and individual supervision.
1973 Present
BOSTON UNIVERSITY, CHILD PSYCHIATRY DEPARTMENT, CHILDREN'S
SERVICES, OUTPATIENT DEPARTMENT, SOLOMON CARTER FULLER
MENTAL HEALTH CENTER (CURRENTLY THE SOUTH END COMMUNITY
HEALTH CENTER AT S. C. FULLER MENTAL HEALTH CENTER)
Chief Psychiatric Nurse ('73 -Present), Chief Psychologist ('92 - Present)
Position has included the following responsibilities:
o Leading a child/family diagnostic team doing family and
individual assessments;
o teaching and supervising the work of an interdisciplinary team comprised of staff psychiatrists, psychiatric nurses, psychiatric social workers, psychologists,
and trainees in the same disciplines;
�CURRICULUM VITAE
o
o
o
o
o
o
CLARE O'CALLAGHAN
PAGE TWO
Conducting neuropsychological evaluations;
Providing individual, family, and group therapy for
children and their families;
Supervising the clinical work and testing of certain
staff psychologists and trainees;
Presenting seminars on various topics in child
psychiatry;
Consulting to public and private schools, health
delivery systems, and day care centers;
Performing certain administrative functions,
including program development and participation
in grant writing.
(Supervisors have included Drs. JoAnn Fineman, Samuel
Kaplan, William Malamud, Jr., Evaleen Rexford, Judith
Singer, Gerald Stechler, and Suzanne·van Amerongen.)
1981 Present
BOSTON UNIVERSITY, DEPT. OF SIC-BEHAVIORAL SCIENCES
Conducting a research project, in collaboration with
Dr. Deborah Fein, on autistic children.
1987 Present
SIMMONS COLLEGE, SCHOOL OF SOCIAL W6RK
Periodically present a series of seminars to Boston
Public School psychologists on various top~cs in
neuropsychology and psychotherapy.
1989-91
UNIVERSITY OF MASSACHUSETTS, DEPT. OF SCHOOL PSYCHOLOGY
Instructor, Neuropsychology
1984-85
MASSACHUSETTS SCHOOL OF PROFESSIONAL PSYCHOLOGY
Directed-study seminar on Developmental Neuropsychology
I. .
1976-83
: .'
..
BOSTON CITY HOSPITAL
Psychiatric Consultant for Pediatric E~ergency Room.
Served as a member of a team covering psychiatric
emergencies on nights and weekends; evaluated and
made dispositions for children and adolescents (and
their families) in crises (mostly suicide attempts),
while providing consultation to the E. R. staff.
198~
CHARLES RIVER COUNSELLING CENTER
Consulting Supervisor
197~-73
BOSTON UNIVERSITY, SCHOOL OF NURSING
GRADUATE PSYCHIATRIC NURSING DEPARTMENT
Instructor.
Position included teaching clinical and
theoretical seminars in psychiatric nursing and supervising students in their clinical placement at the J. J.
Putnam Children's Center. Also provided direct service
to pre-schoolers and their families, which included individual, group, and family treatment as well as consultation to a day care center.
•
�CURRICULUM VITAE
CLARE O'CALLAGHAN
PAGE THREE
summers
l97Ql-72
CAMP BAIRD, Buzzards Bay, MA
Clinical Director of camp for 8-13 year old, emotionallydisturbed children. Position included individual and
group supervision of counsellors, direct intervention
with children (especially in crises), consultation with
parents and referring professionals, and some administrative and programming responsibilities.
197~-71
BOSTON CHILDREN'& SERVICES ASSOCIATION
Consultant
·
Position focused primarily on follow-up of Camp Baird
children and planning for upcoming summer program; also
involved group therapy for school-aged boys and girls.
1969-73
BOSTON UNIVERSITY
Graduate School Field Placements:
1972 - 1973: Massachusetts General Hospital, Pediatric
Neurology Department, Learning Disabilities Clinic
19.71 - 1972:
Boston University, Psychoeducational Clinic
1969 - 197~: Boston University, Boston City Hospital
Child Guidance Center
1968 - 197~: Metropolitan State Hospital, Children's Unit
summer
1968
SAINT FRANCIS HOSPITAL, Roslyn, NY
Staff Nurse in Cardiac Intensive Care Unit
PAPERS/PUBLICATIONS
l.-.
Schreiber, H., O'Callaghan, c.
Neuropsychological Aspects of
Psychiatric Diagnoses in Adolescent· Inpatien~s. ' :P"oster paper
•
presented at New York Neuropsychology Group Conference, 7/11/92:
O'Callaghan, c., Schreiber, H.
Neuropsychological Subtypes of
Behaviorally Disordered Adolescents. Paper presented at Boston
University Department of Psychiatry Grand Rounds, 5/23/9~.
variability in
Fein, D., Lucci, D., O'Callaghan, c., Waterhouse, L.
Autistic Children's Social Responsiveness.
Paper presented at
International Neuropsychological Society meeting, Orlando, FL,
2/9~.
O'Callaghan, c.
Lateral Elongation in the Rey-Osterrieth Drawings of
Patients with Temporal Lobe Epilepsy. Paper presented at International Neuropsychological Society meeting, San Diego, CA,
2/85.
Fein, D., Lucci, D., O'Callaghan, c., Waterhouse, L. Auditory
Orienting in Autistic Children.
Paper presented at International Neuropsychological Society meeting, Mexico City, 2/83.
�CURRICULUM VITAE
CLARE O'CALLAGHAN
PAGE FOUR
Kaplan, s., O'Callaghan, c., Stechler, G. A Holistic Approach to
Child Psychiatry. Unpublished manuscript.
Chisholm, M., Hamilton, G., O'Callaghan, c., Rosenberger, c.
Psychiatric Community Mental Health Nursing Case Studies.
Flushing,
NY: Medical Examination Publishing Company, Inc., 1976.
O'Callaghan, C.
The Diagnosis ands Treatment of Emotional, Behavioral and Learning Disorders of Childhood According to a General
Systems Approach.
Pape~ presented at meeting co-sponsored by
The Society for General Systems Research and Groome Center,
washington, D.C., 9/19/75.
O'Callaghan, c.
The Diagnosis and Treatment of a Child with a
Learning Problem: Violet. Paper presented at Boston University
Department of Psychiatry Grand Rounds, 3/19/75.
CURRENT RESEARCH
o
o
o
Auditory Orienting in Autistic and Developmentallr-Delayed
Children
Elongation in Rey-Osterrieth Drawings of Right and Left Hemisphere
Temporal Lobe Epileptics
Neuropsychological Subtypes of Inpatient Conduct-Disordered
Adolescents
APPOINTMENTS
1988 - Present
1988 - Present
1976 - 1989
1981 - 1983
r.~.
. ' .·
BOSTON UNIVERSITY MEDICAL SCHOOL, DEP~~TMENT OF
CHILD PSYCHIATRY, Assistant Profe~~or·
CHARLES RIVER HOSPITAL, Wellesley, MA, Consulting
Psychologist
BOSTON UNIVERSITY, SCHOOL OF NURSING, DEPARTMENT OF
GRADUATE PSYCHIATRIC NURSING, Associate Clinical
Professor
BOSTON UNIVERSITY MEDICAL SCHOOL, DEPARTMENT OF
NEUROLOGY, Teaching Fellow
PROFESSIONAL ORGANIZATIONS
1986
1983
1979
1975
-
Present
Present
Present
Present
AMERICAN PSYCHOLOGICAL ASSOCIATION
INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY
AMERICAN ORTHOPSYCHIATRIC ASSOCIATION
SOCIETY FOR GENERAL SYSTEMS RESEARCH
••
�CURRICULUM VITAE
CLARE O'CALLAGHAN
PAGE FIVE
OTHER
1992 - Present
1992 - Present
1991 - Present
CLINTON/GORE MASS. HEALTH CARE COALITION
CLINTON/GORE NEW ENGLAND WOMEN'S LEADERSHIP GROUP.
CLINTON/GORE NEW ENGLAND FINANCE COMMITTEE
1991 - Present
THE CHARITABLE IRISH SOCIETY
1986 - Present
BOARD OF TRUSTEES, STONELEDGE CONDOMINIUM TRUST,
Weymouth, MA
Treasurer (1986 - 199e)
Trustee (199e - P~esent)
1984 - Present
ST. FRANCIS XAVIER PARISH GENESIAN PLAYERS
Weymouth, MA
Play Reading Committee Cha~rperson
1975 - Present
GEORGETOWN UNIVERSITY ALUMNI INTERVIEWING COMMITTEE
1991 - Present:
International Board of Alumni
Interviewing Committee
1985 - Present: Chairperson, Boston Metro South
1975 - Present:
Interviewer
•
�...
...
'>·
••
THE WHITE HOUSE
March 29, 1993
Ava Burkard
Burkard Industries, Inc.
P. 0. Box 116
Fraser, Michigan 48026
Dear Ava:
Thank you for writing and sharing your additional suggestions
on health care reform. President Clinton is committed to reforming
our nation's health care system -- controlling runaway costs and
providing security to every American family. It won't be easy and it
won't happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
I will pass along a copy of your letter to the Task Force for
further review and consideration. Again, thank you for your views
and especially for your continued support as we develop solutions to
this incredibly complex issue.
Sincerely yours,
ili~amwn
�Burkard Industries,.-=.;In:...:.:c;.:_._ _ _ _ _ _ _ _ _ _ __
Powder Coating • Chrome Plating • Zinc Die Casting
35300 Kellv Road
P.O. Box l16
Fraser, Michigan 48026
(313) 791-6520 FAX (313) 791-8980
January 25, 1993
Ms. Hillary R. Clinton
1600 Pennsylvania Avenue
Washington, D. C. 20500
Dear Hillary,
I was elated to
e your handwritten no e··· fr
tle Rock in
response to my-on uni versa! he
are.
elated to read in the newspaper that health care policy is your
first project. How fortunate we are, that even if foreign crises
conspire to delay the President's attention to domestic issues,
you are giving your full concentration to this vital area.
In the two months since I wrote to you, I've refined my ideas
through further study and discussion, as well as correspondence,
with health care experts and business people, and I'd like to
share them again. Bernice Reagan, (pronounced Reegan, please) on
the Inauguration Day MACNEIL/LEHRER NEWSHOUR, said something to
the effect that the electorate elected itself for a change, and I
confess, I believe it.
So: It is my impression that policy makers realize that, although
a one-payer system is clearly the economical and efficient way to
go, a multi-payer system such as pay-or-play, has a better chance
of getting through Congress, is less drastic a shock to all
parties, and we can move to something better later on. This is a
terrible mistake, doomed to cost too much because it will only
expand the miserably wasteful and socially inequitable present
set-up. "Global budget targets" as the sole cost cutting measure
will inevitably translate into health care rationing, which will
be criticized unmercifully. A sour first experience may just
preclude moving on to that better system later.
Many of the traditionally anti-government-involvement business
people are at this moment ready for a really good solution.
·Don't alldW the momentum to dissipate. Since business is the
logical source of funding, give them a meaningful reward: Free
them of the immense burdens of selecting and administering health
insurance programs for employees and retirees. This, by itself,
has to increase national productivity.
The second incentive
which will win business over is to include the purely medical
part of workers' compensation. Even the most negative old
grouches among my business acquaintances perk up at the mention
of this. And why not, if business pays most of the costs? Of
course, it wouldn't affect lost worktime compensation, longterm
disability payments, or any negligence penalties.
�.
A tax on business of approximately 10% of payroll (capped at a
generous level) would effect a saving over health insurance and
related costs for most businesses, particularly with the associated reduction in workers' compensation insurance premiums, and
the elimination of Medicare tax. Don't fret about those businesses who are now doing nothing about health insurance and will
oppose coughing up under any program.
An employee contribution is essential. Comparing social security
to welfare, or Medicare to Medicaid, it becomes obvious that we
do not respect programs to which we don't contribute. A contribution of 3% of payroll seems right for workers; however, if no
new personal tax is politically feasible, the 1.45% now collected
from employees for Medicare will suffice to start. These payroll
taxes will even apply to federal, state, and local governments
and their employees, as government will also be relieved of
employee and retiree insurance programs. We won't repeat the
mistakes of social security in that regard. The public highly
resents legislators exempting themselves from programs.
The funds are off-budget, as social security was meant to be, and
deficit neutral (or better, as there are assorted savings).
After a few adjustment years, each year's tax rate for employee
and employer will be determined exactly by the previous year's
expense, a great incentive to all parties to contain costs.
Since we are nearly the last modern country to develop a health
care program, we have the amazing advantage of hindsight at the
good and bad of other countries' systems. Canada's program works
quite well, much better than is sometimes reported, and is economical, but they have a more parsimonious national character.
Americans have a different personality, we are profligate
spenders of other people's money, as well as our own, as taxpayers. As a nation we have demonstrated that fact from the time
that health insurance became common and health costs skyrocketed.
We don't care how expensive or unnecessary tests and treatments
are if they are "covered". We passively accept that "defensive
medicine" means not defense against disease but defense against
lawsuits targeted at the caregiver, hospital or pharmaceutical
maker: no matter, it's free. Our "what, me worry?" attitude is
the main cause of spiraling costs that made uninsured health care
impossibly unaffordable.
There is a simple solution to cost control, which is obvious to
the buyer ef group plans that cannot discriminate by risk, and it
is NOT managed care. Managed care is good but not cheap. Did
you know that managed care systems such as HMOs and PPOs, which
are cheaper at their inception than traditional programs, tend to
rival traditional plans in price after about two years. The only
way for an employer-buyer of group plans to significantly reduce
costs without cutting benefits is to adopt high deductibles. The
premiums are surprisingly lower;
unfortunately, many people
cannot afford $500 or $1000 deductible, and employers or insurance companies cannot discriminate by income. Who can? The
IRS, that's who.
�Insurers know that the key to cost saving is deductibles. If the
consumer puts up the first money, if it's not "free", he notices
what he's being charged, whether the service is necessary, and if
he even received the service. Government can utilize the deductible in a unique, fair, and amazingly easy to administer plan.
Best of all, it applies only to adults with adequate income.
Neither the care provider nor the insurance company has a right
to know your income but the IRS does.
The individual visits the doctor, hospital or pharmacy of his
choice, with a plastic social security card. No money changes
hands, but a computer generated informational billing goes to the
consumer (who can dispute it with the provider) and to the administrator of that state, who is likely to be the same insurance
company presently administering Medicare. The administrator pays
the provider and every payment is accounted for on some individual's annual tabulation, avoiding phantom billings from providers.
After year end, the administrator sends each individual the
tabulation of his usage, along with a form similar to a W-2,
listing the total only, with copy to the IRS. That is the extent
of the basic paperwork!
The individual can easily compute his own deductible on his April
15th tax return according to the following schedule, which is
combined for couples, children have none. It is paid along with
taxes, or deducted from refunds. The amount would not be liable
for under-withholding penalties, as it is in no way a tax. If he
has little or no usage that year, he pays little or no deductible.
1% of income to $25000
(up to $250 deductible)
2% of income of $25001 to $50000
(up to $250 + $500)
3% of income above $50001, such as $75,000 = $250 + $500 + $750
$100,000 = $2250
$150,000 = $3750
capped at $250,000 = $6750
Exempt from deductible:
Minors
Those below the poverty level
All pre-natal and·well-baby care
Selected cost effective preventive care
The amounts are selected to be significant at every level of
income, in order to create a careful attitude towards health care
consumption. This will impact fiscal responsibility even more
than the actual amounts collected--which will, of course, go into
the health budget, not general funds. There are absolutely no
co-pays or those little percentage add-ons that Medicare is so
fond of, and which completely confuse elderly recipients. Simplicity is the key to the consumer's understanding of the system
and involvement in its success.
�It is no vice to want to make everyone happy, for how do you
enlist their cooperation without satisfying them with mutually
beneficial trade-offs?
Here, we have provided the health care that the PUBLIC needs, at
a price, but it is a price each person can afford.
We have asked BUSINESS to pick up most of the tab; in return we
have relieved large and small business of some enormous burdens.
We have taken STATES out of the Medicaid business, and relieved
them of state employee and retiree health insurance premiums, in
return for participating like any other employer in our program.
We have relieved our DOCTORS of bothersome and costly paperwork:
at least half of their employees deal with insurance, not patients. We must negotiate mutually satisfactory rates with
doctors and other providers, probably on a state by state basis.
Government must assist PHARMACEUTICAL COMPANIES in bringing drug
costs closer to the levels enjoyed in Canada and elsewhere.
We must encourage the administrating insurer in each state to
contract the excess work of plan administration and scrutiny of
costs to other HEALTH INSURERS instead of expanding their own
facilities, minimizing upheaval in that industry.
The actual transition will be mind-boggling, but nothing could be
more worthwhile. Hillary, I wish you success with all my heart.
You are an inspiration.
Sincerely,
.Avae:~
��I~~~ chiefs urge
~d against Japan
"'\'
BIG:.1;~
Paae 1A
Po!ini Earoli outlined, for the first·
time in publiC, a set d principles the
three· companies will support as they
~·for natiQnal health care !egisla-
. Those priol;iples include univelsa1
.- . quality 11SSUr311Ce, adminis·.,..,;simplita·ble·fundingcity,_
cost_
oonlaimnent
-..-
think the first 100..120 days are fairly
aitil:aL
Despite recent gains in market
share, the three leaders portrayed the
domestic auto industry as troubled,
with anemic U.S.
and massive
investmeots needed to meet competitive pressures and new govetment
regulations.
Healthcosts,Cbrysler'sEatonsaid,
now accmmt for one-oeventh of JUOSS.
domestic product, but will represent
vne-thirdin 25 years if present trends
D
sales
peciliqllly. the three companies
ocate: A national health care budbald down costs; managed com- amlinue..
,in.whicbpriwtesectorprovid"Beeieve me, that will break the
must. abide by federal guidelines, oounlry,0 Eaton said. "But long before
mliversaJ aooess to coverage, ei- it breaks the eountry, it would break
iherihroug!J.einploymeot-basediusur- the oounlry's largest employers, in~ m- goverment programs.
duding the· three of us."
1:·
and Ford have advocated
Friday's meeting was less bombasj;ilnilar principles.for years. Officials at ti&tban last year's auto show !untbeon,
both Companifs acknowledged Friday wbeniormer CbcysTer O!ainnan Lee
they're. delighted that GM bas 1acocca issued a broadside against ]ajoined them, since disparate p8n, which be said was "besting our
l!Y Big Three autnmakers bas brains ~ and needed to be restrainbeen viewed-as an impediment to ed on trade.
lObbying effectiveness in WashBut Poling. in less strident terms,
, -~-.Brothers ···'-- joseph picked up laoocca's theme. accnsing
...,.....,.
~~~
Japanese manufacturers or tcying to
~ said, however; "for the first take over the U.S. auto, teleoommunipne the Big Three .automakers are cations and computer industries. He
!IDted on major issues,n and are advo- caDed for setting weiHielined targets
~tingthe kind of oollaboratillereltinu tolimitJapanesemarketpenetratinuin
lilit' automakers in Europe and Japan autamobiJes, and <!lldmsed similar
~Y. with their government.
. measures in EUrope.
·
BlebersaiiiFridsy'sEoonamicC!ub, • ~ TheJaJ!l!llese. said Poling, "under-
91IJS}er
t:f
~
UAWPresident OWen Bieber secondfrmn right, andmeadlers of the Michigan congressional delegation
speak with the DeWS mediaafter meeting with the leaders of the Big Three automakers Friday .at Cobo
HaiL Bieber hailed the camaraderie .shown at the Ecenomic Club of Detroit luncheon that brought
together the CEO&
.
••
- --
.
• ·.
.
·,
~~~i ==1r.:::=::. ·Trade, hffilth care,· cooperation
~~=~do~ £{r~:~":~r:sto=..:d~ are automakers' top '93 p··riorities
·• ·
that Ibis domestic auto by Clinton's position "that the United
tubes.
.
Japaneseautomakerslladalow-lrey
Smith, Poling and Eaton were also reactionFrida .m their response to Big
. . in their praise~ Clinton,~ Thnie. ~
whomtlieymetfor90mmuteson
Toynta 8p9kesman John McQmd.
eday in~ Rock. Ark._ Bieber less said, "It'S good to see hig!Herel
Vtce President AI Gore also .at- cooperation betweeltgovemmen!, the
ile!L
· ·
companies and the IDiion. But they
··Sinitbdre.w•!augh:fmlllthecrowd sbouldo't ignore 3~ peroent of the
Cobo Hall. Oil Friday when he said, people in Ibis COUDIIy who buy cars
t was an iiiteresting meeting; with made by foreign-based automakers.
president-elect getting us roffee."
"We're a solid part of the U.$.
The Big ~leaderasaid Clinton ecoJIO!DY. There~s no questinu that we
k off his toaf; rolled 1lP his sleeves contribute to the U.S."
•
d engaged in an intimate, free.
DespiletheirpleasurewithCiinton,
• discussion. They <lescribed the Big_ Three sliD haven't OODYinced •
3
'!l'>
dro1>
•.
•as ~~!hi. ~
.~ Closely10
blems, and detemlined to help. lt
·
But~Bilnrre
.
~=~
The Big Three's Wasbingtoil wish!
list focuses on three issues: trade pol>-
cy,healtlu:ar~andregulaton'eo<>pera.-
I.""ant theleaders
U.S.
ndristry
·"'
government to
$
want:
mandate a 5·
biffi'on to $1().
TRADf: The gap between what Japan
sells tollS and what we seB to them is
billioll annual
swellin d"--'"urtbs.of•~ .. •
•
·
g an """':'"
~...... • reduction m the .
~ ~ ~goal of~ ~~rn!.;!t~em: _. trade.ga'p with
llllllllllwn fuel-economy standards to
¥elllllleDt to mandate a $&billion to
.
40 miles per galbm, from tbe current ~().billiml-mmual reduction. If Japan
1apan.
· 21.5. .
•
.
Smith sai!l Friday tbeautomakera
• lhis.....,..;...n"""·--·" ,.,., hope. II! ~-tougher "!aJldsrdaJinby
tm . -~·-· \"'!"!'........, "'" Ollll!lJICDlg .,...ton to ~ gaso e
weditlbegiii;Jll.! . ·.
. . . ·:y : '"' ~ ''"-"'7-'k -- ""
L'-- .. ·:·.,~~f::~:~{""t~:-:J:
-~: ~ ,._;c~~~
~
, ..... to.telljust· :.
.
'"
'.-:7-¢ :
WfoundunitywillV • ··: '' .J':,.~>-; ,._. ,r·-"~ ;, ·.;·~. -'~'
tiOIL
Here~
a S1llllJlJ3IY of what ·they
doesn't meet the goal, if,woukUace
higher tariffs or some oi!Jei: jleD8Icy OD
imported goods.
.
WJJat'snewistbatGenera!MOtora,
traditinnallytheBigThree'sfiee..trade
boldout,now':"Pportslhisapj)roach.
EAI.11I
An three believe. the
take
tro1
em.
~ea~j' ~,· ,Qur..·~~-~~~f.~~··:;,:_;<.~:~;
~soi::O..that':ers
A~~, ~.b. r:::z,.}ii:):tjT:#.f::i..~';~DllfYi4·'''
older workem and· retirees. That
~.four touy~;res ~ ~ C<!llts~~~
'_ -Asem)Siet
~=~· ~~~:~~·Etr~. :~E.:;!?!
·~y~~t:::·:.:~~:-~~ttii0~~-f~~:~~~:·~ =:~==-~
CliiiiJD3iiRooert Ea-
.
�.lt~~f~J
1 ()u,._J_ ry.-av JJ
~lNn~
~b
('Z..b
T~--f-8
\
>
DAY I
<9
j
�~~~chiefs urge_
f
..
·~nd against.Japan
BIG.:. :mm "-. lA
_,
~..
p~ Eaton· outlined, fur the fust
~in public, a set of principles the
.three' Clllll)lallies will support as they
J)rl!!ls'for nationallrealtli care, IegiS!alion. :•
'Fliose principles include ~
ooverage, qnality JISStJ[3J]Cil, admini9trative: simplicity, cost ·cnntainment
I aild e<jUitable funding.
.
Spej:itically, the three COIDjlllllleS.
·
adVOcate: A national health care bud1 ·1!0! td ·hold down cum; lllal!aged Clliii' potitit'in, in which privatesector.provid· .ers must.abJde by feder.il guiilelineS,
: and' Universal access to' coverage, ei.l!llertfuougbemployment-basedinsur-·
ance or·govennent ~- ·
. 'Chrysler and' Ford have advncated
; ~principlesforyears,Officia!sat
t. 'bo!:h·companies. acknawledged.Fnday
' iha~ they're delighted that GM has.
joined them, since dispar.lre
: -views by Big Three automakers ~
long·9ein viewed as.11J!_inlpediment.til
:\!leil"-ltlbi;ying -effectiVeness-m, wam..
.
I.
,
I
'···y'
;~iilgtnn.' ·
i, ,
·
·
Lehman Brothers aoalyst Joseph.
,
·
ever, ''fr!r the firSt
.autolna:Rers are
•
..
tbirik.tbe fiist 1$-120days are.falrfy
.critical."
Desp~ reoont gains in marlp!t
sbaie, thetllreeJeaders-]lorttayedlhe
tlomestic auto- industry- a ·trnubled.
with $ernie U.S. .sales and'-massil>e
investmenlllneeded tu·meetoompe!i.
trle pressures .and.- gOverment
regulations.
Healthcosts, Clleysler'sEaton.said,
now aa:onntlor one-se\lenth of goss
domestic product, but will n;present
orie-tbirdin 25~-if present trends:
continue.
"Believe me, that willltteak the
ooun!IY," Eaton .said..''Biit)ong before
it breaks t!ul· country, "it would break
the muntey's largest- employen;, incluq the three of m."
.. Friday'<~ meeting was less homba&"lic.thanlastyear's.antoabowlmu:hoon,
when fonner ~ Clllinnan Lee
•
1acocca issued a limaaside agaJnst Japan, wbil:b he said was "beating 0111:
brains out" and needed tn 1leres!r.iin· ed m trade.
· But Pnling, iii less strident termS,
piclred np Iacoo:a's theme, ~g
Japanese manufiu;tnrers or tcyin.g to. .
takeover !De U.S. auto, telecoiimnmiations
computer ioc!Ustrles; He
caDed.fiJr setting well-defined tlrgels
ann·
issues." andare'!dvo: ·,.ling1:he kindofcollaborativerelatioa !61imit]apanesemarketpeoetrationm
• .thar ll11\<lllJalrei in. Europe and Jap;m, automobileor, and iOI!dtirsed similar
·
·
measures in .EilroJJe:
...,.- _
.,~
,.-·...,;:..· _
!'
•
, 0•
·e•f'm
•
p.
Trade, liealth Care, ~oo~rat1o~
: ye,, 1)Ut: eveeymreihas CO!""'. f!i ~
!· r~ that this dbJiieS!!c aii!Q
; ·industry bas to- be a lyne
1: eell!l\lliiY, ana we baire to
way 'leSt we see om econom
' the ttibes."
JapaireseauteJnalim:badalow•
· smith, PQ]ing and &.ton were also readi!mF1idayiQ1heirresponselollig
' enth.tic in their praisefor Clinton. Three leaders;
BY GREG Gill!DNER
witfiwbomtbeymetfor.90ininuteson
Toyotal!)lllkesmanJ()ImMi:Cand-. ilao{'roso-\Vriior
,
Wei>ieday fu Little Rock, Ark. Biebel: less said, "'t's. good to see high-level
The Big Three'" Washington wishand·'Vice I'Iesideut AI Gm:e also at- 'ooopemtiruH>etweengovemment.tlle lm..fucases<m.tbreelssaes:'tradepoli-.
tendetl.
ctliilpallies
the union. But. they cy-,Dealtbc;n-eandregulatoi:yMOpera- Sinith drew" a:lllugh.fromthe'crowd !!houldn'Ugnore 30 J)e1'Ceut at- tire lion.
·
· ·
at Cobo Hall"" Friday -when he said. Pe<>!>le in this emmtry Who buy cars
llere~s a ~ at. What t1!"l'
"fl was an interesting meeting, with made by foreign-f>ased autmnalrexs;
~
•
thepiesident-electgetting us toffee."
"WI!.re a solid pm af the U.S.
The Big Three leaders sald Clinton eamomy, There's no question tllllt1¥e TRADE:- The gap betlveen what ]liJlO!l
!Jlok off his cctat. rolled up his sleo:ves- contribute to the U.S."
sellS to us an<lwlia! wellell to _theilris ·
and engaged in au intimate, freeDespitetheirpleasurewith,. ~ -"'-and tm:ee-fourtlm"of~Rlo
~g discussion. They described the Big Three still haven t ~ · ;'~ $33 billion-a year, is autu-him,.,;s well-Wormed-about the auto him to drop his goal of maeasmt .relllted.JnQuslrylead='!'i"'tthe u.s:_
ro~try;willin~listencloselytolts minimum fue1-eamomy sbmdatils-tu - - ·- · !O.;w,aatea'$5'1iillfonm
Jl!Qblems, ann detennined to help it 40 miles per gallon; from the current ~aminal reducti!m. If Japan
succeed.
·
· 27.5.
..
.
doesn't meet the goal, it wcilld- fate
·~ have not yet bad that kind af
Smith .said Friday the antomill<ers higher tariffs or some othei:-penaltyon
~between lmsine!lsandgovem- hope_ 1'! derai! tuugber ~_by . imported gtjOds;
.
•
ment:in this C()11Iltry,'' Polingsaid. ''it's comrmcmg Clinton to rmse g;moline
What's new is that-~ Motors.
time we.did .begin. and !think we have taXes, thereby ecCQuraging<:OilS1IIIIelS traditionally the Big Three'sfiee-trade
a start."
todrivelessandbuyfuel-elficient<aiS; boldout,now'SllppOrt!l this 3pproadi.
• But !he Big Three officili1s said it's
''In our elqlerience,'' Smith said;
too soo~ to tell just what impact their ~:the. greatest gains in vehicle fuel
EAm CARE: Ail three bEiljeve the
newfound lllliljwillhaveon thetrenc:h~ilfficieccy came about whee gasOline fedenl ~must take oontrol
. war(are. Clinton is snre to'- ignite irr ·priceswereincreasingmel(pected fD 'inaaftingabroadsolutiOnthatCO'IetS
·· Washington when he makes specllic increase."
,
·
every American. amtaiua costs,. ~
:·',proposals onlsslles such as. health tare
Smith:secdcrseme!)t.afa 2$- fDSl)- videaqUij]ity .:are and dQesn't penalize
aild fpreigu trade.
,cent ~-in gas taxes is lligber ~like them those'with lllllliY
· A lot <fupends on Clinton's 9')er311 than what Clihton'a eamomica<Mset:s · e£ wor1rers
retirees. ·That'
eoonl>mi¢ l!trategy, whid! is ~ WI- bad nmsideteQ :eailier this week in
doesn't~ mean
of6lalng.- ·
· . - "I..ittleRock. They-~ a 15-cent tyj1¢lla!i~ ~ealth ~system, but'
_ "My guess is the pr~dent-elect increase in t11e lliUTeDt tax af· lU ~~~~
Will select !bur to five issues ~~ be centspe-gallon,.~in over several . ~ ~.Qliiiiilllli Robert ~:
consiQers fu)portant." said Polfug.. ''I years.
•
_.
· · .. .
are automaliers' top '93 priorities
ndustrf US
1 theleaders
,want
• •
«overnment to
ana
ami.
a
et
mandate a $5billion to $10-
billidn annual
redueti'"on m' the.
trade'gap with
·
·
Japail..
•
..
t..-~--------~
ton -ted Fridl!y,lrealtli eire costs
for dOmestic~ are $600per
higher than lor their Japanese .
COIIqlelitors. They JI3!!S that bill c11t tc> ~~!~~:.;~~~=~
COIISIIIlrerS•
1
RtctliAURJ 1:00PDIA11011: :Baskally,
this means the. indUstry WOn't f!gbt
environmental or safetlr ~
:nnlesstheyadd oostB. Thev've..saidtbis ·
car
•befin.-but therearelob~in.Wash-
fugton whowill continilelightiugautomairers on thl$e'issue&.
For damp!e, Galifumia and New
Yorkhive mandatea that twO pefeent
�...
...
THE WHITE HOUSE
April 5, 1993
Ms. Joan Murray
Bergen County Member
Democratic State Committee
of New Jersey
One Franklin Street
Mahwah, New Jersey 07430
Dear Joan:
Thank you for taking the time to write regarding the
problem of medical fraud. The Health Care Task Force has
received many similar complaints, and it is one of the major
problems we will be considering in the weeks to come.
The President and I appreciate your encouragement
and support, and we will continue to need your help as we
meet the tremendous challenges ahead.
Hope our paths cross again soon.
Sincerely yours,
�,..
Democratic State Conunittee
of New Jersey
,..__:
'f
&......,___
//'•'
--<--6> ..· .
'
'I !"'i7'T'~- -~/
~~-;,..;
February 4, 1993
Mrs. Hilary Clinto1•
The White House
Hashington, D.C. 20500
Dear Mrs. Clinton:
Our mutual friend Susan Thanases introduced us when you came
to campaign in Fair Lawn, New Jersey one stmny · day last sUlliiler.
On the day that you were appointed as the head of the Health
Task Force, I was watching the news and I hereby pass on to
you what I consider an interesting fact.
The
her
she
The
canmentator told the viewers about the wanan who questioned
medicare bill because it contained charges for procedures.
did not have fran doctors who ~vere totally unknown to her.
government agency persuaded the woman fran further complaints.
The canmentator \vent on to say, for each one dollar spent in
investigating,eleven dollars P.re recovered. They estimate the
total amount 6f medical fraud of this type is in the neighborhood of 100 million dollars per year.
I hope this inifo,lilation will be of sane help to you.
it ~11 give you another starting point.
Perhaps
Good Luck ... Go get 'en ... we lmow you can do it!
JU1/hs
0111~
fr<Hlklill St.rH!I.,
M;JIIWilll.
I'J .J ()7.-1:111
201/891 21131
�THE WHITE HOUSE
AprilS, 1993
Curtis B. Clark, M.D.
Department of Family Medicine
University of Tennessee
24 Pepper Ridge
Jackson, Tennessee 38305
Dear Dr. Clark:
Thank you for taking the time to write and share with me
your thoughts on health care reform, with specific comments about
physicians whom you consider to charge excessively and not give
their patients adequate attention and care. Although most physicians,
hopefully, have chosen the profession for the right reasons, it is
unfortunate that there are some with purely selfish, monetary
motives.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Again, thank you for your views and for your support as we
seek solutions to this incredibly complex issue.
·
Sincerely yours,
I~ .it
·
~~Clinton
�RETIRED
UNIVERSITY OF TENNESSEE DEPT. OF
FAMILY MEDICINE: GERIATRICS; GERIATRIC
ADVOCACY; AND ELDER ABUSE.
24 PEPPER RIDGE. JACKSON, TN 38305
(90 I) 668-1369
March 14, 1993
Mrs. Hillary Rodharn Clinton
The White House
Washington, D. c. 20500-2000
Dear Mrs. Clinton,
First, I would like to say that I am very glad you were
chosen and have accepted the challenge to lead the change in
our health care system. The reason I chose to support President
Clinton and your effort to go to the White House was the great
need for change.
I did read and study " The Inside Story."
Frankly, my concern is not for self but to see a better way of
life for the "forgotten Americans."
You have wisely chosen not to allow organized medicine to
be involved in the policy change. Even though I had paid dues
to medical societies for 37 years, needs for patients and my needs
as a primary care physician have largely been ignored. Many
of the physicians have served in a dedicated way, but their voice
has not been heard. Last year I received regular regular requests from the PAC of Tennessee Medical Society and as I
continued to i~nore the requests, the letters became more abusive.
A few days ago an internist and a cardiologist expressed their
displeasure with similar letters when they failed re respond.
Both are tops in their fields and serve patients in a kind and
compassionate manner.
I know that they serve the best interest
of patien~s and not solely for personal gain.
I speak form two viewpoints.
First, as a family physician
in Sheridan, Arkansas, Grant County.
As you know we are some
what isolated, economically deprived and have some of the best
people on the. ·face of the earth.
I worked in Sheridan, Which
is my horne town, as a family physician for 23 years. When I
chose to leave private practice and take a job with the Department o'f Family Medicine, University of Tennessee, Jackson, Tennessee,
it appeared that we would not have adequate numbers to carry on
the work.
It has been a busy, challenging 15 years helping train
family physicians. My professional career carne to an abrupt end
when, during a medical procedure, an injury ended my gainful
employment.
In retrospect I would chose to spend my professional
career in the same manner.
�-2-
Some 10 years ago we were summoned to Memphis to be told that
the University would reduce the number of medical students.
I was
heartsick because I felt the number of family doctors would be reduced.
That has been exactly what has happened.
One other reason
for the reduction of primary care physicians in the hostility of
many super specialists who discredit our work and the salary we command.
By example I tried to show our residents that our work is
challenging, personally satisfying, and worthy. Let me assure you
that I deeply admire and sppreciate my collegues,but I also feel
that many of them have lost the human touch and make charges that
are outrageous.
Just today the average cost for the same medical
procedure in Miami was reported to be $1,800 and in San Francisco $800.
There has to be a reason.
During the past year a major surgical procedure and a medical
injury has allowed me to experience first hand our medical system
as a patient.
It has been wonderful at times and at others cold
and indifferent. My medical insurance has been a nightmare. After
deligent payment of insurance premiums for years, claims were denied,
insuraNCE companies fought, while claims were not paid and threats
of law suits were made because of non-pament.
Over the last 25 to 30 years a lot of work has been done in
my special interest, Geriatrics. Last year there was a 20% decreas.e
in the number of physicians that were willing to go to nursing homes,
to see patients.
I still do some consultation work in nursing homes.
There are many things that need to be changed. MOre physician
participation would be a big start.
Physicians use the excuse of poor
payment fur services, but just "throwing money'' to a problem will
not solve the problem.
I have worked with a geriatric nurse practioner for several years.
The patients and families were very responsive to her, as well as
the nursing home administrator and other members of the health care
team.
Such an arrangement allowed more prompt treatment and less
expensive hospital care. The quality of care is better and the cost
is less.
Rather than have 50 of 75 different doctors for a nursing
home, we need full time physicians and nurse practioners who spend
all of their time in the facility.
While making rounds a few days ago, I became frustrated because
of physicians who would not visit their patients for the 60 day,recertification. When the assistant director of nursing was questioned,
she agreed that many physicians give the patient a "lick and a promise."
That is a country quote my mother gove to me when I failed to carry
out a task she had assigned.
Research has shown that physicians spent less time with their
elderly patients than then do with their younger patients. This is
spite of the fact that older patients tend to have more complicated
medical problems. A study I did several years ago that included
�..
-3150 physicians in primary care indicated the majority of these
physicians would like to refer the older patient.
There is good evidence that many physicians have taken the
attitude "we will make all the money we can before controls are
placed on our income." It is embarassing that such am attitude
has been apparently very common.
We must find some way to reduce the greed, the double billing
and outright fraud that has become so prevelant in the health
care services.
I will not enter into a long explanation fo the
abuses that we kno~ are so common.
If these wasteful abuses
could be controlled, we probably would not need additional funding
to take care of all America's health care needs.
A few years ago several million dollars were spent to
evaluate fair and equitable charges for physicians.
It is called
The Harvard Study and would serve a useful guideline for your
committee.
Since I had started this "epistle'', restraints have b~en
set into action to restrain or de-fuse your committee. No doubt
the special interests are at work in this matter.
Finally, I wish you and your health care committee success in
this most pertinent and difficult task.
Respectfully yours,
~dttvlo(?
Curtis B. Clark, M.D.
�..
THE WHITE HOUSE
WASHINGTON
April 2, 1993
Carol Schwartz
Counseling & Psychotherapy Associates
269 Walpole Street
Norwood, Massachusetts 02062
Dear Carol:
Thank you for recommending Dr. Mary Lee Ingbar for participation in the work of
the Health Care Task Force. I value your judgment and appreciate your interest and support.
The Task Force includes the Secretaries of the Treasury, Defense, Commerce Labor, Health
and Human Services, and Veterans Affairs; the Director of the Office of Management and
Budget; the Assistant to the President for Domestic Policy; the Assistant to the President for
Economic Policy; the Chair of the Council of Economic Advisors; and the Senior Advisor to
the President for Policy Development.
In addition, the Senior Advisor to the President for Policy Development will lead
interdepartmental working groups which will gather information for, and provide information
to, the Task Force. The working groups, which are working closely with Members of
Congress and their staffs, are comprised of government employees.
While the working groups have begun the process of preparing policy options for
reforming our health care system, their work is an ongoing process. The members of the
Task Force are anxious to consult with knowledgeable and concerned people. I am directing
a copy of your letter with Dr. lngbar's letter to the appropriate working group.
The ~ident and I will appreciate your support for the success of our endeavor. He
is committed to reforming our nation's health care system -- controlling runaway costs and
providing security to every American family. It won't be easy and it won't happen
overnight, but we can bring costs under control while maintaining quality medical care and
preserving the choice so important to us all.
Sincerely yours,
�CQ{j~SELING
& PSYCHOTHER-\PY ASSOCL-\TES
2ti9 ~1./afpofi 5tTeet. :\._orwoott: ~'\{:~ 02062
i ti17)
7ti9-ti834
March 25, 1993
Mrs. Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20500-2000
Dear Hillary,
Mary Lee Ingbar is uniquely qualified to contribute to the planning, design,
and assessment of a national health care program. She has worked at many levels
of the health care system -- with providers, academic institutions, and state
programs involved in rate setting and planning. Her-background in public health
and economics is supplemented by a detailed knowledge of the medical profession
acquired by virtue of her late husband's involvement with academic medicine and
medical research. She would be particularly skilled at organizing the various
disciplines and interests concerned with the interface between payment structures
and the health management information system(s) required for administration.
She views the ability to interrelate institutional costs and measures of the
quality and appropriateness of care as critical to the development of more effective and efficient programs that truly serve the ihterests of society in the long
run, Her expertise would be useful in a review capacity, on appropriate connnittees,
or on a full-time consulting basis. Her perspective needs to oe introduced early
in the planning, design, and implementation of new programs.
Enclosed, Mary Lee has written a distillation of her ideas regarding the cost
factors of the health care delivery system. She was one of the earliest cost
containment economists at Harvard and teacher/mentor of Joe Newhouse.
Fondly,
c·~·
Carol Schwartz
CS/jm
Enclosure
�Mary Lee Jngbar, Ph.D.
305 Dudley Street, Brookline, MA 02146-5935: (617) 566 6m7, (617) 566 6313 FAX
March 20, 1993
Mrs. Carol Schwartz
241 Perkins Street, I 402
Jamaica Plain, MA 02130
Dear Carol:
As you requested following our delightful evening together, I have tried to codify some
of my reactions to the thought provoking presentations that I heard at the two-day meeting
entitled, National Health Reform: Ethical, Economic, and Political Considerations, which was
sponsored by the Division of Medical Ethics of the Harvard Medical School. I was discouraged
by the gaps in our knowledge of many aspects of health care systems, both biologic and manmade, about which we should know more. I was also struck again by the essential impossibility
of satisfying for all citizens the demand for medical care at reasonable cost. Market imbalance
and skyrocketing costs pervade all reports -- in Britain, these range from the White Papers of the
thirties to the subsequent Beveridge Reports and on to the present revamping of the National
Health Service; in the United States, they start with the political agenda of Theodore Roosevelt
and go on to the reports of the Committee on the Costs of Medical Care in the late twenties and
early thirties to legislative proposals of the late 1940s and the mid-1970s.
Despite the lament of history, I believe new tools provide health care systems -irrespective of their organizational and benefit patterns -- with opportunities for delivering
services more effectively, efficiently and economically. I refer particularly to computer hardware
and software and to the expanding communication capabilities encompassed by the broader field
of informatics and artificial intelligence. If the potentials of these instruments are to be realized,
however, it is essential to understand that current market defects reflect innate characteristics of
the health care "product." Results or outcomes of care are not absolutely predictable and are not
always in direct proportion to the quantity or quality of resburces expended. This may reflect
variations in competency, organizational or professional. It ~so reflects the clinical ambiguities
confronting the diagnostician and the consequent uncertainties associated with the response of
man as a complex biological being to specific therapies or regimes. Whatever the cause, the effect
is that any "purchase" of service.ftas only a "probability'' of being effective-- much as a weather
forecast has a known likelihood of being accurate. Patients feeling helpless because the services
they receive do not solve their problems may look for more care. The inherent market imbalance
from unmet needs and unsatiated demands will then be acted upon if the price or out-of-pocket
costs are right.
Because of the uncertainties in the linkage between service and outcome and the
consequent sensitivity of demand to cost considerations, it will be impossible to create a single
universal affordable benefit and coverage package that satisfies everyone. Rather, it will be
necessary, on the one hand, to provide basic coverage to all for those treatments and therapies
known to be most effective in improving health, and, on the other hand, to devise ways of
permitting the delivery of care that may be more probabilistic in outcome and benefits. Quite
apart from issues of consumer satisfaction, without such duality in the system, innovation would
be impossible because there would be no ongoing way to finaf\ce the "testing" of new procedures,
�,
therapies or drugs. The dividing lines between such ''basic" and "less essential" care are obviously
in flux and continually changing, so any public system must pe dynamic and capable of shifting
these lines. The Oregon system of "rationing'' Medicaid dollars is the most recent example of a
system for determining these lines, albeit the aU-or-nothing policy of inclusion of services appears
crude.
The key to the development of better systems will be to link payment schemes with
assessment of effectiveness and efficiency. A detailed data base must be continually created and
maintained that can be used: 1) after services have been rendered, to assess their appropriateness
and effectiveness of services; 2) as care is being delivered, to help physicians and other providers
make choices and improve decision-making; and 3) to define and monitor the line between ''basic"
and "less" essential care. The work by Robert Brook, M.D. of 1The Rand Corporation and UCLA,
for example, illustrates the potential savings to be achieved by improving quality and eliminating
less appropriate care within a variety of procedures, each of which requires the application of
different guidelines.
The realization of the potential of technology, outcome, and process assessment in medical
care requires imaginative linkages to payment systems and vica-versa. Payment systems can
create incentives to provide the care thought to be most worthwhile on the basis of ethical,
medical, public health, effectiveness, or other considerations formulated by a variety of groups.
They can also be linked to requirements to report data from medical records that will be useful
in multivariate statistical enquiries into system effectiveness and efficiency for selected groups of
patients, providers, diagnoses, or treatments. Such a policy may offer the risk of infringing on
patient and provider privacy, especially if longitudinal data over time are to be generated in order
to assess lifetime costs and benefits. Nevertheless, I would argue that, with appropriate
safeguards, the creation of comprehensive data bases from information about individual patients
is essential if we are to improve the performance of our health care system.
The same sophistication must also be applied to data concerning costs. Policies must force
providers to ask more detailed questions about how they are providing services and spending
institutional resources. This goes beyond merely asking how to maximize provider revenues and
minimize annual third party expenditures. For example, payment systems could separate
reimbursement for direct expenses associated with medical services from those covering general
expenditures associated with overhead or general and administrative service departments. The
so-called indirect non-revenue producing departmental expenditures could then be subjected to
ceili.'"tgs or could be paid fot on the ba!is of average nuinbet of admi8siol\s, beds, or days of care
(adjusted for levels of outpatient care). Such units of payment should be designed to encourage
inter-hospital cooperation and efficient use of capital facilities, institutional or technological.
Direct expenses, in contrast, could be paid for in a variety of ways -- fee-for-service, diagnostic
related group admissions, capitation, or any other criteria promoting quality of care. These units
of payments should be selected to promote both equitable levels of payments to providers and
the generation of appropriate services and the associated information required to appraise in
detail their specific appropriateness, efficiency and effectiveness.
I hope this helps to clarify some of the ideas we began to discuss. I shall look forward
to future explorations.
Best regards,
Mary Lee
Je_ •
~Ph.D., M.P.H.
�THE WHITE HOUSE
April 1, 1993
Dorothy Sherwood Berner, M.D.
Assistant Director, Internal Medicine
Presbyterian Hospital of Dallas
8200 Walnut Hill
Dallas, Texas 75231
Dear Dr. Berner:
Thank you for your letter forwarded to me by Ann Sentilles in
which you share your perceptive suggestions for health care reform.
We are soliciting dialogue throughout the country from all segments
of the health care industry in this tremendous undertaking to find
solutions to the incredibly complex health care problems facing us. I
am passing along your letter to the appropriate working group of the
Task Force for review and consideration.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Again, thank you for your views and for your support of this
endeavor.
Sincerely yours,
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�Dorothy Sherwood Berner, M.D.
Asst. Director,
Internal Medicine
Presbyterian Hospital of Dallas
8200 Walnut Hill
Dallas, Texas 75231
March 8, 199 3
Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue
Washington, D. C. 20016
Dear Hillary:
As a practicing physician, I have several ideas about the
reform of America's health care system which I presume to
share with you because I, like you, have grave concerns about
health care and the delivery of adequate health care in this
country.
After six years in private practice and two years as
director of a hospital residency program where I care for the
indigent,
I see three fundamental challenges:
1)
How to provide adequate health care for the
indigent;
2)
How to provide adequate health care for the
elderly; and
3)
The development and enforcement of an acceptable
"standard of care" .
How do we, as a nation, as professionals and public servants,
address these challenges?
I have the following suggestions:
With regard to the indigent and the elderly, I recommend that
any individuals who meet the current criteria for Medicaid or
Medicare be given vouchers with which they can "purchase"
their own insurance.
Currently, a family of four can be
adequately covered at a cost of about $6000 a year.
To
provide for routine office care not covered by insurance, I
would give these individuals $500 worth of "Doctor Stamps".
These options would preserve the element of choice for all
individuals, regardless of income or age, and it would
eliminate the discrepancy between Medicare/Medicaid and
private pay patients, both in terms of the payment received
by the physicians and the availability of those physicians to
the community.
At present,
I remind you, there are
communities (and I live in one of them, Plano, Texas) where
�,
there are no internists who are willing to accept new
Medicare patients into their practices.
A voucher/stamp
program would ensure access to medical care for all citizens,
regardless of their ability to pay.
It would markedly
decrease the administrative costs associated with Medicare
and Medicaid.
And, it would force insurance companies and
physicians to work together to establish appropriate and
equitable payment
schedules, eliminating, for the most part,
the role of the government in this determination.
With regard to standards of care, there is a compelling need
in this day of rapidly advancing medical knowledge and
technology, for well-designed criteria.
I recommend that
these standards be developed by physicians within each
specialty, and reviewed by experts in each field.
I believe
the dual goal of achieving an acceptably high standard of
care for all Americans while protecting physicians who comply
with the standards from expensive and unwarranted lawsuits
would mitigate medical costs substantially.
Finally, with regard to cost containment, I encourage you to
examine the widespread practice of physicians owning their
own high-tech diagnostic equipment.
I believe this practice
contributes significantly to increased medical costs in two
ways:
first, physician-owned equipment is used far more
often than hospital-based equipment, escalating costs for
tests that may not be necessary;
and secondly,
physicianowned equipment causes hospital-based equipment to be used
less, driving up the per-cost use.
It has long been thought
to be a conflict of interest for physicians to own their own
pharmacies;
owning their own extremely expensive diagnostic
equipment poses the same conflict in my view.
The physicians I know and respect want most of all to provide
competent care to patients.
While there is, clearly, greed
in the medical profession, I hate it, and find that many
caring doctors disavow it.
I urge you to pursue reform of
our health care system, to stop its abuse by both patients
and providers, and to work with responsible physicians,
insurers and consumers to assess and, when appropriate,
implement changes such as those I have been so bold as to
suggest above.
With sincere thanks,
~'1 ~tr/V~ -~I'Jtrl-lf"J
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co:
Sherwood Berner, M.
D.
Dr. Ron Anderson
Dr. Barry Brooks,President, Physicians for Patient Power
�THE WHITE HOUSE
April 2, 1993
George G. Moran, M.D.
Drs. Moran & Moran, S.C.
1400 West 47th Street
La Grange, Dlinois 60525
Dear Dr. Moran:
Thank you for writing and sharing your views on health care
refonn and the need for malpractrice refonn to be a part of the
solution. I do appreciate hearing from you, as we are soliciting
dialogue throughout the country from all segments of the health care
industry in our efforts to find viable solutions to the incredibly
complex health care problems facing us. I am passing along your
letter to the appropriate working group of the Task Force.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Thank you again for your suggestions and for your support of
our endeavor.
Sincerely yours,
I~-Tl~L
Hillary R~ Clinton
�DRS. MORAN & MORAN, S.C.
UROLOGY AND UROLOGIC SURGERY
1400 W. 47TH ST.
LA GRANGE, ILLINOIS 60525
GEORGE G. MORAN, M.D.
MICHAEL J. MORAN, M.D.
Telephone: (708) 354-2550
March 26, 1993
Hillary Rodham Clinton
The White House
1600 Pennsylvania Ave.
Washington, D.C.
20500-2000
Dear Ms. Clinton:
After listening to President Clinton's State of the Union
Address, I too am deeply concerned about health reform. I
also believe that there is a health care crisis and that all
of us must work together to provide comprehensive quality
care for all Americans. As a physician in the state of
Illinois, I try to do my best to provide care for those who
can not afford it, as well as trying to help curb some of the
costs for providing health care.
As we know, there is some
"waste" in the system and it is the job of the health care
providers to minimize unnecessary tests and health care that
is nonessential.
However, as part of this health care reform and as part of
attempting to tackle this issue of health care crisis, I
strongly believe that we can not achieve any meaning reform
without also having malpractice reform.
Any health care
reform that does not include significant and meaningful
malpractice reform will do nothing to eliminate the crisis.
As members from the medical profession approach you over the
upcoming months, and members from the legal profession also,
please keep in mind that this is an issue that needs reform
at many levels.
I know that the physicians are willing to do
their part, but are the lawyers and courts willing to reform
as well? This is a very serious concern on our part.
I hope
that you will keep this issue of malpractice reform foremost
in your thoughts when these issues confront you.
In advance, I thank you for your consideration.
Sincerely,
\J~v~~~
George
GGM/pac
b..Moran,
M.D.
�THE WHITE HOUSE
April 6, 1993
Deloss Walker
Walker & Associates, Inc.
1100 Morgan Keegan Tower
50 North Front Street
Memphis, TN 38103
Dear Deloss:
Thank you for your thoughtful note. I am gratified by your
expression of confidence in me as we develop solutions to the
incredibly complex health care issue.
The President is committed to reforming our nation's health
care system -- controlling runaway costs and providing security to
every American family. It won't be easy and it won't happen
overnight, but we can bring costs under control while maintaining
quality medical care and preserving the choice so important to us all.
We will appreciate your continuing support for the success of
our endeavor.
Sincerely yours,
�...
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Walker &Associates, Inc.
MEMPHIS • ATLANTA • LITTLE ROCK
1100 Morgan Keegan Tower, 50 Front Street, Memphis, TN 38103
·,
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�THE WHITE HOUSE
April 6, 1993
The Honorable Patricia S. Ticer
Mayor, City of Alexandria
301 King Street, Suite 2300
Alexandria, Virginia 22314
Dear Patsy:
Thank you for writing and bringing to my attention the needs
of those with multiple sclerosis for consideration in health care
reform. Long-term care is one of the areas which must be addressed
as solutions are developed for this incredibly complex issue. I
welcome your comments and am directing a copy of your letter to the
Task Force.
President Clinton is committed to reforming our nation's
health care system - controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
\
Again, thank you for taking time to share your ideas. We
will appreciate your ongoing interest and support in this enormous
endeavor.
Sincerely yours,
I~ ll
Hillaiy
~ Clinton
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March 9, 1993
Mrs. Hillary Rodham Clinton
Director
Task Force on Health Care
The White House
Washington, D.C. 20500
Dear Mrs. Clinton:
A comprehensive long-term care system for people of all
ages is essential for the hundreds of thousands of young adults
with multiple sclerosis (MS) in this country.
Multiple sclerosis is the most common disabling
neurological disorder of young adults. There is no known cause
or cure. Most often its first symptoms are experienced between
the ages of twenty and forty and it is characterized by an
unpredictable course of remissions and relapses.
Home and community based programs that should be
providing the health, social and personal care services needed by
this population are not available, not affordable, and not
accessible for persons under age 65. As a result, families are
forced to become impoverished in order to qualify for some
services and young, disabled people may have no option but to be
institutionalized in geriatric nursing homes.
Th~ Task Fore~ on HeRlth·Care. and its working group on
long-term care, represents the hopes and dreams of young adults
with MS. I urge your support for the development of a system for
long-term care that addresses the needs
ople of all ages.
PT/pap
�THE WHITE HOUSE
AprilS, 1993
Betty A. Lowe, M.D.
Arkansas Children's Hospital
800 Marshall Street
Little Rock, Arkansas 72202
Dear Betty:
As we are involved in the enormous task of finding viable
solutions to the incredibly complex issue of health care, I have asked
that you be contacted for your input and suggestions regarding health
care fur children. I know of no one whom we could call upon with
expertise to better provide the Task Force with the kind of advice,
guidance and direction which you can offer.
Your leadership in Arkansas and now on a national scale is
exemplary. I genuinely appreciate and value your experience, your
views and any suggestions you can offer.
Sincerely yours,
�Amer~n
Acaaemy of
Pediatrics
141 Northwest Point Blvd
PO Box 927
Elk Grove Village, IL 60009-0927
Phone 708/228-5005
Fax 708/228-5097
Reply To:
Betty A. Lowe, MD
Arkansas Children's Hospital
800 Marshall Street
Little Rock, AR 72202
501/320·1401
November 30, 1992
Hillary RodluL'?l Clinton
Governor's Mansion
1800 Center St.
Little Rock, AR 72206
Dear Hillary:
President
Howard A. Pearson, MD
VIce President
Betty A. Lowe, MD
Past President
Daniel W. Shea, MD
Executive Director
James E. Strain, MD
I'm sure you are aware how pleased and excited we are
with our new "Presitlent" and "First Lady". Bill and yourself
have do11e so much for Arkansas in the past. Now, if the rest
of us can do our part, Arkansas can become truly outstanding.
Certainly knowing how much you both care about children will
stimulate all of us at rt.CH to continue to improve and enhance
health care for children in Arkansas and the United States.
Board of Directors
Gilbert L. Fuld, MD
Keene, New Hampshire
David Annunziato, MD
East Meadow, New York
Anthony DeSpirito, MD
Interlaken, New Jersey
Joseph R. Zanga, MD
Richmond, Virginia
As President-Elect ofthe ~4.merican Academy of Pediatrics,
I would like to arrange a meeting of Academy representatives
"H'ith tlze Healtlz Care Transition Team to discuss our concerns
about the current status of cllildren 's health ill tile United States.
Children are not "little adults" and their health care needs
should be specifically addressed in any health care reform.
Robert E. Hannemann, MD
Lafayette, Indiana
Thomas F. Tonniges, MD
Hastings, Nebraska
Carden Johnston, MD
Birmingham, Alabama
George D. Comerci, MD
Tucson, Arizona
Leonard A. Kutnik, MD
San Diego, California
I 11eed your advise as how to approach the Health Care
Transition Team. The AAP represents 40,000 pediatricians.
Oitr major goal for the last four years has been to insure access
�Page Two
Hillary Rodham Clinton
November 30, 1992
to health care for all children. We are pushing legislative
change, enhanced public "health education" and multiple
community projects. We would like to discuss these issues with
the Health Care Transition Team.
~you~~iiJ
Betty~e,
M.D.
Professor Pediatrics, UAMS
Medical Director, ACH
Vice President, AAP
BALlsam
�THE WHITE HOUSE
April 7, 1993
Mr. Linus Pauling
Linus Pauling Institute
of Science and Medicine
440 Page Mill Road
Palo Alto, California 94306-2025
Dear Mr. Pauling:
Thank you for writing and sharing with me your views about
the benefits of orthomolecular medicine. Obviously, there is much
yet to be learned about healthful habits and control of disease in the
human body, and I do appreciate your taking the time to write. I
have directed a copy of your letter to the Task Force.
President Clinton is committed to reforming our nation's
health care system - controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
· important to us all.
Thank you again for your suggestions and for your support of
our endeavor.
Sincerely yours,
�LINUS PAULING INSTITUTE of SCIENCE and MEDICINE
440 Page Mill Road, Palo Alto, California 94306-2025
Telephone: (415) 327-4064
Facsimile: (415) 327-8564
17 March 1993
Hillary Rodham Clinton
The White House
Washington, D.C. 20500
Dear Hillary Clinton:
I am writing to you about a way of taking
immediate steps to decrease the cost of medical
care for the American people and to extend this
care to everyone.
First, I may say that I know what I am
writing about. During the last 25 years I have
devoted most of my time to the effort to determine
the intakes of vitamins and other orthomolecular
substances that lead to the best of health and the
lowest incidence of and mortality from disease.
My reputation among scientists is excellent, and
among physicians is beginning to get better during
recent years.
My suggestion is that a campaign be launched
to get physicians to encourage patients to take large
amounts of vitamin C, other vitmins, and certain other
orthomolecuiar substances, for both prophylaxis and
therapeusis (as an adjunct to appropriate conventional
therapy). The basis for my belief that a great decrease
in medical care could be achieved in this way is
summarized in my book "How to Live Longer and Feel Better,"
in my other publications, and in many books by physicians
.................._________________________
�.
2.
and other writers who are knowledgeable. about
orthomolecular medicine. The official attitude
of the medical authorities, however, continues to
be that vitamin supplements and other similar
nutritional measures should not be resorted to,
despite the fact that these authorities recommend
that people search out foods that are high in
vitamin C, vitamin E, and beta-carotene.
Dr. Ralph Crawshaw of Portland, Oregon, who
devised th Oregon plan of administering health funds
among patients, recently in a -letter to me stated that
"I have for a good number of years had the belief that
if vitamin C and other nutrients were recommended by
physicians, it might well be that the control of disease
would be potentiated to such an extent as to reduce greatly
the cost of medical treatment."
Recently I have formed the opinion that some rather
simple and inexpensive measures, developed partially through
our own discoveries, might well come close to eliminating
cardiovascular disease as the principal cause in the United
States of disability and death. I shall not attempt in this
letter to discuss this question and related questions in
detail.
I suggest that you and your associates should look
into this matter with care. I may mention that you may
get from some medical authorities a quite negative reaction.
It is important that this question not be ignored.
Sincerely,
,·~~·
LP:dm
------------------•
�THE WHITE HOUSE
April 7, 1993
Carol L. Schwartz
Counseling & Psychotherapy Associates
269 Walpole Street
Norwood, Massachusetts 02062
Dear Carol:
I appreciated your forwarding to me Robert Restuccia's
materials on "Health Care for All" and have written to him today.
Thank you for your concern about my father. Obviously, this
is an extremely difficult experience for our family, but the strong
support of our many friends who continue to show their love and
care is most uplifting.
Sincerely yours,
'·
�COt:~SELING & PSYCHOTHERAPY ASSOCL.\TES
2,;9 'lt/afpou Street. '!{_orwooa: ~'l{q 02062
1bli)
ib9-b834
March 25, 1993
Mrs. Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20500-2000
Dear Hillary,
Last week I attended an all day symposium on "The Health Care Revolution:
Designing the Health Care System of the Future." I was very excited to learn
about a new program in Massachusetts, "Health Care for All" that I feel strongly
that you should know about and am enclosing all of their information.
I seem to be having a daily correspondence with you arid your cosmic endeavor.
Fondly,
~.teL~
Carol Schwartz
CS/jm
Enclosure
�COlJNSELING & PSYCHOTHERAPY ASSOCIATES
269 Wafpofe Street. N_orwooa: ~q 02062
i 617) i69-6834
April 1, 1993
Mrs. Hillary Rodham Clinton
The White House
Washington, D.C. 20500-2000
Dear Hillary,
Mr. Robert Restuccia has called me a few times inquiring
if I had heard from you regarding the material I had previously
sent to you on "Health Care for All". I am resending the
material to you just in case the information was not received.
Since the deadline is fast approaching, Mr. Restuccia is
eagerly awaiting your response.
I am aware that you are in Little Rock with your father,
and I send my thoughts of concern.
With warm affection,
~:~.u~
Carol L. Schwartz
CS/jm
Enclosure
�THE WHITE HOUSE
WASHINGTON
April 7, 1993
Mr. Donald R. Sweitzer
Capitol Associates, Incorporated
425 C Street, NE
Washington, D C 20002
Dear Don:
Thank you for recommending Terry Lierman for participation in the work of the
Health Care Task Force. I appreciate your interest and support and especially your passing
along his qualifications. The Task Force includes the Secretaries of the Treasury, Defense,
Commerce Labor, Health and Human Services, and Veterans Affairs; the Director of the
Office of Management and Budget; the Assistant to the President for Domestic Policy; the
Assistant to the President for Economic Policy; the Chair of the Council of Economic
Advisors; and the Senior Advisor to the President for Policy Development.
In addition, the Senior Advisor to the President for Policy Development will lead
interdepartmental working groups which will gather information for, and provide information
to, the Task Force. The working groups, which are working closely with Members of
Congress and their staffs, are comprised of government employees.
While the working groups have begun the process of preparing policy options for
reforming our health care system, their work is an ongoing process. The members of the
Task Force are anxious to consult with knowledgeable and concerned people. I am directing
a copy of your letter with his bio to the appropriate working group.
The President and I will appreciate your support for the success of our endeavor. He
is committed to reforming our nation's health care system- controlling runaway costs and
providing security" to every American family. It won't be easy and it won't happen
overnight, but we can bring costs under control while maintaining quality medical care and
preserving the choice so important to us all.
I am pleased you enjoyed your first visit to the White House to witness the signing of
the Family Leave Bill and certainly hope it will not be your last.
Sincerely yours,
�--v~
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CMITOL ~OCWfS
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Washington Office
Stanton Park • 426 C Street, NE • Washington, DC 20002 • (202) 544-1880 • FAX: (202) 543-2565
February 9, 1993
Hillary Rodham Clinton, Esq.
Chair, President's Task Force on Health Reform
Old Executive Office Building, Room 100
Washington, D.C. 20501
Dear Hillary,
It was great to see you again on Friday at the historic signing of the Family Leave Bill.
The morning had special meaning for me because, although I have been involved in politics and
presidential campaigns for many years, I had never been to the White House before in my life. My
thanks to you and the White House staff for the invitation.
When I am not taking time out for political campaigns as I did last year, I am a vice president
of Capitol Associates, Inc. (CAl). CAl is a government relations finn specializing in legislative and
policy efforts in the areas of health, education and human resource programs.
I would like to recommend for your consideration the president and.co-founder of CAl, Terry
Lierman, to be a chair, co-chair or participant of one of your health care reform groups in the areas of
prevention and medical research.
· ·
·· ·
Terry is a nationally recognized expert in the field of health care. He is the former chief of staff
of the Senate Appropriations Committee and began his career at the National Institutes of Health. He
has a close relationship with many groups in the research and regulatory field. He is a founder of the
National Coalition for Cancer Research, the FDA Council and the Biotechnology Policy Forum.
Terry would add valuable depth and talent as a volunteer to your important group. I hope that
you will reach out to him and make him part of your health care reform task force. I am enclosing a
copy of his bio. if you need any additional information or wish to contact either Terry or me, please call
us at 202-544-1880.
Once again, thank you for the opportunity to share in Friday's historic signing. Please call me
if I can be helpful to you on any matters.
Sincerely yo
~~
Donald R. Sweitzer
Enclosure
�TERRY L. LIERMAN
President
Capitol Associates, Inc.
426 C Street, NE
Washington, DC 20002
(202) 544-1880
PROFESSIONAL EXPERIENCE
1984Present
President. Capitol Associates. Incorporated
Founder and President of a consulting firm providing government and public relations
services for individuals, universities, non-profit organizations, hospitals and corporations
in a variety of fields, but especially health and human resources, environment, education,
and food and drugs. Specific areas of expertise include: health research, drug
development and approval; reimbursement; health care reform; construction; constituency
development; Federal budget and appropriations processes; regulatory affairs;
identification of public and private funding opportunities; and development and
management of national networks to promote medical research, health care and health
education programs.
Activities include: frequent interaction with Congressional ·and Executive Branch
policymakers and staff on federal health programs and policy, interpretation of rules and
regulations, providing assistance in identifying and pursuing grants and contracts, and
strategic planning for Washington, D.C. visibility and public relations.
1991 - 1992
Americans for Harkin. Issues Coordinator and Domestic Policy advisor for the
1992 National Presidential Campai&n
1981 - 1984
Director of Washin&ton Office. Carley Capital Group
Joint ventures, business start-up, public/private real estate developments, financing
through venture capital.
1979 - 1981
Staff Director/Chief Clerk. United States Senate Committee on Appropriations
Senate Appropriations Committee, comprised of 23 Senators and over 90 staff divided
among 13 subcommittees, is responsible for allocation of the Federal Budget, including
each federal program and department. Duties included policy development, supervision
of the Committee, funding recommendations and development of Federal Budget.
Major responsibilities were: liaison with the White House, the Office of Management
and Budget, and the various Executive Branch agencies regarding budgetary matters;
determining funding recommendations for all federal departments and agencies; briefing
Members of Congress on appropriations issues; coordination of Senate t1oor activities
including debates, amendments and various legislative negotiations; developing and
staffing Committee hearings; and, carrying out programmatic oversight and evaluation
functions; coordination of all Committee business with Members of Congress and the
other Congressional committees such as Budget and. authorization.
�.
"
1976 - 1979
Staff Director, U.S. Senate. Subcommittee on Labor Health and Human Services.
and Education Appropriations
Responsibilities similar to those as described above but specialized in the Subcommittee
issues and programs. Specific responsibilities included ensuring that the appropriations
bill for the Departments of Labor, Health and Human Services, Education and Related
Agencies was properly managed and was expeditiously passed by Congress in
coordination with other Congressional Committees and appropriate funding level
recommendations were made for all programs contained within the bill. The Labor,
HHS, Education Appropriations bill represents 42 percent of the entire Federal budget
and more than 1,800 federal programs.
1975 - 1977
Professional Staff Member, Subcommittee on Labor - HHS Appropriations. United
States Senate. Washineton. DC
Primarily responsible for the health program contained in the Labor-HHS Appropriations
bill, as well as liaison to the Senate Budget Committee.
1973- 1975
Office of the Director. National Cancer Institute
Budget and policy development, administration, grants and contracts.
1972 - 1973
Administrative Officer. for Drue Research and Development. National Cancer
Institute. National Institutes of Health. Bethesda. MD
1971- 1972
Manaeement Intern. National Institutes of Health. Bethesda. MD
EDUCATION
M.A., University of Wisconsin, Madison, 1971
Center for the Study of Public Policy and Administration
(La Follette Center)
University of Minnesota, Minneapolis, St. Paul, 1969
Administration and Public Relations
B.A., Winona State University, Winona, Minnesota, 1969, Political Science
Clinton Community High School, Clinton, Wisconsin, 1966
�'
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Community Service & Boards
Advocacy Institute, Board of Directors
Children's Research Institute, Chairman
Children's Hospital National Medical Center, Washington, DC, Parent Board
Friends of the National Library of Medicine, Board of Directors
Hollings Oncology Center, Board of Directors
Mainstay Mutual Fund, N.Y. Life Insurance, Board of Directors
National Association of Southern Poor, Board of Directors
National Commission on the Role of the School and the Community in Improving Adolescent Health
National Institutes of Health Alumni Association, Board of Directors
National Organization on Fetal Alcohol Syndrome, Board of Directors
Research! America, Founder
UNICEF, Washington Council, Vice Chairman
University of Wisconsin Clinical Cancer Center, Board of Directors
Honors
Ford Foundation Fellow, La Follette School, University of Wisconsin
Honors Student, Winona State University
Distinguished Alumni Award, Winona State University
Scholarship, Winona State University, Wisconsin Education Association
Performance Award, Department of Health and Human Services
Scholarship, Public Relations, Public Administration, University of Minnesota
Publications
Lierman, T.L., ed. 1992. 2nd Edition, Building a Healthy America
Lierman, T.L. November 1989. Federal Public Policy, Pannerships in Education: Toward a Literate
America. Contributing author and ed. B.A. Stewart.
Lierman, T.L., ed. 1987. Building a Healthy America: Conquering Disease and Disability.
Liebert Publishers.
M.A.
Lierman, T.L. 19.83. Health Resource Funding: Politics, Promise, and Priorities. Cancer Investigation
Vol. 1, No. 3: 281-287.
Numerous articles in multiple journals and newsletters.
�.t
"
THE WHITE HOUSE
April 7, 1993
Mr. Robert Restuccia
Health Care For All
30 Winter Street, Suite 1007
Boston, Massachusetts
Dear Mr. Restuccia:
Carol Schwartz has forwarded to me your memo regarding
your views on health care reform. I do appreciate hearing from you,
as we are soliciting dialogue throughout the country from all
segments of the health care industry in our efforts to find viable
solutions to the incredibly complex health care problems facing us. I
am passing along your memo, "Health Care For All," "Health Care
For Consumers" and the additional articles you included to the
appropriate working group of the Task Force.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Thank you again for your suggestions and for your support of
our endeavor.
Sincerely yours,
�·-----
-
----------------
�H
March 22, 1993
To: The Health Care Task Force
From: Robert Restuccia, Health Care For All
RE: Institutionalizing the Role of Consumers in the Implementation of National Health Reform
For everyone concerned with access to health care these are exciting times. Finally, health
care reform is on the national agenda. The Clinton Administration will be proposing reform
legislation in May and if all goes as planned, it will be enacted this year.
Although a great deal of progress has been made in building a consensus for reform, the
power of the vested interests to derail legislation remains daunting. Nationally syndicated
columnist, Robert Kuttner recently said, "The only conceivable countervailing force to the special
interests is the people." The need for this "countervailing force" will not disappear after the
passage of federal legislation.
Reform of the health care system is a dynamic process that is likely to take many years.
Organized consumers will have an important role to play both during debate and after the passage
of national health insurance legislation. For consumers to provide an effective counter-weight to
other interest groups, the role of consumer-based groups must be institutionalized under the new
system. If this does not happen, the legislation's achievements could be undone in the
implementation phase.
In order to ensure that the momentum for reform continues, Health Care For All (HCFA) is
proposing that federal legislation support the institutionalization of consumer health organizations.
I. 'The Role of Consumers in the New System
Consumer organizations will have important roles to play under a reformed health care
system. First, consumer organizations will be needed to build constituencies to defend the gains of
any new law. Access programs will most likely be phased-in over a period of years. As time
elapses and public attention fades, the law will face attack from various hostile interests. These
attacks will intensify as the implementation deadlines approach. Consumer organization will be
necessary to rally those who stand to benefit from full implementation and to ensure that programs
are not repealed or watered down.
Additionally, consumers must also play a watch-dog role to ensure that programs operate
as intended and future legislation gets refined in a way that meets people's needs. Legislative
intent can be thwarted by disinterested or hostile administrations. This is particularly important
given the likelihood legislation will need continual refinement and that states will play a significant
role in implementation.
'
Finally, informed consumers, organized on a local level, will need to be integrated into a
system of managed competition that emphasizes consumer choice. Consumers will have to be
prepared to represent themselves in new governance structures and address numerous issues,
including discrimination by insurers, underservice, and quality assessment.
Health Care For All- 30 Winter Slreet, Suite 1007, Boston, MA 02108 Phone: (617) 350..7279 FAX: (617) 451-5838
�There has been much discussion about the need for consumer representation on HIPICs
and various other boards and policy making groups. To. be meaningful, consumer participation .
must extend beyond this formal role. The HIPICs, which will represent the blended interests of
business, consumers, and possibly insurers and providers as well, cannot effectively play the roles
of advocate, watchdog, and educator. Too often consumer representation is ineffective because
individual consumers, even if well informed and committed, lack an organized constituency.
The history of health planning illustrates the need to ensure that there is support for an
organized and independent consumer presence. Participation by a small number of individuals on
bodies that also represent all the other interest groups is an inadequate mechanism to generate the
type of broad public participation necessary to keep health care reform on track. The essential
ingredient of connection to an organized base is missing.
II. Health Care For All's Experience
.
The Massachusetts experience in health care reform offers valuable lessons as we pursue
national reform. In many ways Health Care For All (HCFA) is a prototype that illustrates the roles
consumer organizations will be required to play once a federal reform bill is passed.
A Defending Access Programs
Efforts to repeal the access programs of the Massachusetts Universal Health Care law
began only months after the law's passage. HCFA successfully built constituent support for many
of these programs and mobilized this support to defeat efforts to repeal the entire access program.
Despite a dramatic recession and a hostile governor, all efforts to date·to repeal the statute have
been defeated.
HCFA's work around the Health Security Plan (HSP)~ which provides health benefits for
the unemployed, illustrates how organized consumers can defend an access program. Prior to its
start-up in July 1990, there were numerous attempts to repeal the HSP, which is funded by a per
employee surcharge on employers. Health Care For All repeatedly organized consumets tO block
repeal. Once the program was implemented, HCFA promoted the program and build a strong
constituency against repeal. The attacks ceased almost immediately. ·
B. Overseeing Program Implementation and Revising Legislation
HCFA has focused on the regulation and enforcement of all access programs of the
Universal Health Care Law and has proposed revised legislation. For example, after the start of the .
HSP, HCFA continued follow the program's implementation. HCFA organized among the
unemployed and exposed the Weld administration's mismanagement of the program. HCFA then
developed legislation that result in expanded eligibility and benefits for unemployed Massachusetts
workers. Today HSP is secure politically and enjoys broad public support.
C. A Broader Consumer Voice
Health Care For All is the kind of independent consumer voice that will be necessary in a
managed competition system. Health Care For All has provided information to thousands of ~
Massachusetts consumers through educational outreach campaigns, a·telephone helpline, media
work, and widely distributed public education materials. Recently, HCFA published a consumer
guide that explains all of the health access programs available in Massachusetts. HCFA monitors
the health care system on an ongoing basis. We are currently conducting a survey of small nonprofit organizations with regard to their health insurance costs and are also surveying Medicaid
recipients with respect to implementation of the Weld administration's managed care program. In a
�refonned system, the collection of this type of infonnation will continue to be necessary. It must
be available from a source that has no fmancial interest in the health care system.
HCFA has represented consumers on numerous policy making boards and study
commissions. HCFA's success as a consumer representative stems from our close link with
Massachusetts health care consumers and the two way communication we have established
between consumers and the organization.
Defending access, overseeing implementation, and representing and educating consumers,
are complimentary components, An organization that is engaged in providing infonnation and
assistance to consumers and is grounded in real life problems is also well positioned to promote
implementation. H we are going to successfully reform the health care system organizations like
these need to flourish.
lll. HCFA Proposal for Funding Model for Consumer Participatiqn
To build consumer health organizations in all states, federal support is necessary. Without
this support, consumer organizations will not have the financial base necessary to do all that is
necessary in a refonned system.
There are examples of successful federal support of citizen participation accompanying new
legislation. The New Directions program is perhaps the most relevant to health care reform. This
program was implemented during the Carter Administration. Ula lJingham, Director of OSHA,
recognizing that there was only very fragile constituency for OSHA, proposed that the federal
government, through New Directions grants, fund worker-supported health and safety coalitions.
Bingham saw that these coalitions were vital to protecting the OSHA during its implementation
phase and would create an infrastructure that would be the local focus of worker education and
involvement in health and safety issues. New Directions resulted in the creation of many new
health and safety organization and strengthening of the existing groups throughout the country.
An additional funding sources could also come from allowing consumers to designate a
small portion of their health care premiums to support independent representation of their interests.
This funding model is similar to that employed by Citizen Utility Boards. As a funding source it
has the advantage of being publicly established, but not requiring annual appropriations, thereby,
maximizing independence while minimizing the drain on public dollars.
In order to institutionalize consumers' role in health care reform, there should be a
program, similar to New Directions, which can capitalize on consumer health organizations in all
fifty states, with ongoing funding provided via the CUB method. The existence of these programs
will allow consumers to participate in the health care debate on equal footing with providers and
insurers. The amount of funding needed is extremely small, perhaps $30 million per year over
several years, in comparison to our $1 trillion annual health care spending. The dividend, in tenns
of promoting and safeguarding health care refonn, will be enonnous.
We understand that time is short but we believe that this approach could make a large
difference in the direction of health care reform. I have enclosed some support material.
Thank you for your consideration.
�THE BOSTON GLOBE • FRIDAY, OCTOBER 4, 1991
Bill is rued to inform
jobless of health insurance
,.
By Richard A Knox
GLOBE 8l'AFF
. , ·The· cb:hairmen of the Legisla"
ture's health care commit.Ule yester-·
day filed emergeney legislation -designed to force the Weld administration to sign up more unemployed
people for sta~finrmeed health insuranee.
;, '
:·-·.
:~.
A 16-mOftth..old state trust fund
set up to provide health eoverage'for
the unemployed luis· accumulated
mora-tblaPmillioD t.broUgb a uew
Linda Lundgren of Danve~. a.
41-year-old teacher and single moth-,
er of two, also would become eligible
un~r;: the proposed bill. When she
was employed as a middle school
teacher in North Andover, her
$3'1.26' income also put her abOut
$4,000 over the Health Security
Plan's current guideliDes.
·
Lundgren said she struggled to
pay the premiums to.~ her
Blue Cross-Blue Shield coverage
after she was lai~,:~:ln~~ .But
this week she -"~.l';to.;:pre,.np ber
meant to be.adversarial vis-a-vis the
Weld administration... .It's an embarrassment to all of us in state government that this legislation is not
working very well."
I
However, Burke subsequently i
1
charged that the Weld administration's failure to reeroit. eligible bene- '
ficiaries reflects "an ugly set of
priorities"
said the pilrpoae of
his and__~e!J:s pro~~ !A> foree
the administration to do something."
.The BneD-Bnrke- bill, to be dis. CDBBed at a eornridttee 1u.~.;.;.... next.
and
~I~ could'
COV: $332 weekly. unemtiie:·- ;,nonthly
premiums on her
of It in administraployment cheek. ,:\·:L
and admin-.·
.•agree. that --~~~~== ·.:~~=&~~!' . the ~-PoVertY 1~ -~·
won't require a doetc~f.. ~ii~·"·
~tat~=·!.
day,-~ JBDII'8ID bas paicf out'o~
$13 mfllioD, most
-~.~i.~fl,larp
Thnrildi&y;: ·wOiild· -~--~oilitY
eriteri& for the He<h Seeurlty Plan
and also waive any ouwf-pocket ,
payments for hospitals, doctors or \
healt1l
no longer
istratiaa olkiiJi]~llply
~~~~~ :--~~-~n would notch~-- ~.......... ........, ·:~;~l·;·
·.·.; . .....
the requirement'~- beneflriarii:i&' ! ~·~
':..''~: ,~:
r:a.··
prolralla.• ,.
1-'"
.•
• ·•
~
...
;,: .
-~
~-~~--
om,--~ workers
.
...::
300 ·~··-of'"'"- 1
. fed._eral poverty.st~~!f4.~: That·
woi'kB out to· SBSt420·tci :
,of ·
.
_.~
.
mcomenot~
are~ ~m the Health
is
~ eaDed, while 80,000 to 40,000-are be-
"
Seeurltf fi~W· ·• -tbe?'progioam
thlee....
, Heved ~iiildi'inSUranee.
'
· !:;_:{' ~:r,
.
.·.
'
't·'
...
J.
'\·
::·;~ '
.. ·..
4~
'c"- •
)JIIV~~~··J.!·~:1}.~1~
:'~ 1~'' •
'\
·. ··.,~
'l:
·
. ' ; tmlidmmisteringtite'li~.Secmi-
. 'JrJaft
. . . ·~
· ~·· ....... : 88 ~~--~e~
. :~
'\ 1 ,:;.• ·• • · t of M ..... ~y;.
·-,; ·
'·-=·
·
.
. ti.~-~, ~~lld.e.cl~~~~, r- IKM'~eqmnskm oM.1i::)rOgta1b s
I
I
i
\
·-.elijliilitl.and beneflt.8: W'qa1d affect
its fiahonnctness
_.-·
benefits ...Currently the
...1 welcome the debate as to what
program considers'incmne in. the 12 1 ought to be done," Ritter aid, "·but
months prior to the job;loss.
.
legislation .is a step tllat
"What I made last year doesn't
we don't yet need to take."
.,
have a damn thing to do with what
Larry Collins, the •department's
I'm making now." said Patricia Perspokesman, said critics "are absory of Rehoboth, who was tumed
-lutely correct in saying there are
down for the Health Seeurity Plan
thousands of folks eligible out there.
beeause her prior income was about
Our task is to get message out, not
$4,000 above the eligibility standard.
to broaden the program so that the
$40 million in reserves is depleted
overnight."
a~_ce
emergency
1
·. ·
become·-·.:'
=··. RittB,1Ir».Jii '. ruBble'
~~
~:~
~-·
Jllnanelal slniD
.. "· ; .
.
· A~'tbe~~'Would.re-'
.• ~...,.:·'7-'·-::r;..• . · · IH~- .... ·anap·
~t.he.p~anrto
pliCant•&:'~.in·"
. months
. t.O-~ his · ·
'~Jmt the
_pnor. ~--or_ . ,. · i' 'r:::,
six .months of nnE!IIlplo1Jnent ~
--~~~~=;
~~-~who~
·.
Buell and Burke said .they did
· · · -·. ·
.not know how~-~~ peo::;we would
..
·under
1
•
· .,. ••,.. •
.~·~ -")~}.~
,
: 1asta as Joigu.~yment benefits, CWiall,y six months.
:House· tba1rmataof the health care
panel ··; ::
Reading to one administration
offiei8l'a ·published eomment that
ehaDgel are planned in the program
by J111111111"1, Buell said: •Jt's inexcusable for the administration to say
they must wait until next year to fix
the problem. Unemployed people
can't wait untJI next year."
Sen. Edward L. Burke, a Democrat from Framingham, said at a
State House press conference that
the emergency legislation was "not
-J
I
I
I
I
!
I
\
�1
,..
•
•
•
MONDAY, FEBRUARY
10.
1992
State funds
,for health
coverage
untapped
At a time when state programs all over the country are
suffering for -lack of money.- a
Massachusetts health insurance plan for unemployed people faces a different dilemma:
too much money and too few
takers.
.- ·
.
·Two years· after the novel
Health Security· Plan began,
officials and advocates say
they are disappointed with. the
results. And for the second
time Gov. Wllliam F ..Weld has
urged his staff to go back to
the drawing board.
Expected to have an enrollment of ao;ooo, the plan has
never topped 12,000. A state
bank account holds $50 million
for the needy.
Meanwhile, thousands of
out-of-work residents go with·
out health coverage.
And a private insurer, John
Hancock Mutual Life Insurance Co. is benefiting from a
contract making it sole provider· of the coverage. The
company has charged the
state $16.7 million, more than
half of it for administrative
costs.
..We are perplexed. It's one
of the worst recessions ever
this is ·a program. there'~
clearly a need for:• said Mark
Rukavina, of the · watchdog ·
group Health Care for All. ·
A remnant. of former Gov ~
Michael S. Dukakis' universal
health care law, the _plan collects about $34 mlllion a year
through a special business
tax.
·
Thus far, Hancock has issued just 31,000 policies. Peo~le leave the plan when they
find work or lose jobless benefits.
Even allowing for people
who might have insurance
through a family member or
. previous job, the number is far
short of the 430,000 people who
c~llected unemployment in
1991.
Melvin Glasser, director of
the Committee for National
~ealth Insurance, called it a
dtsgrace that 54 percent of
Hancock's fee went for clerical work.
"Administrative costs
should certainly not run above
18 to 20 percent," he said.
Last - fall, state officials
promised to revamp the program and promote it more;
heavily.·
· But many acknowledged
last week that little has im·
proved in its overall impact.
They pointed the finger at
each other, John H.:.:-.::~ .:k ::.:::!:!
even the would-be recipients.
""This is a difficult population for us to communicate
with, to get the word out," said
Charles Taylor, the man overseeing the program for John
Hancock.
The agency responsible for
the program, the Department
of Medical Security. "is very,
very small," said spokesman
Larry Coll~s. "We don't have
the people" to staff unemployment offices.
-AP
�ELEGRAM&
MONDAY, MARCH 2,1992
Insurance
guidelines
broadened
Unemployed get relief
By Pamela H. Sacks
StaiT Reporter
FITCHBURG - For the first time since
last May Nikkie Gary, an unemployed
mother oftwo, can breathe a sigh of relief.
Today is the day the guidelines change
for a state health insurance program for
the unemployed, making her and her sons,
Adam, 14, and Anthony, 12, eligible for coverage.
This is no small thing to Gary, who has
worried constantly about Adam because he
is asthmatic.
"I always felt if he got sick I'd take him to
the hospital and pay $5 a week to pay it
off," Gary, 31, said from her small apart·
ment on Pleasant Street
$50M SITTING UNSPENT
State officials have come under fire in
the last six months because the insurance
plan has $50 million sitting unspent as un·
employment rolls have lengthened.
Gary and thousands of others applied,
only to be told that their incomes during
the year before they were laid off were too
, high to qualifY.
In D~cember, 5,000 people were enrolled
in the insurance plan out of248,900 unem·
ployed across the state. Extended unem·
ployment benefits increased the number of
enrollees to 13,000 last month.
After fending off. an attempt by Health
Care for All, a watchdog
group, to change the guidelines
through legislation, Weld adminis·
tration officials reduced the pro·
gram's deductibles and co-payments as of Jan. 1.
Then in February, following a
heated legislative hearing, officials
of the Department of Health Security, which oversees the program,
announced that as of the beginning
of March the income guidelines
would be broadened.
The new standards raise eliglbil·
ity from 300 to 400 percent of the
federal poverty level. Gary's former
$27,000 salary as a residential
counselor for the mentally retard·
ed puts her well within the new
standards for family income:
$27,240 for a single person; $36,760
for a family of two; $46,280 for a
family of three; $55,800 for a family
of four.
TAX ON BUSINESSES
The plan is supported through a
tax on businesses that brinp in
about $34 million a year.
Meanwhile, John Hancock Mutual Life Insurance Co. is benefiting
from a contract making it the sole
provider of coverage.
For fiscal 1992, Hancock has
been paid a base monthly fee of
$421,562 to process claims, which
have ranged from a low of about
$450,000 a month to a high of
$779,000. That base fee covers up to
10,500 primary enrollees, or those
who hold the insurance rather than
family members who are covered
under the policy. Beyond that number, the, company is to be· paid an
additional $30.06 per primary enrollee.
. Over the life of the program, the
· state has paid out $8 million to
Hancock for administrative ser- '
vices and another $8 million for
claims. The Department of Em·
ployment and Training also has
received more than $2 million to
cover administrative costs incurred
In informing people they might
qualifY.
Gary said that what most disturbs
her is the lack of information available about the program. She found
out about it four months after she
lost her job when she went to the
local DET office to seek job opportunities and happened to pick up a
flier.
Health Care for All is holding a
public information meeting at the
Fitchburg Public Library at·7 p.m.
Thursday, and Mark Rukavina, a ·
community organizer, said the .
group also is backing legislation
that would open up the Insurance
plan to even more people.
Nikkie Gary ·
�£ 7' o~ton
Health care access at new low1
Bay Staters are hit by cuts
in programs, soaring costs
1
, · _The statistical measures include:
number of people being
served by the Mayor's Health Line
in Boston jumped 24 percent in the
first six months of 1992, compared
~th the same period last year.
"Our volume now is running
about 890 calls a month," said Susan
Dale, staff director for the Health
Line, the highest level in the six
since Mayor Flynn established
.'lPe hot line to help people seeking
neatth coverage and assistance.
• A US Census survey last
month estimated that 11 percent of
the state's residents, more than
600,000 people, have no health insurance, up from an estimated 8 percent
m:l990.
r ~~Massachusetts is feeling the
liealth care crisis more acutely than
other states because mecJic!d costs
are higher here and the economy has
sUnk lower, said Alan Sager, a health
policy specialist at Boston UniversitY. 'School of Public Health who advo·c&tes for some form of universal
health insurance system.
·_ . "We're leading the pack," said
:~.adding that, "health care ••.
:~ accelerating toward medical melt-dawn in this state, in the whole nation."
LatTy Collins, director of e>."ter-;
nal affairs for the state Department:
of Medical Security, which takes!
calls from"the uninsured who mighti
qualifyAor the health programs it'
administers, said, "If you have ani
idea of how many phone calls I get:
eV-ery single day.
"I'm telling you, I hear some of
the most painful stories. We tn· to i
help these people, but the fact of the I
matter is, it's not a question of peo-j
ple falling through the cracks any-!
more. They're hurtling into a'
;t. • The
By Dolores Kong
GLOBE STAFF
1
David Arsenault has $16,000 in unpaid medical bills
and is five months behind on his mortgage, all because
.he tore his Achilles' tendon in a softball game in Sep-.
tember and had no health insurance.
The 35-year-old Leominster man had discontinued
his policy a few months earlier because he could no
·longer afford the $200 monthly premium.
·
John could not get a surgical opening in his colon:
closed for a year because he had no insurance and at
Boston teaching hospital demanded that he come upj·
.with a $3,000 prepayment
. ,
. The 20-year-old disc jockey, who did not want his: .
i"ea1 name used, already had an unpaid $25,000 hospitali
~ill for a colostomy and other treatment for a bullet!
:wound he suffered when he was caught in the middle o~
a gang shooting at a party.
· · Measured by individual stories like these and a vari:ety of statistical indicators, access to health care in
·Massachusetts bas reached the lowest point in memory,
1
~say a number of policy analysts and consumer advo-·
:Qtes. It is a situation aggravated by a weak economy,!
.:skyrocketing health insurance premiums and medical'
. -costs, and cutbacks in public assistance programs.
·
Years
chasm."
!
~Gj.OOp
...
GLOBE STAFF
:
The Department of Medical Se-!
curity was formed under the Dukakis administration to implement
universal health insurance system,;
but key components have been dis-j
mantled under Gov. Weld. Instead,:
the·Weld administration has shifted
to a policy of relying on cOmpetition
.among hospitals and other health
pfoviders to hold costs down, but
critics say the approach will further!
limit access to coverage.
,
a'
.- ...
decries "holnu...........
..................J
(
' ·•• · "The level of inhumanity that is
~g allowed to happen is beyond
'htir comprehension," said Rob Restuccia, executive director of Health
Qare for All, a consmner group that
w,8s contacted for help by both Arsehault and John's mother. It also
advocates for sweeping reform of the
he'alth care system. "What kind of
society allows us to do this?" Restuccia asked.
Earlier this year, Sager and his
colleagues studied the effects of inflation and health costs on state
workers' incomes, and found that by
the year 2014, a family health insurance policy will cost more than a
state worker makes in a year.
If the calls to advocacy and government offices are an indication,
health insurance is already unaffordable for
JULY 15, 1992
'
I
'
;
i
i
l
·
Weld's ap)Jl'CNicll defended
Collins, however, defended
Weld's approach.
·.
. !
"This administration is attempt-!
ing to address the problem through l ·
a variety of means," he said. "The
critical point is getting costs under
controL I mean, if tomorrow we all
woke up and everybody was insured,
the problems wo~dn't be solved be-;
cause the costs would keep going
through the roof. In order to address
the problem of adequate access.
somewhere along the line, the cost
situation is going to have to come U!lder control . . . The bottom line i~
there's not a short-term solution w
this thing."
· In the meanwhile, phones arf
ringing off the hook in the office_s o:
private and public agencies.
"Middle-income people are car
ing us now. It's frightening," sai
Mark Rukavina, organizing directr·
for Health Care for All. ''We're <-.
one illness away from being unir
sured."
�FEBRUARY 10, 1992
Coverage
eligibility
standards
Here are the eligibility guide- ·
lines and fees associated with
· the state's Health Security
Plan. The deductible and cOpayment charges were revised down this year.
Officials Sa.y they are considering .adjusting the income
er.gibility standards.
e A person must be a
Massachusetts resident who
previously worked in the state
and is now receiving unemployment benefits. .
e Total family income for
the year prior to unemploy-ment must be less than the
following:
1 person - $19,860
2 people - $26,640
3 people - $33,420
4 people - $40,200 .
5 people - $46,980
6 people - $53,760
7 .people ~ $60,540
8 people - $67,320
In rnos1 instances. clients
must pay a deductible and a
small portion of medical costs.
Some examples:
·
etnpatient hospital ·care:
$300 deductible·· and 20 percent of costs.
• Doctor's. office visits: $50
deductible and 20 percent.
e Prenatal care: 20 percent
of charges.
.
• DeliVery of baby: $300
deductible and 20 percent
e Prescription drugs: any
amounts to meet a $150 majOr mediCal care deductible
plus $10 per presaiption.
• There are no monthly
premiums.
~
�Comparing the Family Health Plan to Likely National Legislation
Discussion
1. Both plans rely on revenue from individuals and businesses. By moving from
a flat premium to a contribution scaled to income, the Family Health Plan
reduces the burden placed on low wage workers.
2. Both plans create a large purchasing pool. The Family Health Plan's inclusion
of large groups in the pool increases purchasing power for both small and large
groups.
3. Under both plans, networks ofproviders are paid a risk adjusted premium for
their enrollees. The difference between the Family Health Plan .and some other
proposals is that the FliP requires all networks to offer the·core benefit package ·
and does not allow supplemental piemiums for that package. This prevents the
segregation of low income people into a cut rate, lower quality plan.
4. At this time it is unclear whether the national proposal will rely on a fee
schedule like Medicare, will allow free contracting by at-risk managed care
networks, or some combination of the two. The FHP does not allow hospital
contracting because we believe that it stifles competition and innovation to
improved delivery of services by giving too much weight to bulk purchasing.
Under a plan that allows discounting, large networks will obtain the best
discounts, while small, but potentially innovative plans will be unable to
compete. The FHP uses the pooled purchasing power of all groups to obtain the
best prices and uses competition to encourage innovation and quality.
fhpnatcompare/~9-93/oldmac
�H
Comparing the Family Health Plan
to Likely National Legislation
Features
Probable National Plan
Family Health Plan
1. Raising Revenue
Mandated employer
contribution
Employee premium
Employer payroll tax
Personal income tax
share(addUtional~oney
to be raised by "sin" taxes
2. Pooling Purchasing
Power and Containing
Costs
HIPIC pools incuviduals,
Mecucaid recipients, and
small groups into a large
purchasing pool. .Large
groups negotiate on their
own. Purchasing power
is (probably)
supplemented by a
global cap to restrain the
rate of growth.
Health Resources
Corporation pools all
groups into a single pool.
Purchasing power is
supple~ented by a
. global cap to restrain the ..
rate of growth.
3. Paying Managed Care HIPICs pay managed
Networks
care network a risk
adjusted premium
HRC pays managed care
networks a risk adjusted
premium
4. Provider Payment
Hospital budgets are set
by the HRC. Networks
negotiate their own
payment arrangements
with physicians, but a fee
schedule is established
for the fee-for -service
plan. Labs, health
centers, etc. can be paid
on budget or fee for
service.
National position on
payment to providersvia regulation, contract,
or some combinationnot yet determined at this
time
(more)
Health Care For All- 30 WinterSR«:t, Suite 1007, Boston, MA 02108 Phone: (617) 350-7279 FAX: (617) 451-5838
�..
.
Unemployed bit hard
Most people who call are referred to one of the patchwork
health insurance programs designed
to. help the disabled, the unemployed, low-income people or those
with pre-existing medical conditions.!
But other times, there is nowhere·
else to turn.
''It is so frustrating not to be able
to help. That's the hard part," said:
Cheryl Gresek, who works for
Health Care for All. "There's got to,
be an answer someplace."
$1,367 moothly premium
·
I
Gresek had to confront the coverage crisis herself in 1988, when her!
and her husband's health insurance'
premium was raised to an unafforda- i
ble $1,367 a month because their son,
Daniel had been treated for a rare i
heart defect. Without health insur-:
ance, the Greseks were told by Chil-l
dren's Hospital, they would have to I
come up with $50,000 up front before 1
doctors would do medically necessary but nonemergency surgery on .
their son.
I
A Children's H~spital spoke~- 'I
woman said the hospital makes deCIsions on a case-by-case basis and
could not say whether the hospital I
ever requires patients to come up
with money. up front for nonemergency care. She said the hospital
tries to help families figure out all
options to pay for care. ''We work
with each family to get coverage to
cover admission to the hospital, said
the spokeswoman, who did not want
to be named, adding, "We would
never refuse admission for emergency care to a Massachusetts resident,
regardless of the financial situation."
Through_a ~to Health Care for ·.
All, Gresek learned of a program approved in 1988 to insure disabled
children and adults, called CommonHealth. Daniel is now insured under
the program, one of the intact com- .
ponents of the universal health sys- '
tern begun under Dukakis. The rest
of the family has been able to get
insurance at an affordable price once
again.
For others, there are no simple
answers. even when there are supposedly programs to provide a safet;y
net for people who have lost jobs or
do not qualify for Medicaid or other
forms of public health insurance.
1
Of the estimated 279,000 people
unemployed in Massachusetts in
June, only 93,200 were still collecting .
. unemployment, said Wallace Graham, a spokesman for the Depart-,·
ment of Employment and Training.
That means most are without health.
insurance, because state and federal
programs provide coverage onl_y until the unemployed exhaust thetr un-:
employment be~!fits.
....:...1
Arsen~~it and John found they!
lacked coverage even though they
both qualified for the state's socalled free care pool, set up to catch :
those who would otherwise fall.
through the cracks. The state reim- !
burses hospitals for care they pro- ,
vide to people who are uninsured 1
and cannot afford to pay, but who do;
not qualify for Medicaid or other
public assistance.
I
After Arsenault went to the Leo- :
minster Hospital .emergency room I
for treatment of his injured Achilles'
tendon, he received a "Dear patient"
letter informing him that he qualified for "total free care." But it
turned out that the coverage
amounted to just $269.33, the price
of a pair of crutches and a shot of
morphine.
:
The rest of his bills, even the I
emergency room physician costs,
were not covered by the pool since it
applies only to hospital charges, not
physician charges, Arsenault was
1
told.
'
"This is a horror show," said Ar- 1
senault, who has been unable to con-·
tinue his construction business or
find another job. "What the hell are
you going to do? I can'~ walk, I'm on
crutches. I lost my insurance, plain
and simple, because of the amount of :
the fees."
!
1
1
I
1
I
State free care poUey
Leslie Kolterman, director of
public relations for the hospital, said,
"The Leominster Hospital policy is
the state free care policy. We are fully within what the state free care
guidelines are."
In the case of John, the disc jockey, the hospitallo~t his free care application. As a result, when he went
to have his colostomy closed, the
hospital demanded a $.'3,000 prepayment or settlement of the previous
$25,000 bill.
His mother, }<'Iorence, had given 1
him her last $20 for the week for the
cab fare to the hospital. When the
hospital sent him home, the colostomy still open, "I was furious," she re1
called.
1
Only after she found out about '
Health,Care for All in April, and the
group contacted the hospital, did s~e
learn that her son did indeed qualify
for
care. She said her son did
not want ~..name the hospital since
he still gets care there.
A year after his injury and eight •
months after he was originally;
scheduled, John had his colostomy
closed.
•
i
I
free
Where uninsured ;I
may eall for help l
I
These organizations provide
as~
i
I
1
sistance and referral for individuals
who lack medical coverage:
·
•Health Care far AU, 617-35fP.'
6207, 9 a.m.-5 p.m., Moruin,y through
Frida~
.
•Mayar's Health Line, 617-594~.
to 5 p.m., Monday'
5050, 9 a.m.
through Friday.
;:
• Depa:rtmenJ, of Medical Securi7 :
ty, 1-800-238-()990 ar 617-727-8900, 9 •
a.m. -5 p.m., Moruin,y through Friday; '
ask for Larry Collins, directm of~ :
ternal affairs. Far questions on til£ ,
Health Seeurity Pla,n for tJze unem; :
ployed, call t-800-967-7781.
i '
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002.letter
SUBJECTffiTLE
DATE
Hillary Clinton to Carol Dodson. [partial] (1 page)
04/06/ 1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [5]
2006-0223-F
ab620
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a)[
Freedom of Information Act- [S U.S.C. SS2(b))
PI
P2
P3
P4
b(l) National security classified information [(b)(l) of the FOIA[
b(2) Release would disclose Internal personnel rules and practices of
an agency [(b)(2) ofthe FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
Information [(b)(4) ofthe FOIA(
b(6) Release would constitute a dearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA[
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA[
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
National Security Classified Information [(a)(l) of the PRA)
Relating to the appointment to Federal office [(a)(2) of the PRA)
Release would violate a Federal statute [(a)(3) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�·,
THE WHITE HOUSE
April 6, 1993
Ms. Carol Dodson
I
I
I
I
I
Dear Carol:
I appreciate your sharing your views on health care
reform. I will pass your letter on to the appropriate working
group ~f the Health Care Task Force.
This administration is deeply committed to the goal
of quality health care for all our citizens, and we welcome
the ideas and suggestions of people like you who have had
many years of experience in the field. I agree with you that
quality health care should be a right, and not a privilege in
our country.
Best wishes.
Sincerely yours,
�..
~Ylr' 1/~~5w~
?vt9-1 k.
s
~
~e_
o4r(~.:l~- h)~ t.v.· (( la-eJo:~7 Ri.'Jt C!.Yot-v.,. 's
. l~ee St.u-;s--r't YL~t~ '1-1,.,. •
fd I It /Is/< e d 11-c. e._
10 kw-~ ~
7
;4-
~~
~
1¥~ I /4.4" ~ s '7- 1-k--... f../ 0n. .
(J
~~...v
�..
FROM THE DESK OF
Carol Dodson
ANDERSON CLINIC
2445 Army Navy Drive, Arlington, VA 22206
(703) 892-6500
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. letter
SUBJECTffiTLE
DATE
Carol Dodson to Hillary Clinton. (2 pages)
03/01/1993
RESTRICTION
P6/b(6)
[P4~fl4c...]
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence (5]
2006-0223-F
ab620
RESTRICTION CODES
Presidential Records Aet- (44 U.S.C. 2204(a)(
Freedom of Information Aet -(5 U.S.C. 552(b))
PI
P2
P3
P4
b(l) National security classified information ((b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIA)
b(J) Release would violate a Federal statute [(b)(J) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
Information ((b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose Information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose Information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
National Security Classified Information ((a)(l) of the PRA)
Relating to the appointment to Federal office ((a)(2) of the PRA)
Release would violate a Federal statute [(a)(J) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
C. Closed In accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U;S.C.
2201(3).
RR. Document will be reviewed upon request.
�Dear Mrs. Clinton,
I am a Nurse/Medical Secretary for an orthopaedic surgeon,
who specializes in Joint Replacement surgery, i.e. Hips
and Knee disorders. I am a Licensed Practical Nurse, with
a unique background. I hope that the knowledge I have
gained from my years as a Health Care Provider can assist
you in your planning for health care reform.
I
I
.I
I nursed in a hospital for 10 years giving direct patient
care. As a nurse, your main objective is to help the
patient. It is very difficult to help the sick, and at the
same time remind yourself to save money, etc. Fortunately,
during the time I was nursing this was never an issue. I
understand ~hat in todays• time, nurses are encouraged to
keep cost containment in mind when caring for patients.
Hospital charges compared to costs are excessive. However,
physicians are expected to practice medicine and be
fiscally responsible, to keep the hospitals from "losing"
money on Medicare patients. Since Medicare pays a hospital
based on a DRG, a patient begins their hospital stay with
a preestablished fee in a "bank account". Once that money
is used up~ each additional day the patient remains in the
hospital, costs the hospital money. This is a big burden
to place on a physician who wants the best for their patient.
Sometimes a "knee replacement", i.e.the knee prosthesis
charge uses up 1/2 of the DRG. That does not leave much
money for the remainder of the patient's hospital stay.
I then worked at a local hospital, National Hospital for
orthopaedics and Rehabilitation, for 7 years. Here, I was
the Assistant Director of Quality Assurance and the Med~cal
Staff. This job entailed reviewing all of the files of current
members(physicians) of the medical staff of the hospital for
compliance with Joint commission for the Accreditation of Hospital
organizations, (JCAHO). Physicians must maintain very strict
adherence to the guidel-ines established,· in order for them to
continue to have "privileges" to practice at any facility. They
are reviewed not only for the quality of care that is delivered
to the patient, but also for utilization of hospital services·,
length of stay, unnecessary tests or procedures ordered, etc.
In addition, care given to patients fr'om nurses, lab technicians,
and all other care givers is reviewed for quality and
�..
appropriateness. Today, physicians are really being pressured to
give good care, in order to meet requirements of JCAHO, but are
being forced to do this in the "most economical" way possible.
My work in the physicians office has exposed me to another side
of health care. My job is to assist patients from start to finish
with the planning process of a surgical procedure. In dealing with
most insurance companies, the patient and the physicians staff is
required to report to the insurance company the plan of treatment
for a patient. If you meet their "standards" of care and your
physician plans to treat them as their pre-established criteria
demands, then the patient may proceed with surgery.
Of course,
they also will "guide" you as to the number of days that patient
may stay in the hospital. Next, the company will determine what
fee they feel is appropriate for the procedure you are going to
perform. In most instances, my physician will agree to accept
their fee schedule. My physician, like most others, participates
in many HMO's, PPO's, and other Managed Care Programs, so rarely
does he receive "full" fees for any given service. In addition,
my physician would not turn away a patient, just because their
insurance does not pay what he charges. I think given the opportunity to make a decision, few physicians would not agree to "work"
with a patient and their financial restrictions.
I feel very
strongly that insurance companies are spending a lot of money on
employees, (nurses and physicians) who via telephone "review" a
patients status. They determine "how, when and where" care is
delivered and also how much is paid. This is a duplication of
effort. These review functions are already taking place in hospital
facilities and are furthermore required to take place. If the
JCAHO guidelines are not met, hospitals are not accredited and most
insurance companies will not pay for hospital stays. So, when all
the reviews are being done, why pay more salaries, which only
leads to higher premiums for the patient. In addition, it becomes
increasingly difficult as a physician to try to practice good
medicine and be governed by the hospital to try to save money, but
also by the insurance company. Perhaps an organization much like
the JCAHO -could be established to help monitor the quality and
appropriateness of care delivered in physicians offices.
This
would be more cost effective than the insurance company reviewing
care of a patient they do not even see.
Finally, speaking from a personal side, I have experienced the side
of a patient who is in a HMO (MD-IPA) because that is the plan
his work offered him. My father has cancer of his lung. He was
diagnosed in May of 1992. He had a chest x-ray in February, 1992
that showed a tumor the size of a fist. Because his primary care
physician, or the gatekeeper, would not "open the gate" for him to
start care, his diagnosis and treatment did not begin until
May.
We could not prevent the delays which occured in the HMO
programs because neither my Dad or I could afford to pay for the
�care had he gone out of the system. In our society .waiting three
months to begin treating an individual with cancer is totally
unacceptable. I feel that had I not directed him in his care he
certainly would have suffered even more than he did.
Finally,
after I lost my temper, called people I know from working in this
practice, and did everything I could to facilitate his care; he
began to receive adequate care. But, what if I had not been here
to help him? How unfortunate it is for the average person who
knows nothing about health care and how to receive the maximum
benefits available to them.
Even then, sometimes the benefits
available are not necessarily the standard of care. I think that
the most important thing to remember is that in most cases, a
"sick" pati~nt is the person who is in need of health care. At
that time, the patient needs the assurance of being able to go to
a physician and receive the care he needs. We have to think about
the PATIENT when we think about health care. Most people who need
health care do not have the luxury of being a health care worker
who knows all the in's and out's of receiving health care.
I realize that you have a group of very experienced individuals
with a great deal of knowledge about health care appointed to help
you. But, I feel so strongly about this that I felt that I should
give you this information.
I want for myself and every other
American citizen the opportunity to have the great health care that
is available. This should be a right, not a privilege.
I am glad that YOU have taken on this massive task, that will take
so much time to 11 cure 11 • I feel that you have empathy and will be
a patient advocate. If you read the article.in the Washington Post
Health Section by Arthur Ashe, you can see that even he realized
that he was "privileged" by being financially able to seek health
care that his insurance plan did not permit.
I hope that you are able to read this letter and review the
information I have given to you. I would be happy to speak to you.
If you, your husband or daughter are ever in need of orthopaedic
care, please do not hesitate to contact me for a referral. My
boss is the best "joint specialist" on the East coast.
Sincerely,
carol Dodson
Home # I
.· <t:@l,),,;, · ;
I
Work # 703-920-6700 Ext. 4041
�...
•'
�THE WHITE HOUSE
April 6, 1993
Mr. William M. Ryerson
5313 Garry Owen Road
El Paso, Texas 79903
Dear Bill:
It was good to hear from you. I'm pleased to get a
positive report on Russ Denham. I hope his health continues
to improve.
Thank you for the information concerning medical
cost-comparison studies between civilian and military
facilities. I will pass your letter on to the Health Care Task
Force for their consideration.
I appreciate your kind words of support. Best
wishes.
Sincerely yours,
�William f.'\. Ryerson
5 313 Garry Owen Rd.
El Paso, Texas 79903
. !'f
'fflt..
'
~
- 22 February 1993 Dear Hillary, ·
Our mutual acquaintance, Russ Denham, with whom you
exchanged letters last year in regard to "notch babies"
and other subjects, was released from William Beaumont
Army Medical Center (WBAMC) last Friday evening, following
more than two weeks of intensive care. At the hospital,
it was discovered that he suffers from failure of both
kidneys. He was also anemic because something had been
destroying his red corpuscles. Had he not been in such
excellent physical condition because of his tennisplaying and his running, he might not have come through
this ordeal at all.
Russ wants you to know that he received the very best
of care at WBAMC.
The hospital commander and key staff
members paid several visits to his room to demonstrate
their concern for this alumnus of Arkansas Tech, who is
one of our most politically active retirees.
This brings up a point for consideration as you go
about the tremendous task of developing a cost-conscious
national health plan. When it became known that Letterman
AMC was facing base closure, a cost-comparison study was
made.
The study revealed that, in the San Francisco Bay
Area, it was costing the federal government almost twice
as much to treat a CHAMPUS patient in a civilian facility
as it cost for the same treatment in a military facility.
The exact ratio was $1.83 to $1.00.
Additional studies indicated that, on a nationwide
basis, the ratio of civilian costs to military costs was
on an average of $1.37 to $1.00. From a cost-containment
standpoint, therefore, it would appear that keeping
military hospitals in place and adequately staffed
-wherever the number of eligible beneficiaries (including
active duty personnel, dependents, military retirees, and
military widows) is large enough to justify such action,
would save dollars and make sense.
In addition to being a good thing for the taxpayers
and maintaining our military medical readiness posture,
keeping such MTFs as WBAMC fully operational would be a
blessing for those career veterans who have relied for
many years on the government's providing the medical care
that had been promised to them. This is especially true
for Medicare-enrolled military retirees, like Russ Denham
�and myself, as well as for military widows, many of whom
have very limited incomes.
On a more personal note, let me add that my wife
(Meg) and I share the Denhams' enthusiasm about the
Clinton administration.
I was pleased to be among the
early contributors to the Clinton campaign, and I am
especially proud of having been appointed and certified as
a charter member in good standing of the "Americans for
Change" Presidential Task Force. We all honestly feel
that the nation is very fortunate in having both you and
President Clinton in the service of our country at the
highest level. We wish you both Godspeed.
Sincerely,
~
~
,;@f:f~~, 7~·
P.S. I'm sure that you have Russ Denham's address in your
file, but as a matter of convenience, here it is again:
Russell B. Denham, 4709 Guadalupe, El Paso, TX 79904.
His phone number is (915) 751-3374.
�•
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/
/
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�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
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White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
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72 files in 6 boxes
Provenance
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Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
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William J. Clinton Presidential Library & Museum
Is Part Of
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<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
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Paper
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HRC - Health Care Correspondence [5]
Creator
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First Lady's Office
Maggie Williams
Identifier
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2006-0223-F
Is Part Of
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Box 5
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
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Adobe Acrobat Document
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Reproduction-Reference
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1/8/2015
Source
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42-t-2194630-20060223F-005-003-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/1c4aa8b40a0964258670133e56fa2987.pdf
cd06463566a8f9c4ab01cc49d61b054e
PDF Text
Text
Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECTffiTLE
DATE
RESTRICTION
001. letter
Virginia D. "Cissi" Hamilton to Ms. Hillary Rodham Clinton. [partial]
(1 page)
03/14/1993
P6/b(6)
002. letter
Hillary Clinton to Frank Smusz [partial] (1 page)
03/22/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number:
10813
FOLDER TITLE:
HRC Healthcare Correspondence [4]
2006-0223-F
ab619
RESTRICTION CODES
Presidential Records Act- (44 U.S.C. 2204(a))
Freedom oflnformatlon Act- (5 u.s.c. 552(b))
PI National Security Classified Information ((a)(l) of the PRA)
P2 Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 R~lease would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified Information ((b)(l) of the FOIA)
b(2) Release would disclose Internal personnel rules and practices of
an agency [(b)(2) ofthe FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted Invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose Information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�...
THE WHITE HOUSE
March 24, 1993
Mr. Roy C. Turner, ill
Vice President
Stephens Inc.
111 Center Street - Suite 2400
Little Rock, Arkansas 72203
Dear Te:
Vince Foster has directed to my attention the paper on health
care reform sent to you by National Diagnostic Systems, Inc. We
are soliciting dialogue throughout the country from all segments of
the health care industry in this tremendous undertaking to find
solutions to the incredibly complex health care problems facing us. I
am passing along this paper to the working groups of the Task Force
for further review and consideration.
/
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President Clinton is committed to reforming our nation's
health care system -- making affordable health care accessible and
providing security to every American family. It won't be easy and it
won't happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
I hope we can count on your support for the success of this
enormous and challenging endeavor.
Sincerely yours,
�THE WHITE HOUSE
WASHINGTON
March 10, 1993
Mr. Roy c. Turner, III
Vice President
Stephens Inc.
111 center Street
Suite 2400
Little Rock, Arkansas 72203
Dear Te:
Thanks for your very nice letter of congratulations.
As you can imagine, life has been quite hectic here in
Washington since January 20. After representing so many
clients in my life, I am now down to only one, but that one
the President -- does generate a fair amount of work for a
lawyer. What is most important is that when you do a good job
for him, you are doing a good job for all the people of
our great country. And that is the opportunity and challenge of
a lifetime.
My involvement concerning the Health care Task Force has
been strictly on the legal side. I'm not involved in policy.
have, however, passed on the report of National Diagnostic
Systems, Inc.
I
I a~preciate your sensitivity to the personal sacrifice and
particularly your prayers.
Sincerely,
Vincent w. Foster
Deputy Counsel to the President
�•
Stephens Inc.
Roy c. Thmer, m
93 MAR l All : 51
Vice President
February 25, 1993
Mr. Vince Foster
Deputy Counsel to the President
Office of Counsel to the President
1600 Pennsylvania Avenue, N. W.
Washington, D.C. 20500
Dear Vince,
I'm sorry I didn't get a chance to wish you bon voyage before you departed for the White House
but I hope you are enjoying your new duties. I want you to know that I sincerely appreciate
your willingness to incur the personal economic sacrifice required to give up your law practice
in order to go help "our friends". I know you'll do well.
Of course, I do have an ulterior motive for writing you. As you may be aware, I spend a
significant amount of my time dealing with companies in the health care industry. One of them
sent me the attached analysis which is easily the most thought provoking piece I've read on
health care reform. So I have two favors to ask of you:
1)
2)
read the attached white paper; and
pass it along to the First Lady. Although I have no assurance she'll read it at
least it will get past her censors. I'm also betting that if you read it, you'll
recommend it to her.
Again best of luck in D.C. I pray for y'all often.
Sincerely,
~
/kjh
Enclosure
Investment Bankers
111 Center Street Suite 2400 P.O. Box 3507 Little Rock, Arkansas 72203 501-377-2ll4
National Wats 1-800-643-9691
Arkansas Wats 1-800-482-6355
Fax 1-501-377-2674
�THE WHITE HOUSE
March 24, 1993
Peter A. Fotinakes, M.D.
Joyce A. Kakkis, M.D.
Women's Gynecology &
Invertility Medical Group
1043 Elm Avenue - Suite 402
Long Beach, California 90813
Dear Drs. Fotinakes and Kakkis:
Thank you for your letter of suggestions regarding health care
issues which was forwarded to me by my friend, C1ssi Hamilton, of
Hot Springs, Arkansas. Working groups comprised of government
employees are engaged in an ongoing process of consultation with
people like you -- people with firsthand experience or particular
expertise in the health care field -- to gather information for, and
provide information to, the Task Force. I will pass along your
knowledgeable suggestions to the appropriate working group.
The President is committed to reforming our nation's health
care system -- controlling runaway costs and providing security to
every American family. It won't be easy and it won't happen
overnight, but we can bring costs under control while maintaining
quality medical care and preserving the choice so important to us all.
Again, thank you for your views and for your support in this
tremendous endeavor to find solutions to an incredibly complex issue.
Sincerely yours,
~~l~
Hillary Rod\wn Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
DATE
SUBJECTffiTLE
Virginia D. "Cissi" Hamilton to Ms. Hillary Rodham Clinton. [partial]
(1 page)
03/14/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number:
10813
FOLDER TITLE:
HRC Healthcare Correspondence [4]
2006-0223-F
ab619
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [S U.S.C. SS2(b))
PI
P2
PJ
P4
b(l) National security classified Information l(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(J) Release would violate a Federal statute l(b)(J) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
Information ((b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted Invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose Information compiled for law enforcement
purposes ((b)(7) of the FOIA(
b(8) Release would disclose Information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
National Security Classified Information [(a)(l) of the PRA)
Relating to the appointment to Federal office [(a)(2) of the PRA)
Release would violate a Federal statute ((a)(J) of the PRAJ
Release would disclose trade secrets or confidential commercial or
financial information l(a)(4) of the PRAI
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy l(a)(6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Virg
14 March 1993
Ms. Hillary Rodham CLINTON
c\o Healthcare Task Force
The White House
Washington, D. c. 20500
Encl:
Ltr by Joyce A. KAKKIS, M.D. and Peter A. FONTINAKES, M.D.
Hillary:
Please find time for the enclosed letter written to you by
my dear friend, Joyce KAKKIS, and her husband, Peter, concerning
the national healthcare crisis. It is sincere, objective, and
without avarice.
I know that you are very busy.
Good luck to you, and
Kindest regards,
~·
,..·""
11
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Virg~=--D. "Cissi" HAMILTON
�Dear Ms. Clinton:
WOMEN 1S
GyNecoloqy &
I
1
INfERTiliTy
MediCAl GRoup
104' ElM
SuiTE
Ms. Ci~sy Hami!tcn enccuragad us to writa after hearing our heartfelt
comments regarding the current healthcara ctisis. We know that you are
probably being ;nundated by correspondence and requests from all sides.
Piease tina the time to consider the views of several physicians in the
trenches ot private practice. We &re the grass-roots of American healthcare,
and speak from experience not theory.
Most physicians enter tha fiald with real idealism and determination, having
survived an average of sixteen years training, personal and financial
sacrifice. They are a valuable commodity. Many have become discouraged
from the growing trends and are giving up the demanding practice of
medicine for other ventures. Soma continue with a bad attitude, providing
less care and supervision. Many will stay even in the face of adversity, the
best will be lost in the continuing trend of producing physician scapegoats in
a failing system. Of greater importance, the best will no longer enter the field
in the future.
AVENUE
402
LONG 8EACit,
Over zealous bureaucratic regulations will not effect the few who abuse the
system. It will inhibit patient care delivery by the majority of caring
individuals who would like to retain their dignity and continue in a worthy
profession.
·we have outlinad some suggestions that address nealthcare issues which
ara oi
par~itular
importance.
CAlifORNiA, 9081 '
1) Take the middle man out of the healthcare system.
(JlO) 4J7.. 102J
A middle man does nothing to provide higher quality or better access. he
redirects funds to private business profits. and away from the patient and
provider alike. 'vVe are specifically talking about the HMO's, PPO's, and
IPA's. Under the guise of pmviding cheaper haalth care, they are becoming
rich. Neither tha physician or patient profit trom these institutions. The
participating physicians earn reasonable salaries, while a third party makes
a profit, yet the patient's c:ost ..appears" less. The profits to pay this third
partner arises from r51tjuoing !J~allh ~.ar.Et. The middle mar. prevents
physicians, health insurance companies, 01 the government from taking the
blame of rationing care. We need to face up to the limitations of medicine
and provide care only where it is mo~t needed, and shouldn't shouldn•t pay
extortion to a midd 1ame.n in order tc· avcid the blame of rationing care. The
�2
GyNecoloqy &
bottom line is made to fit in order to contain costs and prevent competition.
Many of these organizations keep willing hospitals and physicians from
participating due to political concerns, rather that to optimize health care
delivery. Healthcare must be divided across large, mixed populations to
lower individual cost. It is unfair to burden any healthcare delivery system
with critically ill patients, while HMO's absorb healthy patients at lower costs.
Both will spend too much on terminal care without a return.
2) Health insurance should be. mandatory for all people.
INfERTility
MediCAl GRoup
104' ElM
AvENUE
SuiTE 402
loNG BEAcli,
CAlifoRNiA, 9081 '
It shouldn't be necessary for an individual to be exceedingly wealthy to buy
medical insurance, or exceedingly poor to go on a Medi-Cal program should
they have a preexisting or· catastrophic disease. A void has been created
where there are many patient's who would iike to have health insurance, but
can't afford it, or simply can't obtain it because of a preexisting condition. At
the other extreme, individuals who have healthcare options provided
through their employment, may choose to be uninsured in favor of an
increasea salary. This shifts the burden of responsibility to the remainder of
society.
3) Malpractice reform.
The threat of litigation inflates healthcare costs, detracts 1rom the
physiciaoipatisnt n-tJationship, yet does not benefit the healthcare system as
a whole. Society has a creatad legal-lottery system for people who want to
get rich quick. Litigation creates a mode of revenge should there be an
untores~en, yet unavoidable outcome. True malpractice continues to occur,
a.llowing incompetent physician to pay off the system. I am confident that
physicians would gladly accept lower reimbursement if a third of their
income didn't go to malpractice premiums; Mandatory arbitration with an
improved peer review system wil! provide the necessary quality of care.
The estimated C'.Osts of practicing legal medicine are grossly understated.
The· moiass ot paper-vorl<; and extm testing produced to protect providers in
~he avant in the avant of litigation i!3 overwhelming. The system of medical
'lttality assurance should be expanded. 'Nhen malpractice is suspected, a
patient wouid bt:t sncouragad to report their impressions to a board of
physicians and !agal repmsamatives who can make swift, fair, and
!nexpensive intervention. !f it is determined that malpractice has occurred,
then the physicia'l may undergo rstraining, or even expulsion from practice.
Fines rna~' be ievied, and these revenues returned to continue quality
assurance rather that filiing the p-:>ct-:ets of an individual and their attorney.
This would ~liminate revenge suhs and get-rich~quick schemes. It would
also provid~ ·fru contlr.ued excallanca i:1 medic:ai pfactice.
�3
The healthcare providers of this country woul.d be very discouraged and
unwilling to sacrifice in a system which does not provide significant
malpract.ice reform. Very little has been mentioned regarding this issue
which should be a cornerstone of restructuring the healthcare system.
GyNECOlOGY &
INfERTility
MediCAl GRoup
4) Universal insurance form.
Develop a universal medical insurance form which would be used for all
forms of medical reimbursement. Duplication wastes time and money.
Decrease utilization review for lower cost services, and have physicians of
equivalent levels of training substantiate the need of costly procedures, and
long-term care. Most physicians do procedures because they are warranted
for the welfare of their patients. They involve judgment, experience, and
patient input. Overutilization can be tracked and reviewed locally.
5) Healthcare reimbursement.
104J ElM
AVENUE
SuiTE 402
LONG BEACit,
CAlifoRNiA, 9081 J
Insure that healthcare payments are dispersed in a timely manner. We are
faced with insurance companies and government healthcare systems kiting
money by delaying reimbursements for months and sometimes years. We
consider providing care for Medi-Cal patients in California charity work.
Reimbursements are so often denied or extended they are no longer
profitable to pursue. Medicare denies our claims without adequate
explanations. Medicare has sent letters to our patients stating that we are
grossly overcharging them or they encourage them to join HMO's to avoid
such medical bills. We are represented in a disrespectful manner with little
or no recourse. Instead of playing these games, third party payors should be
honest with eyer:yone, and indicate that the reason for limiting
reimbursements is availability of funds. No one seems to want to take the
blame for limiting health care delivery.
6) Gate Keepers.
•
(J10) 4J7.. 102J
Don't be seduced by the so-called gate keeper concept. General
practitioners should provide general and preventive care with health
maintenance. They are not qualified to direct specialty care. Either an
inappropriate work-up is performed or they directly refer to the specialist after
some harm is already done. We withdrew from such a system after
continually being harassed by paperwork, authorization requests and
inadequate patient care. Specialty care may seem more expensive because
it often involves adva.nced technology and complex patients. General care is
less expensive because it involves simple problems and healthy patients.
Often a single specialty evaluation avoids many general visits.
�4
7) Patient respons1bil:ty.
GyNEcoloqy &
I
Copaymants should be a part of every health system to prevent
overutilizatioli by patients for insignificant illness. Eliminating cost barriers to
prevantativa health care is critical to iower long term costs. Provide
incentives tor maintenance of good health habits.
Advances in reproductive choice and prevention .of sexually transmitted
disease is badly needed. Prenatal care is available and underutilized now,
because of poor compliance, bad health habits, socio/cultural pressure, and
ignorance ... In addition to aggressive prenatai care, emphasis should be
placed on contraception and preconceptional education.
INfERTiliTY
MEdiCAl GRoup
8) Physician ventures.
104J ElM
AVENUE
SuiTE 402
LONG BEAClt,
CAlifoRNiA, 9081 J
There is significant rhetoric regarding physicians profiting from medical .
enterpriSe, yet it is perfectly fine for an outside interest to make unlimited
profits~ Perhaps some. phys;cia.'ls may abuse the ·system, but outside
en~erprise would be much mora lik~iy to do so~ !t is discouraging to
continually encounter new government regulations to prevent physician
· abuse·, f't'hen niost physicians are innocent of wron·gdoing and are
overwhelmed with red tape.
9) Phys!cian incentives.
Most pJ';ysiclans donata e).ionsiva amounts of time !n prcv!ding free care.
Cteata incer;tives to &ncour&~e ;nvoivement in medica! education and
Indigent caret. Our hospital has an !ndigent ·care t;iinic where many of its
ptaysicians see patients for tree or at greatly reduced fees while providing
tea9hing to young dot.1ors.
(J10) 4H .. l02J
It would ha a pleasure to work ih a heaithcare system where we do not have
to, worry about a person's healthcara .coverage, where we wouldn't be
plagued· ·Mt.h endless threats of litigation, and where a rational estimate of
what medical Cflre car. and cannot picv!de is at%-epted. We spend more
time shuffling pap$r~ becoming frustrated, and juggiing n~gulations than
providing care. We are considering i.:raving our medicai careers behind after
decncatin.g many !ong years of tre.ining, saciince, and financial risk. We
ramain patier.t for .new ar.1 hopefu! tor responsible change.
\AJe will hG at·y<.'lur riisposa! 7or ciarmcation ot discussion. and invite you to
�.
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5
spend time in our healthC'.are network to focus on specific problems. We
appreciate the difficulty of your task and stand ready to help you in any way
we can.
WoMEN 1S
GyNecoloqy &
INfERTility
MediCAl GRoup
104) ElM AvENUE
SuitE 402
LONG 8EACit,
CAlifoRNiA, 9081 )
(JlO) 4J7 .. 102J
Yours Truly,
-YJIJ~I4~
Peter A. Fotinakes, M.D.
Associate Clinical Professor
Dept. of Neurology, UCIMC.
Associate of tha American
Academy of Neurology
I
L
Jby
(A
a~ e/)
A Kakkis, M.D.
"Associate Clinical Professor
Dept of Ob/Gyn, UCIMC.
Fellow of the American Board
ofOB/Gyn
�.
.
THE WHITE HOUSE
March 22, 1993
Mary Ellen Schattman
Director of Government Relations
Tarrant County Hospital District
1500 South Main Street
Fort Worth, TX 76104
Dear Mary Ellen:
i- __ ....-·-·- -
Thank you for your promptness in sending me the citations
for the earlier information you had shared. They will be very helpful
to me and the Task Force. I hope getting it together it did not cause
you too much inconvenience.
I am grateful for Tarrant County Hospital District's
willingness to host a hearing, but the sites for the hearings have
already been determined and scheduled. We will appreciate your
support, however, in our ongoing focus of this critical issue affecting
all Americans.
Perhaps we will get to see you and Mike in June.
Sincerely yours,
�t HOSPITAL DIVISION
John Peter Smith Hospital
Outpatient Clinic
®_T_A_RRA_N_T_C_O_U_N_T_Y_H_O_S_P_IT_A_L_D_IS_T_R_IC_T_
: ~[}
1500 South Main Street+ Fort Worth. Texas 76104 +817/921-3431
,
817/921-3431
t PSYCHIATRIC DIVISION I
Trinity Springs Pavilion
817/927·3636
!
I
March 16, 1993
t COMMUNITY HEALTH
DIVISION
Family Health Center
817/927-1215
Hillary Rodham Clinton
The White House
1600 Pennsylvania Ave. NW
washington, D.C. 20500-2000
Arlington Community
Health Center
817/861-0095
Dear
Polytechnic
Community Health Center
817/531-3314
Thank you for your letter of March 1 which I just
received. I think the postal service is a little slower
since they laid off my brother, but I could be biased.
New Lives Health Center
817/922-6840
Northeast Community
Health Center
817/285-0075
At this point I have sent you two letters with a total of
twelve comments. Since your request for citations did
not specify which you were most interested in I will do
my best to provide them all as quickly as possible. I
know what its like to be buried alive in paper. I am
tempted to send you the actual documents so that I can
once again see the floor in my office. But in the spirit
of sacrifice so important to our country's future, I will
do the documentations as an order form. You can check
off what want and fax to us. We will fax or express mail
back.
Central Clinic
for the Homeless
817/870-2803
UNDER DEVELOPMENT
Stop-Six Community
Health Center
Diamond Hill Community
Health Center
t CORRECTIONAL
HEALTH DIVISION
817/884-3060
t HEALTH EDUCATION
DIVISION
School of
Vocational Nursing
School of
Radiologic Technology
817/921-3431
• MEDICAL RESIDENCIES
'
Family Practice
Obstetrics/Gynecology
'
Orthopedics
Podiatry
Transitional
M~~- .jjd£~/j//
First though, I must do my chamber of consumer campaign
for a public hearing in Fort Worth. The Tarrant County
Hospital District is willing to host a hearing for your
task force. We believe we are the perfect choice. As a
public teaching hospital, a large number of our patients
are the working uninsured. We are also a major Medicaid
provider.
What makes us unique is that we have the
nation's largest single site family practice residency
programs with 63 residents. We don't just talk about
primary care, we live it. More than 400 family doctors
have trained through our primary care network.
Our
alumni are heavily recruited into rural areas, because
they have the professional skills needed to function as
the only doctor for a whole county. Dr. Patti Wetzel,
one of the "Faces of Hope," is a graduate of our program
and on our staff.
Her husband, one of our emergency
physicians, also trained here. Obviously, we produce very
special graduates.
817/921-3431
+ Tarrant County's Major Health Care & Education Resource +
�March 16, 1993
Page 2
Besides being the mother lode of family practice doctors so
essential for the success of managed care, we have practical
experience with large public hearings and dealing with the Secret
Service.
We can deliver "an event" on very short notice.
Shoestring budgets are our specialty.
If you can't come to Fort Worth, I'll see you in Washington in
June. Mike and I are in charge of recruiting volunteers for the
Habitat for Humanity project at the G. U. reunion.
Details to
follow.
Best regards to the President.
Sincerely,
Mary Ellen Schattman
MES:dsg
Encl.
�Citations requested by Hillary Rodham Clinton.
To secure documents cited please call Mary Ellen Schattman at
817-927-1251 or fax 817-927-1664.
-----------------------------------------------------------------FROM JANUARY 25, 1993 LETTER
1.
Integrated supply system
Conclusion drawn from testimony before the Texas Health
Policy Task Force access subcommittee.
For Solutions see
Interim Report to Governor Booth Gardner and the
Washington State Legislature, washington Health Care
Commission (December 1, 1991).
Lynne Cohen, "Health-Policy Research Becoming a Growth
Industry in Canada," Can Med Assoc J 1992: 146 (1).
Principle II, Health Policy Task Force Draft
2.
u.s. Doctors move to Canada
Video Tape of 1992 PBS Show, "Condition Critical Public
Health Care Forum, quote from Jane Fultan, Ottawa,
Canada.
3.
Example of global budgeting
Tarrant County Hospital District budget is an example of
global budgeting.
Current budget is $162 million.
'Annual tax increases have ranged from 0% to 18%.
4.
West German versus American women
I read an article in the "New York Times"on the different
life styles of East and West German women published after
the Berlin wall fell. (The story can probably be
retrieved but I can't find it in my files.) I had not
realized how different the women's situations were.
American health insurance has to mesh with the American
wage earner lifestyle.
If insurance is through the
employer,
whose
employer?
Must
your
employer
automatically insure you if you get a divorce? The car
insurance/personal income tax approach is just simpler.
No one expects their employee to share insurance on a
car.
�5.
Medical Residency Training System
Numerous documents available on many aspects.
Rosemary Stevens, In Sickness and in Wealth American
Hospitals in the Twentieth Century (Basic Books, Inc.
1989).
William G. Rothstein, American Medical Schools and the
Practice of Medicine (Oxford University Press 1987).
Irving J. Lewis and Cecil G. Sheps, M.D., The Sick
Citadel The American Academic Medical Center and the
Public Interest (Oelgeschlager, Gunn & Hain, Publishers,
Inc. Cambridge, Massachusetts 1983).
Michael E. Whitcomb, M.D., Thomas J. Cullen, Ph.D.,
L. Gary Hart, Ph.D., Denise M. Lishner, M.s.w., and Roger
A. Rosenblatt, M.D., M.P.H., nrmpact of Federal Funding
for Primary Care Medical Education on Medical Student
Specialty Choices and Practice Location 1976-1985, n Rural
Health Working Paper Series, Working Paper tl3, April
1991 (WAMI Rural Health Research Center, Department of
Family Medicine,
Research Section University of
Washington HQ-30, Seattle, Washington 98195).
Larry s. Gage J.D., Virginia B. weslowski M.F.A., Dennis
P. Andrulis, Ph.D., Elizabeth Hintz, M.H.S.A., and Anne
B. Camper, J.D. America's Safety Net Hospitals (National
Association of Public Hospitals, January, 1991).
Community Teaching Hospitals: Developing A Common Agenda
(April 19, 1990, Atlanta, GA).
nAvoiding the Next Crisis in Health Caren AHC Association
of Academic Health Centers (Recommendations of the AHC
Task force on Human Resources for Health).
David C. Warner, Ph.D. and Phyllis G. Warner, M.F.A.
Report to the John Peter Smith Hospital Medical Staff on
Additional Residency Programs (October 1991).
There is no American formula or computer model or even a
rule to determine if a hospital should add a residency
program, determine what it will cost or judge whether it
is a cost effective way to deliver services. We need to
review how medical education is accomplished in other
countries.
�6.
Managed Care/Health Care usage
This is based on common sense. What would it take to
enroll every American with a family physician? Divide
population of u.s. by the total number of practicing
family practice doctors (factor in new graduates and
retirees each year). Even if you could cluster every one
geographically there just would not be enough primary
care doctors, unless we drastically overhaul the
production system.
A good analogy is the decline in Catholic confessions.
Their simply are not enough priest for every Catholic to
go to confession weekly, monthly or even yearly.
A
sacrament has become practically extinct due to a
manpower shortage.
On a less theological level, Texas sends you a driver's
license renewal by mail if you've been a •compliant"
driver. Kids no longer take a road test to get a license
if they have passed driver's education. These are cost
containment solutions.
Of course, as self referral studies show, sometimes the
physician is the over utilizer.
7.
9-5 Doctors in a 7-11 World
Report of the Emergency Health Services Committee,
Ottawa-Carleton Regional District Health Council;
•Assessment
of
the
Utilization
Pattern
and
Appropriateness of Use of the Emergency Departments in
the Six Acute Care Hospitals in the Regional Municipality
of Ottawa-Carleton• (October 1987).
The idea of doctor shift differential was suggested by a
witness at a Task force Hearing in Arlington, Texas. A
common sense idea no one had ever suggested before. This
is really amazing since all other hospital personnel get
shift differentials.
8.
Cost of gun related trauma
9.
Border problems
More of a question than an answer, I will try to develop
some data for you.
Lou Chapman and Hollace Weiner, •Border Health Issues,•
Fort Worth Star Telegram (Series, Sunday, February 7,
1993 and Monday, February 8, 1993).
�..
Phillip J. Hilts, "Quality and Low Cost of Medical Care
Lure Americans on Border to Mexico," The New York Times
National (Monday, November 23, 1992).
Patricia c. Fogarty, "Testimony Prepared for
Govenor's Health Policy Task Force" (April 1992)
10.
the
Deductibles/Co-payments
Theodore R. Marmor and Michael s. Barr, "Making sense of
the National Health Insurance Reform Debate," (Yale Law
& Policy Review, Volume 10, Number 2, 1992).
FROM FEBRUARY 16, 1993, LETTER
A.
Hepatitis B
Alan R. Hinman, M.D., M.P.H., "What Will It Take to Fully
Protect All American Children With Vaccines?n (AJDC -Vol
145, May 1991) •
Cheryl L. Goodwater, M.D., nimmunizationsn (Parenting in
the 90's, August 1992).
Laura Beil, nTwo Area Hospitals Plan Program to Stem
Hepatitis" (The Dallas Morning News, August 1992).
Flyer from SmithKline Beecham Pharmaceuticals, "Know the
Risk of Hepatitis B," (SmithKline Beecham, 1990).
B.
•oregon Plan• for drugs
This is my idea.
I know they did not consider it in
Oregon because I have discussed it with Dick Ladd,
formerly of Oregon and now Commissioner of the Texas
Health & Human Services Commission. In the seventies I
worked at the federally funded Drug Abuse Epidemiology
Data Center at Texas Christian University.
I read
thousands of articles on drugs, both legal and illegal,
all scheduled. In my concept, drugs would be scheduled
by their relative value.
With computers, it will be
possible to give the same drug different values by
diagnosis, an improvement on the inflexible Oregon plan.
This would be a rational conceptual basis for a national
formulary.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002.letter
SUBJECTffiTLE
DATE
Hillary Clinton to Frank Smusz [partial] ( 1 page)
03/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthe are Correspondence [4]
2006-0223-F
ab619
RESTRICTION CODES
Presidential Records Ac(- [44 U.S.C. 2204(a)[
Freedom of Information Act- [5 U.S.C. 552(b)[
Pl National Security Classified Information [(a)(l) of the PRA[
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA[
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose Information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed In accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
March 22, 1993
Mr. Frank M. Smusz
Dear Mr.
Smusz:
Thank you for writing and sending the numerous articles
documenting your long and difficult journey regarding your wife's
battle with breast cancer, the problems you experienced with
insurance coverage for her treatments, and your determination and
personal commitment to continue lobbying efforts. I do remember
meeting you in Williamsburg and appreciate receiving this detailed
information, which I am passing along to the Health Care Task Force
for review.
I hope you, Brian and Kevin are doing well. . Your sons are
indeed fortunate to have a dad like you.
.
.
Sincerely yours,
cc: Task Force
�January 6, 1993
Dear Hillary,
Let me start by saying congratulations to you and Bill on your
recent victory. I'm sure you both must be very excited. I was also
happy to hear that Sherry Kholenburg was invited to the
inauguration. She is certainly a wonderful person! Sherry and I had
lobbied together last year in Richmond on a bone marrow transplant
bill until she discovered her disease had returned.
I met you at the Breast Cancer meeting in Williamsburg, I was
one of the few men who had attended. I talked with you briefly and
gave you a copy of a newspaper article on my lobbying efforts. I
appreciate the time you took to write back. It was certainly a nice
surprise.
As you can see from the enclosed news accounts and Senate
resolution my family has been busy with the issues of Healthcare and
Insurance. I am hopeful that I may be able to be a helpful source
with you and Bill on these issues in some small way. I intend to
continue my efforts in Richmond and remain active this upcoming
legislative session. Please do try and keep in touch, it would mean
so much.
Again, congratulations, good luck, and God bless you.
Sincerely,
Frank M. Smusz
Route 2 Box 165A
Buchanan, Virginia 24066
( 703 ) 473 - 2542
�Smusz finds a new, way
to continue his battle ·
WHEN LORRAINE SMUSZ died fast March,
her husband was left to cope with single
W:arenthood and wondering whether he /
mwauld be able to continue lobbying the _
(fJ
mGeneralAssembly.
~
J>
By MARK MORRISON
--!
STAFFWRITER
lobbyists all worked for associations, corporations
or special-interest groups.·
·
Although no insurance mandate ·was passed,
Smusz was enconraged by the reception he got
·from state legislators. He came away feeling that
an outsider - an electrician, no less - without
powerful ties to big business can make a difference
in government.
He vowed to return to the General Assembly
again this year..
.
.
FINCASTLE _ He was worried he wouldn't,
But last ~ch, Lorraine di~d afte~ her cancer
Frank Smusz found his angle.
re~umed, leavmg her ~usband wtth a dilemma. Jie
. ,
·
· still wanted to champion her caU$e. The question
"0 . A year ago, ~e didn t need a~ angle. ~musz was could he without Lorraine alive as his sponIsimply drove to Richmond and registered wtth the
r1
• '
~Vir~a General Assembly as a lobb~ist. rhe only so ·
.
.
.
orequirement was that he had to list either an
. Smusz, 35,. searched for options, contacttngOorganization or individual that he was represent- vanous breast-cancer gro~ps and others who had a
~i~g.
·
stake in health insurance policy.f!e hoped .ma~be
-< Lobbyists are not allowed to lobby on behalf someone would not c;>nlY SPOJ?-SOr him.' but hrre him .
of themselves.
·
as well. Smusz lobbied on his own time last year.
So Smusz listed. his wife, Lorraine, who was
~o such luck. All the groups that needed a
then recovering from a controversial breast-cancer ·. lobbytst already had one,
treatment that the couple had battled their insurMeanwhile, Smusz also coped with the sudden
· ance company to cover.
and unexpected loss of Lorraine, whose c~cer had
He. wanted to lobby for legislation that woulq come ~ack -~detected, and. single parent~ood.
· require insurance companies to cover the treat- Smusz ts reanng two so~s: Bnan, 7, andK.evtn, 4.
"At first I tried to maintain too much. It was
ment, which can cost more than $150,000. He also
wanted to send a message to their insurance ~om.:. tot> stressful;'' he adqti~¢d.
pany,_Bl~e ~r?ss and. Blue Shi~ld of~!r.Jinia, tha~
Bet_ween w'?rking f~-time as buiidii?gs-andhe wasn t gtvmg up the fight,..
:- grounds supervtSor for ~otetourt County, sbllf·
Smusz also has sued Blue Cross over the cov- fling his children between day care and Little
CINDY PINKSTON!Staff
.
erage.
League games, ~ultivatinJ his lobbying contacts
Even though Frank Smusz and his sons Kevin, 4, .and Brian, 7.,
The lobbying effort distinguished him as the and doing private electriCal jobs on· the side, he .
only registered lobbyist in the state to represent ··
are spending the holidays with family New York, they
just one person, let alone a spouse. The other.850- ··.
· PLEASE..SEfSMUSZ/84 ~ecorated their Botetourt County home for Christmas.
o
2 but
in
-y:,o
:~L
~f.
'
··t-.
'.,
<
----------~~~~···
- · - - · - ·_ _ ,.._-:__!.•
�.. -~--~-~-~-~ ............
.
.
.
,- ..."··
'1
· at 35 years old seems strange. ''Re- <: •· ~
·member, I wasn't divorced/' he . . . ;..\
'1
.
: . sat'd . "I was happt y m.arne. d ,"
.
· ' ~: :}t'
'FROM PAGE .9.1 · .
, He remams comqutted to lob~ , · .
1
,;,::·.I.
. hying for Lorraine, however.
$aid there was no tlnie left for any.
Up until just a few weeks ago,
· · ·~
thing else.
·.
· · ·too,. he was ready to continue his · ··-·~ 1
. · Then there was the added pre~· efforts .-- whether registered when . ·,::-: ~j
·· sure of being both mother and fa- . . the General Assembly meets nex.t · :· .,v
··· ther. "Kevin bas hM the most trou- month or not. But that was before a
. · ble comprehending the permanence friend suggested he may be able to 1' .. ·
.' of this. Brian· .understands,'' •he represent Lorrairte· by representing· · .-:;:~}:
.,said.
·
ber.estate;
·
· .r~i~'~·
;"· · ·. ''When Kevin gets really e~cih · . . .. . Smusz checked with the Gener~ ..:.~~:·;' 'r
· "~d still, he'll' come running and say; ,a_l A~sembly. Sure, .en~vgh, , , __
'. w~\:;:
·. Morttmy, D~ddy! Mom!lly, Dad~ ' ·.. "l found an angle. I found a 1,,;\;:d
~ dy!'It'sfunny."Smuszsatdtheboi~· ..:.. wayto do. it arid keep it in :the·:·-·~;'
:, idays have been particularly hard_, "'fap1ily/l· . · · · . : " · ·<: · ·
';·''t/1:~:,'
:One bright spot was· tQ!lt they ~;·
A! the· samethn~• Smusz also ~_:;r~~~>
. ; ~ecorated the ho\;'se for Chrlstm~s. ;. has (hscussed lobt>ymg sotne fdr,.'~->:1:·~·
·:even thoti~ they.ar~ ·spending the, :..Valley Concerned qti:zens, th~.:··. .' ~
:·· ·holiday W1th fahidy tn. New 'Yor~.. ·.Botetourt group fightlng hazard~ ·. ·· ''· ..
,; .:Smusz even ·:tacked . Lorrain&l·s. ··91JS•',Va~te,burnin& at cement plartt$· -t· / '1.'t1
. ·: stocking above the fi:replace, after .~.. Ul.'·Vtrgmta. .
,. •· •. ::... · ·
• · -.::.·:, ..,.:,_;/j
,~-~ fi':lding. i} :~mop.~1.t)1* Christmas .. . , , He remains· active·~n th~ Vir~ , ;:.:::~>.j;
(\'decorat.rQns.' .} · · · .. ~ · · . .·· . ·.· ..·,,g1n1a Breast Cancer Foul)datton, '>.'·J
'}/;.4. · B'riart; .·a~q ·~e.vin' tal}(ed hint" ·,:·~··.· His laws.uit ~gainst ~hie Cross .·',~/t' .1
y-:·'·•nto it,. ~e ·satd•~ ,, c ' ~: 1'' ' •• ·~ • ' . ' ' -~. and atue Shtel~ IS conttpuing:.
<:.:>. i
Smusz also quit ~is_ job: .for· . ·· ·. He-· may ~v~n pursue politi~s· '"~:-.~·~:.~1
1.: .. Botetourt and opened hts own elec~· ·I .hunself;· he satd1 · · .· ,~ . ., ··. ~. ··· ~r.]·1
.
!' :..t~ical-conttac~hig business, which·· ·, . First, though~ he wants a. mee~ .~ · J ·'(!
\.·.· aU~ws hi'm"~· tn<:?re fle~ible .sch~dule: . :i~g wi.tb Bill Clinto1;1 anq· believes .: :;->:~._::!'1
• · around the demands of htS·ktds. , . .,. there ·1s. an .outsid~ chan~ be ..will~·> >.: · •
'!::": ,, ~··>·B:eiltso Is;piay~rtg.ih a~tn:en'·~ h::e :· ~et o~e. to(?. He ha~.a chance meet.- :.-:::: .... -·
r::·:,··~ockey league,:• J,Jria~ i_s . pla'}i!ng . tng ',Vltb ~~ll~ry 9~nton before. the ' ''7'/ ·j
· . youth.~ockey f'n4 Kevm ts learnmg . pre~tdenyal eJecttqn .th~l sbe fo~t, •, , .1_
( . to skate. The tJuee have been regu; .. · I~wed wtth a handwntten note to . ,.: _ 1,
>
f· ···tarS' at .ri'lost of the Roanoke Valley ' htm- a few weeks .later.
: · . ·, _:·,. : ( /'·
i· ·:· R.ampage ho. rru; $aines th.is. seasot}: ·..· · . He J?l~ns to.a* ber fqr a Wh!te J .. :··
·
·
· ·-··. H4 · ''·d· h' .1 . . dJ.·'·t' ... 1 . th. ·. "· H{)use,YJSll· sometime after.. the·~~, .... •f';i •.
'· ..,. · · ·.!'sat . ~ sa ....s t~g o ,.· .e~~ :·. augUI:atJon~ ,''l'd lp~e fof tpY..chth , , ,·r..,:l;'
.new ltfest~l~, :, .~... .. . . .
· ·•. ,•;· :... ·dren to tneet the bext Ftr!it Famh · ._.;: \:·: ,'
1
.
'\.';• ··,·
SqtU.sz :. ha~. ev~n d~te.d- SOQl,e;: :;,···ty;~:.·.·he. ·saidt ' 'J. think it, Would., be a.·. <': · J:'
...
...•
. ~alt;boug? ,l;i~ ~a~q l;lemg. smgl~ Jl~at~ ·. ,:;tpr~J.\.,'' ,,.1::.: ·. · ,:,·· •.• : -:i: . . : : ,· · ,;..<. ~;:"·:~ · :i !
>. .
·f
-:> ·· ·
,.
L;<
I
~-
-~
....:...
.~!...-· _ _..l~·-.1
-----
--'·-·-·~ •
•'-'----·:.1.
.<
; •.•.:....:-._,_
!,,;,
PRESERVATION PHOTOCOPY
f
-•
'j.'";
,-'~·-
-Vr
'"'-"--
-
·-
'<:
I
�- latte
By LAURENCE HAMMACK
·
STAFFWRITER
MONETA- Inmates in the crowded
jails of Lynchburg and Bedford and
Campbell . counties soon will get some
breathing room.
Starting this week, some P-risoners
will be moved from cramped jall cells to
the more spacious confines of the former
·smith Mountain Lake Correctional Field
Unit, also known as Camp 24.
The prison camp, closed by the state
in April to meet budget cuts, is being
leased to Bedford County, which will operate it as a jail annex. .
Standing outside the prison Thursday
afternoon to announce its reopening, Bedford County Sheriff Carl Wells said the
facility offers barracks-style living quarters and ouidoor recreation areas not
found in most jails.
"I think you will find that most inmates would much prefer to be someplace
where they can get out and do something," Wells said.
Of six prison camps closed this year
by the state Department of Corrections,
Camp 24 is the first one to be converted
into a local jail to limit overcrowding.
The jail annex will hold up to I00
prisoners. More than half will be from
Lynchburg, which has a jail so overcrowded that a federal judge recently ordered officials to reduce its population.
With the Bedford and Campbell
i
..
,.
~"-c:r"'-<..._j·
peup.
t-.
..
'.
.!
By MARK MORRISON
STAFF WRITER
. Ii
.I
Frank Smusz - electrician, grass~roots lobbyist, fighter of big insurance, husband of the late
. Lorraine Smusz and single parent of two young
boys - hoped to add another hat to his collec. tion Wednesday:
Confidant to a possible future president, Bill
.. Ointon.
Or so he thought.
It turned out differently, his brush with the
.:political big league. He didn't get an audience
I
!
I
.
with the Democratic candidate. But Smusz's uti~
expected trip to Williamsburg on·the eve of the ·
second presidential debate still was rewarding. ~,.
He did get to chat with Hillary Clinton. '/::.
It all started Wednesday
·:
'35, was at his home in Fincastle
written proposal to do some electrical COIIltra•ctltll
for Botetourt County. Afterward, he ola.nnc~dkllo
finish a job on a new bouse i#, Lexington.
Presidential politics were fat· from his
··
· ' , IJ· .....
PLEASE S~E . SMlJSZIJa2
say~
By MADELYN RO~
HIGHER EDUCATION\
One in three stu
ates from the state's r
sities in four years, al
report released Thu ·
State Council of High.
The figures are ir.
tional statistics, said F
author of the study.
And while some s
as Norfolk State's gr
of 19 percent after se·
Don't
'.
l,'
! ..
r'· .
I·, . '
,
The traditional
'.
I
temoon barbecues a
j'
ture's were canceled.
tied over the place.
Finally, the host
sued their demand a
em patrons rose to tl
They pooled their cl
their dollar bills anc
$92.18 for the Muse
phy Association, lee
they were that Bessi
returned after the J{
Labor Day telethon
Happy ending?
know better.
Bessie has becoi
those hostages we fc
The windowsill at C.
I:
'
dowr.
struc
mon.
crac··
banh
PLEASE SEE .JAILJB3 whit(
·.·~~
i·
;
the gll.
ty," sl
paign
and gt
4-yec
·;:Smusz takes case to Clinton ,. Author
lO \~ ')
'
•i
'
PLEASESE
Olin cautions·..:~~gainst term limit
.
:··-.
'
·---· --- -----·--:-·::: t:; -- -'t
~
�. . :.
ihe was a
1e Eastern
s survived
t Buchan~ner, Ha·
II Vickers,
olbert,Pu·
and Erline
grandchll·
ill be held'
:OOnoonat
~the
Rev.
(:iating. InlOci Memoill receive
'.m. Friday
I.
Irs. Gracie
>rmerly of
onday, Oct, N.J. Surlest nieces,
:kett; a derdy, all of
1er nieces,.
md friends.
held Saturrtis Chapel
Memorial
11 receive
-day at the
ession will
her niece;
N.
W.
liS
RN,age61,
sday,Octolved by her
ibble; two
law, Mary
Sowers ·of
roland Ar·
esville; two
ard Sowers
Sowers; her
cCoy Cook;
~k, Jr. of
e attended
;a graduate
s Hospital
Z. She was a
for the U.S.
30 years of
the Bennett
ltsbaW Avethe family
to 9:00p.m.
ices wlll be
aturday, Oc1 be in Wes·
1rk in Rich·
.. '
no-show, opting instead to rest his
voice and practice for Thursday.
night's debate in Richmond. But. :
FROM PAGE 81
as a replacement, Hillary Clinton:.
attended.
··
.
Then the telephone rang. It was
After the Secret Service-·
Phoebe Antrim with the Virginia
Breast Cancer Foundation, a breast brought in a dog to sniff aroun& .cancer policy advocacy group. the conference room at the Will"-''
Smusz once served on the founda· iamsburg Lodge ·and Convention .Center, she was ushered into ·die:.,.
tion's executive board.
room and seated at a table. SmtfSz..·,.
Antrim invited him to attend a
said women from the breast canlast-minute meeting arranged
among the foundation, the Nation- cer groups then gave presentati6Dsr!:
· o._:-rt.;.:
al Breast Cancer Coalition and for 90 minutes.
He sat quietly along a wall~~~
Clinton in Williamsburg - for that
•J.
hind Clinton. About 40 people atl.l ·
afternoon.
.
~
Not someone to pass up a tended.
·-'
···'
He said he was impres~i(
chance to push the breast cancer issue, much less before a possible that, this close to the election ant[ •;
president, Smusz dropped his work with s'? many issuc::s to ~nsi~r( •
New River Valley
plans for the day, changed into a the Chnton ~amp took time t~ ·~,
DUBLIN
suit and jumped in the car.
hear from these two groups. '-'To'.-~. PALMER, Jack Edward, 59,
Smusz bas become well-known me, it shows their interest,")~e:·:_
said •
'
-' ..,I.L•
died Thursday. Funeral Saturday at since the well·
.
•
'
'1
.•
II a.m., Thomas M. Seagle & Sons publicized battle
"She was very ·receptive." --~' ~ c.
Funeral Home, Pulaski.
his wife; LorDuring the meetin& sh~,f.~.i
ELLETT
raine,
waged
plaude4 the work .of ,the -Niff!~::
,I
·
against
breast
.groups and said it was impo~... ~' 't~
h AKERS, Lee J, Sr., died Wednes- cancer and her
\..·,:·
for grass-roots orsanizations 'and
day. Graveside service Saturday at · insurance compa2:~0 p.m., Akers family cemetery, ny, Blue Cross
individuals to become activ·t.~
such issues. On this, Smusz
Faig. Arrangements by McCoy Fu- and Blue Shield
neral Home, Blacksburg.
of Virginia. The
his ears pricked up. · .. : "'· .·.
·. 1 . ~1
'· ·
company refused·
When the I.Jl~t;tin'J 6rot<e,.. ·.
was introduced ·-£9 Oititon,~d ~. ,.
. . BedfOrd·Franklin
to cover a conto speak with her for ·l;1feW m$H ( '
. Smith. Mountain Lake troversial treat-,
ment she under- Smusz
utes. He told her about Lorraine. :.. ''
went to fight the
and their struggle with Blue C~:.,
FERRUM
disease.
and his efforts in the General J¥Sl.-1, f..YOUNG, Jimmy Roger, 45, died
··
~~ of,
. ~~
She died earlier this year, but sembly.
Thursday. Funeral Saturday at 2
he · has continued to advocate the
"I told her why l was· ~t~
p.m., Flora Funeral Chapel.
~merits of her treatment - high- and the importance of tbese..
.... ,
~~..
dose chemotherapy with a bone- sues."
·
,··
marrow transplant - and the
He banded her his lobbyi~{'
need for insurance companies to
cover it. His efforts have included card and a copy of a Roat\o~ :
LEXINGTON
Times &. World-News story ab.Quf'
. AMOS. Mark Dillard, 84, died lobbying the Virginia General As- his mai~en ~obbying trip to : ~sJ
sembly to mandate the benefit.
Thursday. Graveside service Saturstate cap1tal 10 February.
. rri:Jrj
Blue Cross contends the highday at 2 p.m., Rockbridge Memorial
"My hope is they'll read it
Gardens. Arrangements by Harrison dose treatment, which many doc- and say here's a guy who ca~~;-;
tors say is the leading wa't to treat
Funeral Home.
advanced breast cancer, ts experi- enough to d9 all this." Maybe ~: {
LEWIS. James Howard Sr., 76, mental. The insurance company is will ask r~~ .~~~ ,h~p somewh~,<
died Thursday. Graveside service helping to fund a study on the ' down the hne, 1ie satd.
._.!:.. ·._
Monday at 11 a.m., Stonewall Jack- treatment, however.
"You think ahead. What-irr·-~
son Cemetery. Arrangements by HarIn Williamsburg, Smusz said Why not? I've been involved this:·:
rison Funeral Home.
he didn't know what to expect. far .... "
RICHMOND
Would he get a one-on-one diaHe wasn't disappointed abottt- ·~
TRIBBLE, Joyce Cook, 61, Iogue with the candidate? Would missing the possible future pr~J;; ;_
mother of Walter David Cook Jr. of Clinton be receptive or would he dent, either. "Hillary Clinton·'·iS!-:.
Newport, died Wednesday. Funeral be distracted on the day before his just as good. I mean, well, she's b~ ~~
·Saturday at 2 p.m., Bennett Funeral second debate? During the four- wife," Smusz said. Plus, being' ·at:
Home.
hour drive, Smusz said his mind woman, the issue might hit closef -:
WYTHJ::VILLE
raced.
to home with her, he noted. He
feels the exchange y.oas worthwhile-.•
PHIWPPI, Richard E. Sr., 80,
"I was a wreck."
"It just puts it on another lev- ~
died Wednesday. Funeral Saturday at
When he arrived, however, he·
11 a.m., St. Paul United Methodist learned Clinton ·would be a
el."
'
~-··..ncnlviui -- .
Ited Meth-
•'
BUCHANAN-
.
SCHUlZ, Loretta J., dted Tuesday. Graveside service Monday at II
a.m., George Washington Cemetery,
Paramus, N.J. Arrangements by Rader Funeral Home, Troutville.
DALEVILLE
WOLFE, Michael Leslie, 49,
died Wednesday. Graveside service
today at 4 p.m., Mount Zion Cemetery, Augusta, W.Va. Arrangements
by McKee Funeral Home, Augusta.
EAGLE ROCK
YOUNG, Paul Edward Sr., 85,
died Wednesday. Funeral Saturday at
2 p.m., Eagle Rock Funeral Home
Chapel.
;5mUSZ
;
.'' f
1s:·
State
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.
Buchanan Man Meets Mrs.· Clinton
Frank Smusz of Buchanan had and broader Insurance coverage Smusz did not testify, but had th~
an unexpected brush wtth presi- since his wife died from the dis- opportunity to speak briefly With
dential politics last Wednesday ease last spring, said he was Ms. Cllnton following the meeting.
when he attended a special meet- thrilled at the opportunity to meet
·uwassigntftcantfortheCUnton
ing in WUllarnsburg wtth Htllary With Mrs. Clinton.
campaign to take the time out to
CUnton, wlfe of Presidential hope•tt's such a tribute to Lorraine talk wtth a small group of people:
for me to be asked,· he said. Prior he said, noting that the meeting
ful, 8111 Cllnton.
· Clinton himself was originally to Lorraine's death the Smuszes was not covered by the national
scheduled to appear before the 40 had waged a public campaign to press.
plus representatives of the Vir- raise the money needed for a bone
-ntis is National Breast Cancer
ginia Breast Cancer Association marrow transplant, a treatment ·Awareness niorith. The purpose of
and the National Breast Cancer herdoctorsrecommendedandher. the meeting was to open a·diaCoalition, but sent his wlfe in- insurance company, Blue Cross & Iogue should the Clinton-Gore
stead so he could rest his voice Blue Shield of Virginia, refused to ticket get elected. We hope to form
before last Thursday night's presi- cover.
·a partnership wtth the admlnisdential debate in Richmond.
SmuszsaldMs.Clintonlistened tration and to have some say in
Smusz, who has continued to receptively to the presentations by how the $300 million recently
advocate breast cancer research a number of different women.
(continued on page 2A)
I
! '}
!
•"
,,
:'
:_i
~
•
I
. Hilla}y---. (contln~cl from page 1Al
added to the federal budget for
breast cancer research wUl be
spent.•
Smusz sald Ms. Cllnton carne
across as "concerned, sincere and·
doesn't seem like a phony· during
. .the meeting last week.
.................___________________________
�1:
SENATE OF VIRGINIA
J&K.Affl1 flJd".H!T !if&f8~K..Nl9:
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�The Fincas1
Botetourt County ~
'f"~·
8
ut
Boar 's ecision to include
ABMT coverage is victory
for Lorraine Smusz's family
By Kathleen Morra-8loan
MaffWrtter
•tt made my day: It literally sent
chUls down my splne, • Buchanan
resident Frank Smusz said when
he heard that the Botetourt County
School Board had voted August 6
to add coverage for Autologous
Bone Marrow Transplant (ABM"Jl
treatment (Qr breast cancer to Its
Blue CJ'088 & Blue Shield of VIr-
gln1a (BC&BSVA) health Insurance
plan. The plan covers schoolemployees and their families.
•t was overcome with a real
feeling of satlSfacUon: It was;llke
part or Lorraine,. he conUnued.
Although Smusz and h1& fainiJy
are not cOvered by the Sc~ool
Board's health plan, the board's
acUon struck a deep, perlqnal ·
chord. 'Ibe 35-year-old lndepen·
state Senator Bo Trumbo (right) preeented Prank Bmuu a
dent electrical contractor lost his
wtfe, Lorraine, to breast cancer In
March amidst a public struggle to
get ABMT covered under the
couple's BC&BSVA group health
Insurance policy.
Ms. Smusz had been told by her
doctors that ABMT treatment was
heronlyhopeofswvMngtheStage
IV breast cancer that had Invaded
her bones and Uver. She ultimately
got her treatment, but not until
she'd waged a massive public relations and fund-raising effort to
raise the $160,000 to $180,000
needed for the treatment.
BC&BSVAdenled theSmuszes'
requestforcoverageon the grounds
that the ABMT treatment was experimental. Smusz Is suing
BC&BSVA for $2.35 mllUon. The .
Insurance company has asked that
the case be dismissed, and a pre- ·
trial hearing Is set for September 3
In Botetourt County Circuit Court
to detennlne If the case has a
future.
· BC&BSVA announced ln May
that In July It would begin offering
group customers the opportunity
to obtain coveraghtghefor the treatment known as
dose chemotherapy with autologous bone
marrow transplantation (ABM11 for
breast cancer. •Autologous• means
that the bone marrow Is harvested
from the patlentherselfratherthan
an outside donor.
The optional coverage costs $5
per person per· month for buslJiesses with 2-49 employees and
costs less for larger groups. The
Botetourt County SChool Board
added the coverage .when It renewed Its annual contract. The
s·
: . ·:
t1
·i
~·.~f.
.,
jt
P:
seei:
framed Joint Resolution from the General Assembly moUI'IliDg and
honoring LorralJle Smuu for her struggle with cancer anci her
to
Inspiration to thouaan4a ofvtrglnlana clurblg that atruate whlcla
the .
.... made pubUc by her ancl her huebamcl'a efforts to have ABMT
'-.f- ·
- · ·•-ry--• · w:ar...t..hv·Blue CI'Ofl8 • Blue Ethlel4_of._~~~~ ·~~~}!!_coverage-~ cost~.... . •.
�nts of the cJuiens'
esta for prohibition
waste bumlng?
ve once ogaln had to
log for the cotpmu·
·re Ia a poaelble con·
t. 1bl8 would not be
public official, such
ng commlaeton, hal
)(Interest and there·
. to remove hlmaelf
1 the laaue.
to start doing your
:fore making rash,
temen ta, unleu eell·
-egardleu of Integ·
•nly goal.
ABMT ~coverage
9
-t>~-~r&;;.;::o~-~,..r.~.-'·;;_Y_ _ _ _ _ _ _ _ _ __
fro~...,. 1·~
anceandwaaareglateredlobbylat lng ftne after much longer."
people have cii1Dculty getUng CfN·
Five months after ble wlfe'a ered.HeeUllgetacallefrompeople
on hla wlte'e behalf during thla
month !or lndl\lldual eubecrtber yeate ~e~~lon or the Oeneral Aa· death, he~ thefamllyleadjuat· In VIrginia and elaewhere who are
coverage and w1 coat employees eembly, t)llnka the eO'orta o! hla lng, but that •Ingle parenthood Ia having trouble With Insurance CfN·
erage.
·
With family c
e an additional wtJ'e, hlmllelt. other breut cancer IWd.
.1.20 per month.
vtctlml and VIrginia eublcrtbera,
·~married oouplea out there
"ljuat want people to be given a
Botetourt Co ty School Su· also had an Impact on the thlnklnf. about wanung to be fair ahake." he aald. When he re·
perlntendentDr. c
nceMcClure company'• declalon•
lingle, ld adVIIe them to work It ftectaonwhatheandLorralnedld,
"'lbey (BC&BSVA) won't pub- outandataymarrled," Smuaz eatd. the experiences they had, and now
attributed the boa 'a Interest In
the opUon, In part,\to Ita know!· llcly admit that their declalon had He eald the aupport he's receiVed on life Without her, be admits that
edge o! Ma. Smuaz'll etrugglea to anything to do With the eO'orta o! from the community haa meant lt'a a remarkable atory.
obtain the treatment.
Lorraine and me, • he aald. "It had everything to him.
"WetookauchanegaUYethlng"'lbbaopportunlty~came avail·
everything to do With the publicity
"WithoUt ft1end1 In the com· dlaeue, a young mother, an In·
able, and we Celt we fleeded to act aurroundlng the cue and the el· munlty and the church, 1 would aurance company that wouldn't
CGrol Lenach on It Immediately,• M~lure aald. forte of Lorraine and the VIrginia never have gotten through all thta. pay." he recalled. "It could have
n-outum.
devutated us, but It made us
Jim Ooaa, director offibllc af· aubecrtbera who wrote on behalf I can't thank people enough."
raJra for BC&BSVA. eaya that 110 ofthla."
Smuaz Ia trying to l(et till elec· atronger and brought ua together."
far, 10 groupe atatew1de, clud·
Smuaz eaya BC&BSVA Ia on trlcal contracUn& bualneu going
Physicians or coneumere who
I"
lng the "Botetourt County hool the r1ght track With optional CfN· 10 he can have more Ume With hl8 would like morelnfonnaUonabout
lfY
Board, have taken advantage of erageofABMTbuthalnotgonefar boya.Hehopeatoremalnanactlve the NCI breut cancer study can
the opUonal coverage, He ~t enough.
·
· ·
-- ,parUclpant In Richmond and con· . ~call the Blue Crou & Blue Shield
waa Interest on the part of~~
"'lbbataaetepln theri&btcllrec· Unue Ills fbcue on health lniUJ'o ABMTBreut Cancer Hotline atl·
of their youth must aumers that prompted the com·
Uon, but It's expensive lor small ance and other treatment& that 600·226-2268.
• balancing act With, pany to oO'er the optional crNer· \ groupa."beaald. "It would be much
or percepUon every age.
·
·
,- feu expensive lflt wu oO'ered u
1111 the tracks.
"We'd heard from eome con·
standard ccweraae, then It would
thlatlea have always aumere that they wen= Interested only coat pennlea a day. •
·the town'• habit-If In obtaining the coverage regard·
WestVJrglnlaCongreumanNick
Oolaeaya hll company ll"aev· (CoDtla1104 from .... 1·~
:r houaea, we tune leu of whether or not It was ex·
era! yean away" from maldng a
Written Into the Code of West Rahall'eactlon to have a 19.4-mlle
te are at a CI'OIIIIIng, perlmental," he aald. "We haven't
atandard ccwera&e declllon and II VIrginia Ia the Criterion that the eecUon of the New River studied
tocroaa.
changed our poaiUon: we main·
waiting for the reaulta of a Na· llne"...WIIIreeultlntheacceptable for poeelble deeJgnaUon u Wild
have been lost on taln that the treatment Ia still ex· -Uonal Cancer lnaUtute study, par· ba1anc:e between reasonable power and ecenlc coulcl more dama.!!e
rain tracks In the perlmental. We're simply creaung
tlally funded byBC&BSVAand 14 needaandreaaonableenvtronmen· to the propoaal Cor the line. While
e whlatlea blowing, an opUon for a group to oO'er thla
other BC&BS companlea, that tal factors. •
It will not alfect any declllon the
tlow many more Will crNer&getothelremployeea."Ooaa
Accordlna to a releaae from Ap- two commlaalons must make on
comparee the long-term aurvtval
r abeence. Croeslng aaya hla company lnaurea "thou·
ratea of women who receive ABMT palachlan, ~ce President Charles the need of the line, It Will draaU·
the Ideal aoluUon, sands of groupe• across the state.
treatment With thoaereceMngcon· Simmon• aald the company Ia caliY alfect the route.
1 structures can be
The bill called for a federal study
Ooll eaya BC&BSVA plana to
venUonaltreatmentforbreutcan· pleaaed to cooperate With the liSe
ln't we better v.oel· oO'er similar opUonal crNerage for
andtheWithdrawaloftheappllca· .of the New River. It puaed the
cer.
~ whlatles that have
lndMdual (non-group) cuatomen
"We think ABMT Ia a worth· Uon Will not advel'8ely all'ect the Houee of RepreaentaUvea and Ia
1us of the approach later thla year. Goaa eald he didn't
whUe procedure and crNer It for Intended project compleUon date now slated fora vote In the Senate.
BUenky aald If the Senate apseveral otherdlaeaaee for which It of 1998.
know what the coat of that lndl·
' a terrible prtce to vidual coverage might be.
halprovedaafeandefl'ecttve,"Ooaa
By WithdraWing the application proves It, t!)at aectlon of the New
night's sleep.
Frank Smuaz, who teeWled at
aald. "Wedon'tthlnkltlleafeand In West Vlrllnla and reftlln& It River - I n c = the locaUon
Ranse Ransone heartngs In Richmond lut spring
llnecroeeeaeO'ecUVe for breaat cancer. The after January 1, the PSC wllfbe wherethepro
Buchanan before the etate Bureau 'of lnaur·
study Will determine whether the able to lndude results from the a Will be cloeed to any developmenL
"'lbe federal government Ill not
treatment Ia better than. equal to prellmlnuyreportfromtheForeat
or wone than conventional treat· Servtce'a environmental Impact going to allow any degradation of
etatement (EIS) In the decillion.
the land once It Ia approved for
-'mentforbreutcancer.·
The porUon of the line In Weat study." Bllenky aald. •If the bill
In theNCietudy, women have a
50/50 chance of receiving the ex- VJralnla, running from Oceana to comes out of Congreu, then the
the border on Potts Mountain In route II dead for all lntente and
: county. They have Cement Co. potentially could) by perimental ABMT treatment or Monroe County, II the only eec· p'urpoeea. •
aVIJ'onmentallawyer burning hazardous wutes. No, conventional chemotherapy treat· · Uon afl'ected by the wlthc&awal,
VIrginia Tech reaeon:her Ben
ral&lng efforts. They VCCHMA members are, lnatead. ment. Smuez eaya once women but the VIrginia State Corporation Johnson. whoheadedastudyteam
etters to the editors drtYen by their concern for ue all- hear the eurvtval rates for conven· Commlealon(SCC)Iagolngtohave charged With elung the route for
ra. 'nley have been our health: the quality of our air, Uonal chemotherapy, which are to take a hard look at the action In the propoeed line. aald hl8 group
lower than those
ABMT. they
rganlzaUons andre· water and agricultural values: our are not lntereeted for partlelpotlng the Mountaineer State.
18 re-evaluating other potential
In
Yant the hazardous property values, and the tremen· In the etudy and try to get the
The SCC 18 In the proc:e11 of croulngs of the New River In an·
-eaented to them "In dous lack or regulatory enforce· ABMT on their own.
tranacrtblng and reviewing tesU· . UelpaUon of a change In the route.
·hen the story 18 ac· ment.
Ooaa would not confirm that mony from the heartngs held In
"'lbere were other placea where
We are Indeed fortunate that we
ompllcated and re·
clatm, but acknowledged that Richmond on the VIrginia portion a croaelng would be much more
tl analyall to be prop- don't have to rely on Tarmac alone women have been slow to algn up. of the line. Bill Bllenky, attorney Impacting.• Johnaon aald. "If we
for Information on hazardous
xl.
"Franlrly, there'a not a lot of
Preeerva·
embers of the group waste burning. Becauee VCCHMA Interest In parUCipaUng In the Cor the Cltlzena for theaald he 11 no longer have that u an option
t1on oC Craig County,
weWillbavetolookataltemattvea.
f taken the Ume to keepe tabs on the latest happen·
study." he aald. So far, two VIr· revtewlng hla alternatlvea for poa· We have reopened and begun ecor·
selvea and the pub·
lngs In thla Reid, we can get aelen· glnla women are partiCipating In alble acuon, baaed on recent de· 1ng other possible croaalnga of the
his vital concern.
Wlc data from other pointe of view
program. There Ia potenUal
•ates these people to bealdea Tarmac's. Looking at thla the 40 VIrginia womena to rec:etve velopmenta In West VIrginia. That ' rtYer which were originally ruled
for
me and energy per· Important llsue from as many tranaplants u parUclpants In the acuonmtght be torequeet the sec out because they were too tmpact·
delay or diamlaa further action on Jng. •
acUvllles. Certainly angles u posalble would eeem to
study. Ools eaya eevera1 hundred
Bllenky aald hll plane Will not
hat they Will rake In be the Intelligent way to make women acroaa the country_ are the VIrginia portion of the line.
Bllenkyaakedforacontlnuance be finaliZed until next week. He
:r year (as Roanoke needed declllona for our county,
currently participating In the of the hearlnge In VIrginia before eakl uklng the sec todllmllls the
and thus allow us to do what II study.
they opened July 1. He aald hll propoaal Will uiUmately be very
neceasazy to protect the lntereata
BC&BSVA II not oO'erlng the request was baaed on three fac· expenelve, becauee when It Ia
or the citizens of Botetourt.
optional crNer&ge to Ita own em· tora-theprojecthadnot~tbeen reJiled, the enUre proc:e11 Will be
What about you? Have you ployees. "That would be lnconsll· R1ed In West VIrginia. 110 there was repeated. He aald aaklng the sec
made an effort to learn aa much aa tent With our company policy." no way to know what would hap· to merely delay further acuon
possible about thll lasue whUe aald Ooaa. "We don't believe thatlt pen there: a bill wu pending In would be preferable, based on de·
keeping an open mind? If you (the treatment) II eafe and elfec· Congreu which could draaUcally velopments In Weat VIrginia. But
need more Information, !suggest UVe."
aO'ect the designated line route: heaaldtheSCCdenledhtarequeat
you contact VCCHMA. locally, or
Lorraine Smuaz lived one year and the ElS from the Foreet Ser· to eeparate the approval proc:eu
theCitiZensCieartnghowie!orHaz· after her ABMT treatmenL Her vice wu atlll a year away from a Into sections of need and route
location - a move which wu ap·
ardous Wastes, P.O. Box 926. Ar· husband II convinced ahe only prellmlruuy report.
BllenkyaaldhllmoUonwaadJ8. piVIIed In Weat VIrginia.
llngton, Va. 22216; phone (703) had that year because of ABMT.
.........PabUaher
miSled by hearing examiner
SCCetaiTattorneyWayneSmlth
276·7070. The Roanoke paper and Smusz says the year was a pre·
.••••.••••.•.Editor
Howard.Andenul because theCae· aald any delaying acUon In Rich·
1V etaUons need to be aaked re· ctous gift.
·
.....Copy Editor
peatedly for more In-depth CfNer·
mond Will only be Initiated If such
"Kevin 18 four now and he aWl tora were contingent.
tlon Supemaor
He aald the PSC action, and a request by Blle"nky Ill approved
age of this Issue•
plcturea Mom up In heaven With a
•••••• Advcrtlai.Dg
I am confident that once JOU'Ve aultcaae. Brtan Ia seven: he knew Appalachlan'eaubeequentremoval by Anderaon. He aald Anderson
taken the Ume to look c:areful1y at about hll mom before I even told ol ihe application, hal made the Will gtve It run consideration. HJ
.bUshed weeldy for
aald he was unaware of developboth aides of thll lasue that you him. • Smuaz confides. "'lbey had flret factor 1eaa conUngent.
t counties ancf $24
Will want to support VCCHMA'e an extra year With their mother
'1be process hal come run circle mente In West VIrginia.
a1n St., Salem. VA
effot18 to ban hazardoua waate and we did a lot. Even thcaugh In West VIrginia,• Bllenky lllld. · Anderaon, because he Ia acUng
VA. and additional
waan'tllled, then.Ap- · With authority and power similar
burning In Botetourt.
Lorralneon!Ymadeltayear,people
changes to THE
Sheme N. Andrews, RN shouldn't be dllcouraged. I know
rued lt. and now It's no . to a Jud«e In thla caae. does not
'A24090.
r rued..
(CoDtlaucl- ..... 8-A)
Daleullle ao many women that are atlll do(CoDtbauocl
board an addltfonal 60 centa a
.ath sties
·Power line
ao
VCCHMA dedI•cat"I0 n
=
�'
. .
~
·.
STATEMENT TO THE
STATE CORPORATION COMMISSION'S
BUREAU OF INSURANCE
ON HOUSE JOINT RESOLUTION NUMBER 432
July 9. 1991
Frank M. smusz
Route 2. Box 165A
Buchanan. Virqinia
(703) 473-2542
24066
�Page 1
The information contained herein will discuss the
issue of autologous bone marrow transplantation and high
dose chemotherapy (ABMT) with its relevance to House Joint
Resolution Number (HJR) 432.
ABMT treatment for breast cancer is ·the treatment of
choice for women today. The average age of women receiving this treatment is 36 years old.
ABMT treatment for breast cancer should not be looked
upon as some exotic and unusual treatment for this
disease. Simply put, ABMT trea~ment uses high dose chemotherapy drugs much hiqher than standard chemotherapy to
eradicate cancer cells. The idea is that if standard dose
chemotherapy can kill cancer cells, then high dose or dose
intensive chemotherapy will kill more if not all cancer
cells.
While dose intensive chemotherapy kills the cancer
cells, one side effect is that it also kills the bone
marrow and leaves the body's own immune system defenseless. Shortly after the dose intensive chemotherapy is
qiven the patient's own bone marrow (which was previously
stored and sometimes treated) is qiven back. Along with
growth factors or "fertilizers", the bone mairow quickly
regenerates and the patient begins to recover. The results using this procedure in the battle against advanced
stage breast cancer and those whose cancer is likely to
reoccur, clearly and largely overshadows conventional
standard chemotherapy.
74\ of women who have breast cancer with 10 or more
axillary nodes involved who underwent the ABMT treatment
have remained disease-free for at least 4 years compared
to only as few as 30\ who remained disease free at 5
yearS • \,t)I.U,., s+er.~~~rl) c.\.w~rt... ~,
For advanced stage breast cancer patients (Stage IV),
those whose cancer has metastasized, as many as 68\ become
disease free and about one third will remain disease free
over four years.
�Page 2
Standard chemotherapy offers only a 10\ - 20\ chance
of becoming disease free and of those who achieve disease
free status, only 5\ - 15\ remain so for 5 years.
ABMT for breast cancer is not without risks. Eight
to 15 percent of patients who receive the ABMT treatment
for breast cancer will die as a result of the treatment.
By comparison, 80\ to 90\ who do not receive this treatment will probably die soon anyway from the cancer itself.
The choice to receive standard chemotherapy vs. ABMT
treatment should be made bet~een the patient and their
doctor.
ABMT for breast cancer is not for everyone. Many
medical facilities of higher education have strict guidelines to be eligible to receive the treatment. They do
not treat everyone, only those meeting the criteria to be
accepted.
Included in this statement is a list of 42 insurance
companies who will or have covered ABMT for breast cancer:
some on a case-by-base basis. Other pertinent information
is also enclosed. As you will notice, most Blue CrossBlue Shield plans surrounding Virginia will pay for the
ABMT treatment relative to breast cancer, but Blue CrossBlue Shield of Virginia (BCBSVA) will not.
It becomes
evident and clear that the largest health insurance company in Virginia, BCBSVA, which appears to almost have a
monopoly of the subscribers in this state, is restricting
the access of medical care Virginians may be able to receive.
BCBSVA is helping to fund a National Cancer Institute
(NCI) sponsored study along with about 15 other BC-BS
plans nationwide to determine the effectiveness of ABMT
treatment for breast cancer.
These announcements were
· made in October and December of 1990.
As of this writing, only some Stage II breast cancer
patients have received the ABMT treatment.
�.•
Page 3
Patient selection for Stage III breast cancer
patients is just beginning and Stage IV patient selection
has not yet begun.
While the study itself is of great importance in the
medical community, it should not impede the health insurance companies from providing coverage for treatment such
as ABMT for breast cancer. It may be that in the future
insurance companies shall direct funding of studies before
covering medical procedures which would greatly reduce
the availability of ·lifesaving medical procedures and
techniques to patients.
Additionally, are the BC-BS plans participating in
the NCI sponsored study guilty of prejudice or discrimination toward other procedures they now exempt from coveraqe?
BCBSVA has also established a medical research
foundation to fund research that is relevant to issues
such as ABMT for breast cancer but none of this money
will be used toward the ABMT/breast cancer issue. Even
though the NCI sponsored study has not even bequn to treat
Stage IV breast cancer patients, these women are being
left alone to die.
While ABMT for breast cancer may seem expensive, the
BC-BS plans around the country and in Virginia have fared
extremely well financially in 1990. In 1990, the National
Association of Blue Cross with about 72 member-plans
nationwide had a collective record setting net gain to
cash reserves of over $2.2 billion, despite the loss of
over 500,000 subscribers. In Virqinia, BC-BS had a net
gain to cash reserves of over $53 million.
Many cases have come to litigation over the ABMT
treatment for breast cancer across the country and in
Virginia and the vast majority have been won by the
patients. Despite the many losses in court by BCBSVA,
they continue to deny coverage on this issue.
�Page 4
I'
It would appear that BCBSVA is now acting in bad
faith.
Some of the remedies to the issue of coverage for
ABMT for breast cancer can include the following:
1. An appeals process such as is being investigated now.
2. Litigation against the insurance carrier and
their medical experts both jointly, individually, criminal and civil. Some examples are:
medical malpractice, contributory negligence,
criminal negligence and wrongful death, to name
a few.
Old laws can be changed and new ones
can be made.
I do not have all the answers to issues that are as
complex as ABMT for breast cancer. It certainly is not
unrealistic to expect the health insurance companies to
pay for a hospital stay and all related costs of the medical care if the patient • s physician has concluded it
would be in his or her best interest.
Thank you for your time and interest on this matter.
Sincerely,
~L 'Jh. rt.?Frank M. Smusz
Enclosures (3)
�\
)
..
()Jfw o/lht Dilrrlur
hlilnl Attetlllll Strvltrl
Mr. Franlc Smusz
Rt. 2, Elc)( 1ASA
Buc:hana.n , VA
2•1·066
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in~urance ccmp~niae l~st~d ~~low;hav~ ~aid or h-va inrlic:atad
tn•t tha=y w111 p&y for· .olutQlcgou?J ·. .banr! n\;.arrow
t:ranspl antts f~r· brcaalit c.:~nc:or Con ·". C:t'U\e-hy-c:4\ .. S b11!='i m).
The
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Pri nc:ipal Fi ncnc:.1 tAl Gnno~p ' ·:.
f'\1 ta H~.al th StrAtegies
Emplcyeuf Bene·Ht.u Ar-suranc:m ':J.:">.,: LLfe elf Gel'.lrgii:.l.
Metrcpolitililrl l..1h3
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North Carolina acas
·. :T:::·~::. ·· '· Hi l b, Rog,i\1 lc Hami 1 ton
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Comm1.mi ty Mutual BCF&S <OhiO) :f :: .; . ,· OHlr., <Ciln"di .:1n)
EcCBS of Ala.bu.mL'\
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DCE':IS oof G~orc;~ia <ColunlbU&) ..;·,::);.::'·:.::-::·. C.:app CAra
EICBS of South C;v·olina.
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�STATE OF MARYLAND
DEPARTMENT.OF PERSONNEL ·
i
..
Hilda E. Ford
WIIRam Donald Schaefer
.
Qowrnor
StctetlfY
Donna B. Price
Deputy Sec:tellfY
301 West Preston Street Baltimore,
Maryland 21201
Area Code 301 • 225. .
. !
. ; ..
·. . ·
;,.,.: . ; ·. ·~.
: :,-;:
__
.;._ .. :-.
January: 30,' 1991
Dear State Employee or Retiree:
Effective February 1, 1991, autologous bone marrow transplants will be
inc 1uded among those procedures requiring a second surgi ca 1 opinion under the
health care programs administered by Blue Cross.and Blue Shield of Maryland.
An auto 1ogous bone marrow transplant is used in the treatment of advanc.ed
breast cancer. The procedure is expensive, averaging $250,000 per patient and
is the subject of intense debate within the medical and legal communities as to
its medical usefulness. Because of the high cost of the procedure and this
uncertainty, the State has added the procedure· to the list of surgical
procedures which require confirming second opinions. It is our sincere hope
that you will never have to consider this procedure, but, if you do we caution
you to be sure to obtain the necessary authorization prior to treatment.
Information on the procedure to follow to obtain a confirming second opinion
may be obtained by calling your agency benefits coordinator, the State
Operations Center at (301) ·581-3601 ·(Baltimore) or 1-800-225·0131 (Outside
Baltimore) or the Department of Personnel's Benefits Division at (301) 225-4775,
4765, 4768 (Baltimore Area), 1-800-638-8844 (Outside Baltimore) or
1-800-562-9400 (Outside Maryland).
:secretary of Personnel
HEF:db
AN EQUAL OPPORTUNITY EMPLOYER
lTY .for Deaf: Ballo. Area 225-4006
D.C. Metro 565-0451
�I
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··.&l.ppeuall C:Ot.lr~ revet'$8d :~·-' t.ri~l c:cmrt nrder
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init.iativ~s n'r rttlt.lllnd,a;· and (5) t.rJ£d~
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(1) housohO.ld toxic produet~ir(2)_
(4) fundint: of adverUfkl_mcnts.· .
rc:l"tionships J:H:twtacn. .buaJ~eeae.e, '
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P.nna,ylvania Appeals Cc,ui1. Hold&t
·lna_urer l..iable ror Onpi"IJ M~i~l EacponaQS
of Jnourcd Who. WAD Rendered -~Q· ~-'II}J~.tfJI~.:,.
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insurAnce ·'cov.ertlgtt ·tur.· Lh• ·
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cmn= exponaos which oxcoeded
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dors. In Augua~ l 080, Ohi.n.
minat.ion· Lh4C, i~ wua:'no
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appeal.,d.j:;:,;/:::_._ ·:.-r.~···:)::~:·._;:~_·_:>~~Y,::·~: .
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�Treatment
FROM PAGE A3
Cross was ignoring what the medical community had embraced as
the leading treatment for women in
th~ late stages of breast cancer, like
Lorraine.
She was able to have the treatment only after raising the money
through public donations. She underwent the transplant last year,
but died in March when her cancer
returned.
Frank Smusz has lobbied the
General Assembly to mandate that
Blue·Cross provide coverage for the
treatment, but it appears that the
legislature will not pass such a requirement.
Smusz said he believed Lorraine's public battle against cancer
and Blue Cross. and his lobbying ·
efforts, may have at least partly
prompted the company to offer the
new coverage option.
Blue Cross spokesman Goss
said that the publicity surrounding
Lorraine Smusz wasn't a factor in
the company's decision. He said in-
tj
qott\,'\'P
terest in the treatment in general
and the attention the- issue has received in the national media played
larger roles.
"We wanted to give groups the
=
Mary Jo Kahn, chairman of the
Virginia Breast Cancer Foundation, a group that advocates breastcancer education and research, suggested that Blue Cross was responding more to medical-industiy opinion that indicates the transplants
are becoming the preferred treatBlue Cross spokesman
ment for women in the late stages of
Goss said that the
breast cancer.
publicity surrounding
She also praised Blue Cross for
Lorraine Smusz wasn't a making the option available, but
factor in the company's said it falls short of ideal. "Our
decision. He said interest organization still feels that it should
be part of inclusive coverage,"
in the treatment in
Kahn said.
general and the attention
Goss pointed to the National
the issue has received in Cancer Institute study,. which is expected to take several years. The
the national media played
study will compare long-term sur· larger roles.
vival rates of women who have con- - - - - - - - - - - - ventional breast-cancer treatment
with those who undergo high-dose
option to decide whether the exper- chemotherapy and bone-marrow
imental treatment is appropriate transplants.
for their employees," Goss said
when pressed on why Blue Cross
"We've said this before; if it's
had decided to offer the coverage proved better, we'll add it to our
option.
~.
coverage," Goss said..
- ------ ----' -· . ---i
�UVa women's team advances; Wallace, Worley win at Martinsville/81
PARTLY
SUNNY
Highs near 50.
Details on A2.
Roanoke limes & World-News
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Business
Classlfled
Deaths
LoCal
Sports
A7
88
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A3
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·:Transplant recipient Lorraif1e Smusz dies of cancer
By NEAL THOMPSON
STAFF-
·,··
Fdephoto
l...orTalne Smusz holds her son,
Kevin, last May.
Lorraine Smusz bad a good year.
An extra year.
Sbe died Saturday bavina known ber twa
SODS - Brian, 6, and Kevin, 3 -just a little
bit better.
Smusz bad been diaanosed with breast
canoer. A little over a year ago, ber only hope
was a costly bone-IIUIJTOW transplant.
But ber insurance comJii&!IY - Blue
Cross and Blue Shield of ViiJpnia - denied
coveraae of tbe treatment, saying it was exIM'rimental. So Smusz and ber husband,
Fnmk, went DUblic witb their rt&bt apinst tbe
company. Along tbe way, they raised nearly
S 130,000 in doaationa - enou&b to ~Y for
most or tbe S180,000 transplant, wb•cb was
performed last April.
.
· Since then, Smusz bad been disease-free.
"We've bad au excellent year," Flllllk Smusz
said Sullday. "She tbou&bt so, too. . . . She
USAirjet
·crash kills
at least 15
Plane explodes in takeoff
ort In
w
just got to do everything that a normal person
would bave done."
Her death came ~expectedly. Tbe
Smuszes bad been prepared for death in tbe
past, but not this time.. ''
On Friday, I.orrBhic felt some back
pains. Later, in tbe hospital, doctors found
that the cancer bad retnmed. By Saturday,
ber blood pressure bad.~
Sbe was still talkins and joking with her
family when she went to deep Saturday evening. She died in ber sleep.
"And sbe died with dignity," Frank
Smusz said.
, ~;
lbe success of ~f year's treatment ·
meant that, in recent liliiiitiu, Lorraine was
free from the frequent .l:bcmotberapy that
bad caused her tow.-· hair and bad
compromised ber · • •. rank Smusz said
it was almost as if God
..wanted to spare
PLEASE~ CANCER/A 10
-El
Her husband still has plans
By ~!,~RISON
Friday, Flllllk Smusz bad plans.
Planning bis wife's funeral wasn't
one of them.
I talked to Frank on Friday after
bearing him on a call·in show on WF1R
radio. He bad called in to pose a question
to the ·show's guests, two officials from
Blue Cross and Blue Shield of VirsiDia.
He didn't &ive bis name wben be
called the show, but there was· no mistak·
~ Frank's Long Island accent. His was a
voace I knew weD, from doing dozcDS of
interviews with him about his wife, Lorraine, and her fiSht apinst canoer, and
their battle apinst Blue Cross to cover
ber treatment.
In January, I even wrote a story
about Frank bimself', and his efforts to
become a one-man lobbying machine
apinst Blue Cross and bi& insurance to
ensure that other women won't bave to
go tbrou&b similar insuraDc:e woes.
So, when I beard Flllllk's voice on
tbe radio, I knew that be was about to
tum the screws on the Blue Cross boys.
Good old rdcntlcss Frank, I tbnu&bt.
Who would have biown that the
.r "·,
PLEASE SEE PLANS/A tO
1
�A10
Roanoke Times & World-News; Monday, March 23, 1992
Couple
FROM PAGE A1
both are unemployed.
.
The family's sad, strange odys- sey apparently began late Thursday
or early Friday when, leaving the
lights of their town house blazing,
they loaded into their 198S red
Chevrolet Cavalier and headed toward Fort Mill, S.C., on an unannounced visit to Cassandra Cooper's great-aunt and great-uncle.
The relatives, who live at the New
Heritage USA religious complex
built by fallen evange)ist Jim Bakker, said the Coopers arrived at
their home about S:30 a.m. Satur' day, frantic for "scriptural advice,"
the great-aunt told police.
"She said they were real agitated, that they almost seemed euphoric, like they were on something,
but
they
weren't,"
Whittemore said. "They said they
bad been on a fast the last week,
and they had been praying all the
time. But they never really· said
what the problem was."
Two hours later, again without
explanation, the family decided to
take off, leaving a note that said,
according to police: "We have
come if only for a moment. Thank
you for showing me the truth."
Later, Candice told police that
her parents began talking about a
suicide pact as they entered Virginia from North Carolina on Interstate 77, and soon asked her if she
wanted to join them in death. When
she was dropped off on the side of
the road, her mother handed her
5even journals that she had been
keeping for several years, full of
life
Cancer
Not forever. But how can you put a
poems and thoughts about
that
price on a year?'' be said. "I have no
she had addressed to her daughter,
~ on anything." · .
police said. Lome Cooper gave her
Bone-marrow transplants suchis wallet, which contained his FROM PAGE A1
driver's license and about $200 in Lorraine and the fllmily a lengthy, ceed in 68 percent of the' women
who receive it. For the Smuszes, it
cash.
·
painful death.
.
boul!ht an extra year they· likely
Candice left most of the things ·
Yet Smusz thinks some people would not have had.
on the roadside, Whittemore said, -particularly those arguing on beThey vacationed. Had Christand began walking south on the in- half of Blue Cross and Blue Shield's · mas together. And Brian and Kevin
continued denial of. coverage ~ each aged a year with their mom.
terstate, where she was picked up
immediately by the minister. He might look at Lorraine's death and
''That is a significant amoilnt
took her to state police headquar- say: See, the treatment didn't wort. of time for them to remember mom
He says they will be wrong.
ters and later bought her a bamand to have a good time with her,"
burger and a pait of shoes. She was·
"No. The treatment worked. Smusz said.
not crying and appeared cabD, joking with police officers as the afternoon wore on and occasionally ask• ,_.. ':'
00,
ing about her parents, "Where are·
~e ~ thing was that she
they? Have you heard anytbing'l"
•was alive.
·
All the child could tell police
.·,
. ·· A. year befoR; 'things hadn't
was that the Coopers had said they FROM PAGE A 1
been so promising. . . .
were "going to the mountains" to
;
·
· ··
·· '·
' A year before; Lorraine ·had
carry out their plan. Police sent out very next day Lorraine, wOuld lie been.
'ici'.""'.'_, a rigor~r
search units, notified authorities in dying in Roanoke Memorial Hospital, a victim of the equally relent- · ous chemotl!.erapy: ··repmen 'and
nearby West Virginia and diS:. less cancer that she; and Frank bone-marrow. transplant that was·
patched a helicopter to look for the thought bad been licked.
her last hope. at. beating breast canred ·car. When it was found, the
But the Blue Cmss guys
·
Coopers were beaded south on In- on to the next caller before moved cer. It was a· '·.
Frank
·
tieatment Blue Cross
terstate 77, but police could not say got up a full bead of steam. Too refused to cover, saying it W1IS still ·
where they were going.
bad. He might, have made the show experimental. About I 0 IJClCC!.It of
Candice, who briefly was in the more lively. Having spent 16 hours the women who baveothe treatment
custody of the Bland County, Va., shadowing Frank on his first lobby- die from radiation poisoning before
· Social Services Department; was re- ing trip to Richmond I knew well it's. done.
··Lorraine, however, was willing
leased Saturday night to her bow be could have stirred things
·
to take her chances.
'
great-aunt and great-uncle. The rel- up.
As it was, most of the callers
·.I wrote a story, several stories
atives are trying to get custody of
Jacob, who was in the care Sunday called to say how wonderful they actually, about bow she needed this
of the Raleigh County, W.Va., Hu- thought it was thal Blue Cmss was. treatment. but didn't have the
expandiniJ its Roanoke operation · money. And about why Blue Cross
man Services Department.
and bringmg in 160 new jobs.
wouldn't cover her. Other members
The Coopers, who do not yet
I called Frank up myself.
of the news .media also ran stories.
have an attorney, have said they
It bad been a week or so since· · 1 Not···_surprisingly, donations
will waive extradition to Virginia, we last talked, when I ran into him .j)ounid ·in,: S130,000 .worth.
police said.
in Fincastle w~e~ be lives and.···
En(,up to ·cover most of the
works as the buildtngs and grounds. $180 000 ·proCeduri which Lorsupervisor for Botetourt County,_;·' raine~undCrwent ~}.pro and had
On that day in Fincastle;· he beeli reqovcring from ..- successfulwas. celebrating his 3Sth birtbd!ly ly, her doctors. had thought and feeling good. He joked ·about . since. · .
. : ;· ·.
·
the fron~-page stol)' I bad written : Friday,' whcth ;called Frank, I
about. him. He said be bad_. be_en 8sked about Lorraine, as 1 aJways
ed that pilots were distracted by e~dunng a lot ~fgood-~~.nb-. do when we:talk.·.Here; I am not
procedures and didn't immediately b_mg about htS celebntt.;.~tatus 1_;·alone. AnybOdy· who knows Frank
notice a drop in airspeed that led to stnq:.
. • '! ·. ·
''always asks ·about Lorraine.
the Feb. 6 crash. The Courier quotA co-~orker earlier tn the day '· ·They .won't anymore.
ed military sources it did not name. bad ·even Jabbed that the Roanoke · ·
·
.
•
fi
Radio station WIKY, also Times & World-News ibould have ~ . Frank 1181~ Lorraine was tne
quoting military sources, reported sent. a photographer .O.'·sbilol pic- ;~.Fnday•. She. still. bad the flu, but
the crew was practicing an engine tures of the little birthday party the . othet'WISC she was fine. He was as
failure maneuver when an air traf- county· st.ilff,:Jw&>. surPrised him '/UPbeat as ~e~.been the week_befic controller told them the Nation- witb, .be said. . . ,_,. . . . ,._;~ · . · .fore, and· Wben:We went to Richal Guard wanted them to return to
The notoriety . ·uiae, ·what . ·.mood ~ther 10 January.
.
Standiford Field in Louisville, Ky. Frank was really happy about was · ·
And as usual, be was plotttng
The crew forgot one of four Lorraine. She- was altve and well, strategy.
engines was still intentionally idled other than what they thought was a
First, be told me be was scbedan<l the plane flipped sideways typical bout with. the flu.
uled to be the guest on Wednesday
when a crewman turned the rudder
in the direction of the stalled engine, the radio station reported.
~ •·••~.
'l'
• 'V •
' • ·I~
America's youth are more likely to live in poverty and die because
of violence than ever before, according to a report to be issued
today by a Washington think tank.
The report prepared by the
Center for the Study of Social Policy found that between 1988 and
1989 alone, the teen death rate rose
II percent, driven almost entirely
by a rise in suicides and homicides.
By the beginning of the 1990s,
over 20
of nation's youth
th~ "nvrrtv li""
TO ALL ROANOKE
CITY REAL ESTATE
OWNERS
The Board of Equalization of
Real Estate Assessments for
the City of Roanoke has been
appointed to serve for a term
beginning March 1, 1992.
The function of the Board Is to
equalize property assessments in the City and to hear
and give consideration to complaints in order that the burden
of real estate taxes shall rest
equally upon the owners.
The Board will receive appeals
from property owners tl)rough
April 24, 1992. All appeals to
the Board of Equalization must
be received by April24, 1992.
The board will hear complaints
and will equalize assessments
by raising. lowerlgs or sustainby the OfIng yaluationsfix
fice of Real Estate Valuations.
Information pertaining to assessments on comparable
properties Is available In Room
250, Municipal Building and
may be obtained by property
owners or others Interested
persons.
The Office of Real Estate Valuations will furnish forms to be
used in filing appeals to the
Equalization Board and will assist In preparing such forms.
The board will make appointments to meet with property
owners at the property on
which an appeal has been
filed. For appeal forms and appointment Information call
981-2017 from 9 A.M. to 5 P.M.
Monday-Friday.
live."
•·•
Plans
p r e p a n •.
ng·
-.
IN THE NATION
U.S. youth
increasingly
face poverty
·FINAL
NOTICE
·Lorraine's death, though,
won't $low her husband in his ongoing fight against Blue Cross and
Blue Shield. A lawsuit against the
company is still pending, and be
will continue lobbying state legislators for their help.
Frank Smusz said there are too
many others out there like Lorraine: a private, quiet person forced
to take on big business to save her
life.
"She was thrown into the arena
out of necessity. To survive. To
on the same WAR call-in show I
bad beard him on that morning.
(Sunday night, Frank said be still
plans to appear on the show, which
airs Wednesday at 9 a.m.)
Second, be said be was planniDi some. more trips to Richmond
tO lobby the governor's commission
on insurance and health care.
Frank wants the commission
to require all insurance companies
to cover bone-marrow transplants
for breast cancer patients.
uistly, be said be was organizing a grass-roots association that
would advocate the rights of the
consumer in insurance and healthcare issues. Just from the publicity
of the story back in January, Frank
said be was getting several telephone calls each week from people
with health-care horror stories of
their own.
"I'm not going to let this die,"
he vowed to me.
Two moments come to mind
that I will never forget. One was in
January, when Frank was introduced to the full Virginia Senate,
the pride in his face beaming as be
stood and waved from the balcony
above.
The other was when I visited
Lorraine shortly after she arrived
home from her bone-marrow transplant last spripg. She was weak, but
hopeful as her sons, Brian and
Keviri, bounced on her knee,
. bugged her and played ~tb toys
By: W.G. (Billl Light, Chairman
around her feet.
R.W. Robertson. II, Vice Chairman
What I saw there was a woman
R.E. Harrison. Jr.. Secretary
·
savoring moments with her children that she never knew for sure . - - - - - - - - - - - she would have.
Nothing was being taken for
Outgrown your homer
granted.
Sell It fast In classified.
How many of us can say the
Call us today, 981-3311.
same?
BOARD OF EOUALIZAnON
OF REAL ESTATE ASSESSMENTS
FOR THE CITY OF ROANOKE
..-----'--------"---------------------------....1.------------
- Associated Press
Weather threatens
today's shuttle launch
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�~~f&-1l~
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3l~rt£r:>;
·
Smusz spot on rad1o show postponed
By MARK MORRISON
STAFF WRITER
Frank Smusz got a telephone
call Tuesday during his wife's funeral.
It was from Charlene Cochran
at WFIR radio, telling him the station had decided to postpone his
. guest spot on her morning call-in .
show about ·insurance coverage.
The show was scheduled for this
morning at 9.
Cochran· left a message on his
home answering machine, while a
few miles away in Fincastle about
200 people were attending Lorraine
Smusz's funeral. Smusz died unexpectedly Saturday niJitt after it was
thought she was wmning a long
public fight against cancer.
WFIR had decided to postpone
this morning's _show because the
station wanted to do more research
into the debate surrounding Lorraine Smusz's medical treatment
and insurance coverage. · The sta- ·
tion also wanted representatives
from Blue Cro~s and Blue Shield of
Virginia to appear on the show, but
the company would not send anyone.
Still, Frank Smusz said Tuesday, he was surprised by the show's
postponement.
Despite his wife's death and
the timing of her funeral, he had
planned to go on the show. He said
he had talked to Cochran about it
Monday, and she told him she was
happy he still wanted to do the program.
·In addition, he understood that
·representatives from Blue Cross
would be on the call-in show, and
he said he was looking forward to
the face-to-face encounter as a forum for debating insurance issues.
He said his wife would have
wanted him to.
More ~an a year ago, she had
gone public in her battle against
Blue Cross to cover a controversial
cancer treatment that the company
said was experimental and bad refused to pay for.
Smusz said he wanted to go on
the radio with the memory of Lorraine's story still fresh in people's
minds. He hoped it would help
bring in more listeners and more
attention to the plight of other families facing huge medical bills and
no insurance coverage.
Smusz bad planned to bring
along Susan Ferris, the wife of Garry Ferris, a Bedford County man
with Hodgkin's disease who died
this month before be could undergo
the same treatment that Lorraine
had: high-dose chemotherapy and a
bone-marrow transplant The Ferrises also bad been ·battling Blue
Cross.
·
But Smusz said ·Cochran told
·him the station decided to postpone
the show because it wanted to do
more research into the debate over
which medical treatments are considered experimental an4 which
. treatments aren't.
"I was like, man, yesterday it
was all set," Smusz said.
He also said Cochran told him
Blue Cross had decided to pull out
of the show because it came so soon
after Lorraine , Smusz's death.
Frank Smusz said he was told that
Blue Cross officials felt it was too
sensitive an issue right now to talk .
about on a radio show.
Reached at WFIR Tuesday,
Cochran referred questions to program director Bill Bratton, who
confirmed that the station wanted
to do more research before having
Smusz and Ferris and Blue Cross all
on the show together.
·
Bratton also said Blue Cross
never had agreed tO do the show,
and he had been awaiting a decision .
from the company when Lt,rraine·
Smusz died; He said the company
now believes it would be better to
do the show another time.
"Two of their customers had ·
died, and tbey didn't think it would
be proper to go on the air," he said.
The program has not been resched- ..
uled.
To Our Dear Friends: .
Thank you 50 much for your endless oomfort during such a diffu:ult time. My
family and I have been so deeply moved by your kindness. I cannot adequately put
into words how much your suppon has meant to us. · .
.
Although I am terribly saddened by thedealhofLorraine,l amcomfoned wtth
the knowledge that she had gently touched so many lives and inspired so many
people ohll faiths to join together in hope and prayer.
Lorraine and I enjoyed a wonderful life together. We shared so much, both good
and bad, happy and sad. I have been blessed by Lomine with two wonderful
children, very precious memories of a lifetime.
Our extta year together gave us time to prepare for any obstacle in our path, to
bring people, communities and churches togelher in a very special way. I think
Lorraine took oomfort in knowing this. and I thank God for iL
I cannot recall amoment where Lorraine ever complained about having cancer.
She always turned to Jesus for strength and oourage.l found this note Lorraine had
written recently wJWe I was going through some things. It reads. ..
•'
I will walk in the ligltl ofJesus
No matter what they say.
If they tell me the CllliCer's retiUned,
Jesus will wash the tears away.·
With coiUage I willftgltl it--with dignity all the way.
. No pity do I ask for--or tears along the way.
For I walk in the ligltl ofJesus!
I hope and pray that Jesus gives me the same strength and oourage as Lorraine.
Thank you and Qod bless you.
Sincerely,
Frank Sumsz
�'Where does Blue Cross draw the line?
Judge hears dispute ·between SinUsz, ins.·urance carrier
.
By MARK MORRISON
STAFF WRITER
FINCASTLE - For nearly
two years now, Frank Smusz has
charged that Blue Cross and Blue
Shield of Virginia
had no right to
deny coverage of
a costly and con·
troversial cancer
· treatment for his
late wife, Lorraine.
At the same
time, Blue Cross
has contended
that it did have
the right because
the treatment has Smusz
yet to be proven
safe and effective, and it was specif·
ically excluded from the Smuszes'
group insurance plan.
Thursday, both sides finally
for the treatment to gtoup PQli
holders - at an additional fee.
company began ofTerins the opti
this summer.
·
But more sisnificant is the
elusion-clause issue, Mann · a
Greer argued. They said Blue Cro
broke State Corporation Commi
sion policy in implementins thee
· elusion; therefore it should be ·ru1
.invalid.
.·Blue Cross notified Boteto
County of the bone marrow excl
sion for breast· cancer. patients
,. ·
took their arsuments before a from the late stases of breast can- line?" Honts asked.
judse.
cer, was insured through Botetourt
Spahn said Blue Cross accepts
At issue is a $2.35 million law- County, where Frank worked as di· · a procedure as safe and efTect1ve
wlien it is the accepted and stan·
suit against Blue Cross filed by the rector of maintenance.
Smuszes that Blue Cross wants disBob Mann, the Smuszes' attor- dard practice at most ~or hospimissed. Thomas Spahn, an attorney ·ney, arsued that Blue Cross denied · ta1s, and not just research centers.
for Blue Cross, arsued Thutsday Lorraine the 'treatment before the . He said that 10 percent of women
that the lawsuit, which claims exclusion went into effect•· He·said' ' with breast cancer who unclerso the
. breach of contract, is imfounded. · . · the compan_y should have honored::· hisb~ose chemothet;aPY· and bone
Spahn said ~lu~ Cross .could.; her·claiDL' Further~ be arauec1 that' · Jl!lli!OW transplant d1e from th~. ra~
.
. ..
. not have broken Its ~urance con- .. the. can~ treatment\ wblcb costa . cliauon levels alone.
Mann and his assistantt:arter
'tract with Lorraine.Smusz because . more:tban·$150,000~·as notconsid····
the cancer· treatment,' bip.<fose ·.. ered :experimental by the ·medical' · Greer, countered that" the pr0ce- · fore the exclusion was siven fin
chemotherapy with a bone marrow.' community and Blue Cross. sbould · · dure ts·not limited'to research hos- ·approval froll) the·scc, a violati
transplant, was excluded from her not be allowed to deny its coverase · • pitals' and. is considered the leadins ·· of SCC rules, Greer said. ·
sroup plan.
arbitrarily. . · ·1
·. ·
treatment for many women in the
Then, Blue Cross denied Lo
He compared the exclusion to
· That was a point that Circuit· late stases of breast cancer.
·- raine Smusz coverase, based
other specific exclusions written in- Judie George E. Honts Ill pressed
· They said Blue Cross of Virgin- that exclusion, three days befo
to most sroup plans for cosmetic Spaliil on before takins Spahn's r:e- ia is one of the few mlijor insurance the exclusion went into effec
surgery and sex chanse operations · quest for dismissal under advise- companies in the country that does Greer argued that the exclusion w
that Blue Cross also does not cover. ment. "What I want to know is: not cover the procedure. In fact,
PLEASE SEE SMUSZI
Lorraine Smusz, who suffered ~ere does Blue Cross draw the Blue Cross does now offer coverase
City gives. snub-nosed school buses
--
---·- - ···'-~-:-·-'-'·:.
--~
'-
·- . __ .1_-----~--=-=--------·-
·a run '82
·---:-·--·----~--...:;
___ , _______ ·;--·=-----~--
-- 1··---
·---------··----~ ~~-
.....
Smusz
FROM PAGE 81
not in effect and should not have
applied to her case.
.
Spahn defended the early notification. He said Blu~ <;:ro~sshould
not be punished for gavlD~ tts group
policy holders early wammg of coverage changes.
He also said that Smusz was
not denied coverage before the exelusion went into ~ffe~. She was
denied pre-authonzatto~. Spahn
said there is a significant dtfference.
Decisions about claims are not
made at pre-authorization. They
a re determined when the treatment
d
is provided, and base on an~ exelusions in effect at that ttme,
Spahn said.
d
When Lorraine Smusz un erwent the high-dose chemotherapy
and bone marrow transplant, he
"It's a natural
said it was several t;n~nths after the human tendency," tende~cy; it's a
he satd.
exclusion had gone mto efT~:
ns
Spahn said those. pro":ISIO
Honts is expected. to rui~~~9~·
were specifically outlined 1R her Spahn's dismissal mouon today., ...
policy.
Therefore, he said there ":as no
Lorraine Smusz died earlier..
breach of contract and h.e cauuo~ed this year when her cancer ret~~·
the court about extendmg m~dlcal after she underwent the chemo.t.berbener.ltS beyond what h.er pobcy at- apy and bone marrow treat~~nt.
u
ready specified. He sat~ th~t some- She and her husband. paid. foJ; ..\bjt
times can be a teniptatton .lD em~ procedure with d<?nat1.ons gavep !\1~..
tt'onal cases involving termtnally tll ter she ~ent pubhc w1th her story(.·
. people.
.
Ck~~ i~~~ <\\'-\\01
•
�.
.ft~. L~-CJlQ_
9Jq/Cf2-
Court clears way for
Smusz's suit against
insurance company
i
i
l
I
\
ment for breast cancer-high dose
chemotherapy wlth autologous
atatrwrller
Frank Smusz wtll have his day bone marrow transplant lHDCTI·
tn court wlth Blue Cross/Blue ABM'I1. Smusz maintains that the
Shield ofVlrgtnla (BC/BSVA) fol- treatment. recommended to Mrs.
lowing a ruling Frtday by Circuit . Smusz by her attending physicians as the onlyvtable treatment
Court Judge George E. Honts III.
·1 was extremely happy when I for her Stage IV breast can~. ts
got the news,· said Smusz. •1 was not eX:pertmental aild should not
have been excluded from coverage
oveljoyed-lt was a big relief:
Hontsrefused todlsmlssa$2.35 under their group Insurance plan.
BC/BSVAmalntalns Ute treatm1111on lawsuit filed against BC/
: BSVA by Smusz and his late wife, ment Is sttll experimental and has
r . Lorraine, over coverage of an ex- not been prOven safe and effective
(Contlllued on Page 8-A)
1
pensive and controversial treatBy Kathleen Morra-810811
•. . .
-. --·- .. ·-··
---···
~
:\
'
. :hL\. ~L.Q. ·. q{q{r1r
Lawsutt Page l·Al · .. - . ·.
(Colltllluecllrom
:
·
for the treatment ofbreast cimcer
andlsthereforertghtfullyexcluded
from the group Insurance plan.
Thursday, Honts heard two
hours of arguments from lawyers
for both parties. He took the case
under advisement and Issued his
six-page ruling Friday.
!
Honts sustained two of the six
; counts tn the suit-()ne alleging
. Lbreach of contract and the other a
bad faith breach ofcontract. Smusz
was gtven leave to replead wlthtn ·
21 days a third count alleging tntentional tntllctlng of emotional
distress.
Honts addressed most of his
remarks to the count alleging bad
faith breach of contract. He cites
the criteria the company Is using
" to detenntne whether. a treatment
Is experimental or Investigative In
Its amendment to the group policy
. andnotesthatonlyoneofthefour
criterion Is oblectlve.
· ""' · ,..
. "''beamendmentreadsfurther,.
•any seivtce Judged to be Expert.:
mental/lnvestlgaUve by the Plan, ·
In Its sole discretion' wlll be eXeluded from coverage, • Honts
wrote.
·
"While It probably Is true that
Blue Cross has the resources, Information and expertise to evaJuate and todetenntne Ifa treabnent
Is In fact a valid option, there also
flows from the judgmental criteria
set out an enlianced duty to act
fairly and In good faith since there
ts no dlscemlble avenue available
to an Insured to challenge a determtnatlon made by Blue Cross,
absent an expensive, frustrating
and time-consuming recourse to
litigation. •
.
Honts continued, "When the
power of determination of a crltlcal_provlslon of a contract ves~.
I
absolutely and unilaterally In the
hands of one party to a contract.
then Juatice demands Ui~ i1ght to
review and evaluate the good faith
character of acUons taken by that
party be afforded the other party.
•1 am of the opinion that the
acUon Is maintainable, subject to
sL;ct proof. and that In proper,
narrow circumstances wOl be reco~ In this Commonwealth;.
· Smtisz Is happy just to'be able
to continue. "We are looking forward to our day In court, • he said.
"We've still go~ a long way to go,
J>ut this allows us to proceed:
. BC/BSVAattomeys had asked
the court to dismiss all six counts
tn the ctvll sutt. and Honts dismissed clalms that BC/BSVA was
fraudulent In lts dental of coverage. He also dismissed claims that
the Insurance company was In
Violation of unfair trade practices.
l
\
r
�FH
**B
9/30/94
James J Madine
P 0 Box 189
Fincastle
VA 24090
WEDNESDAY
MARCH 25,1992
35 CENTS
~raid
..--------
(USPS 160-680) Fincastle, VA
Volume 127 • Number 13
2 Sections •16 Pages
Plus Supplements
~incastle
Botetourt County News
He
...·
Lorraine Smusz's battle. with
cancer ends quietly with f~mily
8J Kathleen Morra-&loan
.
ltalr 'llhlhr
Although death lurked In the
shadows of Lorraine Smusz's life
since she was diagnosed with ter·
mlnal breast cancer In September
1990, when It finally came last
Saturday n~t. It arrtved unex·
pecteclly•.
'"lbere was no warning,· said
her husband, Frank. "We just
didn't lmow. •
Hospitalized at Roanoke Me·
mortal Hospital last Friday with
back patn, Lotratne learned Sat·
urday that the tests and X-rays
her doctor, Stephen Kennedy, had
run revealed spots of cancer In her
spine that were actiVely growing.
After a year of disease-free life
following a controversial bone
marrow transplant, Lorraine's cancer had returned.
"We lmew It would be a matter
ofttme,"saidFrank, "butwhatshe
had was not life-threatening. The
plan was to radiate those areas on
Monday, come home, and go from
there. No one thought tt would lx
this soon-even Dr. Kennedy told
me he wished he could have given
me some forewarning. We kn~
death was coming. but there hadn't
even been a discussion ofwhen.·
Death came peacefully for
Lorraine, In her sleep, with her
famtly gathered around her.
·up until she went to sleep,
she'd been talking and joking."
Frank said. Her two young sons
Brian, 6, and Kevin, 3, had been
with her all afternoon. Inexplicably, her blood pressure had been
dropping aU day and she gradually
weakened. Frank said she didn't
gtve any indication that she knew
she was so close to death.
Lorraine Smuu with her famJJJo before she began the ABMT tl'eatments early last year.
"She died with dignity; I'm
really thankful for that, • said
Frank. Doctors are sUD debating
the actual cause of LorralRe's
death. but Frank has his own
theory:
"I think God just said, 'Look, If
the cancer's back, you've had a
good year-anotheryearwlth your
children. And you've touched so
many Uvea.' Her work was done
here, God wasn't going to let her'·
suJTer anymore. It was tlme to
come home.·
Death came 12 months after
Lorraine received the high dose
chemotherapy and autologous
bone marrow transplant (HDCT/
ABM"n that thrust the soft-spoken
mother of two Into the publtc eye.
The 34-year-old Ftncastle resident
had already battled breast cancer
once before when It was first dlag;
nosed" In September 1988._'She
had gone through rigorous chemotherapy then and lost all her
wavy, brown hair, but In 1990
doctors told her ABMT was her
only hope for battling the Stage IV
breast cancer that was now In her
bones and llver.
Her Insurer, Blue Cross & Blue
Shield of VIrginia (BC&BSVA), refused to cover the treatment on
the gr!?~ds that tt was expert-
�Lorraine Smusz - - - - - - - - - - Doctors determined that Reed(Lorralne'sfamlly)clanshave
time when a bout with the flu
Lorraine had lung damage from relocated to Botetourt and Bedford
really took Its toll.
"She got· the flu at Christmas the high dose chemotherapy she Counties from their natlve Long
and It really knocked the heck out received prior to the bone marrow Island over the last six years. The
famllles have been a tremendous
of her, • Frank recalled. "Then 1n transplant.
"But there's no sign of cancer, • source of help and strength for the
Janwuy, shewashospltallzedwith
~ethefocusofnewspaper~ead
a bronchial Infection, then again she'd exclalmed exuberantly over couple during their ordeal.
llnes and radio talk shows. The with a bronchial Infection and . the phone just after her recent
"Without Lorraine's famlly, we
publlc responded to her plight and pneumonia, then she began to retum from Duke. "I'm more llke never would have gotten this far, •
contributed close to $130,000 to- experience shortness of breath. •
an asthmatic now and I have to be Frank said.
.
ward the procedure's $180,000
lt'slateafternoonandthephone
The couple thought an extended careful. but I can live with that.•
cost. making the treatment a real- stay two and a half weeks ago at
Frank says he has nothing but lsringlngevetyftvemlnutes. Frank
ity for Lorraine.
Duke University Hospital, where praise for all the doctors, nurses Videotapes a local newscast that
Recovery was slower than she . the ABMT had been performed, and medical personnel at both Includes a story about Lorraine.
would have llked, but she was had finally gotten to the root of Duke and Roanoke Memorial.
Someone from the VIrginia Breast
progressing 'Well untll Christmas Lorraine's problem.
"''beywere great through It all," CancerAssociation calls with conhe said.
dolences and wants directions to
Hashechangedhlsmlnd'about Fincastle for TUesday's 1 p.m. futhe ABMT? Absolutely not. "I'm a neral. F'rar),k Is appreclatlve of evvocal proponent of the treatment.~ ery caller's thoughtfulness and Is
he said. "I know what it did for my cordial and patient.
family and for Lorraine. In Sepf{e 'wants to say something to
tember 1990, she was diagnosed the congregation that will gather
as terminally ill. Without this treat- for Lorraine's funeral at the CathoEconomlc measures needed to of the act on private landowners, • . ment I know she would have been llc Church of the Transfiguration,
stimulate Investment 1n agricul- he said; With respect to wetlands dead this time last year. It gave us housed 1n the Fincastle United
ture, forestJy and rural economies Issues Taliaferro said the group Is a wonderful year. I have no regrets Methodist Church, to say thank
headed the llst of concerns of VIr- concerned about the federal deft- and I know she didn't either. •
you, but he's not sure he could get
gtnla Agribusiness Counc11 lead- nltlon of wetlands. The group beWhat about the couple's pend- through It without breaking down.
ers who met with members of lleves a definition more reason- lng lawsuit against BC&BSVA?
Looking through Lorraine's
Vlrginla'sCongresslonaldelegatlon able than the ortglnal can be found "Nothing's changed, • he sald. Bible, his control fades as he runs
on Capitol H1ll on March 17.
which would avoid what is essen- "''bat's a contractual issue and It's across long-forgotten photographs
"'lbe Counc11supports a reduc- tlally conflscatlon of private prop- still on.·
and othe.~ loVingly placed memenUon In the capital gatns tax to erty. The co1inc11 also opposes the
What about his personal lobby- toes 1n the well-worn pages. Lines
stimulate Investment, especially abridgement of projlerty rights lng efforts on Lorraine's behalf to from poems· or. prayers that
1n the rural economy, and an ln· such as often occurs 1n deslgnat- getlnsurancecarrterstocaverbone Lorraine evt~ently found partlcu- ·
vestment tax credit must ·be en- lng historic areas.
marrowtransplantsforbreastcan- larly comforting mark favorite
acted quickly, now, to get our
The group also urged the del- cer patients?
scripture passages. This Is all new
economy going, • Bryan Taliaferro, egatlon to work together to get one
"Lorraine was very supporUve to Frank. he's never looked 1n here ·
Center Cross, Vice-chairman of the of six commercial research cen- of what I was doing, • Frank said. before. A folded yellow paper. with
coundl'sNationaiAffalrs Commit- ters allowed for 1n the 1990 Farm "I'm 1n lt and 1f finances permit me llnes scrawled by Lorraine on
tee, told the delegation at a break- Bill located 1n Vlrglnla. The cen- 1 want to keep pursuing it. I get March 2, 1992 brings tears to his
fast meeting 1n the Russell Senate ters will focus on new technology several calls and letters every week eyes. It begins, "It's been a year
Office Building.
and commercial uses of agricul- about that and I re&lly want to get since my bOne marrow transplant
Senior Senator 'John Warner tural products.
that consumer health and'lnsur- and I am so 'thankful .... • ·
and Congressman George Allen,
'rallaferro said the group op- ance association going.·
"''bat's what I shoUld read,· he
~ormanSlslsky,OwenPlckett.Jlm
posesthedeslgnaUonofaddltional
He says there's a real need for munnurs.
Olin. L. F. Payne and Herbert portlonsofnat1onalforests1nV1r- anorgantzationthatcanadvocate
Another prayer, placed ln
Bateman were 1n attendance to glnla as wilderness areas, and at- for the consumer 1n health care Lorraine's Bible, seems to illusVIsit with the state group.
tempts to reduce the llmlt on fann and Insurance issues. Monday, he trate the strong faith and quiet
"We see these measures as hav- exemptions provided 1n estate tax ·stlll planned to appear on a WFlR dignity with which she confronted
1ng a positlve, long term effect on Jaws. He said the council supports call .In radio program, due to a1r her Wness and lived her llfe.
our chronic budget deftclt prob- leglslatlontoprotectconscientlous. Wednesday morning, with Susan
"I wlllllft my head h1gh 1n His
.lem. We also belleve that budget animal care givers from radical Ferris, who lost her husband, direction. As I bring Him my dis"
deficits comprise our number orie actions by extremist groups, and Garry, tocancerseveralweeksago. appointments, broken dreams,
economic problem and we want to efforts to allt>w farmers to deduct
Frank stlll has big plans and and unanswered questions; In His
be part of the solution, • Tallaferro the full .cost of health Insurance as
things he hopes he can accom- strength I can stand tall, because
said.
·
a business expense, something pllsh, but for right now, he Is uy- God's timing is better than mlne.
Dairyman Lacy Smith of that large businesses currently lng to get through the next few In God's Ume I will understand all
Buchanan was 1n the group repre- enjoy.
days, comfort his sons and His plans for my llfe. And I'll be
sentlng Dalrymen Inc.
Taliaferro also urged the del- Lorraine's family and think about thankful. I take all my tomorrows
The group also urged the del- . egatlon to peer through· the emo- the new llfe he must forge for him- and place them 1n God's hands. •
egatlon to work to preserve private tional cloud surrounding many self and his ch11dren.
The family requests that mepropertyrlghtswhlch they felt were Issues of national pollcy, require
The family's home has been for mortal donations be made to: The
threatened on a number of fronts. thoughtful analysis and demand . sale for a month or so and he Lorraine SmuszDonatlonAccount,
"We .believe private property thorough, reproducible sclenUftc hopes It sells fast: he needs the Bank of Fincastle, P.O. Box 107,
rights essential to agriculture are data to support laws and regula- money for unpaid medical bllls. Fincastle, 24090 or to. the Buildbeing steadily eroded· by regula-. tlon dealing with technological Is~
Lorraine had no llfe Insurance, lng Fund, Church of the Transtory processes, and threatened by sues. "''bese principles bear on·. andhe'snotst:trewherethemoney figuration Cathollc Church, P.O.
legislation, • Taliaferro said. "We env.lronmental matters, food safety for additional child care wlll. come Box 416, Fincastle, 24090.
oppo~Je any efforts to broaden the and pesticide use. Another 'ALAR' from, but he knows he11 m~~g_~ llliRiiilffiiii·-··- - - - - - - - - -
(Continued from Page 1-A)
1;11ental.
Her decision to take her sltuaUon before the publlc 1n December
1990 made her a famlllar face on
the six o'clock news and made her
Ag Council meets
with legislators
A
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~~~~:=--~lnr• J
.................______________________________
�Roanoke Times &World-News, Saturday, Sept. 5, 1992 AS .
Judge refuses to dismiss suit By MARK MORRISON
STAFF WRITER
Breast cancer treatment debate
will get its day in ·court
FINCASTLE - A . Botetourt
County judge refused Friday to dismiss a lawsuit against Blue Cross
and Blue Shield of Virginia in its therapy with a bone-marrow transdispute over coverage of a contro- plant, is not experimental and that
versial and costly breast cancer it should not have been excluded
treatment for Lorraine Smusz.
from coverage.
Thursday, a la'!Yer for Blue
The lawsuit claims breach of
Cross had asked C1rcuit Judge contract..
George E. Honts III to dismiss the
c·ITCUlt Judge George E. Honts
·
$2.35 million lawsuit, arguing that
Blue Cross bad every right to deny III took the dispute under adviseSmusz the treatment because it was . ment Thursday and issued a decistill experimental and was excluded sion Friday. Honts said in his ruling
from her group insurance plan.
not to dismiss the case and that
Smusz and her husband, Smusz has the right to challenge
Frank, contended, however, that Blue Cross on the experimental is. the treatment, high-dose chemo- sue.
:
.
:.
.:
He said that when such a dekr~ ~mination rests "absolutely and uni!~te~lly" with Blue C_ross, then ::
~ustice demands,the nght to. re- :_
':lew and evaluate that determma-· '~
t10n.
.
. .
~;
Smusz has 5!Ud that h~gh-dose .
chemotherapy With a bone-marrow··
transplant, which costs more than·:
$150,000, is widely accepted by the:
medical community and consid~
ered the best treatment for manf·
women in the late stages of breaSt
cancer.
·~~
Blue Cross bas maintained ~i
the procedure has not been proven
safe and effective. About I 0 percent
of women with breast cancer who
get the treatment die from the radi- .
ation levels.
Lorraine .Smusz died earlier ·
this year when her cancer returned :
after she underwent the chemotherapy and bone marrow treatment in;
1991. She and Frank paid for the .
procedure with donations given to;
them after she went public with her
sto
·
ry.
Friday, Frank Smusz hailed :
Honts' ruling. "I'm just really excit- ·
ed, just so happy. I've been on pins ·
and needles since we were here yes- '
terday," he said. "Now we can look·
forward to our day in court."
·
�POSTAL
_P~TRO_N·
LOCAL
~r. Rt.Sort
Bulk Rate· , ·~
.~.Jhe Largest:Qrculation ~::·
Ne~spa~e~.la_The: : . . .-·
u.s. _Postaie
Paid . .·
,.. _,: ·_
Covington..::.
Virgi~la_
..
Permltl17; ·
.'
·.,,
-p
-~:- -~';_;:_ ~f:Aii4! 9 ~~ny Highlands:._
.
Vol. 9 No. 37··. :;. ·.
:.
.
.
.
~
.
~·
Serving Covington; Clifton Forge,
:--_··_:,Aneghany,aatb,Botetourt · .
·· '· ·Craig and White Sulphur SJM in.S
·:. Saturday, December 22, 1990 ..
FhiCftStleWonlan Fighting Breast Caneer
Neet& $96,ooOBy jtfu:-31 TO SurVive ·.. •.
•
• }_;:-.,·""";!
:~ •• ~
•'
~~
.;'
••
'.~'
I,
•
•
'
•
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FINCASTLE ..:... .; For. Lorraine· ;,,the Dec;. 12 issue of The Fincastle·.
Smusz,ayounginotherWithadva'nc- .. , Herald. The insurer contended the·
ed breast cancer which has invaded needed treatment. is. "investiga-.
her bones and liver, the best holiday · tional" (meaning the·company con--gift for her herself, her husband; and siders it experimental) and
Iheir sons would be just t~ live to sometimes caused the deaths of pawatch her sons grow up.
· :
tientsin itself and therefore was not
To do that means finding lhe eligible for insurancecoverage.
money to continue the· expensive
Msc Smusz and her husband,
treatment on which her only chance · Frank, have been married nine
nf survival depends.
years, and live near Fincastle in · ·
Since the Smuszs were denied in- · Botetourt County with their sons, agsurance coverage for the needed ed five and two. Ms. Smusz told the
treatment as of Dec. 6, her only Fincastle paper she wants to. live so
. . chance of continuing it is to raise her sons will remember her as per$96,000 by Jan. 30, or she will be son and not just a vague memory.
dri>pped from the therapy program . . Ms. Smusz has been told that the
she is in; according to an article in
only hope for curing her Stage IV· .
•''
,-.
metastatic breast cancer is high.
dose . chemotheraphy
with·
autologous bone marrow traruiplant.
Her breast cancer first appeared in
September, 1988; disappeared after
chemotherapy and radiation; but
recurred in an even· more
devastating form· iD' September of
this year, when the cancer spread to
her bones and liver.
Although the treatment Ms. Smusz
needs, abbreviated as HDCT-ABMT,
is available at several .leading
medical centers -in the nation, the·
nearest of these is the Duke University Medical Center in Durham, N.C.
The procedure involves several
21-day cycles . of high-dose
chemotherapy designed to shrink · ·
existing tumors followed by removal '
of two to four quarts of the patients ·
bone marrow and 'blood; which- is·
then· treated with high· levels of.
chemotherapy to kill, any tumor iii .
the marrow. The marrow is later·
reinjected in the patient to give the_
body a chance to regenerate healthy .
bone marrow.
·
·
· Duke University's. program for
this type of treatment averageS
$132,000 in cost but can cost as much
as high as $180,000. Although the process is painful, lengthy, and can
itself be life-treatening, it represents
Ms. Smusz~s only hope. ·. ·
Published_ By
· ~ Covington, va.
343 N. Monroe Avenue
962·2121
·
c;~lngton'vlrglnan Inc.
-·to. Pages·
�Mari'"QW p splant
deadline loOming
By MARK MORRISON
It may take five years. It may
take two. It may take much less, but
eventually, the breast cancer that is
FINCASTLE . Lorraine spreading through her body will
Smusz is $96,000 away from a new win out.
lease on life.
Her husband, Frank, will lose
That's what Duke University his wife of nine years and their
Medical Center in Durham, N.C., is
asking as a deposit to perform a boys, Brian and Kevin, will lose a
bone-marrow transplant that could mother.
It's as simple as that. ·
save her from terminal cancer.
Duke is requiring the deposit
But Lorraine Smusz doesn't
have that kind of cash - and time· because the Smuszes' health insurance company, Blue Cross and Blue
is running out.
If she doesn't have ihe bone- Shield of Virginia, has denied covmarrow transplant within the. next erage of the transplant procedure.
month, her doctors say it can't be
Blue Cross says the treatment
done at all.
·And she will die.
PLEASE SEE DEADUNEIA8
STAFF WRITER
<---------------·- -----·-------- ·-·- ....
�.AI Roanokelimes&World·News, Thursday,Dec.21,1!1'JO
.Deadline
FROM PAGE AI
illlill "investiaational" and hasn't
been studied enoush.
·'
Plu1, it'1 hish·rilk.
·:;: EishtY percent or those who
underao the transplant 1urvive.
Thirty percent arc cancer-free aner
11 two-year period.
I
/
I
I
I
/'
/
I
/
/
• ·, "I can undentand why tbe inIUrliDce company doesn't want to
cover it," Frank Smusz.uid. '"It's
not cheap."
': · After all, the $96,000 up front
Ia merely a depoait, The total cost is
likely to· be nearly twice that
amount.
~
But the same treatment is cov·
ercd for most leukemia and lym·
pboma patients, accordina to a rc·
cent Newsweek article, and
continues to show promi1e for
breast-cancer victims.
.: Altboush less than 30 percent
., of tbe women in tbc late lta8CI Of
breast cancer recover from the
treatment, that's still better than
the only 5 percent who ourvive
when treated with chemotherapy
ilione.
" "This isn't some kind or love
you act in Mexipotion or quick
rut
CD;" Smusz said. "This Is scientir-
~"·•·
..
:~.'··some
Jnsuraoce companies
Will even cover the procedure, in·
cludina Blue Cross and Blue Shield
tif North Carolina.
;: "We're fully aware that thio
liutment misht not work, but we'd
like the opporlunity to try it out.
My wife could be in that 2S or 30
percent," Smusz uid.
;: He uid it'• their !all hope.
: · "Wiien it comes down to your
Ufe, if there'• an)'lhlna out there
that can be done, you want to take a
&bot at it," Lorraine Smusz said.
. Since September, she hu been
iutderaolns intensive chemotheraPY to prepare for the treatment, and
llow therc'o no lumina back.
:;· The transplant involve• reinovins some or her bone-marrow,
ilosina it with more radiation to kill
iiny remainina cancer oells, then retumina it to her body - a proceu
that takCI 6-8 weeki.
.
;:· I! it wu postponed, then she
would need additional cbemntherajiy, which she cannot have if obe
already hu reached her uturation
poinL
·
. . "rve aotie tbil rar," obe llid.
"It seem• like I should be able to ao
ihroush with it all the way."
· . Meanwhile, her neishbon in
tbi1 nual Botetourt County town
bave rallied in support.
County Administrator John
• !"!~~::nth:-:.b~~s:~~i:.:!:i~
Lonaine'1 Smusz's "!'f!l" to help
·:·pay for the lrliDsplant .. •·. ·, · '
1
' ·~' 'Since' tlieii: contributioiis bave
lieen pourina in, but a •mall com·
1~ ri\unily can aenerate only so· much
money.
~!' far, .S 13,000 bas been col·
1
:c Still. the Smuszes uid it ha1
URed their spinto.
~
"II makCI you feel better that
there arc people out there and they
ilo care. You don't realize bow
much until you're in a ailuation like
this,'' Lonaine Smusz uld.
- lbe Botetourt County Sherif!'•
!)epartment helped by collectina
money so the Smusz01 could buy
their two children, ~es S and 2,
Chri1tmu presenU thtl year.
... · ~·tt'a a touab situation all
around, but it makCI it a lot caoier
knowina there'• aupport in the c:cim·
munily," Frank Smull uid.
~~
lbil isn't the rmt time, either.
In September, when word
;
•pread arouod Fincaolle tbat Smusz
III'U ill, word also apread that she
wanted to take her kids to see Disney World before abe died.
~
Within houn, S 1,150 bad been
collected - much or the money
fi'om Frank Smusz'a co-worken in
the county, where be Ia mainte·
· baocc supervisor- and within the
week, the family was on a plane to
.~orida.
·
.:
"We were rc&JJy able to forset
he
Ahnnt nnr nrnhiPmllli for A werk:'
Meanwhile, be believes thai if
they can raise half the amount
Duke is askina. then maybe the hospital will aarcc to treat his wife and
let them pay tbe difference later.
"In my heart, I would like to
think they would do Ibis thinJ. Oth·
erwiae, this woman is aoina to die,"
hopina to do somethinB tor olher
people."" be said. '"This is an issue
that affects a lot of people. II could
be anybody."
The Smuszcs also say they arc
considerina suina Blue Cross and
Blue Shield in hopei of forcina the
company to cover the treatment.
he uid.
Similar lawsuill have been won
That •till puu tbe price taa at elsewhere, they uid, but there is no
nearly S50,000. "But if SO 000 peo- auarantec one will be successful
ple could contribute just
or $3, here, and it won'I help them before
we'd be there," he uid.
tbe January deadline.
However, be doesn't really exIf it is successful, thoush, they
peel that kind or aenerosity.
plan to use any money donated to
In fact. he uid the money· it them to pay for leP.' fees and then
only one rcuon why they have aone to establish a •pec•al fund for helpIna other breast-cancer vlctim1.
public with their lllory.
"Nobody should have to ao
"We've aot two little children
that need their mom, but ~·re also throush tbi1," Frank Smusz uid.
b
r-----:::::::::::;;;;;;;.-ii
�--
FINCASTLE, Va. CUPI) _ A Botetc••.trt County wornaro is wi 11 irog teo ~mder·go
a costly, painful bone-marrow transplant to fight breast cancer, but
Blue Crotss and Blue Shield of Virgiroia woro't pay fc•r it because it still
considers the treatment experimental.
So Lorraine Smusz arod har husband Frank, both trarosplanted Yankees
who abandoned the f.ast pace of New York to live a simpler life in the
Roanoke Valley, are turning to their church, the Church c•f the
Transfiguration, and neighbors for help.
So far, S:SO,OOO has bean raised for her treatm1mt at Duke University
Medical Center, but Frank Smusz estimates the entire procedure will cost
between $1:50 1 000 and $180 1 000.
"We have beer,. given a lot of support, a lot of prayers," Frank
Smusz, a mairotenance supervisor for Botetourt County, said Monday.
"Really, l' ve been driven by this thirog. I'm really focused."
The financial gifts will alleviate some of the problems the Smusz
family faces in the coming months aa Lorraine, 33, battles a recurrence
of the breast cancer that first surfaced in September 1988. The cancer
has spread to her liver and bona.
But tha Smuszes would like to break ground and persuade irosurance
companies such as Blue Cross and Bl•Je Shield of Virginia to cover the
treatment known as a~ttologous bone-marrow transplant with high-dose
chemotherapy, or ABMT.
The treatment involves eKtracting several quarts of the patierot' s
bone_marrow. After that procedure, the patient is bombarded with high
doses of chernotherapy over three days; once the chernotherapy clears from
the body the bone marrow is then transplanted and hopefully begins
replicating healthy blood cells.
Their plight has beero featured in a local roewspaper and on WVTF,
Roanoke's public radio station;.Smusz hopes that will encourage others
who also need the treatment to cc•rotact Blue Cr-oss and persuade the
company to chang·e its policy.
If Lorraine Smusz lived across the border in North Carolina, her
treatment would be covered by- Blue Cross and Blue Shield c•f North
Carolina, one of a handful of companies in the United States that pays
for the treatment.
While Blue Cross and Blue Shield of Virginia is willing to
participate in a national breast cancer study undertaken by the National
Cancer- Institute, the company won't pay for ABMT until it is proven to
be safe, public affairs director public affairs director Jim Goss said.
"We pay for treatments that are proved safe and effective," he
said. "When a treatment is not proved safe and effective we do rrot pay.
II
Blue Cross and Blue Shield does approve claims for bone-marrow
transplants in cases .of lymphoma, certain forms of leukemia and a rare
childhood cancer knowro as neuroblastoma, Goss said.
"We are trying to make decisions that are financially responsible
for the whole customer base
not just approving one treatment for one
custon1er," Goss said. "Ten to 20 percent die from the treatrnent
itself."
·
But Stephanie Bass, spokeswoman for the Duke Cornprehem~ive Cancer
Center, said the mortality rate is high because the patients who undergo
the procedure are generally in the final stages of cancer.
Dr. Williarn Peters, who has been perforrning bone-marrc•w transplants
since 1984, estimates from 15 to 25 percent of his patients with
metastatic cancer have remained disease-free with follow-up for as long
as seven years, she said. Metastatic cancer is that which has spread to
other organs.
The statistics provide some cornfort to the Srnuszs, who moved to
Botetourt County to live what Frank called the "old-fashioned life,"
where Lorraine could stay at home and raise their two children, Brian,
:S, and Kevin, 2.
The couple has considered the pos~ibility of a lawsuit but Frank
Smusz acknowledged that has its drawbacks as well in terms of money and
emotional distress. Blue Cross has been sued twicet one state circuit
court sided with the insurer, while a federal court ordered Blue Cross
to pay for the treatments.
"We hope this helps other women in this particular situation," he
said. "Nobody should have to go through this. If your doctor's
prescribing -this treatmerot and it is medically roece_ssary, yc•u ought to
have it.
"My wife may die with the treatrnerot. These are the hard facts, the
treatment may hot wo~k," he said. "And then again it may work. It may
give her quality living for a few ~xtra years."
Those interested in contributing to the Lorraine Smusz Treatment Fund
may write the Bank of Fincastle, P. D. BoK BoK 107, Fincastle, Va.
24090 •
.
--------ttr'li
Ot-09-<;11
09:55
P"'o;:
�Area. [JiVes
financial,
.,
emotional
support
'
.
;
.
.
I
.
By Kathleen Morra.Sioan · · ·
,
--~
..
1·.•
00 ~-
ct1.~
,. "\ :a~
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fllll!lt·. ~-
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E-t.·
eta.«Wrkcr
.
· Life has been "hecuc· for Frank ant! Lor·
rafne Smusz offlncastle and their two young .
soris since a story about their struggle to of>.
taJn a possibly 11fe-sa1.1ng medical treatment
for Lorraine appeared In the De~mbe'" 12
Issue of The Fincastle Herald. . . · ·~
;'Lorraine has Stage IV metastatic· breast :·
.
.
cancer and h~s been told by her doctors ~at: .. R~ora. that the commwdtY had ~dy raised enoup moiley for the Smasz family
~lyonecurrentmedicaltreatmento.lrersany .·to make a down payment on Lorraine'• cancer treatment"Ue unloundecl. Tueaclay
hope of arresting the disease wlllch _has now . morning, the Lorraine Smuaz Funclwu atlll nearly $40,000aby ·of the $96,000 the famUy
Invaded her bones and Uver.
neecla.
.
·
·
.: -' · · •~
. ·' ·
· .. ;. '""''··· . · · · · '
.
·
··High ""dose chemotherapy ·and autologous ·· ·.. .. ····.: ". "··· ·-:.· -"• · ...; ·. · . . · · • · .-"· . . · · · ··. ' ' .·· · .:;, ...,. . ·. ·. ·
..
·
bone marrow transplant (HDCT-,ABMI) Is a.:. .. This year .Jn the United States. apprnxl· public affairs program on Sunday. and In an
Procedure perfonned at leading medical cen- -. mately 144,000 women wUl get breast cancer In-depth story broadcast Monday on PubUc
ters across the country. Although the proce- · . and an estimated 44,000 wUl die from IL Radio WVIF~FM 89. . ,
.·
· _
dure has been accepted as the treatment of · ·_ABMTisaproCedurethathasshownremark-._. On Monday,_ ~rank was contacted by the
choice for this disease by much of the medical -: able success with advanced stage breast cancer ;:._1Jplt~d. ~~ss _)n ter:natlon!ll. reporter In
community, some Insurance caiTiers classify .· patients In recent years. "More than 30 per-. Rlclunond~ .:~.,... ....- '~ .
. .·
the tceatment as ."InvestJgaUve" and refuse to cent of wamen wtth late-stag~ breast cancer, .. • _BCJBS ofVa. demanded equal Ume Colcover lt. · . ·· · ·
.
· ·. :.
are alive and disease-free up to~ years after .. lowing the Smuszes' appearan~ on the Cary
J.orrafne has been accepted Into Duke Unl· : ABMT, compared wtth only 5 percent on stan- . .Minter. show and the company's medical
versity Medical Center's HDCT·ABMT pro- dard chemotherapy,· reported a December . _·director was lnten1ewed on that program
gram and her doctors feel she Is a good candl- · 10. 1990 Newsweek article on the current . the following day. ·. ·- ·· · ·
·
.
date for the treatment because of the early • status ofbreast cancer treatment In the coun- · ·
:·
stages of her bone and llver cancer.
··
try. ·.
-: .
.
.
Theyoungcoupie thinks the response has
The treabnenCls very expensive (Duke's .· SlncetheSmuszesdeddedtogopubllcwtth .. beenoverwhelmlng. '"We'vehadlotsofmedla
program averages $132,000, but can go as
thelrsltuaUon, which theymalntalncouldaf- .·:attention.· said Frank. "lfsgtVen us a lot of
high as $180,000), painful and not Without feet any woman lnsuredbyBC/BSofVa., they ·~ hope. I never expected It to be this powerful.
risks, but It Is Lorraine's best and oJ11y hope.
have received a great deal of media attention. , _We've received support from people all aver
She has begun the ~gh dose chemotherapy Both WSLS-1V 10 and WDBJ-1V '?did filmed · ··the state and even out of state. but 1 flnnly
that Is prepartngherbOdyfor the bone marrow . nports on the family and their predicament. , .· beUeve that lflt wasn't for the good Lord all
transplantshemustrecelvelnearlyFebruary. · The Channel 10 report was re-broadcast In . these doors wouldn't be opening and we
'IhJngs were proceeding well untU she learned
Richmond just before Christmas. The Roanoke ,. wouldn't be getting all this help. •
Tfmes & World ·News also ran a front-page
In early December that her Insurance carrier,
Blue Cross/Blue Shield of VIrginia (BC/BS of story which has generated a numberofletters
The media attention has helped bring In
Va.).wouldnotcovertheABMTonthegrounds. to the editor and the story has appeared In . financial and emoUonal support from all
that It Is stW experimental and tnvestJgaUve. .,both a Covington and Richmond newspaper. aver the Roanoke Valley and the state. The
The Smuszes also learned that without lnsur· · Frank and Lorraine have also been the sub- Botetourt County community has been
ance coverage, Duke requires a $96,000 down ject of three local radio broadcasts In the past seemingly galvanized In support of the young
payment before the bone marrow transplant
two weeks. They were Interviewed on the Cary
.
(Continued
Page 2-AJ
process can begin.·
Minter show on WFlR last week. on a K-92
·~ ~
........
.
·· . . . . .
.
~
.
on
I
�!
I
~;
i!
Smuszes
people that we've gotten. I ~;ant to
thank all the people who have sent
cards and are praying for me and
who have sent donations - It's
been very helpful.·
Frank says the positive response
they've received has gtven hlm the
drtve to coatinue what has almost
become a full-Urne occupation. He
says he has become •focused· on
changing this situation for other
people. ·r really think we're makIng a difference,· he said. "We want
to help Lorraine, but we want to
help other people, too, so that they
can get this treatment when they
need lt.··
-'This has snowballed Into such
a big thing.· said Lorraine. •J think
It will help other women because It
has brought the Issue of breast
cancer to the public's attention.
Maybe It '111>111 make women check
their policies - I didn't know I
wasn't covered. I guess a lot of
good Is going to come out of this.·.
Frank agrees and ponders other
lhe"Smusz.es did ~cetve word questions, one of which he's
several weeks ago that a large brought to the attention of Del. Bo
donation that might pay for Trumbo. A major contention for
Lorraine's treatment '~~>"aS coming.. the Smuszes In their argument
.AS of this lwTitlng. no such dana- 'With BC/BS of Va. Is that other
. tion has been received and only Blue Cross/Blue Shield carrle~
halfthe do'~~>n payment of$96,000 In the country cover ABMT. In·
(which Is a third or le~ of the total eluding BC/BS of North Carolina.
cost of treatment) has been re- Frank thinks that II there are re·
celved. The rumor that has clrcu· strlctions keeping the North Carolated in the Fincastle area that lina company from bidding In VIrLorraine's treatment has already ginia they should be changed since
been paid for Is, unfortunately. a the coverage Is not available to
false one.
· BC/BS ofVa. patrons.
He also wonders II not covering
But the Smuszes are optlmlstiC:
and filled with hope that Lorraine's this treatment Isn't a dlscrlmlnatreatment may be a reality after toryact against women, though he
all. ·1 beUeve It's going to happen admits the potential number of
now,· revealed Lorraine. ·1 had women who may need the treat·
hoped we'd get some response but ment Is a large one and would be
never, never did I beUeve we 'llt"ould e.'Cpenslve for the Insurance carrl·
get the support and help from ers. He thinks that's '~~>·hy the In·
(Continued from Page l·Al
couple. In churches of all denominations, and In schools and clubs
throughout the county, donations
. . large and small have· been col. lected and deposited In the ·Lorraine Smusz Fund· at The Bank of
F1ncastle. TheChurt:hoftheTrans·
figuration, the small Fincastle
Roman Catholic congregation
J
where the Smuszes are members,
. has organized a ra.file and a le_tter
· Wl1tlng campaign to raise money
5
for Lortalne's treatment The~ Is
5
word o(a petition and letter from
~
Blue Ridge to ~/BS ofVa. urging
r a change In poUcy and a walk-a~
than fund raiser for the Smuszes.
I»
· As of Tuesday momlng. the~
) was $58,443.79 In The Bank of
It
Fincastle account and donations
e continue to arrtve dally. Included
• lnthatamountlsa$10,000anong ymous donation received New
Year's Eve, as well as countless
0
It other lndMdual donations.
T
e
~
s
n
e
t-
.e
;;
:s
[e
le
I·
;~
surance earners don't want to
cover the procedure despite the
medical evidence. ·a·s a money
thing: he said.
For now, Frank continues rallyIng all the forces he can to gel the
treatment that may save his wtfe's
Walk-A-Thon
to benent
sinusz fund
A group of Blue Ridge area
cltliens Is sponsoring a fundraising walk·a-thon to benefit
the Lorraine Smusz Fund.
The walk-a-than '~~>111 be held
Saturday, .Jan. 26. The
Inclement weather date Is
February 2.
.. Pledge sponsorship forms.
are available at The Bank of
Fincastle branches In Blue
Ridge. Fincastle and Dale\1lle.
at the Bank of Buchanan
branches In Buchanan and
· Daleville and at Royal Jewelers
In Valley VIew Mall. Roanoke.
For more Information or to
help. call 977 ·0426.
life and gathers Information for a
suit he hopes to wage against&./
BS of Va. He Is workJng wllh the
Alexandria attorney who success·
fully argued a similar case In federal court In April 1990. '
He laughs when he recalls an
Inspirational message scrawled on
a ·post- a-note• that accompanied
a donation several weeks ago.
·Hang tough·was the note's simple
message.
Lorraine and Frank Smusz have
taken that ad\ice to heart.
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�Roanoke Tames &World-News
GIN~
.DEATHSB2
•sPORTSB4
• ClASSIAED 88
WEDNESDAY MORNING, JAN. 9, 1991
·Treatment to start
for cancer patient
dures, but enough to persuade the
hospital to treat her anyway.
She likely will undergo the
FINCASTLE- Tuesday began bone-marrow transplant treatment
with Lorraine Smusz believing she in about six weeks.
was still $38,000 away from the canSmusz was diagnosed with
cer treatment that could save her breast cancer in September and
Jife.
·
learned in December that her health
By late afternoon, she had · insurance company, Blue Cross and
learned otherwise.
Blue Shield of Virginia, had denied
her coverage, saying that the proce"I'm a little shocked. I didn't dure was still experimental arid
think they· would do this," Smusz needed further testing.
·
said after learning that Duke University Medical Center had agreed
, Since then, Smusz and her hu.&:to begin treating her for breast can- . band; Frailk; ·have been trying to
raise enough cash to cover the bills
cer.
Smusz, a 33-year-old mother of themselves.
two, has received $58,000 in donaTuesday started as a typical
tions over the past month - still day.
short of the $96,000 deposit normally required by Duke for such proceBy MARK MORRISON
STAFF WRITER
:.Treatment
:.FROM PAGE 81
They spent much of their time
on the telephone, arranging media
: interviews to publicize their story
and appeal to people for donations.
They checked in periodically
with the Bank of Fincastle, where a
fund has been set up in Lorraine
Smusz's name. The total was up to
$58,000, but time was running out.
Smusz has been undergoing intensive chemotherapy since Septem.ber to prepare for the treatment, and
if she doesn't have the transplant
within the next six weeks or so, her
doctors say it cannot be done at all
and the disease will be terminal.
Then, they learned that Duke
had agreed Tuesday to accept
$58,000 as their deposit and treat
Smusz on schedule. "This will cer. tainly make us breathe easier,"
Frank Smusz said.
However, they will be required
to pay the balance, said Duke Cancer Center spokeswoman Stephanie
Bass.
Plus, they also will have to pay
any additional hospital and doctor
fees above the deposit. That total is
expected to exceed $160,000.
Bass said that Duke is willing to
work out a long-range payment plan
with the Botetourt County couple.
Still, his wife said she never
dreamed that so much money would
be donated. With luck, she had
hoped for maybe $20,000.
"I just can't believe it," she
said. "The money just keeps coming
in and coming in. It's like a miracle."
Meanwhile, a friend and fellow
Botetourt County resident, Vernon
Meador of Blue Ridge, has organized a walkathon to raise money
for Smusz from 7 to 10 a.m. Jan. 27
inside Valley View Mall. Pledge
forms will be available at all three
Bank of Fincastle locations, the
Bank of Buchanan and Royal Diamond Jewelers at Valley View.
�Roan~:l\e Times &World-News
GIN~.
:9, 1991
l
Treatment to start
for cancer patient
By MARK MORRISON
STAFF WRITER
.
.
.
FINCASTLE- Tuesday began
with Lorraine Smusz believing she
was still $38,000 away from the cancer treatment that could save her
life.
· . By late afternoon, she had
learned otherwise.
"I'm a little shocked. I didn't
think they would do this," Smusz
said after learning that Duke University Medical Center had agreed
to begin treating her for breast cancer.
Smusz, a 33-year-old mother of
two, has received $58,000 in donations over the past month - still
short of the $96,000 deposit normal'ly required by Duke for such proce-
dures, but enough to persuade the
hospital to treat her anyway.
She likely will undergo the
bone-marrow transplant treatment
. in about six weeks.
Smusz was diagnosed with
breast cancer in September and
learned in December that her health
insurance company, Blue Cross and
Blue Shield of Virginia, had denied
her coverage, saying that the procedure was still experimental and
needed further testing.
Since then, Smusz and her husband, Frank, have been trying to
raise enough cash to cover the bills
themselves.
·
Tuesday started as a typical
day.
~Treatment
~
~
FROM PAGE 81
.
.
They spent much of the1r ume
~ on the telephone, arranging media
~ interviews to publicize their story
and appeal to people for donations.
They checked in periodically
n with the Bank of Fincastle, where a
fund has been set up in Lorraine
Smusz's name. The total was up to
$58,000, but time was running out.
·
Smusz has been undergoing intensive chemotherapy since Septem. ber to prepare for the treatment, and
if she doesn't have the transplant
• • within the next six weeks or so, her
h.1 doctors say it cannot be done at all
w and the disease will be terminal.
In
Then, they learned that Duke
~~ had agreed Tuesday to accept
$58 000 as their deposit and treat
d Sm~sz on schedule. "This will cerse tainly make us breathe easier,"
m Frank Smusz said.
t
However, they will be required
I
PLEASE SEE TREATMENT/83
to pay the balance, said Duke Cancer Center spokeswoman Stephanie
Bass.
Plus, they also will have to pay
any additional hospital and doctor
fees above the deposit. That total is
expected to exceed $160,000.
Bass said that Duke is willing to
work out a long-ra~ge payment plan
with the Botetourt County couple.
Still, his wife said she never
dreamed that so much money would
be donated. With luck, she had
hoped for maybe $20,000.
"1 just can't believe it," she
said. "The money just keeps coming
in and coming in. It's like a miracle."
Meanwhile, a friend and fellow
Botetourt County resident, Vernon
Meador of Blue Ridge, has organized a walkathon to raise money
for Smusz from 7 to 10 a.m. Jan. 27
inside Valley View Mall. Pledge
forms will be available at all three
Bank of Fincastle locations, the
Bank of Buchanan and Royal Diamond Jewelers at Valley View.
----
___!
I
I·
I
�Smuszes· get
goo·g·.~e:ws,
Lorraine.· Smusz
..
. ·...
.
.
Walk·A~Thon
. The Lorraine Smtisz WrukA-Thon Committee will.meet·
at 6:30 p.m. Tht,~rsday, Jan.
17 In the library at Colonial
Elementary School In Blue
.•
Ridge. Anyone Interested ln.
helping with the walk-a-thon;
· which. wtll be held at 7. a.m. .
. By Kathleen Mo·ri-a-sioan
January 26 In ..Valley Vie\v
· ·.. · ·
· ·. · · u· · ·-• ..
Mall, Is Invited to attend. ·. · ..
. : F~~~tl~ ;~d=ri~\r.ink and . . . Reglstratio~
.the day;of
the walk-a-thon will be ~t the,
LOrraine: smusz had .some good
news late lastiTuesday when they
entrance of the mall·· near.
learned· that Duke ;University
Spinnaker's: .Sponsorship
Medical Center .will ·accept less
forms are available' at· all
than $96;000 as a down,'payment
branches of The Bank of Ftn-'
for bOrie marrow transplant that
castle, BankofBuchanan and
could save Lorraine's life.·. :.. :
at the Valley View location of.
· Duke· has agreed to work out a
Royal Diamond .J~welers. · .; ·• :
payment plan with, them, but the
·· Anyone linable to partlci- .
pate on the5Jay o(.the walk_.a-·. 1
'jo.ung ·couple'is :stUl.res·po·ilslble. ~
·
thon who would like to make a ·
for' paying for. the procedure In
contribution can contact The •
·
· . full--:-a :figure estimated at
Bank of Fincastle w.,_ere the· .. ASTLE HERALD.,~DNESDAY, j.AN, 16, 199:i-PAGE 3-A·
$l~~lh~.·
klt'(the'cha~·g~hiD~e·~ Lorraine Smtisz account has.
been established.
..
·
position) • said. Frank. the media
was· due to They have
. For more Information on· ·~ ' - - - - - - - - - - - - - - - - - : - - - - attenti~n.
receiVesl'·a great deal· of media·
the walk-a-thon, ·call 977-; _
04 2 6
·. (Contbiued on Page 3-A) r.:-::~"'!":·-~~-~~!!!!!!!!!!!!!!!!!!~.1
----rcontlnued &Om Page l~Al
the treatment ofbrea.St cancer as SmuszFund.
~osure In the last month as they •experimental and Investigative·
The •Lorraine Smusz Walk-A-·
have taken her battle with Stage . and refuses to cover il'
·Thon; organized by a committee
IV metastatic breast cancer-and
·Thanks to the generosity of of concerned Blue Ridge citizens,
her battle with Blue Cross/Blue people from all over VIrginia and will be held January 26 at 7 a.m. at:
Shield of Virginia (BC/BS ofVa.), many from outside of, the state, as Valley VIew Mall. The committee!
which refuses to cover her of Tuesday morning $87,974.30 will meet at 6:30p.m. Thursday 1nj
treatment-to the public.
·
had been donated to a special the Colonial Elementary School
I.orralne has been told by her account set up In Lorraine's name library and Invites anyone Inter-!
doctors that her only hope of sur- at The Bank of Fincastle: and ested In helping to attend. .
· vtval from the breast cancer that money continues to pour ln. Over
Meanwhile, I.orraine prepares:
has metasticlzed to her bones and 1.000 checks have come In and an herself for the treatment which·
liver is high-dose chemotherapy average of 50 envelopes a day-are · will remove from two to four quarts:
and autologous bone marrow received atthe bank for the Smusz · of her blood and bone marrow and
1
transplant (HDCT-ABM'Il. This account. ·
· ·
treat It with high levels of chemo: i
procedure is performed In leading
In addition to a donation, most therapy.
medical centers around the coun-. of the envelopes contain notes of
She has begun her third 21-day
try and has shown remarkable supportandencouragementwhich cycle of pre-treatment chemothersuccess with advanced stage the bank forwards to Lorraine and apy and Is responding as her docbreast cancer patients in recen~ Frank.
tors hoped she would. After this .
years.
MWe've had letters from doctors, treatment, she wlll be re-evalu- •
Although BC/BS ofVa. covers nurses, patients who have gone ated to see if she needs another:
the procedure for several other through the procedure-even em- cycle of chemotherapy before the '
forms of cancer, it views ABMT In ployees of BC/BS of Va.-and all HDCT-ABMT procedure begins.
are supportive; Frank said. Mit's
The Smuszes hope they can
been just incredible. •
raise enough money so they can
The larger Botetourt commu- sue BS/BS of Va. for coverage of
nity has really taken the cause to the procedure, but similar cases
heart. A raffle to benefit I.orratne, . have been averaging $30,000 In
coordinated by members of the legal fees.
Catholic Church of the TransfiguStill. the couple remains optiration in Fincastle, will be drawn mistic.
y this Saturday and has 'been very
MWe want to open the door for
:1 successful.
·
others, M
Frank said. MWe want the
Western Sizzlin' in Daleville Is public to be aware that there are
donating a portion of Its sales many women who are dytng who
January 14-20 to the Lorraine could be helped by this treatment.·
Quk.e. okays
treatment
ori
a
b
j
I
I
�THE FINCASTLE HERALD-WEDNESDAY, JAN. 18, 1991-PAGE 3·A
Smuszes-----(Continued from Page 1-A)
exposure In the last mon\h as they
have taken her battle with Stage
IV metastatic breast cancer-and
her battle with Blue Cross/Blue
Shield of VIrginia (BC/BS ofVa.),
which refuses to cover her
treatment-to the public.
Lorraine has been told by her
doctors that her only hope of survival from the breast cancer that
has metastlclzed to her bones and
liver Is high-dose chemotherapy
and autologous bone marrow
transplant (HDCT-ABM11. This
procedure Is performed In leading
medical centers around the country and has shown remarkable
success with advanced stage
breast cancer patients In recent
years.
·
. Although BC/BS ofVa. covers
the procedure for several other
forms of cancer, It views ABMT In
the treatment of breast cancer as
"experimental and Investigative•
and refuses to cover lt.
Thanks to the generosity of
people from all over VIrginia and
many from outside of the state, as
of Tuesday morning $87,974.30
had been donated to a special
acc~>Unt set up In Lorraine's name
at The Bank of Fincastle; and
money continues to pour ln. Over
1,000 checks have come In and an
average of 50 envelopes a day are
received at the bank for the Smusz
account.
In addition to a donation, most
of the envelopes contain notes of
support and encouragement which
the bank forwards to Lorraine and
Frank.
"We've had letters from doctors,
nurses, patients who have gone
through the procedure-even employees of BC/BS of Va.-and all
are supportive; Frank said. "It's
been just Incredible. •
The larger Botetourt community has really taken the cause to
heart. A raffle to benefit Lorraine,
coordinated by members of the
Catholic Church of the Transfiguration In Fincastle, will be drawn
this Saturday and has been very
successful.
Western Slzzlln' In Daleville Is
· donating a portion of Its sales
January 14-20 to the Lorraine
Smusz Fund.
The "Lorraine Smusz Walk-A· ·
Thon." organized by a committee
of concerned Blue Ridge citizens,
willbeheldJanuary26at 7 a.m. at
Valley VIew Mall. The committee
willmeetat6:30p.m. Thursday In
the Colonial Elementary School
library and Invites anyone Interested In helping to attend.
Meanwhile, Lorraine prepares
herself for the treatment which
willremovefromtwotofourquarts
of her blood and bone marrow and
treat It with high levels of chemotherapy. ·
She has begun her third 21-day
cycle of pre-treatment chemotherapy and Is responding as her doctors hoped she would. Aller this
treatment, she will be re-evaluated to see If she needs another
cycle of chemotherapy before the
HDCT·ABMT procedure begins.
The Smuszes hope they can
raise enough money so they can
sue BS/HS of Va. for coverage of
the procedure. but similar cases
have been averaging $30,000 In
legal fees.
Still, the couple remains optimistic;.
·we want to open the door for
others; Frank said. ·we want the
public to be aware that there are
many wome11 who are dytng who
could be helped by this treatment. •
Smuszes g~t
good news,
Duke okays
treatment
By Kathleen Morra-8loan
atall'Wrtter
Fincastle residents Frank and
Lorraine Smusz had some good
news late last Tuesday when they
learned that· Duke University
Medical Center will accept less
than $96,000 as a down payment
for il bone marrow transplant that
could save Lorraine's life.
·
Duke has agreed to work out a
payment plan with them, but the
yo_ung couple Is still responsible
for paying for the procedure In
full-a figure estimated at
$16o;ooo.
.
"l thlnk·lt (the change In Duke's
position) was due to the media
attention, • said Frank. They have
. received a great deal of media
(Continued on Page 3-A)
Lorraine Smusz
Walk-A-Thon
· The Lorraine Smusz Walk-'
A-Thon Committee will meet
at 6:30 p.m. Thursday. Jan.
17 In the library at Colonial
Elementary School In Blue
Ridge.. Anyone Interested In
helping with thewalk-a-thon,
which will be held at 7 a.m.
January 26 In Valley VIew
Mall, Is Invited to attend.
Registration on the day of
the walk-a-thon will be at the
entrance of the mall near
Spinnaker's. 'Sponsorship
forms are available at all
branches of The Bank ofFlncastle, Bank of Buchanan and
at the Valley VIew location of
Royal Diamond Jewelers.
Anyone unable to participate on the day of the walk-athon who would like to make a
contribution can contact The
Bank of Flncastle where the
Lorraine Smusz account has
been established.
For more Information on
the· walk-a-thon, call 9770426.
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PAGE 2·A·THEJI'JNCAS:n.z ~~y~~pg~ f,:·~88l·.:
e
~ e t.t ~s·:.,·::~:::·' ·~:: ,~,,;f~Y·~\~~;r~~;t··:~:::·:.
, ..:,. . _. sin:USz :Benefit'
anee. ratses·. ove.r:;.~. J. .~·s.2·o. ~. :,;·_~· :· · ....
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Edttor: .
,
· •. and Myrtle silnm0n8~ ·· •
The Buchanan Jaycees' benefit ·: Thank you to ev~ne- :who
danceforLonalneSmuszwasheld ·~ · contitbuted.
. · .· ··
· •:
Saturday, Feb. 2. A total of .
. ...•· - ·
Pam .Austin
$1,927.15waara1sedforthefund·,.
·. ·. · _:..;. BUchananJoucees
for Lorraine's cancer treatment.. .
· . ·., .. · :.:·.• (.. ' .... , -.
·
We arc gratef..U for all of the ..
~-_.
community support that helped to '.
n·~'
.I II'
make the dance asucccss.1banks
.
to the following, whose donauona · . ·' ·• · · -~ ·. ~i: ' •:· : ·.: ·,. · :-'' · .:.
weregrcatlyapprectatcd:Automo·
Uve World, Del's Supennarket, ·
· .. ' ,
· J .. . ·
Happy Food Mart, HilltopCroccry, _ ,. ·
·.~ ,;.: : . .'·t~ . .:. . ·.: ~.../
North Star Restaurant, Pepsi-Cola · ·: EdUDr: ·: ... '('. ··.:·; · ·; · :· ··· ··· ., ··:
Distributors, Perfect Stranger, .... AsoneQ(the.OWPersofthclocal.
Stop-In Food Store, Waskcy's M111; . Western SIZZlln ·st~ak ~ouse ln ·
Crocery, EPllly Barley, Dennis~ Palevtlle, I would like to thank our·
Dudding, Luther Hartman, Tom' · customers ~d staff for. the' sup··
and Nancy ·Middlccamp, IJll!an: porttheyshowedln~fund-ra!ser
Peery, Mr. and Mrs • .J.B. Preston,·; for Lorraine Smusz.:. · :... • ·
'· .
VIrgie Rothwell, Linda Wcade and·;. · We .were very happy wtth the
Usa Wright.
. ' ~., raults. Due to .the response, we
.. Also, a special thank you to all' · · an: able to donate $1,000. to the
of the ladles who donated cakes: ~ fund, We feel very fortunate to be.
Margaret Campbell, Betty Dud·': able to· contnblltc ·anct to. have'
ding, Estelle Dudding, Paullne': . such aupporUy~_C1.4'&Amers•. ··-··
Duke, Jane Klng,.Jane McRae,·: ··:.·CG.s.$andraAWCse·:·:·_. ,,·.·,. ·
.UlllanPccrJ,EllaPullcn,ElvaReed · :: :: ... •.:·" ..·;.J~~~--~-·.:~.· .-.- 1
.•
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t'i ·.-'··.'' ::·;·. · ·
I
·. ·
·We''s't'e r· s zz' n.
ra1ses $.1 000 ·
1
•
· ,. : . · .: \·.
..
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Apprecta1C? fu.n.d . _h~Jt~:~.::~. -·:;_.: :.·~·:·.-: ·. :· : : ;
.
:
' ..
. .• ·. . . ·:, :~·· : •, -~
• •I':· .. ,. '~.
· . Edllor. ·
· .·
..
,: . me sh¥c ~e. spof:Ug~t ·~m ~rums
We would Uke to· thank eve I)'·, wtth you.) ' : . :. •_: ,.... ·...:' . ..
one who has been Involved In our' · : ·· Also, thanks to Vernon Meador
campaign to. raise f~nds for and the Blue ~ge Booster Club:.'
Lorraine's cancer treatmcnL :. . : · for putUng tog~thcr the walk-a··
So many people, buslncS&CS,; thon at Valley View Mall January
· ' · organizations and churches have 26; ancUlnally to the ucopla of the.
given us an Incredible amount o{ ,Church. of the Trans1lguraUon for:
support and love. We have been · .organJzlng. the raffle .w~ch. con·
deeply moved by your praycra and. eluded onJaJluaty ·-~-~;) ·:;·! . :-..-·: :. . ~
generosity.
·
· , ·· i : · . · · :- ,, : . · ·.- .: ; ~· · ·.· · :. ·
..
A specJal thanks to Ann Duke'. ·
AU of the~ CVCD.1.twenho.weU·
and the Buchanan .Jaycees for: · ~ were a huge a~ceM. ·i- =·.: · ..·. ..
orgaptzJng the benefit dance at · .. ··.:.four. c;onUn"ed .support. and
EaglcRockElemcntarySchoollast : 'prayera-.gwe·-~ the stre~th to
Saturday, and to members of' the, move; forward and. c~ em.-··. ! . . ·
band Perfect Stranger who played . :: \·: · .. '· ~.:.. Frank'c!t. ·LOrraine amusz
so well. Ob~ks, guys, .for lctUng, .· . '.-.·:·. ·: :···:.·· ..::····_1'; •• ~~ :-: -·· •• •B~fuznan
.
.
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-·-- ··--------.. -· ..
.· ··. ~ Longaberger Baakct opel\
house Frtday, Feb .. 8 W1ll ~ne·
. fit th~ Lorralpe smu~ Fund.:
'All profits !roll\ the open ~ouse.
:wtll go to .the funct ltla.t wtll' help pay for c:ancex: ~rea~eot.s
for Mnt. Smusz. . :· · · . .
;· .The open house W1ll be l)cld
!rom .5-e p.m. at Trinity Epta· _
· copal Church, M~ Street;
Buchanan.
. -, . · ~ .
···, •.''lbe 1991. Eaater'~tt.i
· and special edtuone .for:
Mother'• and Father's Days.
._ an4 ,JW Cpllector basketa wll~
. be·Qn dleplay along ~th the
. complete llnc of regular baa•
.
.
;
.
. ..... -.' .. - . ~. A signed medium key bas·
ket .wtll a1ao be ranled _with
-~"'· .
.. procc;cd~
t~
go to the .SmWiz
:fund.:,._ · ,,. : .... · \ · ::'·
:! ·· ·
For more lnfonnaUon, con·
tactClorlaCarterat254·1443.
Dot Canon at 254·1091'· or
-Marg~t Anne. ~mlth at 254~
).~~: .• ;. ::
!
: _. ;·..i: ~~,.~·.
.:~.,
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.. ,_·:.: .::'_i:!~:.
·.! !· r:· i•'· .. ·
·/·~·.:
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aau,.-:' ·:; ·
•:
•.,..
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~·:'·_:·~- :.~ •. :- sJXLusz
,;: ·,ft. rally has been planned. to
aupPQrt Lorraine Sll)u~·s.and
.pther breast cancer vtctlma'
di'Qfta to have Blue C~s/ .
.Slue Shield ofVlrg~ pay for
.ABMT cancer treatments. . .
- The· rally wtll. be held Mqn~·
day, Feb. 11 from 11:45 a.m.
to 1:15 p.m. on the sidewalk 1n ·
front of the Blu~ C~s/.Bluc
... Shield buUdtng at the comer
of Jc1Tcrson Street and Fran~ ·
1 kiln Road tn d~wr;ttt;)~n
~~~6-~·~,a1~~ 'stitcid ~~
Vlrgtnla docs not cover ,f.BMT
. for breast cancer. ·· . : · '
-''' For ·more lnfonnaUon call
473-2542 or 992·0219. Rain
date ta February 13.
----· -·-· ---- ·--· ··---
. . (·; . ... ,.,·:\\:~·: \::::··; <:'·;'/~~-~: . ·-.:-..
WEDNESDAY
rhe :FinCastle. Herald
Botetourt County News ·
FEBRUARY 6, 1991
35 CENTS
(USPS 160-680) Fincastle, VA
· Volume 126 • Number 6
2 Sections •14 Pages
Plus Supplements
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. ·!.~~iiestifle~, t~ Value. ~f B~~e-Marrow.Transplant
~
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llofraine Smusz's life is in jeopardy .and 6 years old).
· :.
· \' t>eeause· Blue Cross/Blue Shield of ~ ·... ·An ABMT is not an 11alternative" .:
.. Virginia has refused to cover a 11State ~ . :.method but a federally regulated .
i of me~ art" medical treatment for dis~·'· :. clinical trial that has been reviewed .:
:~ semU1ated breast cancer : that has·::·.· and implemented, based
success- ~
! beeir'documented to have a response ·: ful lab studies and lJtandard treat- :.
{ r~~~ver the l~st few. years of so.:·.·..ment. '
. .
. .
:.
. \ · petcent and is bemg implemente~ na-·.; · Yes, there are risks, but ones that .~
I tio'ff<Vide with t~e financial support of ; · are not foreign to any cancer victim. ,
·l inslirance· companies, including Blue ... .In retrospect, those rises are dim in- j
\. Cro~si Blue Shield outside Virginia. . . ishing due to the enhanced manage- ;
.:
:r.HtABMT (autologo~s bone ~ar~ · ment of these potential problems. · ·:
ro:wJ~ansplant) that I underwent this .·
~ cancer _victim does not ha~e the ·.
...; p~~s~mmer,. after a five-year battle option of bme. A woma~ dymg of .•
1
with 1:ireast cancer was advised· as. · cancer should have the cho1ce to take ,
·
m~:1iest chance f~r prolonged ,life~· the ultimate. risk for life:
;
... . anCI ·possible 11cu~e." .. .: . . · ·· .. . ,. ·. .
. PAT HORRELL, R.N •..
.J.. . ·. · .\am healthy today because of the· Chester. : .·
•'
optimal health care received and the . . <· Editor's note: The Associated .:.
j . fin'ancial suppor,t ~f my heal~.lnsu,r· ... Press news story c~cerning th~ case ·;
llj. . ance company.
·
.
. · · . . of Mrs. Smusz, whach appeared m the :;
N~·
If and when I metastasize agam I · earlv edition of the Times-Dispatch ::
. /. · .
will .be ext!emely thankful for .the·· Jan. · JO, quoted Blue Cross/Blue ·:·
/l. .. q~j\Uty .of time the ABMT gave me, .Shield as saying it denied coverage .1
· ....:~ ;-.--an<l1/·I·may die I will have a peace •.. for 'the· bone-marrow transplant .:
· ' :·. th,'\~,J, did everything availa~le to be·~: treat~ent because- the proce?ure ~ .)
(f':_. . ~ . V(Jf&.,!f.lY ~~~band _and two _ch1ld~en. (9 expenmental and needR te.dmn. · . I
on
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'l!$d-'l-/91
/lf.R- r4/...cJ
Booster clubs ,raise. 1,300
for: Lorraine :::srnu·sz· fuo9.
.
••
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Ftveofthe·~~~s~utlts~~-·: wa8donated.bfHoldren's.Inc. tria:
booster· clubs ..·have raised over. drawingheldM!)ndayntght. Renee
' $1,300 for: the: Lorraine. Smusz Noch of Roanoke won .the $1_00 .
Fund to help pay for her autologous secC?pd.,.prlze ·and,.H.& , Haga of.·:
· bone marrow ~plant .(ABMn •.· D~~e;~n the $50 third.. prize. .
Mrs•.SmusztscurrentlyatDuke
·:Persons :~ho want to mak~;
University going through.· .the co~trtb.uttons to .the ·:Lorraine··
· transplant .. whtch·:.she: and,.her .. s~usz: Ft.m.d·can stUl . ~Q .. so by
famtly·hope~wlll ~st the breast:.· sen.~git!OLorralneSn.tuszli\tnd,
cancer.that has:threatened:.her:;. c/~.B~!~..of..~cas~~!;:rtD.~tle,,
life The Fincastle mother·.·oftwo 24990~,.·'::::'
::: :.:· · ·., . · ·:· ~.:,·:
and hero•husband;:·,Frank. .•have . · · · '• ;,·.
···
benefitted fi:om fund-raising efforts ·
that. are .helping.;pay· .for 'the '
treatment. which <'Is ··expected,. to: .
cost as much as,.$180;000;,;1be __:
•
faintly's health li:lsuranee has ilo.t ·
agreed to pay. for... the:;~a~~nt-1
· because it._consi~e~'!il:' ~rio::: .
mental.·.
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ROanoke Ttmes &\\oi'ld·Ne\\:,
T
lliDEATI-iSB2 ·
.. SPORTSBS
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~IOAY MORNING, MAY 17, 1991
Coming home like a tonic
By MARK MORRISON
STAfF WRITER
FINCASTLE - Each day is
getting better for Lorraine Smusz.
She's home now, after spending
the past seven weeks at Duke Uni· ·
ve~ny Medical Center undergoing a
dra~nmg and controversial cancer
treatment.
.
And although her doctors won't
know Probably until August whether
the treatment was a sqccess, they say
her chances look good. So far, she
has responded well.
·
Smusz says it just feels good to
be hack home in Botetoun County
She arrived home on Mothrr's Day: .
It feels good to see her kids,
Brian, 5, and Kevin, 2, and it feels
good to get a good .night's sleep
again, she said.
It feels good, even ifshe doesn'L
Weak from the bone manow
transplant and intensive chemotherapy.treatment she endured, Smusz
said between naps at her home outside Fincastle that she didn't count
on being so tired.
"I thought I would need help,
but I didn't think I'd be completely
out of it," she said. "'I can't even
take care of my son at all."
Nor can she work in the garden
som~thing she had secretly
hopmg to do soon after coming
home. Instead, she has been sleeping
about half the day, while her mother
or a neighbor, Terri Vass,· watches
the kids.
.
"I'll ~ust have to put everything
ofT and JUSt recuperate· this summer," Smusz said.
Still, she said she is feeling a
little strongerwilh each day. She has
been forcing herself to get out of bed
twice a day and t~ke shan walks.
Monday, she made it around
the yard only once. By Thursday,
she sa1d she was up to two laps.
"That's the only way you can build
yourself up."
·
.
Mean,while, she has been enjoyIng her children. and sleeping in her
own bed again. '"We have a water
bed here," she said. "I kept looking
Cancer patient Lorraine Smusz came home from th~ Duke University
forward to that water bed." ·
Medical Center.on Mother's Day to a house full of balloons and signs put
PLEASE SEE HOME/84 up by sons Kevrn (prctured) and Brian.
been
~iaiiijiiiiiiji-===-------------.=SECTION &:
Home
FROM PAGE 81
Getting to see Brian and Kevin,
however, has been her favorite thing
about being back. Their homecom·
ing decorations are still hanging
throughout the house, even though
many of the balloons are beginning
to shrivel.
For :.ix weeks, when she was
confined to an isolation unit at
Duke, she didn't get to see them at
all. She only got to see her husband,
Fnmk, and a few other family mem·
bers, and they had to wear gloves,
masks and hospital gowns.
Smusz was kept in isolation to
protect her from infection - a potentially fatal risk that bone marrow
transplant patients face because
their immune systems become so
weak.
..Frank would come up to visit
me and we would watch movies all
day," she said. "We could be movie
critics now. we've seen so many
movies.''
She gave thumbs up to "Ghost"
and "'Driving Miss Daisy." And
thumbs down? "Those movies I
would sleep through," she said.
Although nervous when she
fim got to Duke, she said she always
remained confident. '"I never
thought I wasn't going to make it,
not even for a minute.
"I iust had faith that God sent
me theie and He was going to get me
out of there," she said.
What got to her more was the
air-filter system in her room. "It was
so loud, it would drive you crazy. I
think that was the worst part, that
fan."
From ilere, the 33-year-old
Smusz will have weekly blood tests
to monitor her progress. In the late
stages of breast cancer before the
procedure, she now has a 68 percent
chance of going into complete remi,..
sian.
She and her husband also will
continue to battle Blue Cross and
Blue Shield of Virginia over whether
the company should pay for the procedure.
The health insurance company
has denied coverage of the treat·
mcnt, which it calls experimental.
Citing many other insurance
carrien that cover the treatment,
Frank Smusz said he hopes Blue
Cross of Virginia will change its
mind. Previously, he said they might
sue Blue Cross. Now, he's not sure.
••J want to give them the oppor·
tunity to come around. Maybe
they'll rt..evaluatc their position and
at least start covcrina this on a caseby-case basis," he said.
Either way, he said, they will be
covered for the bulk of the treatment
costs, thanks to nearly SI 30,000 in
private contributions.
Most of that money was raised
aner Lorraine Smusz went publiC
with her plight shonly after le"';"ing
!.
that Blue Cross had denied her cov.
erage. She hoped that by telling her
story, she might be able to help other
women who also needed the treatment.
The story generated interest
across Virginia and elsewhere. The'
even received calls from "60 Min'utes," "48 Houn" and the Nationa:
Enquirer.
She said she has no regrets
about all the media attention, but
she is looking forward to life gettin~<:
back to normal.
~
The telephone rang about then.
It was her neighbor asking who was
going to pick up Brian at school.
He's in kindergarten at Buchanan
Elementary.
·
Lorraine Smusz liked getting
that call.
"Things like that, it makes you
feel nonnal again. It doesn't make
you feel so sickly."
�· .... '·
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R. •ent;i,·~;i~~~z:::~:.i;~~l~\
.~.a.
},r.:FiealtH Ihsurers-
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,-~;are~tf:1f:fpr.oblem
-~:·:: ··· ·THE-~EDITORIAL ':Health ins.urers 1
·:In black:_liats,'.' J_uly 15,.Is a pathetic at- 1
' temp(to lend credence to Blue Cross/Blue j
·}Shield:s/deriilil oU.:Oriaine Smusz's treat~ I
.-·~··:Jr:~!~~~~~~I~~i5~a~~i~ i- ·
, : of its·.costs· and the demands made on it. I
.
~~. O~e.reason. cpsts _have 'risen is the gread~--
.:.•,. stndes ·:~ad~~,by .._medical techno~ogy." \
1; ~~~~~ a,re, ~ing ·denied that have
})·~~e.n:.ll!~~lf.Jor.,years,: ,.., ....~.> .. ,,....,•;, ..
. .". :: . .. ~!= insurers are legion of Scrooges '
i: an~ (iends.l wanted to find a cheaper way 1
a
;,t-/~-~tiF_:.;~.:til1'i-Rs.~:-~-.-- . -~- .
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to treat iny problem and found a form of i
. treatment that· could· be documented as
c· far back as 1953. New not by any medical ,
, ::':•:.standard. or-lay01an's stretch of the imagi-·:
1
. '-:~l;f::~~~OD~::~:.i·:.-; :· ·_. ·
. ·. · ._
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.-:,::J:(iiif'i' I think my benefit was denied primar- 1
-~,~'ily'because it.involved an inpatient ad-·:
::;:'.JlliS~iori and they thought I had ~o othe~r ',
. /·recourse. Well, guess wh.at: I did have
· ·,-,.another recourse .:..:.; several, much more
costly than; the one ~ey had initially :
agreed 'to pay· for and then backed out of. ·
:n~ nation does.not need a unified, .
coilipreliensive' system· to' provide a de. cent level of health' care to all Americans:
· it needs io_ have a toially revamped insur-
...
.at~/-~d.~~,:·..' .·. ,: ::~~TSY
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R. BERRY
BtJrL.J•"
F~~&~l~t~~w:~~;~1~h;-':/ ~~;~;~:;~~
cent.of those;who •get the treatinent,l
will~die :from its. effect5;',he said;\<
: ·;;•~The jury.'-is':still.oui. .-we~are';
not - being '' '. .
unreasonable.~···. ~,.- ... ;··i·.\:.~ii
• .
'·.'•.j,
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<·•'lo~,l
':::_If patients;~ant the coverage;;~
they·have,.:to. be willing· to pay ithe·.:
higher''preD:Uunis'·.that.·would}'go}
along'\vith : it; MatheW&-~ added;i:;!;;~.i(
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·•~'l~Friulk~·Smusz.Said~Blu' · ' ss1
alic!isiue'srueld ~otlier::Sui
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erst-ilie~Ytreatm
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threatening 'disease·fshowd not '-be ;
forced·to fight)n'eourt~for insur- ·
. ance coverage..·' · . "Time is not ·on the side. bf..
anybody but the insurance compa:·.
nies,,. said Frank ·cowan, a· Rich-·.
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·. Raising·awareness
· Loi'ralne Smu&Z (left) and her cousin, Therese.Sisaon, lead about so pickets. outside the
·A~oke headquarters. of Blue.Cross ind Blue·shleld of VIrginia on Monday.· Smusz rieeds
. to undergo an autologous bone marrow transplant as a treatment for breast cancer.
However, the Insurance company considers the medical procedure to be experimental and
won't cover the cost. Friends of Smusz have raised $119,000 to pay for the procedure at
Duke University Medical Center later this month.
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Richmond Times-Dispatch, Thul"'day, July II, 1991
Insurance sought for experimental cancer therapy·
By Jean McNair
Allodaled Press writer
Lorraine Smusz's cancer is gone for now, but she's
still lighting.
Her enemy is not the disease but the insurer that
rdused to pay for ber cancer treatment.
Mrs. Smusz, a mother of two from Buchanan, was
among a parade of cancer patients, physicians and
lawyers who spoke yesterday at a public hearing before the State Corporation Commission's Bureau of
Insurance.
The bureau is studying whether to set up an appeals
panel for cases In which patients were denied coverage
for treatments that insurers consider experimentaL
Mrs. Smusz, 33, was diagnosed with advanced breast
cancer last year. Her insurer, Blue Cross and Blue
Shield of'Virginia, would not pay for a treatment that
included high doses of chemotherapy and a bone marrow transplant So sbe and ber husband, Frank Smusz,
went public with their plight and raised $130,000 for the
treatment Last week, doctors told ber sbe is cancerfree.
Mrs. Smusz scolfed at the insurer's contention that
the bone marrow treatment has not been proven safe
and effective.
"When you have a terminal disease and you're told
maybe you have only a year to live I don't see how
safety comes Into it," she said.
Her story was echoed by other women wbo told,
sometimes tearfully, about learning they have breast
cancer and then finding that their insurer would not
pay· for the treatment they wanted.
Many of their comments were directed against Blue
Cross and Blue Shield, the largest insurer ln Virginia.
Patti Goodall. vice president of the Virginia Breast
Cancer Foundation, said sbe would like to ge_t the bone
marrow treatment if ber breast cancer spreads but ber
insurer is Blue Cross and Blue Shield.
"When I need my insurance company the most ...
they literally will be able to band me a death sentence,"
she said.
·
Roderick Mathews, a senior rice president for Blue
Cross and Blue Shield of Virginia, said the procedure which can cost $100,000 or more - is still experimental
when used for breast cancer.
"Last hope should not be confused with standard
medical procedure," he said.
As many as 20 percent of those wbo get the treatment
will die from its effects, be said.
''The jury is still out We are not being unreasonable,"
be said.
U patients want the coverage, they have to be willing
to pay the· higher insurance premiums that would go
along with it. Mathews added.
Mrs. Smusz said Blue Cross and Blue Shield companies in other states cover the treatment Patients wbo
have sued the insurer In Virginia for refusing to pay
have usually won, be said.
·
Other speakers said patients who are already fightIng a life-threatening disease should not be forced to
fight In court for insurance coverage. The patients'
health can be jeopardized by lengthy court batUes, said
Frank Cowan, a Richmond lawyer. ·
'Time is not on the side of anybody but the insurance
companies." be said.
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~ush ·superior
lresident, but
sunappr~i.ated
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years .. lfyou.need.mediCal care; you pinch
pennies to pay your own.or you don't go to
the doctor. I can . sympathize ·With .the
Vietnam veterans' plight. My brother
went to 'Nam twice; Now he is retired
military and can't afford to pay his own
telephone bill so I could call and wish him
. a. merry Christmas and. happy new year.
I think.it is time for the honest, upright, working, tax-paying lJ .S. citizens to
call on our leaders to make some changes
in this country. Enact new laws concern. ing govemment.programs and give back.
io the people what they have worked and
-paid for.
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I do feel very strongly that we.as people·~·:
and America as a nation have taken a··;-.:: '
wrong tum when $96,000 wins over a=~ l
person's life. It's good P.R. when the :;~ 1
United States is always there to help other ·:: •:
countries and their people in need. What . : ·
hurts is to find out what really takes prior- : ;
ity here at home. If our people die from : :
lack of medical help, what happens to .. : !
America?
~: 1
LARGE part of th~ Ameri~ pub:
, does: not appreciate what a· treasure
PANSY NEWCOMB . ..: :
by have in George Bush as their presiTROUTVILLE ··• i
nt..I would put him up in the top six of
. ~~ I
~,,. I
ir presidents. He is a real relief from the.
... :
t of paper tigers we have had in .the
··'"-4;
~· i
esidency the last 40 years.
SARAH L FURROW
··.: t
... ,·I
; · In intellect, training, experience, edu.
ROANOKE
-- !
ition and savvy, he is head and shoulders
love any recent office-holder: Of course,
hen any man's ability raises his head
rn· s··· ·s··m;. ·re_.s·p-.onseto Ro~erCiark's ·
...
1 1
>ove the mob; you have the usual parade
WAITE
<t
f
letter Dec. ·12. There is nothing · wrong ·
. second-raters with their tar brushes and
Letters on public issues are welcome.
"th
t
b li
·
!B guns rushing to the attack. ..
They must be signed. Please include
WI
pro estmg a war a person e eves IS .
/ Now for a suggestion to really scare
full address and, for verification only, a
wrong. It is one of our constitutional·:
veryone: Let's say we tum the governing
telephone number at which you may
rights.
~)
' :.
f the country over to the vocal opposibe reached during the day. All letters.
..My fiance, his twin brother and my
-""•tt
of
l
.'on • ·Let's · ·appo"nt a co.......... ee, say. of · · are edited. Because of the volume ·
..
1
··
. friend's fiance have all been dep.loyed to
·
D
· ·· to ·
·letters at times, not all letters are' · ·' · ·
l'ilder, KennedY and ., e·concmt, · be
i'
the Mt"ddle East. I can say.fi·-t-hand the~
·
'
d"
h·
published. Writersarelimitedtooneb t guns. Th
military want to protect the ... ~
country, but
··e apbli t ey are otltstan mg eac 1m
'
W"ld ·
ail b"l"t
letter !n any t:U'\ .... period. Letters
uv-uay
11s pu . c s ance: 1 er m av a 1 Y..
should ·not exceed 200 words. :n·. '· . .
, morale is:·very low- because they have no .. ·
. rotation date to look forward to and be- ·
1te~n~dy for stupidity and DeConcini for
1up1d1ty. · . ·
.
.
·'
· Lettertotheeditar
.cause they are not really sure why they are
i . .-The country would pray for there.•. ,.. _., . P.O.Box2491
..___ _.,
there:,Tbey.wouldbefightingonbehalfof:~
!Urn of Bush in the wink·of an eyelash.
., , • Roanoke,Va.24010.:. , .·
acountrywhosewholewayoflifeistotal- ~~
Let's not nit-pick the mari. to:death and ·
... .
· ly opposit~Jr.olPo o~. TJley ~n't pro~on.d~~e~s him to our:sorro~. .· . ' .:.... --'-----------"-----'-_- .;..:;"""--' ;.· .. tecting our,.country, only: our ~nomic;; .
::.-·
. .. ....
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in.terests. · . .L, ..• ·., .
·
·•
···... ,,
GORDON T~ HILL · ·
··. ~
··
:.. ··'As for oil, enough is bemg produced·~
'·· ·
RoANoKE.· .
to make up for the oil we aren't' buying .
i
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from Kuwait and Iraq. Maybe we could be ·• ·
a stronger country if the military was actu- ....
!
ally protecting America at home, and we -:
REGARDING the Lorraine Smusz . started using the oil we have in our own ~
story (Dec. 27): I cannot believe a large country and/or developed other energy_
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facility such as Duke University Medical resources· instead of dep~ding on other- .
A RECIPE for an easy and better life: Center would 9r could put a price tag on a nations.
·
., ·
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Don't .ev:en work and pay taxes or Social · human's life. What. good. do~s. medi~ ,
·~ :: USA LEVINE ':
expertise do mankind if. we cannot afford
Security.
.
, . .
HOWNS
If you are single or married and you it?
1 have ·children, and their father doesn't
Excuse me, but I thought the idea of
, support them, take him to court. If you are having such a facility and the best physiworking, the judge will tell you to go to cians available was to help people, not to
Social Services. You probably would be sell a name or a product.
; better off if you did.
Yes, I know there are financial re·
Now if you don't want tlte taxpayers
I THOUGHT if there was to be a _
I· to support your.family, you gc;> on back to sponsibilities; you can't eat or spend char- \
work. When you work 35 or 40 years to itY ·or. human kindness. Medical. sc~ool Christmas miracle, it would be for Baby · .
I support your family and you are too old has to be paid for, and malpractice premi- Isaiah. to live. He _missed out on Santa ·~
I and sick to work any more, you can exist urns, and last but not least, the.ccist of all Claus, he missed out on life. It breaks my~,
J
on the Social Security you have earned -· the bureaucracy. It just seems to me we've heart that his parents had so many op, which is much less than if you let the lost sight of the point of health care when tions, but decided to throw him out like
taxpayers support you.
it becomes out of reach .for the people who trash. What if their parents had done that
·~
You also don't qualify for anything · .need it (regardless of their finan~al sta- to them?
.
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except your own Social Security, but they tus).
DONNA TATE"'"'
will help you find a job in your retirement
I don't claim to have any answers, but.
VINTON.,;
/.A
1
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•>'I
Military's ·morale
in Mideast is· low·
1
Losing sight of.: · ·.·
Return what people ) health care's point
Ihave worked for
~-:·(
...
Isaiah's parents
had many options
·a
Roanoke T1mes &World-News
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•·
· , . . SECTION C
�---- How well do we
share peace in
our own circle?
-.::N .
·--....
YOUR EDITORIAL the moiuing af.
ter the outbreak of war stated: "Humanity
continues to kill to resolve conflicts. An
evil defect resides still in our nature,
thwarting human evolution toward a
peaceful world."
We appear to have an enormous ca·
pacity for creating and "handling" suffering, but a very small capacity for being
truly peaceful and joyous. Even when we
say that we can stand no more pain, ironically we not only handle it, we also spread
it to others.
We suffer because we cannot get what
we want, or cannot make it last, and because we are so disdainful of unpleasant
situations. We know, deep down, that we
cannot expect to satisfy our wanting, yet
· we seem controlled more by our wanting
than by our appreciation.
When we awaken in the morning, do
we have peace of mind? Are we happy to
be alive, do we look forward to the challenges of the day, do we feel that we have
something worthwhile to offer? Are we ·
grateful for our warm bed and house, our
loving mate beside us, our progeny
around us? In our words and actions, do
we say ..good morning" to ourselves, our
family and our neighbors?
Or do we share anxiety, frustration
and impatience - all aspects of our fear
to face our responsibility for our own
lives? Do we see that our happiness and
unhappiness are the fruits of seeds we've
sown in the past, and that we are sowing
our
tan
the seeds of
fut~re .suffering and got his statistics. Duke also
pinpoint·:
peace?
the cause of failure for each person who
. Perhaps tonight we can take a break does not survive. Duke has altered its ·
from TV coverage of the war and see bow . procedure, based on those who have not·
well we share our own· resources of peace- survived the program, and the currenr·:;
fulness and patience and caring with our- cancer-free rate is much closer to. lOQ~~
· ··
selves and with our family. We don't need percent.
to depe,nd on our technology, our troops,
We take exception to another po~r:
or our pre~dent to bring us real peace.
by Dr. Lougheed. Our mother recently. :
.JACKSON METCALF .JR. completed the program. The $160,000 ~
SALEM · cost is certainly well worth her life. Had:·.
she not gone through the program, she was
· almost guaranteed that cancer would recur; only the second time, it would be.
fatal.
·
· · !;
Dr. Lougheed would lead you to ~··i
lieve that the success rate with .l»reast-can-.:·:
IF NO PERMANENT solution to the cer patients is not as high as in other' I.
Israeli-Palestinian problem can be accom- cancer patients using this treatment. Ac~ ~:
plished, then a defeat of Saddam Hus- tually, it is used for many types of cancel'$~·::
.sein's troops will be just a military victory. Breast cancer actually has one of the high;;·7;
1 don't see that the Bush administra· est success ~tes for this treatmenL
·
tion has been or is interested in the
Finally, many insurance comparue~ ·.:
long-range goal of a permanent peace in have approved this procedure, including~:
the Gulf region. As long as Bush does not Blue Cross/Blue Shield of other states. rn··.~
overcome his obsession to beat upon addition, those insurance companies that"•"
Iraq's troops and to kick·Saddam's ass, as· have refused to pay have· often been·.~·
Bush put 1t, the ·effort of a half-million · threatened with a lawsuit and have subse- ..
young men and women to bring a lasting ·quently agreed to pay. ·
peace to the region will· be in vain, and
nothing will be accomplished but keeping ·
MARY·MARGRET KOBALL.;,
the price of oil down. .·
·
HEATHER KOBALL.4,
. . Only if we are able to bring a lasting
BLACKSBUR~.;,
peace can we also claim to have won the
·war. And only after we have dealt as effectively with our domest.ic wars, including
the crippling economic, f10ancial, social
and educational problems that beset this
nation, can we claim superpower status .in
- '
the new world· order. If this nation is
THE CLOSING sentence of a Jan. 26 ..:.
neither willing nor able· to tackle these
problems, the defeat of the Iraqis will be a editorial, "But safe sex is one thing; safe .. ,,.
shooting is something else,''· is. a vacuity •·,
Pyrrhic victory•. ·
parading as a profundity. There is no such--·
HENRY W. TIELEMAN thing as "safe sex" because there is np
· .
.
, :,
RINER such thing as safe sin. ,
u.s. must seek
a lasting peace ··
Vacuity parading
as a profundity ·
.
WRITE
Letters on public issues are welcome. They must be signed. Plea& in· .
elude full address and, for verificat on
only, a telephone number at which ~ou
may be reached during the day. Fer
faxing letters. the number is
(703) 981·3391.
All letters are edited. Because o
the volume of letters, not all can be
published. Writers are limited to on~
letter in any 60-day period. Letters
should not exceed 200 words.
Latter to the editor
P.O. Box 2491
Roanoke, Va. 24010
.
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(Of course, the sex act used with fidel- . _.,
ity within a monogamous marriage is not .; :
only safe; it is also sinless and beautiful, :
pleasing, to God who created us and en-·:t
dowed us with procreative powers. But~·~
that is no~ what the phrase "safe sex" has·;;;
. · TWO PERCENT of the participants come to mean these days.)
of the cancer treatment program at Duke
Safe shooting is a
University survive, says Dr. Marvin activity, although beingdistinct!¥ possible ,
shot at 1s bnzard-:r,:
Lougheed Oetter, Jan. 14). That is acuri- ous to one's health whether on the streett: ~
ous statistic, considering Duke predicts an
80 percent success rate for all participants of Roanoke or the sands of Kuwait. Your~~·
comparison of safe sex to safe shooting···.:
in its program.
makes as much sense as comparing the.::
Compare this to a three-year cancer· mythical griffin to the camel, a real if · ·
free rate of only I 0 percent of patients somewhat preposterous creature~
with the same type of cancer who have not
GERALD L. &RUNNING.::.
had the benefit of Duke's program. This ..
THAXTON._..
makes me wonder where Dr. Lougheed
.Duke has high , .
·degree of success·
.
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Islam's glory is more than .material
By NABIL F. AL.AMI
R.E. KNODEL Jr.'s commentary Jan.
24 only adds to the misunderstandings and
stereotyping of Arabs and Moslems in this
country. The ~evc:rcnd from. Grace Onho-
Abraham is a cornerstone of Moslem be·
lief. The continuous existence of Moslems
and Arabs for the past 5,000 years in all
the land between the Nile and the Euphrates rivers is in fulfillment of God's promise to the descendams of Ishmael.
their belief in the one uod and his eternal ;:
laws as revealed in the Koran. Islam · ·
means to submit or to surrender to the ..
will of God. Its doctrine is only a continuation of the revelations and teachings of
~artier prophets of the Old and New tes·
-- ---- ----- -------- _,_ --- -- -- - ----- - - J -- --- ----- -- ---- ----------- -- ---- --- _j
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..·,:·.' ;.She'~. a little. tired· knd ·• a little .··weeks -~hether Lorraine is c~cer
;·:.: -
'}:pa!~.;lU}d n_eedstoput!)ackop. the
·>free: ~d her husband,!.Frank.,
· · 20 pounds she lost, but ·Lorraine who has become an expert ~m 'his
Smusz is ·alive ·arid home at last. ··wife's disease and. has, been her
~t: ., Jbe--33~year-·old mother of two .greatest ·champion.· "With bone
~ .... came h~me from Duke University :involvement;. it's har'd to tell: the
·,,,Hospital late· Mother's Day after- pictures (CAT .scan, X-ray). don't
1.'' noon'folloWinganautologous bone . always tell the whole story.·:
... · inarrow1 transplant (ABMT) that
Mrs. Smusz knows· she still has
: - kept her in' the medical center for a' long road of recovery ahead of
.· eight weeks.
.
. her. "Each day I'll feel a little
· ,..·.·~It·f.eels si:>·good to be'home/ ··.stronger, but.tl1e doctors. said it's
said M:rS. Smusz.'.~e kids are so· : going to take a while, some,times
· ; · happy. that I'm here ..~ .
· up to three· months, to get back to
· . , ~Th,e.youhg mother .underwent normal.· .
.· ·......-~ ·
· · . the ABMT" as .her. only hope of . For now, she Is basking in the
. ' combat~g~the·. Stage.IV metas-. · feeli~g ofbeing home-being .tpere_
tatlc breast cancer .which had when her children wake·up in the
· , Jnyaded her bones and liver.
morning and sleeping in· her own
· ·::--: ·she;ll.ha'VetoretumtoDukefor bed.·
·
.
· · .... ·
·
Check-~ps every six .weeks and · ..... Home looked'a little different to
will have blood tests at the Cancer herwhen she arrived there SunIIUI4e.-lt hcline from Duke UDiver.ltY bl·tlme to. Center in Roanoke each week for day. As a surprise, her two brothIM41)UleJ:.!S Day. With her is husband, Frank.
the foreseeable future.
· ·
ers had completely redone the
: ); '.;: · · ·
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·Benld Photo/Kathleea Momao&loiiD
"Tlleywon'tknowforatleast 12
(Continued on ·Page 2-A)
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Smusz---
..
cconthtiU:ci· frOm Page l~Al
exterior of her house With an insu·tated ·siding;·_..._,·
· · · _,
'
· She Is beginning to think about
the future ·. agam ·and ts ·hoping
she'll feel 'Well enough. to take a
beach vacation later in the summer with her family. But for now
she Is content.
"I'm just glad I'm home," she
said.
·
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�The Fincastle H
Botetourt County News
Reviews mixed on middl
By Kathleen Morra-Sioan
&t&ft'Wrltcr
nltlal reaction to the county's
posal to put middle school
dents at James River High
aool (JRHS) has not been favore. according to the PTA preslats of two of the elementary
aools that would have sixth
.des a1Tected by the change.
The School Board and Board of
pervlsoni announced the pro;ed middle school plan In mldcember following their annual
joint retreat. The feasibility of the
plan will be studied over the next
six months and lhe proposal has
been characterized as an "Interim
measure."
The two boards have been trying
to find a way to Implement the
state-mandated middle school
concept, alleviate overcrowding In
the southern elementary schools,
utilize current school space and
buy time to see how residential
growth Is going to affect the schoolage population over the next dec-
ade.
At a PTA meeting the week after
the announcement, Eagle Rock
Elementary (ERE) PTA President
Cody Lowe said there were ·a
number of people who were not
happy about the proposal."
"There Is a perception among
many people that the James River
High School students are shortchanged In terms of course offerIngs and other opportunities,· he
said. "There Is the feeling that this
(proposal) would not alleviate those
Area gives
finaneial,~L ..
emotional
support
By Kathleen Morra-Sioan
· · ltal'\1rrttcr
Life has been "hectic" for Frank and Lor·alne Smusz of Fincastle and their two young
;ons since a story about their struggle to obaln a possibly life-saving medical treatment
br Lorraine appeared In the December 12
ssue of The Fincastle Herald.
Lorraine has ~tage IV metastatic breast
:ancer and has been told by her doctors that
)nly one current medical treatment oiTers any
hope of arresting the disease which has now
Invaded her bones and liver.
High dose chemotherapy and autologous
bone marrow transplant (HDCT-ABM1l Is a
procedure performed at leading rnedlcal centers across the country. Although the procedure has been accepted as the treatment of
choice for this disease bY much of the medical
eommunlty,-sorne lnsuran~e carrters classify ·
the treatment as "Investigative" and refuse to
cover lt.
Lorraine has been accepted Into Duke Unl:
verslty Medic~ Center's HDCT-ABMT program and her doctors feel she Is a good candidate for the trea_tment because of the early
stages of her bone and liver cancer.
·The treatment Is very expensive (Duke's
program averages $132,000, but can go as
high as $180,000), painful, and not without
risks, but It Is Lorraine's best and only hope.
She has begun the high dose chemotherapy
that Is prepartngherbody for the bone marrow
transplant she must receive In early February.
Things were proceedlr)g well until she learned
· In early December that her Insurance carrier.
E!lue Cross/Blue Shield of VIrginia (BC/BS of
Va.), would not cover theABMTon the grounds
that It Is sUI! experimental and Investigative.
The Smuszes also learned that without Insurance coverage, Duke requires a $96,000 down
payment before the bone marrow transplant
process can begin. ·
·
, Rumors that the communliy had already raised enough money for the Smusz famUy
to make a down payment on Lorraine's cancer treatment are unfounded. Tuesday
morning, the Lorraine Smusz Fund was still nearly $40,000 shy of the $96,000 the famlly
needs.
'
This year In the United States, approxi- public aiTalrs program on Sunday, and In an
mately 144,000 women wtll get breast cancer In-depth story broadcast MondaY. on Public
·
and an estimated 44,000 wlll die from lt. Radio WVTF-FM 89.
On Monday, Frank was contacted by the
ABMT Is a procedure that has shown remarkable success with advanced stage breast can~r ; . tlnlted Press International reporter In
HH·hmond.
patlents In recent years. "More than 30 p<"r·
BC/BS of Va. demanded equal time folcent of women with late-stage breast cancer
are alive and disease-free up to twoyeal'l! after lowing the Smuszes' appearance on the Gary
Minter show and the company's medical
ABMT, compared with only 5 percent on standard chemotherapy." reported a December director was Interviewed on that program
the following day.
10. 1990 Newsweek article on the current
status of breast cancer treatment In the counThe young couple thinks the response has
try.
Since the Smuszes decided to go public with
been overwhelming. "We've had lots of media
their sltuallon, whlcli they maintain could afattention.· said Frank, "It's given us a Jot of
fect any woman Insured byBC/BS ofVa.. they
hope. I never expected It to be this powerful.
have received a great deal of media attention.
We've received support from people all over
Both WSLS-1V 10 and WDBJ-1Y 7 did lllmed
the state and even out of state, but I firmly
reports on the family and their predicament.
believe that lflt wasn't for the good Lord all
The Channel 10 report was re-broadcast In
these doors wouldn't be opening and we
Richmond just before Christmas. 'The Roanoke wouldn't be getting all this help."
Times & World ·News also ran a front-page
story which has generated a number ofletters
The media attention has helped brtng In
to the editor and the story has appeared In
financial and emotional support from all
both a Covington and Richmond newspaper.
over the Roanoke Valley and the stale. The
Frank and Lorraine have also been the subBotetourt County community has been
ject of three local radio broadcasts In the past
seemingly galvanized In support ofthe young
two weeks. They were Interviewed on the Gary
(Continued on Page 2-AJ
Minter show on WFIR last week, on a K-92
1
�,
Smuszes
people that we've gotten. I want to
[Continued from Page 1-A)
couple. In churches of all denomi- thank all the people who have sent·
nations, and In schools and clubs cards and are praying for me and
throughout the county, donations who have sent donations - It's
large and small have been col- been very helpful."
Frank says the positive response
lected and deposited In the "Lorraine Smusz Fund" at The Bank of they've received has given him the
Fincastle. TheChurchoftheTrans- drive to continue what has almost
flguratlon, the small Fincastle become a full-lime occupation. He
.Roman Catholic congregation says he has become "focused" on
;where the Smuszes are members, changing this situation for other
has organized a raffie and a letter people. ·r really think we're mak;writing campaign to raise money Ing a difference,· he said. "We want
for Lorraine's treatment. There Is to help Lorraine, but we want to
word of a petition and letter from help other people, too, so that they
Blue Ridge to BC/BS ofVa. urging can get this treatment when they
a change In policy and a walk-a- need lt."
"1111s has snowballed Into such
then fund raiser for the Smuszes.
As of Tuesday morning, there a big thing.· said Lorraine. "I think
was $58,443.79 In The Bank of It will help other women because It
Fincastle account and donations has brought the Issue of breast
continue to arrive _dally. Included cancer to the public's attention.
In thatamountlsa$10,000anon- Maybe It will make women check
ymous donation received New their policies - I didn't know I
;year's Eve. as well as· countless wasn't covered. I guess a lot of
good Is going to come out of this.·
other Individual donations.
Frank agrees and ponders other
, The Smuszes did receive ~ord questions, one of which he's
!several weeks ago that a large brought to the attention of Del. Bo
:donation that might pay for Trumbo. A major contention for
•Lorraine's treatment was coming. .the Smuszes In their argument
As of this writing, no such dona- with BC/BS of Va. Is that other
tlon has been received and only Blue Cross/Blue Shield carriers
halfthe down payment of$96,000 In the country cover ABMT, ln(whlch Is a third or less of the total eluding BC/BS of North Carolina.
cost of treatment) has been re- Frank thinks that If there are re·
celved. The rumor that has clrcu- strictlons keeping the North Carolated In the Fincastle area that llna company from bidding In VIrLorraine's treatment has already -glnla they should be changed since
:been paid for Is, unfortunately, a the coverage Is not available to
:false one.
BC/BS ofVa. patrons._. ..... _ .
1;;;~au.t _the. Smuszes :1U'e optl.rntstlc ·-: _ He also wonder~ jf hot oo:verlng'
iand filled with hope that Lorraine's this treatment lsn t a dlscrimlna:treatment may be a reattty after. tory act against women, though he
1all. ~I believe It's going to happen admits the potential number of
!now,· •revealed Lorraine. "I had women who may need the treat:.
1hoped we'd get some response but ment Is a large one and would be
1never, never did I believe we would expensive for the Insurance carri:get the support and help from ers. He thinks that's why the In-
surance carriers don't want to
cover the procedure despite the
medical eVidence. "It's a money
thing,. he said.
For now, Frank continues rallyIng all the forces he can to gel the
treatment that may save his wife's
Walk-A-Thon
to benefit
Smusz fund
life and gathers Information for a
suit he hopes to wage agalnstHC/
BS of Va. He Is working with lhe ;
Alexandria attorney who success- !
fully argued a similar case In fed- .
era) court In April 1990.
· He laughs when he recalls an
Inspirational message scrawled on
a "post- a-note" that accompanied
a donation several weeks. ago.
"Hang tough" was the note's simple
message.
Lorraine and Frank Smllsz have
taken that adVice to heart.
A group of Blue Ridge area
citizens Is sponsoring a fund·
raising walk-a-thon to benefit
the Lorraine Smusz Fund.
Thewalk-a-thon will be held
Saturday, Jan. 26. The
Inclement weather date Is
February 2.
Pledge sponsorship forms
are available at The Bank of
Fincastle branches In· Blue
Ridge, Fincastle and DaleVille,
at the Bank of Buchanan
branches In Buchanan and
DaleVille and at Royal Jewelers
In Valley VIew Mall. Roanoke.
For more Information or to
help. call 977-0426.
Got The January Blahs?
TRY CERAMICS!
20°/o OFF ALL GREENWARE
. •· Try sw'eatshirt Painting &
Free Ceramic Classes. Too!
sprlngwood ·ceramics
Main Street·. Buchanan
254-9845
'TWo special business
.classes being ·offered
· .- The Botetourt Chamber of emphasis on financial records
Commerce and Economic Devel- needed for management control
opment Commission, In coopera- • and tax reporting purp9ses. The
tlon· with Dabney _S. Lancaster course will help participants betCommunity College and the ter organize financial records and
Botetourt County School System, proVide an awareness of records
will offer two special classes for needed for tax reporting of various
business and Industry personnel financial activities of a small busl.thls semester. These classes will ness or contracting serVice. Legal
be held In Fincastle.
requirements also will be dls"Tax Rtcords for Small Bust- cussed.
nesses• (ACC 195-91) Is an lntro- ·
The course will meet from 7ductory course In record-keeping . ~:p~p.m. on Wednesdays, Janu. for tax-return preparation with an , ; ar)t 0 6-February 13, at the ·
· · i.}~Botel~h1rt Technical Education
;' ·center on Rt. 681. The cost Is
~
,-"If"'\ r""" ~ ... $30.20. Anita Dingus,0 ar' '" l:"fn-•
partner In
I ... .......
1
r·u .... rf;,,.. R. Un1~1r'AH
r;..., n
NEED MONEY?
Anew and exciting product has been introduced
to the Roanoke Valley. Phone today for voice ·.
message. This is truly a product for the 90's. i.I
Everyone can . use it. Thousands of uses, I
n,,....,.,,.,..,n., nf -::2nnli"~tinnc: Ricrnrnfi__ ,.__,._._-'----'--'-''----'-'--'--'--'-L.._---"----'
�Two victims
Of an unfair
nealtn system
....._._ ___
···-----·---·~-
WITHOUT adequate sciciiir"suppon,
the homeless, the poor, and now even
. those usually denoted as privileged are
denied the health care and support needed
to continue life. Recently the Roanoke
Times & World-News carried stories on
both Baby Isaiah and Lorraine Smusz,
Americans who, because their financial
and/or social circumstances were not opti·
mum, Jose their right for healthy, happy
lives.
In an era of decreased public support
for the underprivileged, a young, desper·
ate mother committed an irrevocable, de·
spicable act: abandoning her newborn son
to die in a cold dumpster. People talk of
indicting the mother, if found, for mur·
der; however, this would not be a solution
- only funher tragedy. Perhaps if the
young woman had received reliable infor·
mation about binh control, perhaps if
so-called pro-lifers had provided a practi·
cal solution 'to her dilemma instead of
merely preaching from above, Isaiah
would have been spared all his suffering.
Without public suppon for such
women, ever more of them will face seem·
ingly bleak situations like that of Isaiah's
binb mother. Today, thousands of chit·
· dren like Isaiah languish in state institu·
lions, waiting for homes and loving rami·
lies, or at least the publicity to give them
an edge in their search.
The plight of Lorraine Smusz funber.
highlights the need for a public health care
system.
Normally
considered
middle-class, Mrs. Smusz and other wom·
en in her position are underprivileged in
that merely their financial status_, or lack
thereof, denies them access to lite-saving
medical techniques.
In a health-care system with exorbi·
tant prices, and with insurance companies
that may selectively distribute funds and
thus life, Americans without the proper
social standing are discriminated a"inst.
Policy holders of not the highest soctoeconomic situation are pawns of a health-care
system that becomes ever more focused
on profits, and Jess concerned with human
well-being.
It is too late for Baby Isaiah, but it is
not too late for Lorraine Smusz and others
in her situation. Until a system exists that
supplies every American, no matter what
their race or background, with equal ac. cess to medical care, all we can do ts fill in
the gaps and pray the American dream
will soon be realized.
toys which surrounded him, I could not
help but think of the thousands of babies
like Isaiah who are a boned each and every
day who have no one to mourn their loss,
and who have been aborted for reasons no
different or more compelling than Isaiah's
mother would offer for her actions. If she
had aborted him, would anyone have
cared? Or would we have turned our backs
and pronounced Isaiah's abortion his
mother's "right"?
ANNETTE Q. MARIANO
ROANOKE
WRITE
Letters on public Issues are welcome.
They must be signed. Please include
lull address end, lor verification only, a
telephone number at which you may
be reached during the day. All letters
are edited. Because of the volume of
letters at times, not all letters are
ublished. Writers are limited to one
etter in any. 60-day period. Letters
should not exceed 200 words.
r.
Latter to the eclllar
P.O.Iox2481
extraction who convened to Judaism in
the Dark Ages and migrated to Poland to
form the cradle of Western Jewry as discussed in the book "The Thineenth
Tribe" by Arthur Koestler. Jewishness by ...marriage, conversion or otherwise should .. '
never be used as a legal or moral claim to
colonize, inherit or usurp Palestinian
lands.
Finally, God's promise to Abraham
and his seed was fulfilled in his oldest son.....
Ishmael and his Arab descendants. Since .. ·:
the dawn of history the mass of Arab
Semites have lived and enjoyed the land
between the Nile and the Euphrates rivers
without interruption.
·
I applaud Thomas' concern and love
for Israel. Perhaps he should direct his
generosity toward settlin!l Soviet Jewry in
his own homeland and m his own back·
yard and not in the land of others.
Insurer should
approve treatment
Roanoke, Va. 24010
IT WAS certainly upsetting to hear
about the plight of the Smusz family
(news story, Dec. 27) and the reluctance of
Blue Cross/Blue Shield to pay for treat·
·
ments that mif)lt give Mrs. Smusz a
chance for survtval.
Surely there is one executive at
BC/BS who would come forward and apREGARDING your editorial of Dec. prove this request, which gives this wife
22, I agree that Virginia law should be and mother at least a one-in·tbree chance
changed to allow immediate seizure of a at survival. By approving the procedure,
drivers' license when a driver fails or re- BC/BS would gam the respect and confi·
fuses to take a sobriety test.
dence of the public it serves, which should
I also agree that the license should be fenerate revenues for the corporation far
automatically revoked for a period of time 10 excess of the payment for Mn. Smusz.
for the fint offense. There should be no Don't let the bean-counters stand in the
slap-on-the-wrist non-penalty for any way of a good humane decision. All
DUI offender. Fines and/or mandatory BC/BS card-carriers are watching.
safety classes are not effective in curbing
JOHN ADDINGTON
this reckless endangerment of the Jives of
SAL£M
innocent motorists.
I UI'Je all Virginians to contact our
state legtslators in Richmond and insist
that an administrative license revocation
law be passed. How much of the holiday
highway carnage would have been
-~--·-·~
avoided if we already bad such a law?
YOUR DEC. 27-Siory about the ,
young Botetourt County mother facinL~~
SHIRLEY S. CRAGHEAD
ROANOKE probable death from breast cancer be- · • '
cause her insurance carrier would not pey·-·
for an "experimental" bone-marrow :·
transplant touched my bean, as I am sure ·•
it did other readers.
. ;·
Certainly health insurers deserve 11·;." ·
measure of criticism, but the key issue·.·::,.
CAL Thomas' logic in his column here appears to be the enormous cost of "
Dec. 19 was as twisted as Saddam Hus- medical care, regardless of whether or not
sein's claim over Kuwait. If we were to it is covered by insurance. The $96,000
accept the premise that the U.N. Security "deposit," not to mention additional
J, ASHLEY SHEETS Council under the "new world order" of costs to be billed later by the hospital •.
ROANOKE President Bush is effective, impartial and performing the procedure, is so far be-'"';.
just in imposing sanctions on Iraq, tben yond comprehension that an insurance ";.
under the same premise the United Na- company would be forced to adopt cover·
tions can be as JUS! and as impanial to age restrictions for such claims. There is
convene an international conference to something terribly wrong with a health· "
enforce its resolutions on Israel. They call care delivery sy•tem that impOses such
ROANOKERS have united to mourn for grantin~ P~!cstinians their rights of costs, regardless of who pays them.
' the tragic death of Baby Isaiah, and we self-determmation and nationhood.
Profiteering in human misery is inde·
Mr. Thomas must also accept the fact fe',lsible !n a ~oc!ety that ~as laws against -·..
shudder in disbelief at a mother who
could discard her child as so much gar- that Israel was established as an alien pnce-fixmg, mstder tradmg, and setting' · •
bage. We cannot imagine any circum· colonial outpost in the Eastern Mediterra- back the odometer of a used car, but closes ;;
stance which would compel a woman to nean. In that aspect Israel is no different its eyes to unconscionable abuses of those
put her newborn baby tn a trash bin, from the European settlers in the far lands whose lives han' in the balance. If social·"·';
knowingly consigning him to ·certain, of South Africa, New Zealand and Austra· ism takes root m America, God forbid;-··
lia.
painful death.
this is the catalyst that will bring it aboutl";,
Evidence also indicates that many
Yet, as I looked at little Isaiah lying in
RANDOLPH GREGO
his casket and viewed all the flowers and modem-day Jews are of Eastern European
ROANOKE ·•
Who will mourn
their loss?
Roanokellmes &World-News
Walter Rugaber
President and publisher
Alan Sorensen
Editorial page editor
Geoff Seamans
Bob Willis
Margie Fisher
Editorial page staH
Seize licenses
of drunken drivers
Meqic.al_~re's
.f.l!9.h cost is the issue
Arabs have
claims, too
��~~
~-.
.i"·
. . .·
)J,i;~:d$tr~ti:6 n·~.~., ,-.·-'~:-.:~'.:~·;·"~0;':.~"~.•~::/,_>-,.•....;..',
.:.
___:._..;..___THE...;.....FINC____;AST-i..EH-ERAL-D·WE-DN
~tlnue4J~.~~:~age 1-Af . · ., .. :· ~~th~t.tthf!ABMr,doc:tor'sgiVe ·this :famtly '~d·. (6~. :~fu~f~ Wtth · f)ti~ute. •to detenntne whether.an bone marrow transp,ants that are
lO to· 20. p:erc~nt. for: w~nieri. _.·Mrs; S~usz_l~s~ than tWo years' to·: .._can~er~ but'\~·~·-~ust. ~ake judg- ., expertmental treatment:-ABMT-19 . covered toclay; Only 50 percent of.
hvlng ~lie ti.eatirieht and ques~ · live." A. December .10 Newsweek .. · ments.:ancl do what's best for the ·· .. better. thai), equal to, or wor~ · th~ women in th~ study will have :
ls whether ihe treatment has artlc}e on the current state ofbreast . majority o( o4r policyholders.· • •
than pre~~nt treatments for breast ac~ess to_ABMT. and they won·t
.
:long-term benefit. .. · '· · : . .
. < ·· .· . ~ ,:· .·:·.-· :· . . ~ :-:· :· '.::•:. · .··. · . :
c~cer.· . <
. .
. _know.who they are.
Decem~er , jggo u.s. New_'s ·· ; cancer treatment states, ,·~More , A listing· obtained iii:>m, .Quke . , · ..These .clinical trlals wUl begin . "This tr~atme.nt has been going
3
' oriel, Report. st9ry states that'.· than30 percentofthe_wo~en with . Universtty_.Me~lcaqJe.nter names· ..)ater this year and approximately on at Duk~ and otherplaces like
risk ofdea~ from the therapy · late~.stage ~?rea~t cancer ar~ alive : 421nsu.~ce .compan_les ~that have : 30. t~ 60 Virginia women will par- Duke for sl'C or more years now
reach 6 per,cent.• An article In: .. anddls.eas~-free ~p to two years paid or. have. indicated that ~ey •. tlclpale~· Berry could not give any and this study will 'take a mini11th Week ~describing· the re~ ·: after~M~. compare~ W!th only 5 .. will pay fo~ J\I:lMTfor breast can- . e~tlmale o~ how long before the .. mum of five years to be completed.
rch some BC/Bss· are funding· perc~n.t on standard,.chemother- . cer:_(on: a·,_ case-l?y-case basi~).· data ob~alned might change cur- Durlngtpat time, too many women
are.golng to die from not gelling
·Eley~I:l of the~~ are BC./BS compa": re~t policy~
.
.
h the National Cancer Institute · apy.,:
:s the ·procedure itself Is fatal :.
· _;,,·
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· · · · .. .'· .. '· ·- · ·· · · ·· · · Clinical trials take lime." he the p~per treatment.·
AS certain as Smusz and BC/
about .. IO-.'perc~ntof patients ·. BC/~S _o.f.v_a. rept:esentatlve
· · . . ·.,. ·: .... :. <·: ·,. • · · said. "'·•· . . ,
·. ,
!!.ted.· There' Is evidence .that . John .Berry, e.'<:ecullv~.:vlce-presl- . since 'u)87.''BC/BS ofvah1as. . Whenaskedlfotherexpenmen- . BS of Va. are of their respective
! mortality· rate Is Improving· ·as . dent m cJ:uuge of th~ -cor,npaf!y's covered ABMT for cerlatn forms of tal lrealnienls for breast cancer · positions, the demonstrators ex0 1
1
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hnlques Improve and -better,;·.Roanokeoperatlon·Mt"ch·ae'1Mc""- ·lymp.ho··m·a and · 1 u· k·. ·1a,:an·d· -a •·vere"b I t s i m 11 ar1 ·S l ucII ec; pressed an equal commitment to
· · . ·· .
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Y
llentscreenlngisaccomplished.'. ney Sr,,· vlce_-presldent. for com- ·rare_c~ildhood cancer called neu~ . McHaney said, "No other treal- their. purpose.
Bill Amos of Roanoke said. "I'm
f<'rank Smu$z has strong opin- · · munl.callons,.and Jim Goss, dl,. roblastoma; .• . . ·-.~-·· :S/:.;.(-- .;. . .· menls,sofar have come along that
's on this ·particular Issue. "I , rector ,of public alTa irs~. were. all·
. ·.. -· · .. ·:- .. ·: ·.;··.· .:..: ,;"~·<:);;•.>:: ; :) warrant this kind ofexamlllallon." down here to demonstrate and get
~stion ho~ r.ecent thelr/infor- · ·. ava~lable to the m~dla on Monday_ • ~e ~.eatm~f1t1tselQ~.notbap. ·;;. ·_.Smusz fir:tds BC/BS of Va.'s BC/BS to pay for Lorraine's opitJon. is /on·· mortal icy rate: he · ,dunng :the rally.. All s~ated that . butfor br~st,cancer.It ~~s 110t yet:: .d~ctslon to participate In this study eration.· ·
Mrs. Aldhizer said It had a lot to
Cl. ·rve~ seen rates. that range ·. until ABM~. whlcl?-. the company been proven- safe and ::_effective; ·: Interesting. ·aC/.BS of Va. sudm 6 to iS j>ercent mortality. It' maintains Is e:cpertmental, is ~eny said. .
.
, ... ,.· " · ,denly wants to help fund a study do with economics. ~e reality Is,
pends
tlie ·condition of the ·prove~ safe and! effective, BC/BS, ,
. · ·· .. · and get Involved in a randomized too many people have breast cantlent. arid. hovi intensive the·. of~a.wtll not ch~nge Its policy.. , ·. In a _fact s~eet 89/BS of Va. . trial. before they get lnvolvea In· cer and Ifyou don't have the money.
:rapy ls.~nle pOint.is, that with- . I. : We care. deeply· abouJ our ,provld~ tor reporters,· the' ·eo~- · ~overing this treatment,· pe salcl. you're doomed, • she said.
Phyllis Mardian of Botetourt
t this t~eatineiit. all· these' pa-· .· :,.subs~r.lb«;:~ •. -said Ber;ry.__"This I~ .pany says it has joined .~everai · ·. Now they're requiring this doublents are going to die anyway:
notBI?- easy: position to. take.·Thls o~er BC/BS plan~ In funding .a· blind, randomized study that has County had strong feelings on the
· · .·
·
· . Is. a tough ca~. I feel sympathy for.. study by the National Cancer Iri-. . never been required for any other Issue. ·rm a friend and aBC /BS of
·---·--.-·---·--- ·Va. policyholder and I'm here
because I want to know that. If my
doctor decides I need this treatment. I ca~ get it, • she said. "I have
five friends In various stages of
breast cancer and I'd like to know
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Patient lorraine Smusz exercises with an elastic strap as part of her recovery at Duke's bone marrow unit
::Cancer treatment comes around
.;'Jjqn~ marrow transplant procedures improve, but refinements needed
~~1._1 6,1'·:-A·
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.•
By RACHELE KANICEL
Staftwrllt:r
When William P. Peters came
to Duke University in 1984 to set
up a bone marrow transplant unit
Cor breast cancer patients, many
saw the treatment as a last-ditch
effort to save dying women.
Twenty-two percent - more
than one in five - or the patients
died of complications from the
treatment.
And many of those who survived
came perilously close to death
after receiving the extremely high
doses of the chemotherapy and
radiation therapy used to treat
their cancer.
But new advances in cancer
treatment have chanscd that.
Growth factors that stimulate
production · or · Infection-fighting ·
while blood. cells make patients in
· the.U-bcd unit stronger and less
vulnerable to disease. New drugs
help control the potentially debili·
tating nausea and vomiting that
go along with the treatment.
As a result, patients arc going
home sooner and the death rate
associated with· the treatment is
down to 11 percent to 15 percent,
depending on the stage of disease
at which treatment begins.
"There's been a real evolution
in the treatment over the past
decade," says Dr. Peters, dircc·
tor of the transplant unit.
To see that evolution, says
Peter J. Tutschka of Ohio State
University Hospitals in Columbus,
all one needs to do is to talk to
patients.
"Ten years
'The advances are
coming from many
directions. You couldn't
ask for a more exciting
time in cancer
medicine.'
-·William P. Peters,
director or Duke transplant unit
bone marrow.
Dr. Peters likens the treatment
to a farmer burning down the
barn to drive the rats out and then
extinguishing the flames.
"We're getting better at putting
out the fire," he says.
The theory, Or. Peters explains,
Is "the more drug you can give,
the better the chance of killing the
cancer."
The problem Is that anti:cancer
drugs kill healthy cells as well,
particularly In the bone marrow,
the factory for blood cells. There,
in the sort tissue inside the long
bones, the body manufactures red
cells, which carry oxygen; platelets, which make the blood clot;
·and white cells, which fight Infection. Without constant orcKiucticm
Throughout the intensive treatment, patients arc kept in specially designed germ-free rooms.
Each chamber Is equipped with
a sophisticated air filtration system. Doorways arc pressurized so
that when a door is opened, air is
pushed out but does not flow in
from the hallway. Health care
workers and guests must wear
masks, gloves, gowns and protective booties.
"It's like a little cocoon in
there," Ms. Cavanaugh sllys.
"When they have to come out,
some of the patients don't want to.
They're afraid."
Dr. Peters hopes that someday
patients will no longer need. the
protective chambers and will be
able to have portions of the
nrtwt>~ur·" on an
basis.
8 New drugs to control vomit·
ing and nausea, one of the most
dcbilit!lting side ercects of cancer
treatment.
8 The use of computers to monItor patients more accurately and
to enable medical workers to
quickly adjust drug dosages.
8 The production of growth C
actors that act like fertilizers to
transplanted bone marrow and
speed the growth of infectionfighting white blood cells.
8 Development of techniques to
purge the bone marrow of stray
cancer cells before the tran•plant.
"The advances arc coming
from many directions," Dr. Peters says. "You couldn"t ask for a
more exciting time in cancer
medicine."
As one of the pioneers in the use
of high-dose therapy in the treatment of advanced breast cancer,
Dr. Peters is now leading a
nationwide study comparing the
eC!cctivencss of the treatment
with standard-dose chemotherapy.
The study, which will include
about 350 women at 20 medical
centers around the country, will
focus on patients with breast
cancer that has spread to 10 or
more lymph'nodes.
With stan.!Jard therapy, about 70
percent or such women will have a
recurrence of their breast cancer
within five years. But studies at
Duke have shown that only 26
percent or patients treated with
high-dose therapy and .bone marrow transplantation have a recurrence within four years.
"God willing, our team and
others around the
focused
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,,.,.,,,~
"'
· transplant experience without becoming extremely, emotional,
tearful, crying," he says. "It was
like they were reliving a nightmare. Almost all of them joined
support groups to help them get
over it.
"Now when I offer patients a
support group, most of them say,
'What for?'"
Despite such dramatic improvements, however, there still is
much that needs to be done to
refine the treatment.
"Now our job is to figure out
how to make it easy, simple and
cheap," Dr. Peters says.
For now, the treatment is laborintensive, complex and expensive,
costing as much as· $120,000 for
three to six weeks of therapy.
Health insurance often doesn't
cover the treatment, because
many companies see the treatment as experimental for breast
cancer patients. But as studies
come in showing the benefits of
the therapy, some firms are beginning to pay for it.
The regimen involves giving
deadly doses of chemotherapy
and radiation therapy to kill all
the cancer cells and then rescuing
the patient with an infusion or
ul Llu_,,., \'&Lal u&utul
n~u~.
lliC lJutly
is unable to survive.
After rour days or intensive
chemotherapy and radiation therapy - at three to five times the
standard treatment dose - bone .
marrow usually is decimated,
leaving the patients anemic and
vulnerable to disease.
Once the drugs have cleared the
body, about three days from the
last chemotherapy infusion, patients get their bone marrow
transplant. On that day they begin
the slow and sometimes erratic
journey to recovery.
Most patients in the Duke transplant unit arc given what is known
as an autologous transplant - a
reinfusion of their own bone marrow. The bone marrow is extracted before the high-dose therapy,
frozen and then given back to the
patient in a procedure si~ilar to a
blood transfusion.
"It's kind or anticlimactic,"
Colleen A. Cavanaugh, assistant
head nurse on the unit, says of the
actual transplant. "The whole
thing takes about 10 to 15 minutes."
But the transplant usually saves
the patient. Within days the marrow is engrarted and the patient
starts to produce new blood cells.
Jll'UI:Ctlurc uu an uulpaucul lJa::.&:-..
Aln·ady, he says, new tlcn·lup-
mcnts have made the whole process- from the high-dose therapy
to the transplant and through the
recovery period - safer and
easier for patients. Among them:
on ihis prohh•m will be abk lo
dispel a little or the hopelessness
often associated with breast cancer," Dr. Peters says. "I feel we
arc in the early morning of a
sunny day."
Nurses Debbie Kennedy, left, and Rhonda Abernethy check a
patient's chart at a work station in a room at the Duke unit
�n~ option rn,ay save mother's life~
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. · .. ··· ... ·...... :-; BtaJfWdter, . ; :·.
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· When high sc4qol ~weethearts
Lorraine and Frank Smusz mar. . rted nine years_ ago, they never
Imagined that at thl$ stage o(thelr
lives they"d be fighting Lorraine's ·
death with all the strength they ·
can muster. The villain that threatens to rob this .beautiful 33.:yearold mother of her fUture and take
her away from her tWo young sons
Is breast. cancer,. which first. ap-.
peared In September 1988. ~ ·.
peared · after ..chemotherapy· and
radiation. and then,.rectirred with
a vengeance this. past September
. by ~'!8dlng Lorraine's bones and
.liver•. ·-_:-~~·-. ·o .. '·'.! ' .\>·.·:· ' · "· ··. ·· ··· .
But Frank and Lorraine, who
live near Ftneastte~. are fighter&•.
She wants to l1ve and wants her
five-and two-year-old
to know
their mother as a person. not just
as a vague memoty. J:)ut her treatment options. are. slim.. Doctors
told the young couple. that
Lorraine's only hope for her Stage
IV metastatic breast cancer was
high dose chemotherapy with
autologous, bone marrow transplant (HDCT-ABMO. The procedure Is performed at several lead-:
trig medical centers across the.
countJy including Duke: Untver.
(CoU:tlnuecl
Peg~ 3-A)
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and Lomdne Smuaz with their ftve- and two-year-old sons:··
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(Coatllluecl· from I'll&• l·AJ · ,, . "We've ~n on ~ roller CoaSter'".: Arozzl
lJi federal. court. He .
stty Medical Center In D\.ll'harn r since September,:
Frank." : saystheABMTprocedureha&been
N.C. After several21·day cycles oi· "''bere'e a lot of emotlonelnvolved... i considered non-tnvestig11 uve by ..
hlgh-doee chemotherapyde&Jgned when you're looking at your: Wlfl!.'.' :. cancer expe~ for tivo years, "The·
to shrink existing tumors, the . and ~e mother of your two chll· · .cure rate With standard dose che·
procedure removes from two to dren ..Jmoutragedand&ng~ythat :motherapylsrlghtaboutzeroand
four quarts. of the patient's bone 1 htheree treatment that could help.• doeenotlncrea&eswvtvalanymore ·
marrow and blood, treats tt With · er and the ln&urance company Js than no treatment at all," &aJd
high levels of chemotherapy to ktll . dlhactatlngth \Vhat .they'll cover and >Carter; "ABMT has a long-term,
anytumorlnthemarrowandlater w ~ eywon~~ey've-:eallygot .dl&ea&e-Cree fiU~ rate of 30
reinject& the marrow, gMng the you.
·
·
·. . _percent.• · · ·. ·;
·
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body the opportunity to regenerFrank has already experienced ; Since the Pirozzi decision, Car·
atehealthybonemarrow.A8MTI8 ·the lo88 of a loved one- to cancer. ·iter says, ~ere have .been four or
an expensive (Duke's progr8m: HJsmo~er~ecl.ofl~gcanc~~t .Jlveotherc~sacrossthecountJy
averages $132,000, but can go as ~·,
·· '
,,
,and hJ8 finn ha& handled two or
high as $180,000), painful and
Its really cWilcult to tell your 'three. ''To my knowledge, all the
lengthy process which can Itself fihve-year-old that Mommy may rultngs have been In favor of the
be ltfe-threatenlnR;, but It was • ave to go to heav.:n,• he &ald.·' ,woman," &aid Carter.
Lorraine's best and only hope. ·
Flve-year-old Brian knows that'.' Lorraine Smusz does not want
ADecember.10 Newsweekar·· . Gran~ we~t to heaven and .l_le . herstorytoen~llkePamPirozzl's.
ticle on the current state of breast . says, Mommy, th~t ~eans ~ WO~'t •~ Even Ifthe couple takes the case to · .
cancer treatment In the counuy ~,!I ~re. Jt s c:JUllcult•. l~ ' court, there's no guarantee they'll
1
and the politics.lnvolved, stat~
'or'l' ,..· <''.'";''·•'.!I<::.)·, wan. That's why they're attemptthat thl8 procedure "has shown ... Js ' manespot 98J1cer on my liver.:;;, lng to ~se th~ necessary funds
remarkable success.•
,
- .. 8
and. was caught early,:·:!, themselves, but$96,00018alotof ···
•Morethan30percentofwomen . ~Lorralne:_~~doctorefeehny:;. monwforanyonetocomeupWlth. ·.
With late-stage breast cancer are · an~s ~ ........1 good Wlth''.the , ' The Smuszes urge anyone who
alive and disease-free up to two rne ~w ~splant. But lf.r.:,· feels strongly about this situation
on't get ~~ th~' nothing-: .~o . to Write to the omce of Public
years after ABMT, compared With
··
· : · t · · 1•.-:. · /• Affairs, BlueCro&sandBlueShleld.
only 5 percent on standard che- • treatment~
motherapy." rePQrts Newsweek. . . Lorraine was admitted. for. a ~ ofVJ.rglnla. 2015StaplesMliiRoad,
. Lorraine applied for and was .. concentrated dose of ch.emother- ·~Richmond, Va. 23279 as _well as.
accepted tnto the Duke program apy thJs past Sunday. She has . their elected state and federal omand Is now In her second stage of already loet all her hair and suf·. ·, clals; . -~
.
pre-ABMThlgh dosage chemother- fered the painful mouth sores that ; A fund has alsO·been l!et up to
apy. Things were proceeding well are an expected side effect of the i receive donations In Lorraine's
untll last Thursday when word chemotherapy. She had decorated ;-name at The Bank of FtncasUe. .
cameCromBlueCross/BlueShleld ..her house for Chnstmas durtng ;Anyone Interested 1n making a
of Vtrglnla (BC/BS of Va.), the. theweekbetweeqtreatment&whlle . donatio~ can address It to the
Smuszes• Insurance earner, that ·she felt weU enouib to. dolt.
:Lorraine Sm,usz Fund, The Bank
theABMTwouldnotbecoveredon · Frank. meanwhlle•. was doing .of Fincastle, P.O. Box 107, Fin···
the grounds that the procedure "18 hJs homework and trying. to ex- 'castle, Va. 24090.
.
·
currently con~ldered lnvestlga- plore any avenue that might help
"I don't think there co~d be a
tional. •
· · htm make this possibly curative more supportive and sympathetic
"To elate. the literature has not treatment avallable to h18 wife. He 1 community than thJs one, • &aJd
provedABMT to be safe and etrec- has contacted the Alexandria law •,Frank. There was a spontaneous
;outpouring of generosity In the. , .
tlve ~ treating breast cancer and. finn that successfully argl.led
thats why It's not covered.". &aid slmtlarcaselnfederalcourtagalnst ,_community just after word ctrcu- ·
Jtm Goes, public aJfalrs director.. BC/BSofVa.lnApi111990.Pamela ·latedlnSeptemberthatLorraine's ·
for BC/BS ofVa. "Another Issue 18 Pirozzi also sutrered from s~e·IV ~ :cancer had returned.
.
·
that so many women die from the metastatic breast cancer. Accord· :. Her fondest Wish was to take
treatment Itself.• BC/BS of'Va. lngtotheUS FederalSupplement ;her chlldren to Dl8ney·World be·
does cover the procedure In treat- which records cases heard 1n US .fore sbe died. Frank, who works as
ment ofleukemla,lymphoiJUl, and D18trlct Courts, she sued BC/BS .the maintenance supervl&or for
a rare chlldhood CIUlcer and there~· orva. on the grounds that her plan Botetourt County, saw the people
are other BC /BS companies In the covered HDCT·ABMT because It . be works With and many he didn't
countJy that do cover the proce~ was the "medlcally lndlcated, state- ~even know In the community put·
dure ln breast cancer cases. BC/ of-the-art, generally accepted treat- ·:together $1,000 In the space of a
BS of North Carolina Is one of ment for her dl&ease. • The Judge , few hours so.thc family could take
ruled that the treatment. was ·, thetr trip before Lorraine began
them.
TheSmuszessaytherlskasso- "medlcallynecesearyandetTcctlve, her b:eatment&. ~ey are hoping
elated with the treatment Is worth currently In use In maJor· medical for the generosity of the commu- ·
It since Lorraine Is definitely going centers, had sclentlfically proven nlty again and thetr support In a
to dte If she 18 denied the treat· value and was In accordance With : let~r-wnung campaign to help
ment.
. generally accepted ·standards of ·:· them accompl18h an even greater
. . ·· , ..~ miracle.
·
The Smuszes now find them· medical practice. • : .
~~elves In the ranks of a groWing
But for Pam Ptrazzl. lt.was toO
U by chance Lorraine's treat·
· number of breast cancer patients . late. By. the .Ume ~c coae came. to ' . ment 18 covered, any money that'•
who must battle Insurance com- trial, her tumors had grown back ... collectedWlllgolntoafundtohelp
. panles In court for coverage of and she was no lon&er ellglble for . other breast cancer VIctims who
_ABMT treatmen~. b~t they. doq:_t,:.trea~o.nt• . i' .• > •. :• •• • • .:. 1.' may find themselves In th18 dlre .
.. have time for a'cc:iurt'batue: " · ...• .,. .. _•Put yourselt'ln'th18'pgslUorl,• ~ sltuaUon."' ,. ·. · 1 ".' · ·,':: . •·
TheSmuazeshaveuntlltheend urges Smusz. "Here's something
·
ofJanuarytoraJse$96.000topay that would help thl8 woman and
. the hoepltal or Lorraine 18 out of · has been medically proven etrec·
the program. Sixty days 18 more ttve, and they, won't cover at.• :
than just a cutoff for the money, Appi'CQQmate!yl44,000womenwliL'
It's also the extent of the Window of get breast cancer thla year and an
opportunity on the treatment It· . , !=Otimated 44,000 Wlll dle from lt.
self. The ABMT must be done · "There 18 treatment· out there
Within days of finishing the last that Js shown to be etreciave ahd
'
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21-day cycle of preparatory che- curative In some cases and BC/
motherapy and, In th18 situation, BS of Va. Js denying that treat·
there's no such thing as a second ment whlle other BC/BS can1era
chance. The body has a llfetlme are covering It, • &aid Smusz.
saturation point on one of the
Rich Carter of the Alexandria
'··
chemotherapydrugsandLorraine law finn of Hudgln&, Carter and.
18 approaching hers.
·
Coleman successfully argued the
"''ct
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·.·.·~ ··ao ,.TO .THE
.
FOR OUR SENIO
.CUSTOME~R'"-'"""-""'8....______
�Hillary Rotllram Clinton
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.Ac(J~-uu1__ou1 VA :2 LJD'[(
i
�WRITE
letters on public issues are welcome.
They must be signed. Please include
full address and, lor verifiCation only a
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be reached during the day. All letters
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should not eJtceed 200 words.
may
Latter to the editor
P.O.Box2491
Roanoke, VL24010
OPINION
FRI[}AY, JAN. 18,
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Bone-marrow cancer therapy in· use 20 years, ·sole hope for sOllle ·:::~
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By FRANK M. SMUSZ
I WISH to c:omment on a letter here
Jan. 12 by Michael P. McRaner of Blue
Cross and Blue Shield of Virgmia with
regard to the autologous bone-marrow
transplantation and high-dose chemotherapy issue.
· Blue Cross states, in pan, that its policy is not to provide coverage for experimentallinvestiptional treatments: in this
case, ABMT for breast cancer. (Many
bealth-care insurers do cover this treatment, including some BCIBS providen.)
Let me point out that bone-marrow
Lransplantation is not unique. It has been
in use for about 20 years. There are many
major medical centers in this country that
have established, well-run, successful
~BMT programs for breast cancer, some
for six or more years. Many, I suppose, do
not consider ABMT therapy experimental.
\\ "b~ are the be~s at ~esc facilities full and
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the waiting lists long?
One important fact is that stage 4 metastatic breast cancer is a 'terminal illness.
Conventional chemotherapy can sometimes slow down the spread of the disease,
but rarely does it render a patient diseasefree, as can be accomplished with the
ABMT therapy.
Most patienu havina ABMT treatment are young, many with small ehildren.
It is their only chance at long-term, discase"free survival. Even if the disease returns in three, four or five years, there is
·the ~ibility that other treatments will be
available then.
'.
·.
Some reports su&&est that with ABMT
therapy, more than 30 percent of the women who have late-stage breast cancer are
alive and disease-free up to two years after
the ABMT, compared with only S percent
on standard chemotherapy. In another repon, up to 2S percel!t of patienu with
metastatic stage 4 cancer have remained
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disease-free with foUow-up for as long as contracts to defme and identify services . many yean ww ll talce? Tbrei yean? Five:·:":.'·:
seven yean.
they will not provide coverage for. One of · years?
·
·
·.
.., · !
ABMT is not without risks. lbe mor- those is ABMT for breast cancer. (More . I do n<?t !lave all the ~swers on this •· ; ;
tality rate from this treatment has been than 44,000 women die from breast cancer ISsue. But 11 u my concluSion that when···~ ·
about S to IS percent in the past. But with
in this country each year.)
competent, expenenced _medical doctors
new techniques and drugs, i.e., &rowth raeprescn"be a _course of treatment or therapy• "r..,
tors, these numbers appear to have been
In 1990, the 73 BCIBS plans nation- in a matter of life or death, and when this.. ~:.:
reduced. Without the ABMT treatment, . wide had a collective net pin to reserves of treatment is concurred with by other com-·····~
these women will die anyway, so to many $2.2 billion, according to their own projec- petent and experienced medical .profes-· .: ...,
the risk is worth taking.
·
lions. This \\'85 despite the loss of SOO,OOO sional specialists in that field of study, the :;
Is this treatment medically neCessary members. Amazing!
.
worst thing that can happen to the patient:··;'
and effective? Absolutely! In a recent court
The BCIBS national association an- is to have the health<are insurer practice--=:!
case with Blue Cross and Blue Shield of nounced last Oct. 30 that it would partici- medicine from afar and deny you the medi·
Vi.rsioia, the coun found the treatment (I) pate in a nationwide study conducted by cal coverage you may need to' keep you··~·~
was medically necessary and effective; (2) the National Cancer Institute to determine alive.
·
.: .. :.'
was currently in use in major medical cen- whether ABMT with high-dose cbemotherI ponder the ~thical, moral, ·and Jcpf :"·:
ters; (3} bad scientifically proven value; apy for breast cancer is effective and safe aspects of this. Don't you? · .
::·:;)
and (4} \\"BS in accordance with generally therapy. Blue Cross and Blue Shield of
-·-·
accepted standards of medical practice. Virginia waited more than six weeks to
(Other health-care insurers have lost in announce it would do the same. (It apPears ·Frank M. Smusz fiVes in Rncastle. His :;-·::"'.
coun too!}
that only after much publicity and public wife, Lorraine, has been denied coverage :-• .-:'
In pan due t9 pending and concluded outcry did the company volunteer to par- by Blue Cross/Blue Shield for ABMT for ller::-::-~
litigation, Blue Cross bas amended many ticipate.) This study has yet to begin. How cancer.
····-
,.
.I
I
�BUSINESS
WANT TO BUY AMERICAN?
. GOOD LUCK FIGURING OUT
WHA"rS MADE IN THE U.S.A.
IY
:Sto.a.
1onA2.
Roanoke limes .&World~News
....
•'
'
Classified ce
Crossword 84
Deaths E2
Homes cs
Travel as
' '
~P·.
ttacks·
f!ltsin
::s 'economic
ocide' policy
Los Angeles Times
tSCOW -
Russian Vice
111 Alexander Rutskoi ac·
resident Boris Veluin'saov.
~rs.~===~~~ P~:!:1Je~
iu own people.
obowamed lhat itYeiiSin'o
\CDI did DOt declare 1D ~
:~e:Uidi:d~•c:uso::;
IOialllariaolom.
uaibuhod denlllldatloo .
ivered II lhe C...,... of•
td Patriotic Fcm:a. an a.
Jfmonlhan 30 puupotbat
• movemeot or
lot
: 10
IIIII)' ••
accuocdYdlllo'o:am of judll'yina tho lll<ri.opielnlhc nome ofrodue>uclaetdelldt.
:yare ready to acccp1 retir~
1 while they stand in line
.~'dnr;_;o,:i::r~
disqrce witb such apand reforms." Rutskoi
ily...Doesn't this remind
lC Bolshevik principle -
n at any call?" he asked
I, which roared qrcement.
kol repeatedly has attad<·
n's economic reforms. but
's speech, toacthcr with an
p~hb~i•~:tmr::~~:.d•~.,~;
cancerollricken wire, Lorraine, and their
IWO sons. maJntalai~ a full-time job as a
IN HIS FIRSI' day as a novice
lobbyist, FrankSmusz wenJ{rom
feeling liklan outsider with a noble
t~~~~~~!::;u.-:w.s r=~~oWt~
cads u an clearicel conlraCior, who would
bave time?
Still, the sugcstion naged ll Fnnk
Smuu's mind.
anue to an Insider with a more
reallsllcvlewofhow l'lf!rlnla's
legis/Jllive system. started nearly 37J
)Wlnagtl.-*.t
Why oat at lcut look into h?
Ia November, as Lorraine continued
..
:=:.;';l~:\'!':t~:~=it~~i~t~.:
By~~RISON
and ~ncrina as one or BSO state lobby·
istL Ia 10 doi._, he was takina their ~car·
lana battle ap1n11 Blue Cross and Blue
:r, were his llronant at-
Shlild ol Virainla 10 another level.
Blue"'&:~~L'Ti~':~cd:'!•:n~n':!:~
0
;jn launched his reforms
:C:'3c::n~.oil"'.:er:!P'~~:d wbatlntcrtSI
r:l!~"!~~;
says. Even better, when uked
• ~fc\~::3a~!·::
1
<b •• okymekct.
we have a way out," Rue.
poup he repmented, he listed his wire.
Fr1Dk had no idea doln• 10 would
dildnJuish him u the only rq.aslered lo~
=sts =
...Aa emcraen~ sltuatioa.
traduced Ia tbe ecoaomy.
bylst::: l:te affiliated with associations,
:".~~~~~~=·~
are
l'::eevc~~n.t:;:.':
0111~aod the people
ICI
COIJ)Ofttiou or sped&in~aat aroupa.
to power Ia 1911 wiU
AJ alobb)'.lst, however. Frank s1aycd
power apia."
laactlve uatil January.
~rci=~~u~::oi'r.~:o,•::
PLEAsE SEE CRUSADEIA2
tedarcd "ccononilc emer•
.aation,.. nor did he &lvc a
· economic success.
1ayle draws ·olyri1pic'mb~j}·lndia.;.&aby~killing reported
'•soctated Press
)~~-1.1~~-R>\IN~.
Ftant'f"
,.,...... :.... \i.·•······
.
LoaAnQeleaTimoa
... ~turAf!.~,.m. ~~..!~' ~. . :m~·i··i~i~:~~~~;.
72% Of girls' deathS
in
~rri0n defiher.l'':'l
�..
Publicity helped couple fight
cance~, ·insura~ce company
Youth sought
after slayings
i~ captured
I
e
r
'd
'
one
"I tell Y.oiJ;
p~
can do it. SomebOdy wilh
an Interest and
perseverance can get
get something done."
AIDS resec
skirts law il
~=-~
inlurancobl
Loa Angeles Oally News
apprO\'C'd
withOUII
and Dr1
avoidinp.
Search
whether
"Tho
on any I
=~·~:
Wh.
Kienlili.
lie and
somc1h1
10:35a.m.S.o. VIIJ!IOoodeor
Roctr Mount Isn't in, either.
time liter, occun to
called the reporter by the
Frank h1d heard Ooodc was ln. Frank:
thouJht he was
tcrcstcd in ensurlaa 11 least thai wrona name. ... admits, ref'errina
Richard Real." he
Stale employees are covered ror
oald.
4p.m.Onaro11itow.
'!·0:
David Brickley,thebilraHo~ ··,
FD
said thn
sponsor, doesn't keep Fran1C ...
waitina. His reason for backlna the
bill also is clear: his wife, Loii, b · •
or P:"r
bcmeoomarrow lraaJPtaaca. a benefit ;r~~c~':lo':\':.~:6~~ fiahtlna breUI Clnccr. "It's real~··:
lbat worl<e11ln Muyland and Nonb Clwlnd 7.
semen to me," he says.
.. :•
carolina bave.
.., .•
Noon. "Wha1 do you do. correct
In his own dlstriCC. Goode h1d him7"
Bric~e~rr.e'v~~we~:!~~:~~;e~f :. :
Frank:' llell you, one penon can do .. •
From tbe balcony above the
J:~ ~=.o.1~·~:~:.::
I~ Somebody with an interest and
• cer and the state's Insurer, Blue Senate Door, Frank bas sent 1 DOte perseverance Cln 8C1 Jet IOmctbin& • ,
down to Trumbo, utlnato be Intro- Clone.
Cross. over her tratmeaL
o ,•
duced. He Is quiet and rapmrul, u
Anotbcr aide. Brian Foster, tr In a museum.
"You don't need a whole army · ,
ruas intcrl'creace. TrPJcally vaaue
On Trumbo's tum to like the or hilh·paid lobbyilll." be 18)'1. ' :' .
. - most aida seem to have little
,-duo about where their lqlslaiOn are ftoor, bll Introduction Is 1 short.
4:30 p.m. Virall Goode doesD•l · '
upbeat 1y_nopoi1 or l.orraine'l llory
, •·
···:;.,~.-:=~t:.:;i.': and haw h resulted in Frank's com~ keep Frank waltlna eilher.
llsbelleriOukbim."
Ina to RichmoDd. Ho usa words and
phrun like ''cou~" "ordeal" stan~·f:s~Ptr~~Ce ~=e~:~~··:
:Fruklelvesblocanl.
idea," ~oodc tells him. "It brinp ,
and "one-man c:nalade."
more awareness if oothina else." .. ,
Only TNmbo ,ets it wrona.
He saya "bone cancer transo'!~rs.~~!~::::!orn=fs ~r~~
plants " instead ol bone-marrow trict who bad to battle: Blue Cro15a' ·
lriDSII'iants. AI I raul~ SO does Lt.
requirr•
iment!l
ensurP.'
effect to other plant," he says.
• ,.:~
was u1
4:50p.m. Bois sony,
· •
8<~
drupr,
tesunp.
But lh'
appro'
tonwh
to lflpl
C'r
too slu
-and
pic wh
St·
unwom
30 do:
meDII
.
~C::te~~ ~~nJ:nr :t: :::;~ r.· ~r·~~v~~u:= ::
Sha::
CUilomary pod luck.
Fraak ltlnds and waves any..
"My, "ltbouaht it wu nry nic:o,'' tie
...,..
He11 Cllk to
AIDS
ltOUftl
Tl
tlona1
Wilh I
ina h1
sion.
did ;rJ:~ d:'J.'f:!If':~t· :bat ..
h11 introduction. Frank wanted 10
thank Trumbo noneahelcss.
tic
~
an
~
~
l
••
---""';"=-~=
·=
..-...............,...
.....
~
study
apolopzina to Frank about ftubbrr:
~''
.·•tPil
:In the lO months since it was
rolmed, he oald, the Sean:h Alliance
hu arowa to include more than 40
docton In Los Anaeles, Son Fra•
dsco. New York and New M11ico
wlto bave condUCied trials on 12
difTcrent druas and uutmenu.
: , ·Rotbman n:odlly ooknowl··
cdaed that Searth membcn usc un-
.~.
Tho
tlonapi
was Unl\
with lhe
·ina hum
sian. Sto
"WI:
study th
...::a=.....~
:::.,~
w
Smuu tpid daat Is a ynr many women who need
breut c:aoccr treatment can't wait for.
~eanwbile,
continue hb ciTona
1~, ... ror lba he plaM to and will ... hi• ...,.in
lqi~atioo
..
nu.t oa the 14-member advisory panel.
And aoy doubt be evor had. he said, l)as raded.
!f!s eapcrience ~ len him inspired to do more.
I m"alread~ th1nklna of thinp 10 introduce ntxt ,
year o he uid.
Call on Res fur all of )'OUr Financial
PlarinlnR nreds.
�---- --
~K~
J;;' .
"..... •Ia• L
Cod« 1:
Cbecler.
Dale Ear17: - - - - - - Proofor.
ltceelvecf: Lector
I
Norccud
(circle oao)
_PRJOJUTY: VIP (Membu of Cooare.ss. OovelliOI', Mayor), FOB, FOH, FOA, etc., or lime teosirive.
_ _ YALE ORAD
_WELLESLEY ORAD
_ARJC.ANSAN
_PAIUC RJOOE RES
_CONGRATULATIONS/SUPPORT CARD: Utter cfoe.s aor address ISSUC$ or ofrer suggestions,
_IDEAS/ISSUES CARD: Ldlet of'fen &ood icfus (DO( ioco~reot, blaofecf or racist). General responst
J( lcfus ue particularly well lbouahr oul aocf expfaioecf io cfepdt. mast lSSUBS.
h appropriate.
'
..,SSUESffRANS: Ldru addresses specific ls.suet. Writer lt seddna 1 sp«Jnc response. Seocf rransirioa
Idler ro mosr people. lte.sJlOnse will iodicaro chat i~ un.oot k eMres5ed ~UrreodJ.
_OTHER ISSUES: For letrua liom loduW)t frofwlona1e, eoosrirueoey aroupa or JodlvidUAJa who aeacl
cfc.Wtcd flans woriLy of roo.sideralioa. Ldtu sbouJd be forwarded lo approprialo lssue3 sralf,
_CAMPAJGN/CAMPAIGNCARDa Writu lw ~cfped willa umpai,a.
_APPOINTMENT R.ECOMMENDATIONS/AfPOINT fORM
FOREIGN:
_
CONORA TS/FOREIGN
TRANS LEITER
_OTHER:
CouofiJLanp._ __
RESUME: (drcfe ooe) FOH/fOB
__THREAT: Oive fo
~pervisor
FOFOH
PS
VIP
HRCR.EC
IMMEDIATELY.
_JNVJTA TION: Jtour.e lo Scbedufia,.
_ _GIFT
___REQUEST: (circle ooe)
photo
avroarapb
_INAVGUJtAL: Lcner "iucm infoi'Tillrjon ot tichu.
_K.IDS
_lNTEAYltW Rf.QUESTSICLIJ>PINGS: Roulc lo prtaa.
_NO R.ESPONSE NECE.SSMY: No return t44rcu
Of
llell 1n18.
recipe
aucfioa irem
speecJa
olher.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
HRC - Health Care Correspondence [4]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 5
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-005-002-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/2b3cc46c17da7b480cc828833421b49f.pdf
9e8d710dcc350b2c12bcfe9684f86632
PDF Text
Text
Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECTtriTLE
RESTRICTION
001 a. letter
Hillary Clinton to Barbara Mendel Mayden. [partial] ( 1 page)
03/31/1993
P6/b(6)
001 b. letter
Barbara Mendel Mayden to Hillary Clinton. [partial] (1 page)
02/03/1993
P6/b(6)
002. resume
Curriculum Vitae for Kelly Clark Pinkard. (Partial) (1 page)
n.d.
P6/b(6)
003.1etter
Ellen Roseman-Curtis to Hillary Clinton. [partial] (1 page)
02/23/1993
P6/b(6)
004a. letter
Hillary Clinton to George H. Bergdoll. [partial] (1 page)
03/3111993
P6/b(6)
004b. letter
George H. Bergdoll to Hillary Clinton. [partial] (1 page)
02/10/1993
P6/b(6)
005. resume
Paul W. Willihnganz [partial] (1 page)
[none]
P6/b(6)
006. resume
Vivian Riefberg [partial] (1 page)
[none]
P6/b(6)
007a. letter
Hillary Rodham Clinton to Bruce R. Brookens. [partial] (1 page)
03/29/1993
P6/b(6)
007b. letter
Bruce R. Brookens to Hillary Clinton. (Partial) (1 page)
03/10/1993
P6/b(6)
OOS.letter
Hillary Rodham Clinton to Sister Margaret Vincent Blandford.
[partial] (1 page)
03/29/1993
P6/b(6)
009a. letter
Hillary Rodham Clinton to June Kozak Kane, M.S., RD [partial] ( 1
page)
03/24/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Aet -(44 U.S.C. 1104(a))
Freedom of Information Aet -IS U.S.C. SS2(b))
Pl National Seeurity Classified Information ((a)(l) of the PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(Z) Release would disclose internal personnel rules and practices of
an agency ((b)(l) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) ofthe FOIA)
b(4) Release would disclose trade secrets or confidential or fmaneial
information ((b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning weDs ((b)(9) of the FOIA)
P2 Relating to the appointment to Federal office ((a)(Z) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfde defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
---- ----~-------'
�Withdrawal/Redaction Sheet
•
Clinton Library
DOCUMENT NO.
AND TYPE
009b. letter
DATE
SUBJECTffiTLE
June Kozak Kane, M.S., RD to Hillary Rodham Clinton [partial] (1
03/10/1993
RESTRICTION
P6/b(6)
page)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Ad -144 U.S.C. 1104(a))
Freedom of Information Ad- (S U.S.C. SSl(b))
Pl National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(1) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
fmancial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a dearly unwarranted invasion of
personal privacy ((a)(6)ofthe PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(1) Release would disclose internal personnel rules and practices of
an agency ((b)(1) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or fmaneial
information ((b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disdose information compiled for law enforcement
purposes ((b)(7) ofthe FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disdose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
1101(3).
RR. Document will be reviewed upon request.
�---
----- - - - - - - - - - - - - - - - - - -
THE WHITE HOUSE
March 31, 1993
Mr. James Harold French, Jr.
3299 Woodburn Road
Annandale, Virginia 22003
Dear Jim:
Thank you for your thoughtfulness in writing to offer your
assistance as solutions are developed for the incredibly complex
health care issues. I appreciate your generosity and will certainly
keep you in mind.
The President is committed to reforming our nation's health
care system -- controlling runaway costs and providing security to
every American family. It won't be easy and it won't happen
overnight, but we can bring costs under control while maintaining
quality medical care and preserving the choice so important to us all.
We will be grateful for your ongoing support for the success
of our endeavors.
Sincerely yours,
~+Cllnron
�--~~~--
,
I
'S"Lct"=t
()/~
~
&lA-
PJ...
'Z-.2..00
"J
I
I
JAMES HAROLD FRENCH, JR.
111~
1Cf'~"3
/'"7
I
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
OOla. letter
SUBJECTffiTLE
DATE
Hillary Clinton to Barbara Mendel Mayden. [partial] (1 page)
03/31/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Ad - [44 U.S.C. 2204(a))
Freedom of Information Ad- [5 U.S.C. 552(b))
Pl National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would diselose trade secrets or confidential commerdal or
· tinaneiallnformation [(a)(4) of the PRA)
PS Release would dlsdose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a dearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security elassified Information ((b)(l) of the FOIA)
b(2) Release would dlselose Internal personnel rules and pradices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would dlselose trade secrets or confidential or financial
Information [(b)(4) of the FOIA)
b(6) Release would constitute a dearly unwarranted Invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disdose Information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would dlsdose information concerning the regulation of
finandallnstltutlons [(b)(8) of the FOIA)
b(9) Release would diselose geological or geophysieallnformatlon
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restridions contained in donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�---------------
THE WHITE HOUSE
March 31, 1993
Barbara Mendel Mayden
[oo\
o.1
Dear Barbara:
I appreciate your thoughtfulness in taking time to write and
provide the names of Drs. Claire M. Fagin, Linda Aiken and Mary
Naylor, nurses whom you deem well qualified to assist in the work
of the Task Force. I value your personal recommendation and will
pass the information along to the appropriate working group of the
Task Force.
/
./
/
/
/
/
/
The Inaugural week was an exciting and exhilarating time
indeed for our family, and it was so gratifying to us, knowing that
friends had come from near and far to experience the historic events
with us. I am pleased to learn of the most memorable highlights,
both for you and for your relatives from Georgia.
There have been all sorts of comments about my hat, but I
loved it, and I'm glad you did too!
Hope to see you soon.
Sincerely yours,
~ IJ__
(J"Vv
Jb~Clinwn ~fu._ ~
~ ~~ ~
~to
N----
lJ1v.,._
l ' " ( \ (.
w-e__
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001b. letter
SUBJECfffiTLE
DATE
Barbara Mendel Mayden to Hillary Clinton. [partial] (1 page)
02/03/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number:
10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
•
2006-0223-F
ab618
RESTRICTION CODES
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Freedom of Information Ad- (S U.S.C. SS2(b)J
Pl National Security Classified Information ((a)(l) ofthe PRAJ
Pl Relating to the appointment to Federal office ((a)(2) of the PRAJ
P3 Release would violate a Federal statute ((a)(3) of the PRAJ
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRAJ
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy ((a)(6) of the PRAJ
b(l) National security classified Information ((b)(l) of the FOIAJ
b(2) Release would dlsdose Internal personnel rules and practices of
an agency ((b)(2) of the FOIAJ
b(3) Release would violate a Federal statute ((b)(3) of the FOIAJ
b(4) Release would dlsdose trade secrets or confidential or financial
information ((b)(4) of the FOIAI
b(6) Release would constitute a clearly unwarranted Invasion of
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purposes ((b)(7) of the FOIAI
b(8) Release would disclose Information concerning the regulation of
financial Institutions ((b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�[oo\ ~1
February 3, 1993
Ms. Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C. 20500
Dear Hillary:
My nieces and nephew (and sister) tell me that
they met you in washington. You should be pleased to
know that you rank an admirable third on their list of
best parts of their trip - (1) riding in an airplane (2)
ice skating (they are, after all, from Macon, Georgia)
and (3) meeting the President and First Lady. Thank you
for being so gracious to them.
I was very pleased to read that you will be
spearheading the President's health care task. force.
This gives me great reason for optimism. I assume that
you are in the process of assembling your focus groups,
and also that you will be including the largest group of
health care providers, those most directly involved with
patients 24 hours a day/7 days a week - the nurses.
I am taking the liberty of submitting a few
names for your considerat.ion. These are very qualified
nurses about whom I am familiar through a colleague in my
law firm:
Claire M. Fagin, RN, PhD, recently stepped down
as Dean of the University of Pennsylvania School of Nursing. Currently president of the National League for
Nursing, Dr. Fagin co-authored the position statement on
nursing for the transition team. Her
ne numbers are
(215) 898-9581 (O) and
I
�.- .·
Ms. Hillary Rodham Clinton
February 3, 1993
Page Two
Linda Aiken RN, PhD, is Trustee Professor of
Nursing and Professor of Sociology at the University of
Pennsylvania. A past vice president of the Robert Wood
Johnson Foundation, Dr. Aiken is considered the leading
nurse-spokesperson for health and social policy. Dr.
Aiken was the second co-author for the transition's position paper on nursing. Her office phone number is (215)
898-9759.
Mary Naylor, RN, PhD, is Associate Dean and
Director of Undergraduate Studies at the University of a
Pennsylvania School of Nursing. Currently, Dr. Naylor is
a part-time legislative fellow with Senator Wofford in
Washington, D.C. Her Penn office phone number is (215)
898-8285.
These women are also in a good position to make
recommendations of other nurses from other parts of the
country.
I had a wonderful time during inauguration
week. I think the highlight of a week full of highlights
was the "ABA Friends of Hillary Dinner" where we all
looked "mahvelous" in our fancy dresses, and got a little
misty eyed toasting you (and, of course, Bill). I miss
you and wish you the best.
J
Very truly yours,
r-·b(,U"LbGL\C'-
~. \ Yl (1~_£/)
Barbara Mendel Mayden
P.S. I liked the hat.
(
IP
�----- ----------------------\
THE: WHITE: HOUSE:
WASHINGTON
March 31, 1993
Mrs. Elliott Roosevelt
7307 East Valley Vista Drive
Scottsdale, Arizona 85250
Dear Mrs. Roosevelt:
Betsey Wright has forwarded to me your letter recommending Dr. Kay Pinckard for
participation in the work of the Health Care Task Force. The Task Force includes the
Secretaries of the Treasury, Defense, Commerce, Labor, Health and Human Services, and
Veterans Affairs; the Director of the Office of Management and Budget; the Assistant to the
President for Domestic Policy; the Assistant to the President for Economic Policy; the Chair
of the Council of Economic Advisors; and the Senior Advisor to the President for Policy
Development.
In addition, the Senior Advisor to the President for Policy Development will lead
interdepartmental working groups which will gather information for, and provide information
to, the Task Force. The working groups, which are working closely with Members of
Congress and their staffs, are comprised of government employees.
While the working groups have begun the process of preparing policy options for
reforming our health care system, their work is an ongoing process. The members of the
Task Force are anxious to consult with knowledgeable and concerned people. I am directing
a copy of your letter with Dr. Pinckard's curriculum vitae to the appropriate working group.
The President and I will appreciate your support for the success of our endeavor. He
is committed l9 reforming our nation's health care system-- controlling runaway costs and
providing security to every American family. It won't be easy and it won't happen
overnight, but we can bring costs under control while maintaining quality medical care and
preserving the choice so important to us all.
Sincerely yours,
�dl1.u..
7307
Ea~t
ELliott d?oo~euelt
rvaLLey
rvl~ta
March 17, 1993
1
!Duue
~A
Ms. Elizabeth Wright
1317 7th St. N.W., Suite 600
Washington, D.C. 20004
Dear Betsy:
It was such fun talking to you yesterday and I hasten
to write this letter so that me may resolve and
confirm our telephone conversations.
I am enclosing the Curriculum Vitae of Dr. Kay
Pinckard who is so highly respected in the southwest
as well as nationally for her studies and work in
pediatrics.
The health care and the treatment of
young people is of paramount importance to Kay and she
has worked long and diligently in this field since
graduating with Honors from Baylor Medical School in
1973.
I feel that her dedication and expertise in
these fields will certainly add to the President's
Task Force on National Health Care Reform chaired by
Mrs. Clinton.
It is really super that we have made our acquaintance
via the telephone and I look forward to a visit by you
in Scottsdale in the near future.
Lady, you did a great job for our President and some
day soon I expect fully to see you as Ambassadress to
the Court of St. James, at least.
Seriously, I urge you to give Kay Pinckard's CV to
Hillary Clinton at the earliest opportunity, as she
has just ended a three year term as Chairwoman of the
American Academy of Pediatrics Committee on Careers
and Opportunities. She has also, in this busy life,
found time to volunteer her time to provide medical
exams and care to children of the Navajo Nation in
Northeastern Arizona and has accompanied the American
Voluntary Medical Team on two medical missions to
Micronesia and on numerous health care screenings in
low income communities throughout Arizona.
In each
case, she utilized vacation time from her position on
i
\
I
\
�Ms. Elizabeth Wright, March 17, 1993
Page 2
staff at Phoenix Children's Hospital to pursue these
worthwhile endeavors.
As Associate Director of the Phoenix Children's
Hospital Outpatient Clinic, a primarily non-profit
facility that focuses on treating the working poor -those whose income is too much to qualify for health
care under Arizona's Health Care Cost Containment
System, but too little to be able to afford private
medical insurance
she knows all too well the
defects in the current health care delivery system.
Kay is Hillary Clinton's kind of person and I just
know they would get along marvelously.
Regarding the painting of Eleanor Roosevelt, I must
get Polaroid film and will send a photo under separate
cover.
Betsy, again, it was such fun talking to you. After
hearing Jesse George extol your virtues, I really feel
that we will be good friends. Thanks again, and I am
looking forward to hearing from you very soon. Please
come and visit me in ~ beautiful house.
With warm regards,
Tel:
Fax:
( 602) 443-3370
(602) 596-1091
P.S. Thank you for finding out.about the books I sent
to the Clinton's before Thanksgiving.
I am really
anxious to hear how they liked them, as I thought they
would be logical introductions to the White House
before they took possession on the 20th of January.
P.P.S. Remember, ~ dear, when you do sleep over at
the White House to ask for the Lincoln bedroom. As I
told you, Elliott and Rose Kennedy both slept there
but not together.
Affectionately,
~~
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. resume
SUBJECI'ffiTLE
DATE
Curriculum Vitae for Kelly Clark Pinkard. (Partial) (1 page)
RESTRICTION
n.d.
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 1104(a))
Freedom of Information Act -IS U.S.C. SS1(b))
Pl National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(1) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(1) Release would disclose internal personnel rules and practices of
an agency ((b)(1) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or f"maneial
information ((b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misf"de defined in accordance with 44 U.S.C.
1101(3).
RR. Document will be reviewed upon request.
-----
----------
-------
�CURRICULUM VITAE
NAME:
(Linda) Kay Clark Pinckard, M.D., F.A.A.P.
OFFICE ADDRESS:
Phoenix Children's Hospital
909 East Brill Street, Phoenix, AZ 85006
Phone: (602) 2.39-4822
DATE OF BIRTH:
November 24, 1947
PLACE OF BIRTH
Auburn, New York
MARITAL STATUS
Married: Kenneth R.
CHILDREN:
Justin Todd Pinckard,
Meghan Ashley
EDUCATION:
Undergraduate:
State University of New York at Binghamton,
Harpur College, B.A. Degree In Biology,
1965. 1969
Graduate:
The (Woman's) Medical College of Pennsylvania,
Philadelphia, Pennsylvania, 1969 • 1971
Baylor College of Medicine, Houston, Texas,
M.D. with Honors, 1971-1973
Internship:
Baylor College of Medicine Affiliated Hospitals,
Department of Pediatrics, Houston, Texas,
1973. 1974
Residency:
Baylor College of Medicine Affiliated Hospitals,
Department of Pediatrics, Houston, Texas,
1974. 1976
Fellowship:
Baylor College of Medicine, Department
of Pediatrics, Pediatric Development •
Awarded but not taken 1976 • 1977
Yoo<d-J
�'
.
CURRICULUM VITAE
Kay C. Pinckard, M.D., F.A.A.P.
Page 2
STATE
LICENSURE:
Texas: August 18, 1973 - 1989 (E 1229)
Arizona: November 27, 1987 (17256)
BOARD
CERTIFICATION
Diplomate, American Board of Pediatrics,
February 2, 1979
HONORS:
Alpha Omega Alpha, an honor medical society,
elected 1973
Graduated with Honors, Baylor College of Medicine,
1973
Outstanding Woman Graduate, elected by American
Medical Women's Association, Houston
Chapter, 1973
H.J. Ehlers Award in Surgery, Baylor College of
Medicine, 1973
AOA Award for Research: Use of the Direct
Fluorescent Antibody Test for Identification
of Bacterial Cultures, 1970
Physician's Recognition Award, American Medical
Association, 1980, 1983, 1986, 1988, 1992
J\1 EMBERS HIP IN
PI~OFESSIONAL
SOCIETIES:
Alpha Omega Alpha (honor medical society)
Fellow, American Academy of Pediatrics
Arizona Chapter of American Academy Pediatrics
Phoenix Pediatric Society
Treasurer, 1991-1992
Ambulatory Pediatric Association
Baylor College of Medicine Pediatric Alumni Assn
American Medical Association
American Medical Women's Association
Texas Pediatric Society (through 1988)
Houston Pediatric Society (through 1988)
Texas Medical Association (through 1988)
Harris County Medical Society (through 1988)
�CURRICULUM VITAE
Kay C. Pinckard, M.D., F.A.A.P.
Page 3
ACADEMIC
APPOINTMENT:
Associate Director Ambulatory Clinic, and full-time teaching
faculty, Phoenix Children's Hospital, 1987 • present
Clinical Teaching Staff, University of Arizona Medical College
-pending
Clinical Associate Professor, Department of
Pediatrics, Baylor College of Medicine
1985 • 1988
Clinical Assistant Professor, Department
of Pediatrics, Baylor College of Medicine,
1981 • 1985
Clinical Instructor, Department of Pediatrics,
Baylor College of Medicine, 1976 - 1981
OTHER MEMBERSHIPS
AND SERVICES: Pediatric News, Editorial Advisory Board, 1993-1996
American Academy of Pediatrics Committee on Careers
& Opportunities, 1986-1992; Chairperson 1989- 1992
AAP Council on Pediatric Practice, 1989 - 1992
AAP/AZ Chapter Day Care Committee, 1990- present
Phoenix Children's Hospital, PHAPP faculty and attending teaching
staff, 1987 - present
Ambulatory Operations Committee, 1988
Curriculum Committee, 1988 - 1990
Outpatient Care Committee, 1988 - 1991
Patient Services Task Force, 1988
Professional Advisory Committee, 1989 • present
Children's Miracle Network Telethon, 1989, 1990, 1991, 1992
Public Relations Advisory Committee, 1990 - present
Social Calendar Committee, 1991-present
Special Tracks Committee, 1991-present
Pediatric Update Conference Committee, 1991-present
Sick Child Day Care Committee, 1991
Emily Anderson Family Learning Center Operational
Advisory Committee, 1990 - present
Governor's Office for Children/School Age
Child Care Coalition, 1990 - Present
Conference Subcommittee, 1991
�CURRICULUM VITAE
Kay C. Pinckard, M.D., F.A.A.P.
Page 4
Good Samaritan Regional Medical Center Pediatric Committee,
1988- 1991
"Current Decisions in Infant & Children", Consultant to
Editorial Board, Health Learning Systems, Inc., 1989-1991
"Practice Management" - Reviewer
"Pediatrics" - Reviewer
Arizona Volunteer Medical Team- medical missions to
Micronesia, Arizona communities, etc; Officer and
First Vice President, 1989 - present
Primary care physician for children brought from Bangladesh and El
Salvador with cleft lip/palate and congenital heart disease
American Cancer Society Jail-a-thon, 1989
Baylor College of Medicine, Department of Pediatrics
attending teaching staff and preceptor, 1977 - 1987
Texas Pediatric Society
Accidents and Environmental Hazards Committee,
1984- 1986
The Woman in Pediatrics ad hoc Committee,
1986- 1987
Kelsey-Seybold Clinic, P.A., Houston, Texas
Executive Board, 1983 - 1985
Marketing and Practice Development, Chairperson,
1983- 1985
International Patient Relations Committee, 1978 - 1979;
Chairperson, 1979 - 1983
Professional Committee, 1978 - 1982
Finance Committee, 1980 - 1985
Pr·actice Development ad hoc Committee, 1979 - 1980
Pre-term Labor Study Committee, 1987
Texas Children's Hospital - Houston, TX
Joint Emergency Services Committee, 1983
Nursing Service Committee, 1979 - 1983
Medical Audit/Tissue Committee, 1986 - 1987
Infectious Disease Committee, 1987
St. Luke's Episcopal Hospital - Houston, TX
Newborn and Premature Records Screening
Committee 1981 - 1982
Perinatal Advisory Committee, 1982 - 1987
The Woman's Hospital of Texas - Houston, TX
Pediatric Service Record Review Committee, 1981 - 1983
Quality Assurance Control Committee, 1978-79
�CURRICULUM VITAE
Kay C. Pinckard, M.D., F.A.A.P.
Page 5
St. Martin's Lutheran Church, Houston, Texas
Fellowship Committee, Secretary, 1978-1980
Sunday Church School Teacher, 1978-1980, 1986
Vacation Church School Teacher, 1981, 1982, 1986
Church Council, 1985-1986
Crippled Children's Services Program, participating physician,
1983 -present, Texas and Arizona
HOSPITAL PRIVILEGES:
Phoenix Children's Hospital • Associate Staff Membership,
1987 - present
Good Samaritan Regional Medical Center - Active Staff Member
in Pediatrics, 1988 - present
Maricopa County Medical Center - Provisional Visiting Medical Staff,
1988 - present
St. Joseph's Hospital - Courtesy/Provisional, 1988 • present
Arizona Children's Rehabilitative Services • Provisional Status
and Membership on the Pediatric Staff, 1988 -present
Texas Children's Hospital - Active Staff (through 1988)
St. Luke's Episcopal Hospital - Attending Staff (through 1988)
The Woman's Hospital of Texas - Courtesy Staff (through 1988)
The Methodist Hospital - Courtesy Staff (through 1988)
Hermann Hospital - Courtesy Staff (through 1988)
PUBLICATIONS,
PRESENTATIONS AND
LECTURES:
Research Paper: "Use of the Direct Fluorescent
Antibody Test for Identification of
Bacterial Cultures", 1970
"Pragmatics of Pediatrics", October 1977
"Genetic Counseling in Pediatrics", October 1978
"The Woman in Pediatrics" Workshop at Baylor
College of Medicine Intern Retreat, September 1980, 1981, and 1982
The Tabletop Grandmother, May 1981
"Comprehensive Ambulatory Management of the High Risk Infant", Texas
~edical Assoc. Annual Meeting, May 1982; 7th Annual West Texas Perinatal
Conference, Odessa, Texas, February 1983
Conference for Women Chapter Representatives by
�CURRICULUM VITAE
Kay C. Pinckard, M.D., F.A.A.P.
Page 6
American Academy of Pediatrics' Provisional
Committee on Careers and Opportunities • Workshops:
"Balancing Career and Family", San Francisco, California,
May 8-9, 1987
"Immunization and Back to School" Brown Bag Lunch,
Enron Corporation, Houston, Texas, August 12, 1987
"AAP Recommendations on Pediatric Manpower" revision,
American Academy of Pediatrics' Provisional Committee on Careers
and Opportunities, May 1987; under revision, 1991
Women in Pediatrics Conference, participant and speaker,
65th Annual Meeting Texas Pediatrics Society, Houston, Texas,
September 12, 1987 ·
American Academy of Pediatrics Executive Director's Designee
to Specialty Society Luncheon of American Medical Women's
Association, 72nd Annual Meeting, Orlando, Florida, October 28, 1987
Second Conference for Women Chapter Representatives by
American Academy of Pediatrics' Provisional Committee on Careers
& Opportunities- Workshops: "Building a Support System", Chicago,
Illinois, June 25-26, 1988
"Prevalence of Cytomegalovirus Antibody in Subjects Between the
Ages of Six and Twenty-two Years", Journal of Infectious Diseases, Vol.
159, No. 6, pp. 1013-1017, June 1989
Phoenix Children's Hospital Love Magazine articles on
Pediatric Clinic, and Outreach, 1989, contributor
"Breastfeeding" combined seminar, Phoenix Children's
Hospital PHAPP core teaching lectures, 1988, 1989, 1991
"Phoenix Children's Hospital General Pediatric Clinic",
presentation to Cinquentas, 1988; Dairy Queen Conference, 1989
"Estimation of Gestational Age", Well Baby Lecture series,
Maricopa Medical Center, 1988-90, and Phoenix Children's Hospital,
1990-present
Television and radio interviews: "Immunizations", 1988;
"Back to School", 1989; "Flu", 1990; "Outreach", 1990; "Babies of Drug
Abuse", 1990; "Parents call-in to Pediatrician", 1990; "Outreach", 1990;
"Immunizations in Arizona and Pertussis Epidemic", 1990; "Arizona's
Dismal Statistics", 1991; "Kids Count Data Book", 1991; TV and radio
interviews on Pertussis Epidemic, Legislation for Health Care, Cardiac
Surgery on AVMT patient from El Salvador
�CURRICULUM VITAE
Kay C. Pinckard, M.D., F.A.A.P.
Page 7
AAP Annual Fall and Spring Meetings, chaired "Breakfast Forum
for Women Pediatricians", 1989- 1992
Grand Rounds PCH ''Whose Watching the Children? The
Arizona Day Care Crisis", February 20, 1990
Third Leadership Conference for Chapter Women Representatives
by AAP/COCO, presided as chairperson, April 6-8, 1990
"Delivery of Medical Care to the Third World", Phoenix Children's
Hospital Pediatric Review, Vol. 3, No. 1, pp. 12-16, Spring, 1990
AAP Spring Meeting Roundtable, "Balancing Career and Family",
May 1, 1990
AAP brochure for medical students, Pediatrics as a Career, written with
AAP/COCO, 1990
"When To Call The Doctor", Parent Pages, May, 1990, contributor
"Fluoride Supplementation", Phoenix Children's Hospital
Pharmacy and Therapeutics News, pp. 2-3, September, 1990
"Outreach Program to Isolated Towns and Navajo Reservation",
NACHRI Newsletter, Sept, 1990, contributor
"Holiday Safety", Mesa Tribune, November, 1990, contributor
AAP Annual Fall Meeting Residents' Section Roundtable "Women in
Medicine/Balancing Career and Family", October 6, 1990
AAP Annual Fall Meeting Starting In Practice Workshop
"Part-time/Interrupted Practice" and "Part-time Employment/Shared
Positions", October, 1990
Series of monthly articles on "Development in the First Year of Life",
Phoenix Gazette, February, 1990- January 1, 1991
Testified before the Arizona House of Representatives' Committee
on Health on "Children's Health Initiatives", January 1991
American Medical News article on shared practices, 1990, contributor
"Balancing Career and Family" University of Arizona
Medical School Pediatric PL 3 Resident Retreat, November 1990;
PHAPP Core Lecture Series, January 1991
"Increase in Female Medical School Applicants Good for
Pediatrics", Pediatric News, January 1991, contributor
"Hospital Works to Reverse State's Dismal Statistics", Phoenix
Children's Hospital press release, February 1991, contributor
American Academy of Pediatrics Task Force "Report on the Future
Role of the Pediatrician in the Delivery of Health Care", Pediatrics, Vol 87,
No 3, March 1991
AAP District VIII Leadership Workshop, March 1991
AAP Membership Recruitment Brochure, June 1991 ·
�CURRICULUM VITAE
Kay C. Pinckard, M.D., F.A.A.P.
Page 8
PR Videos for Phoenix Children's Hospital "Outreach to Page,
AZ", "Outreach to Indian Health Services"; "A Special
Place for Children"
AAP packet for Women in Medicine Month, contributor, September 1991
"Career Opportunities", AAP/AZ Chapter Breakfast for Women
Pediatricians, guest speaker, September 1991
Ross Roundtable "Children and Violence", participant, September 1991
"Primary Care Perspectives ·in Pediatrics", Physician Services,
The Samaritan Foundation, Medical Update V for the Primary Care
Physician, October 1991
AAP Manual on Pediatric Practice II. contributor, October, 1991
AAP/COCO Leadership Conference, AAP Annual Fall Meeting,
chaired, October 1991
AAP Starting In Practice Workshop/Career Day for Residents,
AAP Annual Fall Meeting, chaired, October 1991
AAP/COCO Booklet on Employment Issues for Medical Students
Entering Pediatric Residency, in progress
"Children and Violence" presentation of 15th Annual Pediatric Update, Phoenix
Children's Hospital/Maricopa Medical Center/AAP AZ Chapter, March 7,
1992; core lecture series, GSRMC Family Practice Residency Program,
May 19, 1992.
"Children and Violence", Audio-Digest Pediatrics, Vol 38, No 8, April 28, 1992.
"Family Violence" presentation to PCH Child Protection Committee, June 1992.
"Healthy Mothers-Healthy Babies 1992 CARE Fair", AAP/AZ Chapter participant,
July 14, 1992
AAP/AZ Chapter, Committee on Child Abuse, 1992-present
Maricopa County Coalition of Healthy Mothers, Healthy Babies C.A.R.E. Fair,
August 14-15, 1992.
Maricopa Medical Center Resident Lecture, Children and Violence, September 4,
1992
Phoenix Children's Hospital Resident Lecture, "Children and Violence",
September 18, 1992
Re\i sed 01/9.1
�THE WHITE HOUSE
March 31, 1993
Ms. Ellen Roseman-Curtis
Cooperative Adoption Consulting
54 Wellington Avenue
San Anselmo, California 94960
Dear Ellen:
I appreciated receiving your letter expressing concern that
health insurance coverage be expanded to include family building and
infertility treatment. A copy of your letter is being directed to the
Task Force.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Thank you for sharing your suggestions and for your support
for the success of this tremendous undertaking.
Sincerely yours,
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003.letter
SUBJECTffiTLE
DATE
Ellen Roseman-Curtis to Hillary Clinton. [partial] (l page)
02/23/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Aet -(44 U.S.C. ll04(a))
Freedom of Information Aet -IS U.S.C. SSl(b))
PI National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(l) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would diselose trade secrets or confidential commerelal or
finaneial information ((a)(4) of the PRA)
PS Release would diselose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) ofthe FOIA)
b(l) Release would diselose internal personnel rules and practices of
an agency ((b)(l) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would diselose trade secrets or confidential or financial
Information ((b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted Invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would diselose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(S) Release would disclose information concerning the regulation of
financial institutions ((b)(S) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
ll01(3).
RR. Document will be reviewed upon request.
�ELLEN A. CURTIS
54 WELLINGTON AVENUE. SAN ANSELMO. CA 94960
(415) 453-0902
February 23, 1993
Hillary Rodham Clinton, Chairperson
Task Force on National Health Care Reform
The White House
Washington, D.C. 20510
Dear Ms. Clinton:
Growing & Learning
go hand In hand
On January 20, 1991 you and I met and talked when you and your
friend,Mary Steenburgen 1 attended the Sausalito First Presbyterian
Church near San Francisco. You had come with Mary and another
friend for a weekend stay, each with a daughter, I think I remember you mentioning that the girls were not with any of you because they opted to "sleep in."
I will always remember our conversation which covered adoption in
this country (open and closed) as well as the Children's Defense
Fund and its focus. Although I did not know you would one day be
First Lady, I will always remember the conversation as being personal, focused, and genuine. It delighted me when your husband
was elected and I knew you would be carrying on your work for families an~ children.
I believe that having a family is a fundamental right for all
Americans, regardless of class, ethnicity, medical history or any
other factor. I hope myself and others can count on your support
for expanding health care coverage so that we may realize our dreams.
Sincerely,
Ellen Roseman-Curtis
COOPERATIVE ADOPTION - A LOVING OPTION
�(
•
..•
.' ..
CODER:_ _
HEALTH CARE TASK FORCE SORTING SHEET
INPUT DATE:_ _
GENERAL SORT:
_Personal stories
POSTCARD 1:
_Letter Campaign
_Other Health Providers
POSTCARD 2:
_Offers to help/Employment
FORM LETI'ER:
_Letterhead
_Policy
REROUTE:
_Casework
_Scheduling _President
_Jihy&icilm&
_Other
POLICY AND PERSONAL STORIES:
_ORGANIZATION (I)
_insurance premiums
_insurance reform
_insurance pools
_boards and oversight
_COVERAGE (ll)
_working families
_unemployed/low income
_benefits
__providers
_INFRASTRUCTURE/WORKFORCE (ill)
_quality assurance (guidelines)
_administration, reimbursement
& information systems
_malpractice & tort reform
_manpower issues (training)
_unnecessary procedures
_GOVERNMENT PROGRAMS (IV)
_medicare
_medicaid
_veterans
_ DoD
_Indian health
_COST ISSUES (VI)
_drug prices
__physician fees
_hospital fees
. _medical equipment
_fraud & abuse
_FINANCING
(VII)
_MENTAL HEALTH (IX)
_LONG-TERM CARE (X)
_PUBLIC HEALTII/
SPECIAL POPULATIONS (XII)
__prevention
_AIDS
_women's health
_immunizations/children
_rural
_urban
_OTHER._________________________
�THE WHITE HOUSE
March 31, 1993
Thomas W. I..angfitt, M.D.
President
The Pew Charitable Trusts
One Commerce Square
200S Market Street, Suite 1700
Philadelphia, Pennsylvania 19103-7017
Dear Dr. l..angfitt:
I appreciate your offer to send me a copy of The Pew Trusts'
recommendations for health care reform when they have been
finalized. This will be helpful both to me and to the Task Force as
we consider various options in finding solutions to the incredibly
complex health care issue.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
We will appreciate your continuing support for the success of
this enormous undertaking.
Sincerely yours,
�- -
THE PEW CHARITABLE TRUSTS
One Commerce Sq11are
2005 Market Street. S11ite 1700
Philadelphia, Penmylvania 19103-7017
Thomas W. Langfitt. M.D.
President
Direct Telephone: 215.575.4710
Telephone: 215.575.9050
Facsimile: 215.575.4939
February 24, 1993
Mrs. Hillary Rodham Clinton
The White House
Washington, D.C. 20500
Dear Mrs. Clinton:
I appreciated the opportunity to speak to you at Senator
Wofford's health reform meeting in Harrisburg last week.
For several years The Pew Trusts have supported a Health
Professions Commission which has recommended profound changes in
the way physicians and other health professionals are educated and
trained so that they will be more responsive to the health needs of
the public. Toward that end, we are in the process of preparing a
number of specific recommendations for federal action for health
care reform. They link the development of a system of universally
accessible primary care to a shift in the current level of
resources away from educating and training specialty-based health
care practitioners to producing a greatly increased pool of primary
care givers.
The result should be real cost containment in a
system with improved quality. As you requested, I will send you
these recommendations in the near future.
Again, my best wishes for the success of the crucial and
difficult work you are undertaking.
Please call upon me or the
staff of the Trusts at any time if you believe we can be helpful in
your endeavors.
/v:'v,
!
Th~:s
I
J~
w.iLangfitt, M.D.
TWL:dm
cc:
Melanne Verveer
The Peu' Memorial Tmst
The]. Howard Pew Freedom Tmst
The Mabel Pew Myrin Tmst
The]. N. Pew Jr. Charitable Tmst
The Medical Trust
The Mary Anderson Trust
The Knoi/Brook Trust
�-·
THE. WHITE. HOUSE.
WASHINGTON
March 31, 1993
Daniel B. Kopans, M.D.
Department of Radiology
Massachusetts General Hospital
Boston, Massachusetts 02114
Dear Dan:
I greatly appreciated receiving your letter with the copy of your letter regarding breast
cancer screening to Dr. Bernadine Healy enclosed.
Thank you for your offer of assistance to the Health Care Task Force. The Task
Force includes the Secretaries of the Treasury, Defense, Commerce, Labor, Health and
Human Services, and Veterans Affairs; the Director of the Office of Management and
Budget; the Assistant to the President for Domestic Policy; the Assistant to the President for
Economic Policy; the Chair of the Council of Economic Advisors; and the Senior Advisor to
the President for Policy Development.
In addition, the Senior Advisor to the President for Policy Development will lead
interdepartmental working groups which will gather information for, and provide information
to, the Task Force. The working groups, which are working closely with Members of
Congress and their staffs, are comprised of government employees.
While the working groups have begun the process of preparing policy options for
reforming our health care system, their work is an ongoing process. The members of the
Task Force are anxious to hear from knowledgeable and concerned people like you - people
with firsthand experience or particular expertise in the health care field. I am sending your
letters along to the appropriate working group. Again, thank you for your offer of assistance
and your contipued support for the success of our endeavor.
Your positive comments about the President and me are uplifting indeed. Both of us
are committed and more than willing to make whatever sacrifices are necessary as the new
Administration implements its agenda to get our country moving in the right direction again
and make a significant difference for Americans.
Sincerely yours,
�MASSACHUSETTS GENERAL HOSPITAL
DANIEL B. KOPANS, M. 0., F.A.C.R.
Associate Professor of Radiology
Assistant Director of Ambulatory Care Radiology
Director of Breast Imaging
HARVARD MEDICAL SCHOOL
•
Massachusetts General Hospital
Department of Radiology
Boston, Massachusetts 02114
Tel. (617) 726-3093
January 27, 1993
Ms. Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue, NW.
Washington, D.C. 20500
Dear Hillary:
Please forgive my informality. I dated Kit Schneider (Tower Court and Bates) through
most of college. Kit was a good friend of Eldie Acheson and, given the amount of time I
spent at Wellesley, I'm sure we met. Al Gore was a classmate in Dunster House, and
Roger Altman was the goalie on my lacrosse team in high school. Government certainly
seems less abstract as I think back to those days and now see faces from the past at the
pinnacle of responsibility.
I am writing to wish you well in your effort to reform the health care system. As you know,
breast cancer is a major health problem as the leading cause of non-preventable cancer
death among American women. Screening, and access to it, for all women is likely to be
one of the issues that you will consider in your planning. As a leading expert in breast
cancer detection and diagnosis in this country I would be happy and honored to assist you
in any way with questions you may have concerning this important health challenge. The
National Cancer Institute is hosting a meeting next month to review the data on screening.
The issues are complex, and I am enclosing a copy of a letter I wrote to Dr. Bernadine
Healy that addresses a few of the problems.
I admire youP strength and determination. I cannot imagine the pressures that you and the
President are under, but I am impressed by the grace and confidence with which you both
have handled the problems you have faced.
Once again, best wishes. I hope that you will feel free to call on me.
srryours,
'/
'
'i
J
{/\;;;./--~
Daniel B. Kopans, M.D.
�MASSACHUSETTS GENERAL HOSPITAL
HARVARD MEDICAL SCHOOL
DANIEL B. KOPANS, M. D., F.A.C.R.
Associate Professor of Radiology
Assistant Director of Ambulatory Care Radiology
Director of Breast Imaging
I
T
'
•
v.
Massachusetts General Hospital
Department of Radiology
Boston, Massachusetts 02114
Tel. (617) 726-3093
December 2, 1992
Bernadine Healy, M.D.
Director
The National Institutes of Health
Bldg. 1 Room 126
9000 Rockville Pike
Bethesda, Maryland 20892
Dear Dr. Healy:
I am writing in follow-up to a letter that I sent last spring concerning breast cancer
screening. At that time there was a great deal of discussion concerning the anticipated
results of the National Breast Screening Study of Canada (NBSS). As I am sure you are
aware, the results have just been published (1,2) and I understand that the National Cancer
Institute will be convenmg a meeting to review the data to decide whether screening
guidelines should be altered. Since I am not sure that I will be invited, or if invited will be
able to attend, I wanted to express my concerns about this study as well as the 9uestion of
screening guidelines. In case you have not had a chance to reVIew the publications, the
investigators concluded that there was no benefit from screening women 40-49 with either
mammography or physical examination, and that mammography did not add to ehysical
examination screening for women 50-59. This was a large study, and as such is likely to
have significant im.Pact. Unfortunately, there are major problems with the design and
execution of the tnal that raise serious questions about the validity of its results.
MAMMOGRAPHIC QUALITY IN THE NBSS
I have had direct involvement with the NBSS having spent considerable time over the years
with the principal investigators as well as having been asked by them to review the quality
of the mammography with two other radiologists. Our review confirmed that, for much of
the trial, the mammography was of poor quality. The NBSS published the results of our
review (3,4) and this clearly showed that through the fourth year of the trial more than 50%
of the mammographic studies were graded as poor or unacceptable. Since this was a study
purportedly designed to evaluate mammograpby, it is surprismg that the performance of
the test itself had not b.een given priority.
The quality of the mammography had certainly been a concern to outside advisors since the
planning phases of the trial in the late 1970's. Laszlo Tabar, the principle investigator of
the Swedtsh Two County Trial and a leading expert in mammography, had urged that the
NBSS require quality mammograms from the participating centers. He offered to train the
technologists and radiologists (5), but his concerns were ignored and his offer rejected.
Despite the fact that the nurses who performed the clinical breast examinations for the
NBSS underwent special, intensive training (6), there was no training for the technolo~ists
performing the mammograms, and no training for the radiologists who were interpretmg
the images. Furthermore, the sites were permitted to utilize whatever mammo~aphic
equipment they had available, and the quality control monitoring by the NBSS mvolved
primarily the maintenance of low doses. This latter concern meant that scatter reduction
�grids were not employed for much of the trial with the attendant loss of image quality (see
enclosure). Dr. Wende Logan Young (Rochester N.Y) was enlisted as an advisor to the
NBSS. She was concerned about image quality, but was repeatedly denied access to the
images. As a consequence she resigned. Dr. Stephen Fei~ (Philadelphia, PA) was then
brought in as an advtsor. He was permitted to review the Images and expressed his concern
over the poor image quality. When his concerns were ignored he, too, resigned.
Poor image quality reduces the ability to fmd small cancers. Problems found with the
NBSS images included poor exposures, unsharp images, and areas of the breast that were
not even included on the mammogram due to poor positioning. The NBSS's own
"reference" radiologist found that the untrained "Center" radiologists overlooked numerous
cancers. In fact, he reported that 25% of the cancers that were ultimately diagnosed in the
screened group should have been detected on mammograms 1 - 5 years earlier (7). These
were cancers that were visible on the mammograms, but had been missed. There has been
no estimate of how many additional cancers could have been detected earlier if more
breast tissue had been included on the mammograms with better positioning by trained
technologists.
ADVANCED CANCERS AND PROBABLE RANDOMIZATION ERRORS IN TilE
NBSS
There are significant other problems that are apparent in a review of the published data.
What many oo not realize is that the NBSS did not use a blind randomization. In order to
increase the statistical power of the study, symptomatic women were permitted to
participate and allocations occurred after a physical examination. The investigators cannot
explain how, but significantly more advanced cancers (women with positive nodes) were
"randomly" assigned to the screened groups. This disproportionate "loading" of the study
group with women with poor prognoses amounted to a 30% difference in the prevalence
year (at the time of randomization). This difference actually increased over the incidence
years so that for women 40-49 there were, overall, 102 women in the screened group with
positive nodes at the time of diasnosis as compared to 66 women in the control group. This
not only indicates faulty randoiillZation, but tlie fact that the number of excess advanced
cancers increased over the course of the trial rather than converging suggests that the poor
quality of the screen actually resulted in a delay in diagnosis for many of the screened
women. Delayed diagnosis occurs among screened women when they are falsely reassured
by a negative screen. This phenomenon has been documented in a screening program in
Finland (8). When a breast problem occurs between screens they may delay seeking
attention assuming that, since they had had a negative screen, they could not have breast
cancer or they delay seeking evaluation awaiting the next screen. Counterparts in the
control group, without such false reassurance, seek help earlier and are diagnosed sooner
when a problem develops.
The problem of false reassurance would be amplified by poor quality mammography.
Coupling the failure to detect a cancer at a smaller size and earlier stage with false
reassurance and delayed diagnosis could convert a curable cancer into an advanced stage
and incurable process. If the assignment in the NBSS had been random, then there should
ultimately have been the same total number of advanced cancers in each group (assuming
no benefit from screening). Not only were there more in the prevalence year among the
screened women, but rather than decreasing over time, the disparity increased. These
results suggest faulty randomization in addition to poor mammography failing to detect
cancers earlier.
A further suggestion of faulty randomization lies in the observation that, among women 5059, if the women who died from cancers detected in the prevalence year- when faulty
�randomization would have the greatest impact - are eliminated, the mammography group
actually had a 30% reduction in mortality compared to the physical-examination-only
control group over the "incidence" years.
The investi~ators insist that there was no problem with the randomization since there is a
balanced distribution of other demographic factors. What they have ignored is the fact that
a shift of women with advanced cancers to the screened group would not have any impact
on the demo~aphic distribution of the other thousands of women in the study. The fact
that the surv1val for control women 40-49 at five years is 90% when the background survival
for women in Canada is 70-80% at five years suggests that some of the advanced cancers
may have been shifted to the screened group proaucing an abnormally high survival rate
among the controls.
WHY WAS CANCER SIZE DISTRIBUTION IN THE NBSS NOT REPORTED ?
The excess of advanced stage cancers in the screened women was even ~eater than
reported by the investigators. It is extremely unusual that the authors d1d not include the
size distribution of the cancers in this trial. Based on their previous presentations at
meetings, the number of advanced cancers in the screened group was much greater than
the papers would indicate. Instead of the 49% stage ll implied by nodal status alone
among women 40-49, 65-75% of the cancers eventually "detected" by their poor quality
screen were stage ll or worse if size is included. Such a high percentage ofadvanced
cancers would confirm the poor quality of the screen.
ASCERTAINMENT OF MORTALITY AMONG CONTROL WOMEN
Another possible reason for the apparent high survival rate among the controls may lie in
ascertaimng cancer deaths among these women. The investi~ators have no direct follow-up
of the control women, but must rely on linkages to other national databases to try and
determine who has died, and what were the causes of death. Either their control group has
an exceptional and inexplicable survival record, or there has been a transfer of advanced
cancers from the screened group to the controls, or they have under-ascertained deaths
among the controls.
WHY VAUDITY FOR 40-49 AND NOT 50-59?
The poor quality of the mammo~aphy in this trial is reflected in the fact that it did not
even show the benefit for scree~ women 50-59 with mammography that other programs
have clearly demonstrated. I find 1t surprising that Prof. Miller stated on Canadian
television that he would, nevertheless, recommend women 50-59 be screened because other
studies have shown this to be efficacious. H the quality of the mammography was so poor
that it is not valid for "older women", where mammography is more sensitive and specific,
how can we expect it to have any validity for younger women?
"BUT IT'S A LARGE STUDY"
Those who insist that the size of the study eliminates the major problems with its design
and execution fail to understand the importance of the technical issues involved in
mammography screening. The enclosed example demonstrates the difficulty in perceiving
a large cancer with poor mammography. Perceiving small cancers would, obviously, be
even more difficult. A large number of poor quality mammograms is no better than a small
number of poor quality mammograms. It merely means that more cancers will not be
detected at an earlier stage. Enormous time, effort, and resources were spent on the NBSS
and it is truly unfortunate that the results have little validity given the basic and critical
�---
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flaws in this study, but these flaws were pointed out repeatedly since the outset and were
ignored by the investigators. It would mlly compound these errors if the results are used to
withdraw support for screening women 40-49.
IS THERE A BENEFIT FROM SCREENING WOMEN 40-49 ?
Those who oppose screening women 40-49 cite the lack of data to demonstrate an absolute
benefit for these women. This is a specious and disingenuous argument. What they neglect
to acknowledge is that no studies have been properly designed (with the appropriate
statistical power) or executed (appropriate image quality, screening interval, and
interpretive expertise) to answer this question. With the exception of the NBSS, all the
other studies have been retrospectively stratified by age, and fiave lacked the statistical
power and study design to even address the _question. Even the NBSS was designed with a
statistical power that could only detect a 40% or greater benefit and this is larger than
should have been expected. Furthermore, 25% of the "control" women 40-49 underwent
mammograph}' further illluting the power of the study. Their analysis actually comes too
soon with insufficient follow-up.
In fact there are data that show that there is benefit from screening younger women. This
was seen in the Health Insurance Plan of New York study (9) where there were 25% fewer
deaths in the screened women age 40-49. A recent analysis of all the Swedish screening
programs is now showing a 13% mortality reduction for women 40-49 even thouJdt the
screens were not optimized for these women. The curves appear to parallel the lnP results
(10). The benefit for younger women does not appear as qwckly as for older women. This
is likely due to the fact that breast cancer is not as rapidly fatal among younger women
(11). It takes 7-8 years before deaths among the unscreened women begin to exceed the
controls. This "delayed" benefit is no less important merely because it does not occur
immediately. It is a reflection of the fact that mammographic screening and earlier
detection can down-stage cancers among women at all ages, and this translates into
deferred mortality.
SCREENING INTERVAL
Screening guidelines for women 40-49 should be modified. The option of mammography
every 1-2 years should be changed to annual screening. The present guidelines are the
result of a "political" decision made in the early 1980's. As a response to the varied, and
sometimes conflicting guidelines that were promulgated by various medical organizations
that were confusing women and their physicians, a consensus meeting was held. A few
organizations, including the NCI, did not want to support any mammographic screening for
women 40-49. In order to produce a consensus, and despite concerns raised by many of us
who had studied the questton, the compromise of every 1-2 years was reached. The
available data suggest that mammography can detect breast cancer, on average, 2 years
before a woman m her forties will feel the tumor (12,13). A two year interval between
screens means that screening will detect the cancer at about the time the woman will feel it.
Thus, a two year screening interval will only slightly advance the time of detection. If we
are going to expend the effort and resources to screen women in their forties, they should
be screened every year.
I know that there are those at NCI who have been waiting for the results of the NBSS to be
made public so that those data can be used to withdraw support for screening women 4049. There may be legitimate economic arguments to do so, but opponents of screening
�-~---
- - - -- - - - - - -
-
---
---~----
should not invoke ..science.. as having not shown benefit. Until biostatisticians can devise
faster, more valid methods, the randomized controlled trial is the only method we have for
assessing the question of efficacy. However, simply because a study is randomized with
controls does not guarantee its validity. One cannot merely put women into the front end
of a trial and expect that, since it is ..scientific.., what comes out the end is ..truth... The
parameters of the performance of the trial are critical to the validity of the results.
There are legitimate concerns over the cost of screening, but before we decide not to
screen because it is too expensive, we should develop more efficient and cost effective
approaches as long as they do not compromise earlier detection.
Thank you for taking the time to read these comments. If you have any questions please
don't hesitate to call me.
Wif.
~el
B. Kopans, M.D.
cc.
Peter Greenwald, M.D.
Vivian W. Pinn, M.D.
Samuel Broder, M.D.
Senator Albert Gore
References
1. Miller AB, Baines CJ, To T, Wall C. Canadian National Breast Screening Study: 1.
Breast Cancer Detection and Death Rates Among Women Aged 40-49. Can Med Assoc J
1992;147;1459-1476.
2. Miller AB, Baines CJ, ToT, Wall C.Canadian National Breast Screening Study:2.
Breast Cancer Detection and Death Rates Among Women Aged 50-59. Can Med Assoc J
1992;147;1477-1594.
3. Baines CJ, Miller AB, Kopans DB, Moskowitz M, Sanders DE, Sickles EA, ToT, Wall
C. Canadian National Breast Screening Study: Time-related changes in Mammographic
Technical Quality- An External Review. AJR 155:743-747, October 1990.
4. Kopans DB. The Canadian Screening Program: A Different Perspective. AJR 155:748749, October 1990.
5. Personal communication from Laszlo Tabar, M.D.
6. Miller AB, Baines CJ, Turnbull C. The Role of the Nurse-Examiner in the National
Breast Screening Study. Can J Public Health 1991;82:162-167.
7. Baines CJ, McFarlane DV, Miller AB. The Role of the Reference Radiologist.
Estimate of Inter-Observer Agreement and Potential Delay in Cancer Detection in the
National Breast Screening Study. Invest. Radiology Vol. 25. 1990:971-976.
8. Joensu H, Klemi PJ, Tuominen J, Rasanen 0, Parvinen I. Breast Cancer Found at
Screening and Previous Detection by Women Themselves. Letter to the Editor Lancet
1992;339:315.
9. Shapiro S, Venet W, Strax P, Venet L Periodic Screenin\{ir Breast Cancer: The
Health Insurance Plan Project and its SeQ.Uelae. 1963-1986.e Johns Hopkins University
Press, 1988.
10. Tabar et al in Press. Data presented at the Swedish Medical Society Meetings Nov. 26,
1992.
11. Adami H, Malker B, Holmberg L, Persson I, Stone B. The Relation Between Survival
and Age at Diagnosis in Breast Cancer. New Engl. J. Med. 1986; 315:559-563.
--
�12. Moskowitz M. Breast Cancer: Age-Specific Growth Rates and Screening Strategies.
Rad. (1986) 161:37-41
13. Tabar I., Faberberg G, Day NE, Holmberg L. What is the Optimum Interval Between
Mammographic Screening Examinations? - An Analysis Based on the Latest Results of the
Swedish Two-county Breast Screening Trial. Br. J. Cancer 1989,55:547-551
�------------
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------,
THE WHITE HOUSE
March 31, 1993
Jack B. McConnell, M.D.
Volunteers in Medicine Clinic
P. 0. Box 23287
Hilton Head Island, South Carolina 29925
Dear Jack:
Thank you for your letter to follow up on our conversation at
Renaissance Weekend. The President and I really appreciated your
sharing the concept and practice of the Volunteers in Medicine
Clinic. I am pleased to receive the additional infonnation provided
in your letter and have passed a copy of it along to the Task Force.
The President is committed to reforming our nation's health
care system -- controlling runaway costs and providing security to
every American family. It won't be easy and it won't happen
overnight, but we can bring costs under control while maintaining
quality medical care and preserving the choice so important to us all.
Again, thank you for your suggestions and for your continuing
support as we develop solutions to this incredibly complex issue.
Sincerely yours,
�VOLUNTEERS IN MEDICINE CLINIC
P. O.Box 23287
Hilton Head Island, South Carolina 29925
Telephone 803 681-6612 Fax 803 681-66J.I
February 5, 1993
Ms. Hillary Rodham Clinton
The White House
Pennsylvania Avenue
Washington, DC
Dear Hillary,
Pursuant to your new assignment in the health care field, I wish to update you on an idea
we discussed at the Renaissance Weekend over New Years, in which you seemed to be
interested.
You may recall that I visited briefly with Bill, and then with you (inexplicably calling you
Valerie) at the recent Renaissance Weekend on Hilton Head. I was introducing the two of
you to the Volunteers in Medicine Free Clinic which a group of retired professionals on
Hilton Head are developing.
Our Mission is to understand and serve the health and wellness needs of the medically
underserved population segments who live or work on Hilton Head Island using the
retired health care professional community to staff the clinic.
Our scope of services includes the following: primary health care, physical examinations,
inoculations, special disease diagnostics and treatment clinics, target-community medicine,
pre-natal and well baby clinics, and consultation on the wellness issues of the target
population. Screening and referrals to the more comprehensive medical and social
resources of the island and county, when necessary, are primary functions of the Clinic.
.
In the course of this we will be addressing three questions:
•
Do the retired physicians, nurses and dentists represent a new and untapped
resource for the delivery of no-cost/high-quality medical care?
•
What must a community or State do to facilitate the development of a clinic using the
retired professionals?
•
What difference in health and wellness can we demonstrate in the target population by
our efforts?
A Not-For-Profit Clinic No"' Being Established for the MedicaUy Undersened on Hillon llead Island
�--------- .--------
As I mentioned to you and Bill, essentially as many physicians retire as enter medical
school each year. If we can provide the proper environment for them to donate their
services free of charge in a not-for-profit clinic, we could, in four yours, have as many
physicians providing free care as are now training in the medical schools.
Since the inception of the idea a year ago we have:
•
Incorporated
•
Obtained a 501(c)(3) designation (in six weeks)
•
Obtained malpractice coverage for the health care professionals donating their time
•
Obtained a grant of $50,000 from the Robert Wood Johnson Foundation for the
development of the project
•
Encouraged the 1992 South Carolina General Assembly to pass an amendment
directing the Board of Medical Examiners to promulgate regulations leading to the
creation of a "Special Volunteer License" (which I believe to be the first in the United
States) for physicians wishing to donate their services free of charge in a not-for-profit
clinic.
o
Structured an Honorary Board and Operating Board of outstanding citizens from the
Town ofHilton Head and across the state.
During this same time we have recruited 44 Physicians, 55 Nurses, 8 Dentists, 2
Chiropractors, and 2 Nutritionists all of whom are residents ofHilton Head Island.
While we have a large number of retired medical personnel on Hilton Head Island, we are
developing the program so that a free clinic can be developed anywhere using only one
physician and one nurse providing malpractice coverage, a special volunteer license, a
facility, and funding (by local community) are made available.
The Town ·council of Hilton Head has just voted to provide a 1.1 acre piece of land for
the siting of our free clinic. Design plans are now underway and we hope to be open by
early fall.
Not a dime of Federal, State, County, or Local Government funds has been involved,
with the exception of the grant of land. It is an idea that started from a need and
developed by ordinary citizens in response to that need.
�Hillary, I hope you have forgotten my calling you "Valerie", but I hope you have not
forgotten the idea I presented. I feel strongly that we must ask more of all sectors of
society, especially the recently retired. We are able, experienced, mature and, for the most
part, willing to give back to society some of that which has been given to us.
I have provided you only a brief description of the Volunteers in Medicine clinic. If you
would like to know more, please let me know and we will provide whatever you want or
need.
Our best wishes to you in your attempt to reorganize our health care system.
Sincerely yours,
~B~MD.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004a. letter
DATE
SUBJECTfi'ITLE
Hillary Clinton to George H. Bergdoll. [partial] (1 page)
03/3111993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence (3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Act- (44 U.S.C. 2204(a))
Freedom of Information Act- (S U.S.C. SS2(b))
PI National Security Classified Information ((a)(l) of the PRA)
P2 Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commereial or
financial Information ((a)(4) of the PRA)
PS Release would diselose confidential advice between the President
and his advisors. or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) ofthe FOIA)
b(2) Release would disclose Internal personnel rules and practices of
an agency ((b)(2) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
Information ((b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) ofthe FOIA)
b(8) Release would disclose Information concerning the regulation of
finaneial institutions ((b)(8) of the FOIA)
b(9) Release would diselose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
I
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THE WHITE HOUSE
March 31, 1993
George H. Bergdoll
,
Director of Development
and Public Relations
United Methodist Family Services
3900 West Broad Street
Richmond, Virginia 23230
Dear
George:
I am grateful for your affirmation of my role in tackling the
health care issue. The President is committed to reforming our
nation's health care system- controlling runaway costs and
providing security to every American family. It won't be easy and it
won't happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
We will appreciate your continuing support as the new
Administration develops solutions to the incredibly complex issues
before us.
Sincerely yours,
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004b. letter
SUBJECTffiTLE
DATE
George H. Bergdoll to Hillary Clinton. [partial] (1 page)
02/10/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Reeords Act - (44 U.S.C. ll04(a))
Freedom of Information Act- (5 U.S.C. 552(b))
PI National Seeurity Classified Information ((a)(l) of the PRA)
P2 Relating to the appointment to Federal office ((a)(l) of the PRA]
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade seerets or confidential commercial or
fmancial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA]
b(l) National security classified information ((b)(l) of the FOIA]
b(l) Release would disclose internal personnel rules and practices of
an agency ((h)(l) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or fmancial
Information ((h)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((h)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal reeord misfile defined in accordance with 44 U.S.C.
ll01(3).
RR. Document will be reviewed upon request.
�.._..
,.
.....
..... ,.
/~-;.,
United Methodist Family Services
3900 West Brood Street. Richmond. VA 23230
FAX (804) 355-2334
(804) 353-4461
SINCE 1900
February 10, 1993
Mrs. Hi 11 ary Rcdham Clinton
The White Hause
1600 Permsylvania Avenue
washinqtcn, IX: 20500
It is great to kna.i' that you are dimcting the efforts of the new
National Health Pl:OCJLam. The country is very fortunate to have you in such an
iDpartant position. One of the areas that is of gmat concem is health em
far yamg people just out of high school, or college, who can not afford
health benefits.
1/
i
I
I
I am DDSt illpressed with the way Bill has handled
issues sillce heccmi ng Pl:esident.
SCDe
very difficult
I will keep you advised on the elderly project which includes the day ·
care center. You kna.i' of nw willingness to serve on airJ carmi.ttees that would
be of benefit to you, or Bill, dealing with children or elderlyissues.
The country is very fortunate to have the Cl.intons in the White Bouse at
this time.
GBB/tjp
UMFS Tidewater Reglonol Center
715 Boker Road, Suite 201. Virginia Beach, VA 23«l2
(804) 490-9791
UMFS Northern Vlrglnla Regional Center
6335 Uttfe River Turnpike, Alexandria, VA 22312
(703) 941-9008
�----- - - -
THE WHITE HOUSE
WASHINGTON
March 31, 1993
Ark Monroe, ill, Esquire
Mitchell, Williams, Selig,
Gates & Woodyard
320 West Capitol Avenue, Suite 1000
Little Rock, Arkansas 72201-3525
Dear Ark:
Thank you for forwarding to me the resume of Paul W. Willihnganz for participation
in the Health Care Task Force. The Task Force includes the Secretaries of the Treasury,
Defense, Commerce, Labor, Health and Human Services, and Veterans Affairs; the Director
of the Office of Management and Budget; the Assistant to the President for Domestic Policy;
the Assistant to the President for Economic Policy; the Chair of the Council of Economic
Advisors; and the Senior Advisor to the President for Policy Development.
In addition, the Senior Advisor to the President for Policy Development will lead
interdepartmental working groups which will gather information for, and provide information
to, the Task Force. The working groups, which are working closely with Members of
Congress and their staffs, are comprised of government employees.
While the working groups have begun the process of preparing policy options for
reforming our health care system, their work is an ongoing process. The members of the
Task Force are anxious to consult with knowledgeable and concerned people. I am directing
a copy of your letter with the attached letters and resume to the appropriate working group.
The President and I will appreciate your support for the success of our endeavor. He
is committed to reforming our nation's health care system-- controlling runaway costs and
providing secqrity to every American family. It won't be easy and it won't happen
overnight, but we can bring costs under control while maintaining quality medical care and
preserving the choice so important to us all.
Perhaps our paths will cross at sometime while you are working in Washington.
Sincerely yours,
I
I
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- - -----
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LAW OFFICES
MITCHELL, WILLIAMS, SELIO, GATES
& WOODYARD
320 WEST CAPITOL AVENUE, SUITE 1000
l.rrri.E Roox, .ARKANsAS 72201·3525
TELEPHONE 501-688-8BOO
TELEPAX 501-688-8807
1420 NBW YoBX AVEN1J'1!, N.W, StnTB 7t10
WASHINGTON, D.C. 2000tl-2122
T~HONE202~7~00
TELBFAX 202~7-7tl00
ARK MONROE, Ill
OIRECT
CIA~
501·688·8833
100 WJ!Hr CENTRAL AVENUE
POST OPPlCE Box 6tl8
BENTONVILLE. ABx.ufBAS 72712-oBt\8
T~HONE tl01·273-9t161
TELBFAX ti01·27IJ.Ot127
February 1, 1993
IBI~I&:::::::I::::::::a&IIBUI
Mrs. Hillary Rodham Clinton
The White House
1600 Pennsylvania Avenue, NW
Washington, D.C. 20500
Dear Hillary:
Congratulations on agreeing to head the task force on
health care reform for the administration. I remember quite well
our discussion on this subject back in August of 1991 at the
National Governors• Association conference. It seems like that
was the last time we had a chance to visit at any length before
the campaign began. Nancy and I had a wonderful time at the
inauguration and appreciate all that you did for us during that
week.
I am enclosing a resume that was forwarded to me by
Donna Mundy, a close friend from Portland, Maine, regarding Paul
w. Willihnganz who has an interest in working with Judy Feder on
the health care reform. I am also enclosing information
regarding his background. If I can supply additional
information, please let me know. Thank you for your
consideration of this recommendation.
I look forward to seeing you soon. I am spending a
great deal'of time in Washington because I am currently
representing the District of Columbia Insurance Superintendent
regarding his supervision of the Blue Cross and Blue Shield plan
in the District of Columbia. If you ever need to get in touch
with me, you can reach me at my office in washington.
Sincerely,
Ark Monroe, III
TAM:la
Enclosures
cc: Donna T. Mundy
---.
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••
,/
1.
Paul W. Willihnganz
Attorney at Law
5214-F Diamond Heights Blvd., Suite 601
San .Francisco, California 94131
Telephone (415) 206-9229
Facsimile (415) 206-0414
December 9, 1992
PERSONAL
Ms. Donna Mundy
Vice President, External Affairs
UNUM Life Insurance Company of America
2211 Congress Street
Portland, Maine 04122
Dear Donna:
It was good talking with you, and.! really do miss
Sugarloaf.
I sincerely appreciate your willingness to serve as a
reference in my quest, and your offer to contact the Mitchell law
firm in Little Rock on my behalf.
Along with the resumes you requested, I am enclosing a copy
of my letter to Senator Mitchell that summarizes my goals, his
reply letter and his letter to Judy Feder recommending me.
Together with your recommendation, I would appreciate any
information you can provide regarding UNUM's position and
industry positions on the new Administration's health care reform
agenda.
Again, many thanks.
You are a true F.O.P.
Very truly yours,
Paul
w.
Willihnganz
�I. ..
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. ,.
I
Paul W. Willihnganz
I
55 Ora Way, Apt. B-108
San Francisco, California 94131
Home: (415) 282-7143
Office: (415) 206-9229
November s, 1992
PERSONAL
The Honorable George J. Mitchell
Majority Leader's Office
United States Senate
Washington, DC 20510
Dear Senator Mitchell:
I once told you I wanted to serve in government someday-after Joseph and Heather finished college (now done) and
when there is a real need I could fill.
With the election of Bill Clinton, the need is there and
"someday" is now. I would like to join the Clinton team.
I know the health insurance industry from the inside, and
I share Governor Clinton's conviction that our health
care system needs fundamental change. I could help shape
that change and enlist the support of the key players--or
take them on if need be. With my business and legal
background, I could work effectively with the insurance
industry, the health care industry and the trial lawyers.
And I would enjoy working with you, your staff, and my
Georgetown Law classmate Mickey Kantor.
If you would recommend me to President-elect Clinton or
put me in touch with the appropriate people on his
transition team, I would be most grateful.
Hope to see you in Washington.
Sincerely,
Paul
w.
Willihnganz
�.. . ..
Gr:ORGE J. MITCHEll
'·
• MAINE
1lnittb jltattl jtrnatt
$fhtt of tbt .fl\aioritp lrabu
•••b•n~ton,
Ja( 205\o-7010
November 25, 1992
Mr. Paul Willihnganz
55 Ora Way, Apt. B-108
San Francisco, CA 94131
Dear Paul:
Thank you for informing me of your interest in serving with
the Clinton-Gore administration. My colleagues in Congress and I
are looking forward to working with the new Administration to
produce real and positive change.
I have personally forwarded your resume and expressed your
interest in serving with the new Administration to Judith Feder,
Director of Health Policy for the transition team. Enclosed
please find a copy of my letter to Ms. Feder for your
information.
Again, thank you for your letter and for your interest in
serving with the new Administration. I hope that my efforts on
your behalf prove helpful in the weeks ahead.
Si~
George J. Mitchell
•
�' •'GEOA'Ge J. MITCHELL
MAIN I
11niteb litatel lienate
emcc of tbc jlajaritp lcabcr
•••bia;aon,
•~
205\o-7010
November 24, 1992
Ms. Judith Feder
Director for Health Policy
Presidential Transition Office
P.O. Box 8086
Little Rock, AR 72203
Dear Judy•
Congratulations on your appointment to the Clinton-Gore
transition team. As you know, you and your colleagues have an
extremely important task before you in seeking individuals who
possess the talents, abilities and dedication necessary to
effectively serve with the new Administration and to work for
real change in America.
As you continue moving into the transition period, I would
like to recommend to you such an individual, Mr. Paul
Willihnganz. Paul has expressed to me his interest in serving
with the Clinton administration, and I believe he could provide
valuable insight and expertise on the health care and health
insurance industries .
.I have known Paul for many years and not only have the
highest regard for his integrity, but I also know he is firmly
committed to President-Elect Clinton's vision of a fundamentally
reformed health care system. I have enclosed Paul's resume for
your information, and would welcome the opportunity to provide
additional thoughts on his qualifications. Please don't hesitate
to call me should you feel this necessary.
·-- --·
•
~Y·~c£/
George J. Mitchell
�'
•
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•
•
PAUL W. WILLIHNGANZ
55 Ora Way, Apt. B-108
San Francisco, California 94131
Home: (415) 282-7143
Office: (415) 206-9229
Fax: (415) 206-0414
April 1992-Present
LAW OFFICES OF PAUL W. WILLIHNGANZ
San Francisco, California
Counsel life insurance companies (including my former employers, American General and UNUM) regarding
legislative, regulatory and risk management matters related to life and health insurance. Represent clients in
_litigation. Serve on the California Insurance Commissioner's Advisory Task Force on Unfair Claims Practices.
Although I am extremely busy with profitable legal work, it was never my intention to have a limited private
practice-something I left behind years ago. I would now like to use my background as a senior executive in the
life insurance industry to help the Clinton administration attack and resolve America's health care crisis.
April1991-April1992
KORNBLUM, FERRY & FRYE, P.L.C.
San Francisco, California
Shareholder
While serving as General Counsel of American General Life Insurance Company, I was invited to become a senior
shareholder of this San Francisco based, 33 lawyer insurance litigation firm. I accepted because the position offered
an attractive challenge, a substantial increase in compensation, and an opportunity for equity participation in a
growing, prosperous firm representing some of the country's leading insurers. Although I accepted this offer in
December 1990, we agreed that I would delay joining the firm until April1991 in order to give Bob Devlin, my
CEO at American General, time to conduct a search for my successor.
When I arrived in April, things bad changed. A serious rift bad developed between principals Kornblum and Frye.
Mr. Frye left in August, taking lawyers and clients with him. This produced financial problems which caused more
lawyers to leave; this in turn created client service problems. I did what I could to help, bringing in new clients and
working the litigation I bad been hired to manage. By year end, however, the firm had shrunk to 15 lawyers-with
fixed overhead for 40-and it was clear that my own efforts could not solve the firm's problems. Concerned about
my clients, especially my fonner employers whom I had brought to the firm, I concluded that it was not in their
best interests or mine to stay with the finn. I left, and so did they. Because Bob Devlin had hired my successor at
American General and I bad a personal client following, I decided to establish my own practice.
1988-1991
AMERICAN GENERAL LIFE INSURANCE COMPANY
Houston, Texas
Senior Vice President, General Counsel & Secretary
Recruited as chief legal officer for the $5 billion Houston-based life insurance subsidiaries of American General
Corporation, one of the nation's largest financial services holding companies. As one of six members of the Senior
Management Team reporting to President and CEO Robert M. Devlin, I actively participated in planning and dayto-day management of the company. As General Counsel, I directed the full range of legal and government
relations services needed by the company, managed a 17 person Law Department with a budget of $1.6 million,
and managed all outside counsel~th directly and through staff. Some highlights:
�. •'
. ..
Cost4ectiveness: Improved the quality and effectiveness of a downsized Law Department through
restructuring, staff changes, work elimination, computer technology and a strong emphasis on projects directly
supporting business objectives. Despite a bigger law department role in company operations and a more aggressive
litigation stance, better expense management held total legal costs per million dollars of revenue to
$2,623-approximately 62% of the industry average per Cantor & Co. Survey of Corporate Law Departments.
Litigation: Achieved excellent results in high risk litigation, including defense verdicts in multi-million
dollar punitive damage trials in Texas and California. In my first full year, we closed 20 cases with claims totaling
$95 million, plus a Texas discrimination suit claiming $1 billion, for total loss payments of only $19 thousand.
Regulation: Obtained a reversion of $1.6 million in plan assets for the company upon terminating a
defined-contribution retirement plan for General Agents and Managers. We persuaded the IRS, on a question of
first impression, that the company was entitled to a reversion of the present value of an erroneous contribution
made to this plan by the company ten years previously.
Competition: Personally renegotiated American General's contract with the State Bar of California to
retain our position as underwriter of the State Bar Approved Life Insurance Program (20,000 participants, $12
million annual premium, and $2 billion insurance in force) after a competitor cballenged our position.
Conservation: Reorganized the faltering Separate Accounts of Cal-West Life (a subsidiary) into a unit
investment trust. obtaining SEC and insurance department approvals and a favorable proxy vote of over 1,500
participants. This allowed us to retain major clients such as the California State Employees Association and save
over $100,000 annually in administrative costs.
Litigation avoidance: After a corporate decision to tenDinate the company's managerial distribution
system, worked with Marketing to design and implement a successful transition without triggering any litigation.
Strategic support: Successfully implemented the strategic divestiture of marginal individual health and
disability business through assumption reinsurance, thus reducing claims staft: sharpening the company's strategic
focus on interest-sensitive life and annuity products, and increasing our competitiveness in our chosen market
Government relations: Served on the Executive Committee of the American General Corporation
Political Action Committee, the Board of Directors of the Association of California Life Insurance Companies, and
the Legislative Action Committee of the Texas Life Insurance Association. Chaired a working group of the
American Council of Life Insurance task force developing recommendations on assumption reinsurance for the
National Association of Insurance Commissioners; guest lecturer on this subject at an NAIC Annual Meeting.
1977-1988
UNUM LIFE INSURANCE COMPANY
Portland, Maine
Second Vice President and Counsel
UNUM, the nation's 17th largest life insurer (assets $9 billion), is the successor to Union Mutual Life Insurance
Company, the first major mutual company in the United States to demutualize and convert to public ownership
(NYSE 1986). UNUM is the largest provider of group long-term disability insurance in the U.S. and the U.K.
'87
Second Vice President & Counsel: Claims & Litigation
Created and headed UNUM's first centralized litigation management team (7 lawyers and
support staft) which directed all UNUM litigation. Developed and implemented a new litigation strategy which
brought more litigation functions in-house, reduced aggregate company exposure by $20 million in one year, and
established favorable legal precedent on the application of ERISA to employee group insurance. Achieved excellent
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005. resume
DATE
SVBJECffi'ITLE
Paul W. Willihnganz [partial] (1 page)
[none]
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a))
Freedom of Information Act -IS U.S.C. SSl(b))
PI National Security Classified Information )(a)(l) of the PRA)
P1 Relating to the appointment to Federal office ((a)(l) of the PRAJ
P3 Release would violate a Federal statute )(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information )(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRAJ
b(l) National security classified Information [(b)(l) ofthe FOIAJ
b(l) Release would disclose Internal personnel rules and practices of
an agency l(b)(l) of the FOIA)
b(3) Release would violate a Federal statute l(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or fmancial
Information )(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted Invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose Information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose Information concerning the regulation of
financial institutions l(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells l(b)(9) of the FOIA)
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record minde defined In accordance with 44 U.S.C.
1101(3).
RR. Document will be reviewed upon request.
�. ,.
.,
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results in litigated cases. Developed a computerized management information system for litigation.. Member of the
management team of the Legal and External AJfairs Division (59 people, budget $7 million), in charge of
recruiting. budgeting, and computer systems for the Division.
'84
Second Vice President & Counsel: Employee Benefits & Reinsurance Division
Chief counsel, with a staff of 6 lawyers. for UNUM's largest operating division. Planned and
directed a tax issue management program which enabled UNUM to establish a leadership position in the flexible
benefits market Key member of a risk management task force which significantly improved benefit loss ratios
without materially increasing legal risk. My staff and I managed all group insurance and reinsurance litigation
with excellent results. Through legal judgments on a crucial "prohibited transactions" question, I helped UNUM
accomplish its landmark demutualization. Member of the Legal and External A1fairs Division management team.
'80
Second Vi6:e President & Counsel: Personal Financial Servkes Division
As chief counsel for this newly formed profit center, I recognized the strategic need for an
amendment of the Internal Revenue Code to permit tax-free exchanges of Union Mutual whole life policies for new
universal life policies being issued by our stoCk subsidiaries, and I initiated the action by Senator George Mitchell
which brought this about I planned the legal as~ of the termination of UNUM's general agency system and
managed the resulting litigation; the result was a net 10-year saving in distribution costs of over $50 million.
'77
Assistant Counsel, Insurance Operations
Primary legal adviser to the Marketing, Product R&D. Corporate Communications, Underwriting
and Administrative areas of the Company before its restructuring into divisional profit centers.
1969-1977
'74
TRIAL LAWYER
San Diego, California
Wll.LmNGANZ, MANNING & SUDMAN
Partner: Insurance law and litigation
'71
BRUNDAGE, WU..LIAMS & ZELLMANN
Partner: Insurance, product /lability and personal injury litigation
'69
moos. FLETCHER & MACK
Associate: Insurance defense and coverage litigation
1967-1968
1959-1967
BYDROTRONICS DIVISION, DATA-DESIGN LABORATORIES
Falls Church. Virginia
Program Manager & Contracts Administrator
UNITED STATES NAVY
Destroyer and submarine officer; Program Manager, Submarine and Nuclear Power Training, Washington, D.C.
Secretary of the Navy Commendation for Achievement in submarine training program management
EDUCATION:
PERSONAL:
Georgetown University Law Center, JD 1968
University ofNotre Dame, B.S.M.E. 1959
�-- - - - - - - --- - - - - - , -
• ·
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' ' HEALTH CARE TASK FORCE SORTING SHEET
'IYPE OF MATERIAL:
_o.meral mail
_P81'801U11 stories
_Letterhead
_Offers to help
_Letter Campaip
_PoUcy
_C888WOI'k
~oyment
_Advocacy
ExpbmaUmM.__________________________________
_Requesta
-sPeech
-meeting
·_Other
~-r------------
v.r· p. '
ADVISORY PANEL?
_r.u.
_other h8alth provider
·~
_..,._emplo~
small busines&
~
other OOD81Diler&
fee~
f,-.m L.~ /(.
pmMARY INTEREST:
COST ISSUES
_Drag Prices
_PUBUC BEALTBJSPECUL POPULATIONS
Prevention
-~cbm.Fees
AIDS
Women's Health
_Hospital Fees
_
UDDecB8881'7 Procedures
_Medical Equipment
Fraud and Ab1188
Immunizations
Rural
U:rban
COVERAGE
_
Wo~ Families
_Unemployed/Low Income
Benefits
Providers
ORGANIZATION
hun:arance Premiums
hun:arance Reform
hun:arancePools
_Boards and Ovendpt
GOVERNMENT PROGRAMS
Medicare
Medicaid
Veterans
DoD
_INFRASTRUCTURE/WORKFORCE
_
Quality A&surance (Guidelines)
_Administration, RelmbU1'11811lent
& Patient Information 8)ratems
_Malpractice & Tort Reform
_
Manpower Issues
LONG-TERM CARE
MENTAL HEALTH
FINANCING
<'l'nlnina>
OTHER
ExpbmaUom.____________________________________________________
PLAN PREFERENCE: (Support=+; Oppose=-)
CP
SP
OP
CUnton Plan
Single Payer
Other Plan
MC
PP
CV
Managed Competition
Pay or Play
Credits, Vouchen,
Medical Savinp Aoots.
CA
BR
GE
Canadian
British
German
�----\·
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' '
THE WHITE HOUSE
WASHINGTON
March 31, 1993
Sam Boyce, Esquire
Boyce Law Firm
Post Office Box 38
Newport, Arkansas 72112-0038
Dear Sam:
Thank you for recommending your friend, Vivian Riefberg, for work with the Health
Care Task Force. The Task Force includes the Secretaries of the Treasury, Defense,
Commerce, Labor, Health and Human Services, and Veterans Affairs; the Director of the
Office of Management and Budget; the Assistant to the President for Domestic Policy; the
Assistant to the President for Economic Policy; the Chair of the Council of Economic
Advisors; and the Senior Advisor to the President for Policy Development.
In addition, the Senior Advisor to the President for Policy Development will lead
interdepartmental working groups which will gather information for, and provide information
to, the Task Force. The working groups, which are working closely with Members of
Congress and their staffs, are comprised of government employees.
While the working groups have begun the process of preparing policy options for
reforming our health care system, their work is an ongoing process. The members of the
Task Force are anxious to consult with knowledgeable and concerned people. I am directing
a copy of your letter and her resume to the appropriate working group.
Again, thank you for your recommendation and especially for your continued personal
support for the success of our endeavor.
Sincerely yours,
lcAll~
Hillary
Rodhajn Clinton
�'
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BOYCE LAW FIRM
307 MAIN STREET
SAM H. BoYCE
HENRY H. BOYCE
PosT OF'F'ICE Box 38
NEWPORT. ARKANSAS 72112-0038
NEWPORT OFFICE
(501) 523-3626
FAX (SOl) 523-4839
BETTY BUTLER
JONESBORO OFFICE
PARALEGAL
(501) 932-7189
TOLL-FREE 1-800-794-2850
February 4, 1993
Ms. Hillary Rodham Clinton
White House
Washington, D. C. 20500
Dear Hillary:
I am enclosing a resume for a dear friend of mine, Vivian
Riefberg, who has enormous abilities plus a desire to work in
the health care field for the Clinton Administration. I am
sure that you can tell from her resume that she has extensive
abilities in public relations as well as health care.
Vivian and her husband, John Ashford, have been close friends
of mine for several years; and I sincerely believe she would
be of great assistance to you in carrying out the health care
initiative.
Our thoughts and prayers are with you and the President
during the harsh weeks of a new administration, and you know
any assistance that I can offer is yours for the asking.
With warmest personal regards, I am
Sin~ yours
....... ~
-·~Boyce
SB/sc
�r
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
006. reswne
DATE
SUBJECTfi"ITLE
Vivian Riefberg [partial] (1 page)
[none]
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Aet -144 U.S.C. ll04(a))
Freedom of Information Aet -IS U.S.C. SSl(b))
Pl National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(l) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) ofthe PRA)
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(l) Release would disclose Internal personnel rules and practices of
an agency ((b)(l) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information ((b)(4) of the FOIA)
b(6) Release would constitute a dearly unwarranted Invasion of
personal privacy ((b)(6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose Information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misflle defined in accordance with 44 U.S.C.
ll01(3).
RR. Document will be reviewed upon request.
- - - - --------~----------~
�. - ·--
(ooc, 1
~es~onalExperten~
McKINSEY&. COMPANY, Management Consulting. Washington, DC
Member, Healthcare Practice
1991-present
Engagement Manager Direct all aspects of analysis and manage client and consulting finn
resource allocation for major client studies. Complete written reports and present findings to senior
client executives. Counsel senior executives on a full range of management issues. Studies focus on
strategy and operations management for leading health care participants:
.
• Developed 3-5 year strategy for major player in healthcare information technology including
developing an overview of future structure of US health care system.
• Designed entry strategy in less-inv~ve surgery for leading hospital supply company.
• Created and initiated turnaround strategy for non-profit insurance plan including divestiture of
subsidiaries.
• Designed change management and strategy development program for major national insurance
earner. Program developed to assure immediate profit impotvement and to develop long term
managed care strategy.
t9S9 ·1990
Senior Asspeiate. Lead analyst for major client studies:
• Analyzed market opportunities for development of products 1services leading to major reform of
healthcare billing, collecting, and claims proces~ng systems.
• Designed program to effect major change in management approach among senior management at
leading home center retailer.
• Completed market analysis and designed implementation plan for client participation in
hazardous waste field.
t9S7 - 1988
AssoCiate. Team member and lead researcher on major client studies:
• Developed new model for healthcare delivery systems on medical and surgical wards for
leading hospital system.
• Analyzed HMO market for finn healthcare practice.
THE SIGAL-ZUCKERMAN COMPANY, Real Estate Development, Washington, DC
Project Manager De~gned and implemented creation of $150 million planned unit development
(Franklin Plaza) in downtown Washington. Franklin Plaza project included land assembly and
major rezoning efforts as well as negotiations for amenities with D.C. Board of Education (historic
presetvation of Franklin School) and DC Department of Public Housing (Rehabilitation of
multiple public housing units).
'1988 -1989
Lead Staff DC Mayor's Commission on Downtown Hou~ng. Setved as research and editorial staff
to this majCilr public-private initiative on downtown housing.
AMERICAN MEDICAL INTERNATIONAL. Healthcare Marketing Communications, Atlanta, GA
t9S4 -1985
Manager. Marketing Communications and Community Relations, Southern Region Planned and
directed $4 million marketing communications and public affairs program for 18 hospitals in five
southern states resulting in a 15% increase in hospital emergency room use and a 22"/o increase in
hospital awareness levels. Supervised a marketing field staff of 20 and created a network
marketing approach in two target markets. Analyzed and developed a hospital service cost
accounting program to improve pricing strategies. Developed community relations and government
affairs programs.
·-~
-:;---
-.
�• OGIINY & MATHER, Public Relations, NewYorl<, NY
: ~~;1 -1984
Account Syperyjsor/At}anta. Served as interim manager of the public relations division.
Developed over S300K in communication consulting bt11ings. Trained and supervised three
professionals in the analysis, development and implementation of marketing communications
programs including programs for regional participant in emergency health care clinics.
Senior Accoynt Exerntiye I Washington. Designed and executed comprehensive communications
programs to reach key government personnel and community decision makers.
Account Executive I New York. Completed marl<.et analysis and designed national consumer
promotions for Dove Beauty Bar and Silhouette Book. Won David Ogilvy Award for
implementing promotion that increased Silhouette Book sales by 35%.
I
THE MAC GROUP, Management Consulting, Cambridge, MA
AsSOCiate. Team member on major client studies:
• Arranged and conducted on-site customer interviews, analyzed industty data and devised
market segmentation approaches for a major manufacturer of diagnostic imaging equipment.
• Developed industty background materials for a firm training program on the psychiatric
healthcare market.
summer1986
]. WALTER THOMPSON CO. Public Relations, NewYorl<, NY
Account Coordjnator. Wrote press releases and developed media training program
summer1980
ABC-TV "GOOD MORNING AMERICA•, New Yorl<, NY
Research Assistant. Created background papers on guests for use by program writers.
summer 1979
Education:
MASTER IN BUSINESS ADMINISTRATION, WITH DISTINCTION, JUNE, 1987
Harvard University Graduate School of Business Administration . Focus on heahhcare management.
Admission Counselor- HBS Admission's Office. Chaitperson- Women's Student Association Career Day.
Member of the Health Care, Venture Capital and Real Estate Industry Oubs. Completed field study on
congregate care living for the elderly.
BACHELOR OF ARTS DEGREE, MAGNA CUM LAUD4 IN HISTORY, JUNE, 1981
Harvard-Radcliffe College. Elizabeth Agassiz Certificate of Merit for academic excellence. ChairmanAdams House Harvard-Radcliffe Fund; Events page editor- Harvard Independent; Coordinated Harvard
Institute of Politics I WGBH-TV programming project resulting in joint production of two television series.
Publications:
"Healthcare Industty Overview: Is It Time for Cost Effective Bold Initiatives" co• authored with Fred Eppinger in The Healthcare Payor Annual, McKinsey & Company,
1992.
Articles on the press and politics co-authored with Edwin Diamond have appeared in
Adweek Magazine, American Film Magazine and the Washington journalism Review.
Community Service:
"Mentor" for DC public high school student- Mentors, Inc.
Memberships:
Harvard- Radcliffe Oub - Interviewing Committee; Old Town Civic Association; City
Oub of Washington; Harvard Oub at the National Press Club.
·
REFERENCES AVAILABLE UPON REQUEST
�•
....• ':.!
POSITIONS IN THE CLINTON ADMINISTRATION --VIVIAN RIEFBERG
Office of Management and Budget
- Associate Director, Human Resources, Veterans, and Labor
- Deputy Director for Management
Council of Economic Advisers
- No particular position identified -- health care interest
Department of Health and Human Services
Immediate Office of the Secretary
- Executive Secretary to the Department
-Executive Assistant to the Secretary and White House Personnel
Liaison
Office of the Deputy Secretary
- Director of Intergovernmental Affairs
Office of the Assistant Secretary for Legislation
- Principal Deputy Assistant Secretary
- Deputy Assistant Secretary for Legislation (Health)
Office of the Assistant Secretary for Management and Budget
-Deputy Assistant Secretary
Health Care Financing Administration
- Deputy Administrator
Office· of the Associate Administrator for Legislation and Policy
-Director
Food and Drug Administration
- Deputy Administrator for Policy
�..
!.. • ~ • ~ ...•
CODER:_ _
HEALTH CARE TASK FORCE SORTING SHEET
INPUT DATE:_ _
GENERAJ, SORT:
_General mail
_Personal stories
_Other Health Providen
POSTCARD 1:
_Letter Campaign
POSTCARD 2:
_Offei'B to help/Employment
FORM LETTER:
_Letterhead
REROUTE:
-
_Polley
-~cilms
Casework
1 -Sched.uliner -President ·
v) ~ - ('tJOI... ¥-· d.1J~:
~AAA k{)vJ
u
~
Other
I<JVV-·
POLICY AND PERSONAL STORIES:
_ORGANIZATION <D
_insurance premiums
_insurance reform
_insurance pools
_boards and oversight
_COVERAGE (ID
_working families
_unemployed/low income
_benefits
__providers
_INFRASTRUCTUREJWORKFORCE (liD
_quality assurance (guidelines)
_administration, reimbursement
& information systems
_malpractice & tort reform
_manpower issues (training)
_unnecessary procedures
_GOVERNMENT PROGRAMS (IV)
_medicare
_medicaid
_veterans
_ DoD
_Indian health
_COST ISSUES (VI)
-~prices
__physician fees
_hospital fees
_medical equipment
_fraud & abuse
_FINANCING
(VII)
_MENTAL HEALTH
(IX)
_LONG-TERM CARE (X)
_PUBUC HEALTH/
SPECIAL POPULATIONS (XII)
__prevention
_AIDS
_women's health
_immunizations/children
_rural·
_urban
_OTHER.________________________
•
�-
THE WHITE HOUSE
March 31, 1993
Ms. Victoria Bigelow
President
Suburban Primary Health Care Council
2235 Enterprise Drive #3501
Westchester, Dlinois 60154
Dear Ms. Bigelow:
Thank you for writing and sending a copy of the Summary of
your ACCESS TO CARE PROGRAM. I appreciated receiving it and
will pass it along to the Task Force for further review.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Again, thank you for sharing information about your unique
program and for your support for the success of this tremendous
undertaking.
Sincerely yours,
�- - - - - - - - -------- --- ------·
- - - -- - - - -
--~-
February 20, 1993
Hillary Rodham Clinton
The White House
Washington, D.C.
Dear Mrs. Clinton,
On behalf of the Suburban Primary Health Care Council I submit the enclosed information concerning our Access to Care Program. This program is a unique public-private partnership making
primary health care, and the ancillary pharmacy, laboratory, and
radiology services, available to medically indigent, uninsured
residents of suburban Cook County at a yearly cost of only
$226.41 per person.
Because you are now considering health care delivery alternatives as national models, we wished to bring the Access to Care
program to your attention.
This model seems particularly applicable to suburban areas.
I would be happy to answer any questions you may have about
this program. You may reach me at (708) 531-0680.
Sincerely,
i I,
(-'-· <
~/t:~
;;;:;'.
"' · ·:'
.<_z__ ~--/~ c11(/
'-·-
Victoria Bigelow
President
Suburban Primary Health Care Council
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Suburban Primary Health Care Council
ACCESS TO CARE PROGRAM
Summary
The
problem of the medically indigent and the uninsured
compromises good community health status, drives up the cost
of
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medical care, and generates significant hardships for
individuals.
The Suburban Primary Health Care Council was created with
and remains dedicated to a single purpose: to facilitate access
to primary health care for suburban Cook County residents who are
medically indigent.
The Council is a private not for profit
confederation of four health and social service organizations:
the Community and Economic Development Association of Cook
County, Inc.
(CEDA), Cook County Department of Public Health,
Northwest Suburban Cook County Health Care Task Force, and Park
Forest Health Department.
Access to Care, the program developed by the
Council,
enables low-income, uninsured residents of suburban Cook County
to receive basic health care services including physician office
visits, prescription drugs, lab and radiology services £or no
more than a five dollar payment.
Services are delivered through
a unique decentralized system utilizing private physicians
throughout a 735 square mile area.
Most of our patients live in
the far south or northwest areas.
In 1993 we also began serving
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northeast suburban Cook County.
The Problem
According to a report of the American Hospital Association,
only 58% of persons in Illinois with incomes below the poverty
level receive Medicaid benefits (the federal-state medical care
program for the poor).
With the spiraling costs of health care
and health insurance, there is an increasing gap between persons
covered by public medical programs and the privately insured.
Individuals and the families of low-income workers, contract and
part-time workers, as well as the unemployed fall into this gap.
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The poor and uninsured face great difficulty in obtaining
and paying for health care. Many are forced to go without care,
to delay seeking care until a crisis exists, or to use costly and
inappropriate resources such as hospital emergency rooms for nonemergencies.
More than half of persons currently enrolled in Access to
care have family incomes below the poverty level ($13,900 for a
family of four) but make too much money to qualify for Medicaid.
Women and children under the age of eighteen are overrepresented
in the program (57.1% and 42.7% respectively), bearing out
national statistics that they are more likely to live in poverty.
Minorities, too, are overrepresented in relation to the general
population. In 1992, 37.2% of Access To Care participants were
Hispanic, 22.% were African-American, 3.6% were Asian, and 37%
were white.
Seventy-two percent of the heads of household in
the program work, but have no insurance.
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The Access to Care Program
This innovative program was developed tailored to the needs
of the suburban poor, who are dispersed over a large geographic
area with poor transportation resources.
The program is open to persons with incomes less than twice
the federal poverty level who are uninsured by public or private
programs for primary health care.
The Council estimates that
there are 99,000 persons in suburban Cook County in this
situation.
The Council contracts with local providers throughout the
area and pays them a discounted rate to provide services to
persons enrolled in the program.
Covered services include office
visits to a primary care physician, routine lab and x-ray
services and prescription drugs.
Patients pay only a nominal fee
($5.00) for each visit, and pay no more than $5.00 for other
services.
There is no charge to enroll in the program.
Screening for eligibility and enrollment occur at local township
offices, health departments and community agencies, where
patients are also linked to other needed services not provided
through the program.
Coordination agreements are maintained with
the providers of these services.
It is the intent of the Council
to utilize existing resources to the fullest extent possible and
to fill in the gaps.
The services provided through Access to
Care are scarce to non-existent in suburban Cook County for the
uninsured.
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Physicians volunteer to participate in Access To Care, and
choose the number of patients they will add to their practices.
Currently, one-hundred eighty-seven physicians participate in the
program, providing the capacity to serve 10,079 patients. They
are paid a nominal $52 per patient per year, yet their response
to participation has been enthusiastic:
11
I am working in the
program because I want to do something for my community" says
Yahya Ahmadian,M.D., a Homewood pediatrician.
Many feel that the
program addresses a major cause of serious afflictions, lack of
treatment in the early stages: "I saw a patient ••• who needed his
medication. 11 says Vasantha Kumaraiah, M.D.
11
He knows he has
diabetes. He knows he has hypertension, but he quit taking his
medication months ago because he couldn't afford it."
The Benefit
Access to Care removes the financial barrier to primary
care and provides an entry point to the health care system.
Early detection and treatment of illness should reduce and, in
most cases, obviate the need for more costly secondary care.
Thus, although the program covers only "sick care" office visits,
it is preventive in that it helps keep people out of the hospital
and, particularly, out of the emergency room.
The types of prescriptions and services utilized by patients
as well as the most common diagnoses show that patients are being
treated for acute and chronic conditions which could become
serious or require hospitalization if left untreated. For adults,
the most frequent diagnoses are hypertension and diabetes, and
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for children, ear infections. These diagnoses affirm the need for
primary care to prevent more serious sequelae.
The Access To Care program offers more than diagnosis and
on-going treatment. Patients choose a personal physician, with
whom they form a relationship. Access To Care participants have
the security of knowing that they can get care if they need it,
without a serious financial sacrifice. This saftey net creates
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peace of mind even before the medical need arises.
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costs. Patients are referred to local hospitals or Cook County
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The Access To Care program does not cover hospitalization
Hospital for inpatient admission. Council staff facilitates
referrals to county-operated specialty clinics to help provide
continuity of care. The small number of these referrals, under 4%
of the patient population, validates the program's concentration
on primary care.
Everyone pays indirectly for uncompensated care for the
uninsured through higher charges for medical care, higher
insurance premiums, and higher taxes to support Medicaid and
Medicare.
Access to Care provides compensation to providers for
patients who cannot afford to pay. Because Access To Care is not
facility-based, it can operate more economically than other
primary care delivery systems.
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Access To care's costs are surprisingly low, especially when
compared to the cost of an emergency room visit or inpatient
admission. Total costs per person for one year's participation in
Access To care are estimated at $226.41 for 1993.
5
�Endorsement
In 1991 the Access To Care program received the endorsements
of the Illinois Chapter of the American Academy of Pediatrics,
the Illinois Academy of Family Physicians, and the Institute of
Medicine of Chicago. In 1992 the program received the full
support of the Chicago Medical Society. Each of these organized
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medical societies is concerned about the problem of the uninsured
and encourages its members in suburban Cook County to participate
in the Access To Care program.
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Evaluation
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In 1992 the Council conducted its annual physician satisfaction
survey.
93% of participating physicians reported being either
satisfied or very satisfied with the program. The Council also
conducted a patient survey which contrasted patient experience
before and after joining Access To Care. 29% reported that in the
year prior to joining the program,· a family member skipped taking
prescription medication because of the cost, and 58% had
postponed medical care when they needed it. Use of the emergency
room decreased by 18.4% after joining the program. Most
importantly, patients reported an improvement in health status
since joining the program. Only 39.6% of adults reported good or
excellent health before Access To care compared to 80.4% after
being in the program for a year.
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The Organization
The Council was formed in 1986 in response to The Chicago
Community Trust's "Health Care in Cook County Initiative". The
Council received a planning grant in 1987 to design a delivery
system of primary care for the medically indigent in suburban
Cook County. The Council was incorporated as an Illinois notfor-profit corporation in April, 1988, and received tax-exempt
status in April,1989.
The four organizations which make up the Council bring many
years of experience in health and social services to the program.
The Board of Directors is composed of four representatives from
each of the four member organizations and four at-large members.
Three community advisory boards advise the Council and serve as a
liason with the community.
Funding
The program was originally supported by a grant from The
Chicago Community Trust. Additional support has been provided by
the Baxter Foundation, Square D Corporation, Robert R. McCormick
Charitable Trust, Washington Square Health Foundation, Inc.,
Blowitz-Ridgeway Foundation, Children's Care Foundation, Special
People in Need, the Ford Motor Company, the Searle Charitable
Trust, and the W.P.& H.B. White Foundation. Five municipalities
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and eight townships have also supported the program. Funding by
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the Cook County Board of Commissioners in 1991 and 1992 has
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expanded the program and institutionalized it as a primary care
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delivery system to the medically indigent in the suburban area.
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At current funding levels, Access to Care can serve only 5.2%
of those eligible for care in suburban Cook County.
There is
currently a waiting list for the program in the entire service
area.
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Although the program's physician capacity is 10,079
patients, present funding will cover just 5,497 patients.
Of
99,000 estimated eligible, most uninsured children and adults
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continue without adequate care.
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Conclusion
While providing health care to low-income, uninsured persons
is a major topic today, the Access to Care program actually provides a mechanism to do something about the problem.
In addi-
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tion to the human suffering caused by lack of access to health
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care, society bears a cost in terms of low productivity resulting
from the postponement of needed medical care, reduced school
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attendance, and higher insurance premiums and health care costs
due to subsidization of uncompensated care.
Locally based pri-
mary care can fill in the gaps in large areas with dispersed
indigent populations, without involving capital funds, costly
facilities, or equipment.
This model gives physicians a partner-
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ship with private and public funders working to solve a growing
national problem in a cost-effective manner.
Access to Care is a local solution to a local problem. How-
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ever, we believe that our efforts may serve as a prototype for
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addressing a serious problem which exists not only in suburban
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Cook County but in many communities throughout the nation.
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8
�Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of.digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
�Annu-al Report
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9
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
007a.letter
DATE
SUBJECTffiTLE
Hillary Rodham Clinton to Bruce R Brookens. [partial] (1 page)
03/29/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Act -(44 U.S.C.ll04(a))
Freedom of Information Act- (5 U.S.C. SSl(b))
PI National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(l) of the PRA)
P3 Release would violate a Federal statute ((a)(J) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of tbe PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would c:onstitute a c:learly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) ofthe FOIA)
b(l) Release would disclose internal personnel rules and practlc:es of
an agency ((b)(l) oftbe FOIA)
b(3) Release would violate a Federal statute ((b)(J) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misf"de defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�r
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THE WHITE HOUSE
March 29, 1993
Dear Bruce:
I
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Thank you for sending the photographs from that memorable
evening together. Although I have received some others, these are
among the best, and I especially appreciate having them to add to my
treasured collection. That was a grand opportunity for us to be
together, celebrate and catch up after all these years.
I am grateful for your writing and sharing your views on
health care reform. I readily understand that physicians who rely on
news accounts may be frustrated by descriptions of our process, but
most of them are not aware that the Task Force and working groups
have been meeting with every group of physicians which has
requested meetings and been giving careful consideration to the
letters, proposals and suggestions received from many concerned
health care professionals. In fact, many of the groups which claim to
be "locked out" have been part of these meetings on a regular basis.
We want to have doctors part of the process for the very reason you
suggest- to be "invested" -and, even more important, to help design
the system they will be part of implementing.
I
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I appreciate the invitation to speak at the Annual Legislative
Conference of the American Society of Anesthesiologists on April 26
or 27. You indicated .we have already received this request, but I
will direct a copy of your ·letter to my scheduler as well.
�,.
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Bruce R. Brookens, M.D.
March 29, 1993
Page Two
Thank you again for sharing your views and those of your
colleagues, and for your support as we endeavor to find workable
solutions to the incredibly complex health care issue.
I haven't had much time to practice that pitch lately, but
perhaps I'd better get started! The season is upon us, and I can
hardly wait.
Sincerely yours,
cc: Scheduling
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
DATE
SUBJECTifiTLE
RESTRICTION
AND TYPE
007b. letter
Bruce R. Brookens to Hillary Clinton. (Partial) (1 page)
03/10/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Act -(44 U.S.C. 2204(a))
Freedom of Information Act- [5 U.S.C. 552(b))
Pl National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
rmancial information [(a)(4) ofthe PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) ofthe FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b){8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misnle defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�-----·-
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(g)(q)J9d
'{·
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��..
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008.letter
DATE
SUBJECfffiTLE
Hillary Rodham Clinton to Sister Margaret Vincent Blandford.
[partial] (1 page)
03/29/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Ad- [44 U.S.C. 2204(a))
Freedom of Information Ad- [S U.S.C. SS2(b))
PI National Seeurity Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would diselose trade secrets or confidential commereial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advison [a)(S) of the PRA)
P6 Release would constitute a dearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National seeurity elassified information [(b)(l) of the FOIA)
b(2) Release would diselose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would diselose trade secrets or confidential or f'maneial
Information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) ofthe FOIA)
b(8) Release would disclose information concerning the regulation of
f'maneial Institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfde defined in accordance with 44 U.S.C.
2201(3).
RR. Document wiD be reviewed upon request.
�- - - - - - - - - - ...........-.. .----·->~- _-;;..,.-;;:::;:;;;;::,::.;.,;;--_;:,-;:::::::;:;..-. __,._,.~~···-
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THE WHITE HOUSE
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March 29' 1993
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Dear Sister Margaret Vincent:
Thank you for sending me a copy of the Executive Summary
prepared for the hospitals operated by the Sisters of Charity. It will
be helpful both to me and to the Task Force as we consider various
options in finding solutions to the incredibly complex health care
issue.
President Clinton is committed to reforming our nation's
health care system - controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
On a personal note, I want you to know of my genuine,
heartfelt gratitude for the excellent care and attention St. Vincent
Infirmary Medical Center has provided during my father's illness.
The ongoing support for our family during a difficult time has been
extraordinary and extremely helpful.
Do continue to remember our family - and our nation - in
your prayers in the challenging decisions before us.
Sincerely yours,
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J[ovvQ~.ff ~vv-
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January 26, 1993
EXECUTIVE
SUMMARY
The design presented here is the product of a broadly based team representing
healthy people, patients, providers, employers, healthcare administrators, people
who work in in-patient and out-patient care facilities and healthcare related
foundations and organizations, consultants, academics, students and others with
an interest in changing healthcare in the United States. A common belief of the
participants is that healthcare must be redisgned, not reformed.
As a
consequence, the group•s design contrasts from most of the published efforts at
reform in that it approaches healthcare systemically; that is, it recognizes that
healthcare as a system is a product of the interaction of its parts, not the sum of the
actions of each of its parts considered separately or independently. This means
that if the system as a whole is to be changed effectively, all of the significant parts
and the ways they interact must be changed (redesigned).
Current reform efforts are unlikely to succeed because they focus only on
reimbursement and neglect other aspects of the healthcare system. This design
presented here includes changes not only in how the system is paid for, but also in
how care is accessed, how consumers and providers behave, where responsibility
for and control of the system is located, and its focus on disease and disability as
.
opposed to wellness. The design brings about these changes because it does the
following:
1.
Provides Universal Access to Essential Healthcare
Each resident of the United States would receive a voucher that entitles him or
her to essential healthcare for one year.
The voucher would be issued
annually by the IRS and its value would reflect the age, health status, and
�'
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January 26, 1993
2
characteristics of the residential environment of the recipient.
(Wellness
stamps, discussed below, would also be issued at the same time.)
2.
Relieves Employers and Government•s Current Burden of Paying
for Care
Care would be paid for by a combination of taxpayer and employer. The
taxpayer would be taxed according to his/her ability to pay, number of
dependents, lifestyle (for example, a smoker would pay more than a
non-smoker, a race car driver would pay more than an accountant)
residential environment. The
employers~\
and
contribution would be in the form of
a healthcare tax proportional to the health hazards, stresses, etc. associated
with the particular industry or employment circumstances.
However,
employers could cover part or all of the healthcare costs of their employees as
a benefit, if they so chose.
All U.S. residents who are required to file income tax returns would file a
healthcare tax forms at the same time and pay any taxes that are due
regardless of whether the filers 1 incomes are large enough to require payment
of a tax.
3.
Reduces Total Costs as Compared to the Current System by (a)
Reducing Administrative Costs, (b) Inducing Competition and
Utilizing Free-Market Controls, and (c) Providing Incentives for
Cost-Effective Provider and Consumer Behavior
Placing responsibility for administrative costs with the community and
substantially reducing third-party involvement would reduce administrative
costs to a fraction of those in the current system.
�. ..
January 26, 1993
The role of insurance companies would be to provide catastrophic coverage
to healthcare providers whose patient mix results in costs that do not allow the
primary care provider to earn a suitable income. They would also continue to
provide malpractice insurance but the threat and cost of malpractice suits
would be significantly reduced as described in Section 6 below.
Competitive behavior is induced through a mechanism that (a) gives bonuses
to healthcare providers for each patient that renews his or her registration with
them each year, (b) allows patients to transfer to other providers for justified
dissatisfaction, and (c) use of both internal and external markets. Providers
and administrators within each system would be able to purchase healthcare
services_ and products from within that unit, or from units external to the system
if they charge less and their quality is considered to be at least as good as that
obtained from internal suppliers.
Incentives for cost-effective provider behavior would come principally from the
providers' control of their patients' vouchers, but also from a mechanism that
allows physicians to discontinue service to patients who seek inappropriate
and/or excessive use of healthcare services or products.
lncenti~s
for cost-effective patient behavior (healthy life style) would come
through reduction of their healthcare tax rates or enlargement of the list of
services to which they are entitled.
4.
Places Responsibility for and Control of the Health care System in
the Combined Hands of the Users and Providers of Care and
Provides Choices for Both
- - - - - - - - - - - - - · - - · - -
3
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January 26, 1993
Recipients of the vouchers would register them with primary care providers of
their choice.
These providers would then pay all essential healthcare costs
incurred by those registered with them including the costs of hospital stays,
specialist visits, tests and pharmaceuticals. These costs could not be incurred
without approval of the primary care provider except in an emergency. The
value of the vouchers would provide the primary care providers with a suitable
income after paying all their patient's bills.
Primary care providers could practice in either the public (National Health
Plan) or private system, but not both.
Primary care providers who participate in the National Health Plan could
practice individually, in groups or be employed in an integrated healthcare
system.
Patients could choose providers who practice outside the system but have to
pay for the services they receive. However, this would not relieve them of the
obligation to pay the healthcare tax.
5.
Establishes a System as Close to the Users as Possible for
Determining What Care is Covered and What Is Not.
This System
is Con"trolled and Varies by Communities According to Their
Needs.
Each community would assure access to essential primary, secondary,
tertiary, quaternary, and extended-stay healthcare services either within that
or another community. Essential healthcare services would be determined by
a Community Healthcare Board established within each community. These
services would reflect the environmental and healthcare characteristics of that
�'\
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January 26, 1993
community. Non-essential (elective) services would be available at a fee.
These Healthcare Boards would certify wellness services for which the
wellness stamps issued by the IRS could be used. The Community
Healthcarre Information Systems managed by these boards would provide
each resident with an annual healthcare printout that would be filed with their
healthcare tax form. These healthcare board activities would be funded by the
IRS.
6.
Reduces the Potential for Malpractice Suits
Each community's healthcare board would receive funds from the IRS to
conduct quality audits of the healthcare services provided and establish a
healthcare court that address appeals concerning services and costs.
7.
Simplifies and Significantly Reduces the Inconsistencies and
Redundancies Associated with Healthcare Information Systems.
The Healthcare Information System established by each Community
Healthcare Board will maintain a complete healthcare record of each resident
of that community. Access to the record could only be obtained with the
individual's permission, except in an emergency. All records would adhere to
nationally specified standards and be accessible through a national network.
8.
Places Emphasis on Well ness
Rather Than Illness
Each recipient of a healthcare voucher would also receive wellness stamps
that could be used to purchase membership in certified programs of wellness
education, nutrition, exercise, immunization and so on. Participants in these
�January 26, 1993
programs would become part of the individual•s healthcare record and affect
the individual•s healthcare tax rate or healthcare service.
9.
Makes Physical Access to Providers Easier
Primary healthcare services would be within walking distrance of most people
living in population centers (in Healthcare Malls where feasible). Those who
are not ambulatory would receive care either at home. from mobile units, or be
transported to care-providing units. In-home healthcare services would be
provided wherever possible and economically feasible.
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�HEALTH CARE TASK FORCE SORTING SHEET
nPE OF MATERIAL:
_O.eral mall
_P81'801U11 stories
_Letterhead
_Offers to help
_LetterC8Dlpaip.
_Policy
_CII8eWOI'k
_ . _ . . empl.,_.
_r.n.
_&eDioN
_small busineas
_other h8alth provider
Expbmatiom~--------------------------------------~------pRIMARY INTEREST:
COST ISSUES
_ Dra8 Prices
_ PhJ&lciaD Fees
_Hospital Fees
_
UDDece•ary Procedures
_Medical Equipment
Fraud and Abuse
_PUBUC HEALTH/SPECIAL POPULATIONS
Pievention
AIDS
Women's Health
Immunization&
Rural
urban
COVERAGE
_
GOVERNMENT lPROGRAMS
Work:iDg Families
Medicare
Medicaid
Veterans
DoD
_Unemployed/Low Income
Benefits
Providers
ORGANIZATION
Insurance Premiums
Insurance Reform
Insurance Pools
_Douds and Oversilht
_
INFRASTRUCTUB.FJWORKFORCE
_
Quality AIBurance (Guidelines)
_
Administration, Relmb1li'88Dlent
& Patient Information s,atema
_Malpractice & Tort Reform
_
Manpower l&&ues ('l'rainlna)
LONG-TERM CARE
MENTAL HEALTH
FINANCING
OTHER
Explanatiom~------------------------------------------------
PLAN PREFERENCE: (Support=+; Oppose=-)
CP
SP
OP
Cllnton Plan
Sinpe Payer
Other Plan
MC
PP
CV
Manaaed Competition
Pay or Play
Credits, Voucher&,
Medical Savina& Aceta.
CA
BR
GE
Canadian
British
German
�THE WHITE HOUSE
March 29, 1993
Mr. Joseph A. Califano, Jr.
Chairman and President
Center on Addiction and Substance Abuse
Columbia University
152 West 57th Street
New York, New York 10019
Dear Joe:
It was indeed a pleasure to meet with you and Mrs. Ford on
an issue of mutual concern to all of us. I appreciate your sending for
my review a copy of the Bush and Clinton responses to the CASA
questionnaire during the campaign.
Thank you for your offer of assistance and especially for your
affirmation and expectation of •great things. • I will work hard to
measure up to that.
Sincerely yours,
�Center on Addiction
and Substance Abuse
at Columbia University
March 2, 1993
15!2 West 57th Street
New York, NY 10019
phone !21!2 841 5!200
fax !21!2 956 80!20
Board of Directors
Joseph A. Califano, Jr.
Mrs. Hillary Rodham Clinton
Office of the First Lady
The White House
1600 Pennsylvania Avenue, N.W.
Room 100-0EOB
Washington, D.C. 20500
Dear Hillary:
Chairman and President
James E. Burke
Betty Ford
Douglas A. Fraser
Barbara C. Jordan
Donald R. Keough
LaSalle D. Leffall, Jr., M.D.
Manuel T. Pacheco, Ph.D.
Linda Johnson Rice
E. John Rosenwald, Jr.
Michael I. Sovem
Frank G. Wells
Thank you for meeting with Betty Ford and me. It was a
stimulating and productive meeting. We greatly appreciate the
opportunity to discuss the importance of addressing the problem of
substance abuse and addiction in the context of health care
reform.
Although I did not mention it at the meeting, I am sure you are
aware of the President's response to the questionnaire CASA sent
to him and President Bush during the campaign. In his reply,
President Clinton stated ... "we will require that every insurance
plan includes a core package of benefits to be defined by a
National Health Board. Treatment of drug addiction for those who
need it will be incorporated in this core package .... " He also
committed to increasing the resources devoted to prevention and
treatment. (I have enclosed a copy of the President's full
response.)
We applaud these policy directions and look forward to assisting
you in any way we can.
Enclosure
�Center on Addiction
and Substance Abuse
at Columbia University
CASA Questionnaire and Candidates' Complete Responses
Question 1 : The National Cancer Institute and the National Heart, Lung and
Blood Institute each spend $7 billion a year on basic science research. The
federal government spends no more than $300 million a year on basic science
research involving substance abuse and addiction. Do you support increasing
federal expenditures for basic science research on substance abuse and
addiction to an amount comparable to that spent for basic research on cancer
and cardiovascular disease?
Bush Response: I have strongly supported research increases in the drug budget each of the
last four years. This year total spending on research involving substance abuse and addiction
will be $360 million. Unfortunately, the Congress has not been willing to appropriate all the
funds for substance abuse addiction research and services that I have requested. Federal efforts
in basic scientific research on substance abuse and addiction have increased by 64% between
1989 and 1992, and the Administration is requesting an additional increase of $17.5 million for
Fiscal Year 1993. I also strongly support increases in funds for applied research to help develop
more effective and targeted treatment and prevention programs.
We can and must do more in both the basic and applied research areas. I have fully
outlined my research goals in the National Drug Control Strategy, and I am encouraged that we
will see a real contribution from the additional research effort we are undertaking.
Clinton Response: I believe our nation has to find ways of treating more addicts more
effectively. Too little is known about addiction, and too little has been done to explore different
cures. Further research into substance abuse and addiction-both into the causes of addiction and
into possible cures-is essential to improving treatment. I strongly support the comprehensive
approach and substantial, long-term commitment made by CASA in this field.
Federal funding of basic science research is obviously constrained by budgetary
considerations, and I would be unwilling to cut other vital medical research projects.
However, substance abuse costs our country $300 billion a year. Our nation cannot afford to
delay serious investment in solving this problem.
Question· 2: The Congress has appropriated nearly $12 billion for this year's
budget for the •war on drugs. • More than two-thirds of that amount will go to
law-enforcement efforts and less than one-third to treatment and prevention.
Do you agree with this allocation of resources? If not, what do you consider the
appropriate
allocation?
Bush Response: Treatment and prevention are essential parts of our comprehensive
National Drug Control Strategy. With my 1993 budget request, Federal funds supporting the
drug strategy would almost double to $1 2. 7 billion since I took office. This includes a 121 %
increase for prevention and a 94% increase for treatment.
The primary goal of the strategy is to reduce illegal drug use and I am encouraged to see
(more)
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-2that we are making significant progress, particularly with America's youth. For example,
overall drug use declined by 13% from 1988 to 1991. Adolescent drug us declined by 27% and
adolescent cocaine use declined by 63% over the same period.
Our comprehensive strategy is working. I believe that in the second term we should
continue to expand and improve our programs on reducing the demand for drugs-on treatment,
education and prevention. We also need to improve our interdiction, law enforcement and
international efforts in order to help make prevention and treatment more effective.
Clinton Response: The present administration has concentrated on badly coordinated
policies to cut the supply of drugs at the expense of more cost-effective measures to decrease
demand. Yet what successes we have had so far in cutting casual use of illicit drugs and cigarettes
have been primarily through education and prevention, not through making drugs or tobacco any
less accessible.
Any sensible policy on drug abuse must tackle both cutting the demand for drugs and
reducing supply. And I will increase the resources that are devoted to prevention and treatment.
But I do not believe this is simply a matter of counting the dollars allocated in the ONDCP budget.
I propose expanding and improving treatment, education and prevention. The first thing
we have to do is make sure existing resources .are· being spent in the most cost-effective way, by
for example, improving aftercare facilities so that fewer people relapse after they leave
treatment, and ensuring school drug education programs include training for teachers to make
them work. Then we will expand treatment-targeting first pregnant women-and implement
new prevention programs aimed at kids in high-risk situations. Policies such as a Youth
Opportunity Corps, urban investment, fully funding Head Start-described by one expert as the
best drug-prevention program we have-will be funded through other budgets, not from the
ONDCP budget.
I do not favor shifting resources away from local law enforcement-unlike George Bush,
who proposed this several times. Police in our neighborhoods are in the front line against drugs,
keeping people safe frpm drug-related violence, keeping dealers off the streets where children
play. I support community policing which gives law enforcement a preventive role. Cops on the
beat working with local residents is as much a preventive strategy-stopping crack houses and
dealing networks growing in the neighborhood-as it is retrospective law enforcement. And as we
improve treatment in prison and explore court-mandated treatment options along the lines of
the Miami Drug Court, law enforcement will become a key way to direct more people into
treatment.
Other supply reduction strategies have been a failure under the present administration.
Billions have been poured into high-tech surveillance and interdiction equipment, whilst the
quantity of drugs entering the country has only increased. We have to fundamentally reexamine
our interdic~ion policies, to ensure that resources are being used in the most efficient and costeffective way to stop drugs entering the United States.
Question 3: In your proposal to reform the health care insurance system, what
kind of coverage for the treatment of substance abuse and addiction do you
provide?
Bush Response: My health reform program allows states to define a basic benefit package.
Any mandated benefits within the package require approval from the Secretary of Health and
Human Services. States would base the composition of the basic benefit package on the needs of
their citizens, therefore basic health benefit plans are expected to vary by state. Insurers could
(more)
�-3offer more extensive packages with greater coverage of benefits; however, coverage for
particular services or procedures could not be mandated. Individuals would be able to select
from a variety of health plans that best meet their health care needs. To the degree that
substance abuse and addiction treatment are cost-effective and are needed by the citizens of a
particular state, the state may include such treatments as part of a mandated set of benefits.
Clinton Response: I am proposing fundamental and far-reaching reform of America's
health care system, and treatment of drug addiction will become a part of that. I have a plan to
control costs through reforming the insurance market to make it competitive and efficient,
and global budget targets to provide added discipline. Then as costs are controlled we will phase
in universal coverage building on the current employer based system of coverage. Businesses
will have to do their fair share and cover all their employees, whilst financial assistance from
government will help small businesses and nonworkers, so that every American is covered.
As part of our reforms of the insurance system, we will require that every insurance
.. plan includes a core package of benefits to be defined by a National Health Board. Treatment for
drug addiction for those who need it will be incorporated in this core package along with
ambulatory physician care, inpatient hospital care, prescription drugs, and basic mental health
services, expanded preventive. treatments. .
Question 4: Canada is experimenting with a significant tobacco tax increase to
discourage people from smoking. The United Kingdom uses liquor taxes to reduce
consumption. Do you favor increasing the taxes on liquor? Wine? Beer?
Tobacco? If so, by what amount?
Bush Response: In the United States, most excise taxes on alcohol and tobacco are levied at
the state and local level and are an important source of state revenue. States have been active in
this sphere. Cigarette taxes, for example, rose in 11 states from 1990 to 1991, and the median
state tax rose from so:21 to $0.24 per pack. Excise taxes should best remain an issue whose
focus is at the state level.
Clinton Response: In Arkansas we have raised the tax on tobacco products on more than one
occasion, but an increase on .alcohol and tobacco-related products is not included in my national
economic strategy. Despite raising taxes on tobacco products in Arkansas, we have maintained
one of the lowest state tax burdens in the nation. The federal tax code already penalizes middleclass families and low-income families whilst benefitting the rich. Substantially raising
consumption taxes will make the system even more regressive. I want a more progressive tax
code that will ask the top 2% of income earners to pay their fair share and give low- and
middle-income families a tax break.
There are other steps we can take, however, and as Governor of Arkansas I have played
an active role in tobacco-related issues. I have signed legislation making it illegal to place
tobacco vending machines in public places that are accessible to people under 1 8 years of age and
prohibiting the free distribution of tobacco products in public areas around schools and
playgrounds or to any person under 1 8 years of age.
I have signed a law requiring all state agencies to implement a smoking policy for their
general office space. I vetoed a bill that would have prohibited employers from hiring only
nonsmokers and potentially given smokers rights in the workplace itself, which I believe is
inappropriate. While Americans plainly may smoke in many circumstances, smoking is an
acquired behavior and given the overwhelming evidence of the toll it takes every year in disease
(more)
�-4and death, it should not be accorded legal protection like freedom of speech, nor should smokers
be a protected class like those who have been wrongly discriminated against because of race,
sex, age or physical handicaps.
Question 5: Do you favor a ban or further restrictions on the advertising of
tobacco? What kinds of restrictions, if any, do you favor on the advertising of
alcohol? For example, should beer advertising be allowed on television?
Bush Response: I believe the present restrictions on tobacco advertising are appropriate;
but that does not relieve either the tobacco or the advertising industries from exercising
responsible self-restraint in promoting tobacco products. I also favor the current health
warnings and the efforts of the Department of Health and Human Services to educate the public
on the serious health consequences from their use.
I do not want to see our youth gain access to cigarettes or other tobacco products. I
strongly favor the actions many states have taken to restrict where these products are
displayed, and how they are sold through vending machines.
With respect to restrictions on advertising alcoholic beverages, I believe the broadcast
and media industries must balance the promotion of these products with legitimate concerns for
public health. As I mentioned with respect to tobacco, there is more that can be done by the
alcoholic beverage industry and the advertising industry.
For example, I am gratified that members of the Outdoor Advertising Association of
America have agreed that they do not want to display such advertising in places where children
are likely to view it frequently. I am also encouraged that the alcoholic beverage industry has
indicated to the Administration its willingness to review its practices, particularly with regard
to promoting products in a manner that has little to do with the quality of the product, but
associates it with a certain kind of lifestyle.
In summary, the answer to this problem is not another rule or Jaw from Washington,
but a cooperative partnership with health and prevention organizations, the industry, and the
Administration to work with communities across our nation to reduce the misuse and abuse of
alcohol, and to exercise good judgment in the promotion of these products. We must also ensure
that existing laws are strictly enforced.
Clinton Response: I support the current advertising restrictions and warning
requirements for alcohol and tobacco products, and my administration will be dedicated to fully
enforcing these laws. My administration will move quickly to stop any efforts to relax the
current restrictions. We will consider any new and appropriate scientific data that suggest that
the current restrictions or labeling requirements should be updated.
As a· former professor of constitutional law, however, I believe that we must also make
sure that we consider the possible First Amendment implications of broader restrictions. Any
new restrictions or requirements must meet constitutional standards.
Question 6: In 1990, more than half the inmates in federal prisons were there
for drug-related crimes. An even larger percentage of state prison inmates
were under the influence of drugs and/or alcohol at the time of their offense.
Should the federal government condition financial support for state prison
systems on states' providing substance abuse treatment to all inmates who need
it?
(more)
�-5Bush Response: We spent $10.7 million in 1991 and will spend $22 million in 1992 for
drug treatment programs in Federal prisons. Our FY 1993 budget request is for nearly $28
million. In addition, to provide substance abuse services to persons awaiting Federal trials, we
have requested another $44 million for FY 1993.
Today, Federal assistance is being provided for drug-related pilot programs in a number
of States. Most States also fully recognize the benefits of providing substance abuse services to
inmates.
While the Federal government has encouraged, directly and by example, new substance
abuse treatment programs for State inmates, the Administration has not conditioned Federal
assistance on substance abuse treatment and has no plans to do so at this time.
Clinton Response: I am committed to expanding treatment for substance abuse in prison.
We have to treat inmates while they are in prison to stop the revolving door of recidivism. It is
wholly irresponsible of both state and fede-ral governments to release inmates back onto the
streets after lengthy sentences-but having had no treatment for substance abuse. Reducing
recidivism is essential both to protect American citizens from crime, and to make space in
prisons for violent offenders.
But first the federal government has to get its own house in order. In 1991, the GAO
reported that although an estimated 44% of federal inmates needed substance abuse treatment,
only 1% were receiving any. We will also expect states to increase treatment in state prisons
and we will encourage them to explore court mandated treatment options along the lines of the
Miami Drug Court.
Question 7: Do you favor removing criminal penalties for possession of
marijuana for personal use? Do you favor removing criminal penalties for
possession of any other drugs for personal use? Do you favor legalization of
marijuana or of any other drugs that are now illegal?
Bush Response: No. I strongly oppose legalizing or decriminalizing marijuana or any illegal
drug.
Clinton Response: No. I do not favor removing criminal penalties for the possession of
marijuana or other drugs, nor do I support the legalization of these drugs. I believe we should
expand drug and alcohol treatment and education. The current administration has not made
improving drug treatment and education the priority it needs to be, and my administration will.
But we cannot move to reduce or remove criminal penalties before we have made a serious effort
to reduce demand. Otherwise, we risk encouraging personal drug use in the short term.
Question
8: Do you favor increasing criminal penalties for drug users or drug
dealers? Do you favor the death penalty for drug dealers of for drug dealers who
sell to minors? Do you favor mandatoty life imprisonment for drug dealers of
for drug dealers who sell to minors?
Bush Response: My Administration has vigorously pursued the War on Drugs, obtaining
more than 46,000 convictions between 1989 and 1991. We have worked hard to establish
appropriate penalties for drug offenses, and current laws are generally adequate. There are,
however, some areas that need improvement.
(more)
�-6My "Comprehensive Violent Crime Control Act of 1991 ," which Congress still has not
enacted, proposes the death penalty for drug-related felony violations which result in the death
of another person.
Whether a drug dealer deserves the death penalty depends on a variety of factors, and
these sanctions should be reserved for the most serious cases. I also strongly support stiff,
mandatory minimum sentences contained in current law for drug trafficking and for involving
minors in any aspect of the drug trade.
Clinton Response: In Arkansas, I have increased penalties for drug traffickers. I will
continue to support lengthy and severe sentences for drug traffickers, including the death
penalty for drug kingpins.
Despite the efforts of Congress and the President to severely punish drug
traffickers, our anti-drug laws have filled our prisons with first-time and low-level drug
offenders while many of the drug kingpins continue to evade the system. In fact, despite the
administration's efforts to create a federal death penalty offense for drug
kingpins, this statute remains virtually unused. We need to make sure that the worst offenders
are receiving appropriately tough sentences.
Question 9: Do you favor pre-employment testing for drugs and alcohol for all
federal employees? For law-enforcement personnel?
Military personnel? Others?
Transportation
workers?
Bush Response: I strongly support drug-free workplace programs, not only for the Federal
government, but also for the private sector. The Federal government has done an exemplary job
in creating a model program which emphasizes, above all, the well being of our employees,
public confidence in our Government, and reducing any health or safety threats to the members
of the public.
Drug testing is only one component of the Federal program, which also includes training
for managers and supervisors on illegal drug use, intensive drug awareness programs, and
employee assistance programs.
Only those employees in national security, safety-sensitive, health, transportation, or
similar occupational areas are subject to random drug screening. Applicants for these positions
are subject to drug screening as well. Generally, this includes personnel who carry firearms,
such as law enforcement personnel, and some-but not all-transportation workers. Our drug
testing program in the military, which has been in operation for over ten years, has done an
excellent job in reducing drug problems in the Armed Forces. It includes pre-induction
screening for drug use.
•
Clinton Response: I support the idea of pre-employment drug testing for safety-sensitive
and security-related positions, such as certain law enforcement and military personnel. I
continue to believe, however, that drug tests are no substitute for expanded drug treatment and
education.
Question 10: When is random drug testing of Federal employees an appropriate
tool?
Bush Response: Federal Drug Free Workplace Programs are composed of several elements,
(more)
�.
•
-7of which drug testing, including random testing, is a necessary and effective component.
Randomdrug testing for Federal employees is appropriate for employees who carry firearms,
for motor vehicle operators who carry passengers, for pilots and flight crew members, for air
traffic controllers, for those having access to national security information, and for others who
hold similar positions. These are just a few examples of the types of positions where employees
are in sensitive posts. The Federal program has been carefully designed and tailored to be as
minimally intrusive as possible, and to protect the privacy of Federal employees.
Clinton Response: While I am concerned that random drug testing, without a reasonable
suspicion of an employee having engaged in illegal drug use, can be administered in an unfair and
arbitrary manner, I do believe drug and alcohol testing is justified for employees in safetysensitive positions. Any such testing mechanism, however, should include strict standards to
insure accurate results and equitable implementation.
Question 11 : Do you favor legislation that would hold tobacco companies liable
for diseases caused by the use of tobacco?
Bush Response: According to a recent United States Supreme Court decision, tobacco users
who claim to have become ill from using tobacco products already have the right to sue the
tobacco companies.
._
In Cipollone v. Liggett Groups. Inc.; the Court held that, while claims by tobacco users
against tobacco companies for failure to warn of the risks of tobacco are preempted by the
Federal Cigarette Labeling and Advertising Act of 1965, tobacco users who have become ill may
sue the tobacco company on other grounds-breach of express warranties, intentional fraud, or
conspiracy to misrepresent or conceal material facts concerning the health hazards of smoking.
Clinton ·Response: I have not had the opportunity to study this particular legislation and the
extensive related case law and, therefore, cannot comment on it.
Question 1 2: Should the.· U.S. government promote the sale of U.S. cigarettes
abroad as a means of reducing our trade deficit?
Bush Response: The United States Trade Representative's (USTR) policy is to challenge
discriminatory barriers to U.S. exports that violate international law. Nevertheless, it is also
USTR's policy not to challenge nondiscriminatory measures that have been legitimately adopted
by foreign governments to protect public health and safety. The GATT recognizes that
governments have a legal right to implement such measures, so long as they do not operate as
disguised barriers to trade. The U.S. supports efforts by all governments to protect their
populations from drug, alcohol, or tobacco abuse, but also strongly opposes misuse of this
rationale for protectionist reasons.
Clinton Response: The only way for the U.S. to reduce its trade deficit is to win in the global
economy. We need to fundamentally change our trade policy, and that means we need a trade
policy that puts people first by investing in ourselves. My national economic strategy will
invest in the ongoing education of American people, in the productive equipment that gives our
workers the tools to compete, and in the economic infrastructure that binds our markets and our
businesses together. And instead of focusing on tobacco exports to help reduce the trade deficit,
(more)
�..
-8my trade policy will recognize that we need companies that invest in the future-and that profit
from change.
Question
1 3: Do you favor requiring that all cigarettes exported by U.S.
tobacco companies be required to carry warning labels in the language of the
country to which they are exported?
Bush Response: The GATI recognizes that governments have a right to protect the health of
their populations through legitimate public health and safety measures, such as warning labels
and nondiscriminatory restrictions on tobacco advertising. Uke all U.S. firms, tobacco
producers have a legal obligation to comply with the public health and safety requirements of
the nations in which their products are sold.
·
Clinton Response: I certainly believe all governments should encourage their businesses to
·translate warning labels that· are affixed to their exports, particularly where health concerns
exist.
Question ·1 4: Do you favor tougher warning labels on alcohol?
Bush Response: Warning labels on the risk of alcohol use for pregnant women and the
danger of drinking and driving are already on many alcoholic beverages. A Federal Interagency
Task Force is currently working to determine how best to represent the alcohol content of
beverages for consumers. Recommendations from the Task Force are expected soon.
Clinton Response: I support the current warning label requirements and will consider any
appropriate changes that need to be made. I believe warning label messages should be based on
the most current medical and scientific information, so that consumers can be fully aware of the
possible effects of alcohol use.
###
�THE WHITE HOUSE
March 29, 1993
Sarah F. Hays, M.D.
Batesville Neuropsychiatry
1695 Harrison Street
Batesville, Arkansas 72501
Dear Dr. Hays:
Thank you for your letter of concern about the disparity of
insurance coverage for those with physical illness and those with
mental illness. I will direct your views and suggestions to the Task
Force.
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Again thank you for sharing your thoughts and for your
support in this tremendous undertaking.
Sincerely yours,
�---..
Batesville Neuropsychiatry
Sarah F. Hays, M.D.
1695 Harri soo Street
Batesville, Ark. 72501
(501 ) 793-0017
March 16, 1993
Hi 11 i ary Cl i ntoo
The W'lite 1-buse
Washington, DC 20500
Dear Ms. Clintoo,
I am writing yoo this 1etter in regard to yoor hea1th care reform p1anni ng. I am a 40 year o1d white
femle physician, W1o graduated fran the University of Arkansas ~ical Scie"'Ces Carrpus in 1900. I
did an internship in internal ITEdicine, which was then folla-.ed by a neurology residency. I becarre a
OOard certified neurologist in 1985. That sarre year I \'h1t into privBte· practice of neurology in
Batesville, Arkansas. I ranained in practice here in Batesville until May of 1990. At that tine I
returned to little Rock to do a oo year residency training program. in psychiatry, which I subsequently
CXlJ1)leted in June of 1992. Since that tine, I have returned to Batesville tO the private practice of
neuropsychiatry.
I:U'ing ·rrrf .psychiatry residency, I was eJqX>Sed to the Arkansas Divisioo of r-BTtal 1-ealth and spent
several rrmths of training at the Arkansas State ~spital, as well as· \\Orking in the Greater Little
~ Ccmrunity t-ealth Center. I witnessed, first hand, the plight of the chronically nentally i 11.
b that. i have returned to private practice, I am roti ng the disparity between insurance reirrtxJrserent
for "jjlysical 'illness" as CQ'Il)ared to that of ''nmtal ill~ss~" I· think with the advaramrt of ITEdical
science, it· has becare increasingly clear that the necharnsms underlying rmntal illness invariably involve
pathophysiologic processes involving the brain.· Therefore, there i's no differt:n:e between physical and
nenta1 ill ness.
In additiorl'; ·there are a nl.ll'ber of people 'IA'lO are 11 solid citizens" that \'0'1< hard in our society and
care for their families. Yet rmny of these people suffer .frtm rrental illnesses, such as depression,
\rttlich ·ill1)airs their capacity for a full and enriched life. It seens ·an unreasonable discrirninatioo ·
oo the part of insurance CQ'Il)anies, to reirrDllrse less for these peoples• illnesses than for sareone
\b) has hypertensioo or diabetes, for exarrple. These "walking \OJI'lded" rreke up a large portioo of oor
society •s \\OI"k force and taxpayers.
·
It is rrrf plea that you will stroogly coosider the issues to 'fklich I have ·alluded in this letter, as you
make plans for health care reform. Furthernore, I \\Ollld be happy to talk· with you about· these issUes ·
at anytineorcamunicate in any fashion, in regard to these matters.
.. .. ~:;
. :
•'.·i-·
p~q-;
Sarah F. Hays, M.D.
D-03-16-93
T-Q3-18-93
...
-~.'
-~ .
;-~~.
t.·
..·,
�THE WHITE HOUSE
March 29, 1993
Ms. Eleanor Butler
President, Board of Directors
Hospice of Burke County
P. 0. Box 1579
Morganton, North Carolina 28655
Dear Ms. Butler:
Thank you for writing and sharing your views regarding the
_,...
/
/
./
benefits of hospice programs. Certainly, caring for terminally ill
patients at home has definite advantages when it is at all feasible.
/
President Clinton is committed to reforming our nation's
health care system -- controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Thank you again for your ideas and for your support in this
tremendou.s undertaking.
Sincerely yours,
�. ....
HCSPICE
0
F
B U R K E
C 0 U N T Y
Post Office Box 1579
Morganton, North Carolina 28680
004) 879-1601
Hillary Rodham Clinton
100 Pennsylvania Ave.
Washington, D.C.
March 19, 1993
Dear Mrs. Clinton:
I am writing on behalf ofthe Board ofDirectors ofHospice ofBurke County. We are very interested in and
concerned with national health care reform and the impact that the various proposals currently being
discussed might have on the families being served by hospice programs throughout the country..
It has been shown in the past that home care is frequently a less costly and equally effective alternative to
hospital- or clinic-based care. For more than twenty years hospices in the U.S. have provided a readily
available alternative to often non-effective treatment for the terminally ill.
It is our hope that any basic benefit package proposed by the Health Care Reform Task Force will include
a hospice benefit. This will encourage patients to take advantage of palliative care when appropriate and
allow for the support services necessary to care for terminally ill persons at home, or in other palliative care
settings when indicated.
We would appreciate your continued awareness ofhospice services as progress is made in health care reform
and also would appreciate being kept informed of legislative action regarding this issue.
Sincerely,
£~4~
Eleanor Butler, President
Hospice of Burke County Board of Directors
�THE WHITE HOUSE
March 29, 1993
Ms. Betty Ervin
104 Woodside Place
Morganton, North Carolina 28655
Dear Betty:
Thank you for writing and sharing your views regarding the
benefits of hospice programs. Certainly, caring for terminally ill
patients at home has definite advantages when it is at all feasible.
President Clinton is committed to reforming our nation's
health care system - controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Thank you again for your ideas and for your support in this
tremendous undertaking.
Sincerely yours,
�-~~--
-
-------
104 Woodside Place
Morganton, NC 28655
March 19, 1993
Mrs. Hillary Rodham Clinton
The White House
Washington, DC 20500-2000
Dear Hillary:
I am writing t? ask that you and your Health
Care Task Force g~ve in depth and (hopefully)
favorable attention to the Hospice concept.
currently I am vice-chair of our local Hospice
board, and I have been an interested observer and
volunteer for a number of years.
To me, Hospice
exemplifies the innovative and cost effective
approaches to health care that our country needs.
It is certainly less costly and more humane than
the extreme pointless measures often taken to keep
terminally ill patients technically alive in
hospitals.
The most important factor to me is the human
element.
Patients can remain in their own homes,
be surrounded and cared for by their family members
and
loved
ones,
receive
medical
and
other
supportive help, be kept relatively pain free, and
have a quality of life that is hard if not
impossible to achieve in a hospital.
It is my hope that Hospice will be an
important facet of our new health system and will
· have the resources it needs to keep up the high
quality of care.
Anything you and your group can
do will be deeply appreciated.
Sam and I are so very proud of you and the
President. We are always ready to help you in any
way possible. Please call on us when you need us.
Affectionately yours,
r&dlj
Betty Ervin
: jcc
~.(0
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
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DATE
SUBJECTfi'ITLE
Hillary Rodham Clinton to June Kozak Kane, M.S., RD [partial] (1
page)
03/24/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: I 0813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Act- (44 U.S.C. ll04(a))
Freedom of Information Act- (S U.S.C. SSl(b))
Pl National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(l) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
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financial information ((a)(4) ofthe PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(l) Release would diselose internal personnel rules and practices of
an agency ((h)(l) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
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Information ((h)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
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b(8) Release would disclose information concerning the regulation of
financial institutions ((h)(8) ofthe FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs ((h)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misf"de defined in accordance with 44 U.S.C.
ll01(3).
RR. Document will be reviewed upon request.
�-- - - - - - - ·
-
·:--::.:o."'::."',-.-...:::e- .-::-:... ....~~=:--..><:-~=~--~--•
{'
I
THE WHITE HOUSE
March 24, 1993
Dear Ms. Kane:
Thank you for writing and sharing your views on health care
refonn and other human services which relate so closely to it.
Certainly, wellness programs, good nutrition and prevention of
diseases enter clearly into the total picture.
-----·- -
President Clinton is committed to refonning our nation's
health care system - controlling runaway costs and providing
security to every American family. It won't be easy and it won't
happen overnight, but we can bring costs under control while
maintaining quality medical care and preserving the choice so
important to us all.
Thank you again for your views and for your support.
Sincerely yours,
---
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
009b. letter
DATE
SUBJECTffiTLE
June Kozak Kane, M.S., RD to Hillary Rodham Clinton [partial] (1
page)
03/10/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number:
l 0813
FOLDER TITLE:
HRC Healthcare Correspondence [3]
2006-0223-F
ab618
RESTRICTION CODES
Presidential Records Aet - (44 U.S.C. 2204(a))
Freedom of Information Aet -(5 U.S.C. 552(b))
PI National Security Classified Information ((a)(l) of the PRA)
P2 Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) ofthe PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) ofthe PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
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b(l) National security classified information ((b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIA)
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b(4) Release would disclose trade secrets or confidential or financial
information ((b)(4) of the FOIA)
b(6) Release would constitute a elearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning weDs ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misf"de defined in aeeordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�-- r
,.
March 10, 1993
Ms. Hillary Rodham Clinton
CLINTON HEALTH CARE TEAM
THE WHITE HOUSE
1600 Pennsylvania Avenue
Washington, DC 20006
RE: HUMAN SERVICES REFORMS AND COORDINATED COMMUNITY MODELS ("HEALTH AND
HUMAN SERVICES CENTERS") IN RE HEALTH CARE REFORMS.
Dear Mrs. Clinton:
-··----· ··-:c-
< .......~-
""
rs--~Thomases'-motheJ_stiggested that I forward my enclosed views. to you. I hope these comments may be of
~the administration's disease prevention and health care/human services refonns.
From 1978 to 1981, as developer of an immensely successful nutrition segment for a Robert Wood Johnson-funded
wellness program in Milwaukee, and later as Chief Nutritionist for that city's health department, I was directly
involved in community based wellness programs and· community health centers that included WIC facilities. We
routinely coordinated nutrition education and wellness programs with clinical and food assistance systems. And
eventually, we were asked by the County to take over several WIC sites and bring them into our comprehensive
wellness and community health care system.
During those years, I testified before state and federal committees on food assistance programs, giving oral and
written suggestions for their improvement and reform. I am sure I do not need to tell you how little reform
occorred in these areas during the last 12 years. despite passionate pleas. Therefore, I'd like to reiterate some of
my suggestions now, in case they might be of assistance to new policies being developed by the Clinton
administration. These suggestions may also have bearing upon healthcare reforms now under construction.
After observing several food-and nutrition assistance programs, and speaking to people who lived through the
"dole" of the 30's depression, I feel strongly that we need a new format for food assistance, based on the WIC
specific voucher model, coordinated with clinical and learning segments - but streamlined, with needed
modifications (a modular 'credit card' or punch card system?) and attention to current sensibiijties.
Few in the U.S. begrudge giving necessary food to those in need. Most anti food-stamp feelings arise only when
taxpayers observe food stamp shoppers purchasing either perceived "luxury" items or "junky" non-nutritious (and
therefore "non-necessary") foods which the taxpayers feel they themselves cannot afford on a budget already asked
to subsidize the food stamp purchase in question. As a nutritionist, I have concerns about food stamp choices that
will not help build optimal health in an already at-risk population. And too often, I have witnessed homes which
simply do not have enough food at the end of the month for family members. either through poor planning or
inadequate scrip. But current food assistance programs can be altered to alleviate concerns such as these.
•
Rather than providing food stamp scrip in too limited amounts usable for a wide variety of discretionaiY purchases.
I believe the program would be more successful if it were administered much like the successful WIC model:
Hungry people could be provided vouchers good for ample amounts of healthful products such as milks,cheeses,
yogurt and eggs; dried/canned beans and peas; oatmeal and other nutritious cereals; brown and enriched rice and
other whole grains and enriched breads and flours; healthful fat sources; juices, apples. oranges and bananas;
green.yellow and orange vegetables; and minimally processed fish, poultry and other healthful protein sources such
as natural (non-hydrogenated ) peanut butter. Other vouchers could be used for generic or house brand paper
products such as diapers, toilet tissue. and personaVsanitary products. If the country can afford it, there could also
be a minimal amount of unspecified scrip or special vouchers issued monthly to cover "extras" such as generic
chocolate syrup, coffee, tea, etc., which most people might agree to be actual necessities; but the clinician
approving the packet might specify "decaffeinated" types only, for example, depending upon health conditions.
The use orspedfic vouchers would automatically tend to provide consumers with more healthful food
products while eliminating most empty calorie (or especially expensive) food items. Such specific vouchers
would also eUminate many resentments voiced in the plllt by taxpayers., and conld close gaps of inadequate
WIC funding until a seamless melding of the two systems might be effected.
�KOZAK KANE I HEALTH & HUMAN SERVICE REFORMS
MARCH lO, 1993
Pagel
Food assistance programs could also be broadened to include a participant-run meals-on-wheels option for new
mothers or others who might temporarily be unable to shop and/or cook. H able-bodied food stamp program
participants can be given the opportunity to staff such programs. peer pressure may help deter abuses,
while new and valuable job skills may be learned. These programs could be broadened, as well, to include food
kitchens which could exchange cooked meals for special food stamp vouchers issued to those who are unable to
cook their own meals. Such communal kitchens would be ideal placements for high school students exercising
their community service requirement. Food service management trainees could provide additional staffing, with
professional supervision provided by those with professional training (perhaps training financed by the proposed
government grant/work payoff system). Hospitals or community schools with cafeterias could be considered for
sites offering social services, classes, meals,day care,extended day, and auxilliary clinic services. If such
comprehensive community health and human services centers were coordinated with HUD, available buildings
. could be found and renovated, and new jobs could be created in the renovation and upkeep of such programs.
This important broadening of the food stamp prognuh to include community food kitchens or available site meal
service (which could be contracted for) should ideally be coupled with a complete array of health. day care.
social senice and counseling or training senices. In urban/suburban community facilities, eligible participants
could take part in available (mandatory or incentive) classes to learn nutrition and wellness tips, healthy food
preparation techniques, and other skills. Providing meals, day care, homework assistance and other incentives to
learning, centers might prove popular and gain necessary community support. If such programs were held in
association with community medical centers, it would enable these programs to be further coordinated with
medical attention, WIC exams, classes in parenting, breast feeding, wellness and stress management, home safety,
Headstart, HIPPY,etc. Rural models, of course, would need to be planned with travel modifications.
Existing urban models around the country currently provide several facets of the above. Several large city health
centers provide a wide variety of health facilities that incorporate wellness classes along with medical/dental clinic
opportunities. And, of course, most WIC centers provide, as well, nutrition classes on various topics, including
breast feeding, maternal and infant nutrition, etc., which are an integral part of that program. Coordinated centers
could provide all of these options. A different example of such programs is The Floating Hospital model
(operating out of NYC). The Floating Hospital is a non-profit ship that sails around Manhattan during the summer
months and provides a free day-long outing plus lunch to eligible participants who then utilize on-board medical
and dental screening services, and attend nutrition, parenting and wellness lectures, films, etc. Each model offers
workable aspects which can be incorporated into comprehensive health and human services centers.
Obviously, I concur with the Clinton administration's belief that it is critical to address the total health and welfare
issues of the economically disadvantaged -which I believe can best be done dealing concurrently with food
assistance. While a totally reformed medical system with universal access will eventually provide medical
attention for all, it will better serve taxpayers and beneficiaries if we can also improve the quality of foods and quality of life - for those on financial assistance. Rather than providing only crisis -oriented food and
medical assistance, a community-based comprehensive wellness model could provide access to a totally
healthier lifestyle.
Additionally, since medical costs of the indigent are- and will be- borne by tax- payers, attention to
prevention of diseases and to social needs in a comprehensive health and human senices model should be
expected to provide cost benefits similar to that which the exemplary WIC program has so consistently
shown throughout its existence.
Please feel free to contact me if I may be of additional assistance in your endeavors.
Very truly yours.
,J~Mc-~~
June Kozak Kane M.s•• R.D.
cc. Ms. Shalala, Health and Human Senices
Mrs. Tbomases, Englewood, NJ.
�(
-·
CODER:_·_-_ -" -.,.
•.
HEALTH CARE TASK FORCE SORTING SHEET
INPUT DATE:_ _
GENERAL SORT:
_General mall
__Personal stories
__Other Health Providers
POSTCARD 1:
__Letter Campaign
POSTCARD 2:
_Offers to help/Employment
FORM LETrER:
_Letterhead
_Policy
REROUTE:
__Casework
_Scheduling _President
_J»hy&ici.ans
__Other
POLICY AND PERSONAL STORIES:
_ORGANIZATION (I)
_insurance premiums
_insurance reform
_insurance pools
_boards and oversight
_COVERAGE CID
_working families
_unemployed/low income
_benefits
__providers
_INFRASTRUCTURE/WORKFORCE (W)
_quality assurance (guidelines)
_administration, reimbursement
& information systems
_malpractice & tort reform
_manpower issues (training)
_unnecessary procedures
_GOVERNMENT PROGRAMS (IV)
_medicare
_medicaid
_veterans
_DoD
_Indian health
_COST ISSUES (VI)
_drug prices
__physician fees
_hospital fees
_medical equipment
_fraud & abuse
_FINANCING (VII)
_MENTAL HEALTH (IX)
_LONG-TERM CARE (X)
_PUBLIC HEALTH/
SPECIAL POPULATIONS (XII)
__prevention
_AIDS
_women's health
_immunizations/children
_rural
_urban
_OTHER~--------------------
··~
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
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Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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HRC - Health Care Correspondence [3]
Creator
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First Lady's Office
Maggie Williams
Identifier
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2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 5
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
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Reproduction-Reference
Date Created
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1/8/2015
Source
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42-t-2194630-20060223F-005-001-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/4c7df42f0ed6c44cac1ff54a875f60c1.pdf
d94a7dd527eb4f2b4916497bf8d866d6
PDF Text
Text
Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECTfi'ITLE
DATE
RESTRICTION
001. card
Business card from Studio Giovanna with note on reverse. ( 1 page)
[none]
P6/b(6)
002a. letter
Hillary Rodham Clinton to Danielle Y. DeLorme. [partial] (1 page)
04/22/1993
P6/b(6)
002b. letter
Hillary Rodham Clinton to Jane Haynes. [partial] ( 1 page)
04/22/1993
P6/b(6)
003a. letter
Hillary Rodham Clinton to Dr. RichardS. Buker, Jr. [partial] (1 page)
04/22/1993
P6/b(6)
003b. letter
Hillary Rodham Clinton to K.C. "Casey" Johnson. [partial] (1 page)
03/24/1993
P6/b(6)
004.letter
Hillary Rodham Clinton to Joyce Watson Nutta. [partial] (1 page)
03/22/1993
P6/b(6)
005. letter
Hillary Rodham Clinton to Silvia Ibanez, Esq. [partial] (1 page)
03/22/1993
P6/b(6)
006_.letter
Hillary Rodham Clinton to Bill Mann. [partial] (1 page)
03/22/1993
P6/b(6)
007. letter
Hillary Rodham Clinton to Francis Daranza. [partial] ( 1 page)
03/22/1993
P6/b(6)
008. letter
Hillary Rodham Clinton to Martina Oellette. [partial] (1 page)
03/22/1993
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie W illiarns
OA/Box Number: 10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab617
RESTRICTION CODES
Presidential Records Ad -(44 U.S.C. 2204(a)(
Freedom of Information Ad -15 U.S.C. 552(b)]
Pl
P2
P3
P4
b(l) National security classified information [(b)(l) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
Information [(b)(4) of the FOIA]
b(6) Release would constitute a dearly unwarranted Invasion of
personal privacy [(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
·
purposes [(b)(7) of the FOIA)
b(8) Release would disclose Information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
National Security Classified Information ((a)(l) of the PRA]
Relating to the appointment to Federal office ](a)(2) of the PRA]
Release would violate a Federal statute ((a)(3) of the PRA]
Jtelease would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA]
P6 Release would constitute a dearly unwarranted Invasion of
personal privacy ((a)(6) of the PRA)
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. card
SUBJECTffiTLE
DATE
Business card from Studio Giovanna with note on reverse. ( 1 page)
[none]
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab617
RESTRICTION CODES
Presidential Records Act • [44 U.S.C. 2204(a))
Freedom of Information Act • [5 U.S.C. SS2(b)(
Pl National Security Classified Information [(a)(l) of the PRA(
P2 Relating to the appointment to Federal office [(a)(2) of the PRA[
P3 Release would violate a Federal statute [(a)(3) of the PRA(
P4 Release would disc!ose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA(
P6 Release would constitute a dearly unwarranted Invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified Information [(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA(
b(3) Release would violate a Federal statute [(b)(3) of the FOIA(
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a dearly unwarranted Invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA(
b(8) Release would disclose Information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical Information
concerning wells ((b)(9) of the FOIA(
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�[
\
.f
\
2/2/93 letter from susan Davis, Associate General counsel,
International Brotherhood of Teamsters, apologizing for her
intrusion on NY to DC shuttle evening of January 26 after your
busy day in NY. General President Ron carey appointed a committee
to study problem of health care as it affects Teamster members and
their families. If tbey can be of assistance in your endeavors,
please do not hesit~e to call •
DISPOSIT
'fj .
f
~~~~
~\}}~·
~
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•
\
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t"~\_
i'li j}•j\.;
j~·
I
/See
File; NRN
\ /'\)
.>.:
HRCklgMCA
062193
�INTERNATIONAL
BROTHERHOOD OF TEAMSTERS
AFL·CIO
OFFICE: (202) 624·6945
FAX: (202) 624·6884
---======~
:1
. /
GENERAL COUNSEL
'J)GAL DEPARTMENT
COHEN, WEISS AND SIMON
Richard N. Gilberg
Director
[I Gary S. Willen
Associate General Counsel
Susan Davis
/
February 2, 1993
Hillary Rodham Clinton
The White House
Washington, D.C. 20500
/
Associate Director
James A. McCall
Kurt C. Kabel!
Mary T. Connelly
David L. Neigus
Paula J. Cairo
Carolyn D. Kaminski
Counsel
Earl V. Brown, Jr.
Dear Ms. Rodham Clinton:
Please forgive my intrusion on the 8:30 p.m. New York to
Washington, D.C. shuttle on Tuesday, January 26. It was not until
after I arrived in Washington that I learned of the many activities
that brought you to New York that day. I hope that your ability to
take a brief rest on the plane, free from well-intended wellwishers, was not irreparably disturbed.
Once again, on behalf of Teamsters General President Ron carey
and the New Teamsters Union, I would like to express our heartfelt
congratulations on your much-deserved victory. Although on a much
smaller scale, the recent triumph of democracy in the New Teamsters
Union also portends a future of hope and prosperity for millions of
Americans and their families.
Like President Clinton, General
President Ron Carey, a client with whom I have worked for more than
ten years, was initially given only a slim chance of defeating an
entrenched, conservative leadership.
Like President Clinton,
additionally, by shaking hundreds of thousands of hands and
campaigning tirelessly for more than two years, a candidate
dedicated to progressive political action, honesty and reform
prevailed.
As you may know, Ron Carey was elected in the first rank-andfile election in the Teamsters' history. As I mentioned on the
plane, shortly after taking office in February, 1992, General
President Carey established a committee to study the problem of'
health care as it affects the more than 1. 2 million Teamster
members and their families.
The committee has been meeting and
gathering data on this critically important issue. If we can be of
any assistance in your endeavors, please do not hesitate to call.
25 LOUISIANA AVENUE, N.W. • WASHINGTON, D.C. 20001 • {202) 624-6800
�- 2 -
Once again, it was a great pleasure meeting you on Tuesday
night. The role you will play in the future -- and the role you
have played to date -- is indeed formidable and inspirational. I
hope that our paths will cross again.
Very truly yours,
susan Davis
Associate General Counsel
International Brotherhood
of Teamsters
SD/lmb
�THE WHITE HOUSE
June 23, 1993
Ms. Jessica Mitford
6411 Regent street
Oakland, California 94618
Dear Decca:
......
,)
.
Thank you for your letter and the
enclosed copy of your letter to the editor
of Harper's Magazine. I appreciate your
eloquent defense of my views on family
matters.
Congratulations on the success of
your new book. I'll be anxious to read
it.
Warm, best wishes.
Sincerely yours,
!~((
Hilla~odham Clinton
PHC~TfJCOPY
HRC HANDWRITING
�THE WHITE HOUSE
WASHINGTON
I
Ms. Jessica Mitford
6411 Regent Street
Oakland, California 94618
I
�Phone: (510)655-1836
FAX:
(510)655-2954
o#//~~bed
e;~
~~rP#o/tf
3 March, 1993
Hillary .Rodham Clinton
The White House
Washington, DC
Dear Hillary,
I enclose a letter to the ed. of Harper's -- never made
it into their letters column; I was in England when the Lasch
article appeared so didn't see it ~until much later, hence
I suppose too late for my response.
(Incidentally the case on
page 2, 9-#p-old black kid in Juvy, was one of Bob's,many
years ago) •
Since my book (American Way of Birth) came out I've
been rather swamped with speaking engagements. The 38& latest
is I'm to address the Commonwealth Club of
California, March 12.
It's got to be written out, so I'll send you a copy when I've
done it. It's a two-fold pitch, as in my book: 1) legalization
of lay-- or direct-entry-- midwives in Calif., 2) singlepayer universal health program like the one in Canada.
Best regards,
Jessica Mitford
ps The last time we met was in Gov's Mansion, Little Rock,
Chelsea a aabe in high chair. Must have been circa 1980?
pps Also enclosed, a couple of items that might amuse you
from (British)~uardian & SF Chronicle, last October.
I must say I was a bit appalled at that ghastly EXHXH
creature Murdoch doing Bush's dirty-tricks work from
afar!
�Jessica Mitford
6411 Regent Street
Oakland, CA 94618
Harper's Magazine
666 Broadway
New York, N.Y. 10012
Letter to Editor
During the late unlamented election campaign we
y
were exposed night and day to the Bush/Quale version
of Hillary Clinton's views on family matters -- "She
equates marriage with slavery!"
"She would encourage
children to sue their parents!"
A lot of campaign claptrap, hardly worth bothering
with.
Of more substance is Christopher Lasch's piece
"Hillary Clinton, Child Saver" in the October Harper's,
in which he draws on articles and speeches by Hillary
Clinton to prove that, as he puts it, "what she values
will not help the family."
In a convoluted and sometimes confusing passage
about the reforms of early twentieth-century do-gooders,
in which the control of delinguent children was transferred from parents to the juvenile courts, Mr. Lasch
seems to favor restoring "some of the parental respon-
�page 2
sibility expropriated by the state."
(His emphasis)
But, says he, "Clinton proposes a very different solution.
She wants to abolish minority status, to give
children and adolescents the same rights as adults,
and to integrate them into our adversarial system of
justice."
And why not? say I.
Anyone with first-hand ex-
perience of the juvenile court system, in which the
young suspect is denied the basic civil rights accorded under the Constitution to adults accused of crime
viz. right to counsel, right to remain silent, right
to bail, right to confront their accusers, right to
call witnesses, right to jury trial, the presumption
of innocence -- will attest to the failure of the system.
Lawyers may rail against its injustice, but it is above
all the parents of kids who must feel the frustration
of standing by while children are being railroaded.
Has Mr. Lasch ever talked with the mother of a
black nine-year-old accused of stealing a dollar from
a white playmate?
Who was whisked off to Juvy and there
incarcerated for six weeks pending a hearing?
Whose
�page 3
frantic mother would gladly have bailed him out, engaged counsel, sought witnesses, all to no avail?
And what of custody cases?
Shouldn't the child
have the right to decide which parent he prefers to live
with?
Most enlightened judges routinely consult the
child in such disputes.
The centerpiece of Mr. Lasch's article is the case
of Wisconsin v. Yoder in which the Supreme Court ruled
in favor of three Amish families, allowing them to keep
their children out of high school in defiance of a state
law compelling attendance.
Justice William 0. Douglas
dissented -- nobody had asked the children if they
shared their parents' views.
He said that the children
should have been consulted and that their judgment should
count more than that of their parents.
If children were
"harnessed to the Amish way of life," their lives were
likely to be "stunted and deformed."
Mr. Lasch observes that "According to Clinton, this
'groundbreaking view of the case' lays down principles
that ought to guide family policy.
Instead of assuming
that parents know best, she argues, we should let child-
�page 4
ren speak for themselves.
We should recognize their
competence to make their own decisions.
We should
treat them as rights-bearing individuals ••• "
Lasch disagrees:
Mr.
"A careful reading of Clinton's
argument shows that she objects to the family much
more than she objects to the state ••• her writings
leave the unmistakable impression that it is the
family that holds children back, the state that sets
them free."
But I couldn't agree more with Hillary
Clinton's stand on Justice Douglas's dissent.
In fact this passage of Mr. Lasch's article
recalled an ancient resentment against my own parents,
who were not of the Amish faith -- far from it;
they
were ultraconservative members of the Church of England.
Home was a large, well staffed country house in the
Cotswolds, a far cry from
Amish.
th~
austere dwellings of the
It was the dream of my childhood to go to school
-- I should have liked to go to a university when I grew
up, but in order to qualify one had to have a proper
education.
My mother was adamant; she didn't approve
of girls going to school (our only brother went to Eton)
so the six of us were kept at home under the iurisdiction
�page 5
I
!"J.
of a series of inept governesses, from whom we learned
next to nothing.
Not wishing to be 'harnessed to the Cotswold way
of life" as Justice Douglas might have put it had he
been asked to rule on the matter, at age 12 I started
a Running Away Account in our family bank, and so
eventually escaped.
We are not told what became of the
hapless Amish children.
Mr. Lasch endorses the idea of healthy neighborhoods where people look out for each other, where the
corner grocer scolds a child for running out into the
street -- implying that Ms. Clinton frowns on such
neighborly intervention, would oppose the grocer's right
to rescue a child from the onrushing traffic; she would
"transfer control of children from the local community
to state-devised institutions designed specifically for
the purpose."
That's a truly wild leap of the Laschian
imagination, supported nowhere in the articles and
speeches of Hillary Clinton on which his essay is based;
nor does it reflect the thinking of the Children's
Defense Fund of which she was national chairman for
�page 6
many years.
In sum, "Hillary Clinton, Child Saver" appears
to be essentially a
longe~
rendition of the Bush campaign
television sound bites, replete with their distortions
of Clinton's stated position on children's rights.
********
�~~ c~~
s.r. ~ ~OV\ \.z.
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adi-.
:t ~, tCl '1 ~
a: En~l~:d:-~h
·THERE'LL :way: be
·
Kaspar of Sail Jose, visiting London, found this
delicious sign in a narrow parking area next to
an old building: ''Park With Rear Outward So
Exhaust Doesn't Besmirch Building." I have yet
to find a single "besmirch" in any signs around
here ... For a cuuute firm name, Bill Lorenzen .
nominates the bookstore called · Journe 's
iend at Gatwlck Airport, nr. London .• •. Ail
Oakland's Jessica (Decca) Mitford, in London to
plug her new book, "The American Way of
Birth," got a phone call Tues. from a reporter for
the Sunday Times who asked if she'd been at an .
anti-Vietnam War demonstration · outside the
U.S. Embassy there on October 16, 1969. "Quite
possibly," replied Decca, "but in answer to your
next qu~tion, no, I have no idea if Bill Clinton
was there" ... Minor spinoff: Little Rock, Ark., s
famous for more than Bill Clinton. Maire Far. rington, visiting there, discovered a pizza parlor
called Pizza D'Action.
·
··1
�Diary
Andrew Moncur
.•............................
.-&E famous Hindsight
I team at the Sunday
Times, Britain's bigest tabloid, ls really scratc:hinR to
ftnd something ~ anything
- to tl.lng at Governor Bill
Clinton. Well, time ls runnlnl out, lsn't,U (for Georp
Bush, malnly). This may explain the sudden Interest In
the Vietnam W•r period
beinl displayed by the paper,
owned by that anat bornagain Amerlean, Rupert
Murdoch. Pirst, Hindsight
c:omes on the blower to CND. ·
Wanted: arc:hlve material
relatlnl to the war, protests,
and so on. In partleular, any-.
thinR about Group '88, whlch
broupt together US and
Britlsll aaU-war students.
Bmm. Next tb1ng - snUf,
sniff - a Sunday Times
aewshound arrives in person
and .OD a s1m1Jar track. By
DOW the peaoy has flropped.
It's not so much a ease of
redlsc:overiJlB · 1988 And All
That more a matter of fin..
gerlug Mr CUnton. Go away,
_. am.
A SMALL question. Am I
Malone in thinking that
John MIQor has only one
more U-turn to make?
Namely, that he should Join
Sunday's big TUC rally, opposing pit elosuns.
ested In this sort of dirty
work. Then the Sunday
Tilll88 calls Jessica Mitford.
the (usually) Californiabased author. The chat ps
something like this. ST:
Remember the Grosvenor
Square demo In London? JM:
Yes, most e!Qoyable .•• You
want to ftnd out IfI knew BW
Cliaton (Miss Mitford Is not
slow). S7': You've ROt it. JM:
Terribly sorry. Never saw
him. Footnote: Wbo else has
been bot)lered by these
N
•anu.
people?
.-&ANK you, the Dally
I Star, for that fighting
headline aimed at the hapless PM: "Get rid of your ero-.
Dies, JohnJ" But was it really
taetful to run lt over a picture of Lord Stevens, chair·
man of Express NeW8JQ81'8
and boss of the Star?
NIMAGINABLE, Jsn't it,
that editon to the Baymarket magazines group
(prop: Mlehael Beseltine)
milbt be asked to cheek
whether any staff were Joinlog the miners' protest
mareli. Over to Mlilrtin
Hover, Haymarket's pel'SOD~
nel director, for a clear
answer on this one. "I would
Wew. DOt ...._, ~pe &bat our ecUtors were
U
(r t{
CVLl:ct n
)
the weekend, the system
came up, as we technology
buffs say, on Monday mornIng. It came down, as we describe it, by lunchtime. On
Tuesday, it came up and
stayed up - except in 34 of.
flees~ "All up and runnlnR
ow. our competition: again by 11 this morning," a
thumbnail sketches of spokespel'SOD said yesterda)';
Mr MJQor. Such as: "Be has not very c:onftdeatly.
to be heard to be dlsbeneved" (BiD Power); "Eyes of
the chalrman of
a dentist, mouth of a letter- WW the exciting London
box" (Andy ·vallls); "The Forum was duly named, to
man who ehose Lamont" scenes ofjoy bordering on de(John Maclean, again):
Urium. And, yes, it's Sir
Allen Sheppard - as forecast.
I ABOUR attaches from the In yesterday's diary. Many
~.former eastern bloc have miners later vls1ted London,
a Whitehall briet'iag today: probably to join to eelebrathow to reform their soeialse- tog this happy event. .
curlty systems along the
Unes of our own. If that were
IG NEWS from the
not punishment enough,
Gazette, Claeton: "If you
there are drinks afterwards were planning to see Domiwith Ann Widdec:ombe, the ole O'Brien, the amazing
small but perfeetly terrifying Memory Man, at Claeton's
Junior social security mlnls- West CWJ Theatre, forget. it.
ter. I wonder. Old any of Due to other c:omml~ts.
them pop toto our world-· he has had to cancel the show
beatlnl benefit oft'lces this on November 4." You don't
week? If so, they might wish Imagine, do you, that It
to ask Miss W about a prob- sUpped his JQIHmow-wbatf
lem with the Income support
computer system, running II!!!IINALLY, not a word,
basic needs payments for rplease, about the·· Lord
four million claimants. Bav- Mayor of London's head
iq been rePJ'OII'8IDIIUlC over ~ur, Mr Wheels. ·
aware of where their staff
were at every time. I don't
see today is anything
special." Thank you. I don't
think that c:ould posslhly be
any clearer.
EANWHILE, President
Beseltine will not, after
Mbe giving the peoples
all,
of
China (some of the world's
great c:oal.bumen) the benefit of his wisdom this weekend. Plans for visit to Bong
Koog and China deferred. .
Why? Pressure of parllamentary business. Is there some
crlsls soinB on?
B
Soundbites
,,
• THE ·last piece of advice I
would give to the Prime Minister is that it ls not a good idea to
surround yourself with cronies
and buddies in the Cabinet and
elsewhere. You must surround
yourself with good people, as
far as you c:an, and if at the end
of the day the people are not
good enough, you must get rid
of them- otherwise it will end
up being you.
Lord Stevens of LudBt*. Chair·
num
qf Exprat~ New/KIIJIITS,
·
'
·DaU,v Express
• IF this government ever
wishes to be rHlected, it must
ask itself why a poHcy of reduc- ,
ing the arms industry in the
name of emetency has led normally loyal Tory voters Hke
myselftotaketothestreets.
Lonl Ne/dptltJI, ~
• ONE OF the things that I will
always resent about Saddam
Hussein ls that he robbed me of
time with my famUJ.
Nornum St:huxlrzAfJJII, lleliD!
• WHO's going to fall in love
with someone with 11 children,
soon to be 12? Somebody crazy.
MIG Farrow. ditto
·
�THE WHITE HOUSE
WASHINGTON
April 23, 1993
Mr. Earl Old Person
Chairman
Blackfeet Tribal Business Council
Browning, MT 59417
Dear Friend:
It was a wonderful pleasure to meet you on my trip to
Montana. Thank you for your letter and Tribal Health memo about
the health care needs of the Blackfeet Nation that I received
from you when I was in Billings. It was a most thoughtful letter
that will inform the work of the health care task force. I am
also forwarding it to key Federal officials.
The President is committed to improving the nation's health
care system. The needs of the Indian community will receive
special attention as we develop a national health care proposal.
I am grateful for all the information that was provided to
me on my.trip to Montana and for the public statements that were
made describing the health needs of Native Americans.
Thank you for your assistance.
best wishes.
You have our prayers and
Sincerely,
L~~ 0.JJ-..,.~t-.
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Dr. Bruce Chessen
Transwestern I I
490 No. 31st St., Suite 304
Billings, MT 59101
Dear Dr. Chessen:
Thank you for the interesting materials which you gave me
when I was in Montana for the health care discussions.
The information is very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
LJ,'I~ 0.tlk-.. . c;.;...fl.,-.
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Ms. Jean R. Barbo
Home Care Coordinator
Career Development Associates
2022 Central Avenue
Great Falls, MT 59401
Dear Ms. Barbo:
Thank you for the thoughtful comments you gave me when I was
in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Mr. Donald R. Judge
Executive Secretary
Montana State AFL-CIO
110 West 13th Street
P.O. Box 1176
Helena, MT 59624
Dear Mr. Judge:
Thank you for the thoughtful comments you gave me when I was
in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
do.
Thank you for caring.
Best wishes in the important work you
Sincerely,
(J,'I~ (t.flk- ..... ~~
Hillary Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002a. letter
SVBJECTffiTLE
DATE
Hillary Rodham Clinton to Danielle Y. DeLonne. [partial] (1 page)
04/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential RecordsFirst Lady's Office
Maggie Williams
·oA/Box Number: 10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab617
RESTRICTION CODES
Presidential Records Act- [44 V.S.C. 2204(a)J
Freedom of Information Act- [S V.S.C. SS2(b)J
Pl National Security Classified Information [(a)(l) of the PRAJ
P2 Relating to the appointment to Federal office [(a)(2) of the PRAI
P3 Release would violate a Federal statute [(a)(3) of the PRAI
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRAJ
P6 Release would constitute a dearly unwarranted invasion of
personal privacy [(a)(6) of the PRAJ
b(l) National security classified Information [(b)(l) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIAJ
b(3) Release would violate a Federal statute [(b)(3) of the FOIAJ
b(4) Release would disclose trade secrets or confidential or financial
Information [(b)(4) of the FOIAI
b(6) Release would constitute a clearly unwarranted Invasion of
personal privacy [(b)(6) of the FOIAJ
b(7) Release would disclose Information compiled for law enforcement
purposes [(b)(7) of the FOIAJ
b(8) Release would disclose Information concerning the regulation of
financial Institutions ((b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIAI
C. Closed In accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 V.S.C.
2201(3).
RR. Document will be reviewed upon request.
�I ...
I
THE WHITE HOUSE
WASHINGTON
April 22, 1993
·,
i
I
'
i
Dear Ms. DeLorme:
Thank you for the thoughtful comments you gave me when I was
in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Jennifer's story is a tragic one and I wish you strength in
coping with the loss of your daughter. Thank you for caring and
sharing her story with me. Best wishes.
Sincerely,
L~~~ 0.t~J-..,..u;.._t-.
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Dr. George F. Sheckleton
1810 Mulberry Drive
Billings, MT 59102
Dear Dr. Sheckleton:
Thank you for the thoughtful comments you gave me when I was
in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
sincerely,
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Ms. Linda Olsen
Ms. Jennifer Smith
ASK-A-NURSE MONTANA
St. Vincent Hospital
1233 North 30th
Billings, MT 59101
Dear Ms. Olsen and Ms. Smith:
Thank you for the thoughtful comments you gave me when I was
in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
lch~ (t.t~J,.... .,.a;_.,_,..
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Mr. Melvin P. Espy
Pacific Northwest Youth Development Inc.
3871 Ox Yoke Drive
Billings, MT 59105
Dear Mr. Espy:
Thank you for the thoughtful comments you gave me when I was
in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
tch"~ O..tll-.-.,. c._p;_.,.,.,..
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Mr. Doug campbell
President
Montana Senior Citizens Assn., Inc.
P.O. Box 423
Helena, MT 59624
Dear Mr. campbell:
Thank you for the thoughtful comments you gave me when I was
in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
do.
Thank you for caring.
Best wishes in the important work you
Sincerely,
Hillary Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002b. letter
SUBJECTffiTLE
DATE
Hillary Rodham Clinton to Jane Haynes. [partial] (1 page)
04/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab617
RESTRICTION CODES
Presidential Records Act -144 U.S.C. ll04(a))
Freedom of Information Ad- (S U.S.C. SS:Z(b))
PI National Security Classified Information ((a)(l) of the PRA)
P:Z Relating to the appointment to Federal office ((a)(:Z) of the PRAJ
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy ((a)(6) of the PRAJ
b(l) National security classified Information ((b)(l) of the FOIA)
b(:Z) Release would disclose internal personnel rules and practices of
an agency ((b)(:Z) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information ((b)(4) of the FOIA)
b(6) Release would constitute a dearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
:Z:Z01(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Dear Ms. Haynes:
Thank you for the thoughtful comments you gave me when
in Montana for the health care discussions.
I
was
Your views are very helpful as we work to formulate the
reform of our national health care .system.
do.
Thank you for caring.
Best wishes in the important work you
Sincerely,
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Mr. John T. Borgreen
Easter Seal/Goodwill
Corporate Headquarters
4400 Central Avenue
Great Falls, MT 59405-1695
Dear Mr. Borgreen:
Thank you for the information on the AgrAbility Project
which you gave me when I was in Montana for the health care
discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Mr. Dan J. Richman
Executive Director
Blaine County Activity Center, Inc.
P.O. Box 457
Harlem, MT 59526
Dear Mr. Richman:
Thank you for the information on the Blaine County Health
Care Task Force which you gave me when I was in Montana for the
health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
t~~ O.tJJ-._(Jl;..."'*'
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Dr. Fred J. Cowie
Disaster & Emerqency Services
P.O. Box 4789
1100 N. Last Chance Gulch
Helena, MT 59604
Dear Dr. Cowie:
Thank you for the interestinq materials you qave me when I
was in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for carinq.
Best wishes in the important work you
do.
Sincerely,
t~~ (l.,p._.,.
u;_.,._
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Chairman L. J. Killham
McCone County MAF & Nursing Home Assoc.
Box 48
Circle, MT 59215
Dear Chairman Killham:
when
Thank you for the thoughtful comments and report you gave me
I was in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
tJ.;~ 0.tlk-- u;.._.,._
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Ms. Rachel McCloy
Coordinator
McCone Countycouncil on Aging
Circle, MT 59215
Dear Ms. McCloy:
when
Thank you for the thoughtful comments and report you gave me
I was in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�THE WHIT£ HOUSE
WASHINGTON
April 22, 1993
Ms. Connie Eissinger
Chairman
McCone County Commissioners
Box 199
Circle, MT 59215
Dear Ms. Eissinger:
when
Thank you for the thoughtful comments and report you gave me
I was in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
(J.;~ O.tJA-.,.c£..-f-r.
Hillary Rodham Clinton
................____________________________
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Ms. Suzy Holt
Director, Information and Library Services
Shodair Hospital
840 Helena Avenue
P.O. Box 5539
Helena, MT 59604
Dear Ms. Holt:
Thank you for the thoughtful comments and Report to the
Governor you gave me when I was in Montana for the health care
discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
do.
Thank you for caring.
Best wishes in the important work you
Sincerely,
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Ms. Nancy Aagenes
The Natural Medicine Clinic
1820 Harrison Ave.
Butte, MT 59701
Dear Ms. Aagenes:
Thank you for the information on Naturopathic medicine which
you submitted when I was in Montana for the health care
discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
(ch~ O.r~J- ,_a;._~
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Ms. Lee Gasnick
1219 Steffanich Drive
Billings, MT 59105
Dear Ms. Gasnick:
Thank you for the thoughtful comments you gave me when I was
in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
I wish you strength in coping with your family's health
needs. Thank you for caring and sharing your story.
Sincerely,
LJ.;t~ (t.c~J,.....,.o;;_~
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Mr. Jerome Connolly, PT
First Physical Therapy
1027 North 27th Street
Billings, MT 59101
Dear Mr. Connolly:
Thank you for the thoughtful comments you gave me when
in Montana for the health care discussions.
I
was
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Lch~ O.JL..,.~~
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Ms. Karen J. Gransbery, R.N.
Deaconess Health Center
1020 North 27th Street
Billings, MT 59101
Dear Ms. Gransbery:
Thank you for the thoughtful comments you gave me when I was
in Montana for the health care discussions.
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
LJ;~ O.JA-.... ~~
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 1, 1993
Dr. Steven Schroeder
President
Robert Wood Johnson Foundation
P.O. Box 2316
Princeton, NJ 08543-2316
Dear Steve:
It has been a wonderful experience to participate in the
Foundation's "Conversations on Health." I know that these public
discussions will have an impact on continuing the health care
discussion across America and in informing our public policy
debate.
My special thanks to you, Steve Somers, Nancy Kaufman, and
the others at the Foundation, including the many Board members I
had the pleasure to meet. The Foundation has demonstrated
significant leadership in contributing both to the delivery of
more effective health care in our nation and in providing vital
public education on the need for health care reform.
Again, my thanks.
I hope you will stay in touch.
Sincerely,
t~~t~odham
Clinton
�. I
�·... ·
'
.
'
THE WHITE HOUSE
WASHINGTON
April 22, 1993
Ms. Virginia Wallace
St. Johns Nursing Home
3940 Rim Rock Road
Billings, MT 59102
Dear
Virginia:
I heard about the call you made while I was in Billings. I
know how difficult it must be not having a health care facility
on the reservation. As we work on the health care proposal, and
as we work to make our government more responsive to the needs of
the people, know that we will be working to insure the
improvement of Indian health care. You are in our prayers.
With best wishes,
--------------------
Sincerely,
LJ.;t~ O.JJ-- c.£-tHillary Rodham Clinton
------
----------
�·.. ··
'
...
THE WHITE HOUSE
WASHINGTON
April 22, 1993
Chippewa Cree Tribe of
Rocky Boy's Indian Reservation
Box Elder, Montana
Dear Friends:
I appreciate the statement about the health
Native Americans that I received from you when I
It was a most thoughtful letter that will inform
health care task force. I am also forwarding it
officials.
care needs of
was in Billings.
the work of the
to key Federal
The President is committed to improving the nation's health
care system. The needs of the Indian community will receive
special attention as we develop a national health care proposal.
I am grateful for a·ll the information that was provided to
me on my trip to Montana and for the public statements that were
made describing the health needs of Native Americans.
Thank you for your assistance.
best wishes.
You have our prayers and
Sincerely,
l~~ o.~~c£-~
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Mr. Randy L. Spear, PA-C
Huntley Project Medical Center
Box 246
Worden, MT 59088
Dear Mr. spear:
Thank you for the thoughtful remarks you made when I was in
Montana for the health care discussions. Your views are very
helpful as we work to formulate the reform of our national health
care system. The White House Health Care Task Force is reviewing
health care reform recommendations, and I am forwarding to them
your statement on the importance of utilizing Physician
Assistants.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
(chi~ R.~-~~
Hillary Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003a. letter
DATE
SUBJECTffiTLE
Hillary Rodham Clinton to Dr. RichardS. Buker, Jr. [partial] (1 page)
04/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number:
10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab617
RESTRICTION CODES
Presidential Records Ad- 144 U.S.C. 2204(a)J
Freedom of Information Ad- JS U.S.C. SS2(b)J
PI National Security Classified Information J(a)(l) of the PRAJ
P2 Relating to the appointment to Federal office [(a)(2) of the PRAJ
P3 Release would violate a Federal statute [(a)(3) of the PRAJ
P4 Release would disdose trade secrets or confidential commercial or
financial information J(a)(4) of the PRAJ
PS Release would disdose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRAJ
P6 Release would constitute a dearly unwarranted invasion of
personal privacy [(a)(6) of the PRAJ
b(l) National security dasslfied Information J(b)(l) of the FOIAJ
b(2) Release would disdose internal personnel rules and practices of
an agency J(b)(2) of the FOIAJ
b(3) Release would violate a Federal statute [(b)(3) of the FOIAJ
b(4) Release would disdose trade secrets or confidential or financial
information [(b)(4) of the FOIAJ
b(6) Release would constitute a dearly unwarranted invasion of
personal privacy J(b)(6) of the FOIAJ
b(7) Release would dlsdose information compiled for law enforcement
purposes l(b)(7) of the FOIAJ
b(8) Release would disdose information concerning the regulation of
financial institutions J(b)(8) of the FOIAJ
b(9) Release would disdose geological or geophysical information
concerning wells J(b)(9) of the FOIAJ
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�1-~~---
--~--------·-····-··········-
..
. - . . -..
I
THE WHITE HOUSE
WASHINGTON
April 22, 1993
Dear Dr. Buker:
When I was
received a copy
Tbe Sentinel on
the citizens of
accomplished in
practitioners.
in Montana for the health care discussions, I
of the wonderful article on you that appeared in
April 14. Your achievements and contributions to
Liberty county are a fine example of what can be
the area of rural health care by dedicated family
You deserve our thanks and congratulations.
As the Administration works on the health care proposal, and
as we work to make our government more responsive to the needs of
the people, we will be working to insure the improvement of rural
health care as well.
do.
Thank you for caring.
Best wishes in the important work you
Sincerely,
Hillary Rodham Clinton
�~
·'
·
...
THE WHITE HOUSE
WASHINGTON
April 22, 1993
Chairman Caleb Shields
Fort Peck Tribes
P.O. Box 1027
Poplar, MT 59255
Dear Chairman Shields:
I am grateful for the statement you presented to me with
regard to the health care needs of the Fort Peck Tribes when I
was in Billings. It was a most thoughtful statement that will
inform the work of the health care task force. I am also
forwarding it to key Federal officials.
The President is committed to improving the nation's health
care system. The needs of the Indian community will receive
special attention as we develop a national health care proposal.
I am grateful for all the information that was provided to
me on my trip to Montana and for the public statements that were
made describing the health needs of Native Americans.
Thank you for your assistance.
best wishes.
You have our prayers and
Sincerely,
Lch·~ O.JJ- ~ c_p;_ftv..
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Fort Belknap Community Council
P.O. Box 249
Fort Belknap Agency
Harlem, MT 59526
Dear Friends:
I appreciate the memo about the health care needs at Fort
Belknap that I received from you when I was in Billings. It was
a most thoughtful memo that will inform the work of the health
care task force. I am also forwarding it to key Federal
officials.
The President is committed to improving the nation's health
care system. The needs of the Indian community will receive
special attention as we develop a national health care proposal.
I am grateful for all the information that was provided to
me on my trip to Montana and for the public statements that were
made describing the health needs of Native Americans.
Thank you for your assistance.
best wishes.
You have our prayers and
sincerely,
~J.;r~ a.~
. . c.;;_+w--
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Madame Chairman Clara Nomee
Crow Tribe
P.O. Box 159
Crow Agency, MT 59022
Dear Madame Chairman Nomee:
Thank you for the statement you made to me when I was in
Billings. Thank you for the wonderful gifts you bestowed on me
and thank you for your confidence in the President, your prayers,
and your good wishes. The copy of your thoughtful remarks will
inform the work of the health care task force. I am also
forwarding it to key Federal officials.
The President is committed to improving the nation's health
care system. The needs of the Indian community will receive
special attention as we develop a national health care proposal.
I am grateful for all the information that was provided to
me on my trip to Montana and for the public statements that were
made describing the health needs of Native Americans.
Thank you for your assistance.
best wishes.
You have our prayers and
Sincerely,
tJ,'~ R.t~J-.,..u;_f,.,..
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
President Llevando Fisher
Northern Cheyenne Tribe
P.O. Box 128
Lame Deer, MT 59043
Dear President Fisher:
It was wonderful to meet you and receive your important
statement on my recent trip to Billings. It was a most
thoughtful statement that will inform the work of the health care
task force. I am also forwarding it to key Federal officials.
The President is committed to improving the nation's health
care system. The needs of the Indian community will receive
special attention as we develop a national health care proposal.
I am grateful for all the information that was provided to
me on my trip to Montana and for the public statements that were
made describing the health needs of Native Americans.
Thank you for your assistance.
best wishes.
You have our prayers and
Sincerely,
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 22, 1993
Ms. Maria Stephens
Ms. Mary Ellen Doty
Ms. Claudia Stephens
Montana Migrant and seasonal
Farmworker Council, Inc.
1148 First Avenue North
Billings, Montana 59101
Dear
Ms. Stephens, Ms. Doty, and Ms. Stephens:
Thank you so much for the information I received when I was
in Billings on the work of the Montana Migrant Council. I too am
sorry I could not visit your clinic but perhaps there will be
another opportunity. Your views are very helpful as we work to
formulate the reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
~J,·,~ (2.~
,_a;...f.,.,.,
Hillary Rodham Clinton
�.'
)
.,
.
1
1
�•'
.
March 24, 1993
Thomas A. Krause, Esq.
Legal Services Corporation of Iowa
312 Eighth Street, Suite 300
Des Moines, Iowa 50309-3828
Dear Mr. Krause:
Thank you for the thoughtful comments you gave me when I was
in Iowa for "Conversations on Health.".
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�•'
.
March 24, 1993
Iowa Pharmacists Association
8515 Douglas Avenue
Suite 16
Des Moines, IA 50322
Gentlemen:
Thank you for the thoughtful comments you gave me when I was
in Iowa for "Conversations on Health."
Your policy positions are very helpful as we work to
formulate the reform of our national health care system.
do.
Thank you for caring.
Best wishes in the important work you
Sincerely,
Hillary Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003b. letter
SUBJECTffiTLE
DATE
Hillary Rodham Clinton to K.C. "Casey" Johnson. [partial] (1 page)
03/24/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number:
10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab617
RESTRICTION CODES
Presidential Records Ad- (44 U.S.C. 2204(a)J
Freedom of Information Act- (S U.S.C. SS2(b)J
PI
P2
P3
P4
b(l) National security dasslfied Information [(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIAJ
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
Information ((b)(4) of the FOIAJ
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose Information compiled for law enforcement
purposes ((b)(7) of the FOIAJ
b(8) Release would disclose Information concerning the regulation of
flnandallnstltutions ((b)(8) of the FOIAJ
b(9) Release would disdose geological or geophysical information
concerning wells [(b)(9) of the FOIAI
National Security Classified Information ((a)(l) of the PRA)
Relating to the appointment to Federal office [(a)(2) of the PRA)
Release would violate a Federal statute ((a)(3) of the PRAJ
Release would disclose trade secrets or confidential commercial or
finandallnformatlon [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRAI
P6 Release would constitute a dearly unwarranted Invasion of
personal privacy [(a)(6) of the PRA)
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�March 24, 1993
Mr. K.
c. "Casey" Johnson
Dear Mr. Johnson:
I'm sorry you were unable to attend our meeting in Iowa for
"Conversations on Health," but I do want you to know how much I
appreciate your good wishes.
Thank you for caring •.
With best wishes,
Sincerely,
Hillary Rodham Clinton
CLINTON LIBRARY PHOTOCOPY
�•'
.
March 24, 1993
Karen L. Forrest, R.N.
Regional Manager
HCR
725 Greenleaf st.
Galesburg, IL 61401
Dear Mr. Forest:
Thank you for the thoughtful comments you gave me when I was
in Iowa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�March 24, 1993
Ms. Luanne Linn
Director of Nursinq
HCR
2081 N. Main Street
Canton, IL 61520
Dear Ms. Linn:
Thank you for the thouqhtful comments you qave me when I was
in Iowa for "Conversations on Health.",
Your views are very helpful as we work to formulate the
reform of our national health care system.
do.
Thank you for carinq.
Best wishes in the important work you
Sincerely,
Hillary Rodham Clinton
�March 24, 1993
Ms. Heather Darling
School of Nursing
Des Moines Area Community College
Boone Campus
Boone, IA 50036
Dear Darling:
Thank you for the thoughtful comments you gave me when I was
in Iowa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�.
.
.
~·
March 24, 1993
Ms. Tonda L. Thompson
Admissions/Marketing Director
HCR
2081 N. Main Street
P.O. Box 40
Canton, IL 61520
Dear Ms. Thompson:
Thank you for the thoughtful comments you gave me when I was
in Iowa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�1S
21
�•.
March 22, 1993
Dr. Steven J. Kraus
503 N. Main
Carroll, Iowa 51401
Dear Dr. Kraus:
Thank you for sending your information on chiropractic care.
It has been forwarded to the appropriate person.
We appreciate
your interest and willingness to share your ideas.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Dr. steven J. Kraus
503 N. Main
Carroll, Iowa 51401
Dear Dr. Kraus:
Thank you for sending your information on chiropractic care.
It has been forwarded to the appropriate person.
We appreciate
your interest and willingness to share your ideas.
With best wishes,
Sincerely,
Hillary Rodham Clinton
��March 22, 1993
Ms. Melba E. Dix
2521 Old Polk City Road
Lakeland, FL 33809
Dear Ms. Dix:
Thank you for the thoughtful comments you gave me when
in Tampa for "Conversations on Health."
I
was
Your views are very helpful as we work to formulate the
reform of our national health care system •
•(
Thank you for caring.
i
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Ms. Phyllis Hockl
Village Mobile Home owners Association, Inc.
P.O. Box 20594
2001 - 83rd Ave. No. Lot 1243
St. Petersburg, FL 33742
Dear Ms. Hockl:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
do.
Best wishe,s in the important work you
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Ms. Connie Kinder
Occupational Therapist
1303 North 20th Avenue
Pensacola, FL 32503
Dear Ms. Kinder:
Thank you for the thoughtful comments you gave me when
in Tampa for "Conversations on Health."
I
was
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
I
Hillary Rodham Clinton
P.S. I regret that I am not able to come back to your area but I
thank you for your kind invitation.
�March 22, 1993
Mr. William H. Mauk Jr.
10040 s.w. 141 Street
Miami, FL 33176
Dear Mr. Mauk:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Mr. Kevin McDonough, R.T.
P.O. Box 151412
Altamonte Springs, FL 32715-1412
Dear Mr. McDonough:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
I also appreciate the information:' you sent to the Health
Care Reform Task Force. I am sorry that Ira won't be able to
meet with you when you are in Washington, D.C.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
004. letter
SUBJECTffiTLE
DATE
Hillary Rodham Clinton to Joyce Watson Nutta. [partial] ( 1 page)
03/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number:· I 0813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab617
RESTRICTION CODES
Presidential Records Act- (44 U.S.C. 2204(a)(
Freedom of Information Act - (S U.S.C. SS2(b)(
PI National Security Classified Information ((a)(l) of the PRA(
P2 Relating to the appointment to Federal office ((a)(2) of the PRA(
PJ Release would violate a Federal statute ((a)(3) of the PRA(
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRAJ
P6 Release would constitute a dearly unwarranted invasion of
personal privacy ((a)(6) of the PRAJ
b(l) National security classified information ((b)(l) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIAJ
b(J) Release would violate a Federal statute ((b)(J) of the FOIAJ
b(4) Release would disclose trade secrets or confidential or financial
information ((b)(4) of the FOIAJ
b(6) Release would constitute a dearly unwarranted invasion of
personal privacy ((b)(6) of the FOIAJ
b(7) Release would d·isdose information compiled for law enforcement
purposes ((b)(7) of the FOIAI
b(8) Release would disclose Information concerning the regulation of
financial institutions ((b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIAJ
C. Closed In accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�March 22, 1993
Dear Ms. Nutta:
I
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
I
I.
Your views are very helpful as we work to formulate the
reform of our national health care 'System.
do.
Thank you for caring.
Best wishes in the important work you
Sincerely,
Hillary Rodham Clinton
P.S. Thank you also for the copy of Jessica Mitford's book
American Way of Birth.
It was most thoughtful of you.
I
'i
I i
.I
I'
~
�March 22, 1993
Ms. Gladys R. Hernando
Marketing & Development Coordinator
Southpoint Manor
42 Collins Avenue
Miami Beach, FL 33139
Dear Ms. Hernando:
Thank you for the thoughtful comments you gave me when
in Tampa for "Conversations on Health."
I
was
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wi'shes in the important work you
do.
sincerely,
Hillary Rodham Clinton
I
I
I
l
'·
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
005. letter
SUBJECTtriTLE
DATE
Hillary Rodham Clinton to Silvia Ibanez, Esq. [partial] (1 page)
03/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab617
RESTRICTION CODES
Presidential Retords Ad· (44 U.S.C. 2204(a)(
Freedom of Information Att -IS U.S.C. SS2(b)(
PI National Seturity Classlned Information [(a)(l) of the PRA(
P2 Relating to the appointment to Federal offlte [(a)(2) of the PRA(
P3 Release would violate a Federal statute [(a)(3) of the PRA(
P4 Release would disclose trade setrets or tonfidential commercial or
financial information [(a)(4) of the PRAJ
PS Release WOI!Id disclose tonfidential advlte between the President
and his advisors, or between suth advisors [a)(S) of the PRAI
P6 Release would tonstitute a dearly unwarranted invasion of
personal privaty [(a)(6) of the PRAJ
b(l) National seturity classified information [(b)(l) of the FOIAJ
b(2) Release would disclose internal personnel rules and pradites of
an agenty ((b)(2) of the FOIAJ
b(3) Release would violate a Federal statute [(b)(3) ofthe FOIAJ
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIAI
b(6) Release would tonstitute a tlearly unwarranted Invasion of
personal privaty [(b)(6) of the FOIAJ
b(7) Release would disclose Information tompiled for law enfortement
purposes [(b)(7) of the FOIAJ
b(S) Release would disclose information tonterning the regulation of
financial institutions [(b)(S) of the FOIAI
b(9) Release would distlose geologital or geophysical information
tonterning wells [(b)(9) of the FOIAJ
C. Closed In attordante with restrittions tontained in donor's deed
of gift.
PRM. Personal retord misfile defined in attordante with 44 U.S.C.
2201(3).
.
RR. Dotument will be reviewed upon request.
�March 22, 1993
Dear Ms. Ibanez:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
do.
Thank you for caring.
Best wishes in the important work you
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Ms. M. N. Whaley
10707 Roundview Lane
Tampa, FL 33624
Dear Ms. Whaley:
Thank you for the thoughtful comments you gave me when
in Tampa for "Conversations on Health."
I
was
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Dr. Karen Liller
Assistant Professor
University of South Florida
College of Public Health
13201 Bruce B. Downs Blvd.
Tampa, FL 33612
Dear Dr. Liller:
Thank you for the thoughtful comments you gave me when
in Tampa for "Conversations on Health."
,.,
I
was
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Ms. Joan Knight, MSW
Administrative Director
Psychosocial Services
Orlando Regional Medical center
1414 South Orange Avenue
Orlando, FL 32806
Dear Ms. Knight:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Mr. Benjamin P. Wisotzky, PNEC
430 Bay Street N.E. #1506
St. Petersburg, FL 33701
Dear Mr. Wisotzky:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Mr. Benjamin P. Wisotzky, PNEC
430 Bay Street N.E. #1506
St. Petersburg, FL 33701
Dear Mr. Wisotzky:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
,•
Hillary Rodham Clinton
I'
�March 22, 1993
Ms. Jerry Brunton, RN
3663 58th Avenue North Lot 354
St. Petersburg, FL 33714
Dear Ms. Brunton:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes ,
Sincerely,
'
Hillary Rodham Clinton
�March 22, 1993
Mr. Kevin McDonough, R.T.
P.O. Box 151412
Altamonte Springs, FL 32715-1412
Dear Mr. McDonough:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
I also appreciate the information you sent to the Health
care Reform Task Force. I am sorry that Ira won't be able to
meet with you when you are in Washington, D.C.
Thank you for caring.
Best wishes in the important work you
do.
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Mr. and Mrs. Martin c. Hand
1515 E. Diana Street
Tampa, FL 33610
Dear Mr. and Mrs. Hand:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
006.letter
SUBJECTffiTLE
DATE
Hillary Rodham Clinton to Bill Mann. [partial] (1 page)
03/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab617
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a)J
Freedom of Information Act- [5 U.S.C. 552(b)J
Pl National Security Classified Information ((a)(l) of the PRAJ
P2 Relating to the appointment to Federal office ((a)(2) of the PRA)
PJ Release would violate a Federal statute [(a)(J) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRAJ
P6 Release would constitute a dearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(J) Release.would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIAJ
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIAJ
b(8) Release would disclose Information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
· b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIAJ
C. Closed in accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misflle defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�March 22, 1993
Mr. Bill Mann
Dear Mr. Mann:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
007.letter
SUBJECTffiTLE
DATE
Hillary Rodham Clinton to Francis Daranza. [partial] (I page)
03/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number:
10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab6l7
RESTRICTION CODES
Presidential Records Ad- (44 U.S.C. 2204(a)(
Freedom of Information Act -(5 U.S.C. SS:Z(b))
PI National Security Classified Information ((a)(l) of the PRA)
P:Z Relating to the appointment to Federal office ((a)(:Z) of the PRA(
P3 Release would violate a Federal statute ((a)(3) of the PRA(
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(:Z) Release would disclose internal personnel rules and practices of
an agency ((b)(:Z) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
Information ((b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted Invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial Institutions ((b)(8) of the FOIA)
b{9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA(
C. Closed in accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
:Z:Z01(3).
RR. Document will be reviewed upon request.
�,,'
I
I
March 22, 1993
'!
i
!·
Mr. Francis Daranza
Dear Mr. Daranza:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Ms. Marjorie Thompson
719 s. Delaware
Tampa, FL 33606
Dear Ms. Thompson:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
.Hillary Rodham Clinton
�March 22, 1993
Ms. Fran Geedy
8706 s. Meacowview Circle
Tampa, FL 33615
Dear Ms. Geedy:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Mr. and Mrs. William Meredith
6421 Murray Hill Drive
Tampa, FL 33615
Dear Mr. and Mrs. Meredith:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
008. letter
SUBJECTffiTLE
DATE
Hillary Rodham Clinton to Martina Oellette. [partial] (1 page)
03/22/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number:
10813
FOLDER TITLE:
HRC Health Care Correspondence [2]
2006-0223-F
ab6l7
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a)J
Freedom of Information Act- [S U.S.C. SS2(b)J
Pl National Security Classified Information [(a)(l) of the PRAJ
P2 Relating to the appointment to Federal office [(a)(2) of the PRAJ
P3 Release would violate a Federal statute [(a)(3) of the PRAJ
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRAJ
P6 Release would constitute a dearly unwarranted invasion of
personal privacy [(a)(6) of the PRAJ
b(l) National security classified Information [(b)(l) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIAJ
b(3) Release would violate a Federal statute [(b)(3) of the FOIAJ
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIAJ
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIAJ
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release, would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIAJ
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�March 22, 1993
Ms. Martina Ouellette
Dear Ms. Ouellette:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Ms. Pauline McKee
1513 E. Diana Street
Tampa, FL 33610
Dear Ms. McKee:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
--------
-----------------------'
�March 22, 1993
Mr. William Athanson
7800 113th Street North Suite 203
Seminole, FL 34642-4097
Dear Mr. Athanson:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health. 11
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�March 22, 1993
Mr. James Geoghagen
6416 Murray Hill Drive
Tampa, FL 33615
Dear Mr. Geoghagen:
Thank you for the thoughtful comments you gave me when I was
in Tampa for "Conversations on Health."
Your views are very helpful as we work to formulate the
reform of our national health care system.
Thank you for caring.
With best wishes,
Sincerely,
Hillary Rodham Clinton
�March 25, 1993
Catherine Pinkerton CSJ
Network
806 Rhode Island Avenue, N.E.
Washington, DC 20018
Dear Sister Catherine:
I greatly appreciate your candid views about why you think
the single payer approach to health care reform is the best
approach. As we continue to work to help the President decide on
the contours of his health care reform initiative, know that we
share your commitment to ensuring access to health care for all
Americans.
We greatly appreciate your hard work on this and so many
other important issues and we look forward to having you work
with us to achieve health care reform this year.
Thank you again for your heatfelt letter.
prayers.
Keep us in your
Sincerely,
•
Hillary Rodham Clinton
�THE WHITE HOUSE
WASHINGTON
April 1, 1993
Governor John Engler
P.O. Box 30013
Lansing, MI 48909
Dear Governor Engler:
I greatly appreciate having your recommendations for
reforming our nation's health care system. The Robert Wood
Johnson Foundation's recent forum in Michigan demonstrated that
Michigan is a real example of the health care challenges we face
across the country.
As you know, the Task Force is in the throes of preparing
options for the President to consider. Your letter and the
recommendations that you put forward will be considered as that
process goes forward. The President has indicated that the need
for State flexibility will not be ignored in the national plan.
The Governors have a very important role in this process and
this administration welcomes the important advice that you and
your fellow governors are in a position to provide.
Again, thank you for your kind letter.
Sincerely,
Clinton
�STATE OF MICHH;AN
OFFICE OF THE GOVERNOR
LANSING
JOHN ENGLER
GOVERNOR
March 19, 1993
Mrs. Hillary Rodham Clinton
First Lady
The White House
Washington, D.C. 20500
Dear Mrs. Clinton:
By way of this letter, I welcome you to the great State of Michigan and offer
my best wishes for success as you seek insight into the problems and possibilities
for reform of our nation's health-care system. I believe you will find that
Michigan is a microcosm of the health-care challenges we confront across the
country. I regret that I am unable to attend your hearing, and I thank you for
this opportunity to convey my personal observations and recommendations for
reform.
The problems confronting health care are obvious: Costs are too high, access
is too limited, and performance is poor. The cost of health care is now the number
one budget concern of families, businesses, and government at all levels.
Michigan's largest employer, the automobile industry, spends over $1,000 per car
on employee health care -- more than it does for steel. One quarter of our state
general revenues is spent on health care, and double-digit inflation has been the
norm for nearly 30 years.
Coverage for Michigan's citizens compares favorably with the nation as a
.
whole. Only 9% of our citizens are uninsured, while up to 18% of all . Aunericans
are without coverage. Michigan's Medicaid program is also the most generous
among the United States, offering coverage for virtually every optional service
permitted by the federal government. Just recently, I proposed to further expand
coverage for over 80,000 poor and near-poor children through my "Healthy Kids"
initiative. Unfortunately, Michigan still has hundreds of thousands of citizens
who lack even the most basic coverage.
Perhaps the greatest challenge we face is to improve performance.
Michigan's infant mortality rate, while improving, is still unacceptably high,
with rates in the inner city of Detroit exceeding those of many third world
countries. Even though we have provided free, Michigan-made DTP vaccines to
all of our children for nearly 40 years, immunization rates for young children,
ages 0-2 years, in some areas are still only 30%. Worst of all, Michigan ranks
"dead last" among states in excess deaths due to chronic disease.
At"Cl'C~EO
PAP£R
�Mrs. Clinton
March 19, 1993
Page2
For these reasons and more, I believe it is time for refomi. I further believe
that providing universal access for all citizens is not only a moral imperative, but
a necessary pre-condition to controlling costs.
The Michigan Leaders' Health Care Group, which I co-chair with Harold
Poling, CEO of Ford Motor Corporation, and which consists of a partnership of
business, labor, government, and health-care providers, has adopted a series of
principles for national reform that I recommend to you as the policy compass for
your deliberations. These principles have been provided to the Task Force under
separate cover. In addition, I have endorsed the December 15, 1992, statement
produced by the National Governors' Association, as well as several other
business and governmental organizations, that defines the respective roles of
states and the federal government.
I recommend support for the reform framework known as "managed
competition" as it has been articulated by Alain Enthoven and the so-called
Jackson Hole Group. This plan calls for universal coverage with a federally
established standard benefit package that is community rated and provided
primarily through employers. Health care would be provided by vertically
integrated provider organizations, similar to the most advanced HMOs, that are
accountable for delivering all of the benefits defined by the standard package
under one roof. Payments for services would be "bundled" or capitated, and
providers would share risk. The purchasing power of multiple employers would
be consolidated into "purchasing cooperatives," thereby leveling the playing field
between provider and payer, and eliminating the third-party middle man. A
unique and cost-saving feature of the plan is its potential to merge health coverage
currently provided through multiple insurance sources, including auto, health,
and workers' compensation, into one plan.
I understand that the Task Force is advocating "managed competition";
however, reports indicate that a greater omphaais is being placed on
"management" than on "competition." Managed competition must nQt be reduced
to a buzzword. True managed competition does nQt entail global budgets, limits
on capital investments in technology, or price controls because it restructures the
fundamental relationship between payers and providers of health care to
eliminate the need for such heavy-handed governmental regulation.
Paying a single price for a defined set of benefits on a per-person basis and
putting providers at risk for excess costs removes incentives to overuse services by
transforming profit centers into cost centers. Amassing the purchasing power of
multiple small employers and individuals will equalize the relationship between
historically powerful providers and weak purchasers. One result of this new
relationship will likely be a consolidation of the health-care insurance industry
and a reduction in administrative overhead costs that currently approach 25%.
Community rating will prevent the "cream skimming" and risk avoidance that
currently plagues the health-insurance industry.
-
..........
�Mrs. Clinton
March 19, 1993
Page3
I am especially concerned that the Task Force may be considering price
controls in its desire for short-term cost containment. As you know, total healthcare costs are the product of price and volume. Price controls will not contain
costs unless concurrent controls over service volume, i.e., rationing, is instituted.
I would strongly recommend against any efforts to ration care because it will
result in pitting one part of society against another. Neither price fixing nor
service rationing are necessary if the Task Force sticks to the basic tenets of
managed competition.
There are two key federal law changes that are necessary to make managed
competition work: First, it is necessary to permit waivers of the federal ERISA
pre-emption law for state plans so that all employers may be brought into a
purchasing cooperative, and, second, it will be necessary to amend federal antitrust laws to permit the vertical integration of physician- and hospital-based
services into accountable health plans. I strongly recommend these essential
changes in federal law.
Finally, as a governor, I am concerned that all states be granted the tools
and flexibility to serve as true "laboratories of democracy" in the reform effort.
Specifically, I encourage you to remain modest in setting a standard benefit
package so that states may supplement according to their needs; I discourage any
recommendation to cap entitlement programs like Medicaid because such action
would result in unacceptable cost shifts to the private sector; and I support
providing states with the flexibility to incorporate Medicare into comprehensive
health plans.
I wish to draw your particular attention to the impact that Medicaid reform
may have on state mental health systems like Michigan's, which utilize
community-based waivers to provide personal care services to thousands of
mentally ill and developmentally disabled persons. Over $400 million worth of
care is provided to mentally ill and developmentally disabled persons under the
current Medicaid program in .Michigan, and I urge that this care n2t be
disrupted by changes in Medicaid.
·
Thank you for this opportunity to express my views to you and the Task Force
on this most important matter. I look forward to your May 4 recommendations
and the ensuing debate over national health care reform.
JE/DLS/jlf
�THE WHITE HOUSE
March 31, 1993
Ms. lane Warwick Yoder
The capitol Hill Center
for Individual and Family Therapy
530 Seventh Street, S.E.
Washington, D C 20003
Dear Jane:
Thank you for writing ·and sharing your insight and views on
psychotherapy for our consideration in health care refonn. The
members of the Task Force are anxious to hear from knowledgeable
and concerned people like you -- people with firsthand experience or
particular expertise in the health care field. I am sending a copy of
your letter along to the appropriate working group.
The President is committed to reforming our nation's health
care system -- controlling runaway costs and providing security to
every American family. It won't be easy and it won't happen
overnight, but we can bring costs under control while maintaining
quality medical care and preserving the choice so important to us all.
Thank you again for your suggestions and especially for your
continuing personal support. Best regards to Ed.
Sincerely yours,
j
~~amm
~ d,v--6Llu>f
.
[ov~ k_u., 1 ~ ~
l/l M ~ (0__ (XJOY\ -
v-r-
:
�. ..
,
jane Warwick Yoder, L.I.C.S.W.
LICENSE# LC0030187
(202) 543-4645
THE CAPITOL HILL CENTER
FOR INDIVIDUAL AND FAMILY THERAPY
530 SEVENTH STREET, S.E.
WASHINGTON, D.C. 20003
I"larch 23, 1993
Hillary rtodham Clinton
The 14hi te House
Washington, D.C. 20500-2000
Dear Hillary:
I was delighted to read, the other day, that you had put in a
good word for mental health in the health dispensation. ~f I may
say so, you made exactly the points that need making.
I don't think it is fully realized how often good psychotherapy,
at relatively small cost, heads·off far greater costs of hospitalization, drug dependency, illegitimacy, incarceration, medical expenses,
and emotional dysfunction. I have one patient, for instance, who gets
along well enough when she and I stay in close touch but who often has
to go into hospital if I am out of town. She is not unusual.
\ve had a shock recently when our clinic's l'v1edicaid funding was
abruptly terminated due to its not being a "free-standing" mental
health clinic. This is penney~wise and pound foolish, as such clinics
are top-heavy with administrative staff and paperwork. This means
only a small portion of the fee goes to the therapist, reducing the
staff of therapists, primarily, to students and beginning therapists
with high turn-over rate. I can testify on the basis of practical
experience that a clinic like ours -- a group of private practitioners
can offer higher quality service for considerably less cost than
bureaucratic clinics which are overwhelmed by administrative costs
and busy-work. 'rhe ;vredicaid regulations need modifying.
I read, the other day, a statement by Ira Magaziner to the effect
that the number of therapy sessions may be limited. I know savings
must be sought. But this idea ought to be examined carefully, lest
it prove to be a false economy. Many of my patients suffer from severe
emotional and psychic disabilities, and progress with them is usually
slow. But I do often see dysfunctional people becoming functional.
This process takes time and it is essential that the therapeutic space
be protected. Interruptions due to arbitrary ceilings on the number
of therapy ~essions can be experienced as a trauma that repeats the
earlier trauma that originally led to the emotional illness.
If you would like to visit our clinic on Capitol Hill, we would truly
welcome the opportunity to talk to you and elaborate on these issues.
?d and I follow the brilliant opening act of the ~linton years with
interest and pride. 1e hope to see you all one of these days.
Affectionately,
~Arms
:I?S -- ;<;d appreciated your recent note abg_
(-.vhom both of us
are very fond of) and the enclosed photo~~ph from Renaissance.
~s -- ~~!
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�\
THE WHITE HOUSE
March 29, 1993
Ms. Bernadette I. Mandel
906 South Western Avenue
Park Ridge, Dlinois 60068
Dear Bernadette:
I was deeply touched by your letter about Lauren and the
struggles, difficulties and challenges you continue to face in your
day-to-day living, in addition to the necessary surgical procedures
and treatment for her. She must be a wonderful, courageous little
girl and is fortunate indeed to have such a loving, caring family to
nurture and support her. I certainly commend you for your foresight
and diligent efforts in educating the other children at her kindergarten
before Lauren's enrollment. This, obviously, made a tremendous
difference in their understanding and acceptance of her condition and
helped them know her as another child with the same feelings, needs,
hurts, joys that they experience.
I have forwarded a copy of your letter and the enclosures to
the Task Force to include your experiences with Lauren and your
suggestions regarding health insurance coverage.
I appreciate your invitation for Chelsea and me to attend the
Juniors' annual fashion show on November 13, 1993. This request is
being directed to my scheduler for consideration as we determine my
agenda for the fall.
Sincerely yours,
cc:
Scheduling
John M. Ebeling Jr.
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�BERNADETTE J. MANDEL
906 S. WESTERN AVE
PARK RIDGE, IL 60068
(708) 698-6193
~ar~h
12, 1993
Hillary Rodham Clinton
White House
1600 Pennsylvania Ave.
Washington D.C. 20500
Dear Hillary:
Our daughter Lauren was born 5/31/87 with a hemangioma (vascular
lesion) which has grown since birth to deform her face, please
see enclosed articles.
I am writing to you as a mom, who has struggled for the past 5
years to keep my daughter alive (her hemangioma has bled a lot,
requiring many directed donor blood transfusions).
My husband
and I have dealt with stranger's stares and rude comments as well
as the medical issues, and the difficulties with insurance
coverage.
Please be aware, as you are reviewing national insurance issues,
that comprehensive care health insurance coverage for children
born with a congenital birth defect, such as a craniofacial
anomaly,
is very crucial to families who must deal with these
issues for years.
Health insurance coverage should not only
include major medical; but comprehensive
care required by
children with craniofacial anomalies such as:
orthodontal,
dental, opthomology, speech,
physical therapy, occupational
therapy,
psychologic/developmental
therapy,
prescriptions
including unlabeled uses (i.e. Interferon alfa-2a for serious and
life threatening hemangiomas), and respite care (which we were
denied because of technicalities).
We also need to eliminate all pre-existing condition exclusions
of congenital and acquired facial disfigurements. We are not all
wrapped in pretty packages, yet society judges all of us on
appearance.
It is sad that a child with a facial disfigurement feel pain and
isolation for what they look like on the outside and not for what
they are on the inside. My daughter is still young, but I see the
stares and hear the comments and it really hurts. As a mother I
keep it in, so she continues to have a high self-esteem.
It is
easier for her to accept, since she has not known any othe~ way
of life; but as a parent you want to protect your child.
�Education is the key to understanding and thus acceptance.
We
have learned to understand and accept the handicapped, why not
the facially disfigured?
Ca~ you help Lauren and
all the other children like her?
you please also help me educate society?
Would
Because of Lauren, Twentieth Century Juniors Foundation of Park
Ridge has chosen AboutFace (a support and information network for
those who are facially disfigured), as their major recipient this
year.
Juniors' annual fashion show is November 13, 1993.
If
your schedule permits I would like to personally invite you and
Chelsea, so that Lauren and I would have an opportunity to meet
both of you.
Encl.
�'
!
I
;
-\.-.-
�Eric
Zom
Kids learn lesson
· before class starts
Those who thought they were being kind
quietly advised Bernadette Mandel that, you
know, it is possible to educate a child like
Lauren at home, behind closed doors, hidden
away, where no one has to see her, where
she does not have to be seen by anyone.
ihe girl, now 5, has a pronounced facial
disfigurement-a large, discolored growth on
her upper lip accompanied by smaller
growths on her left cheek and eyelid.
Strangers tend to stare at her in disbelief and
dread. Adults have ~ped and fled at the
sight, her mother satd. Children have taunted
·
and avoided her.
But it is only a birthmark, a surface.
condition. Underneath it, Lauren Mandel is
just a regular kid of
,...--..,....-------, normal intelligence
who loves to swim,
color and draw, go
down the slide at the
park, eat macaroni and
cheese and watch
"DuckTales" on TV.
"I wasn't going to
hide hedn a closet,"
said Bernadette .
Mandel. "For her sake
and everyone else's."
Late last winter when
Mandel went to regiLauren Mandel
ster Lauren for fall
"
kindergarten at Washington School in Park Ridge, she took her
concerns to Principal Larry Csajaghy. "I
knew l couldn't bring her mto the classroom
on the first day without saying anything,"
Mandel said. "Everyone's mouth would fall
open."
Lauren calls her birthmark-a
hemangioma that doctors say will be gone by
the time she is an adult-"my lip." Her
mother said she has become extremely aware
of how others react to it. "When people
smile at her and say, 'Howya doin'?' she
smiles at me and says, 'Mommy, they like
my lip!'" said Mandel. "When they tum
away and won't talk to h~r, s~e's hl_lrt.~'
...
1.'
r
.~
.
�YOUR LOCAL SOURCE
May28,1992 • $1.00
LOCAL
PATRIOT
[-·THIS WEEK -]
·Carpenter
parents
protest
Robert Lyng, a
member of
Veterans of Foreign
Wars Post 3579,
salutes the colors
during Monday's
Memorial Day
parade.
Anotherphoto on
Lead by Principal
Phyllis Long,
Carpenter parents
demand attention
from school board.
PAGE9
IN THIS ISSUE.
I
PLAY THE
PAGE3
-!
PIONEER
PRESS
SOCIAL
SECURITY
NUMBER
CONTEST
School omclals and
parents are JlreJ!I¢nB
students at Washington
School to welcome a'-; ..:
special classmate.
~
Four MaJne South
runners combliled to
form a state
meet-bound
.
3,200-meter relay.squad
at the Glenbrook South
Sectional track meet. ·
PAGE125
,,
'I
�NEWS
PIONEER PRESS
ThiJISdav, Mav28.1992
s
First contact
Getting to know the real Lauren Mandel
By DORIS FOLKL
ITAFFWRITER
'
Lauren is
just a little
girl who
·likes to
play and
loves hugs.
'
Five-year-old Lauren Mandel, who
lives on South Western Street, has a
problem meeting people for the first
time.
Her mother explains it in
straightforward, simple words.
uWhen Lauren meets someone Cor
the first time, if they smile at her,
she whispers to me, 'Mom, I think
they like my lip,' " said Bernie
Mandel In a quiet, knowing mother's
voice.
·
"But If they stare at her and back
away suddenly, or gasp and avert
their eyes, abe moves closer to me
and says, 'Oh Mom, they don't like
myllp.'u
Life has never been simple for
Lauren and her family. Born with .a
significant birthmark, a hemangioma
that affecta her lips, her len eye and
a portion of her len skull, Lauren
knows that meeting a strange child
on her front sidewalk can be a
devastating emotional experience.
Meeting an unthlnklng adult on a
shopping trip with her mother can
be a nightmare.
On Aug. 24, when she begins
kindergarten classes at Washington
'
School, Lauren will meet 438
children and a faculty of teachers for
the first time, and, thanks to her
parents, preparations to make her
first day a success have already
begun.
"Mr. and Mrs. Mandel have had
some wonderful ideas,'' said
Washington Principal L.arry
CsaJaghy. "Mrs. Mandel provlde4 us
with a lot of Information about
hemangioma, and explained how
important It is for Lauren that a first
reaction to her be positive. She has
given us pictures of Lauren, so the
children will know ahead of time
what she looka like. If they have a
tendency to stare, it can be at the
picture, not Lauren."
CsaJaghy has formed a small
committee, made up of himself, the
district superintendent, the school
nurse and the school social worker.
This week, special teams will vlsii
classrooms at Washington, sharing
Lauran and her
mother Bemla
Mandel, above,
information about Lauren, and a
letter will be sent home to parents.
share a laugh In
thelrWestem
Avenue home.
Bernie Mandel
has worked with
Washington
School Principal
Lany Csajaghy
and teachers to
prepare Lauran's
schoolmates to
welcome her
when school
begins In Auiust-.
The letter has been timed to reach
parents at the same time this article
and pictures of Lauren appear In the
Advocate.
Similarities
"We'll be telling children how
everybody Is the same on the
Inside,'' CsaJaghy sald. ''We'll be
talking about how Lauren Is the
same as you and me, and how they
should try to react positively to her
outside appearance and to the
hemangioma."
Homeroom teachers at
Washington will follow up on the
!nltlal effort, Csl\laghy said, In case
children need to talk about more
about Lauren and their reactions to
her.
"We're going to talk about
Lauren's favorite color, her favorite
book and the dog she plays with at
home,''CsaJaghy said. "We're going
to do whatever it takes to make her
feel welcome."
Bernie Mandel remembers vividly
the day Lauren was born. At home,
seated at a picnic table on her
screened-in back porch, while
Lauren and her brother, two-year-old
Joe, blow bubbles, she offers the
standard 8x!O colored photograph
that all mothers brlr.g ho~e from
(continued on page 8)
Caught Ina··>
..
pensive moment,
far left, Lauren
Mandella looking
forward to
attending
Washington
School next year.
Riding her bike, above, Is a favorite
actMty for Lauren. Brother Joe
(behind her) often accompanies her.
II
••
�• Lauren
the hospital along with their
first-born.
''To me, It just looked like
the red splotches you see on
many new babies," she said,
and Lauren did Indeed look
like every other newborn,
with a small redness around
her lips and lefi eye. "But·
Lauren had six specialists
examine her when she was a
day old, and she had a CAT
scan," Mandel said. Her lip
and then her eye began to
swell when she was ten days
old."
*'
&~,...
·. f!4¥d& ;e_,
11
IIIIa,.
~JI~
'We're going to do
whatever it takes
to make her feel
welcome.,
I
1st IN THE STATE ... 6 YEARS TO DATE!
I
THE "GOOD" LIFE...
•.. starh with this all brick Split
with new, hardwood fiDDfsl lighting fixtures1 kitchen; appliances;
skylights, & lower level family
room plus .4th bedroom or study.
The central-air, polio and 2.5 cor
garage make it even beHerl
Larry Csajaghy
Principal
Washington School
$229,000
'"1991 Over $91 Ml11ionln Soles ondlhe 6th year ElM REALTORS sold
morolloal Eslale than any of the 370 Century 2t Officosln IUinols.
,...-At. ...,
Elm Realtors
~IIIU.,,2J
.:......:::::::
741 Devon, Park Ridge. IL
®
(708) 692·5522
continued from pages
lit
In reality, Lauren's birth·
date, May 31, 1987, marked
the beginning or a difficult
five-year journey that has
included four mll!or surger·
les; o serious bout with anemia; numerous trips to
Children's Memorial Hospital
and to specialists both lnond out-of-state; speech ther·
opy and soclolizotlon closses
ot Melzer School in Morton
Grove; long, broken nights
for parents listening to the
difficult breathing of o tod·
dlcr ond jumping up to help
her when she had problems;
copped teeth thot will give
way to surgery and braces
when she is a teen-ager; a
speciol tube inserted in her
lefi eor to keep the notural
Eustachian tube open; and
most Important and difficult,
introducing Lauren to a
world that ofien looked only
at her hemangioma and
failed to see the little girl
behind it.
.
Mother's goal·
(OR FREE HONEYWELL
ELECTRONIC AIR
CLEANER)
ON PURCHASE OF ANY SPACE·PAK · SYSTEM
• Call now for more information
• Mention this ad when you call
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I
I
I
1
--- -·
1
"I decided right afier she
was born that I would ·do
everything I could so that
she would have a normal life
and go to school Uke other
children," said Mandel.
She related stories of long
months spent looking for a
preschool and the disappoint·
ment of being r~ected by a
local private school aner two
months or sitting with Lsu·
ren during classtime.
"She's been at Triton Col·
lege's Child Development
Center for the past couple
years, and it's be,n very successful," said Mandel.
She described how a preschool teacher handed out
M&Ms to Lauren's classmates on the first day and
explained how things may
look different on the outside
but are the same underneath.
"One boy asked If Lauren
could talk, and there were
Only a slight redness on her Up and aye ware apparent at Lauren
Mandel's birth.
some other questions,n Mandel said. ''Then the children
got up and played, and I was
sent away.
"A hemangioma Is really a
vascular birthmark," Mandel
explained. "Gorbachev has
one on his head, and I see a
lot or children In Park Ridge·
who have them on their arms
and legs."
"Usually, It's a self·
limiting lesion that goes
away naturally by the age or
three to five," Mandel said.
"But In Lauren's case, the
birthmark Is slgntflcant. The
small Veins In her· face have
bubbled and then bubbled
agaln, and surgerj has been
Indicated.
"The ·worst part Is the
welting," said Mandel, focus·
lng her glan.ce on Lauren's
stitches from the latest sur·
gery, that run In a vertical
line down across her Ups.
"The surgery Involves her
lipllne, so the plastic surgeon
can't remove too much tissue
at one Ume. She'll be perfect
by the Ume she's 20."
Family life
In the meanUme, the Man·
dels struggle to keep family
life on an even course. A
swing set In the backyard Is a
popular pasUme for the chll·
dren, and Lauren and Joe
like riding their bikes on the
sidewalk. An Intelligent, curl·
ous child, Lauren Is begin·
,,
..
nlng to work with letters and ·.
numbers. She enJoys her eo!·
lecUon of children's books, ··
painting with water
and crayon work.
In a special letter to
lngton School, Lauren's
tie surgeon described her :
recently as "an extremely ·
bright child, who wiU benefit
from maximum Intellectual
sUmulation In her school and '
who does not need to be shel·
tered from other chll· ·;
dren .... She
does
not '
represent any medical risk to ~
the children In her class."
·;
"Lauren Is just a little girl \
who likes to play and loves .;
hugs," said her mother. "I ;
guesa staring at her Is human ,
nature, but if· people could
learn to emi·.tt with a smile, .,
It would gii much easier, fpr '
her."
.:
·
As If to underscore. her ,
mother's
words,
La1lren
jumped up when two little ·
boys next ·door walked ·
through their yard toward the
family garage with their
mother.
"Hi Matt, and baby Mark,"
Lauren sald loudly, and the
two boys turned and smiled
and waved back.
''Their parents are wontlerfill people who have talked to
them about Lauren," said·
Bernie Mandel. "Most or the
kids used to stare and run
by. Just having the two of
them talk to her makes It
much better and much easier
· for her and for all or us."
�To support ABOUTFACE or
receive further information
_ _ Yes ... I want to support AboutFace.
My one year contribution of $20 or more entities me to bimonthly newsletters, access to
resource and video libraries, and the knowledge that I am helping AboutFace grow.
(Please make check payable to AboutFace
U.S.A)
_ _ In addition to the $20.00 per year
donation, I am enclosing a gift to AboutFace
and would appreciate a receipt for income tax
purposes.
I am not interested in or unable to contribute just now, but am enclosing a note
detailing my interests and request. Please add
me to the mailing list.
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�• pamphlets and booklets about most
facially disfiguring conditions.
• resource and video libraries.
• advocacy support and information on legislation which impacts on the treatment
of those with facial disfigurement.
• referral information to appropriate support and information resources.
Aboutface U.S.A.
Our mission is to provide support to people
with facial disfigurement. Families and caregivers are included in this program. Emotional
support is provided for all types of facial disfigurement whether congenital (birth defects}
or acquired through accidents or disease.
Those we serve range in age from birth to
senior citizens. An extensive database links
them for networking opportunities and support.
Various chapters and support groups across
the nation provide opportunities for personal
contact and meetings. By sharing information
and mutual support, AboutFace helps individuals and families to be well-informed,
assertive, and confident in their ability to contribute to society.
Although the treatment of facial disfigurement is often long and extensive, support is
available on a continuing basis. Through
AboutFace, we learn, grow, and adapt successfully to society.
Causes and frequency of
facial disfigurement
Over 6000 infants are born in the U.S. each
year with a birth defect affecting the face.
One of the most common is cleft lip and
palate. Clefts occur in about one in every 700
births. Other rare syndromes may involve the
skull, eyes, and face. Even with these complex
conditions, people can look forward to leading successful and fulfilling lives.
Parents who have an infant with a facial disfigurement are often overwhelmed with feelings of shock, guilt, sadness, and anger.
Dealing with other family members can sometimes present a challenge at a time when support is needed. AboutFace provides volunteers
offering hope and encouragement through
these early difficult days.
Where we came from and
where we're going:
Birth
Facial disfigurement can happen to anyone
at any time as a result of trauma, burns, and a
variety of diseases. Disfigurement affects
about 350,000 Americans each year. In these
cases, individuals need to learn to adjust to an
appearance much different from the one to
which they are accustomed. AboutFace can
put you in touch with someone who truly
understands and can make a difference in a
time of despair and isolation.
AboutFace began in 1985 in Toronto,
Canada. Already, this organization has helped
thousands of individuals and families all over
the world. AboutFace U.S.A. began in 1991
and is a division of AboutFace International.
AboutFace is recognized by the Cleft Palate
Foundation of the American Cleft PalateCraniofacial Association as the leading support
organization for parents and patients affected
by facial disfigurement.
The Aboutface
Program provides:
• a toll-free number directly to our office
• chapters and support groups in many
areas of the country.
• school programs to teach children how to
be more accepting
of those who look
different.
• leadership training
for new and established chapters.
• training programs,
conferences, and
workshops for families, professionals,
and the general
public.
• a bimonthly
newsletter.
Two Months
One Year
AboutFace is not organized with the intention of providing medical information, advice, or referrals.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
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Paper
Dublin Core
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Title
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HRC - Health Care Correspondence [2]
Creator
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First Lady's Office
Maggie Williams
Identifier
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2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 4
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Reproduction-Reference
Date Created
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1/8/2015
Source
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42-t-2194630-20060223F-004-008-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/53f2fdb03523b308711bde97da46becc.pdf
ec1042beb2386fa8d1a65572608433bd
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Misc. Subject Files
OA/ID Number:
10813
FolderiD:
Folder Title:
HRC Health Care Correspondence
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
2
3
�March 16, 1995
MEMORANDUM FOR
HILL!~Y
RODHAM CLINTON
FROM:
CHRIS JENNING~
Re:
Congressional Health Care Meetings
cc:
Melamie Verveer
Patti Solis
In response to some recent inquiries about our Congressional outreach, we called up the latest
tabulation of all of your meetings with Members of Congress. ·we wanted to make sure that
you had the opportunity to see this. As you will note, through August 1994 you conducted
nearly 250 meetings with Members of Congress.
�MASTER LIST OF CONGRESSIONAL MEETINGS
HRC MEETINGS: 246 of 8/11/94
TOTAL MEETINGS: 421 as of 8/11/94
DATE
MEMBER
MET WITH
213
Gephardt
HRC
2/4
Stark
IM/HP
2/4
MITCHELL
HRC/IM/JF
GENERAL
2/4
SENATE DEMOCRATS
HRC/IM/JF
GENERAL
HRC, ICM, JF
process, general
discussion
SUBJECT
MITCHELL
BAUCUS
BINGAMEN
BOXER
BREAUX
CONRAD
DASCHLE
FEINGOLD
BUMPERS
HARKIN
KENNEDY
KERREY
LEAHY
LIEBERMAN
METZENBAUM
MIKULSKI
MOSELEY-BRAUN
MOYNIHAN
PELL
PRYOR
RIEGLE
ROCKEFELLER
ROBS
WELLSTONE
WOFFORD
2/4
DOLEICHAFEE
2/10
ROCKEFELLER
2/11
HEALTH REFORM CONFERENCE
· HRC
GENERAL
HRC
Event in
Pennsylvania
IM
GENERAL
WOFFORD
2/11
MITCHELL's Office
�2/11
MITCHELL's Office
1M
2/15
McD~rmott
IM
2/16
House Democratic Leadership
Foley
Gephardt
HRC/IM/JF
2/16
House Democrats
Andrews
Bonior
Cardin
C. Collins
Cooper
Conyers
de Ia Graza
Derrick
Fazio
Ford
Hoyer
E.B. Johnson
Johnston
Levin
Lewis
Matsui
McDermott
Meek
Obey
Richardson
Rose
Rostenkowski
Slattery
Slaughter
Stark
Stenholm
Strickland
Synar
Waxman
Williams
Wyden
HRCIIM/JF
2/16
House Republican Leadership
HRCIIM/JF
Michel
Gingrich
Hastert
GENERAL
GENERAL
�2116
House Republicans
HRC/IM/JF
Bilirakis
Bliley
Goodling
Goss
Grandy
Gunderson
Hoke
N. Johnson
Kasich
McCrery
Moorhead
McMillan
Roberts
Roukema
Thomas
Walker
2/18
Rostenkowski
HRC
2/18
Ford
HRC
2118
Dingell
HRC
2/23
Congressionial Women's Caucus
HRC
DEMOCRATS
Schroeder
Furse
Kaptur
Lambert
Lowey
Maloney
Mink
Slaughter
Waters
REPUBLICANS
Snowe
Morella
2/23
Stark
HRC
2/23
Waxman
HRC
2/23
Williams
HRC
2/23
DURENBERGER
HRC, ICM
GENERAL
�2/24
House Democratic Leadership and
Committee Chairs
HRCIIM/JF
Gepbardt
Lewis
Richardson
Rostenkowski
Stark:
Dingell.
Waxman
Ford
Williams
2/24
WELLSTONE
LQ
2/25
REIGLE
(and Mrs. Reigle)
HRC
Pregnant women
and children
-UAW retirees
2/25
SASSER
HRC
GENERAL
1,/26
Stark:
RV
GENERAL
2127
Torres
RV
GENERAL
HRC
Affordable Health
Care
3/2
3/2
.WELLSTONE
Congressional Black: Caucus
DEMOCRATS
·MOSELEY-BRAUN
Clayton
Collins
Conyers
Flake
McKinney
Meek
Mfume
Norton
Rangel
Stokes
Waters
Watt
REPUBLICANS
Franks
HRC
�3/2
Congressional Hispanic Caucus
HRCIRV
DEMOCRATS
Serrano
Roybal-Allard
Pastor
de Ia Garza
de Lugo
Ortiz
Richardson
Torres
Becerra
Guttierrez
Mendez
Romero-Barcelo
Tejeda
Velazquez
Underwood
REPUBLICANS
Ros-Lehtinen
Bonilla
Diaz-Balart
3/4
BREAUX and JOHNSTON
Jefferson
HRC·
LOUISANA TRIP
.
�3/4
DEMOCRATIC POLICY
COMMriTEE
IM/JF
MITCHELL
DASCHLE
AKAKA
BAUCUS·
BINGAMAN
BOXER
BRYAN
CAMPBELL
CONRAD
DODD
EXON
FEINGOLD
FEINSTEIN
GRAHAM
HOLLINGS
KENNEDY
KERREY
KERRY
LAUTENBERG
LEAHY
LIEBERMAN
LEVIN
MATI11EWS
METZENBAUM
MIKULSKI
'MOYNTIIAN
PELL
PRYOR
REIGLE
ROCKEFELLER
SARBANES
SASSER
'
SIMON
WELLSTONE
WOFFORD
3/6
FEINSTEIN
IM'
3/9
Conyers
McDermott
HRC
�3/9
Energy and Commerce Committee
HRC
Dingell, Chairman
S. Brown
Hall
Kreidler
Lambert
Lehman
Margolies-Mevzinski
Markey
Pallone
Richardson
Schenk
Slattery
Studds
Tauzin
Towns
Waxman
3110
ROCKEFELLER
MEG, BA
�3/10
SENATE REPUBLICAN MEMBERS
general discussions
about process and
about directions
for/components of
reform
HRC
DOLE
CHAFEE
BENNE'IT
BOND
BURNS
COATS
COCHRAN
COHEN
COVERDELL
CRAIG
DANFORTH
DOMENICI
DURENBERGER
FAIRCLOTH
GREGG
HATCH
HELMS
JEFFORDS
KASSEBAUM
KEMPTHORNE
LUGAR
MACK
MCCAIN
MCCONNELL
MURKOWSKI
NICKLES
PACKWOOD
ROTH
SIMPSON
SPECTER
STEVENS
-
3110
JEFFORDS
ICM
3/11
Wyden
HRC
3/11
KENNEDY
IM
�3/11
SENATE WOMEN'S CAUCUS
HRC
Women's Health
Issues
Overall Reform
Veteran's Issues
DEMOCRATS
BOXER
FEINSTEIN
MIKULSKI
MOSELEY-BRAUN
MURRAY
REPUBLICANS
KASSEBAUM
3/11
ROCKEFELLER
Montgomery
Rowland
HRC
3/11
Gephardt
Rostenkowski
Stark
Dingell
Waxman
Ford
Williams
IM/JF
3/11
MOYNIHAN
HRC
3/11
House Republicans
1M
Bliley
Gingrich
Goss
Hastert
Johnson
Thomas
3/12
RWJ Forum
HRC
GRAHAM
Gibbons
3/15
RWJ Forum
HARKIN
Neal Smith
HRC
GENERAL
�3/17
Democratic Ways and Means Committee
Members
HRC
Rosten.kowski
Andrews
Cardin
Gibbons
Hoagland
Jefferson
Kennelly
Kopetski
Levin
Lewis
Matsui
McDermott·
McNulty
Neal
Payne
Reynolds
<
3/17
Waxman
RV
3/17
Brooks
HRC
3/17
Indian Health Meeting
HRC
INOUYE
3/18
House Republicans
Bliley
Goss
Grandy
Hasten
N. Johnson
McMillan
Thomas
IM
'
3/18
Andrews
Cooper
Stenholm
_L. Payne
HRC
3/18
KERREY
HRC
. 3/18
Reynolds
HRC
MALPRACTICE
�3/22
RWJ Forum
MEG/CRID
s
Michigan Health
Event
RIEGLE (and Mrs. Riegle)
LEVIN
Dingell (and Mrs. Dingell)
Conyers
3/24
Pastor
RV
3/24
DEMOCRATIC POLICY
COMMI'ITEE
IM/JF
MITCHELL
AKAKA
BAUCUS
BINGAMAN
BOXER
BRYAN
CONRAD
DASCHLE
DECONCINI
DODD
FEINGOLD
GLENN
GRAHAM
HOLLINGS
JOHNSTON
KENNEDY
KERRY
LEAHY
LEVIN
MATIHEWS
MOSELEY-BRAUN
REID
WELLSTONE
WOFFORD·
3/25
Torres
RV
3/25
De La Garza
RV
3/25
House Republicans
1M
Bliley
Goss
Grandy
Hastert
N. Johnson
McMillan
Thomas
GLOBAL
BUDGETS
�3/25
Democratic Committee Members of:
IM
Education and Labor
Ways and Means
Energy and Commerce
Andrews
Cooper
Engel
Cardin
Lambert
Levin
McDermott
Synar
Tauzin
Pallone
Woolsey
Slattery
Rostenkowsk.i
Dingell
Waxman
Richardson
Markey
Hall
Studds
Margolies-Mezvinski
Kennelly
Hoyer
Fazio
Kreidler
Bryant
Klink
Sawyer
3/29
WELLSTONE
LQ
3/30
Ortiz
RV
3/30
Roybal-Allard
RV
�3/30
Mainstream Forum
McCurdy
Bacchus
Browder
Carr
Danner
Glickman
Geren
Green
Moran
Payne
Penny
Peterson
Price
Orton
Rowland
Slattery
Spratt
Tanner
1M
�3/31
House Democratic Caucus
Barlow
Cooper
DeLauro
Derrick
Ding ell
Durbin
Filner
Gephardt .
Geren
Gordon
Hamilton
Hochbrueckner
Hoyer
Hughes
lnslee
D. Johnson
E.B. Johnson
Kaptur
Kennelly
Lancaster
Levin
Lewis
Lloyd
Lowey
McDermott
Moran·
Obey
Olver
Pomeroy
Richardson
Romero-Barcelo
Sawyer
Shepard
Sisisky
Skaggs
Smith
Stark
Stupak
Synar
Thurman
Velazquez
Volkmer
Wise
Woolsey
IM/JF
�3/31
Ways and Means Subcommittee on
Health
IM/JF
Stark
Levin
Cardin
McDermott
Andrews
Klezka
4/1
House Republicans
LQ
RURALHEALm
CARE
Bliley
Goss
Grandy
Gunderson
Hastert
N. Johnson
McMillan
Roberts
Thomas
4/1
Serrano
RV
4/2
Romero-Barcelo
RV
4/2
Obey
RS
General
4/8
House Leadership
,IM.
General
4/13
s. Levin
LQ
Michigan Hearing
4114
Ways and Means Subcommittee on
Health
HRCIIM
General
Stark
Cardin
Levin
Andrews
McDermott
4114
Oberstar
LQ
4/lS
VA Meeting
HRC/
ROCKEFELLER
Montgomery
SECRETAR
Y JESSE
BROWN
4/16
KERREY
Hoagland
HRC
NEBRASKA
EVENT
�4/17
BAUCUS
Williams
HRC
MONTANA
EVENT
HRC
GENERAL
Overall Reform
BURNS
4/20
SENATE FINANCE COMMTITEE
(Bipartisan)
DEMOCRATS
BAUCUS
BOREN
BRADLEY
MITCHELL
PRYOR
RIEGLE
ROCKEFELLER
DASCHLE
BREAUX.
CONRAD
REPUBLICANS
CHAFEE
PACKWOOD
DANFORTH
ROTH
GRASSLEY
HATCH
WALLOP
4/20
DURENBERGER
ICM
4/20
Moakley
HRC
4/20
Valentine
CJ
4/20
L. Payne
LQ
4120
Kennedy
RV
4/20
McDermott
RV
4/21
Hispanic Caucus
RV
4/21
Gonzalez
RV
Testimony on the
Health Care
Reform Plan
�4/21
ROCKEFELLER
HRC
GENERAL
4/21
House Republicans
IM/JF/Roby
n Stone
OVERALL
REFORM LONG
TERM CARE
4/22
SIMON
RS
4/22
DURENBERGER
LQ
GENERAL
4/22·
PRYOR
CJ
GENERAL
4/22
Roybal-Allard
RV
GENERAL
4/22
McDermott
RV
GENERAL
4/22
Gutierrez
RV
GENERAL
4/22
Richardson
RV
GENERAt
4/23
Coleman
RV
GENERAL
4/23
Becerra
RV
GENERAL
4/23
Torres
RV
GENERAL
4/23
Hastings
RS
.GENERAL
�4/23
SENATE CONFERENCE
JAMESTOWN
AKAKA
BAUCUS
BINGAMAN
BOXER
BRADLEY
BREAUX
BUMPERS
CONRAD
DASCHLE
DECONCINI
DODD
DORGAN
EXON
FEINGOLD
FORD
GLENN
GRAHAM
HARKIN
HEFUN
HOLLINGS
JOHNSTON
KENNEDY
KERREY
KERRY
LAUTENBERG
LEAHY
LEVIN
LIEBERMAN
MATHEWS
METZENBAUM
MIKULSKI
MITCHELL
MOSELEY-BRAUN
MOYNIHAN
MURRAY
NUNN
PELL
PRYOR
REID
RIEGLE
ROBB
ROCKEFELLER
SARBANES
SIMON
WELLSTONE
WOFFORD
HRCIIM/JF
GENERAL
�4/26
Congressional Democratic Leadership
HRC/BC
GENERAL
MITCHELL
Foley
Gephardt
4/26
Roybal-Allard
RV
4/27
Hisp~c
IM/RV
4/27
Dingell
HRC
GENERAL
4/27
Bonoir
HRC
GENERAL
4/27
House Democratic Leadership ·
HRC/BC
Caucus
Foley
Gephardt
Rostenkowski
Stark
Dingell
Waxman
Ford
Williams
Bonior
Kennelly
4/27
Congressional Hispanic Caucus
(Bipartisan)
_)
1M
DEMOCRATS
)
Serrano
Roybal-Allard
Pastor
de Ia Garza
de Lugo
Ortiz
Richardson
Becerra
Gutierrez
Menendez
Ronnero-Barcelo
Tejeda
Velazquez
REPUBLICANS
Ros-Lehtinen
4/28
Richardson
RV
�4/28
Martinez
RV
4/28
Congressional BOrder Caucus
JF/Richard
Veloz
DEMOCRATS
Coleman
REPUBLICANS
Kolbe
4/28
WELLSTONE
LQ
4/29
Town Meeting
HRC
Valentine
4/29
House Working Group on Mental Health
Health Care
Reform
Teleconference
BA
Strickland
DeLauro
Kopetzsk:y
Markey
Kaptur
4/29
McDermott
HRC
Single Payer
Concerns
4/29
House Republicans
1M
OVERALL
REFORM
FINACING
�4/30
SENATE
(Bipartisan meeting)
HRCIIM/JF
GENERAL
DEMOCRATS
AKAKA
BAUCUS
BINGAMAN
BRYAN
CONRAD
DASCHLE
DORGAN
FEINGOLD
FEINSTEIN
GRAHAM (FL)
HEFLIN
KENNEDY
KERREY
KERRY
LEAHY
LEVIN
LIEBERMAN
METZENBAUM
MITCHELL
NUNN
PELL
PRYOR
RIEGLE
ROBB
ROCKEFELLER
SIMON
WELLSTONE
WOFFORD
-.
REPUBLICANS
BENNETT
BOND
BURNS
CHAFEE
COATS
COCHRAN
COHEN
COVERDELL
DANFORTH
DOLE
DOMENICI
DURENBERGER
GORTON
.'
�4/30
SENATE
(Bipanisan Meeting)
HRCIIM/JF
GENERAL
REPUBLICANS (Cont.)
GRAMM
GRASS LEY
GREGG
HATCH
HATFIELD
JEFFORDS
KEMPTHORNE
MURKOWSKI
PRESSLER
SIMPSON
SMITH
SPECTER
STEVENS
THURMOND
-
.
4/30
Mental Health Briefing
MEG
DEMOCRATS
WELLSTONE
Lowey
Kopetsk.i
Markey
Mazzoli
Romero-Barcelo
Strickland
Wise
..
REPUBLICANS
DOMENICI
-
�5/4
SENATE LABOR AND HUMAN
RESOURCES COMMITTEE
(Bipartisan Meeting) .
HRC
DEMOCRATS
KENNEDY
METZENBAUM
DODD
SIMON
HARKIN
MIKULSKI
BINGAMAN
WELLSTONE
WOFFORD
REPUBLICANS
KASSEBAUM
THURMOND
GREGG
DURENBERGER
JEFFORDS
COATS
HATCH
5/4
5/4
515
CHAFEE
. House Rural Health Care Caucus
SENATE DEMOCRATIC
LEADERSHIP
.MITCHELL
FORD
PRYOR
DASCHLE
MOYNlliAN
KENNEDY
ROCKEFELLER
RIEGLE
BREAUX
MIKULSKI
515
House Democratic Caucus
1M
DSILQ
HRCIBC
Status of reform Consultation
..
Ken Thorpe
Current Status of
Employer/
Employee Health
Insurance
�515
KENNEDY
EG
Combined I ewish
Philanthropies of
Massachusettes
516
SINGLE PAYER ADVOCATES
HRC
Single Payer
Concerns
WELLSTONE
INOUYE
SIMON
516
1 5/6
516
I
Underwood
RV
I
Diaz-Balart
RV
HRC
SENATE AGING COMMITEE
Individual
Responsibility and
Prevention Issues
HRC, IM
BasiCare
provisions
DEMOCRATS
PRYOR
GLENN
BREAUX
REID
GRAHAM
FEINGOLD
KRUEGER
KOHL
I
I
REPUBLICANS
COHEN
PRESSLER
SIMPSON
DURENBERGER
CRAIG
BURNS
GRASSLEY
516
McCurdy
-·
I
�516
CONGRESSIONAL REPUBLICAN
LEADERSHIP
HRC,BC
Status of Reform - Consultarion
Insurance Reform
SENATE
DOLE
CHAFEE
KASSEBAUM
DURENBERGER
DANFORTH
PACKWOOD
JEFFORDS
COHEN.
HATCH
HOUSE
Michel
Gingrich
N. Johnson
B. Thomas
Bliley
Moorhead
Roukema
516
House Republicans
Gary
Claxton
516
WOFFORD
LQ
516
Lambert
LQ
5/10
Norton
BA
S/11
Velzasquez
RV
5/11
Grandy.Hastert
5/11
wEsT VIRGINIA TOWN MEETING
-
LQ
Conference
Steak Dinner
HRC
ROCKEFELLER
S/11
KENNEDY
EG
5/12
House Democratic Caucus
Gary
Claxton, CJ
5/12
Dickey
CJ
5/12
BIDEN
JF, CJ
Congressional
· Senior Citizen
Intern Program
Insurance Reform
�f'·
5/12
De Lugo
RV
5/13
Ros-Lehtinen
RV
5/13
Senate Labor & Human Resources
BA,MEG
WELLSTONE
KENNEDY
HATCH
5/13
JEFFORDS
Ken Thorpe
5/13
Derrick
CJ
5/13
House Republicans
Gary
Claxton, CJ
5/14
Fingerhut
5/16
Waxman
IM, CJ
5/17
Maloney
JL
Health Care Town
Hall Meeting
5/18
Asian Pacific American Caucus
HRC/MV
Issues related to
Asian and Pacific
Islands
Public Official's
Spouses
-
AKAKA
Matusi
Mink
Mineta
Faleomavaega
Underwood
5118
Martinez
5/19
Coleman
5119
RV
..
WOFFORD
5119
KASSEBAUM
BURNS
DANFORTH
Glickman
Mc.Curdy
5/20
RV
.
LB
HRC
re: Basicare
co-sponsers
GRASS LEY
LQ
Cable TV Show
5/20
Hilliard, Bachus
SE
5/20
Andrews
CJ
5/21
Waxman
RV
5/21
Lewis
JH
Georgia
Roundtable
�5/22
Mfume
MIKULSKI
HRC
Baltimore Health
C:u-e Event
5/22
Hamburg
JS
Health Care Town
Hall Meeting
5/24
Tejeda
RV
5/24
Maloney
JL
Health Care Town
Hall Meeting
5/25
BIDEN
CJ,
Malpractice
Berenson
5/26
Becerra
RV
5/26
McDermott
BA
5/27
Lafalce
IM
5/27
KOHL
JF
5/28
KERREY
HRC
5/28
FORD
HRC
6/1
BURNS
DD
Health Care Town
Hall Meeting
6/1
Kennedy
JW
Health Care Town
Hall Meeting
6/1
WELLSTONE
LQ
·Health Care Town
Hall Meeting
6/3
Kreidler
SR
Health Care Town
Hall Meeting
6/3
BINGAMAN
BS, CM
Health Care Town
Hall Meeting
6/3
COHEN
LQ
Health Care Town
Hall Meeting
6/4
ROCKEFELLER,DASCHLE
HRC
Message
6/4
Radio Broadcast in Detroit
HRC
I
I
'
Dingell and Mrs. Dingell
6/4
DOMENICI
617
Dickey (and physicians)
.
BS, CM
HRC
Health Care Town
Hall Meeting
�6/8
Reception for Congress
HRC, MV,
CJ, SR
619
SENATE DEMOCRATIC FOCUS
GROUP
IM, JF, CJ
BOXER
BINGAMAN
FIENGOLD
WELLSTONE
6/9
Tribute to Senator
MOSELEY-BRAUN
HRC
6110
House Republicans
IM
6/10
EXON
HRC
6/11
DODD
HRC
6/13
Reynolds
Rush \
Sangmeister
HRC/CJ/SR
Kasich Dinner
HRC/CJ/M
Health Reform,
Abortion
Return flight from
Chicago
-
6/14
v
Kasich
Allard
Hastert
Hobson
Johnson
Kolbe
McMillan
Miller
Pryce.
Shays
Snowe
6114
Meehan
6/15
Cooper
6/15
PRYOR
LEAHY
HRC/CJ/M
6/17
Carville Roast
HRC
HARKIN
MD
. CJIMV.
v
Health care Town
Hall Meeting
�6/17
KENNEDY·
PRYOR
REID
DASCHLE
MITCHELL
WOFFORD
ROCKEFELLER
BOXER
RIEGLE
KERRY
HRC/MV
6/17
Senate Focus Group
IM/JF/CJ/K.
PIMV
BOXER
DASCHLE
METZENBAUM
REID
..
ROBB
DORGAN
6/18
Woodstock Event in VT
HRC
LEAHY
JEFFORDS
-
6/22
Andrews (fX)
HR.CIIM/CJ
IMV
6/22
DODD
HARKIN
KENNEDY
METZENBAUM
ROCKEFELLER
WELLSTONE
WOFFORD
HRC/CJ/SR
IMV
6/22
Congressional Message Meeting
HR.CIIM/CJ
/JE
MITCHELL
DASCHLE
Gephardt
Bonior
�6/23
McDermott Co-Sponsors
HRC/MV
McDermott
Nader
Sanders
Kennedy
LaFalce
Gejdenson
Becerra
Romero-Barcelo
Furse
Pelosi
Reynolds
Miller
6/23
CSIS Health Care Event
HRC/CJ/M
v
NUNN
DOMENICI
6/23
Blackwell
KM
6/24
Rose
HRC/CJ/M
V/Miles
Goggans
6/24
DASCHLE
KERREY
CONRAD
LEffiERMAN
DODD
SARBANES
IM/JF/CJ/K
P/MV
6/28
Serrano
RV
6/29
JEFFORDS
6/29
6/30
HRC/CJ/M
v
LaFalce
HRC/CJ/M
Ways and Means Democrats
HRCnM/JF
I CJIJKJSRI
Stark
Levin
Cardin
Andrews
McDermott
Kleczka
MV
v
-
Health Care Town
Hall Meeting
�6/30
BOXER
KENNEDY
KERREY.
ROCKEFELLER
Gephardt
Bonior
Richardson
Lewis
HRCIIM/JF
I
Shalala/CJI
JK
6/30
DASCHLE COMMUNICATIONS
MEETING
HRC/JF/M
V/JEIBB/JK
-
DASCHLE
MITCHELL
KENNEDY
RIEGLE
PRYOR
REID
ROCKEFELLER
6/30
Gephardt
MITCHELL
HRCIIM/JF
/CJ/MV/
POLLITZ
SHALALA
RICHEITI
6/30
KENNEDY
RV
7/1
McDermott
RV
7/1
Cooper
Stenholm
Andrews, Mike
Glickman
McCurdy
IMIPE/CJ/
RSILM
7/1
CHAFFEE
HRCIIMIM
V/CJIRICH
EITI
7/1
BUMPERS
HRCIIMIM
V/CJIRICH
EITI
7/1
Kasich
HRC/MV
711
BOXER
DASCHLE
METZENBAUM
REID
ROBB
DORGAN
IMIJF/
POLLITZ
�7/8
Upton
7/9
GC
Health Care Town
Hall Meeting
Fazio
LP
Health Care Town
Hall Meeting
7/13
Pomeroy
Robin
Stone/ CJ
LTC
7/14
Congressional Message Meeting
MG/ SG/
PB/ Arnold
Bennett/ IM
I JF
7/15
PRYOR
COHEN
MEG
7/15
House Message Group
Stan
Greenberg/
CJ
'.
Bonoir
Derrick
DeLauro
Levin
Obey
Hoagland
Pomeroy
Hoyer
Cardin
Johnston
Wyden
Strickland
Matsui
Shepherd
7/15
I
''
Health Care Focus Group
Brown
Coleman
Defazio
Deutsch
Hamberg
Hinchey
Margolies-MezvinSk:y
Menendez
Obey
Pelosi
Slaughter
de Ia Garza
McKinney
JF/CJ/SE
Aging and Mental
Health
�7/15
DURENBURGER
IM/JF
7/19
LIEBERMAN
PL
7/20
Cooper
Andrews
Slattery
Glickman
Stenholm
IM/CJ/Lynn
Marghario
7/21
Congressional Message Group
David
Wilhelm/1M
/JF/JE/CJ
DASCHLE
BOXER
KERREY
REID
W;OFFORD
Gephardt
Bonior
Fazio
Kennelly
Richardson
7/21
House Focus Group
Hoyer
Deal
Geren
Gordon
Holden
Kennedy
McHale
Moran
JF/ SE
Health Care Town
Hall Meeting
�7/22
House Focus Group
JF/ SE
Barlow
Collins
Coopersmith
Danner
Frank
Hughes
Hutto
Johnson, E.B.
Kaptur
Long
Mann
Meehan
Maloney
Mazzoli
Neal
Shepherd
7/23
House Focus Group
JF, SE
Bishop
de Lugo
Eshoo
Klein
Murphy
Payne, Don
Peterson
Swett
Valentine
Woolsey
7/27
Daschle
Gephardt
MV,JE
BB,CJ,SE
7/27
House Focus Group
IM, CJ, SE
Ackerman
Dooley
Engel
Lancaster
Romero-Barcelo
Unsoeld
Becerra
Hoyer
�7/28
Committee on Small Business
HRC, CJ,
CH
LaFalce
Smith, Neal
Skelton
Sisisk:y
Bilbray
Mfume
Sarpalius
Poshard
Clayton
Meehan
Danner
Strickland
Velazquez
Tucker
Klink
Roybal-Allard
Hilliard
Lancaster
Andrews
Meyers
Combest
Machtley
Ramstad
Johnson
Zeliff
Collins
Mcinnis
Huftington
Talent
Dickey
Kim
Torklldsen
Portman
-
�7/28
Joint Message Group
"Criticisms and Responses"
HRCIIM/JF
/CJ/MV/JE
SENATE
REID
ROCKEFELLER
WOFFORD
KERREY
BOXER
RIEGLE
DASCHLE
KENNEDY
PRYOR
HOUSE
Gephardt
Fazio
Bonior
Kennelly
Richardson
Hoyer
. 7/29
Senate Focus Group
HRC
BREAUX
DASCHLE
FEINGOLD
HEFLIN
KENNEDY
LIEBERMAN
METZENBAUM
MITCHELL
REID
7/29
Clay
HRC/CJ/M
v
Malpractice
�2/4
WOFFORD
SPECTOR
Blackwell
Mezvinsky
Foglietta
2/4
WOFFORD
Greenwood
HRC
2/7
MITCHELL
COHEN
Andrews
HRC, LC,
MV,
Alswang
2/7
Snowe
HRC
2/8
Simon
HRC, LC,
MV,
. Marshall,
Alswang
-
HRC, MV,
CJ
2/8
Slattery
HRC, MV,
JL
2/9
Rangel
HRC, MV,
JL
2116
BRADLEY
Pallone
Klein
Payne
Menendez
BC,HRC
2/8
DASCHLE
CONRAD
PRESSLER
KERREY
WELLSTONE
Minge
Grams
HRC, MV,
LC, Espy,
Rogers,
Craighead,
Alswang,
Kinsella,
Brogioli,
Weiland
2/18
Obey
Feingold
Kohl
HRC, MV,
LC, Rogers,
Craighead,
Alswang
2119
Feingold
Kohl
Obey
Barrett
Kleczka
HRC
2120
Lambert
HRC, MV,
JL
�2/20
Brewster
HRC, MV,
IL
2/25
WELLSTONE
HRC, MV,
CJ
2/25
CONRAD
HRC, MV,
CJ
2/28
MOYNIHAN
FEINSTEIN
MIKULSKI
HRC, MV,
CJ, LC,
KT,
Craighead,
Marshall,
Jordan,
Fanner,
O'Donnell,
Drummond,
Chandler,
Foster
.
-
..
2/28
Owens
Towns
HRC
2/28
MIKULSKI
BOXER
FEINSTEIN
MURRAY
FEINSTEIN
MOSELEY-BRAUN
liRC
3/1
Pomeroy
HRC~ MV,
JL
3/1
Schenk
HRC, ·CJ,
IM, MV
3/2
BINGAMAN
HRC, CJ,
IM, MV
3/2
BOREN.
HRC, CJ,
IM, MV
3/2
LIEBERMAN
HRC, CJ,
IM, MV
3/4
BRADLEY
HRC, CJ,
IM, MV
3/9
Sharp
HRC, MV,
CJ
3/9
MOSELEY-BRAUN
HRC, MV,
CJ
�3/9
DURENBERGER
HRC, MV,
CJ
3/10
DORGAN
HRC, CJ,
MV, IM
3/10
KOHL
HRC, CJ,
IM, MV
3/14
Skaggs
HRC
3/14
Schroeder
HRC
3/15
Volkmer
HRC
3/15
Gephardt
HRC
3/21
Johnston
Deutsh
Hastings
HRC
3/21
GRAHAM
HRC
3/22
Slattery
HRC
3/23
Foley
Gepbardt
Bonior
Wyden
HRC
3/24
Senate Democratic Policy Committee
Mtg
MITCHELL
HRC, BC,
AG
3/26
Frost
E.B. Johnson
Bryant
HRC
3/31
Schenk
Filner
HRC
4/4
Rostenkowski
MOSLEY-BRAUN
HRC
4/5
MOYNIHAN
Slaughter
HRC
417
ROCKEFELLER
HRC, Ickes
4/8
Snyar
McCurdy
HRC
4/14
Rangel
HRC,
Eugene·
·McCabe
-
�4/16.
MITCHELL
BC,HRC
4118
MIKULSKI
Cardin
Mfume
HRC,
Shalala
4/20
Hoagland
HRC, JL,
MV
4/26
MOSLEY-BRAUN
HRC
4/27
McKeon
Berman
HRC
5/4
KENNEDY
MITCHELL
DODD
KASSEBAUM
JEFFORDS
HRC
5/18
RIEGLE
HRC
6/14
Hefner
Valentine
Neal
Lancaster
Rose
HRC
-
6/22
Daschle
HRC
6/23
Gephardt
Bonior
DeLauro
MITCHELL
DASCHLE
GLENN
HRC
�6/24
Congressional Dinner Naval Observatory
Brooks
Abercrombie
Bilbrary
Brown, George
·Dicks
Frank
Gejdenson
· Johnson, E.B.
Johnston
Lantos
Murtha
Sabo
Skaggs
Smith, Neal
Underwood
Wise
Meek
Slaughter
Long
AG, MEG,
JL, KT, JG,
SE,BA
.
. ,...
.
6/29
Darden
Johnson, Harry
Kreidler
Harman
Bevill
Levin
Slaughter
LaFalace
DeLauro
Skaggs
Fingerhut
Browder
Shepard
Bernice-Johnson
Barca
HRC, JL,
MV
6/29
Gejdenson
Gephardt
DASCHLE
HRC
�-
,
6/30
SMALL BUSINESS EVENT
Andrews
Bacchus
Blackwell
Bonior
Borski
Brown
Bryant
Clyburn
Coleman
Collins, Barbara-Rose
de tugo
DeLauro
,Derrick
Deutsch
Durbin
Engel
Eshoo
Fazio
Fields
Filner
Flake
Norton
Schroeder
Scott
Shepherd
Slaughter
Stokes
Strickland
Synar
Thornton
Thurmond
Watt
Wise
BC, HRC,
EB, CJ, SE
�6/30
..
SMALL BUSINESS (cont'd)
Synr
Frank
Gibbons
Hilliard
Hinchey
Johnson, E.B.
Kennedy
Klein
LaRocco
Meek
McKinney
Menendez
Moran
Pastor
Payne
Price
Reed
Romero-Barcelo
Sabo
711
MITCHELL
HRC,BC
7/2
Jefferson
HRC.
7/20
KENNEDY
WOFFORD
ROCKEFELLER
REID
DASCffi.E
HRC
7/20
Bonior
Gephardt
Hoyer
HRC
7/20
EXON
HRC, MV,
.
CJ
7/21
20 Members
HRC
7/21
MITCHELL
Gephardt
Foley
HRC,BC
7/22
Wyden
DeFezio
Wyden.
HRC
7/23
Murray
McDermott
Cantwell
Kreidler
HRC
Health Securty
Express
�HRC
7/28
DASCHLE
7/30
Wheat
7/30
METEZENBAUM
Fingerhut
Sawyer
Brown, S.
BC,HRC
7/31
KENNEDY
HRC
HRC, VP,
. MEG, BC
Meehen
Moakley
7/31
KENNEDY
KERRY
HRC
Meehan
Moakley
......
�POTUS MEETINGS: JULY 14 -AUGUST ll
July 14th:
Senator
Senator
Senator
Senator
July 15th:
Senator Conrad
July 17th:
Senator Heflin
Senator DeConcini
July 20th:
Senator Lautenberg
Senator Ford
Senator Breaux
July 21st.:
Richard Bryan
J. Bennett Johnston
Joseph Lieberman
Dorgan
J
Majority Leader Mitchell
Speaker Foley
Majority Leader Gephardt
. Senator Hollings
Senator Exon
Senator Kohl
July 22nd:
Senator Lautenberg
Senator Feinstein
July 27th:
Majority Leader Mitchell
Senator Campbell
July 28th:
Senator Bradley
August 1st:
Senator Graham
Senator Robb
August 2nd:
Senator Reid
Senator· Lieberman
August 4th:
Senator Baucus
August 5th:
Senator Breaux
·
�August 8th:
Rep. Peter Barca
Rep. Ben Cardin
Rep. Jim Chapman
Rep. Bob Clement
Rep. Don Johnson ·
Rep. David Mann
Rep. Paul McHale
Rep. David Minge
Rep.· Earl Pomeroy
Rep. Tim Roemer
Rep. Mike Synar
August 9th:
Senator Nunn
Senator Sasser
August lOth: .
Senator Feinstein
August 11th:
Rep.
Rep.
Rep.
Rep.
~ep.
Rep.
·Rep.
Rep.
Rep.
Rep.
Rep.
Rep.
Rep.
Rep.
Rep.
Rep.
Rep.
Glen Browder
Sam Coppersmith
Pat Danner
Buddy Darden
Chet Edwards
Eric Fingerhut
Jane Harman
Tim Holden
Blanche Lambert
Earl Pomeroy
Glenn Poshard (tentative)
Bart Stupak
·
Dick Swett
Tim Valentine
John Lewis
Tom Sawyer (tentative)
Phil Sharp
'\
\
(
\
)
...
'.
\..
'
.
.
(~ '·~
�7/29
House Focus Group
JF/SE
Andrews (ME)
Bacchus
Chapman
Kanjorski
LaFalce
Meek
Peterson
Price
Reed
Roemer
Sangmeister
Scott
Serrano
Skaggs
Tanner
Green
7/29
House Message Group
Bonior
Cardin
Sheperd
Synar
Hoagland
Johnston
DeLauro
Levin
Matsui
MG/SE
�7/29
House Education and Labor
HRC/CJ/M
v
Ford
Murphy
Williams
Owen
Payne
Unsoeld
Andrews, Rob
Roemenr
Becerra
Green
English
De Lugo
Underwood
Woolsey
Engel
Reed
Sawyer
Kildee
Martinez
7/30
House Focus Group
JF/CJ/SE
Beilenson
Chapman
DeLauro
Laughlin
Oberstar
Sarpalius
Sawyer
Strickland
Stupak
Volkmer
Glickman
Farr
8/3
Senate and House Leadership
'
HRC
�8/3
House Focus Group
JF/SE
Cantwell
Conyers
Edwards
Filner
Frost
Hilliard
Ins lee
Johnston
LaRocco
Lowey
Manton
Mfume
Parker
Wise
Smith
Foglietta
8/3
WELLSTONE
HRC
8/3
LaFalce
HRC
8/4
Joint Message Group
HRC/Shalal
a/JF
SENATE
ROCKEFELLER
WOFFORD
DASCHLE
RIEGLE
MITCHELL
KENNEDY
KERREY
BOXER
HOUSE
Hoyer
Richardson
Derrick
Kennelly
Fazio
8/4
Democratic Policy Committee
HRC
8/4
House Progressives (Tuesday Group)
HRC
Machtley
Small Business
�8/4
House Wednesday Group
Doug Bereuter
Bill Clinger
Michael Crapo
Jennifer Dunn
Hamilton Fish
Wayne Gilchrest
Porter Goss
Fred Grandy
Steve Gunderson
David Hobson
Peter Hoekstra
Steve Hom
Amo Houghton
Nancy Johnson
Jack Kingston
Jim Kolbe
Rick Lazio
Jim Leach
Bob Livingston
Jim McCrery
Dan Miller.
Connie Morella
Rob Portman
Tim Petri
Jim Ramstad
Ralph Regula
Marge Roukema
Clay Shaw
Olympia Snowe
·Bill Thomas
Craig Thomas
HRC
�8/4
House Focus Group
Eva Clayon
Glenn English
Jane Harman
George Hochbrueckner
Don Johnson
David Minge
Alan Mollohan
Eleanor Holmes Norton
John Olver
David Price
Charlie Stenholm
Karen Thurman
Maxine Waters
Scotty Baesler
John Spratt
Owen Pickett
Mel Watt
Peter Barca
8/5
NASW and APA
JF/SE
..
HRC
INOUYE
8/5
House Republicans
IM,CH
8/5
Single Payer Working Group
IM, JF, CJ
.
McDermott
Frank
Miller
Clayton
Pelosi
Stokes
8/5
Senate Small Business Committee
(Bipartisan)
BUMPERS
HRC
8/5
Romero-Barcelo
IM, RV, SE
8/6
Kennelly
Matsui
Levin
Cardin
Hoagland
Neal
HRC
Puerto Rico Task .
Force
�8/10
ROCKEFELLER
HRC, IM,
CJ
8/10
Dingell
HRC, MV,
CJ
8/10
Rostenkowski
HRC, MV,
CJ
8/11
Waxman
HRC, IM,
CJ
8/11
KENNEDY
HRC, IM,
CJ
919
Congressional Leadership Mtg
MITCHELL
Foley
Gephardt
HRC
9/28
House Ways & Means Committee
38 Members
HRC
9/28
House Energy & Commerce Committee
44 Members
HRC
9/29
Senate Labor &. Human Resources
HRC
9/29
Education and Labor
HRC
9/30
Senate Finance Committee
MOYNIHAN
PACKWOOD
HRC
9/20
Health Care University
320 Members
HRC.
9/21
Ways and Means Committee
38 Members
HRC
9/23
BREAUX
HRC, CJ,
AR, MV
Coope~
10/5
Mezyinsky
.
HRC,LC
v:·-
--
~ ~X/"' ~
/
10/8
CHAFFEE
PELL
Reed
Matchtley
HRC
10/20
Waxman
HRC, MV,
CJ,JF,JL
.•+
..
./~
I'Y~/
/
�10/20
KERREY
DASCHLE
HRC, MV,
IM, CJ
10/21
Collins, Cardis
HRC
10/21
Rush
HRC
10/21
Rostenkowski
HRC
10/23
LaFalace
HRC
10/25
Hayes
HRC
.10/25
Dingell
HRC,
Shalala
10/26
MOYNIHAN
HRC,
Rivlin,
Bentsen,
IM, CJ,
MV,
Altman,
Binder
10/26
MIKULSKI
HRC, CJ,
AR, IM,
MV
10/27
Senate Cosponsors
Bipartisan House/Senate Leadership
Foley
Gephardt
Michel
DOLE
MITCHELL
BC,HRC
10127
Bipartisan Members of Congress
BC, HRC,
Riley,
Tyson
10/27
MITCHELL
BC,HRC
10/28
Cardin
BC,HRC
10/28
Pickle
HRC
10/29
Danner
Wheat
HRC, MV
Craighead,
Lattimere.
Kinney,
Meyers
�10/29
Congressional Delegation
DOLE
McCAIN
BOND
DANFORTH
KASSENBAUM
Wheat
Danner
Meyers
HRC,MV
Craighead,
Lattimere,
Kinney,
Meyers
11/3
SPECfER
WOFFORD
Klink
Murphy
HRC
11/4
ROCKEFELLER
Wise·
HRC
1115
MOYNIHAN
LaFalace
Boehl en
Hinchey
HRC
11/6
GRAHAM
BOXER
MITCHELL
HRC
11110
House Leadership Meeting
HRC
11110
Message Group Mtg.
12 Members
HRC
11/12
GLENN
Stokes
HRC
11/12
Strickland
HRC
11/14
Dinner w/ Congressional Members
HRC
11115
Slaughter
HRC
11116
Shays
Houghton
HRC
11118
Bacchus
HRC
11119
Freshman Democratic Members
SS Members
HRC
11/29
Gephardt
HRC
11129
ROCKEFELLER
HRC
I
-
-L
�12/2
Sanders
Swett
HRC,MV
Craighead,
Caputo,
Alswang,
Margherio,
Rabner
12n
COHEN
MITCHELL
KENNEDY
BOND
Moakley
Studds
Andrews
17 other unlisted Members
HRC, MV,
Craighead,
Caputo,
Epstein,
Fanner,
Nemko
~EN
I~ ~~:
/
//"'-.
12/8
HRC,
,1
/ ' "''·. . / ' f'..Cr · ea ,
'·
uto, ."
Epst · -,
r,
F
Ne 0
~-yx
HSA Cosponsors
12/8
-
10 Members
BC,HRC
HRC,
Panetta
12/9
Bonior
HRC, MV,
IM, CJ, JL
12/16
HARKIN
HRC, MV,
CJ
12/20
ROCKEFELLER .
HRC, MV,
CJ
12/21
Matsui
HRC, MV,
JL
1/6
Richardson
HRC
1/26
Congressional Meeting
HRC,BC
1/26
Cardin
HRC, MV,
JL
1/27
Dixon
HRC
1/28
Bilbray
Reid
HRC
2/3
Hall
HRC, MW,
MV, AB
/
..
..
·'
'
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
HRC - Health Care Correspondence [1]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 4
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-004-007-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/34a5e3ad300f2045952bc64d897e8f8f.pdf
347f6e9845cd5320762c744b3bde5ec5
PDF Text
Text
Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
001. fax
DATE
SUBJECTffiTLE
Fax cover sheet. Jeff Gutman to MaJjorie Tanney. [partial] (1 page)
08/06/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
FACADocuments [5]
2006-0223-F
ab861
RESTRICTION CODES
Presidential Records Ad -144 U.S.C. 2204(a))
Freedom of Information Ad -IS U.S.C. SS2(b))
PI National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) ofthe PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRAJ
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or fmaneial
information ((b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. fax
SUBJECTffiTLE
DATE
Fax cover sheet. Jeff Gutman to Marjorie Tanney. [partial] (1 page)
08/06/1993
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
FACADocuments [5]
2006-0223-F
ab861
RESTRICTION CODES
Presidential Records Act - 144 U.S.C. 2204(a))
Freedom of Information Act- IS U.S.C. SS2(b))
PI National Security Classified Information l(aXI) of the PRA)
P2 Relating to the appointment to Federal office l(aX2) of the PRA)
P3 Release would violate a Federal statute l(aX3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information l(aX4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors laXS) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy l(aX6) of the PRA)
b(l) National security classified information l(bXI) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency l(bX2) of the FOIA)
b(3) Release would violate a Federal statute l(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information l(bX4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy l(bX6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes l(bX7) ofthe FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions l(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weUs l(bX9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misf'lle defmed in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC,
AMERICAN COUNCIL FOR HEALTH
CARE REFORM AND NATIONAL
LEGAL & POLICY CENTER,
)
)
)
)
)
)
Plaintiffs,
8/~
Civil Action
No. 93-399
)
)
v.
DRAFT i..f
(Judge Lamberth)
)
HILLARY RODHAM CLINTON,
DONNA E. SHALALA, Secretary of
Health and Human Services,
LLOYD E. BENTSEN, Secretary of
the Treasury, LES ASPIN,
Secretary of Defense, JESSE
BROWN, Secretary of Veterans
Affairs, RONALD H. BROWN,
Secretary of Commerce, ROBERT
B. REICH, secretary of Labor,
LEON E. PANETTA, Director of
the Office of Management and
Budget, ALICE RIVLIN, Deputy
Director of the Office of
Management and Budget, CAROL
RASCO, IRA MAGAZINER and
JUDITH FEDER, White House
Advisors and THE PRESIDENT'S
TASK FORCE ON NATIONAL
HEALTH CARE REFORM,
Defendants.
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DEFENDANTS' RESPONSES AND OBJECTIONS TO
PLAINTIFFS' FIRST SET OF INTERROGATORIES AND
SECOND SET OF REQUESTS FOR PROQUCTION OF DOCUMENTS
Pursuant to Fed. R. Civ. P. 33 and 34, defendants respond
and object to plaintiffs' first set of interrogatories and second
set of requests for production of documents as follows.
GENERAL OBJECTIONS
1.
The question remaining in this action is whether the
interdepartmental working group, or its cluster groups or
�r.u.J
subgroups, were "advisory committees" subject to the Federal
Advisory Committee Act ( 11 FACA").
The D.C. Circuit instructed
that the relevant factors for resolving this question are the
groups' structure, personnel and purpose.
AAPS
v. Clinton, No.
93-5086, slip op. at 29-33 (D.C. Cir. Jun. 22, 1993).
The
factual issues relevant to this question include how formally the
groups were structured and operated, the extent to which the
groups rendered advice as a group or as a collection of
individuals, how large and anonymous the groups were, the nature
of the groups' membership, the roles of the special government
employees and ''consultants 11 in the groups' activities, and the
extent to which the groups' members interacted with each other.
See JJL_
These requests seek information beyond that which the D.C.
Circuit held to be relevant for resolving the remaining issue in
this case.
Defendants therefore object to this discovery to the
extent that it seeks information that is irrelevant to the issues
listed supra and is not reasonably calculated to discover
relevant and admissible evidence relating to them.
Moreover, defendants object to these requests to the extent
they seek documents and information that would reveal the groups'
substantive work product.
Assuming arguendo that such materials
are not exempt from disclosure under the FACA, the Freedom of
Information Act or constitutional principles, plaintiffs would be
entitled to receive them only by first prevailing on the merits
2
�r,u't
of their FACA claim.
Plaintiffs are not entitled to receive in
discovery materials sought on the merits.
Finally, defendants object to discovery about the
President's Task Force on National Health Care Reform and the
"audit" and other groups, identified infra, that acted in
connection with the Task Force or interdepartmental working
group.
The D.C. Circuit held that the Task Force was not an
advisory committee subject to the FACA, rendering discovery
related to it irrelevant to whether the inter-departmental
working group was such a committee and not reasonably calculated
to the discovery of relevant evidence.
In their complaint, plaintiffs did not claim that the
interdepartmental working group or its subgroups were subject to
the FACA or that the "audit" or other groups were.
Although the
D.C. Circuit remanded to this Court the issue of whether the
interdepartmental working group was an advisory committee subject
to the FACA, it did not remand for resolution the status of any
other groups.
Discovery about these latter groups is,
accordingly, inappropriate.
2.
Defendants object to plaintiffs' use of the term "Task
Force groups" as inaccurate and misleading.
Many of the groups
identified herein were not established by the Task Force and many
had no relationship to it.
In these responses, defendants will
employ terms used during the process at issue and defined as
follows.
3
.-
�r.uo
The "Task Force" was the President's Task Force on National
Health care Reform.
It was chaired by the First Lady and was
composed of six cabinet secretaries, the Director of OMB, the
Chair of the Council of Economic Advisors and three senior White
House advisors.
The purpose of the Task Force was to review
information and options provided by the interdepartmental working
group and to furnish the President with advice and recommendations on a health care reform proposal.
The Task Force did
not create any subcommittees or subgroups.
The "interdepartmental
\~orking
group" was a group of
individuals, ultimately numbering over 500, employed as regular
or special government employees and subject to federal ethics
rules, who together served an essentially staff function,
gathering information about the current health care system and
developing options for its reform.
The "interdepartmental working group" was divided into
twelve "cluster groups," each of which examined a different
aspect of health care reform.
for reference as
indicat~d
Each was assigned a roman numeral
in Tab 19.
some of the "cluster groups" were further divided into
11
subgroups. 11
Undivided "cluster groups" and the "subgroups 11 were
each assigned a number and defendants will refer to them herein
as "working groups."
several "audit" groups, "outreach" groups, and consumer
panels were also created, but were not part of the interdepartmental working group.
Unlike the working groups, these
4
�r.uo
''"',..
v
uv a-n.&
au•c..,
other groups and panels were entirely-composed of individuals
from outside the government and were tasked with reviewing
portions of the options papers prepared by the working groups.
REQUEST NO. 1;
Identify all members of the President's Task Force on Health
Care Reform ("the Task Force") ,
RESPONSE TO REQUEST NO, 1:
Notwithstanding General Objection 1, the former members of
the President's Task Force on National Health care Reform were:
Chairperson Hillary Rodham Clinton;
Secre~ary
of the Treasury
Lloyd Bentsen; Secretary of Defense Les Aspin; Secretary of
Commerce Ron Brown; Secretary of Labor Robert Reich; Secretary of
Health and Human Services Donna Shalala; Secretary of Veterans
Affairs Jesse Brown; Office of Management and Budget Director
Leon Panetta; Assistant to the President for Domestic Policy
carol Rasco; Assistant to the President for Economic Policy
Robert Rubin; Council of Economic Advisors Chair Laura Tyson and
Senior Advisor to the President for Policy Development Ira
Magaziner.
REQUEST NO
I
l.;
Identify all persons who served as members of, participated
in meetings of, attended meetings of, and/or were invited to
attend meetings of the Task Force, the Task Force interdepartmental working qroup 1 all cluster groups, the Health
Professional Review Board, the qroup{s) looking at legal issues,
and the group{s) looking at administrative simplification and
5
�P.07
quality issues, and any other groups or subgroups that were
created, formed, established, held meetings, reported to,
rendered advice or information to, or otherwise assisted,
supported, or acted in connection with the Task Force and the
groups specified above, (hereinafter, all of the foregoing
groups, including the Task Force, shall be referred to
collectively as "Task Force groups") and any and all advisors or
consultants to any of the Task Force groups.
In identifying all
such persons, indicate all Task Force groups with which they were
associated.
RESPONSE TO REQUEST 2:
Subject to the general objections stated above, defendants
respond as follows:
The Task Force
The .identities of persons who served as members of the Task
Force are provided in defendants' Response to Request No. 1.
Defendants specifically ob_ject to the request for identification
.
of persons who attended
me~tings
of, or were invited to attend
meetings of, the Task Force on the ground that such request is
irrelevant to the remaining issue in this case and not reasonably
calculated to lead to the discovery of admissible evidence.
Moreover, to the extent that lists of individuals invited to and
attending such meetings can be created, the names of individuals
attending closed, deliberative meetings of the Task Force are
subject to the privilege protecting Presidential
com~unications.
See AAPS v. Clinton, No. 93-5086 (D.C. Cir. Jun. 22, 1993); AAPS
6
�r.utl
v. Clinton, 813 F. Supp. 82, 92-93
(D.o.c. 1993). A list of
speakers who made a presentation to the Task Force at the March
29, 1993 public hearing is provided at Tab 1.
The Interdepartmental Working
The document at Tab
2
Grou~
is an alphabetized list of individuals
who participated in the interdepartmental working group.
Included in this·list are regular (ederal employees employed by
the Executive or Legislative Branches, special government
employees, "consultants, 11 and individuals employed by state or
local governments or associations 1 who were retained or
dispatched by their employer to participate on the
interdepartmental working group.
The employment affiliations of regular federal employees are
indicated by the name of their department, agency, congression,al
committee or office or other federal entity.
Some are denoted by
the name of a department followed by a slash and name of
departmental unit, such as "HHS/HCFA."
For the remaining
individuals, the names of the federal entity that obtained or
received their services, paid or unpaid, is followed by a hyphen
and the names of their permanent employers, if any, such as "WHOBoston University. 111
As indicated below, there were a few
These categories of participants are not mutually
exclusive.
1
z The initials "WH0 11 denote the White House Office.
Because the·White House Office of Intergovernmental Affairs
played a role in coordinating the participation of
representatives from state and local governments and
associations, these individuals' affiliations are also preceded
by the initials "WHO."
7
�r.u~
additional individuals listed who may have maintained expert or
consultancy agreements prior to the advent of the working group
or for purposes of participating on the working group with an
entity within the Department of Health and Human Services.
They
have been designated as being retained by HHS pending a search
and review of pertinent documentation, if any.
Defendants will
attempt to confirm this designation and will supplement this
response if additional information becomes available.
addresses of government offices and the
organi~ations
The
listed are
matters of public record,l
The document at Tab 3 is a list of individuals who
participated with each working group. 4
This list reflects the
fact that many people served on more than one working group.
In
addition, some individuals who appear on the list at Tab 2 do not
appear among those who participated on particular working groups
according to the list at Tab 3.
Many of these individuals served
Mr. Magaziner's first declaration, dated March 3, 1993,
indicated that several agencies, including the Department of
Defense and the Office of Management and Budget, retained special
government employees and consultants. The Department of Commerce
retained three individuals who participated in administrative .
capacities on the working group. The Department of Defense did
task an individual (William Hix) who was engaged in executing a
pre-existing contract to participate in the interdepartmental
working group. The Office of Personnel Management retained an
independent consultant (Stanley Jones) to assist a working group.
William Welch of the Urban Institute participated in the working
group on an unpaid basis through OMB. Ultimately, however, it
was decided that federal entities other than the White House
Office and HHS would not retain additional special government
employees (SGEs) and "consultants."
3
No list for Working Group lA exists.
8
�t'. 1U
the interdepartmental working group in largely administrative
roles. 5
A number served on Ira Magaziner's staff and are
denominated as "policy analysts,"
assistants."
11
special assistants 11 or "policy
Others were employees of HHS.
The "policy
.analysts," "special assistants" and HHS employees generally had
broad administrative responsibilities and were not identified
with a particular working group or groups.
"Policy assistants 11
were generally assigned to perform administrative functions for
particular cluster groups as follows:
Name
GroupCsl
Gail oaumit
Karen Paul
Marjorie Ross
Michelle Manowitz
Jim Jorling
Margery Gehan
Theresa Picillo
Lauren Kelley
Deborah Levine
Anne Stoline
Susan Otrin
Helen Levy
I
I
I
II
III
IV, V, VII
IV, V, XI
VI
VIII
IX
X
XII
Maria Bueno also served as a policy assistant for a short
period of time.
The lists do. not include the names of large numbers of
volunteers who served in the Intake Center by opening and
responding to mail and assisting with scheduling.
Tabs 2 and 3 should not be considered "membership" rosters.
A number of individuals listed served as part-time or intermit tent "consultants" who were regarded not as ''members" of the
$
Working group affiliations for the remaining individuals
could not be determined.
9
�r.
11
interdepartmental working group, but as advisors on particular
issues to specific working groups.
Given the fluid and dynamic
process by which the interdepartmental working group was formed
and operated, "membership 11 was not a significant or operative
concept.
Instead, Tabs 2 and 3 are simply lists of individuals,
most of whom were chosen by their
cJf~~
employer~ to~a
meeting or
meetings of a working group or groups.
Nor should Tabs 2 and 3 be understood as fully exhaustive or
completely accurate lists of individuals who participated on the
interdepartmental working group or of the participants on
individual working groups.
Mr. Magaziner and his staff did not
select or appoint the substantial majority of the participants of
the interdepartmental working group.
Federal departments,
agencies or Congressional offices designated most of the
participants.
Nor did Mr. Magaziner and his staff assign most of
the working group participants to serve on particular working
groups.
·Individuals, often with their employing agency or
office, typically selected the working groups they wished to
participate on depending on their interest and background.
The
lists provided at Tabs 2 and 3 were therefore not derived from
central rosters of individuals Mr. Magaziner and his staff
selected to participate on the interdepartmental working group.
Rather, the relevant departments, agencies, White House
Offices and Congressional offices and state and local governments
supplied Mr. Magaziner and his staff with many of the
na~es
of
individuals they designated to serve on the interdepartmental
10
�r.
working group at the beginning of the process..
1~
Some of these
individuals did not ultimately participate in meetings.
Moreover, many individuals were subsequently added to the working
groups later in the process.
Some policy assistants also prepared lists of individuals
who attended certain cluster or subgroup meetings or who were
selected by Congress and federal departments and agencies to
serve on the interdepartmental working group.
Nonetheless, some
individuals attended meetings of cluster or subgroups without
being listed by a policy assistant.
The policy assistants also
noted some names of individuals who needed to be
c~eared
through
building security to attend meetings at the Old Executive Office
Building.
However, those who already worked in the Old Executive
Office Building, attended meetings outside the building or had
alternative means of obtaining clearance into the building, may
not have been noted.
several weeks after the interdepartmental working group
..
began its work, Mr. Magaziner's staff developed and circulated a
standardized form to obtain basic information from the working
group participants.
Nonetheless, not all participants completed
the form, and some individuals ended their participation in
meetings prior to the circulation of the form.
Moreover, Mr. Magaziner and his staff did not impose a
requirement that sign-in sheets be circulated at meetings.
Nor
were formal invitations issued to individuals to attend working
group meetings.
All participants on the interdepartmental
11
�t' 1.~
I
working group were welcome to attend any working group meeting
and they often did.
Individual participants frequently met to
discuss ideas and assignments outside the working group meetings.
Mr. Magaziner and his staff did not organize such meetings,
require that they approve the meetings, issue formal invitations
or maintain any central record of such meetings or who attended
them.
Thus, Tabs 2 and 3 are derived from several different
sources and by different means.
As a result, they contain the
names of some individuals who did not attend any meetings or
attended only one or two.
Similarly, some individuals who did
attend some working group meetings are not listed.
Defendants specifically object to identifying any further
groups or individuals that acted in connection with the Task
.
Force or interdepartmental working group to the extent that such
-
information is not relevant to the remaining issue in this case
and is not reasonably calculated to lead to the discovery of
admissible evidence.
See General Objection l.
Notwithstanding
this objection, and because this information is already in the
public domain, defendants provide the following information on
these additional groups and individuals:
The Audit Groups;
Five "audit groups" were established.
Tab 4 is a list of
the members of the group examining cost issues.
Tab 5 is a list
of the members of the group examining administrative issues.
Tab
6 is a list of the members of the group examining legal issues.
12
·--
~
�r.
14
Tab 7 is a list of the members of the qroup examining issues
pertaining to minorities.
Tab 8 is a list of the members of the
qroup examining issues pertaininq to health care providers.
The Drafting Group:
A separate group focused exclusively on drafting proposed
leqislation to implement health care reform initiatives.
The
group differs from the working groups because it was not tasked
with reviewing information and developing health care reform
policy options.
[The following list has NOT been m•de public before to
One approach we can, take is simply to
identify that the group exists, as the first Maqaziner
declaration-did and refuse to provide the names as
irrelevant. Ira will have to make the call on this.]
my knowledge.
Participants in this group include Sarah Rosenbaum, Peter
I~
~etti,
Gawande.
Diane Roland, Greg Lawler, Jennifer Klein, and Atul
Other individuals may have participated on an
intermittent basis.
Othe~
Groups:
The interdepartmental \-Jerking group also rec.eived input from
a large number of health-care consumers organized into groups
focusing on discrete issues (a list of these groups and their
members is attached at Tab 9) and twelve
11
outreach groups 11
composed of health-care professionals (a list of these groups and
their members is attached at Tab 10).
[Concern has been raised about i4enti!yinq the
political group. Legally, it seems possible to justify
not identifying it as both nonresponsive and
irrelevant. Ira did not express concern about
including it and the names of its members. verify that
he wishes to include it. Its Ira's call.)
13
�r. 1:>
An additional group addressed the political aspects of
health care reform, meeting to discuss the legislative prospects
of possible proposals and the public's views on health care
reform issues.
This group was not part of the interdepartmental
working group and included Stan Greenberg, Mandy Grunwald, Paul
Begala, Mr. Magaziner and staff members of the White House
Offices of congressional Affairs, Intergovernmental Affairs,
Political Affairs, and Communications. Did I forget anyone???
Outside Groups
~
An enormous number of groups, organizations and individuals
~ =~ the public and private sectors also had input in this process.
The White House Offices of Public Liaison, Intergovernmental
Affairs, Political Affairs and congressional Affairs were
frequently involved in setting up meetings with such groups,
organizations and individuals or were informed of such meetings
convened by working groups or participants thereof.
Tab 11 is a list of groups, organizations and private
individuals who met with the President~ Task Force members or
working 9roup participants during the
and working group and
~xistence
of the Task Force
thereaf~er.
Tab 12 is a list of representatives of state and local
9overnrnents who met with the President, Task Force members or
working group
p~rticipants
through mid-May [????].
Tab 13 is a list of Members of Congress and Congressional
staff who met with Task Force members or working group
participants through mid-May.
14
�r.
10
Because of the number of participants on the interdepartmental working group, the group's strict timetable, the
encouragement given to them to contact outside individuals to
obtain data and information as needed and the substantial effort
undertaken to hear the views of outside parties, Tabs 11-13 do
not record every such contact.
Working group participants
frequently met or communicated with outside groups or individuals
or public and private sector colleagues in their efforts to
obtain information on the existing health care policies and
alternatives to them without listing or noting those contacts.
As a result, the lists.at Tab ll-13 are not exhaustive lists of
groups, organizations and individuals who may have given advice
or information to the interdepartmental working group or its
EST NO. 3:
State the identity of all documents and communications
relating to the persons identified in response to Interrogatories
1 and 2, including all docu~ents relating to any meetings held by
the Task Force groups or by· members of the Task Force groups with
other persons and the dates and locations of the meetings,
including but not limited to meeting agendas, meeting minutes, a
list which stated the identity of all meeting attendees for each
meeting, including their names, addressees, and occupations, and
any and all documents and communications which identify the roles
of the meetings' participants and the purpose of the meetings.
RESPONSE. TO REQUEST NO.
3~
15
�r.
11
Defendants object to this request on the ground that it is
overbroad, seeks information that is irrelevant to the issues
determined to be pertinent on remand by the D.C. Circuit and is
not reasonably calculated to lead to the discovery of admissible
evidence.
The request asks defendants to identify not only
virtually all working group-related documents and communications,
whether or not related to the structure, personnel and purpose of
the working group, but also seeks the identity of documents that
merely "relate to" the individuals listed in Tabs 2 and 3.
The
request thus would require defendants to identify in discovery
thousands of documents to which plaintiffs could only obtain
access, if at all, by prevailing on the merits.
See General
Objection 1.
Moreover, de.fendants object to the request on the ground
that it is vague.
The request asks defendants to identify
documents "relating to" meetings held by "Task Force groups" or
their members with
11
other persons."
The tern "other persons" is
undefined and may refer to other participants on the
interdepartmental working group, persons with whom working group
participants met in connection with their work on the working
group or persons with whom \olorking group participants met
unrelated to their working group efforts.
Notwithstanding these objections, information apparently
responsive to this request has been provided in response to
Request No. 2.
Notwithstanding these objections and those set
forth in General Objection 1, and without conceding that such
16
�I I
IV
information is relevant, defendants state that neither Mr.
Magaziner nor his staff directed that aqendas, minutes or
attendance lists be prepared for cluster and subgroup meetings or
for meetings between working group participants and outside
parties.
steve expressed oonoern about including reference to
agendas for fear of conceding relevance. Since
plaintiffs specifically raised agendas, I feel as
though we should mention them. X hope that the
additional language should resolve steve's ooncern. We
also need to be sure that the statement is fully
accurate.
REQUEST NO. 4:
As to each person who served as member of, participated in
meetings of, or attended meetings of a Task Force group, if the
person was not a full-time officer or employee of the Federal
Government state:
(a) whether the person was a special government
employee while
pe~forming
services for a Task Force group;
(b) whether the person was deemed to be, or denominated
as, a·consultant to a Task Force Group;
(c) The name of the person's regular employer and the
person's job title with than employer (If
a~y
such person was
self-employed, identify any partnership, group practice, firm or
other entity with which the person was affiliated in offering the
person's services for remuneration);
(d) the length of time that the person performed
services for any Task Force group and, if the person received any
remuneration while performing services for a Task Force group,
17
�the amount of remuneration received (including payment or
reimbursement for out-of-pocket and travel expenses) and the
identify of the entity providing the remuneration.
RESPONSE TO REQUEST NO. 4:
Defendants object to this request because it incorrectly
assumes that the SGEs who performed services
f~r
the inter-
departmental working group were riot full-time officers or
employees of the federal government.
Notwithstanding this objection, defendants state that the
term "special government employee•• is defined in 18 U.S. C.
202(a).
§
The term denotes a category of federal officers or
employees who are retained, designated, appointed or employed to
perform temporary duties, with or without compensation, for a
period not to exceed 130 days during any 365-day period on a
ful.l-time or intermittent basis.
SGEs are subject to federal
ethics rules that are·more limited than those to which regular
federal employees must adhere.
The terms
11
special government employee 11 and "consultant," as
employed in this litigation, are not necessarily mutually
exclusive. 6
11
Consultants 11 may be SGEs if they satisfy the
definition of SGE set forth in
consultant has an
§
202(a).
employ~rjemployee
As a result, if the
relationship with the
government, and the consultant satisfies the remaining
6
Nor, it should be noted, are the terms necessarily used
by federal departments and agencies to denote an employment
status. Federal personnel materials commonly use the terms
"expert" and "consultant."
18
�1 • ~u
requirements of§ 202{a), the consultant is an SGE for purposes
of determining the ethics restrictions to which the consultant is
subject.
In contrast, some consultants may be ,independent
contractors, not government employees, and thus not subject to
the ethics restrictions imposed on SGEs unless those restrictions
are incorporated in any contract that retains the services of the
consultant.
Because the legal definitions of SGEs and "consultants" are
not mutually exclusive, the distinction drawn between them is
essentially a practical one, based on degree of participation.
Those who participated on a regular, full-time basis have been
placed in the SGE category, and were permitted to supervise
others.
Those who participated intermittently, not attending
meetings regularly and providing periodic advice upon request .on
particular subjects have been placed in the "consultant"
category.
They did not supervise others and were regarded as
consultants to a working group and not as a
11
member 11 of one.
Given this explanation, the individuals listed in Tab 14 are
special government employees, subject to a limited set of ethics
restrictions, who participated in the interdepartmental working
group on a full-time or regular basis.
Incluc~d
in this list are
a small number of individuals whose services may have been
obtained by HHS prior to the advent of the working group or who
were retained to participate in the interdepartmental working
group, but whose documentation has not yet been accessed.
Because of the nature of their participation in the working
19
�r.
c.1
group, they were regarded as special government employees subject
to the relevant ethics rules.
These individuals include: Richard
Frank, Deborah Lewis-Idema, Joanne Lukomnik, Sheila Pires,
and Ann zuvekas. 7
"Consultants," as defined above, are listed in Tab 15.
This
list also includes individuals who may have had pre-existing
Consultancy agreements with HHS or agreements made for the
specific purpose of using their services in the interdepartmental
working group, but whose documentation has not yet been accessed.
These individuals include: Thomas Chapman, cathi Callahan, James
Mays and Gordon Trapnell.
Individuals employed by state and local governments or
organizations are listed separately in Tab 16.
The list includes
persons who participated either regularly or intermittently.
Moreover, the individuals who served on the "audit" groups,
Tabs 4-8, were provided an ethics briefing and advised that they
are subject to the ethics restrictions applicable to SGEs.
HHS maintained time records for the paid SGEs and
"consultants" brought on specifically to perform services for the
interdepartmental working group.
at Tab 17.
Those time records are provided
Defendants have not located similar time records for
7
HHS has confirmed that Sybil Goldman and Beth Stroul
maintained pre-existing professional services agreement with HHS.
The remaining individuals listed may have encered similar
agreements with HHS or a component thereof prior to or at the
time the working group began its efforts. If this information
becomes available, defendants will supplement this response.
20
�r , c.c.
,,_._
..,
vv
1
,,.
&v· vv
the remaining individuals listed in Tabs 14-16 and do not believe
that such records exist,
The SGEs and consultants listed as having been obtained by
the White House Office, including the employees of state and
local governments or associations, or OMB were not paid for their
work on the interdepartmental working group.
The individuals
listed as have been hired through the Department of Commerce and
the Office of Personnel Management were paid for their work by
those agencies.
The following persons hired by HHS to
participate in the interdepartmental working group were also paid
for their work by HHS:
Thomas Pyle
Lois Quam
Sally Richardson
David Satcher
Jane Schadle
Aaron shirley
Shoshana Sofaer
Paul Starr
Robyn stone
Robert Valdez
Robert Veloz
Joshua \viener
Walter Zelman
Linda Aiken
Robert Berenson
Linda Berqthold
Richard Brown
Gary Claxton
Shelley Crow
Richard Curtis
Denise Denton
David Eddy
carolyn Handy
Richard Kronick
Alan Krueger
Roz: Lasker
Larry Levitt
Simi Litvak
Katherine Lohr
Carol Miller
The following
~ersons
obtained by HHS to participate in the
interdepartmental working group were not. paid for their work by
HHS:
Judith Eddy, Arnold Epstein, Alan Hillman, Mark Smith, Ciro
Sumaya and Farah Walters.
Hix
maintain~d
Sybil Goldman, Beth stroul and William
pre-existing paid consultancy agreements with the
federal government.
The financial arrangements for those
21
�l
··-- - --
......
--
• '-V'
-·
remaining individuals designated as being brought on the
interdepartmental working group by HHS is not known; this
response will be supplemented should additional information
become available.
Defendants object to providing any information regarding the
amounts that these employees were paid or reimbursed for
expenses.
This information is irrelevant to the remaining issue
in this case
and,~}reasonably
admissible evidence.
calculated to the discovery of
Moreover, release of this information would
result in an unwarranted invasion of personal privacy.
Notwithstanding this objection, the full-time HHS SGEs were
permitted to submit a voucher for reimbursement of one round trip
plane ticket to Washington, o.c.
Part-time experts were allowed
reimbursement for each round trip to Washington, D.c., plus pe,r
diem, when they were requested to come to Washington.
HHS SGEs were reimbursed for travel expenses.
was provided for
~ther
expenses.
Seventeen
No reimbursement
The White House SGEs and
individuals from state and local governments or organ.izations
were not paid for their services.
Final determinatio.ns for
reimbursement for travel expenses have not be€n made, but the
total reimbursement for such expenses is expected to be limited.
REQUEST NO. 5:
Identify all documents reflecting the information provided
in response to Interrogatory 4, including but not limited to
conflict of interest or ethics forms supplied to or signed by the
22
�persons performing services for the Task Force qroups, payroll
records, expense accounts, expense records, and travel records.
BESPONSE TO REQUEST NO. 5:
See Response to Request No. 4.
Both the White House and HHS
collected the financial and other information needed to determine
whether prospective participants in the interdepartmental working
group from outside the [federal?] government presented a possible
conflict of interest.
SGEs and consultants retained by
HHS
specifically to participate on the workinq qroup (listed in
response to Request No.
7)
completed either an SF 278 (Public
Financial Disclosure Report) or an SF 450 (Confidential Financial
Disclosure Report).
These forms are provided at Tab 18.
In addition, White House and HHS personnel conducted several
ethics briefings to which individuals not permanently employed, by
the federal
gover~ment
audit groups.
were invited, including members of the
They were advised of the ethical restrictions to
which they were subject and provided copies of the Standards of
Ethical Conduct for Emplcyees of the Executive Branch (prepared
by the United States Office of Government ~thics) and a summary
of the Standards.
Additional materials were provided at or
following these briefings.
REQUEST NO. 6:
Describe the operations, activities, purposes, structure,
and organization of each Task Force group.
RESPONSE TO REQUEST NO. 6:
23
�r.~o
In addition to the general objections stated above,
defendants object to this request to the extent it seeks
infonnation regarding the "operations" and "activities" of the
interdepartmental working group and the other groups identified
herein.
Such information is irrelevant to the structure, purpose
and personnel of these groups, and not reasonably calculated to
lead to the discovery of admissible evidence relevant to the
remaining issue in this case.
Notwithstanding these objections,
defendants respond as follows:
The purposes, structure and organization of the
l
interdepartmental working group, its cluster groups and subgroups
are not easily described or sumruari2ed.
The working group
process was an evolving one, intended to adapt to needs as they
arose, and a flexible one, designed to provide the professionals
on the working group the latitude necessary to accomplish a
considerable task in a short period of time.
Thus, different
cluster and subgroups worked differently, depending on the issues
they were studying, the personaiities and needs of their leaders
and the efforts of their parti6ipants.
The following discussion
is not intended and should not be interpreted as an
e~haustive
and detailed description, but instead is.a general overview of a
process that involved more than thirty groups, more than 500
people and thousands of meetings.
The interdepartmental working group generally gathered
information concerning existing health care
services and developed
pos~ible
alternatives
24
p~licies
~c
and delivery
the current
�health care system.
The interdepartmental working group was not
charged with making, and did not make, recommendations directly
to the President.
Instead, its components presented options to
Mr. Magaziner.
The interdepartmental working group did not gather
information or develop options for change as a group.
Indeed,
Mr. Magaziner called the entire interdepartmental working group
together for a meeting only twice, both neat the end of its
process.
(Ann Hall at HHS advises that there was a large ethics
briefing on March 2.
was this a meeting of the
Ch~rlotte
whole working group convened at that time?]
The purposes of
these meetings were primarily administrative, but also afforded
Mr. Magaziner an ·opportunity to thank the participants for their
efforts, to update them on the status of their work and to answer
questions.
These meetings were not intended for the group as a
whole to deliberate or decide on health care reform options to
present to the Task Force or to present information or options to
the Task Force.
The interdepartmental working group was aivided into cluster
groups.
Some of the cluster groups were, in turn, divided into
subgroups.
The names and
nurr~ers
of each of the cluster groups
and subgroups are indicated in Tab 19,
cluster and subgroups
~ere
Mr. Magaziner's direction.
infr~.
Not all of the
created at the same time or created at
Flexibility was required to respond
to needs to study new issues as the need arose and to do so
effectively.
25
. ·-.
..
�I I '- I
The purpose of each cluster and subgroup was different as
each studied different aspects of the health care system.
purposes of these groups are suggested in their names.
The
Shortly
after the interdepartmental working group was established,
departments and agencies \vere asked to provide employees to serve
on the working group.
These employees were generally allowed to
select which working group they wished to partic"ipate in; many
agency employees had particular areas of expertise that lent
themselves to service on particular working groups.
Shortly
after the working groups began their work, Congressional staff
members were also assigned to the working group by House and
Senate offices and committees.
As the process continued,
additional personnel with substantive knowledge and expertise
required by the working groups to complete their tasks were
added, typically by the working groups themselves.
For each cluster and working group, the process generally
consisted of three phases -- identifying and exploring issues for
study, developing a wide range of policy opticns and narrowing
those options.
Mr. Magaziner, his staff. and others conducted
five "tollgate 11
meetin~s,
designed to challenge, explore, test
and exchange views and ideas.
The meetings
t~·pically
lasted two
or three days, during which each working group would, in turn,
make a presentation summarizing its efforts and answer questions
posed by Mr. Magaziner and others.
a paper prior to each tollgate.
26
Most working groups presented
�-
-- .... .---Between these "tollgate" meetinqs, the working groups
continually met in a very fluid and informal fashion.
All
working group participants 'rlere able to attend any workinq group
meeting and there was extensive "cross-qroup" participation.
Small groups of people within each working group met very
frequently to discuss issues, debate options and prepare papers.
Because
~any
working groups were examining common issues,
participants on different working groups often met together, in
ad hoc groups or otherwise, to discuss and analyze these "crosscutting" issues.
Many, but not all, working groups, and
individual participants in working groups, frequently met and
spoke with outside individuals, groups and organizations to
obtain needed information and to listen to their ideas and
concerns.
At the conclusion of the working group process, many of the
working groups prepared a paper that contained background
information and policy options for its area of study.
Certain
·individuals and groups prepared memoranda for Mr. Magaziner, Or .
.Judy Feder or their staffs other than papers for the "tollgate"
meetings either by request or unsolicited.
These papers were not
directly forwarded to the Task Force, but, instead, were
presented to Mr. Magaziner and his staff.
Mr. Magaziner and his
staff, in turn, prepared consolidated materials based on the
working groups' efforts for the Task Force's review.
Defendants object to describing the purposes, structure and
organization of any further groups or individuals that acted in
27
�l • C.\Ml
connection with the Task Force or interdepartmental working group
because such information is not relevant to the remaining issue
in this case and is not reasonably calculated to lead to the
discovery of admissible evidence.
~
General Objection 1.
Notwithstanding this objection, the "audit groups" were panels
formed to share their members' expertise and judgments with the
working groups.
Their members served as "devil's advocates" and
gave feedback to working group members on the possible impacts of
various health care reform options that the working group was
considering.
There were five audit groups, which addressed
administrative issues, legal issues, issues pertaining to health
care providers, issues pertaining to minorities, and cost issues.
Some of the audit groups presented written material to Mr.
Magaziner or his staff.
The working group also received input from a large number of
health-care consumers organized into groups focusing on discrete
issues and twelve "outreach groups" composed of health-care
professionals.
the
11
The consumer groups exposed the working group to
real world 11 concerns and perspectives of individual health-
care consumers.
The outreach groups played a similar role but
presented the perspectives of individual health care providers.
REQUEST NO.
7:
Identify each written contract, agreement or letter of
invitation to participate with the Task Force groups involving
any federal employee, special government employee, advisor,
consultant or other person, who was a member of or an advisor or
28
�.·-·
--- .... .-- - .
I 1 VU
consultant or participant on a Task Force group, including, for
each such agreement:
(a)
the date of the contract, agreement or letter of
invitation;
(b)
the subject matter of the contract, agreement or
letter of invitation;
(c)
any person with knowledge of the contract,
agreement or letter of invitation;
(d)
all documents and communications concerning the
contract, agreement or letter of invitation, including but not
..
limited to payroll records, expense accounts, expense records,
and travel records.
RESPONSE TO REQUEST NO. 7:
The defendants did not enter into contracts or
agreement~
with regular federal employees to serve on or participate with
the interdepartmental working group.
Nor did the defendants
issue "letters of invitation" for such individuals.
HHS's agreements to obtain the services of the following
paid and unpaid individuals are manifested in variously dated
(none prior to February, 1993) government documents reflecting a
personnel action, Forms SF-52, HHS-410 and SF-50:
Linda Aiken
Robert Berenson
Linda Bergthold
E. Richard Brown
Gary Claxton
Shelley Crow
Richard Curtis
Denise Denton
Judith Eddy
David Eddy
Katherine Lohr
Carol Miller
Thomas Pyle
Lois Quam
Sally Richardson
David Satcher
Jane Schadle
Aaron Shirley
Hark Smith
Shoshana Sofaer
29
�I
Arnold Epstein
Howard Goldman
Carolyn Handy
Alan Hillman
Richard Kronick
Alan Krueger
Roz Lasker
Larry Levitt
Simi Litvak
1
;;J
1
Paul Starr
Robyn stone
Ciro Sumaya
Robert Valdez
Richard Veloz
Farah Walters
Joshua Wiener
Walter Zelman
HHS also tasked the following individuals whose services HHS
had previously obtained through Purchase Order to participate on
the interdepartmental working group:
Sybil Goldman (Purchase Order dated 2/18/93)
Beth Stroul (Purchase Order dated 8/11/.92)
Defendants will supplement this
informa~ion
as to similarly
situated individuals if it becomes available.
The Commerce Department completed Supply, Equipment or
Service Orders, CD-404, all dated March 26, 1993, for the
individuals it hired.
The Department of Defense maintained a pre-existing contract
for advisory services with the Rand National Defense Research
Institute in support of a Congressionally mandated "Comprehensive
Study of the Military Medical Care
S~stem."
Michael Hix, a Rand
employee who was working on that study, was tasked to participate
on Working Group 14.
The Office of Personnel Management issued an Order for
·Supplies or Services, Purchase Order 93-P045648, dated March 3,
1993, to obtain the services of Stanley Jones.
The White House did not prepare contracts, agreements or
letters of invitation for the individuals whoss services it
30
�r.
''"""'
v
vv
1
n a
Jt:.
'u • ...,.,
obtained for the interdepartmental working group, audit groups,
outreach groups or consumer groups.
REQUEST NO. 8:
Identify each oral contract or agreement involvinq the Task
Force groups and any federal employee, special government
employee, advisor, consultant or other person who was a member of
or an advisor or consultant or participant on a Task Force group,
•
including, for each such contract or agreement:
a.
the date of the oral contract or agreement;
b.
the subject matter of the oral contract or agreement;
c.
any person with knowledge of the oral contract or
agreement;
d.
all documents and communications concerning the oral
contract or agreement, including but not limited to payroll
records, expense accounts, expense records, and travel records.
~ESPONSE
TO REQUEST NO. 8
Defendants are
awar~
of no such oral concracts or
agreements.
REQUEST NO. 9:
Identify any organizational charts or similar documents that
reflect the structure and/or interrelationship among and between
the Task Force groups and their members and participants.
RESPONSE TO REQUEST NO. 9:
Mr. Magazinei drafted a document on or about January 25,
1993 entitled ''Preliminary Work Plan for the Interagency Health
Care Task Force."
This document, in part, outlined his initial
31
�IIU'U
U
U''!J
&v• _,_,
I Ul
conception of the structure, organization and staffing needs of
the interdepartmental working group.
The structure, organization
and personnel of the working group were modified substantially
over time and Mr. Magaziner did not revise or update that
document to reflect these changing realities.
REQUEST NO. 10:
Identify those persons \iho were responsible for directing
the activities of each Task Force group.
RESPONSE TO REQUEST NO. 10:
Defendants object to this request on the grounds that it is
vague.
The term "directing" is undefined and unclear.
Notwithstanding this objection, Tab 19 is a list of the cluster
group leaders and the subgroup leaders as of che end of the
working group process.
The audit group examining issues pertaining to health care
providers was chaired by Steve Gleason.
Irwin Redlener and Pat Ford-Roegnor.
cost issues was chair by Rich Ostuw.
REQUEST NO.
The vice-chairs were Dr.
The
audi~
group examining
(any more chairs?]
11:
Identify those persons who were responsible for directing
communications to, from, among, between and within each Task
Force group and to, from, among, and between the members and/or
participants in each Task Force group.
RESPONSE TO REQUESI NO. 11:
Defendants object to this request on the grounds that it is
vague.
The term
11
responsible for directing communications .. is
32
�undefined and susceptible to several alternative interpretations.
Notwithstanding this objection, defendants state that in order to
foster a free flow of ideas, Mr. Magaziner and his staff imposed
no procedures or methods by which participants on the interdepartmental working group were required to communicate with each
other.
Participants on cluster or subgroups could -- and
constantly did -- freely meet with participants on their own or
other cluster and subgroups in person and by telephone to
exchange ideas, information and written materials.
Communication
among and between cluster and subgroups and their participants
was primarily the product of informal, fluid, often spontaneous,
contacts both inside and outside of called meetings.
The Task Force and interdepartmental working group did
receive an enormous amount of information from outside
source~.
The Task Force Intake Center's correspondence unit, headed by
Mary Schuneman and staffed by a large number of volunteers,
routed material received by the Task Force to cluster and
subgroups working on issues related·to the material received.
33
�r. Jo
~s
to Interrogatories l-3, 6-11 or portions thereof:
I
declare under penalty of perjury that the foregoing is
true and correct.
iRA MAGAZINER
Senior Advisor to the President
for Policy Development
Dated:
August ___ , 1993
As to Interrogatories 2-6, 10-11 or portions thereof and Tabs 110. 14-16, 19:
I
declare under penalty of perjury that the foregoing is
true and correct.
MARJORIE TARMEY
Special Assistant to Ira
Magaziner
Dated:
August
1
1993
Interrogatories 2, 4-5 or portions thereof and Tabs 2-3,
~to
14-16:
I declare under penalty of perjury that the foregoing is
true and correct.
CHARLOTTE HAYES
Special Assistant to the
Vice President
Dated:
August
~,
1993
As to Tab__ll.;_
34
�r • .Ju
Based upon information provided to me by my staff and other
White House staff, I declare under penalty of perjury that the
foregoing is true and correct.
MICHAEL LUX
[Title]
\~hite House Office of Public Liaison
Date:
August
As to Tab
1
1993
12:
Based upon information provided to me by my staff and other
White House staff, I declare under penalty of perjury that the
foregoing is true and correct.
JOHN HART
(Title]
White House Office of Intergovernmental
Affairs
Date:
August
As to Tab 13:
' 1993
~
Based upon information provided to me by my staff and other
White House staff, I
decla~e
under penalty of perjury that the
foregoing is true and correct.
CHRIS JENNINGS
('l'itle]
White House Office of Congressional
Affairs
35
�r. J r
Date:
August ___ , 1993
As to Portions of Interrogatories 4, 5 and 7-8 Relating to HHS
and Tabs 12-13, 15-16;
I declare under penalty of perjury that the foregoing is
true and correct.
KEVIN THURM
Chief of Staff to Secretary
Donna Shalala
Date:
August
1993
1
As to the objections stated herein:
Respectfully submitted,
FRANK W. HUNGER
Assistant Attorney General
3. RAMSEY JOHNSON
United States Attorney
.. .
DAVID J. ANDERSON
ELIZABETH A. PUGH
JEFFRE'i S. GUTMAN
ROBERT S. WHITMAN
Department of Justice
Civil Division - Room 952
90l ESt., N.W.
Washington, D.c. 20530
T~lephone:
(202) 514-4775
Attorneys ·for Defendants
Dated:
August
1
1993
36
~
�Cost Issues
Howard Atkinson, Jr.
Atkinson & Co., Inc.
Silver Spring, MD
John Bertko
Coopers & Lybrand
San Francisco, CA
Phyllis Doran
Millman & Robertson, Inc.
Washington, DC
Brent Greenwood
Tllinghast/Towers Perrin
Minneapolis, MN
Dick Helms
The Principal Financial Group
Des Moines, IA
Rich Ostuw
Towers Perrin
Cleveland, OH
Ken Porter
The Dupont Co.
Wilmington, DE
Jack Rodgers
Price Waterhouse
Washington, DC
�Administrative Simplification
Leonard Abramson
Health Care
Blue Bell, PA
u.s.
Paul Batalden, M.D.
Hospital Corporation of America
Nashville, TN
Ellen Gaucher
University of Michigan Hospitals
Ann Arbor, MI
Ileana Herrell
Public Health Service
u.s.
Hank Cauley
Telesis
Providence, RI
Christine Kovner
New York University
New York, NY
Gordon Mosser, M.D.
Minnesota
Phil Nudelman
Group Health Cooperative of Puget Sound
Seattle, WA
Norene Rickson
Telesis
Providence, RI
Kathy Schroeder, M.D.
William Beaumont Hospital
Royal Oak, MI
Jack Stephens
Lakeland Regional Medical Center
Lakeland, FL
G. Rodney Wolford
Alliant Health System
Louisville, KY
�Legal Issues
Barbara Anthony
Office of the Massachusetts Attorney General
Boston, MA
Mark Barnes
New York City Dept. of Health
New York, NY
Richard Briffault
Columbia Law School
New York, NY
Ed Goldman
University of Michigan Hospitals
Ann Arbor, MI
Michael Graetz
Yale Law School
New Haven, CT
Angela Holder
Yale University School of Medicine
New Haven, CT
Barbara McGarey
National Institutes of Health
Bethesda, MD
Kathryn Meyer
Beth Israel Medical Center
New York, NY
Peter Millock
New York State Dept. of Health
Albany, NY
Betsy Ryan
New Jersey Dept. of Health
Trenton, NJ
Marjorie Shultz
Boalt Hall School of Law
Berkeley, CA
Rick Slowes
Office of the Attorney General of Minnesota
st. Paul, MN
�~~
Minority Issues
James Acevedo
Assistant Director
American Healthcare Management
Huntington Park, CA
Jesse Barber
National Medical Association
Chair of Council Medical Legislation
Washington, DC
Phillip Brooks
National Black Hospital Association
President, Norfolk Community Hospital
Norfolk, VA
Richard Butcher
President
National Medical Association
El Cajun, CA
Michael Byrd
Research Fellow
Department of Health Policy and Management
Harvard School of Public Health
Boston, MA
Pamela Cashew
Assistant Administrator
Riverside General Hospital
Houston, TX
Linda Clayton
Research Fellow
Department of Health Policy and Management
Harvard School of Public Health
Boston, MA
Rosemary Davis
National Medical Association
Washington, DC
susan Drake
Senior Attorney
National Immigration Law Center
Los Angeles, CA
Adolph Falcon
Nation Coalition of Hispanic Health and
Human Services Organizations
Washington, DC
7
�Maria Elena Flood
Program Director
Health Sciences Center
Texas Tech
El Paso, TX
Hector Flores
Co-Director
Family Practice Residency Program
White Memorial Medical Center
Los Angeles, CA
Joyce Essien
Director
Office of Public Health Practice
School of Public Health - Emory University
Atlanta, GA
Luis Estevez
Medical Director
Segundo Ruiz Belvis
Neighborhood Family Care Center
Bronx, NY
Thurman Evans
President and CEO
WholeLife Associates
Elkins Park, PA
Ernest Gibson, III
Administrator - CEO
Riverside General Hospital
Houston, TX
Tessie Guillermo
Executive Director
Asian American Health Forum
San Francisco, CA
Hazel Harper
National Dental Association
Washington, DC
Joseph Henry
Associate Dean
Harvard School of Dental Medicine
Boston, MA
Anne Hill
National Urban League
New York, NY
�Sadako Holmes
Executive Director
National Black Nurses' Association, Inc.
Washington, DC
Charles I<amasaki
National Council of La Raza
Washington, DC
Elizabeth I<ing
Medical Director
Queens Village Community for Mental Health
Chair of Health Policy and Resolutions Committee
St. Albans, NY
Daphne John
Riverside General Hospital
Houston, TX
B. Waine I<ong
Executive Director
The Association of Black cardiologists
Miami, FL
Osvaldo Lopez
Chairman
Department of Opthomology
Chicago, IL
Randall Maxey
President, CEO
HealthQuest
Hawthorne, CA
Ramona McCarthy
President
National Pharmaceutical Association
Silver Spring, MD
Laurin Mayeno
Association of Asian Pacific Community Health Organizations
Oakland, CA
Terri Smith Moore
Nationa Pharmaceutical Association
Washington, DC
Vernellia Randall
Assistant Professor of Law
School of Law - University of Dayton
Dayton, OH
�.
.
Elena Rios
President
The Chicano/Latino Medical Association of California
Huntington Park, CA
Rene Rodriguez
President
Interamerican College of Physicians and surgeons
Washington, DC
Diane Sanchez
Women's Medical Arts
Milpitas, CA
Frank Sessoms
Pittsburgh, PA
Wes Sholes
National Association of Black County Officials
Rancho Palos Verdes, CA
Samuel Simmons
Caucus and Center on Black Aged
Washington, D.C.
Paul Simms
Department of Health Services
San Diego, CA
Sara Torres
National Association of Hispanic Nurses
College of Nursing - USF
Tampa, FL
David Valdez
Family Practice Center
Memorial Medical Center
Corpus Christi, TX
Herbert Weldon
Administrator and CEO
Southwest Hospital and Medical Center
Atlanta, GA
�Health Professions Review Group
Stephen c. Gleason, DO
Chair, Health Professions Review Group
Chief Medical Officer, Mercy Clinic system
Family Practice
Des Moines, Iowa
Irwin Redlener, MD
Vice Chair, Health Professions Review Group
Chief, Community Pediatrics, Montefiore Medical Center
Pediatrician
Bronx, New York
Pat Ford-Roegner, RN, MSW
Vice Chair, Health Professions Review Group
Health Consultant
Atlanta, Georgia
Susan Hershberg Adelman, MD
Pediatric Surgeon
Detroit, Michigan
Maria del Rosario Aguirre, MD
Pediatrician
San Antonio, Texas
Betty Ahlgren, RN
Staff Nurse
Bellevue, Washington
Richard Barr, MHA
President, Presbytrian Health Care Services
Albuquerque, New Mexico
David Blementhal, MD
Chief, Health Policy Research & Development,
Massachusetts General Hospital, Internist
Boston, Massachusetts
Rick Boxer, MD
Urologist
Milwaukee, Wisconsin
Gwendolyn Braxton, RN, MSN
Assistant Academic Vice President, Delaware State College
Dover, Delaware
Benjamin Chu, MD, MPH
Senior Vice President for Medical & Professional Affairs,
New York City Health & Hospitals Corporation
New York, New York
�Jerome Connolly, PT
Physical Therapist
Billings, Montana
LC Dorsey, DSW, LCSW
Director, Delta Health Center
Mt. Bayou, Mississippi
Barbara Fassbinder, RN, BSN
Nurse Consultant
Monona, Iowa
Kevin Fickenscher, MD
Associate Dean, Michigan State University Medical School
Family Practice
Kalamazoo, Michigan
Janet Freedman, MD
New York University Medical Center
Rehabilitation Medicine
Mt. Kisco, New York
Stephen H. Gorin, PhD
Assistant Professor of Social Work
University of New Hampshire
Canterbury, New Hampshire
Pedro Jose Greer, MD
Asst. Dean of Homeless and Poverty Medicine
University of Miami
Internist
Miami, Florida
John Hatch, PhD
Professor, School of Public Health, University of North Carolina
Chapel Hill, North Carolina
Lester Hosto, PhD
Community Pharmacist, Arkansas Board of Pharmacy
Little Rock, Arkansas
Marshall Jackson, EMT
Trauma Technician
Upper Marlborough, Maryland
Gloria Johnson-Powell, MD
Professor of Clinical Psychiatry, Harvard Medical School
Boston, Massachusetts
Florence July, RN, BSN, CRRN
Creek Nation Community Hospital
Okemah, Oklahoma
�Mary Mundinger, RN, DrPH
Dean, Columbia University School of Nursing
Family Nurse Practitioner
New York, New York
Arnold Relman, MD
Editor in Chief, Emeritus, New England Journal of Medicine
Professor of Medicine, Harvard Medical School
Boston, Massachusetts
Susan Reynolds, MD
Emergency Medicine
Malibu, California
Marily Rhudy, RPh
Pharmacist
Lawrence, Kansas
Elena Rios, MD, MSPH
State of California, Office of Health Planning & Development
California
Lawrence Scherr, MD, MACP
Associate Dean, Cornell Medical College
Manhasset, New York
Julia R. Scott, RN
National Black Women's Health Project
Washington, D.C.
Kenneth Shine, MD
President, Institute of Medicine
Cardiologist
Washington, D.C.
Pat Starck, RN, DSN
Dean, School of Nursing, University of Texas-Houston Health
Science Center
Advanced Practice, Psychiatric/Mental Health
Houston, Texas
Reed V. Tuckson, MD
President, Drew University of Medicine and Science
Los Angeles, California
Stanley Yarnell, MD
Psychiatrist
San Francisco, California
Kneeland Youngblood, MD
Emergency Medicine
Dallas, Texas
�CONSUMER PANEL #1
Mr. Ken McEldowney
Consumer Action
San Francisco, California
Ms. Cheryl Gurlik
Concerned Consumers League
Milwaukee, Wisconsin
Ms. Ellen Dewind
Mr. Steve Meili
Center for Public Representation
Madison, Wisconsin
Mr. Joel Ario
OS PRIG
Portland, Oregon
Ms. Irene Leech
Virginia Citizens Consumer Council
Ms. Regene L. Mitchell
Consumer Federation of California
Ms. Jackie Thomas
Parksley, Virginia
Mr. Tom Simonton
Falls Church, Virginia
Mr. Bill Luckhard
Manakin, Virginia
Mr. Robert Byrne
Mr. Allen Blackford
Ms. Carol Franco
Ms. Brenda Robinson
Ms. Virginia Robinson
�CONSUMER PANEL #2
Mr. Hugh Wyatt
Mr. Guadelupe Pacheco
Ms. Wann McNabb
Ms. Shirley Smith
Ms. Lynne Starkweather
Ms. Saun Mateer
Ms. Theresa McKenna
Ms. Anne Mcleod
Harry and Shirley Kranz
Mr. John Lawhiczak
Ms. Anne Parke
Ms. Concha Johnson
Mr. Franklin Wallach
Mr. William Woody
Ms. Bonnie Cicler
Ms. Kathleen Newell
Mr. Tony Gallo
Ms. suzanne Mast
Mr. David Mast
Ms. Hope Marlan
Ms. Rosalee Wayman
�CONSUMER PANEL #3
Ms. Betty Newell
Mr. John Harlan
Ms. Sarah Jane Stewart
Ms. Sheryl Esbheach
Ms. Janice Walker
Mr. Charlie Gearhart
Ms. Karin Allen
Ms. Elizabeth Allen
Ms. Lisbet Searle-White
Mr. George Moehrle
Katina Economou
Ms. Mary L. Geuarter
Ms. Susan Jaeger
�CONSUMER PANEL #4
Martha Mawer
Mary Halfhill
Carol Dorsey
Eason Cross
Mrs. Pamela Mundell
Mr. Mundell
Terry Moore
Carol Cavanaugh
Cornelia Biddle
Neil Biddle
�CONSUMER PANEL #5
Joseph Rourke
Yancey Bobo
Mrs. Carmi T. Blaisdell
Mary segu
Sylvia Jackson
Chuck Gengrech
Marie Wheynnery
Dr. Lacey
Charles Culbertson
�CONSUMER PANEL #6
Anne Glendening
Earlane Johnson
Dr. David Nelson
Helen Dudding
Andy Garza
Sylvester Wedge
Diane Burkholder
David Roads
Kathy Mays
Dr. Lacey
�CONSUMER PANEL #7
Rachel Brubaker
Daniel Fisher
Randy Thurman
Carol Obrachta
John Allen
Barbara Huff
Marrisa Brown
Mary Jo Quinlan
Edith Hawkins
Robert Summers
Francene Williams
�CONSQMER PANEL #8
Ms. Janis Light
Ms. Mary Halfhill
Ms. Elizabeth Cain
Ms. Jennifer Arnold
Mrs. Lois Roberts
Mr. Roberts
Patricia A. DeRatto
Ms. Melinda Schuler
�CONSQMER PANEL #9
Mrs. Carole Weinstein
Mr. Tom Brewer
Richard and Mindy Benn
Ms. Linda Miller
Mr. Jim Currie
Ms. Susan Rogan
Mr. Julian Olinick
Mr. Olinick
Mrs. Olinick
�CONSUMER PANEL #10
cynthia Veidt
Hartford School Health Services
Olga Wright
William Ramsey Elementary School Nurse
Teri Holbrook
Baltimoe County Middle School
Lorraine Nault
Rhode Island School Nurse
Barbara Longo
Rhode Island School Nurse
Anne Marie Kachanis
Carlyn Jehle
Harvey Press
Elizabeth Miola
Kathleen Feroli
Laurie Callaghan
Judy Ressallot
Winson Hudson
Melinda Schuler
�CONSUMER PANEL #11
Dorothy Montgomery
Karen Christich
Eunice Cox
Sister Carol Taylor
Miles Appleton and wife
Diane Onwuchukewa
Ron Braden
�CONSUMER PANEL #13
Penny Fall
stacy Ewell
Richard Jones
Sheryle Powers
DOD
Thomas Stafford
DOD
Meg Butterworth
DOD
�CONSQMER PANEL #14
Jeffrey Winans
Marie Brookter
Beverley Rees
Kathy Caplins
Olyanda De'Allesandero
Melinda Schuler
�OUTREACH GROUP # l
FINANCE AND BUDGET
Robert Reyna, MD
San Antonio, TX
Irving Loh, MD
Thousand Oaks, CA
Richard Corlin, MD
Santa Monica, CA
Susana Morales, MD
New York, NY
John Bowen, MD
Ochnsner Clinic
New Orleans, LA
Richard Hachten
Bergen Mercy Medical Center
Omaha, NE
Clyde Oden, OD, MPH
United Health Plan
Watts Health Foundation
Ingelwood, CA
John McDonald
Mulliken Medical Center
Artesia, CA
Stephan Hegarty
President, Massachusetts Hospital Association
Burlington, MA
Robert Heyssel
Johns Hopkins Hospital
Baltimore, MD
Robert Margolis, MD
CEO, California Primary Care/
Huntington Medical Group
Los Angeles, CA
Sue Hopkins
Mercy Hospital
Des Moines, IA
Eric Tangalos, MD
Mayo Clinic
Rochester, MN
�Robert Elkins, MD
Integrated Health Services
Hunt Valley, MD
Adela De La Torre, PhD
California State University, Long Beach
Long Beach, CA
Lois Copeland, MD
Hillsdage, NJ
Raul Burciaga
Albuquerque, NM
Jerome Blum, MD
Los Altos, CA
Robert Butler, MD
Mount Sinai Medical Center
New York, NY
Peggy connerton
SEIU
Washington, D.C.
Pamela Gallin, MD
Harkness Eye Institue
Columbia-Presbyterian Medical Center
New York, NY
Richard Levy
Meg Norton
Mike Stringer
�OURTREACH GROUP #2
FRAUD, ANTITURST, TORT
James E. Acevedo
Executive Director
Community & Mission Hospitals of
Huntington Park
Huntington Park, California
Marlene Hartmann
Barnes Hospital
St. Louis, Missouri
Steve R. Eckstat, D.O.
Altoona, Iowa
John Howley
SEIU
Washington, D.C.
Larry P. Elliott, M.D.
Georgetown University Hospital
Washington, D.C.
Kent Westbrook
Little Rock, Arkansas
Neil Schlackerman, M.D.
u.s. Healthcare
Blue Bell, Pennsylvania
Karen s. Ehrat, Ph.D
Chief Operating Officer
St. Joseph's Mercy Hospital
Clinton Township, Missouri
Terry Lierman
President
Capitol Associates Inc.
Washington, D.C.
Robert Waters, Esq.
Arent Fox Kintner Plotkin & Kahn
Washington, D.C.
Douglas Maynard, M.D.
Chairman
Department of Radiology
Bowman Gray School of Medicine
Wake Forest University
Winsont-Salem, North Carolina
�Steve Volla
Chairman and Chief Executive Officer
American Healthcare Management
King of Prussia, Pennsylvania
Debra Cohn. Esq.
Attorney's Office
Philadephia, Pennsylvania
u.s.
George L. Spaeth, MD
Wills Eye Hospital
Jefferson Medical College
Philadephia, Penn.
Antonio Falcon, M.D.
Rio Grande City, Texas
Michael s. Levin
Newton, Mass.
Paul Freedman
Oral Pathology Laboratory, Inc.
Flushing, New York
Osvaldo I. Lopez
Ilinis Masonic Medical Center
Chicago, Illinois
Hugh F. Hill, M.D.
Bethesda, Maryland
�OUTREACH GROUP #3
BUREAUCRACY REDUCTION
Regina Kyle, MD
Joel Lanstein
Susan Hockstetter
Joe Diaz, MD
Julia Henion
Jim Hanson, MD
Stephen Fastwolf, RPt
Don Schneiter
Lawrence Hill, DDS
Warren Paroly
Steve Uranga McKane, DOS
Alan Solomont
Alan Bennett
Terry Gaffney, RN
Jane Delgado
Nilsa Gutierrez, MD
Barry Scheur, JD
Pete Savino, MD
Kenneth Offit, MD
Jan Spencely
Paul Grief, MD
Karen Guice, MD
v. Suzanne J<limberg
Arthur Kohrman
�OUTREACH GROUP #4
SPECIAL LIST OF SPONSORED PHYSICIANS
Dozoretz, Ronald MD
Norfolk, VA
Bendixen, Henrik
Columbia University
New York, NY
Edwards, z. Colette MD
Columbia Medical Plan
Columbia, MD
Schattman, Mary Ellen
Tarrant County Hospital District
John Peter Smith Hospital
Fort Worth, TX
Greely, Henry JD
Stanford Law School
Stanford, CA
Slaven, John MD
Pathology Labs of Arkansas
Little Rock, AK
Houpt, Jeffrey MD
Dean, School of Medicine
Ward, Janet RN, MS
Hospice Bereavement Volunteer Coordinator
Sinai Hospital of Baltimore
Owings Mills, MD
Alcorn, Merritt, MD
Chairman of the Board
Anatrol
Pathology Computer Systems, Inc.
Madison, IN
Hatem Bonsack, Rosemary MD
Delegate
Legislative District 34
Aberdeen, MD
Blim, R. Don MD
Corporate Director, Medical Staff Division
Saint Luke's Health System
Kansas City, MO
�Cleghorn, G. Dean EdD
Executive Director
South Carolina Area Health Education Center
Medical University of sc
Charleston, sc
Dickey, Nancy MD, FAAFP
Medical Director
Fort Bend Family Health Center, Inc.
Richmond, TX
Chucker, Francis, MD, PC
Internal Medicine
Washington, D.C.
Crist, Takey MD FACOG FACS
Surgical Ambulatory Care Center
Jacksonville, NC
Coyle, Joseph, MD
Harvard Medical School
Belmont, MA
Benson, John Jr. MD
Oregon Health Sciences University
Portland, OR
Edwards, Adrian MD, PC
cardiology and Internal Medicine
New York, NY
Pierce, Phillip, PhD
Chief Psychologist
Department of Veterans Affairs
Togus, ME
Levine, Howard
Miller & Martin
Chattanooga, TN
Copeland, Robert MD
La Grange, GA
carey, William MD
swarthmore, PA
�OUTREACH GROUP #5
CHOICE OF PROVIDER
Hoskins, H. Dunbar
San Francisco, CA
Weber, James
Jacksonville, AK
Meyer, Ileen
Emporia, KS
Weinstein, Irwin
Los Angeles, CA
Levine, Seymour MD
Los Angeles, CA
Mellion, Morris MD
Omaha, NE
Connally, N. Thomas MD
Washington, D.C.
Walkow, Warren MD
South Orange, NJ
Tudor, John MD
Salt Lake City, Utah
Colner, Gary MD
Vista, CA
Tasman, William
Philadelphia, PA
Robinson, Laurence MD
Lancaster, CA
Golding, Martin
Wheaton, MD
Lange, Robert MD, MBA
Eagle Rock, CA
Loh, Irv MD
Thousand Oaks, CA
Arce, Gabriel
Chula Vista, CA
Linares, Antonio
Chula Vista, CA
MD
�Hochweiss, Sharon
New York, NY
Petrovich, Janice MD
Washington, DC
Lichtenfeld, J. Leonard MD
Pikesville, MD
Baskin, Alan MD
Montvale, NJ
Rodriguez, Rene MD
Chevy Chase, MD
Estevez, Luis, MD, MPH
Yorktown Heights, NY
Rebhun, Donald MD, MSPH
Northridge, CA 91325
Weiss, Don MD
Debbs Ferry, NY
Warren, Russell MD
New York, NY
MacRae, Scott MD
Portland, OR
Mills, Paul MD
San Diego, CA
Hay, James T. MD
Encinitas, CA
Brunst, Robert MD
Encinitas, CA
�OUTREACH GROUP #6
ACCESS TO UNDERSERVED/URBAN
Pelberq, Arthur
Arizona Physician IPA
Phoenix, AZ
Butcher, Richard MD
San Dieqo, CA
Shukal, Stephen
San Dieqo, CA
Hutchinson, Thomas
Boston, MA
Schulhoff, Joan PA-C
Chicaqo, IL
Lurie, Nicole MD
Maples, MN
Raphael Carol
UNSNY
New York, NY
Sanchez, Diane MD
Milpitas, CA
Worth, PUrdentia
Detroit, MI
Geiqer, Jack MD
Brooklyn, NY
Gleason, Herbert
Boston, MA
Asward, Charles, N. MD
Binqhamton, NY
Ramirez, Ed MD
Lonq Beach, CA
Levine, David MD
Baltimore, MD
Shapiro, Martin MD
UCLA School of Medicine
Los Anqeles, CA
Sherman Joseph
�OUTREACH GROUP #7
ACCESS TO UNDERSERVED/RURAL
Blossom, H. John MD
Fresno, CA
Christopher, Neil MD
Guntersville, AL
Jones, Clark
Fresno, CA
Shattls, Stephen
Huntington, WV
Langston, Edward MD
Houston, TX
Massa, Lawrence J.
Webster City, Iowa
Primus-Cotton, Bobbie
Univeristy of Central Florida
Daytona Beach, FL
Kelly, Patricia
ona, wv
DeNeal, Larry PhD, MPH
Washington, DC
Platt, James
Mercy Hospital Medical Center
Des Moines, Iowa
Cooper, Rebecca MHA
Audubon County Memorial Hospital
Audubon, Iowa
Brown, Carmela
Mercy Hospital Medical Center
Des Moines, Iowa
Salow, William DO
Des Moines, Iowa
Kline, Thomas, DO
Indianola, Iowa
Walsh, Richard
West Des Moines, Iowa
�Harward, Tom
Belington, West Virginia
Toney Carl PA
Atlanta, GA
Moffitt, David
Creston, Iowa
Angagala, Mario
Mission, TX
Caballero, Ramiro MD
McAllen, Texas
O'Neill, George
Shawnee Health Service
Carterville, Illinois
Brasher, Stanley
Plan de Salud el Valles
Fort Lupton, co
Johnson, Douglas MD
Rochester, MN
Freed, Howard MD
Emergency Medicine-Albany Medical College
Slingerlands, NY
Coleman, William PhD, MD
Scottsboro, AL
Post, Bonnie
Maine Ambulatory Care Coalition
Manchester, Maine
Ulmer, Evonne
Ionia Co. Hospital
Ionia, Michigan
Harr, Parick MD
Maryville, MO
Gaskin, Ira May
Summertown, TN
Anderson, Larry MD
Wellington, Kansas
Milner, Darrell
Northern Michigan Health Services
Houghton Lake, Michigan
�OUTREACH GROUP #8
OUTCOME/QUALITY MEASUREMENT
Hoffman, Dan
Sommer, Alfred
Williams, Sankee
Kaplan, Sherrie
Greenfield, Sheldon
Spencely, Jan
Brook, Robert
Deyo, Richard
Fryback, Dennis
Dresing, Robert
Bodenhorn, Karen
Donoghue, Marguerite
Lierman, Terry
Ferris, Frederick
Galbraith, Geoffrey
Shaffer, Allen
Cunningham, Kevin
McBean, Marshall
Lohr, Kathleen
Jeffrey, Brian
James, Brent
McKay, Francis
Schlackman, Neil
Freed, Howard
Tudor, John
�OUTREACH GROUP #9
NURSES
De Leon Siantz, Mary PhD, RN
National Assoc. of Hispanic Nurses
Indiana University School of Nursing
Indianapolis, IN
Link, Victoria
Unit Manager, Lithotripsy Unit
West Allis, WI
Igoe-Diaz, Maureen RN, MS
Nursing coordinator
New York Children's Health Project
New York NY
Chulay, Marianne RN DNSC
Clinical Nurse Specialist
.National Institutes of Health
Spindel, Peggy
Vice-Chair, North American Registry of Midwives
Newton, MA
Morris, Phyllis
Encinitas, CA
Mendias, Nonie MS
UTMB SON
Galveston, TX
Schadle, Jane
HCTF Humphrey Building
Eckel, Jennifer
Toledo, OH
Marren, Joan
VP for Clinical Services
Visiting Nurse Service of NY
New York, NY
Lumpkin, Barbara
Assoc. Exec. Dire.
Florida Nurses Assoc.
Orlanda, FL
Summers, Lisa CNM
Dept. OB-GYN
Johns Hopkins School of Medicine
Baltimore, MD
�Roberts, Gail, RNC OGNP
Portsmouth, Ohio
Garcia Walters, Esperanza
San Jose Medical Center
San Jose, CA
Masson, Veneta RN, FNP
Community Medical care
Washington, DC
Hamrick, Renee c.
Fairmont, WV
Dominguez, Linda NP
OB\GYN
Albuqueque, NM
Littrell, Peggy RN CCRN
Burlington, NC
Healey, Thomas CRNA
Long Lake, MN
Allen Homes, Linda RNCS
Ho·uston, EX
Georges, c. Alicia RN, MA, FAAN
Lehman College
Bronx, NY
Wiliams, Wayne RN, MSN, NP
San Jose, CA
Owley, Candice RN
Milwaukee, WI
Salsich, Jan
Westerly, RI
Larly, Bernardine
Harvard Univ. College of Nursing
WK Kellog Homeless Project
Backer, Terry RN, MSN
Alphacetta, GA
O'Brien, Sally RN, MSN, CNAA, COHN
Kimberly-Clark Corp.
Neenah, WI
Holmes, Sadako RN, MPH
Exec. Dir., National Black Nurses Assoc., Inc.
Washington, DC
�Goode, Rhonda
SEIU Local 535
Pasadena, CA
O'Connor, Karen
Fairfax, VA
Henrick, Ann RN, MS
Clinical Nurse Specialist Cardiac Research
Northlake, IL
Gawkaski, Anna RN, DNSC
Clinical Nurse Specialist
UCLA Medical Center
Los Angeles, CA
Ritter, Ted
Duvall Family Health Clinic
Duvall, WA
�OUTREACH GROUP #10
MEDICAL STUDENTS/RESIDENTS
Alvarez, Kathy
Anthony, Paul
Beech, Derrick
Blanchard, Janice
Boyd, Barbara
Canis, Thomas
Castro, Maria
Chataman, David
comerci, John
crater, Glenn
Crowder, Valda
Dill, Barbara
Dwinnell, Mark
Flores, John
Frazier, Charles
Goldberg, Lee
Gonzales, Casimiro
Guerra, Juan
Hobson, Charles
Ingraldi, Peter
Johnstone, William
Lawlor, Daniel
Moore, Robert
Morrison, Elizabeth
Morrow, Mary Helen
Mura Ling, Shari
Obbard, Laura
Pelias, Marilyn
Peoples, Guy
Pogue, Doug
Rinderle, Theresa
Rucker, Cheryl
Rudd, Miles
Ruiz, Gonzalo
San Miguel, Virginia
Senqir, Andrea
Shaw, Carolyn
Sinstrunk, Sheryl
Slayton, Jim
Spingam, Roger
stone, Lee
Strand, Chris
Suck, Michael
Thronquist, Steven
Tong, Wendy
Trazerra, Salvatore
Whitaker, Eric
Wong, Kenneth
�OUTREACH GROUP #11
MATERNAL AND CHILD HEALTH
Marty McGeein
National Council of Community Hospitals
Washington, DC
Mary Carpenter
National Commission to Prevent Infant Mortality
Washington, DC
Diane Acevedo
GEMHPMP Community Foundations
Huntington Park, CA
Cahrles M. Ginzberg
UT Southestern Medical School
Dallas, TX
Owen Rennert
Georgetown University Children's Medical Center
Washington, DC
R. Rodney Howell
University of Miami School of Medicine
Russell w. Cherney
Le Bonheur Childrens Medical Center
University of Tennessee College of Medicine
Memphis, TN
Marion Rud MD
Mississippi Childrens Health Project
Lurica MS
Mary Bourdette and Ester Koblenz
Child Welfare League of America
Washington, DC
Kay Johnson
March of Dimes
Washington, DC
Patricia Hinton Walker
Assoc. Dean for Community Practice
University of Rochester School of Nursing
Rochester, NY
Michael Doyle
NWK Childrens Health Project
Newark, NJ
�William Sciarillo
Associate Care of Children's Health
Bethesda, MD
Karen Burke
New York, NY
Mary Chryssiadis
Los Angeles, CA
Kathy Vincent
Montgomery, AL
Catherine Hess
AMC HP
Washington, DC
Pat Thompkins
National Black Nurses Assoc.
Commission of Public Health
Washington, DC
Antoinette Parisi Eaten MD
Director of Government Affairs
Childrens Hospital
Columbus, Ohio
Louis z. Cooper MD
American Academy of Pediatrics
Roosevelt Hosp. Ch
St. Lukes, NY
Jackie Noyes
Amer. Acad of Pediatrics
Steven Shelov
Vice Chairman, Pediatrics
Albert Einstein College of Meidcine
Montefiore Medical Center
Bronx, NY
Josie Morales
Director, Women's Health
NYC Health and Hospital Corp
New York, NY
Frances Dunston MD, MPH
Assoc, Dean for Special Prog.
UMDNJ New Jersey Med. School
Newark, NJ
Patricia Kelly
Dept. of Pediatrics-Ado!.
Huntington, WV
�Joe Werthammer
Chairman, Dept. of Pediatrics
Marshall University of School of Medicine
Huntington, WV
Woodie l<essel
Maternal and Child Health Bureau/HRSA/PHS
Josie Sochalski
Senator Bill Bradley
Penny Bellamy
Planned Parenthood of Connecticut
Sharon Schnare
Director, Harbor UCLA NP Prog.
Torrance, CA
Joe Sherman
Georgetown Childrens Med Ctr
Washington, DC
Jacqueline Green, RN
Philadelphia, PA
Mary Middleton
Univ. of CA San Diego
San Diego, CA
Marjorie Barnett, MD
Silver Spring, MD
Carol Degan
Children's Defense Fund
Washington, DC
�OUTREACH GROUP #12
MENTAL HEALTH
McNair, Lorren LCISW
Health Management Strategies International, Inc
Alexandria VA
Javitt, Daniel MD, PhD
Albert Einstein College of Medicine
Bronx, New York
Cohn, Cliff
SEIU Local 509
Cambridge, MA
Forman, Robert PhD
Rehab After Work
Media, PA
Redlener, Neil MD
Boston Univeristy Medical Center
Boston, MA
Kinn, Mark MS
Primary Care, Internal Medicine
New York, NY
Achtenbert, Hannah
The League Treatment Center
Brooklyn, NY
Pruss, Richard
Samaritan Village
Rego Park, NY
Schut, Arthur
Mid-Eastern Council on Chemical Abuse
Iowa City, Iowa
Choukin, Wendy MD MPH
Beth Israel Medical Center
New York, NY
Morehouse, Ellen ACSW, CAC
Student Assistance Services
Ardsley, NY
Irby, Edward
First Hospital Corporation
Norfolk, VA
Klykylo, William MS
Dayton, OH
�Thomas-Knight, Robbie PhD
Clinical Psychologist
Independent Practice
Little Rock, Arkansas
McCall-Perez, Fred PhD
Group Practice Consultants, Inc.
Miami, Florida
Sheehan, Kathlee
National Association of Sate Alcohol & Drug Abuse Directory
Washington, DC
Volz, Deborah RN, CD
Vanguard Services
Arlington, VA
Taylor, Clishia RN
New Haven, CT
Flugsrud-Brekenridge, Marchia MD, PhD
Des Moines, Iowa
Jue, Jeff, LCSW
Deputy Director of Public Health for
Mental Health and Substance Abuse
Stark, Walter MD
Professor of Ophathalmology
Johns Hopkins University School of Medicine
Baltimore, MD
Inglesi, Ellie
SEIU Health care and Social Services Union
Columbus, Ohio
Gabbard, Glen MD
Vice President for Adult Services
The Menninger Clinic
Topeka, Kansas
Goldbaum, Carol PhD
Director of Social Work
Michael Reese Hospital and Medical Center
Chicago, IL
Edinburg, Olda ACSW, LICSW
Director Social Work Department
McLean Hospital
Belmont, MA
�Trevino, Fernando PhD, MPH
School of Health Professions
Southwest Texas States University
San Marcos, Texas
Giachello, Aida PhD
Jane Adams College of Social Work
Director, Hispanic Latino Health Research Center
Chicago, IL
Gumbiner, Robert MD
FHP Inc.
Long Beach, CA
Woffard, Chester III RN, MSN
Institute of Living, Chief Nurse
Hartford, CT
�f
-
Tab 17
PLEASE CHECK AND VERIFY ACCURACY. NOTE THAT MARK SMITH WAS
A LEADER, BUT THAT WE HAVE HIK DOWN AS A CONSULTANT. HE APPEARS
TO HAVE BEEN MORE ACTIVE.
GROUP NUMBER
TITLE
LEADER
l.
New System Organization
Walter Zelman
1
Principles and Operation
of Purchasing Cooperatives
Richard Kronick
lA
H~alth
Plan, Providers and
Patients in the New System
Robert Berenson
2
Special Issues in Purchasing
Cooperatives
Lois Quam
Claudia Baquet
3
Governance Issues
Rick Curtis
Parashar Patel
4
A Global Budget
Sherry Glied
Larry Levitt
5
Insurance Reform
Gary Claxton
il
New System Coverage
Atul Gawande
6
Benefits Package
Linda Bergthold
7
coverage for Working
Families
Steve Finan
Randy Hardock
J. Mark Iwry
8
Coverage for Low-Income
Families
Shoshanna Sofaer
Rick Bro,m
New System Infrastructure
9
I!
Quality Measurement
Arnold Epstein
Risa LavizzoMourey
10
~f"'!
Bill Sage
(replacing
Tom Pyle)
Information Systems
John Silva
Shanna Koss
�ll
Malpractice and Tort
Reform
12
Health Care Workforce
Development
FitzHugh Mullan
Ciro Sumaya
Integration of Health
Programs Into the New
system
Josh Wiener
Nancy-Ann Min
(replacing Steve
Bandeian)
Robert Berenson
Kathleen Hastings
13
Hedicare
Barbara Cooper
14
Department of Defense
Joel Slackman
15
Veterans Affairs
Karen Walters
16
federal Employees Health
Benefits
Curt Smith
16A
Indian Health Service
Mike Lincoln
Ethical Foundation of the
system
y
Nancy Dubler
Secundy
17
.N~w
~~arian
Yl.
Transition to the New System
Short-Term Cost c~~!
Paul starr
18
Accelerating New System
Development
Lois Quam
19
Short-Term Steps Toward
Tim Hill
Administrative Simplification
20
Interim Cost Controls
David cutler
Kathy Buto
Yll/21
fina~ing
Marina Weiss
VIII/22
Underserved Populations
and Preventive Health
Bonnie Lefkowitz
Mark Smith
Aaron Shirley
22A
Public and Preventive
Health
Joanne Lukomnik
22B
Infrastructure
22C
Services
Deborah LewisIdema
Aaron Shirley
220
HIV/AIDS
Mark Smith
Ann Zuvekas
nc • 1"1 T Ti1 J
C'~
_Q _:'l'1f.J
�Hental Health
Bernie Arons
23
Benefit Package: Basic
and/or Supplemental
Mike English
Mary Harper
24
Substance Abuse
Peter Brock
Lisa Sheckel
25
Children's Services
Shiela Pires
Sybil Goldman
26
Public System Impact
Grayson Norquist
Long Term Care
27
Josh Weiner
Private
Peter Kemper
29
Background/Populati~r.s
Mary Harahan
30
Cost and Financing
Mark Wasserman
Xl./31
Economic Impact,
David Cutler
XII/32
I!
Public
28
L,f",
Robyn Stone
Josh Weiner
Quantitative Analysis
l<en Thorpe
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
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FACA Documents [5]
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First Lady's Office
Maggie Williams
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2006-0223-F
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Box 4
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
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Clinton Presidential Records: White House Staff and Office Files
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William J. Clinton Presidential Library & Museum
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42-t-2194630-20060223F-004-006-2015
2194630
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https://clinton.presidentiallibraries.us/files/original/bfe6a52cb62aa454f4e8c4cfb6ee5e56.pdf
78529ad2fbd2bde3671f4aeff9d62557
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Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECTffiTLE
DATE
RESTRICTION
OOI.letter
Bernard Nussbaum to John Conyers and William F. Clinger. Status of
FACA Litigation. (7 pages)
10/2511993
P5
002.memo
Vince Foster to Maggie Williams. Re: Attached Memo. (5 pages)
03/23/1993
.P5
003. fax
Jeff Gutman to Marjorie Tarney. File FACA. (15 pages)
11110/1993
P5
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
FACA Documents [4]
2006-0223-F
ab860
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [S U.S.C. SS2(b))
Pl National Security Classified Information [(a)(l) ofthe PRA)
P2 Relating to the appointment to Federal office [(a)(2) ofthe PRA)
P3 Release would violate a Federal statute [(a)(J) of tbe PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and bls advisors. or between such advisors [a)(S) of tbe PRA)
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) ofthe FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of tbe FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misme defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
OOl.letter
SUBJECTfi'ITLE
DATE
Bernard Nussbaum to John Conyers and William F. Clinger. Status of
FACA Litigation. (7 pages)
10/25/1993
RESTRICTION
P5
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
FACA Documents [4]
2006-0223-F
ab860
RESTRICTION CODES
Presidential Records Ad - (44 U.S.C. 2204(a))
Freedom of Information Ad -IS U.S.C. 552(b))
PI National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disdose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a dearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) ofthe FOIA)
b(2) Release would disdose internal personnel rules and practices of
an agency ((b)(2) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or fmancial
information ((b)(4) ofthe FOIA)
b(6) Release would constitute a dearly unwarranted invasion of
personal privacy ((b)(6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) ofthe FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misf'Jie defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. memo
DATE
SUBJECfffiTLE
Vince Foster to Maggie Williams. Re: Attached Memo. (5 pages)
03/23/1993
RESTRICTION
P5
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
FACADocuments [4]
2006-0223-F
ab860
RESTRICTION CODES
Presidential Records Act - (44 U.S.C. 2204(a))
Freedom of Information Act -IS U.S.C. SS2(b))
Pl National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRAJ
P6 Release would constitute a dearly unwarranted invasion of
personal privacy ((a)(6) of the PRA)
b(l) National security classified information ((b)(l) ofthe FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIA)
b(3) Release would violate a Federal statute ((b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or fmancial
information ((b)(4) of the FOIA)
h(6) Release would constitute a dearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
h(7) Release would diselose information compiled for law enforcement
purposes ((b)(7) ofthe FOIA)
h(S) Release would diselose information concerning the regulation of
financial institutions ((b)(S) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record. misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�* WEDNESDAY, NOVEMBER 10, 1993
.~~dge demands health panel's
papers from Whi(e House
~
By Pa;..· Beoa·o
THE
l
i
~A$P1 '~':'0"-
TIMES
A federal judge yesterday re·
buked the V.'hite House for wnhhold·
ing key records of Hillary Rodham
Clinton's health care task force and
threatened to hold the administra·
tion in contempt if the papers aren't
produced in 20 days.
ln language that re,oealed his rrus·
tration. t.:.S. District Judge Royce
Lamherth accused White House and
Jusuce Department lawyers of offer·
ing "preposterous" excuses. ·
The \\'hne House is "improperly
withholdmg germane information"
sought by pubhc tnterest and health
care groups. he satd. adding that the
PAPERS
FrompageAJ
Judge Lamberth allows such a move.
which court observers said was
highly unlikely.
An administration spokeswoman
said the White House would comply
with the court order.
~This is the biggest victory we've
had in this case:• said Kent Master·
son Brown, attorney for the three
groups suing the White House- the
Association of American Physicians
and Surgeons Inc., the American
Council for Health Care, and the Na·
tiona! Legal and Policy Center.
It was the second time Judge
Lamberth had ruled against Mrs.
Clinton's efforts to keep the activ·
ities or the health care task force and
its Wt>rking group a ,;ecret.
Judge Lamberth's order stems
from a June ·ruling by the U.S. ·cir·
cuit Court of Appeals that the activ·
ities or the working group helping
Mrs. Clinton ·Write the administra·
lion's health care plan may be sub·
ject to disclosure.
Judge Lamberth must determine
whether the working group is sub·
ject 10 the 1972 Federal Advisory
Committee Act that prohibits gov·
emment task forces with consult·
:<~nts and other outsiders as mem·
bers from meeting in secret.
The task force and working group
were established by Mr. Clinton on
Jan. 25 and disbanded May 30. None
of the working group's meetings was
open to the public.
Judge Lamberth's seven-page or·
der was a stem· rebuke to Mr. Nuss·
baum. who said in a letter to Con·
gress that the White House was
being "responsive" to the three
groups.
"Obviously, Judge Lamberth
didn't agree," Mr. Brown said.
Mr. Brown is seeking member·
ship rolls, tra\-ei vouchers. ethtcs
forms. and workmg group agendas
and minutes to determine whether
any nongovernment employees
worked on the health care task force.
administration has "submitted
mentless relevancy objections in al·
most all instances and incomplete
and inadequate responses in most in·
stances."
Judge Lamberth said the White
House has produced ".dribbles and
drabs or information at its conve·
nience .... The court condemns this
litigauon tactic and will not tolerate
it in future resP<»nses in this case."
Le11al experts said that not since
Watergate could they recall a time
when a federal ju4ge had been so
critical or the V.'hite House.
Judge Lamberth gave the V.'hite
House until ~O\', 29 to comply with
his order to tum over documents.
payroll records. travel vouchers.
I
ineeting agendas and notes or the
uisk force and the Sll·member
:·~·orking group" that produced
Pi'esident Clinton's health plan.
1b demonstrate his anger, Judge
Lamberth ordered Mrs. Clinton and
six Cabinet members named in the
suit to pay the legal fees of the three
.groups that filed suit In February
challenging the secrecy in which the
task force was operating.
i Presidential Press Secretary Dee
, Dee Myers said While House Coun·
.sel Bernard Nussbaum was review·
· irig the court order to determine
: whether it would be appealed. But
the order cannot be appealed unless
• see PAPERS, page AJ6
The White House hired dozens: of
special interest representatives ~~d
consultants but called them "spec;tal
government employees." But it i.s oot
clear whether they met the strict
ethics guidelines covering outsiders
given that special title.
·
Judge Lamberth said In his order
that a trial may be required to deter·
mine whether the consultants. were
''ol,ltsiders" and whether the wall or
secrecy around the task force work·
ing group should be removed. ·~ra.
released one to Mr. Brown.
Clinton would probably be among
"Even more egregiou·s." said
the first to toe called to testify if a Judge Lamberth, was that the .White
trial is required, according to a .law· House did not prepare a list of task
yer involved in the suit.
force members for Mr. Brown. He
Describing ·the degree of White said White House lawyers had made
House stonewalling, Judge Lam· little effort to draw up a complete
berth said the administratlqn·:has
"even refused to provide to plail)tiffs list.
White House lawyers have proforms that are already publicly
duced incomplete lists of the task
available."
·
·
force's working group committee
At an October court hearing,
members while admitting they
White House lawyers argue,d. that didn't know whether other outside
the information sought by. Mr.
special interests played a role. in
Brown wasn't relevant to the suit.
writing the Clinton plan.
The lawyers also said that, although
"Defendants cannot simply check
they were unsure whether all. task
the records that happen to be in ltask
force documents were available,
force director Ira) Magaziner's of·
they had turned enough over t() Mr.
flee, a •sampling' of other records
Brown to satisfy his request. ·
and then claim to have proper))• re·
Judge Lamberth rejected.' that
sponded:' Judge Lamberth said.
view.
:1
"Defendan ,;; h~·,·e ;·.;ai;·. improp·
The White House at first, said It
erly thwart~~ plaintifl"s legitimate
didn't have a list of individual's on the
... requests.
task force's working group ~ut then
'1
'h
�*WEDNESDAY, NOVEMBER 10, 1993
~~dge deman4s health panel's
·•.
papers front White House
:•
I
Justice lawyer to probe Clintons' business partner
By Jerry Seper ·
THE WASHII'fOTOfrf TIMES
LITTLE ROCK, Ark.- The Jus·
tice Department late yesterday
sent a senior staff lawyer here to
take charge of the fraud investiga·
uon of the former owner of a failed
savings and loan, a longtime busi·
ness partner of President Clinton's
and f.irst lad)' Hillary Rodham
Chnton·s.
The decision came after U.S. At·
tome)· Paula J. Casey here asked
that siie' and her staff be taken off
the ca5e.
Actini! Assistant Attorney Gen·
era! Jcihil C. Keeney said yesterday
that tile: department's crimil)al di·
vision: has taken charge or the
probe: .
·
The investigation is focusing on
charges that James B. McDougal,
former president of the defunct
Madiso'! Guaranty Savings and
Loan and a longtime Clinton busi·
ness associate, approved fraudu·
lent lOans of 5250,000 and diverted
money to the campaigns of several
powerful Arkansas politicians, in·
eluding Mr. Clinton.
'The Resolution 'n'ust Corp.
<RTCJ, the federal agency in
charge of S&L liquidations, had
asked Mrs. Casey to investigate
questions of irregularities in the
case, including ties to the Clintons.
In a statement, the Justice De·
partment said Mrs. Casey told her
s~periors in Washington last week
see PROBE, page A16
j'
PROBE
FrompogeAJ
that she and her aides wanted to
recuse themselves from the case
"because or their familiarity with
some or the· parties and the need to
ensure that there be no mispercep·
lions about the impartiality or the
investigation."
Recenth· appointed b)' the pres·
id~nt. Mrs. Casey was a campaign
volunteer in several Clinton guber·
natorial races and a student of Mr.
Clinton's when he taught at the Uni·
versit)' of Arkansas Law School.
Moreover, Mrs. Case)··s husban!l. Gil
Glover. once .was appointed to a state
job b)' !\1r. Clinton when he was go\'·
ernor of Arkansas.
It was uncertain yesterda)' wh)'
Mrs. Case)'. decided to ask the Jus·
tice Department to step Into the
case. Earlier this week. she told re·
porters here that she believed she
could conduct an impartial probe.
The Associated Press reported
late yesterda)' that the Justice De·
partment's No.3 official. Webster L.
Hubbell. former manaRing partner
of Uttle Rock's powerful Rose Law
Firm, also has recused himself from
the matter. along with his staff.
Donald B. Mackay, a senior trial
low;·c,- m .lus,;~e's fraud section.
will head the investigation, Mr.
Keene)' said.
Mr. Mack&)', 55. a former U.S. at·
tome)' for the Southern District of
Illinois. IA'ill be assisted br two crim·
inal di\'ISIOn lawyers. both fraud ex·
perts. He arrived here yesterda)'.
Federal investigators also are
looking mto a controversial Small
Business Administration-approved
5300.000 loan by Capital·
Management Sen•ices Inc. to Mr.
McDou~al's wife, Susan H.
McDougal. and the role of the Rose
Law Firm. where Mrs. Chnton was a
senior partner. m pre\'enung the Ar·
kansas Securities Departmeni frt•m
closing Madison.
As Arkansas governor, Mr. Clinton
had oversight of the state regulator)'
agency. ·
At that time, the Clintons and the
McDougals were full partners in
Whitewater Development Corp.. a
5203,000 :real estate development on
the White .River, deep in the Ozarks
of northern Arkansas.
The White House said that neither
Mr. Clinton nor his wife is a subjects
or a targei in the federal investiga·
tion.
. ,
"We di~ nothing improper, and I
have nothing to sar about it," Mr.
Clinton :tcild reporters In a terse
statement: last week.
Mr. McDougal, who was indicted
in 1989 bn fraud charges in connec·
til)n wit!t Madison and was acquitted
in 1990;·.also has denied an)' wrong·
doing. He' has called the allegations
"ridiculous."
.
Da\'id L. Hale, a former Uttle
Rock municipal judge who was in·
dieted in September. for defrauding
the SBA in other loans, has told The
Washington Times that he, Mr. Clin·
ton and' Mr. McDougal structured
the loan to Mrs. McDougal although
they knew she did not qualif)' under
the law.
Mr. Hale has said Mr. Clinton and
Mr. McDougal told him the)' needed
to "clean up" financial problems at
Madison 'and that the Joan to !\Irs.
McDougal would help them do·that.
He said he was never told how the
5300.000 would be used.lt was ne\-er
repaid and. according to the can·
celed c.heck, was posted to a Madr·
son account.
Some of the documents se1zed br
the FBI· from Mr. Hale's off1ce in a
Jul~· raid included those outhning
the 5300,000 loan.
Wluin .reports about Whitewater
surfac·~d· in the 1992 campa1gn. the
Chntons described themsel\-eS as
"passr\'e shareholders." But The
Times has obtained a Jetter from
Mrs. Clinton to Mr. McDougal asking
for power of attome)' to assume ag·
gressive management of White·
water.
•
In a related development yester·
da)', Republicans called for a House
Banking Committee investigation in
the failed Arkansas S&L linked to the
president, citing the panel's similar
probe of a thrift with ties to former
President Bush's son, Neil.
"Given the record of this commit·
tee. in addressing thrift issues that
touched the former president. it is
incumbent that this committee not
refuse to address issues that ma)'
embarrass the current administra·
tions in Washington and Uttle Rock."
Rep. Jim Leach. Iowa Republican.
said in a letter to Rep. Henn· B. Con·
zalez. TeXBS Democrat and Bankin(l
Committee chairinan.
In a repl)'. Mr. Gon~les said the
committee has ·a "legitimate inter·
est" in examining Madison. but
added that "the committee must
tread carefull)' around ongoing
criminal referrals and professional
Jiabilit)' cases."
He said he would direct commit·
tee staffers to begin collectmg infor·
mation about Madison.
Mr. Leach's call for an im-esti(la·
lion into the case follows similar
pleas last IA-eek from Democratic:
and Republican lawmakers.
Rep. John J. LaFalce. !'\ew '\'ork
Democrat and chairman of the
House Small Business Committee:
Rep 1bb)' Roth. Wisconsin Repub·
lican and a member of a House sub·
c:ommutec that O\'ersees RTC: and
Rep. Jan ~lerers. Kansas Republi·
can. outlined their concerns in sep·
arate letters on Friday.
Rand)' Coleman. an attorney for
Mr. Hale. offered on Monda\' to make
his chent a\·ailable for am.'heanni!S
on Capnol H1ll
• Carlercm R. Br;>anr 1n 1\'ashmg·
ton comnbuled to this repor:
I
I
�: .-;'
Abc-Task-Farce-suit
REPEAT
TO CITY EDITOR:
.
CLINTON TASK FORCE IS SUED TO REVEAL INTERNAL DOCUMENTS:
MENTAL HEALTH CONSUMERS JOIN LAWSUIT
PHILADELPHIA, Nov. 9 /PRNewswire/ -:-:A coalition of people with
mental illness is joining a lawsuit to demand that the national Task Force on
Health care Reform, chaired by Hillary Rodha~ Clinton, release its internal
documents •
:;
A press conference will be held concerning the event on Thursday,
Nov. 11, at 3 p.m. in room 1001, 311 s. Juniper st., Philadelphia.
The Coalition for Mental Health Car~ That's Always There, which
includes consumers of mental health services' from across the country, is
demanding to see the documents, includ-ing the Mental Health Working Groups'
Cluster research studies that led to the proposal to 11 cap 11 mental health
benefits. The Coalition is joining the suit filed by the Association of
American Physicians and Surgeons, Inc., et ill., v. Hillary Rodham Clinton,
and other Task Force members in the Federal. ·:District Court for the District
of Columbia. The coalition is represented ~y the Disability Law center of
New York Lawyers For the Public Interest. : ,·
"These documents will help prove oul': case in Congress against
such limits," said Joseph A. Rogers, a spokesperson for the Coalition, whose
name puts an ironic spin on the Task Force s'logan, "Health Care That's Always
There."
!
"As consumers of mental health services, we strongly endorse the
goal of providing universal health coverage for all the health care needs of
all Americans. However, we have serious concerns about how the proposal
treats mental health care," Rogers said.
·
He noted that the proposal covers mental illnesses differently
than any other illness. It limits, or "caps," benefits for mental health
services by covering onty 60 days of inpati~nt services per year, and only 30
days per year per occurrence. Outpatient visits are limited to 30 visits per
year, with a 50 percent co-payment required;'from the consumer. "That means
we must pay half of what these services cos1;i every time we use·them," he
said. "This can be a devastating hardship ~or people who, as a group, have
historically been among the poorest of cit~zens.
.
"Although the proposal includes no· \.lifetime' limit for mental
health services denying us vital services because we have exceeded their
yearly limit may truly threaten our survival," Rogers continued.
Another concern is that the President's propo~al does not mention
consumer-operated services and other altern~tive "non-medical model"
services.
,
.
"The proposal does promise that by the year .2001, coverage for
mental health services will achieve parity·with the unlimited benefits for
other illnesses. But this means that, until 2001 -- another century, another
President -- mental health consumers will r~main second-class citizens,"
Rogers concluded.
· ·:
/del val/
-oll/9/93R
.
/CONTACT: Joseph A. Rogers of the Mental H~alth Association of
southeastern Pennsylvania, 215-735-6082, .ext. 312/ ·CO: Mental Health
Association of southeastern Pennsylvania sT: Pennsylvania'IN: HEA su:
JM-MJ
PH048 -- 9817 11-09-93 17:42 EST !;
e
, t
'''f
�'·
·;
';
"AM-Mrs Clinton-Task Force, 510 .; ,
"Judge Chastises White House For :root Dragging
"By JAMES H. RUBIN= "Associated Press Writer=
WASHINGTON (AP) A f'ederal judge told the Clinton administration
Tuesday to quit stalling and prqvide information that ultimately may shed
more light on deliberations leading to the president's health care plan.
The task force headed by Hillary Rodham Clinton is ''improperly
withholding germane information~:' sought by public interest and health care
groups, said u.s. District Judge.Royce Lamberth in a sharply worded opinion.
The White House said it·intends to comply with the judge's
decision.
.
,
The task force must make:a legitimate effort within 20 days to
disclose whether some participants in the health care discussions were
government employees or privatefcitizens, Lamberth said.
If they are not federal:employees, their work product presumably
must be made available to the gtoups that sued the task force.
Instead of cooperating, :·Lamberth said, the administration prefers
''to produce dribbles and drabs:. of information at its convenience.''
''The court condemns this litigation tactic and will not tolerate
it in future responses in this case,'' the judge said, hinting at a possible
contempt citation.
",
He called ''preposterous'' the administration's explanation that
it lacked the names of particip11nts in some of the deliberations.
White House spokeswoman;Marla Romash said, ''Our intention is to
comply fully'' with Lamberth's order after administration lawyers decide what
information must be provided. ·. i
''These kinds of disagreements are not unusual in civil
litigation,'' she said. ''We have worked in good faith and will continue to
act in good faith.''
Frank Northan, a lawyer· ·for the groups seeking the information,
said Lamberth ''has made it clear he won't allow them to dilly-dally.''
Tuesday's order stems from a June ruling by a federal appeals
court here that could force the 511-member working group that aided the task
force to disclose its activities.
The appeals court said :t;he 1972 Federal Advisory Committee Act
exempts from public disclosure meetings of full-time government employees.
But if outside consultants regularly participate·in working group
meetings as if they were meinbe:t::s, the appeals court said, the public is
entitled to see their deliberations.
Lamberth previously had ruled that because the 13-member task
force was chaired by a ''privat$ citizen,'' namely Mrs. Clinton, it came
under the 1972 federal act anditherefore had to meet in public, except when
providing confidential advice to the president.
The appeals court reversed Lamberth's decision on that point,
ruling that Mrs. Clinton was a;''de facto'' government officer as head of the
task force.
:
The task force and working group were established by President
Clinton Jan. 25 and disbanded May 30.
At issue now are documents describing their deliberations.
Lamberth gave the administration un~~l Nov. 29 to supply
information sought by the health care and public int¢rest groups pertaining
to the status of individual working group members.
After he studies that information, Lamberth would determine what
documents, if any, must be made.public.
~ '
·''
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. fax
SUBJECTffiTLE
DATE
Jeff Gutman to Marjorie Tarney. File FACA. (15 pages)
11110/1993
RESTRICTION
P5
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE':
FACADocuments [4]
2006-0223-F
ab860
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a))
Freedom of Information Act- [5 U.S.C. 552(b))
Pl National Security Classified Information [(a)(l) of the PRA)
Pl Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
fmancial information [(a)(4) ofthe PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) ofthe FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
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<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
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Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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FACA Documents [4]
Creator
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First Lady's Office
Maggie Williams
Identifier
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2006-0223-F
Is Part Of
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Box 4
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
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Adobe Acrobat Document
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Reproduction-Reference
Date Created
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1/8/2015
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42-t-2194630-20060223F-004-005-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/277348be4b7e9a15d30dc6f559f8d414.pdf
63a9d02a30848a7a0564ad7467a171ac
PDF Text
Text
THE WHITE HOUSE
WASHINGTON
2j2Aj93
'IO:
Maggie Williams v
Assistant to the President and
Chief-of-Staff, Mrs. Clinton
Lisa Caputo
Deputy Assistant to the President
and Press Secretary
FROM: Stephen Neuwirth
Associate Counsel
�'•·.'
'WEDNESDAY, FEBRUARY 17,1993 .A171"
THE WASHINGTON PosT
· :: ·
..·...-.:.......;... ..
.. · .. •·
EDERALPAGE
M
IEORGE STEPHANOPOULOS:
,."'*,.,.,,.,..,,.,.
.,.......
'le Mill Ht111J1 IIOflliuiiiD mtiftJ tMiilulltnt •••
.
.
..., hllflt
~~---------
..................._
EXHIBIT A
�UNITED STATES DISTRICf COURT
DISTRICT OF COLUMBIA
)
)
)
)
)
)
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
an Indiana not-for-profit corporation,
1601 North Tucson Boulevard, Suite 9
Tucson, Arizona 85716;
AMERICAN COUNCIL FOR HEALTH CARE )
REFORM, a Virginia not-for-profit corporation,)
5155 North 37th Street
)
)
Arlington, Virginia 22207;
)
)
and
)
NATIONAL LEGAL & POLICY CENTER, a )
District or Columbia not-for-profit corporation, )
)
1156 15th Street, Suite 550
)
Washington, D.C. 20005,
)
Plaintiffs
)
)
vs.
)
)
HILLARY RODBAM CLINTON, wife of
)
the President of the United States,
)
1600 Pennsylvania Avenue
)
Washington, D.C.20500;
)
)
DONNA E. SBALALA, Secretary of the
)
Department of Health & Human Senices,
)
615F Hubert B. Humphrey BuDding
)
200 Independence Avenue, S.W.
)
Washington, D.C. 20410;
)
)
LLOYD E. BENTSEN, Secretary of the
)
Treasury,
)
3330 Main Treasury Building
)
1500 Pennsylvania Avenue, N.W.
)
Washington, D.C.20220;
)
1
CIVIL ACTION N O . - - - IUDGE ___________
VERIFIED COMPLAINT FOR
DECLARATORY JUDGMENT.
BESTRAINING ORDER. AND
TEMPORARY AND PERMANENT
INJUNCTIVE RELIEF
�LES ASPIN, Secretary of Defens~
3880 The Pentagon ·
Washington, D.C.20301;
)
)
)
)
JESSE BROWN, Secretary of Veterans AtTain, )
810 Vermont Avenu~ N.W.
)
Washington, D.C.20420;
)
)
RONALD H. BROWN, Secretary of Commerc~
5858 Herbert Oark Hoover BuDding
14th Street and Constitution Avenu~ N.W.
Washington, D.C.20230;
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
)
ROBERT B. REICH, Secretary or Labor,
S2018 Frances Perkins Building
200 Constitution Avenue, N.W.
Washington, D.C. 20210;
LEON E. PANETIA, Director or the
Omce or Management and Budget,
17th Street and Pennsylvania Avenue, N.W.
252 Old Executive Omce Building
Washington, D.C.20503;
ALICE RIVLIN, Deputy Director or the
Omce of Management and Budget,
Executive Omce of the President
Washington, D.C. 20503;
CAROL RASCO, IRA MAGAZINER, and
JUDITH FEDER, White House Advison,
Executive Omce of the President
Washington, D.C. 20500,
)
)
)
)
)
)
)
)
)
)
)
)
individuaUy, and in their omcial
capacities as memben or the·
PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE
REFORM;
and
2
___........_____________________________ _
�The PRESIDENT'S TASK FORCE ON
NATIONALHEALmCAREREFORM,
Executive Office of the President
Washington, D.C. 20500,
Defendants
)
)
)
)
)
VERIFIED COMPLAINT FOR DECLARATORY JUDGMENT. RESTRAINING ORDE&
AND TEMPORARY AND PERMANENT INJUNCTIVE RELIEF
1.
NOW COME the Plaintiffs, ASSOCIATION OF AMERICAN PHYSICIANS &
SURGEONS, INC., an Indiana not-for-profit corporation, by and through its Executive Director,
Jane M. Orient, M.D., the AMERICAN COUNCU.. FOR HEALTil CARE REFORM, a V1rginia
corporation, by and through its Executive Director, William Shaker, and the NATIONAL
LEGAL & POUCY CENTER, a District of Columbia not-for-profit corporation, by and through
its President, Peter T. Flaherty, and for their Verified Complaint for Declaratory Judgment,
Restraining Order, and Temporary and Permanent Injunctive Relief against the Defendants,
HILLARY RODHAM CLINTON, wife of the President of the United States; DONNA E.
SHALALA, Secretary of Health & Human Services; LLOYD E. BENTSEN, Secretary of the ·
Treasury; LES ASPIN, Secretary of Defense; JESSE BROWN, Secretary of Veterans Affairs;
RONALD H. BROWN, Secretary of Commerce; ROBERT B. REICH, Secretary of Labor;
LEON E. PANETTA, Director of the Office of Management and Budget; ALICE RIVLIN,
Deputy Director of the Office of Management and Budget; CAROL RASCO, IRA
MAGAZINER, and JUDim FEDER, White House advisors, individually, and in their official
capacities as members of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTil CARE
REFORM, and the PRESIDENT'S TASK FORCE ON NATIONAL HEALTII CARE
REFORM, after being duly sworn, allege and state:
JURISDICTION
2.
That this is a civil action arising under the laws of the United States, specifically
the Federal Advisory Committee Act ("FACA"), TitleS U.S. C. App., Sections 1 through 14, and
•
the Government in the Sunshine Act, Title S U.S.C. Section SS2b, and is brought pursuant to
3
�Title 28 U.S.C. Sections 1331, 1361, 1651 and TitleS U.S.C. Sections SS2b and 702. Plaintiffs
seek a Declaratory Judgment that the individual Defendants, as members of the PRESIDENTS
TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the Defendant,
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, comply with the
FACA, TitleS U.S.C. App., Sections 1 through 14, and specifically Sections 9 and 10 of said Act,
which require the filing of an advisory committee charter for all federal advisory committees and
further requires that all the meetings of all advisory committees, not wholly composed of federal
officials or employees, to be open to the public after advance notice of the date, time and location
of the meetings are published in the Federal Register. Plaintiffs seek a Temporary Restraining
Order and a Temporary and Permanent Injunction against the individual Defendants, barring them
from holding any meetings as members of the PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and barring any meetings of the Defendant, PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, until an advisory committee charter is
filed and said meetings are opened to public participation after advance notice thereof in the
Federal Register, pursuant to FACA, TitleS U.S.C. App., Sections 9 and 10, and the Defendants
conform to the requirements of the FACA, S U.S.C. App., Sections 1 through 14, and TitleS
U.S.C. Section SS2b, in the conduct of all future meetings ofthe aforesaid task force. This Court
may grant such relief in this action under authority of Title 28 U.S.C. Sections 1361 and 2201 and
Rules 57 and 65 of the Federal Rules of Civil Procedure.
3.
That this action involves the legality and course of conduct of a federal advisory
committee and the interpretation and meaning of the Federal Advisory Committee Act (FACA),
TitleS U.S.C. App., Sections 1 through 14, and the Government in the Sunshine Act, Trtle S
U.S.C. Section SS2b, enacted by the Congress of the United States of America, and, therefore,
the Attorney General of the United States (or the interim Attorney General of the United States if
no person bas been confirmed for the position) shall be served with a copy of the Verified
.
Complaint for Declaratory Judgment, Restraining Order, and Temporary and Permanent
----------~-----~--~-~~-~
4
-------------------------
�Injunctive Relief: and shall be entitled to be heard as required by Rule 4 of the Federal Rules of
Civil Procedure.
VENUE
4.
That venue is laid in this judicial district pursuant to Title 28 U.S.C. Section
1391(e) in that the individual Defendant members of the Defendant, PRESIDENTS TASK
FORCE ON NATIONAL HEALTH CARE REFORM, with the exception of HILLARY
RODHAM CLINTON, are officers and agents ot: and employed by, the Government of the
United States, and all of the individual Defendants are acting in an official capacity for the
Government of the United States as members of the Defendant, PRESIDENTS TASK FORCE
ON NATIONAL HEALTH CARE REFORM; all the individual Defendants have their offices-in
the case of the Defendant, HILLARY RODHAM CLINTON, her residence-within this judicial
district; the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTii CARE
REFORM, has its offices located within this judicial district; the cause of action arose within this
judicial district; and, no real property is involved herein.
PUJNTIFFS
S.
That the Plaintifl: ASSOCIATION OF AMERICAN PHYSICIANS & .
SURGEONS, INC. (" AAPS"), is a national physician and osteopath membership corporation,
organized and existing under and by virtue of the not-for-profit corporation laws of the State of
Indiana, with its principal offices located at 1601 North Tucson Boulevard, Suite 9, Tucson,
Arizona 85716.. AAPS consists of member physicians and osteopaths from every state and
· tenitory in the Union and the District of Columbia. The purpose of the association is to preserve
and protect the practice of private medicine and osteopathy. The members of AAPS have a deep
concern over the fonnation of national health care policy and any health care reform measures
which may be devised, and, accordingly, desire to attend and participate in the meetings and
deliberations of the individual Defendants, as members of the PRESIDENT'S TASK FORCE ON
NATIONAL HEALTII CARE REFORM, and the Defendant, PRESIDENT'S TASK FORCE
ON NATIONAL HEALTII CARE REFORM, in order to advance and protect the interests of
s
�physicians and osteopaths. The Plaintifl: AAPS, and its members are "interested persons" within
the meaning of the FACA
6.
That the Plaintiff, AMERICAN COUNCU.. FOR HEALTH CARE REFORM,
("ACHCR") is a national public interest, membership corporation, organized and existing under
and by virtue of the not-for-profit corporation laws of the Commonwealth of V~rginia, with its
offices located at 5155 North 37th Street, Arlington,
V~rginia
22207.
The purpose of the
ACHCR is to represent consumers of health care services in an effort ensure that the health care
market remains free ofunneceswy and costly government regulations and for the implementation
of reforms within the insurance industry to protect the consumers of health care services. Like
the members of AAPS, the members of ACHCR desire to attend and participate in the meetings
of the individual Defendants, as members of the PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, in order to ,advance and protect the interests of
consumers of health care services. The Plaintiff, ACHCR, and its members are "interested
persons" within the meaning of the FACA.
7.
That the Plaintiff, NATIONAL LEGAL &. POLICY CENTER ("NLPC") is a
private foundation, organized and existing under and by virtue of the not-for-profit corporation
laws of the District of Columbia, with its offices located at 1156 15th Street, Suite 500,
Washington, D.C. 20005. The Plaintiff, NLPC, was established to promote ethics in government
by publicizing and distributing a "Code of Ethics for Government" which it believes is essential to
the health of the nation's democratic institutions. The NLPC has a deep concern over the fact that
the PRESIDENT'S TASK FORCE ON NATIONAL HEALTil CARE REFORM is not operating
under an advisory committee charter and is not conducting its meetings in public with advance
notice thereof in the Federal Register, and it regards such conduct as violative of federal law.
Like the members AAPS and ACHCR, the members ofNLPC desire to attend and participate in
.
the meetings of the individual Defendants, as members of the PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK FORCE
6 .
�ON NATIONAL HEALTH CARE REFORM, not only due to Plaintiffs' and its officers' its
interest in health care reform, but their interest in the proper operation of government and the task
force itself. The Plaintiff, NLPC, and its members are "interested persons" within the meaning of
theFACA
DEFENDANTS
8.
That the Defendant, HILLARY RODHAM CLINTON, is the wife of the President
of the United States, William Jefferson Clinton, and resides at 1600 Pennsylvania Avenue,
Washington, D.C. 20500. The Defendant, HILLARY RODHAM CLINTON, is not now an
employee or official of the Government of the United States and receives no remuneration from
the Government of the United States. The Defendant, HILLARY RODHAM CLINTON, was
named Chairperson ofthe Defendant, PRESIDENT'S TASK FORCE ON NATIO~AL HEALTH
•
CARE REFORM, on January 25, 1993 by President Clinton.
9.
That the Defendant, DONNA E. SHALALA, is now, and at all times mentioned
herein has been, the Secretary of the United States Department of Health & Human Services, an
official of the federal government, with her offices located at 615 F Hubert H. Humphrey
Building, 200 Independence Avenue, S.W., Washington, D.C. 20410. On January 25, 1993 the
Defendant, DONNA E. SHALALA, was named a member of the Defendant, PRESIDENT'S.
TASK FORCE ON NATIONAL HEALTH CARE REFORM, by President Clinton.
10.
That the Defendant, LLOYD E. BENTSEN, is now, and at all times mentioned
herein has been, the Secretary of the United States Department of the Treasury, an official of the
federal government, with his offices located at 3330 Main Treasury Building, 1500 Pennsylvania
Avenue, N.W., Washington, D.C. 20220. On January 25, 1993 the Defendant, LLOYD E.
BENTSEN, was named a member of the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, by President Clinton.
11.
That the Defendant, LES ASPIN, is now, and at all times mentioned herein has
been, the Secretary of the United States Department of Defense, an official of the federal government, with his offices located at 3880 the Pentagon, Washington, D.C. 20301. On January
7
�25, 1993 the Defendant, LES ASPIN, was named a member of the Defendant, PRESIDENTS
TASK FORCE ON NATIONAL HEALTH CARE REFORM, by President Clinton.
12.
That the Defendant, JESSE BROWN, is now, and at all times mentioned herein
has been, the Secretary of the United States Department of Veterans Affairs, an official of the
federal government, with his offices located at 114 Tech World Plaza, 801 Eye Street, N.W. (the
mailing address is 810 Vermont Avenue, N.W., Washington, D.C. 20420) Washington, D.C.
20001. On January 25, 1993, the Defendant, JESSE BROWN, was named a member of the
Defendant, PRESIDENTS TASK FORCE ON NATIONAL HEALTH CARE REFORM, by
.
President Clinton.
13.
That the Defendant, RONALD H. BROWN, is now, and at all times mentioned
herein has been, the Secretary of the United States Department of Commerce, an official of the
federal government, with his offices located at 5858 Herbert Clark Hoover Building, 14th Street
and Constitution Avenue, N.W., Washington, D.C. 20230. On January 25, 1993, the Defendant,
RONALD H. BROWN, was named a member of the Defendant, PRESIDENTS TASK FORCE
ON NATIONAL HEALTH CARE REFORM, by President Clinton.
14.
The Defendant, ROBERT B. REICH, is now, and at all times mentioned herein
has been, the Secretary of the United States Department of Labor, an official of the federal
government, with his offices located at 52018 Frances Perkins Building, 200 Constitution
Avenue, N.W., Washington, D.C. 20210. On January 25, 1993 the Defendant, ROBERT B.
REICH, was named a member of the Defendant, PRESIDENTS TASK FORCE ON
NATIONAL HEALTH CARE REFORM, by President Clinton.
15.
The Defendant, LEON E. PANETTA, is now, and
at
all times mentioned herein
has been, the Director of the Office of Management and Budget of the United States, an official of
the federal government, with his offices located at 52018 Frances Perkins Building, 200
Constitution Avenue, N.W., Washington, D.C. 20210. On January 25,. 1993 the Defendant,
LEON E. PANETTA, was named a member of the Defendant, PRESIDENT'S TASK FORCE
•
ON NATIONAL HEALTH CARE REFORM, by President Clinton.
8
__________________________________________......
�16.
The Defendant, ALICE RIVLIN, is now, and at all times mentioned herein has
been, the Deputy Director of the Office of Management and Budget of the United States, an
official of the federal government, with her offices located at Executive Office of the President,
Washington, D.C. 20503. On January 25, 1993 the Defendant, ALICE RIVLIN, was named a
member of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTII CARE
REFORM, by President Clinton.
17.
The Defendants, CAROL RASCO, IRA MAGAZINER, and JUDITII FEDER, are
now and at all times mentioned herein have been, domestic advisors to President Clinton, and are
officials of the federal government, with their offices located in the Executive Office of the .
President, Washington, D.C. 20500. On January 25, 1993, the Defendants, CAROL RASCO,
IRA MAGAZINER and JUDITii FEDER were named as members of the Defendant,
PRESIDENT'S TASK FORCE ON NATIONAL HEALTii CARE REFORM, by President
Clinton.
18.
The Defendant, PRESIDENTS TASK FORCE ON NATIONAL HEALTII
CARE REFORM, is an "Advisory Committee" or "Task Force", composed of the Defendants,
HILLARY RODHAM CLINTON, wife ofPresident Clinton; DONNA E. SHALALA, Secretary
of the Department of Health & Human Services; LLOYD E. BENTSEN, Secretary of the
Treasury; LES ASPIN, Secretary of Defense; JESSE BROWN, Secretary of Veterans Affairs;
RONALD H. BROWN, Secretary of Commerce; ROBERT B. REICH, Secretary of Labor;
LEON E. PANETTA, Director of the Office of Management and Budget; ALICE RIVLIN,
Deputy Director of the Office of Management and Budget, CAROL RASCO, IRA MAGAZINER
and JUDITii FEDER, White House advisors, formed by the President of the United States on
January 25, 1993, for the purpose of listening to all parties and preparing health care reform
legislation which could be submitted to Congress. The offices of the Defendant, PRESIDENT'S
TASK FORCE ON NATIONAL HEALTii CARE REFORM, are located at the Executive Office
of the President, Washington, D.C. 20500. The Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL HEALTii CARE REFORM, is named as a party herein for all purposes of Rule
9
�17(b) of the Federal Rules of Civil Procedure. Service of Process sball be made upon the
Chairperson, the Defendant, HILLARY RODHAM CLINTON, at her address, the White House,
1600 Pennsylvania Avenue, Washington, D.C. 20500.
STATEMENT OF THE CASE
The Formation of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM as an Athrisory Committee
19.
That on or about January 25, 1993 President William Jefferson Clinton announced
the formation of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM, at the White House, the announced purpose of which was, according to the
press release from the White House, "[to] build on the work of the campaign and the transition.
.
Listen to all parties and prepare health care reform legislation to be submitted to Congress within
one-hundred (100) days of our taking office [on January 20, 1993]". A true and correct copy of
the President's Remarks on Health Care Reform of January 25, 1993, is attached hereto and made
a part hereof as though
set
out at length herein and marked, for purposes of identification, as
Exhibit "A".
20.
That the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM, was formed by the President for the purpose of furnishing him with "expert
advice, ideas and diverse opinions," and is a "task force" established by the President in the
interest of obtaining advice and recommendations on national health reform and consists of at
least one member who is not a full-time officer or employee of the federal government.
B.
The PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM is an
Advisory Committee Within the Meaning of the Federtll Advisory Committee Act
21.
That, pursuant to Title 5 U.S.C. App., Section 3, an "advisory committee" is any
"task force" which is "established or utilized by the President ... in the interest of obtaining advice
or recommendations for the President or one or more agencies of the federal government, except
that such term excludes ... any committee which is composed wholly of full-time officers qr
employees of the Federal Government."
10
�22.
That the Defendant, HILLARY RODHAM CLINTON, Chairperson of the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and
wife of the President of the United States, is not now, nor at any time relevant hereto has beeu, a
full-time officer or employee of the Government of the United States.
23.
That the Defendant, HILLARY· RODHAM CLINTON, the Chairperson of the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and wife of the
President of the United States, is barred from being a full-time officer or employee of the
Government of the United States under the Kennedy Act, Title S U.S.C. Section 3110.
24.
That the Defendant, PRESIDENTS TASK FORCE ON HEALTH CARE
REFORM, is an "advisory committee" within the meaning ofthe.Federal Advisory Committee
Act, S U.S.C. App., Sections 1 through 14.
C
The PRESIDENT'S TASK FORCE ON NATJONAL·HEALTH CARE REFORM Has
Failed to File an Advisory Committee Charter•.
25.
That, according to TitleS U.S.C. App., Section 9(a), "no advisory committee shall
meet or take any action until an advisory committee charier has been filed with the Director [of
the Office of Management and Budget][Administrator of the General Services Administration]."
Such charter sbali contain, according to Title S U.S.C. App., Section 9(c), the following
information: "(A) the committee's official designation; (B) the committee's objectives and the
scope of its activity; (C) the period of time necessary for the committee to carry out its purposes;
(D) the agency or official to whom the committee reports; (E) the agency responsible for
providing the necessary support for the committee; (F) a description of the duties for which the
committee is responsible, and, if such duties are not solely advisory, a specification of the
authority for such functions; (G) the estimated annual operating costs in dollars and man-years for
such committee; (H) the estimated number and frequency of committee meetings; (I) the
committee's termination date, if less than two years from the date of the committee's
11
�establishment; and (J) the date the charter is filed." The advisory committee charter shall be filed
as well with the Library of Congress.
26.
That as of the date of the filing of this Verified Complaint for Declaratory
Judgment, Restraining Order, and Temporary and Permanent Injunctive Reliet: no advisory
committee charter establishing the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL .
HEALTH CARE REFORM, has been filed pursuant to FACA, TitleS U.S.C. App., Section 9(c).
D.
The Meetings ofthe PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CAREP
REFORM Must Be Ooen to the Public With Advance Notice Published in the Federal
Register.
27.
That, pursuant to Title S U.S.C. App., Section 10, (a)(l), "Each advisory
committee meeting shall be open to the public." Further, under said section 10(a)(2) of said Title,
"Except when the President determines otherwise for reasons of nation security, timely notice of
each such meeting shall be published in the Federal Register, and the Director [of the Office of
Management and Budget] [Administrator of the General Services Administration] shall prescribe
regulations to provide for other types of public notice to ensure that all interested persons are
notified of such meeting prior thereto." According to subsection (3) of Section IO(a) of said
Title, "Interested persons shall be permitted to attend, appear before, or file statements with any
advisory committee, subject to reasonable rules or regulations as the Director [Administrator]
may prescn"be."
28.
That according to the FACA, Title S U.S.C. App., Section lO(d), and the
Government in the Sunshine Act, Title S U.S.C. Section SS2b(b), "every portion of every meeting
of an agency shall be open to public participation" except where the agency finds that its meeting
or meetings should be closed because not closing the meeting or meetings would involve the
disclosure of matters outlined in TitleS U.S. C. Section SS2b(c) and it takes the requisite steps set
forth in Trtle S U.S.C. App., Section lO(d), and TitleS U.S.C. Section SS2b(d). An "agency",
.
according to Title S U.S.C. Section SS2b, shall include all those entitles set forth in Title S U.S.C .
Section SS2(d), including any "establishment in the executive branch ofthe Government."
12
�29.
That the Defendants have not applied for or sought to invoke any of the
exemptions from holding the meetings of the individual Defendants, as members of the
PRESIDENTS TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
Defendant, PRESIDENTS TASK FORCE ON NATIONAL HEALTH CARE REFORM, open
to the public and giving adequate notice in the Federal Register and otherwise providing for
public participation set forth in the Government in the Sunshine Act, Title S U.S.C. Section SS2b.
F.
No Meetings of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH Cd.BE.
REFORM Have Been Conducted To Date.
30.
That the individual Defendants, as members of the Defendant, PRESIDENTS
TASK FORCE ON NATIONAL HEALTH CARE REFORM, .and the Defendant,
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, have not
conducted any meetings, as of the date of filing the within Verified Complaint for Declaratory
Judgment, Restraining Order, and Temporary and Permanent Injunctive Relief: but a meeting of
said individual Defendants and said Defendant task force is imminent.
Subgroups and
subcommitteess thereof: however, are now meeting and conducting business.
G.
Plaintiffs Have Requested to Participate In A.H the Meetings of the PBESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM.
31.
That on February 10, 1993 the Pllintift: AAPS, by and through its Executive
Director, Jane M. Orient, M.D., forwarded a letter, overnight mail, to 'the Defendant, HILLARY
.
R.ODHAM. CLINTON, Chairperson of the .Defendant, PRESIDENTS TASK FORCE ON .
NATIONAL HEALTH CARE REFORM, with a copy to Hon. Bernard W. Nussbaum, counsel to
the President of the United States, demanding that she and members of the PlaintUJ: AAPS, be
permitted to attend the meetings of the individual Defendants, as members of the PRESIDENTS
TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the Defendant,
PRESIDENTS TASK FORCE ON NATIONAL HEALTH CARE REFORM, and that she and it
receive advance notice.of all subsequent meetings, pursuant to TitleS U.S.C. App., Section 10.
13
_ _ _____J__ _ _ _ _ _ _ _ _ _ _ _
-
-----~---
-----~------
- - -
�A true and correct copy of the aforementioned letter is attached hereto and made a part hereof as
though set out at length herein and marked, for purposes of identification, as Exhibit "B"
32.
That on February 10, 1993 the Plaintiff:. ACHCR, by and through its executive
director, William Sharker, forwarded a letter, overnight mail, to the Defendant, HILLARY
RODHAM CLINTON, Chairperson of the PRESIDENTS TASK FORCE ON NATIONAL
HEALTH CARE REFORM, with a copy to Hon. Bernard W. Nussbaum, counsel to the Presidellt
of the United States, demanding that he and members of the Plaintiff: ACHCR, be pennitted to
attend the meetings of the individual Defendants, as members of the PRESIDENTS TASK
.
FORCE ON NATIONAL HEALTH CARE REFORM, and the Defendant, PRESIDENTS
TASK FORCE ON NATIONAL HEALTH CARE REFORM, and that he and it receive advance
notice of all subsequent meetings, pursuant to Title S U.S.C. App., Section 10. A true and
correct of the aforementioned letter is attached hereto and made a part hereof as though set out at
length herein and marked, for purposes of identification, as Exhibit "C".
33.
That on February 11, 1993, the Plaintifl: NLPC, by and through its President,
Peter T. Flaherty, forwarded a letter to the Defendant, IDLLARY RODHAM CLINTON,
Chairperson of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
with a copy to Hon. Bernard W. Nussbaum, counsel to the President of the United States,
demanding that he and members of the Plaintiff: NLPC, be permitted to attend the meetings of the
individual Defendants, as members of the PRESIDENTS TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and the Defendant, PRESIDENTS TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and that he and it receive advance notice of all
subsequent meetings, pursuant to TitleS U.S.C. App., Section 10. A true and correct copy of the
aforementioned letter is attached hereto and made a part hereof as though set out at length herein
and marked, for purposes of identification, as Exhibit "D".
H.
Tie Defendants Assert T/Jat the Federal Advisory Committee Act Does Not Applp to
Tiem and Thus Have Refused to Allow Plaintiffs to Attend All of the Meetings of the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM.
14
�34.·
That the Defendants, by and through Bernard W. Nussbaum, counsel to the
President, notified the Plaintiffs, AAPS, ACHCR and NLPC, by letters dated February 12 and 16,
1993, that no meetings of the individual Defendants, as members of the PRESIDENTS TASK
FORCE ON NATIONAL HEALTH CARE REFORM, and the Defendant, PRESIDENTS
TASK FORCE ON NATIONAL HEALTH CARE REFORM, had been held and, further,
responded to the demands of the Plaintiffs, AAPS, ACHCR and NLPC, regarding their
attendance and participation in the meetings and providing advance notice thereof in the Fed6ral
Register, and otherwise following the Federal Advisory Committee Act, S U.S. C. App. Sections 1
through 14, and the Government in the Sunshine Act, TitleS U.S.C. Section SS2b, by stating the
following:
It is our opinion that the Federal Advisory Committee Act does not, and was not
intended by Congress to, apply to the health task force-composed solely of
Cabinet secretaries, senior White House officials and the First Lady. The
participation of the First Lady on the task force does not trigger application of the
Act.
True and correct copies of the aforesaid letters from Bernard W. Nussbaum, counsel to
the President, to the Plaintiffs, AAPS, ACHCR and NLPC, dated February 12 and 16, 1993, are
attached hereto and made a part hereof as though set out at length herein and marked, for
purposes of identification, as Exhibits "E", "F" and "G".
'
L
The Defendants Are In Vrolation of the Federal Advisory Committee Act and the
Government in the Sunshine Act.
35.
That the Defendants, HILLARY RODHAM CLINTON, DONNA E. SHALALA,
LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, ROBERT B.· REICH, LEON
PANETTA, ALICE RIVLIN, CAROL RASCO, IRA MAGAZINER, JUDITH FEDER, as
members of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
and the PRESIDENTS TASK FORCE ON NATIONAL HEALTH CARE REFORM, by not
.
filing an advisory committee charter and by not opening aU of the meetings of the individual Defendants, as members of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
15
�CARE REFORM, and the Defendant, PRESIDENTS TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and their and its subgroups and subcommittees, to attendance and
participation by the Plaintiffs, and by not providing advance notice of said meetings in the Federal
Register, are in violation of the FACA, S U.S.C. Sections 1 through 14, and specifically Sections
9 and 10, and the Government in the Sunshine Act, TitleS U.S.C. Section SS2b.
J.
The PlaintiffS Are Being Denied Their Rights to Participate in the Meetings of the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM. and to be
InfOrmed oflts Limits o(Authoritv Under an Advisory Committee Charter.
36.
That as a direct and proximate result of the acts of the Defendants, the PlaintifFs,
AAPS, ACHCR and NLPC, are being, and will be, denied their right, under FACA and the
Government in the Sunshine Act, to attend and participate in all of the meetings and deliberations
of the individual Defendants, as members of the PRESIDENTS TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and the subgroups and subcommittees thereof, and are
being denied their right to be infonned of the limits of authority of the Defendants, as members of
the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, by said
Defendants failing and refusing to file an advisory conunittee charter.
37.
That by reason of the Defendants' conduct, the Plaintiffs have suffered, and will
continue to suffer, immediate, actual and irreparable harm in that the Defendants will conduct
their meetings without an advisory conunittee charter being filed, and the Plaintiffs will be denied
their right to participate in the meetings and deliberations of the Defendants unless this Honorable
Court grants the relief sought herein. The first meeting of the individual Defendants, as members
of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the·
16
�Defendant. PRESIDENTS TASK FORCE ON NATIONAL HEALTH CARE REFORM, is
imminent. but, subgroups and subcommittees thereof are now meeting and conducting business.
38.
That the Plaintiffs have no adequate or speedy remedy at law for the above-
mentioned conduct of the Defendants, and this action for injunctive relief is the PlaintifFs' only
means of securing relief.
PRAYER
WHEREFORE, Plaintiffs pray that this Honorable Court enter judgment against theDefendants, HnJ..ARY RODHAM CLINTON, DONNA E. SHALALA, LLOYD E. BENTSEN,
LES ASPIN, JESSE BROWN, RONALD BROWN, ROBERT B. REICH, LEON PANETTA,
ALICE RIVLIN, CAROL RASCO, IRA MAGAZINER, JUDITH FEDER, individually, and as
members of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM,
and the Defendant. PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM, as follows:
(A)
declare that the said Defendants are in violation of the Federal Advisory
Committee Act, TitleS U.S.C. App., Sections 1 through 14, and the Government in the Sunshine
Act, Title S U.S.C. Section 552b, because the Defendants have failed to file an advisory
committee charter for the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTil
CARE REFORM, and the Defendants are refusing to open all of the meetings of the
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM to the Plaintiffs and
refusing to permit their participation therein and are refusing to notify the Plaintiffs of the
meetings of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE.
REFORM, by fonnally announcing said meetings in the Federal Register.
(B)
enter a Temporary Restraining Order and a Temporary Injunction, pursuant to
Rule 65 of the Federal Rules of Civil Procedure, enjoining the individual Defendants, as members
of the PRESIDENTS TASK FORCE ON NATIONAL HEALTII CARE REFORM, and the
Defendant, PRESIDENTS TASK FORCE ON NATIONAL HEALTH CARE REFO~ and all
.
those in active concert' or participation therewith, from holding or conducting any meetings of the
17
�individual Defendants, as members of the PRESIDENT'S TASK FORCE ON NATIONAL
HEALTII CARE REFORM, and the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL HEALTII CARE REFORM, pending a final hearing and detennination of this
action; and enter a Permanent Injunction, pursuant to Rule 65 of the Federal Rules of Civil
Procedure, perpetually enjoining the individual Defendants, as members of the PRESIDENTS·
TASK FORCE ON NATIONAL HEALTII CARE REFORM, and the Defendant,
PRESIDENT'S TASK FORCE ON NATIONAL HEALTII CARE REFORM, and all those in
active concert and participation therewith, from holding or conducting any meetings until an
advisory committee charter is filed in accordance with the Federal Advisory Committee Act, Tide
S U.S.C. App., Section 9, and mandatorily enjoining the individual Defendants, as members of the
PRESIDENTS TASK FORCE ON NATIONAL HEALTII CARE REFORM, and the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL. HEALTil CARE REFORM, and all
those in active concert and participation therewith, from holding or conducting any meetings until
they are all open to the Plaintiffs' (and the public's) attendance and participation, and said
meetings are announced in advance in the Federal Register, in accordance with the Federal
Advisory Committee Act, TitleS U.S.C. App., Section 10, and the Government in the Sunshine
Act, Title S U.S.C. Section SS2b.
(C)
award Plaintiffs such other and further relic( including attorneys' fees, to which
this Honorable Court may deem Plaintiffs entitled.
I, Jane M. Orient, M.D., declare under penalty of perjury that the foregoing is true and
correct.
Executed on ;~.J• r I , 1
JANE M. ORIENT, M.D.
STATEOFNE~~
COUNTY OF ~
t:7 e.
18
�,
Sworn and subscribed to before me by Jane M. Orient, M.D., all on this the
rdrU4v:y
. 1993.
/?td day of
.
My commission expires: 7lJtJtf.
111 9?.5
>
I, William Shaker, declare under penalty of peljury that the foregoing is true and correct.
Executed on ;. - ;J. 3-
Y-3...
Wll.LIAM SHAKE
DISTRICT OF COLUMBIA
WASHINGTON, D.C.
~bed
to
__
E:....._~-=~~-----r-..J' 1993.
My commission expires:
before me by William Shaker, all on this the..231l.lday of
1"----/
.
~~(P
NOT~~ ;t, ~7
I, Peter T. Flaherty, declare under penalty ofpeljury that the foregoing is true and correct.
Executed on .l-
/2 3. / tf.3
I
DISTRICT OF COLUMBIA
WASHINGTON, D.C.
j~wo
and subscribed to before me by Peter T. Flaherty, all on this the,;JS"J,!/.day of
._
--~~-.....::;...-:;;::;o..._.~c..__.. 1993.
19
�20
�KENT MASTERSON BROWN, ESQ.
CHRISTOPHER J. SHAUGHNESSY, ESQ.
BROWN & BROWN, P.S.C.
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
Fac~e(606)252-6791
~~ Ml'ltril1ltia~
f
P. DYE, ESQ.
Bar No. 215379
FRANK M. NORTHAM, ESQ.
BarNo. 206110
WEBSTER, CHAMBERLAIN
&BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF
AMERICAN
PHYSICIANS
AND
SURGEONS, INC., AMERICAN COUNSU. FOR
HEALTH CARE REFORM, and NATIONAL
LEGAL & POLICY CENTER
21
- ---------------------------------------l
�..
Weekly Compilation of
Presidential
Documents
. Monday, February 1, 1993
Volume 29-Number 4
· Pages 93-114
EXHIBIT A
�96
Jan. !.5
the Couneil as the Council may request, to
the extent permitted by law.
WlUiam J. Cllntoa
The 'White House,
Janwuy 25,1993.
[Flied with the Office of the Federal Register,
1:01 p.m., January 25, 1993)
Ncm:: '1111s Eucuti~ order was published In the
Federal Register on January 27.
I Admlni.rtration of William]. Clinton,l993
once again they said, If you want to do some·
thing to help rebuild the auto industry do
something to control health care costs. And
as Mr. Panetta just said agaiD. In a rather
plaintive way before you came in, there 11
no way we will ever get control of the Federal
budget defldt unless we do something about
health care.
The message Is pretty simple. It's time to
make sense of America's health care system.
It's time to bring costs under· control and to
make our families and businesses secure. It's
time to make good on the American
that too m~:y people have talkec:l
t for
too long, while we have continued to spend
more than 30 percent more of our income
on health care than any other nation in the
world, get less for it, and see 100,000 Americans a month losing their health insurance.
As a flrst step in responding to the demmds of literally millions of Americans,
today I am announcing the formation of the
President's Task Force on National Health
Reform. Although the Issue Is complex, the
task force's mission Is simple: Build on the
work of the campaign and the transition, lfs.
ten to all parties, and prepare health care
reform legislation to be submitted to Congress witl:iin 100 days of our taldng office.
This task force will· be chaired by the First
Lady, Hillary Rodham Clinton, aDd will in·
elude the Secretaries of Health and Human
Semces, Treasury, Defense, Veterans Affairs, Commerce, Labor, as well as the Director of the Office of Management and Budget
and senior White House staff members.
J am grateful that Hillary has agreed to
chair thiS task force and not onlr because
it means she'D be sharing some of the heat
I expect to generate. As many of you Jcnow.
whife I was Governor of my State, Hillary
chaired the Arkansas Education Standards
Committee, which created public acbool accreditation standards that have since become
a model for national reform. She lelved as .
my designee on the Southem
Taik
Force on Infant Mortality, was
chair of
our State's rural health committee in 1979
and 1980, a time in which we Initiated anumber of health care reforms that beneflt the·
people of my State to the present day. And
on the board of the ArkansaS Children's Hos-
Admlnlftrat
pital, she he
neonatal UDi
I thinJc t
American p .
our State di !
manr talent: '
people toget
Issues to h.
things done.
. ·· · Here in
work .with ar
Rasco: my
Jouromlse
Remarks on Health Care Reform and
. an Exchange With Reporten
JanutJry !5,1993
I want to say good aftemoon to members
of the press. We have just fmished a very
lively discussion about the massive task before us in health care. Vice President Gore
and I made a strong commitment to the
American people during the last election that
we would present to the United States Congress, within 100 days, a plan that would take
strong action to control health care costs in
America and to begin to provide for the
health care needs of all Americans.
As I traveled across the country last year,
no stories moved me more than the health
care stories. As I think all of you lcnow, IDIIl)'
of the ~le in our Faces of Hope luncheon
last we.Jc ouring the Inaugural were people
who were struggling to overcome inciedible
adversity occasionea by their health care
problems. We've met elderly people choos·
ing every week between meDicine and food·
we've met ~pie forced to leave their job~
to get on public assistance to deal with Children with terriflc problems; we've met countleu ~le who can't change their jobs be· ·
cause tliey or someone in their family have
had health care problems.
You will all remember, at the economic
conference that we ~nsored in Uttle Rock,·
perhaps the overwhelming concem of the
business ~pie there, of all sizes, was doing
aometbing a6out the cost and the availability
of health care. When the Vice President and
I met with the big three auto makers and
the president of tlie United Auto Workers,
Magaziner; :
transition te
of them to:
uapartoft
publlc to wr
with their ac
seat to the
Care Refom
in\:~ DC~
e will r
for undertalc
tious. But as
we're going
choices In or
to bring thei
provide heal
serve the vitt
tor, in order
budget here
totally banla
malce some t
and special i
efforts, and v.
But we are c
best possible
at leaSt. ther1
IenlUS that sc
We have a
Aaociatlon,
..
1
Physicians, f1
Family Pract
:·•
industry ltsel:
nea and lab
lcnowledge tl:
now. We are
ae.e,onal
our l)'ltem. '
meet the bur.
country.
There are:
.. ID lie dealt v
·: ·. · cuaed yet ac
:
!"
..
�-linCa~,m·af
18Dt to do
Jto
mdustzy,
care costs. ADd
aiD, In a ntber
illle m, there II
;,I of the Federal
;omething about
.pie. It's time to
dth care system.
r control and to
:sses secure. It's
Derican promise
tallced about for
tlnued to spend
' of our income
er nation in the
100,000 Ameri-
ealth insurance.
ding to the de~
af Americans,
formation of the
National Health
is complex. the
le: Build on the
1e transition, lis.,. health care
'mitted to Conllr taking ofl'ace.
.Ired by the Fint
ton, and will inalth and Human
e, Vetenns AfveU as the Direc-
nent md Budget
rmemben.
y has agreed to
.ot onlr because
ome of the heat
my of )'OU bow,
"' State, Hillary
.cation StandardS
public school ac-
~ IIDce. become".
aened u
~ll'ei--Tulc
~·=--or.
WillimnJ. Clltalma,l993 I }tm. 25
jii ... '
she' helped to establish our State's first rural areas. covenge for little children. dealing with the AIDS crisis adequate!)', ltll1
Ul ilf:MIOnallal UDft.
: I tbinJc that In the coming months the unmet needs in the area of women's health
!~~rnel'lican people willleam. u the people of care, the problem of the vetenns ID this
State Clid.- that we have a Fint L8dy of counay wlio don't have access to care, evea
manr talents, that who most of all can bring as their own network goes broke. All these
: people together around complex and difficult issues will be dealt with in this task force.
.' Issues to hammer out consensus md get Tbls is going to be m unprecedented effort.
·: things done.
ADd let me just say. in general, we're going
::: Here In the White House, HUWy will to set up a workroom, Jdnd of liJce the war
' "work with my domestic ~licy adviser, Carol room we had in the campaign, over In the
Rasco; my senior ~licy adviser, In Executive Office Building. And all of the deMagaziner; and the head of our health care partments you see here represented and
transition team, Judy Feder. I've asked all leaden you see represented around this table
of them to be u inclusive u possible. And will be represented in that room. ADd we
as a part of that, we are inviting the American are going to work constant!)'. day and night,
public to write w here at the White Howe, until we have a health care plan ready to subwith their suggestions. All of them should be mit to the Congress that we believe we can.
.
sent to the Task Force on National Health pass.
Finally, let me say I ~ committed to
Care Reform at the White House in Wash·
ington. DC 20500.
doing this in a partnenhip with the Congress.
We will no doubt be ~ticized by some I will ask the leadenhip of the CoD~ to
for undertaking something very, very ambi· work with me on a bi~sm buis and to
· tiow. But as I said in my Inaugural Address, do whatever we can to make sure that u we
we're going to have to make some tough present the plan, we have also muimlzed Ia
choices in order to control health care costs, Chances of early passage in the Congress.
to bring them down within inflation, and to
I tlWilc all these people for their willingprovide health care for all. In order to pre- ness to serve and to work together. I hope
serve the vitality of the American private sec- the Americm people will see just how pastor, in order to keep the American people's sionately I penonally am committed to dOing
budget here at this national level from going something about health care reform. We've
totally bankrupt, we are going to have to talked abOut it long enough. The time has
make some tough choices. Powerful lobbies come to act. and I have chosen the coune
and ~ interests may seek to denil our that I think is most likely to lead to action ·
efforts, and we may malce some people angry. that will improve the lives of millions of
But we are determined to come up with the Americans.
best possible solution. And in my lifetime,
Q. Mr. President. em you provide univerat least. there has never been so much con- sal covenge without driving up the deftclt?
sensw that something has to be done.
rM PrAiclenc. J think you can do It If
We have a plm from the American Nunes you control the cost of health care. You haw
Association. from the American Academy of to really-let me just-1 don't want to get
Physicians, from the American Academy of into ODe of these thin~ that provolce a lot
Family Pnctlce. from the health insunnce of cartoons about my policy woolc weabess,.
industry itself. We have a plan uniting busi· but we're at 14 percent of our income on
Dess md labor. There is an overwhelming health care now. The next most ~
knowledge that we have to move and move health care system in the world is CAnada's.
now. We are going to do our best to reform It's at about 9.2 percent of income. n.t Is
our system. We are going to do our best to a huge difference, massive. And yet. IMIIY
meet the human needs of the people of this other major country with which we compete
country.
p~des some basic health care to every·
There are all 1cinds of problems that have · body. something we don't do. So the answer
to be dealt with that we haven't even dis- to your question is. in my judgment, If we
cussed yet: access to care in inner cities and do this right over the next 8 yean. you're
�98
]tm. !ZS I Adminutrotlon of WiUIGm ]. Clinton,l993
going to see huge savings in tax dollars and
even bigger savings. more than twice the savings, in frivate dollars that will free up hundreds o billions of dollars literally between
now and the end of the decade to reinvest
in economic growth and opportunity.
In the short run, our tough c8ll will be
bow do you take the savings and phue in
univenal coverage. Or shoulCl there be some
other way to ~pay for that? We've got some
short-term calls to make. But there's no question that In the median term, 5 to 8 yean.
you're loolcing at massive savings witb univerSal coverage in both tax dollan and private
sector dol18n if we do it right.
Q. Mr. President, do you intend to pay
· the Fint Lady for her efforts?
The PreaicMrae. No. No. I never have paid
her for her public service efforts. I don't want
to start now.
Q. Is 100 days hard and fast, or are you
wilfing to be flexible on that if it's not quite
ready?
7'lae Prnid.rat. If it were 101 days I
wouldn't have a heart attack. but I don't want
to-1 want lt done now. I think we know
what the major alternatives are. What we
have to do now is something nobody's done,
and that is to meld them into the best possible legislation, talcing account of some of
the prolilems that exist with every coune.
And let me make one acknowledgment on
the front end about this. Legitimate objections can be raised to any course of action
in this area. That is, there .is no such thing
as a perfect solution. So whatever coune we
choose to take, somebody can say, 'Well, It's
not perfect for these reasons." To that, I have
two answen, and rm going to say this until
rm blue in the face Cor thii entire year until
we get action. Number one, the wont thing
we can do is keep on doing what we're doing•
now, because more and more people are Calling out of the system and the cost is becoming more and more burdensome to those who
are stlll bearing it. So whatever coune we
talce, we will preserve what is best about
American health care, some consumer choice
and the quality of care. So whatever problems we have, they won't be as bad as the
ones we've ~ now. Number two, this is not
going to be the end of the line. Whatever
. problems are there can be fixed later. But
we wi11 never, never get anywhere lfwe stand
paralyzed. because there's no such thing u
a perfect alternative.
Q. What facton did you consider in glving
this high-prome position to Mn. Chnton?
The Preaident. Of all the people I'w ever
worked with in my life, she's better at orpnizing and leading people from a complex
beginning to a certain end than anybody I'w
ever worked with in my life. And tl.at'i what
I want done here.
NOTE: 11ae President ~Ire at !:02 p.m. In the
Roosevelt Room at the White House at a meeting
of the Health Care Working Croup.
Statement by the Director of
Communications on the President's
Meeting With the Joint Chiefs of
Staff
January ~5. 1993
The President and the Joint Chiefs of StafF
had a cordial, honest. and respectful meeting.
They covered a range of issues but focused
primarily on gays in the military.
The President reiterated his commitment
to ending discrimination against bomosemals
in the military solely on the basis oC status
and to maintaining morale and cohesion in
the military.
The Joint Chiefs of Staff upreued their
concerns and difBculties with tlie President's
commitment but also expressed their respect
for his decisionmaking power u Co~der
in Chief.
Appointment of John D. Bart as
Deduty A.uistant to the President
an Deputy Director of the omce of
Intergovernmental Afl'aln
Jcnwry ~5. 1993
The President today appointed John D.
Hart to the position of Deputy Assistant to
the Presiden
Bceoflnler£
Forthela:
a senior trar
Assistant tD
~her
foDowing hi;
Hart bacllx
· ·tDniCore T
the pre-tra
formed dur
palgn. Duri:
Hart played
operations. ~
neyinWul
for the Hor
U.S. Claims
~polntm
LOrraiDe··
BousePn
}4fltiD"J~5
The Pres
ennpresss
raine Voles,
Press Secret
Voles ser.
retuyforth
been press:
o( Iowa iin{
project dire
Defense C
press secret
paign. She
House on~·
Jones lw
Mayor Ray
he served I!
Musachuse
andwuarc
begins work
i
�1601 N. Tucson Blvd. Suite 9
Association of American Physicians and Surgeons. Inc.
Tucson, AZ. 85716
(800) 635-1196
(602) 327-4885 in AZ
February 9, 1993
01-W.;ERS
Nir11.1 '1.1. C1'2mC'=St. MO.
Fr~
NO!'~ 01~
~'WI·. Jf. M~.
~'reSICICftl·klect
C:t\ori!H W.
1\'chc~a!l~.
GA
L)(:f,uld Qu.~IQI"•• ~.to
Hillary Rodham Clinton
Chairperson
President's Task Force on National Health care Reform
The White House
Washington, DC 20500
5e':le1CII'i
Ncllhf.-,,11
P..
t~aco~.Mn.
lrOQ$UIVr
CtT.Jic:ano. TX
John M
ilcvlOl. Jr., '.4 0.
II"M"l'CIUial'llm" Cresleor.,
t:QnteM;tP., Ot 1
DIRECTORS
Cl(l;,(( A bd. Jf. M.O.
A.lQuW,G/,
Curti~ W
Ccltllf. s~. MD.
..ICC:~$01\
t.'IS
left. J. ~0. \'I.IJ.
Hilisdn-t ~JJ
Ja~~ I.
C.."\'. ~.1C.
r>o~""~· H.
JeM J Owltlf. M.;)
011t.~n.•
V L (;o~r,, M.\).
Dear Ms. Clinton:
on behalf of the Association of American Physicians
and Surgeons, Inc., a national association of private,
practicing physicians, please be advised that I and its
members desire to attend the next and all subsequent
meetings of the President's Task Force on National Health
Care Reform.
This request is made pursuant to Section 10 of the
Federal Advisory Committee Act, which mandates that all
such advisory committees be open to the public. Advance
notice of the next meeting and any and all subsequent
meetings would be appreciated so that I and other members
may make plans to travel to Washington to be in
attendance.
BciMt,ID
Giots.A:". Sl. ~Ai>.
Son 1\nlc."''IICI, f)(
flnt111.
w. IJ;x'lllt' ..lo!ac'\ r.• ::>
I
date.
will appreciate a reply at the earliest possible
~llantn. Gil
Andrftloo 1.. t.'.C:K:8.
~.11':.
sincerely,
OOIIIOIYJ. MD
~m~
Uen w """''· \W
tuck~·. Gl'
..,..,.., Sc"~!.:vr. ~.1.0
ScOlii'-'Qie. 1.1
M~h01tt ~tr.t,
Jane M. Orient, MD
Executive Director
M 1.::
~"'~Oti.WA
ex~CU11vt t~RFCTOR
.U~tt
r.t Ortent. ~.,IJ
C"..FNE:t~AL
K(lnt
COUI'.ISFL
M'lSI~ R~,.
l<MB/jmo
cc:
Bernard w. Nussbaum
Counsel to the President
The White House
..
y
y
EXHIBIT B
I
p
�American Council for Health Care Reform
5155 North 37th Street
Arlington, Virginiu22207
February 9, 199:\
Hillary Rt,dham Clinton
Chaifl'C1'SM
President's Task Force on National.Healthcare Rcfarm
The White House
Washin~rtan, D.C. 20006
Dear Ms. ('linton:
I am writing on behalf of the American Council f•lr Health Care llc:form. We were
cstahlilih'-~d in 1983 as a non-profit organiation to protect consumer rights and help lower tht
cast uf health care delivery.
r•tcase accept my request to attend the next and all subsequent meetings of the Pres; dent'~
Task Force an National Healthcare Reform. The Amcritan Council for Health Care Ilcfonn is
making this request pursuant to Section 10 of the Federal Advisory Committee Act. As you
must know. this Act mandates that all such advisory committee mectinss be open to the public.
We are asked daily if we support the President's health care reform initiatives. Our "nly
answer can be that we have no idea of what is being prorascd because all deliberations are bein~
condu"1~d
in secret. We would be supportive of a numbnr of changes in health care policy.
Howe\'CT' these changes must be thoroughly examined; srcret deliberations can produce nothing
but bad public policy.
Please reply to our request at your earliest possible convenience.
Slncm.ly, ·
'L.,
~H. sir~
E"~ utive
cc:
Director
R~mard W. Nussbaum
(',,unset ta the President
The White House
Please provide us with advanced notice of the ne>:t and any and all subsequent meeting~
so that we may plan accordingly.
.,
'I'
EXHIBIT C
•
p
·.
�,
•
NATIONAL LEGAL & POLICY CENTER
1156 15th Street, Suite 550, Washingtoll, DC 20005 202·331-Q541
February 11, 1993
Mrs. Hillary Rodha.rn Clinton
Chairm~n
President's Task Force
on National Health care Reform
The ~nite House
·
Washington, DC 20006
Dear Mrs. Clinton:
Please be advised that members of the staff of the National
Legal and Policy Center wish to attend the next and all s~sequent
meetings of tr.e President's Task Force on Health ca=e Reform.
This request is made pursuant to Section 10 of the Advisory
Committee Act, which requires that all such advisory committee
meetings be open to the public. Advance notice of the next and all
subsequent meetings would be appreciated so that ou~
representatives may attend.
The Natio!"!al Legal and Policy Center promotes ethics in
government. We do r.ot believe that the secrecy of Task Force
deliberations, including the closed nature of its ~eetings, serves
this ena.
I have enclosed a copy of the •code of Ethics for Goverr~er.t
service.• Your attention is directed to item #2 which states, •Any
person in Government service should uphold the Constitution~ laws,
regu!ations of the United States and all governments therein and
never be a party to their evasion.• I encourage you to circulate a
copy of the Code to all me~ers and staff of the Task Force.
I look forward to your reply.
Peter T. Flaherty
President
cc: Bernard
w.
Nussbaum, Counsel to the President
•.
EXHIBIT D
--------------------------------------------------------------------------·------
�THE WHITE HOUSE
WASHINGTON
February 12, 1993
Jane M. Orient, M.D.
Executive Director
Association of American Physicians
and Surgeons, Inc.
1601 N. Tucson Blvd., suite 9
Tucson, Arizona 85716
Dear Dr. Orient:
The First Lady baa asked •• to respond to your letter,
dated February 9, 1993, concernin9 the President'• health care
task force.
The President bas selected the First Lady, Hillary
Rodham Clinton, to chair the health care task force. In addition
to the First Lady, the task force currently includes the
Secretaries of the Treasury, Defense, commerce, Labor, Health and
Human Services, and Veterans Affairs' the Director of the Office
of Management and Budget; the Assistant to the President for
Domestic Policy; the Assistant to the President for Economic
Policy; the Chair of the Council of Economic Advisors, and the
Senior Advisor to the President for Policy Development.
The task force haa not yet held a meeting, althou9h
members of the task force were present on January 25 when the
President announced the formation of the task force and defined
ita mission. The task force is planning to hold aome public
meetings in the future. Those maetin9s have not yet been
schedulecS.
.
As the President announced on January 25~ the senio~· ·
Advisor to the President for Policy Development will leacS an
interdepartmental working ;roup that will gather information for,
ancS provide information to, the task force. The working qroup
will consist of ;overnment employees, and will consult with a
wide ran;e of citizens in the public and private sectors. Tba
task force, in turn, will review information providecS by the
working group and make recommendations to the President.
It is our opinion that tha Federal Advisory Committee
Act doea not, and was not intended by Congress to, apply to the
health care task force -- compoae4 solely of Cabinet secretaries,
senior White House officials and the First Lady. The participation of the First Lady on tbe task force does not trigger
·
application of tbe Act.
FROM COY
GRAPH I>
EXHIBIT E
�--·-----.--. --- --
Jane M. orient, M.D.
February 12, 1993
Page 2
As noted above, the task force will be holding soma
public meetinqs at which citizens, organizations and institutions
will have an opportunity to present their views. Those meetinga
have not yet been scheduled, but will be announced in advance.
If you and other representatives of the Association of American
Physicians and Surgeons, Inc., are interested in attenting such
public meetings, please contact Mike Lux at 202-456-2930.
Please feel free to contact me, my deputy Vincent
Foster or Associate counsel Stephen Neuwirth should you require
further information in response to your request.
Bernard W. Nussbaum
Counsel to the President
•.
�THE 'WHITE HOUSE
WASHINGTClN
February 12, 1913
William H. Shaker, P.l.
Executive Director
American Council tor Health Care Reform
5155 North 37th Street
Arlington, Virginia 22207
Dear
Mr. Shakers
._,,_
... -··
The First Lady bas asked me to respond to your letter,
dated February 9, 1993, concerning the President's health care
task force.
The President has selected the Firat Lady, Hillary
Rodham Clinton, to chair the health care task force. In addition
to the First Lady, the task force currently includes the
secretaries of the Treasury, Defense, commerce, Labor, Health and
Human Services, and Veterans Affairs; the Director of the Office
of Manaqement and Budget; the Assistant to the President for
Domestic Policy; the Assistant to the President for Economic
Policy; the Chair of the council of Economic Advisors; and the
Senior Advisor to the President for Policy Development.
The task force has not yet held a aeetinq, althou9h
members of the tas~ force were present on January 25 when the
President announced the formation of the task force and defined
its mission. The task force is planning to hold some public
meetings in the future. Those meetings have not yet bean
scheduled.
·As the Pre•i4ent anno\mced on t1an~~~·.:·:l.!$.,,.... ~,.~s~ni.w;
Advisor to the President fer Policy Development will leaa an
interdepartmental working ;roup that will ;ather information tor,
and provide information to, the task force. The working ;roup
will consist of 9overnment employees, and will consult with a
wide ranqe of citizens in the public and private sectors. The
task force, in turn, will review information provided by the
working ;roup and make recommendations to the President.
It is our opinion that the Federal Advisory Committee
Act does not, and was not intended by Congress to, apply to the
health care task force ·-- composed solely of Cabinet secretaries,··
senior White House officials and the First Lady. The participation of the First Lady on tbe task force does not trigger
application of the Act.
~
�--·-···------.
William H. Shaker, P.E.
February 12, 1993
Page 2
As noted above, the task force will be holdinq some
public meetings at which citizens, orqanizations and institutions
will have an opportunity to present their views. Those meeting•
have not yet been scheduled, but will be announced in advance.
If you and other representatives of the American council for
Health care Reform are interested in at~endinq such pu~lic
meetin;s, please contact Mike Lux at 202-456•2930.
Please feel free to contact me, ay deputy Vincent
Foster or Associate counsel Stephen Neuwirth shoul4 you require
further information in response to your request.
------------__·:_=:.:.=-----------------------.;,. ___ -----------.---------------- -~ -----.
�•
~
•
I
THE WHIT£ HOUSE
WASHINGTON
Fe~ruary
16, 1993
Peter T. Flaherty
President
National Legal and Policy Center
1156 15th Street, Suite 550
Washington, D.C. 20005
Dear Mr. Flaherty:
The First Lady has asked me to respond to your letter,
dated February 11, 1993, concerning the President's health care
task force.
Tbe President has selected the First Lady, Hillary
Rodham Clinton, to chair the health care task force. In addition.
to the First Lady, the task force currently includes the
Secretaries of the Treasury, Defense, Commerce, La~or, Health and
Human services, and Veterans Affairs' the Director of the Office
of Management and Budget1 the Assistant to the President for
Domestic Policy; the Assistant to the President for Economic
Policy; the Chair of the council of Economic Advisors; and the
Senior Advisor to the President for Policy Development.
The task force has not yet held a meetinq, although
members of the task force were present on January 2' when the
President announced the formation of the task force and defined
its mission. The task force is planning to hold soae pUblic
meetings in the future. Those meetings have not yet ~aen
scheduled.
.
.
.
President announced on January 25, the senior
Advisor to the President for Policy Development will lead an
interdepartmental working group that will gather information ror,
and provide information to, the task force. The workinq group
will consist of government employees, and will consult with a
wide range of citizens in the public and private sectors. The
task force, in turn, will review information provided by the
working group and make recommendations to the President.
As the
It is our opinion thKt u,. Fe4eral A4vicory Committ~A
Act does not, and was not intended by Congress to, apply to the
health care task force -- composed solely of Cabinet sacretar1ea,
senior White House officials and the First Lady. The partici~
pation of the. First Lady on the task force does not tri;qer
application of the Act.
Jane M. orient, M.D.
"
•
EXHIBIT G
IP
�•
February 16, 1993
Page 2
As noted above, the task force will be holding some
public meetings at which citizens, organizations and institutions
will have an opportunity to present their views. Those meetings
have not yet been scheduled, but will be announced in advance.
If you and other representatives of the Association of American
Physicians and surgeons, Inc., are interested in attending such
public meetings, please contact Mike Lux at 202-456-2130.
Please fee~ free to co~tact •• my deputy Vincent
Foster or Associate Counsel Stephen Neuwirth should you require
further information in response to your requeat.
Very truly yours,
•
----------------------------------------------------------------------- --------.
�UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc., et aL,
)
)
)
)
VL
IIJLLARY RODHAM CLINTON, etc., et al.,
CIVIlL ACTION NO.---~
)
)
)
Plaintiffs
JUDGE ___________
)
)
Defendants
DISCLOSURE OF CORPORATE AFFlLIATIONS
AND FINANCIAL INTERESTS
We, the undersigned counsel of record for the ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC., an Indiana not-for-profit corporation, the AMERICAN
COUNCll.. FOR HEALTH CARE REFORM, a Vaginia not-for-profit corporation, and the
NATIONAL LEGAL & POLICY
C~
a District of Columbia not-for-profit corporation,
certify to the best of our knowledge and belief, the Plaintiffs are not parent companies,
subsidiaries or affiliates of any companies which have outstanding securities in the hands of the
public.
These representatives are made in order that judges of this Court may determine the need
for recusal.
KENT MASTERSON BROWN
CHRISTOPHER J. SHAUGHNESSY
BROWN & BROWN, P.S.C.
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
Facsu.nile(606)252-6791
1
�ALAN P. DYE, ESQ.
Bar No. 215379
~"'"ne M ';{erWfA·..M. NORTHAM, ES .
BarNo. 206110
WEBSTE~
CHAMBERLAIN
&BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF
AMERICAN
PHYSICIANS
AND
SURGEONS, INC., AMERICAN COUNSEL FOR
HEALTH CARE REFORM, and NATIONAL
LEGAL & POLICY CENTER
•.
2
�.
UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
)
)
)
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc., et aL,
Plaintiffs
)
CIVIL ACTION N O . - - - -
VL
)
)
)
IUDGE ___________
HILLARY ROD BAM CLINTON, etc., et aL,
Defendants
)
)
MOTION FOR PERMISSION FOR
THE HONORABLE KENT MASTERSON BROff'N
TO APPEAR AND PARTICIPATE
PRO HAC VICE
NOW COME the Movants, Honorable Frank M. Northam and Honorable Alan P. Dye,
licensed, practicing attorneys-at-law in the District of Columbia and members of the bar in good
standing of the United States District Court for the District of Columbia, and hereby move this
Honorable Court, pursuant to Rule 104 of the General Rules of the United States District Court
for the District of Columbia, for permission for Honorable Kent Masterson Brown of Lexington,
Kentucky, to appear and participate in the above-entitled cause, pro hac vice.
In support of the foregoing Motion, Movants state that the Honorable Kent Masterson
Brown is a member in good standing of the bar of the Supreme of Kentucky and of the bars of
numerous other federal courts.
In further support of this Motion, Movants have appended the Affidavit of the Honorable
Kent Masterson Brown to which is attached his curriculum vitae.
WHEREFORE, Movants pray that the Honorable Kent Masterson Brown be permitted to
appear and participate in the above-entitled cause, pro hac vice.
1
�ALAN P. DYE, ESQ.
Bar No. 215379
~--_/.) M .. 1~---
~TiiAM, Esfif
BarNo. 206110
WEBSTER, CHAMBERLAIN
&BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
2
·
�UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
)
)
)
)
)
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc., et aL,
Plaintiffs
,..
)
CIVIL ACTION N O . - - - JUDGE ____________
)
)
)
IOLLARY RODHAM CLINTON, etc., et aL,
Defendants
AFFIDAVIT OF KENT MASTERSON BROWN
NOW COMES the Affiant, Kent Masterson Brown, and, after being duly sworn, deposes
and says:
1.
That this Affiant is a resident and citizen of Lexington, Fayette County, Kentucky
and is forty-three (43) years of age.
2.
That this Affiant is a graduate of the Centre College of Kentucky, Danville,
Kentucky (B.A., 1971) and the School of Law, Washington & Lee University, Lexington,
Vaginia (J.D., 1974).
3.
That this Affiant was admitted to the bar of the Supreme Court of Kentucky in
1974, and is a licensed, practicing attorney-at-law in the Commonwealth of Kentucky in good
standing. Affiant is neither under suspension or disbarment. This Affiant is not licensed to
practice law in the District of Columbia, and is not a member of the bar of the United States
District Court for the District of Columbia.
4.
That this Affiant is a member of the bars of the Supreme Court of the United
States (1978), the United States Courts of Appeals for the Fifth (1989), Sixth (1975) and
Eleventh (1985) Circuits and the United States District Courts for the Eastern District "of
Kentucky (1977) and the Central District ofDlinois (1985) in good standing.
1
�S.
That, in addition, this Affiant has been admitted to practice, pro hac vice, before
the Supreme Courts of Florida, Dlinois and Indiana and the United States District Courts for the
Eastern District of North Carolina, Northern District of Georgia, Southern District of Mississippi,
Westeni District of Louisiana, Western District of Kentucky, Northern and Southern Di~ricts of
Ohio, and the District ofNew Jersey.
6.
That this Affiant is familiar with the Rules of the United States District Court for
the District of Columbia and all the obligations of counsel arising thereunder.
7.
That a true and correct copy of the curriculum vitae of the Affiant is attached
hereto and made a part hereof as though set out at length herein and marked, for purposes of
identification, as Annex "A".
Further the Affiant sayeth naught.
The foregoing is true as I verily believe.
/
;Ld_.A_..t -1\
KENT MASTERSON BROWN
COUNTY OF FAYETTE
STATE OF KENTUCKY
Sworn and subscribed to before me by Kent Masterson Brown, all on this the
ofFebruary, 1993.
My commission expires: 'r /t~r.5
'
2
aOt( day
�CURRICULUM VITAE
KENT MASTERSON BROWN
Bom:
February 5, 1949
Home Address:
1629 Fincastle Road
Lexington, Kentucky 40502
(606) 269-9724
Office Address:
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
Married to:
Vickie A. Yates
Acotkmic Background:
B.A. (History), Centre College of Kentucky, Danville, Kentucky, 1971
J.D., School ofLaw, Washington & Lee University, Lexington, VD'ginia, 1974
Acotkmic Honors:
Phi Alpha 'rheta Honorary History Fraternity
Profession:
Lawyer (private practice of law, in Lexington, Kentucky, practicing in the fields of
Constitutional law and Health law) 1974 to the present.
Bar Affiliations:
Supreme Court of the United States (1978); Supreme Court of Kentucky (1974);
United States Courts of Appeals for the Sixth (1975), Fifth (1989), and Eleventh
(1985) Circuits; United States District Courts for the Eastern District of Kentucky
(1977) and Central District ofDiinois (1985).
Professional Associations:
National Health Lawyers Association and American Society of Law and Medicine
Scholarly Writing and Lecturing in Health Law Field:
y
•
ANNEX A
I
P
•
�"PPOs An Antitrust Analysis", 1984
Preventive Law Reporter
"Hospital Liability for Premature Discharge,"
3 Prospective Payment Survival, January, 1985
"Preventive Law in Health Care," 1984
Preventive Law Reporter
"The Law of Peer Review"
Lecture, National Health Lawyers Association, Spring, 1980, Toronto, Canada
"PROs And the Law," Seminar lectures, Dallas, Texas, January, 1988; Chicago,
Dlinois, May, 1988; San Francisco, California, October, 1988
"The Physician and Medicare," Seminar lectures, Atlanta, Georgia, Fall, 1988,
Columbus, Ohio, May 1989, Orlando, Florida, September, 1989, Decatur,
Georgia, December, 1988 and 1989, Toledo, Ohio, April, 1990, Lexington,
Kentucky, September, 1991; Burgen County, New Jersey, January, 1992
"Medical Staff Bylaws," Scottsdale, Arizona, September, 1990
Medical Law Writer, Private Practice Magazine
Editorial Board and Writer, 1987-present, Medical Office Management Magazine
I have given lectures on national health policy before various state medical
societies and hospital medical staffs in virtually every State in the Union.
Government Positions Held:
Trial Commissioner, Fayette Circuit Court, Kentucky, 1985-1988
Commissioner, Kentucky Registry of Election Finance (3 terms) 1981 to present;
Interim Chairman, 1987
Character ofLaw Practice:
Throughout my career in the practice of law, I have been a trial and appellate
lawyer. Principally, my cases have involved the adjudication of constitutional issues
arising out of the regulation of the health care industry and the administration of the
Medicare and Medicaid programs as well as antitrust issues within the health care
industry.
Exemplary of the type of litigation in which I have been involved as both trial and
appellate counsel and representing amici are the following reported cases:
2
�McGuffey. etc., eta/. v. Hall, eta/., Ky. 557 S.W.2d 401 (1977). Constitutional challenge
to Kentucky Medical Malpractice Act of 1976.
&nforth v. Fayette Memorial Hospital, Ind. App., 383 N.E.2d 368 (1978).
Constitutional challenge to hospital requirement that medical staff members
purchase minimum amounts of medical liability insurance.
Frederick v. University of Kentucky Medical Center, Ky. App., 596 S.W.2d 30 (1979).
First impression challenge to state hospital invoking the doctrine of sovereign
immunity after the enactment of the Kentucky Medical Malpractice Act and the
University of Kentucky Medical Center Malpractice Act.
Adkins, etc. v. Sarah Bush Lincoln Health Center, 129 m.2d 497, 136m. Dec. 47, 544
N.E.2d 733 (Dl., 1989). First impression case involving whether the minois
antitrust laws apply to medical staff credentialling decisions; whether the minois
Peer Review Act creates a cause of action for willful violation of hospital bylaws;
and, whether hospital bylaws were breached thereby necessitating injunctive relief
under the exception to the rule of non-review in minois.
Whitney, et al. v. Heckler, 603 F.Supp. 821 (N.D. Ga., 1985) and Whitney v. Heckler, 780
F.2d 963 (11th Cir., 1986), cert. den. 107 S.Ct. 64 (1986). Constitutional
challenge to the physician fee freeze in the Medicare Amendments to the Deficit
Reduction Act of 1984.
AAPS, eta/. v. Bowen, et al., 909 F.2d 161 (6th Cir., 1990). Challenge to the requirement
of the U.S. Department of Health and Human Services and its Medicare
intermediaries that all clinical diagnostic laboratory services performed for
Medicare beneficiaries be billed only on an assigned basis.
Coy v. Florida Birth-Related Neurological Injury Compensation Association, 595 So.2d
943 (1992). Challenge. to the constitutionality of the Florida Birth-Related
Neurological Injury Compensation Act of 1988.
Caine v. Hardy, 943 F.2d 1406 (5th Cir., en bane, 1991), cert. den., 112 S.Ct. 1474
(1992). First impression civil rights case challenging whether the State of
Mississippi, by enacting a statute allowing an aggrieved physician to proceed to a
state chancery court after his or her hospital medical staff privileges have been
revoked, may, constitutionally, deny a physician the right to file a civil rights action
in a federal forum against a public hospital within the recognized one-year period
of limitations.
Union Labor Life Ins. Co. v. Pireno, 458 U.S. 119, 72 L.Ed.2d 647, 102 S.Ct. 3002
(1982). Whether claims peer review in the chiropractic field is the "business of •.
insurance" for purposes of the McCarran-Ferguson Exemption to the Sherman
Antitrust Act. (amicus curiae, Supreme Court ofUnited States)
3
�Jefferson Parish Hospital Dist. No.2 v. Hyde, 466 U.S. 2, 80 L.Ed.2d 2, 104 S.Ct. 1551
(1984). Whether an exclusive contract for anesthesiology in a hospital is a per se
violation of the Shennan Antitrust Act. (amicus curiae, Supreme Court of United
States
Patric/c v. Burgett,_ U.S.____,_ L.Ed.2d ____, 108 S.Ct. 1658 (1988). Whether
peer review in a hospital is exempt from the Shennan Antitrust Act under the
"State Action" doctrine established in Parker v. Brown (amicus curiae, Supreme
Court of United States)
People of the State of New York v. Roth, et a/, 419 N. Y.S.2d 851 (Nassau County Court,
1979) (amicus curiae). Defense of criminal antitrust case which involved the first
impression legal question ofwhether the New York State antitrust laws (Donnelley
Act) apply to the medical profession.
Cruzan v. Director, Missouri Dept. of Health,_ U.S.____, L.Ed.2d ____, 110 S.Ct.
2841 (1990). (amicus curiae for a number of physician organizations and for
Surgeon General C. Everett Koop). Whether the state, upon application of the
guardians, may constitutionally withdraw nourishment from a patient in a
"persistent vegetative state".
Stewart v. Sullivan, (D.C.N.J., 1993) (unreported) case in the District of New Jersey
(Newark) challenging whether the U.S. Department of Health & Human Services
and the Health Care Financing Administration can prevent Medicare beneficiaries
and their physicians from privately contracting for health care services and not file
any claims for payment with Medicare.
In addition, I have practiced before State Medical Licensure Boards; Judicial
Councils and Claims Committees of State Medical Associations; Utilization and Quality
Control Peer Review Organizations (PROs) and Certificate of Need and Licensure Boards
in such states as Kentucky, Indiana, Dlinois, Tennessee, Florida, New York, Texas, and
Georgia. I have also appeared before the Office of the Inspector General, Medicare, and
the Secretary of Health & Human Services, Baltimore, Maryland.
In a related field, I have testified before the Judiciary Committee of the United
States House of Representatives on the Health Care Quality Improvement Act of 1986
and the Act to Repeal the McCman-Ferguson Exemption from the Federal Shennan
Antitrust Act. In addition, I have testified before the Ways & Means Committee of the
United States House of Representatives on the Federal Alternative Medical Malpractice
Insurance Act, and, I have prepared testimony before the Judiciary Committee, United
States Senate, and the Health Subcommittee, United States Senate.
•.
4
�UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc., et aL,
Plaintiff's
)
)
)
)
)
)
)
)
VL
HILLARY RODHAM CLINTON, etc., et aL,
Defendants
CIVD.. ACTION N O . - - - SUDGE ___________
)
PLAINTIFFS' MEMORANDUM OF POINTS AND AUTHORITIES IN SUPPORT OF
MOTION FOR A TEMPORARY RESTRAINING ORDER AND TEMPORARY
INJUNCTION
MAY IT PLEASE THE COURT:
NOW COME the Plaintiffs, ASSOCIATION OF AMERICAN PHYSICIANS AND
SURGEONS, INC. ("AAPS"), AMERICAN COUNCn.. FOR HEALTH CARE REFORM
("ACHCR"), and NATIONAL LEGAL &. POLICY CENTER ("NLPC"), pursuant to Rule 65(b)
of the Federal Rules of Civil Procedure, and for their Memorandum of Points and Authorities in
Support of their Motion. for a Temporary Restraining Order, and Temporary Injunction, state as
follows:
INTRODUCTION
This case involves the construction of the Federal Advisory Committee Act ("FACA"), 5
U.S.C. App., Sections 1 through 14, and the Government in the Sunshine Act, S U.S.C. Section
552b, and their application to the formation and activities of HILLARY RODHAM CLINTON,
DONNA E. SHALALA, LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, RONALD H.
BROWN, ROBERT B. REICH, LEON E. PANETTA, ALICE RIVLIN, CAROL RASCO, IRA
MAGAZINER and ruDITH FEDER, individually, and as members of the PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, and the PRESIDENT'S TASK FORCE
1
�ON NATIONAL HEALTH CARE REFORM (collectively referred to as "the TASK FORCE").
The nation's health care system is probably the single most important domestic issue facing the
United States today. Every American citizen will be profoundly affected by any health care
reform policy or legislation which emerges from the Capital in the future. In order to facilitate the
formation and implementation of a national policy of health care reform, the President of the
United States recently established the PRESIDENTS TASK FORCE ON NATIONAL HEALTH
CARE REFORM. The Plaintiffs maintain that the controlling provisions of the Federal Advisory
Committee Act, S U.S. C. App., Sections 1 through 14, and the Government in the Sunshine Act,
S U.S.C. Section 552b, as applied to the composition of the TASK FORCE and its activities;
together with the overarching public import of any contemplated reform of the nation's health care
system, and the need for open and vigorous public debate of the issue, require that the TASK
FORCE be chartered and that the meetings of the TASK FORCE and its subgroups and
subcommittees be open to the public and be subject to public scrutiny after adequate notice is
published in the Federal Register.
STATEMENT OF FACTS
The Plaintiffs
The Plaintiff, AAPS, is a national physician and osteopath not-for-profit membership
corporation, organized and existing under the not-for-profit corporation laws of the State of
Indiana. AAPS consists of member physicians and osteopaths from every state and territory in the
United States and the District of Columbia. AAPS was established in 1943, and its purpose is to
preserve and protect the private practice of medicine. Its members have a serious interest in the
formation of national health care policy and any national health care reform measures which may
be proposed or implemented in the future. Specifically, AAPS is deeply committed to limiting
government intrusion into the practice of medicine and the physician-patient relationship, and
preserving and protecting freedom of choice for consumers ofhealth care services.
The Plaintifl: ACHCR, is a national public interest not-for-profit membership corporatiOn
organized and eXisting under the not-for-profit corporation laws of the Commonwealth of
2
�Virginia. The purpose of ACHCR is to represent consumers of health care services in order to
ensure that the nation's health care system remains free from uMecessary and costly government
regulations, and to promote the implementation of reforms within the insurance industry to
protect consumers of health care services. ACHCR, like AAPS, possesses a serious interest in the
formation of national health care policy and any national health care reform measures which may
be proposed or implemented in the future.
The PlaintHI: NLPC, is a private foundation, organized and existing under and by virtue of
the ncn-for-profit corporation laws ofthe District of Columbia. The primary purpose ofNLPC is
to promote ethics in government by publicizing and distributing a "Code of Ethics for
Government" which it believes is essential to the health, vitality, and legitimacy of the nation's
democratic institutions. NLPC is also seriously interested in national health care reform as well as
the proper and legal operation of the TASK FORCE itself. AU of the Plaintiffs strongly object to
the TASK FORCE and its individual members not conducting its or their meetings in public with
advance notice and consider such conduct to be violative of federal law.
B.
The Defendants
On January 25, 1993, President Clinton established the Defendant, PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, which currently consists of at least twelve
(12) members, who are also individual Defendants in this action:
First Lady Hn..LARY
RODHAM CLINTON; DONNA E. SHALALA, Secretary of the United States Department of
Health &. Human Services; LLOYD E. BENTSEN, Secretary of the Treasury; LES ASPIN,
Secretary of Defense; JESSE BROWN, Secretary of Veterans Affairs; RONALD H. BROWN,
Secretary of Commerce; ROBERT B. REICH, Secretary of Labor; LEON E. PANETTA,
Director of the Office of Management and Budget; ALICE RIVLIN; Deputy Director of the
Office of Management and Budget; and CAROL RASCO, IRA MAGAZINER, and JUDITH
FEDER, who are White House Advisors.
According to the January 25, 1993 "Remarks on Health Care Reform and an Exchange
With Reporters", contained in the
Week~
Compilation of Presidential Documents (Exhibit "A:"
3
�to Verified Complaint) (hereinafter "January 25 Remarks"), the avowed purpose of the TASK
FORCE is to "[b]uild on the work of the campaign and the transition, listen to all parties, and
prepare health care refonn legislation to be submitted to Congress within 100 days of our taking
office." Week.{y Compilation of Presidential Documents, Vol. 29, No. 4, p. 96 (Febiuary 1,
1993). In his January 25 Remarks, President Clinton expressly stated as follows: "We have a
plan from the American Nurses Association, from the American Academy of Physicians, from the
American Academy of Family Practice, from the health insurance industry itself. We have a plan
uniting business and labor." ld, at p. 97.
According to recent press accounts, the Defendant, IRA MAGAZINER, will lead "'an.
interdepartmental working group' which is to coordinate policy development for the Task Force."
4 Medicare Report 138-39 (Bureau of National Affairs, January 29, 1993). As to this group, in
his January 25 Remarks, President Clinton stated as follows: "And let me just say, in general,
we're going to set up a workroom, kind of like the war room we had in the campaign, over in the
Executive Office Building. And all of the departments you see here represented and leaders you
see represented around this table will be represented in that room." Week{)' Compilation of
Presidential Documents, Vol. 29, No.4, p. 97 (February 1, 1993). According to a recent account
in the Washington Post, the "interdepartmental working group" headed by the Defendant, IRA
MAGAZINER, who is himself a fonnally-named member of the TASK FORCE, "is organizing
and working with the 20 groups of consultants as well as political strategists who are developing
a way to sell the health care plan to the public." Anonymity is Buzzword for Health 'Worker
Bees', Washington Post, Feb. 17, 1993, at A17, col. 4. The Washington Post reported the
following on the TASK FORCE's and the "interdepartmental working group's" use of outside
consultants:
The outside consultants, who technically are not members of the President's
Task Force on National Health Care Reform, toil behind the curtain of a White
House-imposed news blackout on their work and on their identities.
4
•.
�.....
The administration describes them as "worker bees" who will fill out the
technical details of policy that will be decided by the formal task force, headed by
Hillary Rodham Clinton.
ld. A true and correct copy of the aforementioned Washington Post article is attached hereto as
Exhibit IIAII.
The Defendant, HILLARY RODHAM CLINTON, the wife of the President, is the
Chairperson of the TASK FORCE. As to the appointment of the First Lady to chair the TASK
FORCE, President Clinton, in his January 25 Remarks, stated as follows:
I think that in the coming months the American people will learn, as the
people of our State did, that we have a First Lady of many talents, that who most
of all can bring people together around complex and difficult issues to hammer
out consensus and get things done.
Here in the White House, Hillary will work with my domestic policy
adviser, Carol Rasco; my senior policy adviser, Ira Magaziner; and the head of our
health care transition team, Judy Feder. I've asked all of them to be as inclusive as
possible. And as a part of that, we are inviting the American public to write us
here at the White House with their suggestions. All of them should be sent to the
Task Force on National Health Care Reform at the White House in Washington,
D.C. 20500.
Weekly Compilation of Presidential Documents, Vol. 29, No. 4, p. 97 (February 1, 1993)
(Emphasis added.).
Importantly, the Defendant, HILLARY RODHAM CLINTON, the Chairperson of the
TASK FORCE, is not a full-time officer or employee of the federal government. In his January
25 Remarks, President Clinton was asked, and he answered, the following question:
Q. Mr. President, do you intend to pay the First Lady for her efforts?
MR. PRESIDENT: No. No. I never have paid her for her public service efforts.
I don't want to start now.
ld, at p. 98.
Indeed, the Honorable William F. Clinger, Jr. (R-PA), Chainnan of the House Committee on
Government Operations, which possesses sole jurisdiction over the Federal Advisory
Act, stated in part as follows in a February 1, 1993letter to President Clinton:
5
Committ~
�..
~;.,
FACA defines "advisory committee" to include, inter alia, any group (1)
established by the President, (2) in the interest of obtaining advice or
recommendations, and (3) not composed wholly of full-time federal officers or
employees. It appears that the Task Force on Health Care meets this definition, as
it was established for the purpose of obtaining a consensus on recommendations
for health care reform legislation and is chaired by an individual who is not a fulltime federal officer or employee.
Affidavit of Genevieve M. Young, Attachment 1.
In a letter to Representative Clinger from Hon. Bernard W. Nussbaum, counsel to the
President, dated February 5, 1993, in response to Representative Clinger's letter, dated February
1, 1993, Mr. Nussbaum stated as follows:
It is our opinion that the Federal Advisory Committee Act ("FACA") does
not, and was not intended by Congress to, apply to the health care task force. The
participation of the First Lady on the task force does not trigger application of the
Act.
Affidavit of Genevieve M. Young, Attachment 3.
Additionally, the February 5, 1993, letter from Mr. Nussbaum to Representative Clinger states as
follows regarding the role of the "interdepartmental working group" led by Defendant, IRA
MAGAZINER:
As the President announced on January 25, the Senior Advisor to the President for
Policy Development will lead an interdepartniental working group which will
gather information for, and provide information to, the task force. The working
group will consist of government employees, and will consult with a wide range of
citizens in the public and private sectors. The task force, in turn, will review
information provided by the working group and make recommendations to the
President.
Affidavit of Genevieve M. Young, Attachment 3.
B
Facts Giving Rise to This Litigation
On February 10, 1993, the Plaintiff, AAPS, through its Executive Director, Jane Orient,
M.D., forwarded a letter to the Defendant, HILLARY RODHAM CLINTON, Chairperson oftJte
6
i'
. :
�...
TASK FORCE, with a copy to Hon. Bernard W. Nussbaum, counsel to the President of the
United States, which reads, in relevant part, as follows:
On behalf of the Association of American Physicians and Surgeons, Inc., a
national association of private, practicing physicians, please be advised that I and
its members desire to attend the next and all subsequent meetings of the President's
Task Force on National Health Care Refonn.
This request is made pursuant to Section 10 of the Federal Advisory
Committee Act, which mandates that all such advisory committees be open to the
public. Advance notice of the next meeting and any and all subsequent meetings
would be appreciated so that I and other members may make plans to travel to
Washington to be in attendance.
I will appreciate a reply at the earliest possible date.
Exhibit "B" to Verified Complaint for Declaration of Rights. Restraining Order. and Temporm
and Permanent Iniunctive Relief(hereinafter, "Verified Complaint").
l
On February 10, 1993, the Plaintiff, ACHCR, through its Executive Director, William
Shaker, forwarded a virtually identical letter to HILLARY RODHAM CLINTON, Chairperson of
the TASK FORCE, with a copy to Hon. Bernard W. Nussbaum, counsel to the President,
requesting that he and other members of ACHCR be given advance notice o( and be permitted to
attend, all future meetings of the TASK FORCE. See, Exhibit "C" to Verified Complaint. On
February 11, 1993, the Plaintiff, NLPC, through its President, Peter T. Flaherty, likewise
forwarded a letter to HILLARY RODHAM CLINTON, Chairperson of the TASK FORCE, with
a copy to Hon. Bernard W. Nussbaum, counsel to the President, requesting that he and other
members of 'NLPC be given advance notice o( and be permitted to attend, all future meetings of
the TASK FORCE. See, Exhibit "D" to Verified Complaint.
On or about February 12 and 16, 1993, the Defendants, by and through Bernard W.
Nussbaum, counsel to the President, forwarded letters to the Plaintiffs in response to their
requests regarding the TASK FORCE complying with the Federal Advisory Committee Act, S
U.S.C. App., Sections 1 through 14, and the Government in the Sunshine Act, 5 U.S.C. Sectiem
7
�....
-'
·'
SS2b. These letters, which are virtually identical to the February S, 1993 letter from Bernard
Nussbaum to Representative Clinger, state, in relevant part, as follows:
It is our opinion that the Federal Advisory Committee Act does no~ and was not
intended by Congress to, apply to the health task force-composed solely of
Cabinet secretaries, senior White House officials and the First Lady. The
participation of the First Lady on the task force does not trigger application of the
Act.
See, Exhibits "E", "F", and "G" to Verified Complaint.
Upon investigation, the Plaintiffs have determined that no advisory committee charter for
the TASK FORCE has ever been filed with the Administrator of the General Services
Administration, and no copy of an advisory committee charter for the TASK FORCE has been
furnished to the Library of Congress, pursuant to Section 10 ofthe Federal Advisory Committee
Act. See, Affidavit of J. Chad Jackson. While the TASK FORCE itself has apparently not held
any meetings to date, press releases. and various press accounts illustrate that such meetings are
imminent, as the January 25, 1993 "Remarks on Health Care Reform and an Exchange with
Reporters" explicitly states that one goal of the TASK FORCE is to prepare and develop health
care legislation within the first one-hundred (100) days of President Clinton's administration.
Furthermore, the letters from Hon. Bernard Nussbaum, counsel to the President, illustrate that the
Defendants firmly take the position that they do not intend to comply with the Federal Advisory
Committee Act, S U.S.C. App., Sections 1 through 14, and the Government in the Sunshine Act,
S U.S.C. Section SS2b.
Most importantly, the recent press accounts discussed herein reveal that the shroud of
secrecy, which is apparently contemplated for the TASK FORCE as a whole, has been enlarged to
the "interdepartmental working group" led by Defendant, IRA MAGAZINER, who is apparently
meeting with a plethora of private and public consultants, many of whose identities are, as yet,
unknown to the public. It is precisely this type of secrecy and stealth in the federal government's
decisional processes that the Federal Advisory Committee Act and the Government in the
Sunshine Act were designed to eliminate.
8
�..·"
!
Unless this Honorable Court mandatorily enjoins the Defendants to comply with these
statutes, the Plaintiffs and their members will be forever foreclosed from attending and
participating in the meetings and other activities of the Defendants concerning health care issues
that will deeply affect them and other members of the American electorate. Because no entity,
including this Court, can re-create past meetings and activities of the TASK FORCE, and· its
subcommittees and subgroups, the Plaintiffs will suffer irreparable harm unless a Temporary
Restraining Order and Temporary Injunction issues requiring full compliance with the
.
aforementioned controlling federal statutes.
ARGUMENT
L
THE PLAINTIFFS HAVE STANDING TO MAINTAIN THE INSTANT SUU
BECAUSE THEY ARE "INTERESTED PERSONS" WITHIN THE MEANING OF
THE FEDERAL ADVISORY COMMITTEE ACZ:
The Plaintiffs Are "Interested Persons" Within the Meaning of Section 10 of the
Federal Advisory Committee Act. 5 U.S.C App.. SectionlO.
The Federal Advisory Committee Act, 5 U.S.C. App., Section 10, provides, in relevant
part, as follows:
(aXl) Each advisory committee meeting shall be open to the public.
(2)
Except when the President determines otherwise for reasons of national
security, timely notice of each such meeting shall be published in the
Federal Register, and the Administrator [of the General Services
Administration] shall prescribe regulations to provide for other types of
public notice to insure that all interested penons are notified of such
meeting prior thereto.
Interested penons shall be permitted to attend, appear before, or file
(3)
statements with any advisory committee, subject to such reasonable rules
or regulations as the Administrator [of the General Services
Administration] may prescribe.
(b)
Subject to section 552 of title 5, United States Code, the records, reports,
transcripts, minutes, appendixes, working papers, drafts, studies, · agenda,
or other documents which were made available to or prepared for or by
each advisory committee shall be available for public inspection and
copying at a single location in the offices of the advisory committee or the
9
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....
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~
.'
agency to which the advisory committee reports until the advisory
committee ceases to exist.
(Emphasis added.)
As the Verified Complaint and correspondence to the Defendant, HILLARY RODHAM
CLINTON, and the counsel to the President make clear, the Plaintiffs and their members are
seriously interested in the issue of national health care reform, and thus wish to have notice of and
to attend and participite in the meetings of the TASK FORCE and otherwise obtain the benefits
to which they are statutorily entitled under the Federal Advisory Committee Act, S U.S.C. App.,
Sections 1 through 14, and the Government in the Sunshine Act, S U.S.C. Section SS2b. The
Plaintiffs are, therefore, "interested persons" within the meaning of the Federal Advisory
Committee Act, S U.S.C. App., Section 10.
B.
The Plaintiffs Have Suffered a Distinct and Palpable lnjurv-in-Fact Which Will Be
Remedied By the Relief Requested Because the Plaintiffs Have Requested But Have
Not Received Notice of. and Have Not Been Afforded Access to and Participation in
the Meetings ofthe TASK FORCE and Its Subgroups and Subcommittees.
The Plaintiffs have specifically alleged that they have requested notice of, and access to,
meetings of the TASK FORCE, pursuant to Section 10 of the Federal Advisory Committee Act,
and have been specifically and consistently advised that the Defendants take the position that the
Federal Advisory Committee Act is not applicable to them or their activities. Although no.
meetings of the TASK FORCE as a whole have been held to date, the avowed purpose and
mission of the TASK FORCE, as stated in public documents, indicate that such meetings are
imminent. See, Verified Complaint, Paragraphs 31 through 37; Exhibit "A". Moreover, the
Plaintiffs have plead, and recent press accounts illustrate, that individual members of the TASK
FORCE have secretly met, and are secretly meeting, ·with groups of public and private
"consultants", thereby conducting meetings of subgroups and subcommittees without in any way
complying with the controlling provisions of the Federal Advisory Committee Act. See, Verified
Complaint. Paragraphs 30, 35. The United States Supreme Court has flatly held that such
.
allegations suffice to establish injury-in-fact for standing purposes, and has also held that the fact
10
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...
.
~
-·
;
that other non-plaintiff members of the public have also been denied and are being denied their
rights under the Federal Advisory Committee Act is totally irrelevant to the standing inquiry.
In Public Citizen v. U.S. Dept. ofJustice,_ U.S.~ 109 S.Ct. 2558, __ L.Ed.2d
_
( 1989), two public interest groups filed suit against the United States Department of Justice
and the American Bar Association's Standing Committee on the Federal Judiciary after the
defendants refused their requests for the names of potential federal judicial nominees they were
considering and for copies of their reports and minutes of their meetings. The action sought
declaratory and injunctive relief under the Federal Advisory Committee Act which, inter alia,
defines an "advisory committee" as any group "established or utilized" by the President or an
agency to give advice on public questions, and requires a covered group to file a charter, afford
notice of its meetings, open those meetings to the public, and make its minutes, records, and
reports available to the public. As a threshold matter, the defendants contended that neither
Public Citizen nor its co-plaintiff, the Washington Legal Foundation, had standing to maintain the
suit under FACA The defendants argued that the plaintiffs were advancing a general grievance
shared in substantially equal measure by all or a large class of citizens, or alternatively, that a
decision in favor of the plaintiffs would not redress their alleged injury because the meetings they
sought to attend and the records they wished to review would probably be closed to them under
Section lO(d) ofFACA, which cross-references 5 U.S.C. Section 552b(c), the exceptions to the
open meetings requirement of the Government in the Sunshine Act. The United States Supreme
Court soundly rejected these arguments. The Court first concluded that the plaintiffs suffered a
distinct injury-in-fact:
Appellant [Washington Legal Foundation] has specifically requested, and been
refused, the names of candidates under consideration by the ABA Committee,
reports and minutes of the Committee's meetings, and advance notice of future
meetings. WLF Complaint, App. 8. As when an agency denies requests for
information under the Freedom of Information Act, refusal to permit appellants to
scrutinize the ABA Committee's activities to the extent FACA allows constitutes a
sufficiently discrete injury to provide standing to sue. Our decisions interpreting
the Freedom of Information Act have never suggested that those requesting
11
�infonnation under it need show more than that they sought and were denied
specific agency records. [Citations omitted.] There is no reason for a different rule
here.
Public Citizen v. U.S. Dept. ofJustice, 109 S.Ct. at 2563-64.
The Court then proceeded to conclude that the defendants' claim that the plaintiffs Jacked standing
because a ruling in their favor would not provide relief because of FACA's exceptions to
disclosure was "untenable".
Public Citizen v. U.S. Dept. of Justice, 109 S.Ct. at 2564.
Numerous cases from the lower federal courts, and specificaiJy this Honorable Court and the
United States Court of Appeals for the District of Columbia, are in accord with Public Citizen v.
U.S. Dept. of Justice on the threshold issue of standing under the Federal Advisory Committee ·
Act. See, e.g., National Anti-Hunger Coalition v. Executive Committee, SS1 F.Supp. 524, 527
(D.D.C. 1983), ajj'd711 F.2d 1071 (D.C. Cir. 1983);Naderv. Baroody, 396 F.Supp. 1231, 1232
(D.D.C. 1975); Center for Auto Safety v. Cox, 580 F.2d 689 (D.C. Cir. 1978).
The Plaintiffs clearly have met the threshold requirements for standing under the Federal
Advisory Committee Act. The Verified Complaint and the exhibits thereto illustrate that the
Plaintiffs have directly requested the Defendants to comply fully with all provisions of the Federal
Advisory Committee Act, and have been directly advised that the ·TASK FORCE will do nothing
of the sort. The Plaintiffs have thus suffered and will continue to su~er a discrete "injury-in-fact"
under the Federal Advisory Committee Act and the interest they seek to advance in procedural
regularity and public scrutiny and oversight of the Defendants under the Federal Advisory
Committee Act will manifestly be advanced by a judgment in their favor and injunctive relief,
requiring the Defendants to comply with the Federal Advisory Committee Act.
ll
THE PLAINTIFFS HA. J'E DEMONSTRATED THE REQUISITE ELEMENTS FOR
THE ISSUANCE OF A TEMPORARY RESTRAINING ORDER AND TEMPORARY
INJUNCTION.
A Temporary Restraining Order and Temporary Injunction may be granted only when the
plaintiff demonstrates (1) a substantial likelihood of success on the merits; (2) that irreparable
injury will result in the absence of the requested relief; (3) that no other parties will be banned if
12
�temporary relief is granted; and (4) that the public interest favors entry of a Temporary
Restraining Order and a Temporary Injunction.
Washington Metropolitan Area Transit
Commission v. Holiday Tours, Inc. 559 F.2d 841, 843 (D.C. Cir. 1977); Public Citizen v.
National Economic Com'n, 703 F.Supp. 113, 124 (D.D.C. 1989).
A.
The Plaintiffs are Likely to Succeed on the Merits Because the President's Ttuk Force
on National Health Care Reform is an "Advisory Committee" Within the Meaning of
the Federal Advisory Committee Act
It is well-established that, as a condition of obtaining a Temporary Restraining Order, a
plaintiff is required to demonstrate a substantial likelihood of success on the merits. Public
Citizen v. National Economic Com'n, 703 F.Supp. 113, 124 (D.D.C. 1989). At bottom, the issue
in this litigation is whether the TASK FORCE is an "advisory committee" within the meaning of
Section 3 of the Federal Advisory Committee Act, 5 U.S.C. App., Section 3. When the facts
surrounding the establishment and function of the TASK FORCE are analyzed against the plain
language and remedial purpose of the Federal Advisory Committee Act and Federal Advisory
Committee Management Regulations, it is patent that the TASK FORCE is an "advisory
committee" within the meaning of5 U.S.C. App., Section 3, and that the Defendants are required
to comply with all of the relevant proviSions of the statute, but have refused, and will continue to
refuse, to do so. Thus, as discussed more specifically below, the Plaintiff's have a substantial
likelihood of prevailing on the merits of their claims on an application for a Temporary and
Permanent Injunction, pursuant to Rule 65(a)(2) of the Federal Rules of Civil Procedure.
i.
The TASK FORCE is a tllskforce established and utilized by the
President tu a preferred source of advice from which to obtain
advice or recommendations on the specific issue of health care.
In Public Citizen v. U.S. Dept. of Justice, _
__L.Ed.2d _
U.S.
---J
109 S.Ct. 2558, 2562,
(1989), the United States Supreme Court, citing Section 2(b) of the statute,
recognized that the purpose of the Federal Advisory Committee Act was "to ensure that new
.
advisory committees be established only when essential and that their number be minimized; that
13
�they be tenninated when they have outlived their usefulness; that their creation, operation, and
duration be subject to uniform standards and procedures; that Congress and the public remain
apprised of their existence, activities, and cost; and that their work be exclusively advisory in
nature." Furthermore, in one of the first reported decisions construing the Federal Advisory
Committee Act and the exceptions to its open meetings requirement, this Honorable Court
recognized the overarching salutary purpose and rationale for the legislation by observing:
The importance of the Federal Advisory Committee Act is epitomized by Senator
Metcalfwho handled. the legislation in the Senate:
What we are dealing with here goes to the bedrock of government
decision making. Information is an important commodity in this capital.
Those who get information to policy-makers, or information for them,
can benefit their causes whatever it [sic] may be. Outsiders can be
adversely and unknowingly affected. And decisionmakers who get
information from special interest groups who are not subject to rebuttal
because opposing interests do not know about the meetings-and could not
get in the door if they did--may not make tempered judgments. 118 Cong.
Rec. S15285-86 (daily ed. September 19, 1972)
This court will not allow the door to close on these meetings when Congress has
expressly ordered the door be open except on the rarest occasion.
Na&kr v. Dunlop, 310 F.Supp. 177, 179 (D.D.C. 1973).1
1
Senator Metcalfs observation about the salutary purpose of the Federal Advisory
Committee Act is especially applicable to this case. At the outset of the TASK FORCE's
appointment, President Clinton explicitly stated in his January 25 Remarks:
We have a plan from the American Nurses Association, from the American
Academy ofPhysicians, from the American Academy of Family Practice, from the
health insurance industry itself. We have a plan uniting business and labor.
Weekly Compilation ofPresidental Documents, Vol. 29, No. 4, p. 97 (February 1, 1993)
Additionally, at least one recent press account in the Washington Post has stated that an
"interdepartmental working group" headed by the Defendant, IRA MAGAZINER, is working
with a number of groups of consultants, many from certain segments of the private sector and
many of whose identities are still unknown. This is precisely the type of governmental activity
which led to the enactment of the Federal Advisory Committee Act and the Government in the
Sunshine Act.
14
�The plain language of Section 3 of the Federal Advisory Committee Act reveals that the
TASK FORCE is within the statute's perview. Section 3 of the statute provides as follows:
Section 3.
Definitions
For the purpose of this Act( 1) The term "Director" ["Administrator"] means the Director of the Office of
Management and Budget [Administrator of General Services].
(2) The term "advisory committee" means any committee, board, commission,
council, conference, panel, task force, or other similar group, or any
subcommittee or other subgroup thereof (hereafter in this paragraph
referred to as "committee"), which is(A) established by statute or reorganization plan, or
(B)
established or utilized by the President, or
(C)
established or utilized by one or more agencies,
in the interest of obtaining advice or recommendations for the President
or one or more agencies or omcen of the Federal Government except that
such term excludes (i) the Advisory Commission on Intergovernmental
Relations, (ii) the Commission on Government Procurement, and (iii) any
committee which is composed wholly of full-time officers or employees of the
Federal Government.
(3) The term "agency" has the same meaning as in section SS1(1) of title S
United States Code [S USCS Section SS1(1)].
(4) The term "Presidential advisory committee" means an advisory committee
which advises the President.
(Emphasis added.)
Additionally, the Federal Advisory Committee Management Regulations issued by the
General Services Administration, 41 C.F.R. Sections 101-6.1001 to 101-6.1035 (1990), illustrate
that the TASK FORCE is subject to the strictures of the Federal Advisory Committee Act. 41
C.F.R. Section 101-6.1003 contains the following definitions, among others:
Act means the Federal Advisory Committee Act, as amended, S U.S.C.,
App.
Administrator means the Administrator of General Services.
Advisory committee subject to the Act means any committee, board,
commission, council, conference, panel, task force, or other similar group, or any
subcommittee or other subgroup thereof, which is established by statute, or
established or utilized by the President or any agency official for the purpose of
obtaining advice or recommendations on issues or policies which are within the
scope of his or her responsibilities.
IS
..
�Committee member means an individual who serves by appointment on an
advisory committee and has the full right and obligation to participate in the
activities of the commi~tee, including voting on committee recommendations.
Presidential advisory committee means any advisory committee which
advises the President. It may be established by the President or l,ly the Congress,
or used by the President in the interest of obtaining advice or recommendations for
the President. "Independent Presidential advisory committee" means any
Presidential advisory committee not assigned by the President, or the President's
delegate, or by the Congress in law, to an agency for administrative and other
support and for which the Administrator of General Services may provide
administrative and other support on a reimbursable basis.
Utilized (or used), as referenced in the definition of "Advisory committee"
in this section, means a committee or other group composed in whole or in part of
other than full-time officers or employees of the Federal Government with an
established existence outside the agency seeking its advice which. the President or
agency official(s) adopts, such as through institutional arrangements, as a preferred
source from which to obtain advice or recommendations on a specific issue or
policy within the scope of his or her responsibilities in the same manner as that
individual would obtain advice or recommendations from an established advisory
committee.
Fmally, at least one commentator, in discussing the coverage of the Federal Advisory
Committee Act, has concluded that a "committee or similar group" should have all or most of the
following characteristics:
(1)
(2)
(3)
(4)
fixed membership (including at least one penon who is not a full-time Cedent
officer or employee),
a defined purpose of providing advice to a federal official or agency regarding a
particular subject or particular subjects,
regular or periodic meetings,
an organizational structure (e.g., officers) and a staff.
D. Marblestone, "The Coverage of the Federal Advisory Committee Act", 35 Fed B.J. 119, 12728 (1976) (Emphasis added.)
Under the plain language of the Federal Advisory Committee Act and relevant regulations,
as well as the characteristics set forth above, the TASK FORCE is an "advisory committee"
within the meaning of the Federal Advisory Committee Act. On January 25, 1993, President
Clinton established the TASK FORCE and appointed its members, and contemplates utilizing the ·
TASK FORCE as a preferred source of advice and recommendations on the particular issue,
16
�subject, or policy of national health care reform. The TASK FORCE, at least at the present time,
has a fixed membership of twelve (12) persons specifically chosen by the President. Furthermore,
the President has openly stated that the TASK FORCE will have at least periodic meetings to
discuss the subject of health care reform, with an eye toward making "recommendations" on this
discrete policy issue to the President. Finally, the TASK FORCE has at least one formally-named
"officer", FU'St Lady HILLARY RODHAM CLINTON. In sum, the TASK FORCE, in every
substantive aspect and characteristic, is an "advisory committee" within the meaning of the
Federal Advisory Committee Act.
B.
The TASK FORCE is not composed wholly off•ll-time fedeml
officers or employees becllllse the First Ltuly, who chairs the
TASK FORCE, is not and cannot be a filii-time officer or
employee ofthe federal government.
It is aucial to note that the TASK FORCE cannot be deemed to fall within any of the
exceptions to the definition of"advisory committee" set forth in Section 3 of the Federal Advisory
Committee Act, specifically the exception of Section 3(2XC)(iii) for "any committee which is
composed wholly of full-time officers or employees of the Federal Government."
The
Chairperson of the TASK FORCE, HILLARY RODHAM CLINTON, is simply not a full-time
officer or employee of the federal government. The TASK FORCE is thus not composed wboUy
of full-time officers or employees of the federal government under the plain meaning of that
language, and, under the "characteristics" analysis of Federal Advisory Committee Act coverage·
discussed, supra, there is at least one person sitting on the TASK FORCE (indeed, sitting as
Chairperson of the TASK FORCE) who is not a full-time federal officer or employee.2
2
Plaintiffs also maintain that the federal anti-nepotism statute, also known as the Kennedy
Act, S U.S.C. Section 3110, precludes the Defendant, HILLARY RODHAM CLINTON, from
being considered a full-time officer or employee of the federal government for the purposes of the
Federal Advisory Committee Act. TitleS U.S.C. Section 3110 provides as follows:
Section 3110. Employment of relatives; restrictions.
(a)
For the purpose of this section17
�(1)
"agency" means(A) an Executive agency;
(B)
an office, agency, or other establishment in the legislative
branch;
(C)
an office, agency, or other establishment in the judicial
branch, and
(D)
the government of the District of Columbia;
(2)
"public official" means an officer (including the President and a
Member of Congress), a member of the unifonned service, an employee
and any other individual, in whom is vested the authority by law, rule, or
regulation, or to whom the authority has been delegated, to appoint,
employ, promote, or advance individuals, or to recommend individuals for
appointment employment, promotion, or advancement, in connection with
employment in an agency; and
(3)
"relative" means, with respect to a public official, an individual who
is related to the public official as father, mother, son, daughter, brother,
sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law,
mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law,
stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half
brother, or half sister.
(b)
A public official may not appoint, employee, promote, advance, or
advocate for appointment, employment, promotion, or advancement, in or to a
civilian position in the agency in which he is serving or over which he exercises
jurisdiction or control any individual who is a relative of the public official. An
individual may not be appointed, employed, promoted, or advanced in or to a
civilian position in an agency if such appointment, employment, promotion, or
advancement has been advocated by a public official, serving in or exercising
jurisdiction or control over the agency, who is a relative of the individual.
(c)
An individual appointed, employed, promoted, or advanced in violation of
this section is not entitled to pay, and money may not be paid from the Treasury as
pay to an individual so appointed, employed, promoted, or advanced.
(d)
The Office of Personnel Management may prescribe regulations authorizing
the temporary employment, in the event of emergencies resulting from natural
disasters or similar unforeseen events or circumstances, of individuals whose
employment would otherwise be prohibited by this section.
(e)
This section shall not be construed to prohibit the appointment of an
individual who is a preference eligible in any case in which the passing over of that
individual on a certificate of eligibles furnished under section 3317(a) of this title
will result in the selection for appointment of an individual who is not a preference
eligible.
·
18
�--
-'
...
_
~
..
It is well-established that the plain language of a statute must be deemed as the final
expression oflegislative intent. Caminetti v. United States, 242 U.S. 470,490, 37 S.Ct. 192, 196,
61 L.Ed. 442, 455 (1916). Thus, statutory language must be interpreted according to common
usage and ordinary meaning, in the absence of persuasive reasons to the contrary. N.LR.B. v.
Coca-Cola Bottling Co. of Louisville, 350 U.S. 264, 76 S.Ct. 383, 100 L.Ed. 285 (1956). The
plain language of Section 3 of the Federal Advisory Committee Act, and specifically the term
"wholly", simply does not lend itself to any construction which would create an ad hoc exception
to the rule for this particular TASK FORCE.
To craft such an ad hoc exception to the
unambiguous statutory language would "press statutory construction to the point of disingenuous
evasion." United States v. Locke, 471 U.S. 84, 96, 105 S.Ct. 1785, 1793, 85 L.Ed.2d 64 (1985).
Even if one were to conclude that the language of Section 3 of the Federal Advisory Committee
Act is somehow ambiguous under some tortured reading of the language, one will find absolutely
'
nothing in the legislative history of the statute which would countenance exempting the TASK
FORCE from its reach simply because the non-federal employee or official chairing the TASK
FORCE happens to be the First Lady.
In Center for Auto Safety v. Cor, 580 F.2d 689 (D.C. Cir. 1978), the United States Court
of Appeals for the District of Colubmia. held that the American Association of State Highway and
Transportation Officials was an advisory committee to the Federal Highway Administration. The
defendants argued that Section 4(c) of the Federal Advisory Committee Act, which exempts state
or local committees established to advise or make recommendations to state or local agencies
from the coverage of the statute, should somehow be construed to apply to the defendant
American Association, even though it was advising federal officiils. The court applied the plain
meaning of the statute and rejected the defendants' argument. The court concluded:
The plain meaning of section 4(c) is clear. Moreover, as a proviso, it should be
construed narrowly. A plausible interpretation, and one that does not do
violence to the plain meaning rule, is that Congress intended to include state and
local committees under the Act only when they functioned at the federal level. It
would be unreasonable to hold that Congress cannot expressly disavow an intent ·
19
..
-
�....
.. .
to regulate activity that may lie beyond its enumerated powers and to use this
holding to read out of the Act activity that Congress clearly may regulate. We
note finally that the legislative history in no way contradicts our conclusion
that the plain meaning of section 4(c) should prevaiL We therefore decline to
insert the words "or federal" into the otherwise clear section 4(c) to rescue it from
the lack of meaning envisioned by the Administrator and AASHTO.
Center for Auto Safety, 580 F.2d at 693. (Emphasis added.)
As in Center for Auto Safety, the Defendants here would like to craft out of thin air an
exception to the clear, unambiguous language of the Federal Advisory Committee Act in order to
evade the close public scrutiny and public participation on important national issues which are
envisioned by the FACA. As in Cox, the proviso of Section 3 of the Federal Advisory Committee
Act for committees composed wholly of full-time officers or employees of the federal government
should be construed narrowly3 and according to its plain meaning. It is for Congress alone, not
this Honorable Court, to craft an exception for the TASK FORCE if it so desires. Congress
manifestly did not do so when it debated and enacted the Federal Advisory Committee Act, and it
has not done so to date. Accordingly, the TASK FORCE is an "advisory committee" within the
meaning of the Federal Advisory Committee Act, and is thus bound by all of the controlling
provisions of that statute, as well as the Government in the Sunshine Act, S U.S.C. Section SS2b.
B.
This Honorable Court Should Issue a Tei!!Dorary Restraining Order and Tei!!Dorgry
Injunction. Enjoining the Defendants From Conducting Any Meetings Until an
Advisory Committee Charter is Filed Pursuant to Section 9 of the Federal Advisory
Committee Act and Until the Meetings are ODen to the Plaintiffs' Attendance and
Participation and Announced in Advance in the Federal Rerister Pursuant to Section
10 of the Federal Advisory Committee Act and the Government in the Sunslalne Act. 5
U£ C Section 552b.
Likewise, other. federal decisions construing the exemptions from the public meeting
requirements of the Government in the Sunshine Act set forth inS U.S.C. Section SS2b(c), which
exemptions the Federal Advisory Committee Act incorporates inS U.S.C. App., Section lO(d),
have held that the exceptions to the open meetings rule of the Government in the Sunshine Act
must be narrowly construed, and the burden is placed upon the defendants to illustrate that an
exemption is applicable. See, Public Citizen v. National Economic Com'n, 703 F.Supp. 113, 119
(D.D.C. 1989); Common Cause v. Nuclear Regulatory Commission, 614 F.2d 921, 939, 932
(D.C. Cir. 1982).
3
...................________________________
20
�..
In Public Citizen v. National Economic Com'n, 703 F.Supp. 113 (D.D.C. 1989) a
newspaper, business magazine editor, the Bureau of National Affairs, and a citizens' group
brought suit against the National Economic Commission and the Administrator of the General
Services Administration, seeking an injunction to prevent the defendants from closing
Commission meetings in which economic assumptions, budget options, and fiscal policy were to
be discussed. In this Court, the plaintift" moved for a Temporary Restraining Order, and this
Court granted the motion. This Court first relied on the "presumption of openness" discussed in
.
Common Cause v. Nuclear Regulatory Commission, 614 F.2d 921 (D.C. Cir. 1982) to conclude
that the plaintift"s had demonstrated a substantial likelihood of prevailing on the merits. Public
Citizen v. National Economic Com'n, 703 F.Supp. at 124-129. The Court next Concluded that
the plaintiffs would suffer irreparable harm if the restraining order were not entered because if an
upcoming meeting of the Commission were allowed to "proceed behind closed doors, plaintiffs
will be denied, perhaps for all time, but at a minimum during the on-going course, that which
Congress expressly protected through FACA" Public Citizen v. National Economic Com'n, 703
F.Supp. at 129. Finally, this Court balanced the potential harm to the defendants and the public
interest and held that the equities were decidedly in favor of the plaintift"s, concluding that opening
Commission meetings to the public constituted, at most, minimal harm to the defendants, and
would "highlight vividly the essence of our democratic society, providing the public its right to
know how its government is conducting the public's business." Public Citizen v. Natio11Dl
Economic Com'n, 703 F.Supp. at 129.
In the present case, the Plaintift"s have clearly established their entitlement to a Temporary
Restraining Order and Temporary Injunction enjoining the Defendants from holding meetings
unless and until all relevant provisions of the Federal Advisory Committee Act are followed. The
Defendants can point to nothing in the Federal Advisory Committee Act, the relevant regulations
of the General Services Administration, or the legislative history ofFACA to fashion an exception
21
�..
for the TASK FORCE for political expediency. 4 The TASK FORCE is an "advisory committee"
under any reading of the Federal Advisory Committee Act.
Additionally, the holding in Public Citizen v. National Economic Com'n clearly illustrates
that the Plaintiffs will suffer irreparable hann if a Temporary Restraining Order is not issued. The
Defendants' closure of their future meetings will forever prevent the Plaintiffs from attending and
participating in those meetings. Public Citizen v. National Economic Com'n stands for the
proposition that public scrutiny and analysis of advisory committee activities, which is the goal of
the Federal Advisory Committee Act, must be contemporaneous with the advisory committee's
activities, not after-the-fact. If a Temporary Restraining Order and Temporary Injunction are not
issued and the TASK FORCE's meetings are permitted to proceed behind closed doors, this Court
will not be able to "tum back the clock" to remedy the violation of the Federal Advisory
Committee Act. Injunctive relief is the only meaningful relief available to the Plaintiffs.
ii.
The public interest strongly favors the entry of a Temporary
Restraining Order and a Temporary Injunction.
Finally, as in Public Citizen v. National Economic Com'n, the balance of the potential
harm to the Defendants and the public interest militates strongly in favor of the issuance of a
Temporary Restraining Order and Temporary Injunction.
As the letters of Hon. Bernard
The Defendants also cannot claim that the application of the Federal Advisory Committee
Act to the TASK FORCE is violative of separation of powers principles under the United States
Constitution. The United States Court of Appeals for the District of Columbia has expressly
examined the application of the FACA to the Executive Branch of the federal government and bas
concluded that a broad and general separation of powers attack on the statute is without merit.
See, Common Cause v. Nuclear Regulatory Commission, 674 F.2d 921, 935 (D.C. Cir. 1982)
(Court of Appeals was "not persuaded by the Commission's contention that the separation of
powers principle imposes a constitutional requirement that budget meetings be exempt from the
Sunshine Act"). Furthermore, the Defendants cannot claim that their overt failure to follow the
preliminary requirements of the Federal Advisory Committee Act (e.g., filing an advisory
committee charter) justifies the holding of meetings behind closed doors. This Honorable Court
has expressly rejected that contention. Food Chemical News, Inc. v. Davis, 378 F.Supp. 1048,
1051 (D.D.C. 1974) (holding that agency's failure to charter an advisory committee "cannot &e
employed as a subterfuge for avoiding the Act's public access requirements").
4
22
�....
Nussbaum, counsel to the President, illustrate, see Exhibits "E", "F", and "G" to Verified
Complaint. the TASK FORCE apparently intends only to open some selected meetings to the
public. According to recent press accounts, various groups of public and private consultants have
already been meeting behind closed doors with the individual Defendant, IRA MAGAZINER, and
perhaps other individual members of the TASK FORCE, for extended periods of time. The
Plaintiffs simply request that the Defendants comply fully with the Federal Advisory Committee
Act and not consider the statute to be merely precatory, and to hold all meetings, including any
meetings of subgroups and subcommittees of the TASK FORCE, open to the public after the
required charter has been filed and proper notice given in the Federal Register.
As recent press accounts illustrate, especially the Washington Post article discussed
previously, the "interdepartmental working group" led by Defendant, IRA MAGAZINER (who is
himself a member of the TASK FORCE), has apparently been meeting in secret with a large
number of "health care consultants", many of whom are from selected interests from the private
sector. The identities of many of these persons are still unknown, and these "working groups" of
consultants are meeting with IRA MAGAZINER and perhaps other members of the TASK
FORCE (many ofwhom are heads of administrative agencies), for extended periods of time in the
Old Executive Office Building. The Plaintiffs maintain that these meetings, when attended by one
or more individual members of the TASK FORCE, are themselves subject to the requirements of
the Federal Advisory Committee Act, S U.S.C. App. , Sections 1 through 14, and the Government
in the Sunshine Act, S U.S.C. Section SS2b, because they are meetings of a "subcommittee or
other subgroup" of the TASK FORCE within the meaning of Section 3 of the Federal Advisory
Committee Act, S U.S.C. App., Section 3.
Section 101-6.1004 of the Federal Advisory Committee Management Regulations,
provides, in relevant part, as follows:
The following are examples of advisory meetings or groups not covered by the Act
of this subpart; ...
23
··
�.
'.
.
.
:
(i)
Any meeting initiated by a Federal official(s) with more than one individual
for the purpose of obtaining the advice of individual attendees and not for
the purpose of utilizing the group to obtain consensus advice or
recommendations. However, agencies should be aware that such a
group would be covered by the Act when an agency accepts the
groups deliberations as a source of consensus advice or
recommendations; ..•
(Emphasis added.)
While the Defendants may rely on Nat. Anti-Hunger Coalition v. Exec. Comm Etc., 711
F.2d 1071 (D.C.Cir. 1983) to argue that any meetings ofthe various groups of private and public
sector "consultants" with Defendant, IRA MAGAZINER, or other individual members of the
TASK FORCE, are not within the ambit of the Federal Advisory Committee Act, Nat. Anti-
Hunger Coalition is clearly distinguishable from the present case. First, as the findings of the
District Court illustrated, the "task forces" at issue in that case reported to a subcommittee subject
to the FACA, which subcommittee, in tum, reported to the Executive Committee subject to the
FACA See, Nat. Anti-Hunger Coalition v. Executive Comminee, 551 F.Supp., at 527 (D.D.C.
1983). Thus, the "task forces" at issue in Nat. Anti-Hunger Coalition were at least two steps
removed from the Executive Committee which was subject to the FACA. Second, and more
importantly, the District Court seized on the language of the statute and determined that the
members of the "task forces" were "advisory committee staff" rather than "advisory committee
members" within the meaning of the FACA. See, Nat. Anti-Hunger Coalition v. Executive
Committee, 551 F.Supp. at 529.
In the present case, however, press accounts reveal that the various groups of private and
public sector "consultants" are only one step removed from the TASK FORCE, and also reveal
that Defendant, IRA MAGAZINER, and perhaps other individual memben of the TASK
FORCE (the majority of whom head federal administrative agencies), are meeting with these
groups of "consultants" as "a source of consensus advice or recommendations" within the
meaning of 41 C.F.R. Section 101-6.1004(i). See, January 25, 1993 "Remarks on Health C~
..
Refonn and an Exchange with Reporters", Weekly Compilation of Presidential Documents, Vol.
24
�•' f
•
29, No.4, at p. 97 (February 1, 1993) (where President Clinton stated that "the American people
will learn... that we have a First Lady... who can bring people together around complex and
difficult issues to hammer out consensus and get things done.") (Emphasis added.)
Accordingly, the Plaintiffs also seek a Temporary Restraining Order and Temporary
Injunction enjoining the Defendants, HILLARY RODHAM CLINTON, DONNA E. SHALALA,
LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, RONALD H. BROWN, ROBERT B.
REICH, LEON E. PANETTA, ALICE RIVLIN, CAROL RASCO, IRA MAGAZINER,
JUDim FEDER, individually, and in their official capacities as members of the PRESIDENTS
TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, their and its members, officers, and
successors, including any subgroups or subcommittees thereof meeting with one or more
individual Defendant members of the TASK FORCE, from' holding or conducting any meetings
until such time as the merits of the within case can be heard and determined.
iii.
Tlae Defendllnts will not suffer any cogni:llble harm if a
Temportuy Restraining Order and Temporlli'Y Injunction
is issued.
Finally, any harm to the Defendants due to requiring full compliance with the Federal
Advisory Committee Act is negligible, at best, whereas the public interest in the TASK FORCE's
full compliance with the Federal Advisory Committee Act is vast. The nation's health care
system, and any potential or contemplated reform of the system, significantly affects and will
significantly affect the lives of every citizen in the United States. Issues of access, cost, and the
distribution of the burdens and benefits of contemplated reform are of overarching concern to
every American, and especially the Plaintiffs herein. The public has an unequivocal statutory right
to scrutinize and participate in the business of its government under the Federal Advisory
Committee Act and the Government in the Sunshine Act. Accordingly, a Temporary Restraining
Order and Temporary Injunction requiring the Defendants' full compliance with the Federal
Advisory Committee Act and the Government in the Sunshine Act should issue.
2S
�.
••
IlL
THE PLAINTIFFS SHOULD NOT BE REQUIRED TO POST SECURITY OR, IN
THE ALTERNATIVE. IF SECURITY IS REQUIRED. SHOULD ONLY BE
REQUIRED TO POST NOMINAL SECURITY FOR THE ISSUANCE OF THE
REQUESTED TEMPORARY RESTRAINING ORDER AND TEMPORARY
INJUNCTION.
Rule 65(c) of the Federal Rules of Civil Procedure provides, in relevant part, as follows:
No restraining order or preliminary injunction shall issue except upon the
giving of security by the applicant, in such sum as the court deems proper, for
the payment of such costs and damages as may be incurred or suffered by any
party who is found to have been wrongfully enjoined or restrained. No such
security shall be required of the United States or an officer or agency thereof.
(Emphasis added.)
There is considerable authority for the proposition that a court may elect not to require
security pursuant to Rule 65(c) of the Federal Rules of Civil Procedure in "public interest"
litigation such as the present case where the potential harm to the Defendants is nonexistent or
insignificant and the public interest is strong. See, e.g., Highland Cooperative v. City of Lansing,
492 F.Supp. 1372, 1383 (W.O. Mich. 1980) (holding that no injunction bond is required for
injunction delaying construction project until an Environmental Impact Statement is filed); City of
Atlanta v. Metropolitan Atlanta Rap. Trans., 636 F.2d 1084, 1094 (5th Cir. Cir. 1981) (in action
to enjoin fare increase, "plaintiffs were engaged in public-interest litigation. an area in which
courts have recognized an exception to the Rule 65 security requirement"); Co"igan Dispatch
Co. v. Casaguzman, F.A., 569 F.2d 300, 303 (5th Cir. 1978) (under Rule 6S(c), trial court "may
elect to require no security at all"). In the present case, the Plaintiffs are clearly engaged in
"public interest" litigation and seek not only to vindicate their own statutory rights to be informed
of and participate in the activities of the TASK FORCE and its subgroups and subcommittees, but
also seek to vindicate the statutory rights of all American citizens to do so as well. To require
security in the case at bar would serve to deter the public from seeking to advance procedural
regularity and openness in the conduct of our government's decisional processes. Accordingly,
the Plaintiffs herein should not be required to post security for the issuance of the requested
Temporary Restraining Order and Temporary Injunction. Alternatively, the Plaintiffs herein_
26
�--
~-
..
-
.
.
w
'I
should be required to post only nominal security for the issuance of the requested Temporuy
Restraining Order and Temporary Injunction if any security is required. See, Public Citizen v.
Nationtll Economic Com'n, 703 F.Supp. 113, 130 (D.D.C. 1989) (where this Court ordered
Plaintiffs to post one-hundred dollars ($100.00) as security in a case brought under the Federal
Advisory Committee Act and the Government in the Sunshine Act).
CONCLUSION
For all the foregoing reasons, a Temporuy Restraining Order and Temporuy Injunction
should issue, enjoining the Defendants from conducting any meetings of the TASK FORCE,
including any meetings of any subgroups or subcommittees thereof: which meet with one or more
individual Defendant members of the TASK FORCE, until an advisory committee charter is filed
pursuant to Section 9 of the Federal Advisory Committee Act and until all such meetings are open
to the Plaintiffs' attendance and participation and are announced in advance in the Federal
Register, pursuant to Section 10 of the Federal Advisory Committee Act and the Government in
the Sunshine Act, S U.S.C. Section SS2b.
Respectfully submitted,
KENT MASTERSON BROWN, ESQ.
CHRISTOPHER J. SHAUGHNESSY, ESQ.
BROWN & BROWN, P.S.C.
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
Facsimile (606) 252-6791
27
�.--,:.
'
If
r
•
I
~~
~DYi,ESQ.
M ~'-1~,.......__
BarNo. 215379
FRANK M. NORTHAM, ESQ.
BarNo. 206110
WEBSTER, CHAMBERLAIN
&BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF
AMERICAN
PHYSICIANS
AND
SURGEONS, INC., AMERICAN COUNSEL FOR
HEALTII CARE REFORM, and NATIONAL
LEGAL & POLICY CENTER
28
�UNITED STATES DISTRICf COURT
DISTRICT OF COLUMBIA
)
)
)
)
)
)
)
)
)
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc.,etaL,
Plaintiffs
.
HILLARY RODRAM CLINTON, etc., et aL,
Defendants
CIVIL AcriON N O . - - - -
IUDGE ___________
ORDER
On Motion of the Honorable Frank M. Northam and the Honorable Alan P. Dye, members
of the bar of this Court in good standing, for the Honorable Kent Masterson Brown, a member of
the bar of the Supreme Court ofKentucky, to be pennitted to appear and participate in the aboveentitled cause, pro hac vice, and it appearing that said Honorable Kent Masterson Brown meets
all the requirements of Rule 104 of the General Rules of this Court, and it further appearing that
the Defendants will interpose no objection thereto, and the Court being otherwise sufficiently
advised;
IT IS HEREBY ORDERED AND ADJUDGED that the said Motion be and the same is
hereby GRANTED, and the Honorable Kent Masterson Brown be and he is hereby permitted to
appear and participate in the above-entitled cause pro hac vice.
Dated:__________
JUDGE, UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
.
/
1
�UNITED STATES DISTRICT COURT
DISTRICT OF· COLUMBIA
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc., et aL,
Plaintiffs
)
)
)
)
)
)
~
CIVn. ACTION N O . - - - JUDGE ___________
)
BII...LARY RODBAM CLINTON, etc., et aL,
Defendants
)
)
MOTION FOR TEMPORARY RESTRAINING ORDER
NOW COME the Plaintiffs, ASSOCIATION OF AMERICAN PHYSICIANS AND
SURGEONS, INC., AMERICAN COUNCU.. FOR' HEALTil CARE REFORM, and
NATIONAL LEGAL & POLICY CENTER, by and through the undersigned counsel, and hereby
move this Honorable Court for a Temporary Restraining Order, pursuant to Rule 6S(b) of the
Federal Rules of Civil Procedure; restraining and enjoining the Defendants, HILLARY RODHAM
CLINTON, DONNA E. SHALALA, U.OYD E. BENTSEN, LES ASPIN, JESSE BROWN,
RONALD H. BROWN, ROBERT B. REICH, LEON E. PANETTA, ALICE RIVLIN, CAROL
RASCO, IRA MAGAZINER, and JUDITH FEDER, individually, and in their official capacities
as members of the PRESIDENTS TASK FORCE ON NATIONAL HEALTil CARE REFORM,
and the Defendant, PRESIDENTS TASK FORCE ON NATIONAL HEALTII CARE
REFORM, their and its officers, members, and successors, and any subgroups or subcommittees
thereof meeting with one or more individual Defendant members of the TASK FORCE, from
conducting any meetings pending a hearing and detennination of Plaintiffs' Motion for a
Temporary Injunction filed with this Court on February 19, 1993.
.
Unless this Motion is granted, Plaintiffs will suffer immediate and irreparable injury, loss
and harm in that the Defendants will be free to meet and conduct the meetings of the in!fividual
1
�Defendants, as members of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM, and of the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL
HEALTH CARE REFORM, and meet and conduct meetings of subgroups and subcommittees
thereo( without Defendants filing an advisory committee charter, and, at the same time, refuse to
pennit the Plaintiffs to attend and participate therein, and further refuse to provide adequate
notice of said meetings in the Federal Register, until a hearing can be had on Plaintiffs' Motion for
a Preliminary Injunction, as more fully set forth in Plaintiffs' Verified Complaint for Declaration of
Rights, Restraining Order, and Temporary and Permanent Injunctive Relief and the Affidavits of
Genevieve Young and J. Chad Jackson attached hereto.
Pursuant to Local Rule. 108, Plaintiffs hereby request an oral hearing on the within
Motion.
KENT MASTERSON BROWN, ESQ.
CEmaSTOP~J.S~UG~SSY,ESQ.
BROWN&. BROWN, P.S.C.
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
I
M~ M~cbAifA~
F~)2S2-6791
P.DYE,ESQ.
BarNo. 215379
FRANK M. NORTHAM, ESQ.
Bar No. 206110
WEBSTER, CHAMBERLAIN
&BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
2
�t
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF
AMERICAN
PHYSICIANS
AND
SURGEONS, INC., AMERICAN COUNCIL FOR.
HEALTH CARE REFORM, and NATIONAL
LEGAL & POLICY CENTER.·
3
�UNITED STATES DISTRICI COURT
DISTRICT OF COLUMBIA
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
)
)
)
etc., et aL,
)
Plaintiffs
)
)
vs.
)
CIVIL ACTION N O . - - - JUDGE ___________
)
HILLARY RODHAM CLINTON, etc., et aL,
Defendants
)
)
ORDER SET11NG HEARING ON
MOTION FOR TEMPORARY RESTRAINING ORDER
On Motion of the Plaintiffs for a Temporary Restraining Order, with a request for an oral
hearing of the Motion, and the Court being otherwise sufficiently advised;
IT IS HEREBY ORDERED that
Plaintiffs Motion for a Temporary Restraining Order shall be heard in Room
----..J
at
_.m., on February ---J 1993, in the United States Court House, Washington, D.C.
Dated: ______
JUDGE, UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
•
I
1
�UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
)
)
)
)
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc.,etal.,
Plaintiffs
)
vs.
)
)
)
)
.
HILLARY RODHAM CLINTON, etc., et aL,
Defendants
CIVIL ACTION N O . - - - -
JUDGE ___________
TEMPORARY RESTRAINING ORDER
The Court has considered the Plaintiffs' Motion for a Temporary Restraining Order,
pending the hearing and determination of Plaintiffs' Motion for a Temporary Injunction herein; the
Verified Complaint for Declaration of Rights, Restraining Order, and Temporary and Permanent
Injunctive Relief, and the Affidavit of Genevieve Young in which it appears that the Defendants
will be free to conduct meetings of the individual Defendants, as members of the PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
Defendan~
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, without a charter
therefor having been filed and without permitting the Plaintiffs to attend and participate in all
meetings of the individual Defendants, as members of the PRESIDENT'S TASK FORCE ON
NATONAL HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM, and without providing sufficient advance notice in the
Federal Register prior to a hearing on Plaintiffs' Motion for Temporary Injunction.
On the basis of these pleadings and papers, it appears to the Court that Plaintiffs will suffer
immediate and irreparable injury, loss and harm in that the Defendants will be free to hold and
.
conduct meetings of the individual Defendants, as members of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the Defendant, PRESIDENT'S TASK
1
�FORCE ON NATIONAL HEALTH CARE REFORM, and meet and conduct meetings of
· subgroups and subcommittees thereo( without an advisory committee charter having been filed
and without the Plaintiffs being allowed to attend and participate therein and without adequate
notice having been given in the Federal Register of said meetings before a hearing can be had on
Plaintiffs' Motion for a Temporary Injunction, and the Court is of the opinion that a Temporary
Restraining Order should be issued.
Therefore, IT IS ORDERED that:
1.
The Defendants, HILLARY RODHAM CLINTON, DONNA E. SHALALA,
LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, RONALD H. BROWN, ROBERT B.
REICH, LEON E. PANETTA, ALICE RIVLIN, CAROL RASCO, IRA MAGAZINER,
JUDITII FEDER, individually, and in their official capacities as members of the PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the Defendant,
PRESIDENTS TASK FORCE ON NATIONAL .HEALTH CARE REFORM, their and its
officers, members, and successors, and any subgroups or subcommittees thereof meeting with one
or more individual Defendant members of the TASK FORCE, be and they and it are hereby
enjoined and restrained, pursuant to Rule 65 of the Federal Rules of Civil Procedure, from holding
or conducting any meetings until such time as Plaintiffs' Motion for a Temporary Injunction can
be heard and determined. This Temporary Restraining Order does not extend to enjoin or restrain
any outside consultants to the TASK FORCE from meeting amongst themselves.
2.
_ .m. on
3.
Plaintiffs' Motion for a Temporary Injunction will be heard by this Court at _._ _
1993.
Plaintiffs are not required to post bond or other security as a condition of obtaining
this Order.
4.
This Temporary Restraining Order will expire
on----~
1993, unless
within such time, the Order is extended for good cause shown or unless the Defendants consent to
an extension.
2
�5.
A copy of this Order shall be immediately served by the United States Marshal on
all Defendants herein.
Dated:_ _ _ __
JUDGE, UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
..
3
�UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
)
)
)
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc., et aL,
Plaintiffs
)
)
vs.
)
CIVIL ACTION N O . - - - JUDGE ____________
)
BU.LARY RODBAM CLINTON, etc., et al.,
)
)
Defendants
MOTION FOR A TEMPORARY INJUNC7'ION
NOW COME the Plaintiffs, ASSOCIATION OF AMERICAN PHYSICIANS AND
SURGEONS, INC., AMERICAN COUNCIL FOR' HEALTH CARE REFORM, and
NATIONAL LEGAL & POLICY CENTER, by the undersigned counsel, and hereby move this
Honorable Court for a Temporary Injunction, under the authority of Rule 6S(a) of the Federal
Rules of Civil Procedure, enjoining the Defendants, HILLARY RODHAM CLINTON, DONNA
E. SHALALA, LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, RONALD H. BROWN,
ROBERT B. REICH, LEON E. PANETTA, ALICE RIVLIN, CAROL RASCO, IRA
MAGAZINER and RJDITH FEDER, individually, and in their official capacities as members of
the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, their
and its officers, members, and successors, and any subgroups or subcommittees thereof meeting
with one or more individual Defendant members of the TASK FORCE, from conducting any
meetings pending a final hearing and determination of the merits in the above-entitled cause.
Unless the Defendants are restrained and enjoined by order of this Honorable Court,
Plaintiffs will suffer immediate and irreparable injury, loss and harm in that the Defendants will ~
free to meet and conduct the meetings of the individual Defendants, as members of the
1
�-----'-
PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and
meet and conduct meetings of subgroups and subcommittees thereof, without Defendants filing an
advisory committee charter and, at the same time, refuse to permit Plaintiffs' to attend and
participate therein, and, further, refuse to provide adequate notice of the meetings in the Federal
Register, all as more fully described in the Verified Complaint for Declaration of Rights,
Restraining Order, and Temporary and Permanent Injunctive Relief and the Affidavits of
Genevieve Young and 1. Chad Jackson. The Motion is made on the additional ground that
Plaintiffs have no adequate remedy at law.
Pursuant to Local Rule 108, Plaintiffs hereby request an oral hearing on the within
Motion.
.!I
ALANi.DYE, ESQ:
. BarNo. 215379
FRANK M. NORTHAM, ESQ.
Bar No. 206110
WEBSTER, CHAMBERLAIN
&BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
2
•,
�---~-;-
--
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF
AMERICAN
PHYSICIANS
AND
SURGEONS, INC., AMERICAN COUNCIL FOR.
HEALTH CARE REFORM,· and NATIONAL
LEGAL & POLICY CENTER
..
3
�UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
)
)
)
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc., et aL,
Plaintiffs
VL
HILLARY RODHAM CLINTON, etc., et aL,
Defendants
)
)
)
)
)
)
CIVn. ACTION NO. _ _
JUDGE _ _ _ __
TEMPORARY INJUNCI'ION
This matter came on to be heard on Plaintiffs' Motion for a Temporary Injunction pursuant
to Rule 65 of the Federal Rules of Civil Procedure, to enjoin and restrain the Defendants from
conducting meetings of the individual Defendants, as members of the PRESIDENT'S TASK
FORCE ON NATIONAL HEALTH CARE REFORM, and the Defendant, PRESIDENT'S
TASK FORCE ON NATIONAL HEALTH CARE REFORM, their and its officers, members,
and successors, and any subgroups and subcommittees thereof, without a charter therefor having
been filed and without them permitting Plaintiffs to attend and participate in all meetings of the
Defendant, as members of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM, and the Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH
CARE REFORM, and the subgroups and subcommittees thereof, and without them providing
sufficient advance notice in the Federal Register, prior to a hearing on the merits of the within
action.
Now having considered ·Plaintiffs' Verified Complaint for Declaratory Judgment,
Restraining Order, and Temporary and Permanent Injunctive Relief, the Affidavits filed therewith
and such other evidence in the record and the arguments of counsel, this Court hereby finds anU
concludes as follows:
1
�FINDINGS OF FACT
It appears from the evidence that the PRESIDENT'S TASK FORCE ON NATIONAL
HEALTil CARE REFORM is established for the purpose of the President of the United States
obtaining advice and recommendations on national health reform and preparing legislation on
health care reform to be submitted to Congress. The TASK FORCE consists of at least twelve
members, including the SecretaJy of Health & Human Services, the Secret&l)' of the Treasury, the
SecretaJy of Defense, the SecretaJy of Veterans Affairs, the Secret&l)' of Commerce, the
Secretary of Labor, the Director and Deputy Director of the Office of Management and Budget,
three White House advisors and the First Lady.
The First Lady is not a federal employee or a federal officer under the meaning of Title S
U.S.C. App., Section 10, or TitleS U.S.C. Section SS2b. She cannot be a federal employee or
federal official under Title S U.S.C. Section 3110. The PRESIDENT'S TASK FORCE ON
NATIONAL HEALTH CARE REFORM is thus not "composed wholly of full-time officers and
employees of the Federal Government," within the meaning of TitleS U.S.C. App., Section 3.
Although the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE
REFORM itself has not held a meeting to date, a meeting is imminent. Various subgroups and
subcommittees thereof, however, have been, and are now, meeting, and said meetings are being
conducted by at least one or more members of the TASK FORCE with various persons and
interests outside of the federal government. The meetings to date have not been noticed in the
Federal Register, and have not been opened to the public.
The Plaintiffs have formally requested that they be permitted to attend and participate in
the meetings and deliberations of the PRESIDENT'S TASK FORCE ON NATIONAL HEALTil
CARE REFORM, including the subgroups and subcommittees thereof, but they have been denied
their request by the Defendants, who claim that the Federal Advisory Committee Act, Title S
U.S. C. App., Sections 1 through 14, and the Government in the Sunshine Act, S U.S.C. Section
SS2b, do not apply to the TASK FORCE. Consequently, the TASK FORCE has not filed
2
.
an
�advisory committee charter, and has published no notice of meetings in the Federal Register, and
has not opened, and does not intend opening, all of its meetings to the Plaintiffs and the public.
CONCLUSIONS OF UW
In view of the foregoing, the Court concludes that the Plaintiffs are entitled to a
Temporary Injunction, pending a final hearing on the merits or until further orders of the Court.
It appears as though there is a substantial likelihood Plaintiffs will succeed on the merits of the
case, irreparable injury will result in the absence of the relief requested; the Defendants will not be
harmed by the entry of a Temporary Injunction; and the public interest is served by the entry of a
Temporary Injunction.
Therefore,
IT IS ORDERED that the Plaintiffs' Motion for a Temporary Injunction be and the same is
hereby GRANTED,
IT IS FURTHER ORDERED that the Defendants, HILLARY RODHAM CLINTON,
DONNA E. SHALALA, LLOYD E. BENTSEN, LES ASPIN, JESSE BROWN, RONALD H.
BROWN, ROBERT B. REICH, LEON E. PANETTA, ALICE RIVLIN, CAROL ROSCO, IRA
MAGAZINER, and JUDITH FEDER, individually, and, in their official capacities as members of
the PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, and the
Defendant, PRESIDENT'S TASK FORCE ON NATIONAL HEALTH CARE REFORM, their
and its officers, members, and successors, and any subgroups or subcommittees thereof meeting
with one or more individual Defendant members of the TASK FORCE, be and they and it are
hereby enjoined and restrained, pursuant to Rule 65 of the Federal Rules of Civil Procedure, from
holding or conducting any meetings until such time as the Court considers the merits of the within
cause or until further orders of the Court. This Temporary Injunction does not extend to enjoin
or restrain any outside consultants to the TASK FORCE from meeting amongst themselves.
Dated:_ _ __
3
i
�- -,--
------------------
JUDGE, UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
4
----
�UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc., et aL,
Plaintiffs
)
)
)
)
)
VL
)
CIVIL ACTION N O . - - - -
JUDGE ___________
)
HILLARY RODHAM CLINTON, etc., et al.,
Defendants
)
)
AFFIDAVITOFGL~
KENT MASTERSON BROWN
.
d
=t
CErnUSTOP~J.S~UG~SSY
BROWN&. BROWN, P.S.C.
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
Fac · · (606) 252-6791
AL
P. DYE, ESQ.
BarNo. 215379
FRANK M. NOR1HAM, ESQ.
BarNo. 206110
WEBSTER, CHAMBERLAIN
&BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
•
I
1
�COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF
AMERICAN
PHYSICIANS
AND
SURGEONS, INC., AMERICAN COUNSEL FOR
HEALTH CARE REFO~ and NATIONAL
LEGAL & POLICY CENTER
2
�I, Genevieve M. Younq, owner of Health Law Hotline•, a leqal
information service, 5500 MacArthur Boulevard, NW, Washinqton, DC
20016, personally appeared in offices of Representative William P.
Clinqer, Republican Chairman of the commit~ee on Government
Operations, and received the followinq documents from Betsy
Linaburqer:
1. Letter dated February 1, 1993, from William F. Clinqer to
The Honorable William J. Clinton, President of the United StatesJ
2.
Letter dated February 5, 1993, siqned "Bill Clinton"
to William F. Clinqer:
3.
Letter dated February 5, 1993, from Bernard W. Nussbaum,
Counsel to the President, to William F. Clinqer.
I, Genevieve M. Younq, do hereby solemnly swear that the
attached copies of the above-named documents are true and correct.
s!<f'~.~r
~~.u.I'L )b i-~trict of Columbia. me on this .&.._
appeared before
i!iiiay
of February, 1993
the
~c~~
Not
Public
Vroinia A. Turner
.
Notary Public, Oistrid of Columbia
Uy Commission Expire& May 14. 1996
�r
f.
ON£ HUaED TIGRD COIIGREII
I
Q:ongras of tht Bnittd g;mts
tlwE of 'RqmarmiDo
·.
COMMrn'EE ON GOVERNMENT OPERATIONS
215 7 R.lYIUaN
HOUSI
WAIMINGTON.
O•JICI IV..._ .
DC 2D51W1•3
February 1, 1993
The Honorable William J. Clinton
President of the United·States
The Wbite Bouse
Wasbinqton, D.C. 20500
Dear Mr. President:
It is with concern that I have reviewed recent news accounts
suggesting the violation of the Federal Advisory Committee Act, 5
u.s.c. App (1988), by your Task Force on. Health care. 'l'he purpose
of this latter is to seek illllediate action to ensure no further
violation of f&aaral law until such time that the task force is
exeapted froa the Act or that it is restncturad to render the Act
nonapplicable.
'l'he Federal Advisory Co11111ittee Act (FACA) raqulates the
forJDation and operation of advisory collllittees by federal agenciu
in the Executive Branch. It is deliberative bodies such as this
taak force, which include aellbership froa both within and outside
government, which the congress sought to bring into the sunshine
throu;h the enactment of FACA.
FACA defines •advisory co11111ittee• to include, inter alia, any
group (1) established by the President, (2) in the interut of
obtaining advice or recollllendations, ancl (3) not coaposad vbolly of
full-time federal officers or eaployaes. It appears that the Task
Force on Health care aeets this definition, as it vas established
for the purpose of obtaining a consensus on recommendations for
health care reform leqislation and is chaired by an individual who
is not a full-time federal officer or aaployee.
once an organization satisfies the statutory definition of ·:
advisory co11111i ttee, all aeetinqs aust be advertised in advance
•
throuqb the Federal Register and held open to public observation.
Furthermore, all records, transcripts ancl drafts prepared by the
co. .ittee aust be aada available to the public.
'l'o -r understandinq, the Task Force on Health care held ita
first meetinq during the week of January 25, 1993. In violation of
the statute, the task force had neither filed a charter with ~
General Services Administration nor allowed the public to attend·
�Paqe 2
The Honorable William J. Clinton
February 1, 1993
its first formal meeting. Furthermore, White House press secretary
Dee Dee Myers has indicated that such meetings "will continua to be
closed throughout the development of the policy.•
·
As the Republican Chairman of the House Committee on
Government Operations, with sole jurisdiction over PACA, I must ask
that you taka immediate steps to ensure that no·further violatioft8
of this Act occur. Compliance can be achieved by chartering the
task force with the General Services Ad.ministration and making each
of its meetings open to the public following sufficient notice in
the Federal Register. You may otherwise wish to submit legislation
to congress seeking an exemption for this task force from the PACl
provisions.
I have also asked the minority staff on the House Governmant
Operations committee to conduct a further inquiry to ensure that no
further violation of FACA occurs and that no other federal statute.
has been violated through the conduct of these meetings. 'l'o aaaiat
us in this investigation, please make availa))le to my cOJialittae
staff a list of past and future meeting dates of the task force
along with the names of the participants at each meeting.
Let me say in closing that while I am concernact that no
further violation of federal law occur, I am quite supportive of
your efforts to formulate a policy to solve the nation's current
health care crises. In fact, I am introducing legislation this
week which will include the spouses of the President ancl Vice
President under the definition of full-time federal officer for the
purposes of FACA.
It is within my support of your efforts,
however, that I urge you to take steps to ensure that health care
reform policies are developed in full compliance with all federal
laws and regulations.
Please contact myself or ask your staff to contact Kevin Sabo,
my committee counsel, at 202-225-2738, if you require further
information regarding this request.
..
..
..
�..
•·.
THE WHITE HOUSE
WASHINGTON
February S, 1993
Dear conqressman Clinqer:
Thank you for your letter of February 1
concerning my health care task force. I appreciate
your support of my efforts to formulate a national
health care policy. It is my intention to develop a
plan for high quality, affordable health care for all
Americhs, ancl I have askecl the health care taaJt
force to help me develop leqislation for
comprehensive health care reform.
I have referred your questions concerninq tba
Federal Advisory committee Act to Bernard Husaba\Jil,
the Wbita Bouse Counsel. Mr. Huaaba\DI haa preparecl a
letter addressing your concerns, which he will
deliver to you under separate cav.r. I have also
askecl Mr. Nussbaum ancl his staff to be available to
answer any.further questions you may have on legal
issues relating to the health care task force.
With best wishes,
Sincerely,
The Honorable William F. Clinger, Jr.
Bouse of Representatives
Washinqton, D.C. 20515
�.
I
'
..
THE WHITE HOUSE
WASHINGTON
February s, 1993
The Hon. William F. Clinqer, Jr.
Committee on Government Operations
Conqress of the United States
House of Representa~ives
2157 Rayburn House Office Building
Washington, D.C. 20S1S-6143
Dear Representative Clinger:
The President has asked me to respond to your letter,·
dated February 1, 1993, concerning the President's health care
task force.
The President has selected tha First Lady, Hillary
Rodham Clinton, ,to chair the health care task force. In additicm
to the First LadY, the task force currently includu the
Secretaries of the Treasury, Defense, commerce, Labor, Health and
HWDan Services, and Veterans AffairsJ the Director of the Office
of Management and Budget: the Assistant to the President for
Domestic Policy 7 the Assistant to the P~esidant for Econaai.c
Policy 7 the Chair of the council of Economic Advisors: and the
senior Advisor to the President for Policy Development.
The task force bas not yet held a meeting, althouqh
melllbers of the task force were present on January 25 wben the
President aMounced the formation of the task force and defined
its mission. The task force is plaMing to bold same public
meetings in the future. Those meetings have not yet been
scheduled.
As the President announced on January 25, the Senior
Advisor to the President for Policy Development will lead an
interdepartmental workinq group which will gather information
for, and provide information to, the task force. The working
qroup will consist of qovernment employees, and will consult with
a wide range of citizens in the public and privata sectors. The
task force, in turn, will review information provided by the
working qroup and make recommendations to the President.
It is our opinion that the Federal Advisory Camaittaa
Act ("FACA") does not, and was not intended by Congress to, apply
to the health care task force. The participation of the First
Lady on the task force does not triqqer application of the Act.
•
I
•
�----..--
..
...
The Hon. William F. Clinqer, Jr.
February 5, 1993
Page 2
Finally, we appreciate your intention to introduce
leqislation to amend FACA to provide that the Act is not
triggered by the participation of the spouse of the President or
the spouse of the Vice President on a committee or task force
malting recommendations to the President. We believe, hawev.r,
that the existing statute already provides for sucb a result.
Please feel free to contact me, my deputy Vincent
Foster or Stephen Neuwirth. of this office, should you require
further information in response to your inqairy.
~m,_
w.
Barnard
Nussbaum
counsel to the President
•
.
•
�UNITED STATES DISTRICT COURT
DISTRICT OF COLUMBIA
)
)
)
)
ASSOCIATION OF AMERICAN
PHYSICIANS AND SURGEONS, INC.,
etc., et aL,
Plaintiffs
)
)
VL
)
HILLARY RODHAM CLINTON, etc., et aL,
CIVIL ACTION N O . - - - IUDGE ___________
)
)
Defendants
)
AFFIDA. V1T OF J. CHAD JACK$0N
l~t.
A
•
KENT MASTERSON BROWN
-
C~STOP~J.S~UG~SSY
BROWN & BROWN, P.S.C.
1114 First National Building
167 West Main Street
Lexington, Kentucky 40507
(606) 233-7879
Facsimile (606) 252-6791
J
~Mh d1k ....ALAN P. DYE, ESQ. '
BarNo. 215379
FRANK M. NORTHAM, ESQ.
Bar No. 206110
WEBSTER, CHAMBERLAIN
&BEAN
1747 Pennsylvania Avenue, N.W.
Suite 1000
Washington, D.C. 20006
(202) 785-9500
1
.•
�-------
COUNSEL FOR PLAINTIFFS, ASSOCIATION
OF
AMERICAN
PHYSICIANS
AND
SURGEONS, INC., AMERICAN COUNSEL FOR
HEALTH CARE REFORM, and NATIONAL
LEGAL&. POUCY CENTER
2
�AFFIDAVIT
On February 16, 1993, at the request of Kent Masterson
Brown, Esq. of Lexington, KY, I, Chad Jackson, resident of
Fairfax, VA, and under the employ of Association of American
Physicians and Surgeons, in Washington, D.C., attempted to locate
a charter for the President's Task Force on National Health
Reform.
According to GSA Management Regulations a copy of charters
for Presidential Advisory committees should be filed at the
Library of Congress, Exchange and Gift division, Federal
Documents section. I located the appropriate section in the
Library of Congress and spoke with Mrs Alma Mather. Mrs Mather
informed me that she had no recollection of any charter being
filed for this task force and escorted me to the basement where
she sifted through the current mail searching for the charter.
When she could not locate the charter in any of the areas under
her jurisdiction, Mrs Mather directed me to the Serials Division
to speak specifically with Mr. Mark Sweeney. Apparently Mr
sweeney handles the charters after the Exchange and Gift Division
sorts and records them.
Mr sweeney also had no recollection of the charter in
question and could not locate one. I called Mr. sweeney today
and he stated that the charter for the President's Task Force on
National Health Reform has not been filed in the Libra
of
Congress as of the date of this Affidavit.
J.
c
SS:
Subscribed and sworn to before me, this
February, 1993.
My Commission expires:
/D)
~~ of
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
FACA Documents [3]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 4
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-004-004-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/dba125e78af6b00dac39cc1e9effd283.pdf
ae71316ee5941f359529ec3d52dc71d7
PDF Text
Text
Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
001. fax
DATE
SUBJECTffiTLE
04/20/1993
Declaration of Mary Schuneman. (4 pages)
RESTRICTION
P5
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
FACA Documents [2]
2006-0223-F
ab859
RESTRICTION CODES
Presidential Records Act- (44 U.S.C. 2204(a))
Freedom of Information Act- (5 U.S.C. 552(b))
PI National Security Classified Information ((a)(l) of the PRA)
P2 Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute ((aX3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRAJ
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6)ofthe PRA)
b(l) National security classified information ((b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.·
PRM. Personal record misf'de defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
DATE
SUBJECTffiTLE
RESTRICTION
AND TYPE
001. fax
04/20/1993
Declaration of Mary Schuneman. (4 pages)
PS
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
FACA Documents [2]
2006-0223-F
ab859
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. l104(a))
Freedom of Information Act- [S U.S.C. SS2(b))
PI National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(l) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
fmancial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) of the FOIA)
b(l) Release would disclose internal personnel rules and practices of
an agency [(b)(l) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) ofthe FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�•.·
"'t
~G.-2nd
SESS.
T /1St:.
aet.:.
·.t·
1
. l_?~c(c.--
PUBLIC LAW 101-393 [B.R. 5488); October 6, 1992
of th
_#Ult and Seasonal
(29 tJ.o.C. 1864) il amended
1riDf new eubeeetion:
~.
er provision of thil Act, where
il appUcable aod coverage il
picultiiral worker, the worken'
, udusive remedy for 1011 ot
case or bodily iniwy or death.
ibed by paragraph (1) precludes
r actuial damqea for 1011 ftoJD
:lude recovery under subsection
ction.•.
·
TREASURY, POSTAL SERVICE, AND GENERAL
GOVERNMENT APPROPRIATIONS. Acr, 1993
A1t N.t ....... .,...,....... fw the Trecnury Oep..._...., the United llatee ,_...,..,.._,the
laecullve Ofllce ef the ............. acl _..... hldependent ~ fw the "-1 , _
....... ..,•••••, . . 1991, _, . . ....., ..........
1H it truxt«l by tAl StMII arwl Hou. of S.p,.,,.,.,dtiu11 of
tlal U11illcl S14111 of America i11 Co,..,.,, a•mbl«<, 'nlat the
rollowina tWill are appropriated, out or ey money in the Treuury
not otherwile appro~riat.d, ror the Treuury Department, the
United Statal Poetal Service, the Executive Office ol the Preeident,
and certain lnder.ndent Annciu, lor the fteca1 year endinr
September 30, 199 , and lor other purpo111, IWDely:
·
:~dment
made by subsection (a)
lmenced after the date or the
' 1 not apply after the expiration
.
1
ding any appUcable stat~te or
. d=es brought by a augrant
m
· y injury or death under
i Seasonal Ajricultural Worker
be brought during the 9-montb
1 ( 1) may be commenced, either
,r as an action by itaell, after
A statute ol limitations which
~entence shall be extended lor
• or expiration or such statu~ .
egislative Branch Appropriatio~
TITLE I
DEPARTMENT OF THE ~URY.
.
DEPARTMENTAL Omca
.IALAIUU AHD IXPIH8II
..
For neceuary expeneee ol the Depaltmental omce. lncludlnr
O{Mir&tion Uld maintell&JlCI ol the TriuUI'J Ju1J~ and ~~Xi
hire or ,.....r motor vehlclll; DO& to aCMcl tU,OOO tor OIDCW
reception ud repreeentation apeDIII; no& to aceed h3S\qoo lor
unlol'lllln tllllr(lncill ol a ooftftcltntlal u&un, to be auocated
and ,.ndtd uder the dlrectton ot the Stcrt~ of &be Tn~
=~ot& ~'in~~~.~
:..r::·".a:.~:-;
Forelp Aultl Coatrol; no& to._. tl,fti,OOO to ~'~maiD available
until ~cW, tor IJI&eiDI ~&loa ~tl; DR to
UCMd MIO,OOO, to nawa available uW ~d... tor repa1n
ad S.praYtiUiitl to the Mala Trluury IUiJIIIDI ud ADa;
171,201,000.
. . . . . . ;:..:,
· l·r
·\
·'J
:....
! '
IN'riiHATIOHAL Af'rA'IM
•
."f
:
I"
; .•. \..
~· ~
I..
o
,1~· • ;
;
Por UOIIIII')' ~..!'MI ot the IDtaru&toul al'aln ·fuutloa
ot the ~atal om... 1ae1~ ~tloa uu1 ma~ae....
ot the ~ IWldlq lad AuG; bin fll ~ motor
vehlcltl: malataance, ~. ud IID~tl" ...r ~
or OOIDIDerdalluvulcl poUdtllor, nil~ leutd or owuc1
oveneu, whta 11101uary lor the ~ ot olldal
DO& to tBMd t2 000,000 lor offtcll1 trl¥11
DR to
=---· "::'d
:=.~:o~ :tt:·a=lab~.,.~~-=
IDOdtrnllatloa nquimllta:tt; 138,408,000.
...
)
·AT. 112s
F~£) f[.
108 STAT. 1729
· ··
..
�4. CONG•.!..Znd SESS.
Oet. 6
• flRY other provision _of.law, a Fede~al
Lhe deposit from eX1st1ng appropna·
yees Compensation. AcCOllnt or ~he
.. rea··. ·-t by sectiOn 8509 or title
!r th.
ty days aner the De~art·
•eney
.e amount to be depos1ted.
'the pro~sions of the Act of Septem·
, -258, 31 U.S.C. 1345), any agency,
of the United States which provides
:are services for Federal employees
mr.loyee or any person employed to
ve transportation, and subsistence
:la~ses, coruerences or othe~ meetings
ion or such services: Prov&ded, That
, pursuant to this s-.ction shall not
regulations prescribed pursuant to
:tates Code.
e specifically provided, the maximum
:urrent fiscal year in accordance with
~st 2, 1946 (60 Stat. 810), for the
:otor vehicle (excl\llive of b\llls and
at $7,100 except station wasons for
$8 100: Providlld, That these limits
cce~d $3,700 for police·type vehicles,
special heavy-duty vehicles: Provided
' th in this section may not be exceeded
electric or hybrid vehicles purchased
~rovisions of the Electric and Hybrid
nt and Demonstration Act of 1976:
i~ts aet forth in this section may
ntal coat of clean alternative fu~ls
, Public Law 101-349 over the cost
ueled vehicles.
..f
1 of the executive departments and
for the current fiscal year available
~ he expenses of the activity concerned,
for Q'' · "'rl allowances and coat-of·
:e wi
.S.C. 5922-24.
.::·
.ae IJ.
..d durins the current ftecal
iation contained in this or any other
,m~naation of any officer or employee
Jmted States (includins any apncy
which is owned bf the Government
• post of duty is 1n the continental
Jeraon (1> is a citizen of the United
:he service of the United Statea 01
Act who, beins elisible for citizenship,
ntention to become a citizen of tile
date and il actually reaidins in the
tD who owes allesiance to the United
Cuba, Poland, SOuth Vietnam. or the
utted to the United States for _penu·
Vietnamese, Cambodian, and LaotiiD
ted States after January 1, 1975, :.r.
Repub~ic of China pro~ted bi_
tf A~nl 11, 1990: Pro11ided, That 111 amdavit siped by any auch penot
1
I
1
Exef:
Oct.
o
:·:. · ... ~ .. POSTAL, ETC., APPROP.
shall. be ~nsid~red prima fac:~e evidfnce that the requirements
o~ th1s sect~on w1th res~ct to h1s or her status have been complied
w1th: Proc:rded further, That any person makins a false affidavit
shall be JUilty Of a felo~y, &~d, Upon C~!\vic:tion, shall be fined
no more than_ $4,000 or 1m_p_nsoned tor nut more than one year,
~r bot~:. Proc:uud furtlae~. That the abo\·e ~enal clause ahall be
an a4d1~1on to, and !lOt an substitution for any other provisions
of ex1stmg law: Prov1tied furth.r, That any payment made to an
officer or empl~yee c~ntrary to the provisions of this section shafi
be recoverable 1n ac~1~n by the Federal Government. This seetion
sh~l~ n~t apply to Citizens of Ireland, Israel, the Republic: or the
Ph1hpp~nes or to nationals of those countries allied with the United
States 1n the current defense effort, or to temporary employment
of translators, . or to temporary em~loyment in the field service
(not to exceed s1xty days) as a result of emergencies
.SEc. 608. Appropriations available to any department or agency
duryns the current fi~al year tor necessary expenses, including
ma1ntenance or operat1ng expenses, shall also be available for pay·
ment to ~he General Services Administration tor c:harses for apace
an~ ~ervtc:es and, ~~ose ex.penses or renovation and alteration or
bu1ldans~ and faaht1ea whtc:h constttute public: improvements per·
formed 1n accordance with the Public Buildinss Act of 1959 <73
Stat. 749), the Public Buildinp Amendments of 1972 (87 Stat
216), or other a~plicable law. ·
·
·
~~c. 60.9. Funds ma~e available by this or any other Act for
a.dmtn1atrat1ve ~xpenae.s 1n the current fiscal year of the CO!PQra·
t1ona and agenaes ~ubgect ~ chap~r 91 of title 31, United States
Code, shall be avada le, 1n additson to objects for which such
fund.a a~ otherwise av~lable, for rent in the District of Columbia·
serv1cea I!' accordance wath 5l!.~.C. 3109: and the objects specifi;d
under thu he~d. all the ~rovtstons of which shall be apP,licable
to the expenditure of such funds unleu otherwile ~c1fied in
the Act by which they are made available: Pro11Ukd That in the
event any functions budgeted u administrative expe~ea are subae·
quently. t.ransf~rred to or paid from other funda, the limitations
on adm1n1strat1ve expenses shall be correspondinslr reduced.
SEc. ~10. No p~rt of any appropriation for the current fiscal
year conta1ned in thu or any otller Act ahall be paid to any ~non
for the fillins of any position for which he or she hU been nom~nated
after the senate liai voted not to approve the nomination of said
penon.
· .
.
SEc. 811. PursWUlt to section 1415 of the Act. of July 15
1952 (86 Stat. 66VJ foreign credits (includins currencies) owed
to or owned by the united States may be used l)y Federal apncies
for any pw:poae for which appropriations are made for the current
~seal year (Including the carryins out of Acta ~uiriq or authoriz·
!"I tlie use of such credits), only when reimtiursement therefor
11 made to the Treuury from applicable appropriatiou of the
agency concemed: Provided, T!Ult aw:h Ciedita received u
exchanged allowances or proeeeda of aalu of personal froperty
!"'Y b8 used in whole or ~ payment lor acquisition o limilar
1tema, to the extent and m the manner authorized by law, without
the Treuury.
..
.......,..:.u
ot anr. a~tioa contained 1ft thil or ~
availab tor iD~ ftnancina
~~lli01111, oouncill. COIDIDi~ or liliaiiU PNPI (Whether or
mt.~n.~Mftii!V at.itiee) which do not have a prior ancl
or-.
-----~1::-v<_.( . ..)
STAT. 1766
P.L. 10Z-393
106 STAT. 1767
�P.L. lOZ-393
LAWS OF 102nd CONG.-2nd SESS.
~ive
Oet. 6
specific statutory a.pproval to
financial support from more
than one agency_ or anstntmentahty.
SEC. 613. Funds made available by this or any other Act to
the "Postal Service Fund" l39 U.S.C. 2003) shall be available for
employment of tuards for all buildings and areaa owned or occupied
':ly the Postal Service and under the charge and control of the
?ostal Service, and such guarda shall have, with respect to such
special policemen provided by the first
property, the powers
section of the Act of.June l, 1948, aa amended (62 Stat. 281;
~0 U.S.C. 318), and, as to property owned or occupied by the
?ostal Service, the Postmaster General may take the same actions
u the Administrator of General Services may take under the pr0\'1·
:;ions of sections 2 and 3 of the Act of June 1, 1948, al amended
· 62 Stat. 281; 40 U.S.C. 318a, 318b), attaching thereto penal con·
;equencel under the authority and within the limita provided in
:ection 4 of the Act of June l, 1948, as amended <62 Stat. 281;
;O tJ.S.C. 318c).
SEC. 614. None of the funda made available pursuant to the
~rovisiona of thia Act shall be uaed to implement, administer, or
mforce any rei'Ulation which hu been d1aapproved punuant to
1 resolution
diaapproval duly adopted in accordance with the
applicable law of the United Statea.
SEC. 615. No pan of any appropriation contained in, or fUnds
made available by, this or any other Act, ahall be available for
any acency to pay to the Adminiatrator of the General Services
Administration a hicher rate per aquare Coot for rental of space
and service• (established pursuant to aection 210(j) of the Federal
Property and Administrative Services Act of 1949, u amended)
than the rate ~r square foot established for the apace and services
by the General Services Adminiatration for the fiacal year for which
appropriations were granted.
SEC. 616. (a) Notwithstandinc any other provi1ion of law, and
except u otherwise provided in this section, no part of any of
the funds approP-riated for the fiscal yean endinc September 30,
1993, or September 30, 1994, by this or any odler Act, may be
uaed to pay any prevailin1 rate employee deacribed in section
5342CaX2XA) of title 5, UniteCI States COde, or any employee covered
by section 5348 of that title(1) durinc the period from the date of expiration of the
limitation impoaed tiy section 616 of the Treuury, Postal Service, and Genlral Government Appropriationa Act, 1992, until
the ftnt day of the ftrst applicable pay period that bepna
not leu thaD ninety dar. after that date, 1n an amount that
exceedl the rate payati e Cor the applicable P.de and step
of the applicable wap schedule in accordance Wlth such section
616;ancl
(2) duriq tile period consisting of the remainder, it any,
of ftacal year 1993, and that portion of ftacal year 1994, that
precedtt the normal eft'ective date of the applicable wap survey
adjustment that is to be eft'ective in fisCal year 1994, in an
amount that exceecla, u a result of a w~ survey acijuatmant.
the rate payable under paragraph (1) of thi1 aubaectioft .,
more than fhe overall averap percentar. actiuatment in the
General Schedule duriq ftac:il year 199 , under section 5303
of title 5, United Statea Code.
(b) Notwithatandinc any other provision of law, no prevailinc
rate employee deac:ribid in aubparqraph (8) or (C) of section
or
or
106 STAT. 1768
Q
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Q and A's on Health care Task Force Appeal
Q:
Last week you told us that the President was happy with the
district court's decision. Why are you now appeallinq the
decision?
A:
As we told you last week, the President was pleased with the
district court's decision because the court held that
everythinq that has happened to date is leqal, and that
everythinq planned to take place in the cominq weeks -includinq the lonq-planned public meetinq of the task force
that is scheduled for next Monday in Washinqton -- is also
leqal.
For this reason, we believe that the Task Force and the
workinq qroup should be able to continue their work
unaffected by the court's decision. However, our lawyers at
the Justice Department felt stronqly that the court had made
substantial errors both in interpretinq the Advisory
Committee Act and in applyinq principles of constitutional
law. This case has implications beyond the health care task
force for the President's ability to seek advice and we were
advised by the Justice Department that an appeal was
important to ensure that these issues be properly resolved.
Q:
But you are not just appeallinq. You are askinq for an
expedited appeal. Doesn't that mean that you are really
concerned about the impact of the district court's decision
on the Task Force?
A:
Aqain, ~e are seekinq an expedited appeal based on the
advice of our attorneys at the Justice Department. The
Justice Department advised us that because of the short time
frame within which the Task Force will complete its work, it
is important to proceed with an expedited appeal if the
issues raised in the case are to receive the full attention
of the appellate court.
Q:
Don't your papers make reference to the "impractability" of
the judqe's decision -- that he has made the FACA
unworkable?
A:
I am not a lawyer, and I suqqest.that you read the papers
that the Justice Department has filed with the Court today.
I can tell you, however, that our Justice Department
attorneys, as well as our attorneys in the White House,
concluded that the district court had created a framework
that was unworkable from a constitutional perspective, and
that made it difficult in the lonq run to know exactly what
�it is that the Advisory Committee Act will now be construed
to require.
Q:
Aren't you just using this appeal as a means to maintain the
secrecy of the Task Force's work?
A:
Not at all. We had been planning all along to hold a public
meeting, and we would do that even if the district court's
decision were withdrawn today. This has been an open
process in which thousands of individuals and groups have
had an opportunity to give their input, both in person and
in writing.
Q:
What exactly was wrong with the district court's decision?
A:
As our brief filed with the Court of Appeals sets forth, the
district court failed to follow Supreme Court precedent when
it held that the Advisory Committee Act could be interpreted
to apply to a task force made up of cabinet secretaries,
senior White House officials and the First Lady. The
Court's decision raised significant constitutional
questions, and held FACA could not apply at all under
certain circumstances and that only part of FACA could apply
under other circumstances. Again, our Justice Department
lawyers have told us that this application of FACA does not
work as a legal matter.
Q:
Are you going to continue to maintain the position that the
Advisory Committee Act is unconstitutional?
A:
Again, I am not a lawyer, but I do know that our position in
this case was not to attack the constitutionality of FACA.
Rather, our position has been, and remains, that under
Supreme court precedent, FACA must be interpreted consistent
with Congressional intent, and in a manner that does not
create constitutional problems. The district court itself
found that FACA is unconstitutional if applied to adyice
qiyen to the President by a Task Force composed of Cabinet
secretaries, senior White House officials, and the First
Lady.
Q:
FACA requires 15-days advance notice of public meetings of
the Task Force. Why did you wait until this past Friday to
publish notice of next Monday's meeting, and doesn't this
mean that you have violated FACA?
A:
In this instance, we delivered notice of the public meeting
to the Federal Register as soon as the Task Force had
determined a date and location for its public meeting. OUr
lawyers advised us that although FACA normally requires 15days prior notice of a public meeting, the statute also
..................._________________________
�~
.
.
...
allows shorter notice to be qiven if there are
"extraordinary circumstances." In this case the short time
frame within which the President has asked the Task Force to
complete its work is an "extraordinary circumstance"
justifyinq a shorter notice period -- in this case, 10 days.
In addition, this is a situation where it has been widely
reported for many weeks that the task force would hold a
public meetinq, and the date of this meeting has already
been widely reported. This is far more publicity than mere
publication in the Federal Register normally provides. And
each of the plaintiffs in the lawsuit will be invited to
attend the public hearings.
�Q and A's on Health Care Task Force Appeal
Q:
Last week you told us that the President was happy with the
district court's decision. Why are you now appealling the
decision?
A:
As we told you last week, the President was pleased with the
district court's decision because the court held that
everything that has happened to date is legal, and that
everything planned to take place in the coming weeks -including the long-planned public meeting of the task force
that is scheduled for next Monday in Washington -- is also
legal.
·
For this reason, we believe that the Task Force and the
working group should be able to continue their work
unaffected by the court's decision. However, our lawyers at
the Justice Department felt strongly that the court had made
substantial errors both in interpreting the Advisory
Committee Act and in applying principles of constitutional
law. This case has implications beyond the health care task
force for the President's ability to seek advice and we were
advised by the Justice Department that an appeal was
important to ensure that these issues be properly resolved.
Q:
But you are not just appealling. You are asking for an
expedited appeal. Doesn't that mean that you are really
concerned about the impact of the district court's decision
on the Task Force?
A:
Again, we are seeking an expedited appeal based on the
advice of our attorneys at the Justice Department. The
Justice Department advised us that because of the short time
frame within which the Task Force will complete its work, it
is important to proceed with an expedited appeal if the
issues raised in the case are to receive the full attention
of the appellate court.
Q:
Don't your papers make reference to the "impractability" of
the judge's decision -- that he has made the FACA
unworkable?
A:
I am not a lawyer, and I suggest that you read the papers
that the Justice Department has filed with the Court today.
I can tell you, however, that our Justice Department
attorneys, as well as our attorneys in the White House,
concluded that the district court had created a framework
that was unworkable from a constitutional perspective, and
that made it difficult in the long run to know exactly what
�it is that the Advisory Committee Act will now be construed
to require.
Q:
Aren't you just using this appeal as a means to maintain the
secrecy of the Task Force's work?
A:
Not at all. We had been planning all along to hold a public
meeting, and we would do that even if the district court's
decision were withdrawn today. This has been an open
process in which thousands of individuals and groups have
had an opportunity to give their input, both in person and
in writing.
·
Q:
What exactly was wrong with the district court's decision?
A:
As our brief filed with the Court of Appeals sets forth, the
district court failed to follow Supreme Court precedent when
it held that the Advisory Committee Act could be interpreted
to apply to a task force made up of cabinet secretaries,
senior White House officials and the First Lady. The
Court's decision raised significant constitutional
questions, and held FACA could not apply at all under
certain circumstances and that only part of FACA could apply
under other circumstances. Again, our Justice Department
lawyers have told us that this application of FACA does not
work as a legal matter.
Q:
Are you going to continue to maintain the position that the
Advisory Committee Act is unconstitutional?
A:
Again, I am not a lawyer, but I do know that our position in
this case was not to attack the constitutionality of FACA.
Rather, our position has been, and remains, that under
supreme court precedent, FACA must be interpreted consistent
with Congressional intent, and in a manner that does not
create constitutional problems. The district court itself
found that FACA is unconstitutional if applied to advice
giyen to the President by a Task Force composed of Cabinet
secretaries, senior White House officials, and the First
Lady.
Q:
FACA requires 15-days advance notice of public meetings of
the Task Force. Why did you wait until this past Friday to
publish notice of next Monday's meeting, and doesn't this
mean that you have violated FACA?
A:
In this instance, we delivered notice of the public meeting
to the Federal Register as soon as the Task Force had
determined a date and location for its public meeting. Our
lawyers advised us that although FACA normally requires 15days prior notice of a public meeting, the statute also
�allows shorter notice to be given if there are
"extraordinary circumstances." In this case the short time
frame within which the President has asked the Task Force to
complete its work is an "extraordinary circumstance"
justifying a shorter notice period -- in this case, 10 days.
In addition, this is a situation where it has been widely
reported for many weeks that the task force would hold a
public meeting, and the date of this meeting has already
been widely reported. This is far more publicity than mere
publication in the Federal Register normally provides. And
each of the plaintiffs in the lawsuit will be invited to
attend the public hearings.
�MM-11·1993 14147
...
TO
FROM GAO GENER~ COUNSEL
94561647
P.e2
..
GAO
Udld State~
Gelml
Aceo- Olce
Wllht.qiol, D.C. 20MI
March 11, 1993
Mr. Bernard W. Nussbaum
Counsel to the President
Dear Mr. Nusabaum:
As you know, Representative William F. Clinqer, Ranking
Minority Member of the House Committee on Government
Operations, has requested our revie~ of certain issues
relatin; to the President's Task Force on National Health
Care Reform and the interdepartmental working group that has
been established to a3sist the task fo;ce, Incident to tbie
review, we have requested certain information about the
composition of the interdepartmental working group and its
outside consultants,
In telephone conversations with Mr. Stephen
Neuwi~th
of your
staff, Mr. Neijwirth questioned whethet the information we
are seeking is within the scope of Representative Clin9er's
request to us. Representative Clinqer, in a meetinq with us
yesterday, conti:med that he expects GAO to obtain this
'
I
•
•
'
•
'
•
~
'
•
,.
,,
4 '
o
..
-~
�4
.. •
--· -- - --
.
-
-
. -- - --
information ana that it is within the scope of his
re~est.
The information we are seeking relates to the interdepartmental working group's membership and use of outside consultants, as deaeribed in an affidavit attaehed to the Juatiee
Department's brief in Amtri;an!lsociation,Rf fhysicians,JAd
Surgeons v. Hillary RoQham Clinton, No. 93-0399 (D.D.C.
filed Feb. 24, 1993). Accordin~ to the affidavit, the
working group's membership eona11t1 of two categories of
federil employees: (l) 300 full-time, permartent employees
provided to the ~orking 9roup by the White House, Members ot
con~ress, and eeveral federal agencies; and (2) approximately 40 other individuals appointed as special 9overnment
employees by the White House and several aqencies. The
affidavit also indicates that outsiae consultants have been
retained to assist the 340-member working group, which has
been divided into lS issue-oriented "eluster groups."
·
~equest that you prcvide us with a list of the
emplo~ees in each of the two categories described
We
federal
above,
indicating the agency or other source of eaeh in4tvidual's
employment and the cluster group to
whi~h
the indLv1dual hae
�-
~
.
-- - --
~
.
~-
SENT.BY!Xerox Telecopier
.
7-o2o_:_a-2a-sa;
.
16!32
y·-~-r.
MAR-11-1993 14147 FROM GAO GENERAL
COUNS:~
TO
94561647
'"•
pI 03
..
been assiqned. In addition, we would like to know each
special 90vernment employee's appointment date. rinally,
would like a list of tne names of the outside consultants
oeing used by the working qroup, ident1fyinq each coneul-
w@
tant's organizational affiliation, rate of compensation,
ana, it a~plieable, the consultant's cluster qroup
assi~nment.
In order that we may proceed with our review, we requeat
your response no later than March 24, 1993. It you have any
questions concerning this req~est, please call me on
512-5156 or Ms. Lynn Gibson of my staff on 512-5422.
S1ncerely yours,
Henry R. Wray
Senior Associate General Counsel
-
�B•25237S
2
TOTI=L p,e3
�THE WHITE HOUSE
Office of the Press Secretary
January 28, 1993
For Immediate Release
PRESS BRIEFING BY
GEORGE STEPHANOPOULOS
The Briefing Room
3:48 P.M. EST
SUBJECT
ANNOUNCEMENTS
Meeting with Private Citizens • • • • • • • • • • • • • • • l
DOMESTIC
Economic Issues • • • • • • • • •
• • • • • • 175-6713-14
COLA Issue
•
•
•
•
•
•
•
•
•
•
•
Gays in the Military Issue
National Security Staff Meeting
"Gag Rule"
. . . . . . . . . .
•
•
•
•
•
• • • • • •
• • • • • • • •
•
• 1-2
l-9;11
• 2-3
. . . . . • . . • . . 3
Deficit Reduction • • • • • • • •
• • • • • • • • • • • 4
Oil Import Fee • • • • • • • • •
• • • •
5710
Healt~ care Meeting Coverage
• • • • • • • • • • • •
10
White House Phone Calls/Gays in Military • • • • • • • • • 8
President's PhysicianjDr. Lee/Allergy Shot
• • • 12-15
Attorney General Selection
• • • • • • • • • 9715
Patty·Presock at the White House • • • • • • • • • • • • 12
Wealthy Tax Proposal? • • • • • • • • • • • • • • • • • • 13
FOREIGN
Bosnia • • • • • • • • • • • • • • • • • •. • • • • • • • • 2
• • • • • • • • • • 57 ll
Israeli/Deportees Issue/Rabin
. . • . . . . • • . . 5-6
Date of MUlroney Visit? •
Iraq
• . . . . . • . . . .
Japanese Meeting/Summit?
. • • • • • • • .
• • • • •
END
14
• • • • • • •
13
4:17 P.M. EST
#9-0l/28
�THE WHITE HOUSE
Office of the Press Secretary
January 28, 1993
For Immediate Release
PRESS BRIEFING
BY GEORGE STEPHANOPOULOS
The Briefing Room
3:48 P.M. EST
Q
Where•s the President.
MR. STEPHANOPOULOS: It's nice to be welcomed. He's
still in his office. I apologize for being late. As you know, he'll
be meeting with some private citizens this afternoon -- Richard
English, a 17 year-old, who's suffering from bone marrow cancer, but
he's with the Make a Wish Foundation: Kevin Roche, who received a
gold medal in architecture this year: and Janie Ruth Hill Hatton, the
1993 Principal of the Year.
Any questions?
Q
George, Secretary Bentsen said that a 50 basis
point cut in interest rates would provide about $50 billion in
stimulus to the economy. was there any request for an interest rate
cut like that at the Bentsen, Greenspan, Clinton meeting this
morning?
MR. STEPHANOPOULOS: No, they had a good general
discussion about economic conditions we face right now and the goals
for the future. The President was very gratified by Chairman
Greenspan's testimony before the Congress: and I think they share the
same goals of getting growth in this economy, holding inflation down,
and really bringing up job growth.
Q
George, what's the status of the ban on military
Q
Wait, could I follow on that?
gays?
MR. STEPHANOPOULOS:
then I'll come back.
sure, why don't you follow, and
Q
Did they make -- was there any specific request not
to raise interest rates, or why not ask the Fed to lower interest
rates if Bentsen says that will provide --
MR. STEPHANOPOULOS: Well, the President believes that
the Fed should maintain its independence. He respects the right to
be independent. But they had a good discussion on the general goals
for the economy.
Q
May I follow on the economy? Are you considering
cost of living -- capping the cost of living increases under Social
security or other changes in Social Security system as part, as one
of the options, or two of the options?
MR. STEPHANOPOULOS: I won't rule it out. I mean, it's
one of the issues that's being discussed. But the President's made
MORE
01/28-#9
�- 2 -
-- are we considering COLA delays or caps as part of the budget,
economic agreement. And we have not made any final decisions yet.
Q
What is the advantage to a COLA capping --
MR. STEPHANOPOULOS: Well, I don't think I should go
into characterizing any proposals right now until the President's
made a decision.
Q
What about the likelihood of an uproar on the Hill
and from the public with any kind of change in the social Security?
MR. STEPHANOPOULOS: Well, I think that's conceivable,
and we'll make sure that any plan that we have is both fair and
solves the goals of both putting growth in the economy and achieving
deficit reduction. But I really don't want to comment on any
specific proposals until the President's made up his mind.
Q
George, what is the status of the military gay ban?
Is that -- are we near an announcement, or --
MR. STEPHANOPOULOS: I hope so. I mean, we're working
in consultations with the Hill and the military. Those consultations
are continuing·. And when we have an announcement, we' 11 let you
know.
Q
Today?
MR. STEPHANOPOULOS: I'm not sure, I hope it will.be
today, but if not we'll get it out soon.
Q
Are you dealing with legal issues? I mean, are
lawyers involved here? What is it that's taking so long about this?
MR. STEPHANOPOULOS: As Secretary Aspin said last night,
we're trying to figure out exactly how to deal with the interim
situation during the six months while we're waiting for the executive
order -- the six-month review period. And there are a lot of issues
right now that we're going over with the military and people on the
Hill. And we're just going through the details. We should have
something, we hope, relatively soon.
Q
George, are you going to suspend both dismissals
and prosecutions in the interim period on --
MR. STEPHANOPOULOS: I don't want to comment on exactly
what is going to happen in the interim period. That's under
discussion right now. We hope to have something soon.
Q
Has the President had a meeting with his senior
foreign policy and military advisers on this issue of Bosnia or any
other --
MR. STEPHANOPOULOS:
has not had any special meeting.
He's had his daily briefings.
He
Q
In other words, so beyond the daily briefing, there
have been no foreign policy sessions?
Q
George, we saw Secretary Aspin and Secretary
Christopher and Joint Chiefs Chairman Colin Powell, CIA Director
James Woolsey -- all of them coming over here for a 2:00 p.m.
meeting. Did President Clinton participate in that meeting?
MR. STEPHANOPOULOS:
Q
No.
Was is that meeting all about?
MORE
01/28-#9
�- 3 -
MR. STEPHANOPOULOS: I believe it's a meeting of the
principals of the national security staff and they're going over a
range of issues.
Q
To follow on the Bosnia question, is the situation
over there creating any sense of urgency that the United States has
to take some action in the near term, either passively or actively,
but to do something different other than just watch things go on?
MR. STEPHANOPOULOS: I don't want to characterize the
action or the timing, but it's obviously a very serious situation
that we're watching very closely, and we're reviewing our options
now.
Q
do something?
process?.
But should we expect the President to speak out or
or are you waiting to see what happens with the Vance
MR. STEPHANOPOULOS: Well, as you know, we supported the
Vance process.to bring the parties together. But, as I said, this is
very serious. Obviously if you read the newspapers and look at
what's happening over there, it's something that's of deep concern to
all of us. And we're working on it now.
Q
Do you think there's anything you can or should
contribute right now?
right now.
MR. STEPHANOPOULOS:
We're reviewing all of our options
Q
George, senior members of the Marine Corps
senior officers in the Marine .Corps apparently, including the
Commandant, have been copying and circulating on the Hill and
elsewhere a fairly inflammatory anti-gay videotape that they've been
circulating as part of their lobbying campaign. Does the President
believe that that sort of behavior is appropriate, or does it cross
some line that he believes that a military officer should not be
doing?
MR. STEPHANOPOULOS: Well, I haven't seen the
videotapes. I don't think the President has either. And I don't
know if he's had any of that activity confirmed. But obviously we
want to work with the military to come up with the best policy. And
that's why we sat down with them, that's why the President met with
the Joint Chiefs of Staff. That's why Secretary Aspin continues to
consult with them. And we think that's the appropriate way to· move
this process along.
Q
Have you barred them from lobbying?
Q
Does the President believe that there's a line of
conduct -- I mean, obviously the military have a right to make their
case to the Congress, but is there some line of conduct beyond which
he does not think his senior officers should go in this regard?
MR. STEPHANOPOULOS:
sit down and work this out.
The President thinks that we should
Q
senator Gramm has urged that the Joint Chiefs be
released from what he calls a 11 gag rule" that would prohibit them
from testifying against this -- the eventual ban. Would Mr. Clinton
support that?
MR. STEPHANOPOULOS: I believe the way the rules stand
is that if -- the Joint Chiefs can testify before the congress. And
if they're asked their personal opinion, they can give it.
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01/28-#9
�- 4 -
Q
The President promised during the campaiqn that
he'd issue executive orders to prohibit discrimination against gays
and lesbians in federal employment, federal contracts and government
services. What's the status of those executive orders?
MR. STEPHANOPOULOS:
I don't know.
I'll have to check.
Q
Does the President plan to change his -- any other
policies in the federal government that may exist in such agencies as
the Secret Service regarding gays?
MR. STEPHANOPOULOS:
Q
Not that I know of, no.
Why not?
Q
George, is the President's commitment to reaching
at least $145 billion in deficit reduction -- is that a commitment?
Is that a goal? How would you characterize that? Is that slipping?
MR. STEPHANOPOULOS: Well, I don't know that it's
slipping. The President is looking at that right now. He has said
he would like to achieve $145 in deficit reduction. He believes
that's the commitment that he made, and that's what he's shooting
for.
Q
Is he shooting for it, but that he thinks it may
not be possible to reach it?
MR. STEPHANOPOULOS: No, he's shooting for it right now,
and he's trying to come up with a plan that would achieve that. But
the important thing on this package, and let's always remember, it's
not simply deficit reduction. We need an economic plan that's going
to promote growth in the economy, that's going to create jobs. We're
all very pleased with the growth numbers that came out today, but
even if you look at those growth numbers, we are still lagging far
beyond in job growth. And the first purpose of this economic plan is
to create jobs.
reduction.
Q
So that's the primary purpose, not deficit
MR. STEPHANOPOULOS: Hopefully they go hand-in-hand:
You bring the deficit down in order to create jobs, in order to get
growth in the economy.
Q
Is he being advised by some of his advisers that if
you move too quickly on deficit reduction, it might hurt the economy
rather than helping the economy?
MR. STEPHANOPOULOS: The President has said that in the
past, that we have to make sure we don't just shut the economy down.
And I don't think he's going to do that. He's going to come up with
a plan that achieves both goals.
Q
Is there disagreement now among his advisers on how
to balance that?
MR. STEPHANOPOULOS: There's a lot of discussion, but I
don't think there's any significant disagreement.
Q
George, last night senator Nunn said that part of
the loose agreement of last night was that Congress would not
legislate either way on the ban on gays as long as the President did
not issue an executive order during the six-month period. so what is
holding up this announcement? Are you still negotiating on the Hill
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01/28-#9
�- 5 -
to make sure that there is not an amendment to attached to a piece of
legislation?
MR. STEPHANOPOULOS: Well, I think we just want to make
sure we all understand what should happen in this interim six-month
period. That's where the focus of the discussion right now.
Q
George, today the Chairman of the Senate Energy
committee introduced legislation to propose legislation for an oil
import fee that would set a floor of $25 a barrel on crude oil. Does
the President support that kind of legislation.
MR. STEPHANOPOULOS: I haven't seen it, and I don't know
that he has, but we'll take a look at it.
Q
George, do you have any reaction to the Israeli
High Court of Justice decision on the deportees? And is the
administration ready to use the veto if necessary to block U.N.imposed sanctions on Israel?
MR. STEPHANOPOULOS: I don't think I should comment on
the decision itself, but as you know, Ambassador Harrop met with
Prime Minister Rabin this morning, and we are intensifying our
discussions right now with all sides. The question of a veto is
hypothetical, which I just can't address at this time •. Right now we
want to make sure we do everything we can to bring the parties
together.
Q
How are you doing that -- through diplomatic
channels, or what the --
MR. STEPHANOPOULOS: Yes, as I said, Ambassador Harrop
met with Prime Minister Rabin, and we have discussions going on now.
Q
George, do you believe that the U.N. -- now the
Israeli Supreme court has ruled, and you asked for a delay until that
time -- the U.N. is obligated to hold Israel to the same standard as
other countries in terms of obeying U.N. resolutions?
MR. STEPHANOPOULOS: Right now, we're in contact with
Israeli we're in contact with other parties1 and we're in contact
with the U.N. And it's most appropriate for us right now to see what
we can do to get a diplomatic solution. That's what we 1 re focusing
on.
Q
Should they comply?
MR. STEPHANOPOULOS: The important thing right now -- we
think that we should get a solution among all the parties in the.
region. We are trying everything we can do diplomatically to achieve
that.
Q
You say that the economy is getting better, but the
unemployment is going higher and higher. Do you have any estimate as
to how many jobs are needed? And is this also a surprise to you as
the deficit was a surprise to everybody? Now, when are the job -when is it going to stop the unemployment? Do you have any --
MR. STEPHANOPOULOS: When President Clinton's economic
package is passed by the congress
Q
Yes, but do you know how many numbers.
MR. STEPHANOPOULOS: No, we don't have the numbers.
obviously, the slow job growth has been a real concern. And that's
why we're focusing our economic package on creating good jobs.
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Q
George, can you confirm Prime Minister Brian
Mulroney's visit here next week? And if so, is there an agenda, or
is President Clinton going up to canada?
MR. STEPHANOPOULOS:
have it real soon.
Q
I don't have that yet.
We hope to
As in when can you give us --
MR. STEPHANOPOULOS:
Q
You said
but are you -- if you need
Fed has done as much as it
saying they've done enough
it now falls --
I don't have the time.
you respect the independence of the Fed,
this jobs growth, do you believe that the
can do to promote growth? I mean, are you
and there is nothing else they can do and
MR. STEPHANOPOULOS: No, I haven't said that at all. I
said that we are working on our economic plan; and we've had good
discussions with the Fed; and that I think we're all coming to the
goals.
Q
So they can do something else, they could go
further to promote growth than what they've done.
MR. STEPHANOPOULOS: I didn't say that, I said that
we're -- I said that we are going to come forward with an economic
package. We're going to come forward with an economic package that
we think will get a good response from the markets.
Q
And the Fed's on board.
MR. STEPHANOPOULOS: I didn't say that either.
had good discussions with the Fed.
Q
We've
Why won't you say it, because they're not on board?
MR. STEPHANOPOULOS: No, because we recognize the
independence of the Fed, and they will make their decisions as they
must.
Q
George, if the announcement is made on the gays in
the military, can we count on it being made directly by the
President?
MR. STEPHANOPOULOS:
President, yes.
I believe it.will be made by the
Q
Is there a chance he's going to make some kind of
address or statement to the nation explaining his reasoning in all
this?
statement.
MR. STEPHANOPOULOS:
Q
When?
MR. STEPHANOPOULOS:
Q
I don't know.
It won't be an oval Office speech, or will it?
MR. STEPHANOPOULOS:
Q
I'm certain he'll make a public
I don't think so.
-- say that it will be done by the President?
MR. STEPHANOPOULOS: I expect that it will.
not positive, but I expect that it will.
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I mean, I'm
01/28-#9
�- 7 -
Q
--
format?
MR. STEPHANOPOULOS:
Q
I'm not sure.
Could you give us a clue if it might be today,
just, I mean -Q
We might see the President in the Briefing Room
today, is that what you're saying?
MR. STEPHANOPOULOS: I don't know when it will be.
he's got an announcement to make, we'll make that announcement.
Q
What stage is this?
his policy all day?
When
I mean, has he been working on
MR. STEPHANOPOULOS: No, no. As you know, he was at
Thurgood Marshall's funeral for much of the afternoon. He's done
some other work. He met with Chairman Greenspan this morning.
Q
Who's working on the statement -- Pentagon lawyers
or -MR. STEPHANOPOULOS: Secretary Aspin is working quite
hard on it. We've had some consultations on the Hill. The President
has also made a phone call or two.
Q
Nunn.
George, did he make any calls today on this?.
MR. STEPHANOPOULOS:
I think he's spoken with Senator
Q
George, why has the President not spoken publicly
on this to some extent in recent days already, given the mounting
public protest over the intent to lift the ban?
MR. STEPHANOPOULOS: The President is working on his
announcement, and when he has the announcement ready he'll present
it.
Q
Do you agree with the analysts who say that this
issue of gays in the military represents a kind of test case for the
President's ability to lead Congress, including members of his own
party?
MR. STEPHANOPOULOS: I don't know about that. This. is
something that -- let me remind you, there was a lot of opposition to
this policy. And we were facing a vote -- we were facing a vote from
day one in trying to codify current policy. The President believes
this is the right thing to do. He is doing what he can to stand up
for that principle.
Q
What do you think the political impact has been
so far of this controversy?
MR. STEPHANOPOULOS: Well, I think it's eaten up an
awful lot of your attention. There's no question about that. And
that to the extent that it takes all of our time and attention away
from the economy, even though it's not affecting the President's time
to the extent it takes up all of your attention, I think that's
probably not too good.
Q
George, you have said that and the President has
indicated --
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Q
How about the public attention?
the public is interested?
You don't think
MR. STEPHANOPOULOS: I think the public cares about
making sure we have an economy that works, making sure we have a
health care system that works, and really getting to work on that.
Q
And not on this issue?
Q
By every indication, George, it has been the
other way around. By every indication, the public -- most of the
people in America live outside of Washington,o.c., and everybody out
there is talking about this issue and registering their protests or
their support for the President's position. Yesterday I believe you
said that it's your impression that the American public generally
supports the principle that Mr. Clinton is proposing here. But what
are your phone calls really like that you're getting through the West
Wing?
MR. STEPHANOPOULOS: I don't know that those phone
calls are necessarily a gauge of public opinion.
Q
What are they?
MR. STEPHANOPOULOS: I don't have the exact figures,
but they're more against the President's policy than for. That is
clear. But let's look at what's happening with these -- I don't have
the numbers.
Q
Are they organized?
Q
Is it 10-to-1?
Is it 5-to-1?
MR. STEPHANOPOULOS: I think that these are organized
phone calls. I mean, I think that anybody who read The Wall street
Journal this morning understands that there is an organized effort by
people like Randall Terry and other right-wing groups to focus
attention on this issue. It is organized. It isn't necessarily a
gauge of where people are. And, again, I would repeat: The
President simply believes that people who want to serve their country
should not be prohibited from serving their country simply on the
basis of their status. And that•_s the principle he's fighting for.
Q
George, how long are you going to give senator
Nunn the veto over figuring out what happens in a six-month period?
Has the President set for himself a deadline by which time he finally
will put an end to this agony?
MR. STEPHANOPOULOS: We're working very closely with
Senator Nunn. He's been very cooperative with this and we have no
complaints. And we expect to have an announcement I hope very soon.
Q
And how long is the President willing to stretch
this out?
MR. STEPHANOPOULOS: The important thing is to get
this policy right, and that's what the President's trying to do.
Q
Could it go into next week?
MR. STEPHANOPOULOS:
Q
George, I know this is a little hypothetical
MR. STEPHANOPOULOS:
Q
I don't think so.
Sorry, Wolf.
I just called on Adam.
(Laughter.)
Q
George -- do you believe that there's more
interest in this issue in sort of -- in the Beltway than there is in
�- 9 -
the "real world"? In other words, are you guys polling?
any independent --
Do you have
MR. STEPHANOPOULOS: Well, I don't know about polling,
but I think there's clearly more interest in this room on this issue
than anywhere else in the world. (Laughter.)
Q
George, is it conceivable in your mind that on
President Clinton's watch someone could be discharged from the
military simply for being a homosexual and having nothing else wrong
in his or her record?
MR. STEPHANOPOULOS: Again, I really can't comment on
that until the policy is announced. I believe that is something that
we're working towards -- to prevent that.
Q
George, would the President veto any piece
legislation that came to his desk with an amendment overturning this
once he's done it?
MR. STEPHANOPOULOS:
Let's wait and see.
I can't say that at this time.
Q
George, on the attorney general, is the President
shooting to try to get an attorney general named before the -- before
he leaves for the Cabinet retreat?
MR. STEPHANOPOULOS: I don't know if we can make that
I think that would be good. The sooner the better. But, again,
he wants to make sure he does this in a proper way and gets the right
choice.
Q
If he were to make the announcement before the
Cabinet retreat, would the new attorney general designee go along on
the retreat with the other Cabinet members?
MR. STEPHANOPOULOS: Usually once you make this
announcement they have an awful lot to do preparing for the
background check. So I would think probably not. But I wouldn't
rule it in or out.
Q
George, in his first week in office, the
President has had two big battles now with Congress on Zoe Baird and
the gays in the military issue. And there's been a lot of public
outcry on this, too. Why does the President think this is happening?
Does he think that people are just trying to challenge him, test his
authority? or does he think that he needs to change his approach --
MR. STEPHANOPOULOS: Well, I think in some -- it's
just a matter of circumstance. I mean, this issue has been forced on
the agenda by our opponents at this point. And they -- knowing that
they were going to have a vote to codify current policy, we felt it's
best to move ahead and stand up for the principle the President has
said he's moving forward on. But I would also remind you, that's not
all that's happened in the last week. The President,has also had
good consultation with the Congress on health care. He's had good
consultation with bipartisan leadership on the economy -- with the
Democratic leaders on the economy. And he's had meetings with
federal -- Chairman Greenspan, too. We've had good consultation with
Congress throughout this week on the big issues that matter to the
President. We expect that to continue.
Q
Has he learned anything on how to approach things
better to get things done without these big battles? Has he learned
a lesson?
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MR. STEPHANOPOULOS: Well, I think that -- you can't
avoid every legislative battle. There are issues of deep
disagreement. This is one of the issues where there is deep
disagreement. You try and work through that as best you can and come
up with the smartest and the wisest solution. That's the course the
President is following right now.
He is also in constant consultation and spending the
overwhelming majority of his time putting together his legislative
package on the economy, on health care, on national service, on
political reform. And that's what he's focusing on.
Q
If he's spending so much time and that's all so
important, could we have some coverage of the 5:00 p.m. health care
task force meeting?
MR. STEPHANOPOULOS:
Why not?
Q
with the staff.
MR. STEPHANOPOULOS:
Q
I don't think so.
the beginning of it?
It's just as a private meeting
But why not have at least a photo opportunity at
It's such an important meeting.
MR. STEPHANOPOULOS: We have meetings every day and we
open some of them up. We don't have to open up every single staff
meeting for the press, but we will certainly keep opening as many as
we can.
Q
But you're not going to let us take a picture of
the first meeting of the Health Care Task Force?
MR. STEPHANOPOULOS:
Not this one today, no.
I don't think at this one, no.
Q
George, on the question of political reform which
you just mentioned does the President intend to offer his own
legislative proposal on cafe finance reform
MR. STEPHANOPOULOS:
I think that's likely, yes,
Q
Has he made any decisions at this point about
what elements will be in that package?
MR. STEPHANOPOULOS: I think it will follow the basic
outlines of what he said out in the campaign. But we're also in
consultation now with a lot of experts, with people on the Hill and
we expect to have one relatively soon.
Address?
Q
Will it be ready for the state of the Union
MR. STEPHANOPOULOS: I'm not sure about that.
as we can, but I'm not sure exactly when it will be ready.
financing?
Q
As soon
Would you expect that it would include public
MR. STEPHANOPOULOS: Again, I don't know about every
element of it, but we should have it relatively soon.
Q
With regard to the oil import fee question I
asked you earlier, what is the President's attitude toward the idea
of an oil import fee?
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MR. STEPHANOPOULOS: I haven't spoken with the
President about the oil import fee, but we're reviewing all of the
various options for revenue-raising and spending cuts as we prepare
this package.
Q
Is that one of the options?
MR. STEPHANOPOULOS: Again, I can't comment on which
specific options are under consideration, but we're looking at
everything right now.
Q
In this intensified effort on the deportees, does
the United States have a plan or a compromise in mind that it's
trying to push?
MR. STEPHANOPOULOS: We're working on that right now.
We're working to bring the parties together7 we've intensified our
diplomatic efforts with all the parties, but I don't want to comment
on it any further than that.
they can't see?
Q
Is there a common ground that you can see that
MR. STEPHANOPOULOS: Again, I don't want to comment on
the substance of those discussions while they 1 re going on.•
Q
One other question on the same point. Prime
Minister Rabin said he can't imagine that the United states would
not veto a sanctions resolution against Israel. You said it's
hypothetical, but can you imagine it?
that.
MR. STEPHANOPOULOS:
Well, I'm not going to answer
Q
George, a couple -- last week we were told that
this particular -- this gay ban in the military was one promise that
wouldn't be changed because the circumstances hadn't been changed,
like the deficit projections. And you've affirmed several times,
most recently I think yesterday or the day before that decision would
be taken within the week. And doesn't this postponement change all
that? What's happened --
MR. STEPHANOPOULOS:
The week's not over yet.
Q
But a decision, not the postponement for six
months, not an interregnum or an interim action; an actual decision
that would implement the campaign promise since the circumstances
hadn't changed it was --
MR. STEPHANOPOULOS: 'Again, the week is not out and
the President is still looking forward to making an announcement
soon.
Q
Are you suggesting it might not be an interim
promise, there might be the permanent decision, then?
MR. STEPHANOPOULOS: No, I'm suggesting the President
will have an announcement on this this week, I hope.
Q
If the six months is to figure out the details of
how this ultimate executive order will be applied, what's holding up
this announcement of the President? What is still being worked out?
MR. STEPHANOPOULOS: There are questions on what you
do in the interim, on how you handle pending cases, on how you handle
investigations, on how you handle whether or not to ask people the
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�- 12 -
question of whether or not they're homosexual.
have to be worked out for the interim period.
All of these things
Q
Has this administration attempted to confirm
whether or not military officers are, in fact, circulating those
videos?
MR. STEPHANOPOULOS:
Not that I know of, but I can
check on it.
Q
There is an easy question for you.
MR. STEPHANOPOULOS:
Good.
(Laughter.)
Q
Dee Dee addressed it this morning, but Burton
Lee, the former physician has been telling the world that he was
fired. would you straighten it out? And has the President gotten
his allergy shot?
allergy shot.
fired?
MR. STEPHANOPOULOS: The President has gotten his
I believe he got it yesterday.
Q
What would make Burton Lee feel that he was
I mean, he was, after all, Bush's physician.
MR. STEPHANOPOULOS: Right. I mean, I think that's
the case. I mean, the President, as you know, always has the
priority of picking his own personal physician. President Clinton
intends to do that. Burton Lee served President Bush well, but
President Clinton will be making his own choice.
Q
you.
Will you tell us who it might be?
MR. STEPHANOPOULOS:
When it's decided, we will tell
Q
Can I follow on that, George? I talked with the
allergist, Dr. caplinger in Little Rock today. He informed me that
he, in fact, was contacted by the military office last Friday about
this and asked for this information -- and he delayed five days in
getting it up here -- that he didn't respond, dictate the answer
until three days later and then put in the mail and it arrived. He
seems to think there might have been some basis for the delay. Can
you comment on that?
MR. STEPHANOPOULOS: None that I know of. I mean, I
just know that the records, to my knowledge, have arrived. The
President has received his allergy shot.
Q
Who gave it to him?
MR. STEPHANOPOULOS: One of the military doctors
assigned to the White House. What's a semi -- that's the first time
ever.
Q
And is Patti Presock working for you?
And if so,
what's she doing?
MR. STEPHANOPOULOS: I believe she is working for us
right now. I think she works with Nancy Hernwright. But I don't
know her exact, precise duties.
Q
Why are you holding over someone who was so close
to the previous occupant of the oval Office?
MR. STEPHANOPOULOS: Well, as far as I know, she's
worked in the federal government and the White House for close to 30
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�;_,
- 13 -
years and she's served admirably and well, and we feel happy to have
her.
Dr. Lee?
Q
George, can you just clarify for us the status of
Was he fired? Was he dismissed? When did this occur?
MR. STEPHANOPOULOS: I don't know when the exact
communication happened, but President Clinton will be making another
selection for his doctor.
Q
Who canned him?
Q
What was the communication?
MR. STEPHANOPOULOS:
Q
(Laughter.)
(Laughter.)
I don't know.
But he got canned, right?
MR. STEPHANOPOULOS: I'll have to find out.
He will not be serving as President Clinton's doctor.
Q
Has a decision been made on the top income tax
bracket -- like 36 percent taxation of wealthy Americans? Has that
decision been made?
MR. STEPHANOPOULOS: The President said throughout his
campaign that he expected the wealthy to pay their fair share. Again
-- and we don't have final decisions on any specific proposal in the
economic plan, but this is something the President talked about in
the campaign and is committed to.
Q
Bentsen was putting out this warning that a 36
percent taxation rate looked like it would be ahead. So, I mean, is
it a done deal?
MR. STEPHANOPOULOS:
nothing is done yet.
I think that's not unlikely, but
Q
George, did Ambassador Armacost, in effect, tell
Japanese officials in Tokyo that they shouldn't try to seek a summit
meeting between Mr. Clinton and Mr. Miyazawa until the Japanese were
ready to make some trade concessions?
MR. STEPHANOPOULOS: I don't think we're going to set
any preconditions for any meeting with Japan. We're obviously
concerned by th.e bilateral trade imbalance, but we have no
preconditions for such a meeting.
Q
So the story in The Los Angeles Times this
morning, do you have a direct comment relating to that story?
MR. STEPHANOPOULOS: I don't know if I'll characterize
the story, but we have no preconditions for a meeting.
Q
Has the President made any decision as to how
many billions of doilars have to be injected into the economy?
MR. STEPHANOPOULOS:
Q
Not a firm decision, no.
Twenty billion, thirty billion?
MR. STEPHANOPOULOS:
about the right range.
I think that Secretary Reich has
Q
Georqe, just technically in terms of the
President's announcement, will there be a certain cutoff time? How
will we be notified if and when an announcement is pending? Are we
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�- 14 -
supposed to just sit at our desks until 9:00 p.m. at night? I mean,
just give us some reference -- what we're dealing with here, because
we're kind of in a -MR. STEPHANOPOULOS: I'm not exactly sure.
and give you adequate notice before we get it out.
We'll try
Q
can I follow up on an earlier question on the
stimulus -- earlier this week you said that a stimulus plan is very
likely. And given today's fourth quarter report on gross domestic
product, is it still very likely?
MR. STEPHANOPOULOS: Well, again, as I said before,
even if you look at the report and take a look at the good economic
growth numbers, we still are lagging in job growth. We need a
stimulus plan to create jobs.
Q
A number of economists are saying that a big part
of that fourth quarter stimulus was people buying things on credit,
that there was an unusual increase in credit. And there is some
concern among economists that when people find out in a month or so
that they're not getting tax refunds because of the change that was
made in withholding, that there could be a sharp drop in consumer
spending, because people won't be getting the tax refunds that they
would be counting on to pay off the credit card bills that they ran
up. Is there a concern about that as a problem that you're going to
be facing this spring?
MR. STEPHANOPOULOS: Well, it's certainly something
that's been pointed out to us and we've studied. And again, we're
committed to getting a package that will lead to sustained growth in
the economy, increased jobs, increased incomes over the long term.
so our package is designed to address just that problem.
Q
You say that you're concerned about it, and
you've studied it. What have the studies shown? I mean, how serious
a potential problem --
MR. STEPHANOPOULOS: I don't have the specifics, but
this is something that we are aware of.
Q
George, can I get my question in?
MR. STEPHANOPOULOS:
Sure.
Q
Thank you. Iraq has been pretty quiet -- the
Iraqi front, for the.past few days. Are there any communications
through third parties between the Iraqi government and the u.s.
government?
MR. STEPHANOPOULOS:
Not
tha~
I know of, no.
Q
And will President Clinton be receiving Foreign
Minister Shimon Peres when he comes to Washington in the next few
days?
MR. STEPHANOPOULOS:
Again, I don't know about that. I
don't think so.
physician?
Q
How far along is the President in selecting a
And what's taking so long?
MR. STEPHANOPOULOS: I'll have to get back to you.
don't know exactly when he's going to have the physician. He's
focusing on the attorney general right now. (Laughter.)
Q
I
And to whom were the medical records sent?
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MR. STEPHANOPOULOS: I believe if they're here now,
that they're in possession of the White House Physician's Office,
which is
Q
Dr. Lee said that medicine was sent through the
mail, no letter, nothing to -- not even registered mail or anything
else and he was supposed to apply this medicine -- give a shot to the
President. And he asked for his medical records and it took many
days and never got them.
MR. STEPHANOPOULOS: I believe they're in the
possession of the White House physician's office now and the
President is being served by the military doctors in that office.
Q
It would have been legitimate for him, though, to
see the records, wouldn't he, before he gives a --
MR. STEPHANOPOULOS:
President's doctor.
If he was serving as the
Q
But if he was asked to give a shot, wouldn't he
have -- should have known what -- have some of the background?
MR. STEPHANOPOULOS: Again, Dr. Lee is not serving as
the President's doctor. He will not serve as the President's doctor.
Q
But he was on deck before?
MR. STEPHANOPOULOS: Again, I don't know the details
of when that all happened, but the President is being served by the
military physicians in the White House office.
Q
Has the President interviewed either any
candidates for his personal physician or candidates for attorney
general? (Laughter.)
MR. STEPHANOPOULOS:
Q
Yes.
Which?
MR. STEPHANOPOULOS: I believe he has talked to some
candidates for attorney general, but I can't go into any details.
Q
Can you tell us --
Q
How many?
When?
MR. STEPHANOPOULOS:
he has had interviews.
I'm not sure how many, but I know
Q
Q
today.
Today or prior -Today?
Because yesterday you said you --
MR. STEPHANOPOULOS:
Q
I believe he's had an interview
Male or female?
MR. STEPHANOPOULOS:
I can't go into the details.
Q
Why does the President need a personal physician
with the military offices provided by the government? What's the
reason for it?
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MR. STEPHANOPOULOS: I'll have to go back to my
history books. I just know that the President has always had one and
we intend to continue that.
Q
George, the President has said on several
occasions before he was -- he assumed office that he intended to hit
the ground running. I think you've already observed the consensus
maybe inside the Beltway is that he's not exactly hit the ground
running -- that he falls behind schedule getting the economic plan to
Congress. You're behind schedule, I believe, on filling sub-Cabinet
jobs.
MR. STEPHANOPOULOS: I think we're ahead of most
administrations -- at least, most -- in the recent past on filling
sub-Cabinet jobs. We intend to present our economic program on
February 17th, and we expect it will be good. It's important to get
these things right. And ultimately the President is going to be
judged by the policies he presents to the country and how they affect
the lives of real people. And that's the test that we're going by.
Q
the ground running?
Is it the administration's view that you have hit
MR. STEPHANOPOULOS: We feel we're making good
progress in laying the groundwork for a successful administration,
yes.
Q
What's your overall plan? If you're calling for
shared sacrifices, wouldn't it be inconsistent not to include some
adjustment in Social Security, whether it's a cap or a delay?
MR. STEPHANOPOULOS:
going to be looking at everything.
fair.
Q
Not necessarily. I mean, we're
And when we have one, it will be
Thank you.
MR. STEPHANOPOULOS:
Thank you, Helen.
END
4:17 P.M. EST
01/28-#9
�THE WHITE HOUSE
Office of the Press secretary
For Immed1ate Release
February 4, 1993
PRESS BRIEFING
BY DEE DEE MYERS
The Briefing Room
9:49 A.M. EST
MS. MYERS: one addition to the President's schedule
from yesterday -- it's been confirmed that he will attend a New
Jersey Chamber of Commerce dinner honoring the New Jersey
congressional delegation at the Sheraton Washington Hotel at 7:00
p.m. tonight. Actually, he's scheduled to arrive there around 7:15
p.m. And also, just to -Q
Dee Dee, can we get some PA on you?
MS. MYERS: Oh, there's no PA still? The President will
attend a New Jersey Chamber of Commerce meeting honoring the New
Jersey congressional delegation at the Washington Hilton tonight -excuse me, the Sheraton Washington. The other clarification from
yesterday is that the meeting with freshmen is House and Senate and
it's bipartisan. It will be the new members and their wives or
husbands or significant others. Very politically correct.
Q
White House.
The reception today?
MS. MYERS:
Q
That's the 6:00 p.m. reception here at the
At 6:00 p.m. or 5:00 p.m.?
MS. MYERS:
I'm sorry -- 5:00 p.m. to 6:00 p.m.
Q
The New Jersey event, if it is thrown by the
Chamber of commerce, is that lobbyists throwing a party for members
of -- is that the kind of power relationship .that President Clinton
wanted to discourage?
MS. MYERS: I'm not sure who's hosting it. It's the
Chamber of commerce, but I'm not sure what the purpose of it is.
I'll have to get back to you on who's going to be there and what the
set-up is.
Q
But that doesn't go against the kind of encouraging
special interest groups as something that -- as candidate he always
discouraged?
MS. MYERS : No, I think that the Chamber of commerce
obviously has an interest in encouraging business. That's an
interest they share with the President. I'm not sure of the specific
arrangements of this dinner, but I don't think that working with
groups to create business and create jobs conflicts with the
President's goals.
Q
Are we going to have an attorney general today,
Q
In our lifetime?
tomorrow --
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MS. MYERS:
Q
Yes, in your lifetime.
(Laughter.)
And is it Judge Wood?
MS. MYERS: You know I can't comment on who it might be.
I expect it to be soon. Probably sometime in the next several days.
I don't know whether it'll be tomorrow.
Q
Not today?
MS. MYERS:
Q
Not today.
It might be over the weekend then?
MS. MYERS: I think that's probably not. I wouldn't
totally rule it out, but I think it's going to happen soon. I don't
think it will happen over the weekend. The President's going to do a
radio address on Saturday, but I don't think -Q
Where?
MS. MYERS: From the White House probably, although the
final details have not been arranged.
Q
How long?
Q
On what?
MS. MYERS:
Q
leaves tomorrow.
Don't have the topic yet.
Five minutes.
so that would make the AG tomorrow then.
That
MS. MYERS: Not necessarily. But I wouldn't completely
rule it out. It will happen sometime in the next few days. I can't
tell you exactly when. He's close to making a decision. I think
he's going to do it this saturday and look toward possibly making it
a regular feature.
Q
MS.
Q
Why?
MYERS:
It would be live.
Why?
MS. MYERS: Why? Because it's an opportunity for him to
address the nation about topics of import.
Q
What time are you going to do this, for anybody who
would want to carry it?
MS. MYERS: I don't know. We'll let you know as soon as
we have it. I think it's early afternoon is what we're looking at
one o'clock-ish.
Q
Will he show up on time?
Q
Who is he talking to?
MS.
MYERS:
I don't know yet.
Q
can you talk about the President's setback in
discussing campaign finance reform? ·
MS. MYERS: I think it was an excellent meeting
yesterday. I think we were a little surprised by some of the
coverage of it. It was a general meeting with House and Senate
leaders. There was broad consensus that they wanted to move, and
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move quickly on campaign finance reform. They didn't discuss the
specifics; that was never the intention of the meeting. What they
did do was agree to set up a working process to move quickly on it.
Q
realistic date?
Was he, in fact, told that March 15th is not a
MS. MYERS: They didn't go to discuss specific deadlines
or specific details of the package. But there was broad agreement
among the members and the President that they wanted to move forward
on this quickly.
Q
Dee Dee, why is he going up on the Hill so much? I
mean, he seems in general to be concerned about his relationships up
there.
MS. MYERS: I think he's concerned about building good
working relationships with members. I think that's something that
he'll do periodically throughout his administration. I think it's
something he feels is important to do, particularly in the opening
weeks. And I think he'll continue to do it. I think it's been very
productive for him. The members feel that he's paid great attention
to them and consulted with them on a wide variety of issues, and they
share his legislative goals.
Q
Dee Dee, i~ there anything significant with it?
Will he make any remarks or do anything outside of meet and greet the
new members?
MS. MYERS: Yes, I think he'll make -- oh, at the
congressional? He'll probably make brief remarks, but it's not
scheduled to be any sort of policy announcement. It's largely
informal.
Q
with the Speaker?
What is the subject for the trip to the Hill today
MS. MYERS: He's meeting with House Democratic whips
it's a general meeting on a variety of topics, including the
President's economic plan and campaign finance reform, as well as
family medical leave.
·
Q
Any plans to meet with Republicans anytime soon?
MS. MYERS: He was invited up, for example, a couple of
days ago to meet with the Policy Council. He meets with the
bipartisan leaders every other week. So this week it was Democratic
House and Senate leadership; next week is recess; the following week
it will be bipartisan leaders. so, yes, he meets with the Republican
leadership regularly.
Q
But he was invited, as you say, to this meeting.
He will go through his first month without having gone up to the Hill
to talk to Republican House members.
MS. MYERS: I think if he receives an invitation like he
did to address the Democratic Policy Council, he would take that
seriously.
Q
He's had an invitation to speak
Q
Yes, he's had an invitation.
Q
Dee Dee, he was invited to speak by Dole to the
Republican policy lunch and apparently said he would. Has anything
happened on the scheduling of that?
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MS. MYERS:
wouldn't rule it out.
Q
service?
It hasn't been scheduled.
But he certainly
Is he being forced to cut back on his community
MS. MYERS: The community service -- the National
Service Trust FUnd is being developed right now. I think it was
always intended to be phased in, and I think the President's
committed to it. It's something he feels very strongly about -- that
the only thing that's risen faster than the cost of health care is
the cost of a college education. It's clearly out of the reach of
too many Americans now, and the President's committed to seeing that
changed. He's going to -- he's moving quickly now to develop a
national service plan and we'll let you know the details as soon as
they're available.
Q
Well, when you say it was always intended to be
phased-in, he campaigned across this country telling people that
every person who wants to go to college should have that opportunity.
committed to.
MS. MYERS:
Q
Absolutely.
And that's a goal he 1 s
He didn't talk about it
MS. MYERS: No, ·he did -- he never suggested that it
would be something that would be available to everybody immediately.
It's something that has to be phased in. But the current program is
costing us at least $3 billion a year, maybe $3.5 billion a year in
defaults on loans. Even people who have loans available to them
can't always afford to go to college. It is out of the reach of too
many people. And the President is going to work to change that.
achievable?
Q
When does he think that his goal would be
MS. MYERS: He doesn't have a particular timetable on
it. He's moving quickly to implement the first phase. And, as you
know, Eli Segal is heading that up, and they're making good progress.
Eli Segal's been up to the Hill, had meetings with a number of
members of congress and there's broad support, I think, across the
country for the program.
Q
But given the deficit situation being worse than
originally expected, he is having to phase it in more slowly or, you
know --
MS. MYERS: I think he's had to reconsider a lot of his
options based on the higher deficit numbers. Nobody expected the
deficit would be $60 billion to $100 billion higher than it was last
spring when Putting People First was drafted. I think that's one of
the reasons the President had to reconsider a broad array of his
options. And we're looking at that now.
Q
Dee Dee, is he thinking about raising the income
tax rate on the wealthy to 38 percent instead of 36? I mean, that
would be one way to pay for some of this.
MS. MYERS: Well, he always said he would raise the top
tax rate; he intends to do that. There's no final decisions about
what exactly the package will look like. Again, we'll have to wait
to the 17th. But the President is committed to making sure that the
people who reap the greatest benefits in the 1980's pay their fair
share first before he looks anyplace else.
Q
Then is 38 percent a possibility?
considered?
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Is it being
�- 5 -
now.
MS. MYERS:
I think that those decisions are being made
Q
How do you go about identifying those people? Just
by income class, or do you try to find out who actually made out in
the 90's -- or in the SO's, as opposed to the 90 1 s, or the 70's or
some time?
MS. MYERS: No, I think you look at people -- I mean,
you can make broad generalizations about who did well in the 1980's.
I mean, people in the upper end of the income scale made the most:
their incomes went up and their taxes went down. I think that the
President is committed to turning that around.
Q
Do you have relief of people who did badly in the
SO's but have done a whole lot better in the 90 1 s? (Laughter.)
Q
Is this a personal question?
MS. MYERS:
I
think we're making those decisions now.
Q
Is it true that he neutral on the Bosnia plan -- on
the British/U.S. plan?
MS. MYERS: Well, what he said about that is two things:
one, that he want -- he supports the process and supports the good
work that Lord OWen and former Secretary Vance have done. But it's
something that -- and if all the parties aqree to participate then he
would be supportive of that. In the meantime, he's continuing to
consider his options. He's working with his advisors, and as you
know, National Security staff is meeting regularly on this and they
are considering their options with great urgency.
Q
Is he trying to block that plan?
MS. MYERS: He is just now saying that if the parties
agree to it, that he would support it. But so far, all the parties
involved have not agreed to it. The Bosnian government and the Serbs
have not agreed to it.
Q
Is he trying to sell it in anyway or is he trying
to put the kibosh on it?
MS. MYERS: Right now he is supportive of the process
and if the sides -- if the different factions agree to support it he
would be supportive of that in the -Q
But he's not going to take a leadership role in it?
MS. MYERS: In the interim -- he's neither ruling it in
or ruling it out, but in the interim he's continuinq to consider his
options.
Q
How lonq will he qive it to qain support of all
factions before he takes some position on this one way or the other?
MS. MYERS: Well, he moving quickly riqht now, working
with his national security advisors to come up to review his options
and to come up with some kind of alternative.
Q
Is he sympathetic to the Muslim view that this plan
rewards ethnic cleansing?
MS. MYERS: That certainly is somethinq that he is
concerned about. But again, his position on this is that if all the
parties agree to the plan, he would be supportive of that. But so
far the parties have not aqreed. In the meantime, he is workinq with
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his national security advisors in considerinq his options and we'll
have more to say about it soon.
policy today.
Q
It's not the usual role of the u.s. in foreiqn
You either lead or you qet out of the way.
MS. MYERS: The President will lead.
he's considerinq his options.
But at this point
Q
Dee Dee, can you tell us what principle he's qoinq
on here, other than he'll qo alonq if everybody else qoes alonq? I
mean, what concept, what idea, what principle is quidinq him as he
deals with this issue?
MS. MYERS: You have to have an enforceable solution to
the problem. And I think one of the thinqs that he -- and Secretary
Christopher has said this -- that they're lookinq for an enforceable
solution to this. This is obviously a very complicated problem. And
I think the Secretary and the President's other national security
advisers are considerinq their options riqht now very seriously.
Q
Are you talkinq about somethinq that would not
require massive infusions of Western military force to carry out?
that the idea, or what?
·
Is
MS. MYERS: I'm not qoinq to commit the President to a
position on that, but at this point he's considerinq his options.
Q
How can he be neutral on this plan? Does he -- he
either favors or doesn't favor the partitioninq that is proposed as
the basis for this plan.
MS. MYERS: He would -- it would be acceptable to him if
it were acceptable to all the parties. That is not the case riqht
now.
Q
He has no objection to this partitioninq, which
would, as has been suqqested, reward the Serbians for the land that
they have taken?
MS. MYERS: If all of the parties involved aqreed to it,
then that would be acceptable to him.
Q
Why has he not yet had a national security meeting?
MS. MYERS: His national security staff is meetinq on a
reqular basis. He is consultinq reqularly with national security
advisors on this and other topics. He just hasn't had a formal
national security meetinq, althouqh the staff is continuinq to meet
on a reqular basis and he's fully informed about all the issues that
they're considerinq.
Q
Well, let me pursue that for a moment. What is his
sense of the role of national security in terms of his work, his
daily schedule? It's a little bit stranqe that he hasn't scheduled a
National Security council meetinq since he's been in office.
MS. MYERS: No, it's not at all. He's fully informed
about national security issues and the work of both the Secretary of
state, Secretary of Defense and his National Security council. He
starts every day with a briefinq on security and intelliqence issues.
It's somethinq that he pays attention to throuqhout the day,
somethinq that he works on throughout the day. And it's something
aqain, on Bosnia, the national security staff is continuinq to meet,
Secretary Christopher is continuinq to work on this. And the
President will have some decisions on it soon.
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Q
So he doesn't think he needs to sit down with them
at the presidential level to move the process along?
MS. MYERS: He's conferring with them regularly
regularly. I think he's fully informed as to the options on Bosnia
and other issues and the obstacles of progress.
Q
He's still going to come out with a decision then
on this, or is that the decision?
MS. MYERS: No, he will have more to say about the
situation in Bosnia relatively soon.
Q
Because the Muslims have already said they do not
support this plan, so what you --
MS. MYERS:
Q
support it.
That's correct --
-- just said is effectively rejecting it.
MS. MYERS: If the parties were to agree, he would
But the parties have not agreed.
Q
Dee Dee, is there any comment from the President on
the postponement of the Middle East peace talks?
resume.
MS. MYERS:
We're hopeful that the peace talks will
Q
Will he convey to the Israelis that the peace
talks, which are supposed to take place next week -- the multilateral
talks have been canceled or postponed indefinitely -- so what's the
background of that?
MS. MYERS: Again, the President supports the peace
talks there in the Middle East. He hopes that they can resume soon.
He hopes that all sides will agree to come back to the table. He
believes that Israel's decision to return 100 of the deportees and to
work toward repatriating all of them will allow the peace process to
go forward.
Q
But isn't that an admission that your compromise
with Israel on the deportees has failed, that it is a failure,
because you have, in fact -- well, you admit that the peace talks
cannot resume now?
resume.
MS. MYERS: No, we're hopeful that the peace talks will
And we're working toward that.
Q
How soon?
MS. MYERS:
As soon as possible.
Q
Dee Dee, if the President is willing to accept the
fact that Serbia will gain territory out of all of this, does that
mean that the Helsinki Acts are dead? Is that a dead letter now?
MS. MYERS: No. Again, the President is working with
his national security advisors, and we'll have more to say about
this.
Q
If he accepts the fact that Serbia will wind up
with territory which it conquered, does that not kill the Helsinki
Final Act?
MS. MYERS: I will repeat one more time: If the parties
agreed to it, the President would support it. The parties have not
agreed to it.
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Q
The perception of the President's foreign policy so
far is either "me, too" or he hasn't paid any real -- I mean, he
certainly has made no pronouncements on foreign policy. Does he ever
intend to put this thing together? I know the urgency of the
domestic needs now. But it seems to me that -- is he neglecting
foreign policy? He's made no public stance on anything.
MS. MYERS: No. He's working on foreign policy every
day. We're working toward diplomatic solution to problems in Haiti.
We're working toward a diplomatic solution to the problems in the
Middle East. He's working toward a solution to problems in former
Yugoslavia. He's continuing to work with people to deal with the
problem in the former Soviet Union and in the Russian domestic
economy. I mean, he's working on a number of fronts right now to
deal with a number of pressing foreign policy issues, and he will
continue to do that. And he'll have more to say on specific cases,
like Bosnia, soon.
Q
Has the United States given up on restarting the
Middle East talks next week, as had been expected?
MS. MYERS: I think we 1 re pushing to restart those talks
as soon as possible. That may not happen next week.
Q
And you mentioned Haiti. There was a report from
Haiti today that some Aristide supporters are concerned that the
President's diplomatic initiative is dragging, and maybe it's hit a
dead end because the current government has rejected at least part of
the Caputo plan. Can you tell us what the state of play is on the
Haiti initiative?
MS. MYERS: Just that the President continues to support
the efforts by the U.N. and the OAS and Caputo's efforts to move
forward with the plan he outlined shortly before he was inaugurated.
well?
Q
Does he have his own effort underway on Haiti as
MS. MYERS: That, basically, is an effort that's very
much led by, or the President's been very involved in that -- that
the u.s. has been very involved in that effort, and we're going to
continue to pursue for full restoration of the Democratic government
in Haiti.
Q
Just one other thing on Haiti. Jesse Jackson's
suggestion for a 90-day promise that this will be resolved within 90
days -- what's the President's response on that?
MS. MYERS: He's reviewing it.
decision one way or another on it.
He hasn't made a
Q
Have you made a decision on the HIV positive
patients at Guantanamo?
MS. MYERS:
Q
No.
He's still thinking about it?
Q
Dee Dee, on some of these issues -- foreign policy
issues and on domestic issues, I guess there seems to be an
impression that President Clinton, before he was elected, came in
with quite specific plans. If you look at his book, he had all sorts
of ideas. He was pushing for more action in Bosnia. Now that he is
President, it seems that he has to study a lot of stuff, that he has
-- you know, domestic things have to be kind of farmed out for study,
Bosnia, there seems to be a lack of decision. How do you explain
that?
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MS. MYERS: Well, in terms of the economy, circumstances
change. I think the President's broad goals are still the same,
which is new investment that will create jobs and get the economy
moving again, debt reduction and just overall fairness. Those are
the same goals he outlined throughout the campaign. He's still
committed to many of the specific details that he outlined during the
campaign -- for example, more worker training things like that.
Those will all be -- all the final details that will be outlined on
the 17th. He's moving quickly toward a comprehensive economic plan.
The legislative details were always going to take time to work out.
On foreign policy issues, he's working carefully with
his advisors to make the best decisions and to move forward on a
variety of issues. I think that it's complicated and the President's
making good progress on a number of things. But you can't expect to
have all the details of those in the first two weeks.
Q
How specific will his address to Congress be?
MS. MYERS: I think it will be quite specific. I don't
expect that there will be legislative -- a specific legislative
package. I don't think the bills will be drafted, but I think that
the program itself will be quite specific.
Q
But at that time will he outline, for example, the
level of who's going to pay higher taxes and whether it's $150,000 or
$200,000 a year income?
MS. MYERS: I think the details on that will be quite
clear. Again, all of the final decisions haven't been made, but I
expect a high level of specificity in the February 17th plan.
Q
With regard to international issues, where is the
President making good progress?
MS. MYERS: He's working with his national security
advisors to come to some -- work out some kind of a decision on the
Bosnia situation. He's working on Haiti. I think there was a lot of
fear about a mass exodus; that hasn't happened. He's working in the
Middle East to resolve the situation there. I think that they've
made progress on resolving the deportee issue. And I think they'll
continue to make progress on a number of fronts.
Q
This assessment on Bosnia -- we'll support it if
all of the parties support it -- was that what emerged from this
meeting yesterday with his advisors?
MS. MYERS: No, that's been the position for a few days
now. Secretary Christopher did meet with Vance and owen a couple of
days ago in New York. He's bringing -- sort of relayed information
about that meeting and his thoughts on that meeting to the
President's national security advisors and they're moving forward
accessing the details there.
Q
That position implies that we would be willing to
commitment u.s. resources to keep this -- to enforce the plan, does
it not?
MS. MYERS:
Not necessarily.
Q
so we would support it if everybody else did, but
we wouldn't do anything to implement·it.
MS. MYERS: Again, if all the sides agreed to the plan
the President would support that. That has not happened.
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saying.
Q
That does not come without strings is what I'm
MS. MYERS:
But that has not happefied.
Q
Can we phrase it in reverse? Would it be accurate
to say the President will not support the Vance-owen plan unless the
Moslems in Bosnia support it?
I suppose
everybody
point, is
agreement
MS. MYERS: That's a conclusion that you draw. I mean,
it's -- I don't want to play rhetorical games. I mean, if
supports it the President would support it. He, at this
not going to move forward with implementing it without the
of the various parties.
Q
The point I'm trying to make is, does u.s. policy
hinge on whether the Moslems in Bosnia -- the position that they're
going to take? If they're going to continue to resist Serbian
onslaughts, or whatever, will that dictate what the Clinton
administration's policy will be?
MS. MYERS: It's certainly something that will be
considered. I can't speak for down the line what elements might
influence the President's thinking on that. But in terms of this
specific proposal, the one that is on the table now, if all the
parties agree to it, the Pre~ident will support it.
Q
How long is he willing to give it before he --
MS. MYERS: He's moving quickly toward making decisions
which he will talk about soon.
Q
His decisions are not contingent, then, on whether
-- I don't understand.
MS. MYERS: They're not contingent on it. He's moving
forward with his own -- he's looking at the situation himself. His
national security advisors are looking at it, and they're going to
make their own decisions based on their own information. That is not
necessarily related to the Vance-owen process. He's not waiting for
an outcome to the Vance-owen process to make decisions.
Q
By not supporting the plan, the President is making
sure the Muslims will never support it. Isn't it correct? Isn't it
correct to say that?
MS. MYERS: I will repeat once again -- if they support
it, the President will support moving forward with the process.
Q
Dee Dee, would he be willing to do anything to
encourage the Muslims to support the plan?
MS. MYERS:
He'll have more to say about that later.
Q
So you're not ruling that out as a distinct
possibility, I take it.
MS. MYERS: I'm not going to rule anything out, other
than to say that the President is going to have more to say about the
Bosnia situation. He's making decisions based on his own information
independent of the Vance-owen peace process.
Q
But is one of the things that he's considering
whether to encourage the Muslims to support that plan?
MS. MYERS:
I wouldn't rule it out.
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�'1
11 -
Q
Is he looking at military options as well as
diplomatic options?
MS. MYERS: Secretary Christopher said yesterday or the
day before that they had not considered military options yet. I
would refer you to the State Department and to Secretary
Christopher's comments on that.
Q
During the campaign there was discussion about
greater enforcement of the embargo and about lifting the embargo on
arming the Bosnians.
it.
MS. MYERS:
Q
considered.
Right.
The President said he would consider
Is that under consideration?
MS. MYERS:
It's one of the options that's being
Q
Why didn't he go to the meeting yesterday of his
advisors on this issue?
MS. MYERS: He's being kept fully informed on what their
decisions are. There are some things that are debated on a staff
level and looked at. The President's fully informed about the
process and he'll continue to work with them.
Q
Dee Dee, you mentioned the Soviet Union earlier.
Has the President been in touch with Yeltsin at all, and is there any
plans for a summit?
MS. MYERS: He hasn't spoken to him since the 23rd when
they spoke on the phone. They decided then that Kozyrev and
Christopher would get together to work out the details of their
meeting. They hope to do that soon.
Q
So nothing's pushed that on?
MS. MYERS:
No new details on that.
·Q
Is there any news out of Hillary Clinton's health
task force? Is there anything happening there? Are they still
meeting, and are they meeting in secret?
MS. MYERS:
Q
No, they will not meet in secret.
There are
-- will be able to attend their meetings?
MS. MYERS: When the full task force -- the full task
force hasn't had an official meeting yet. And we're -Q
They had one.
MS. MYERS: They had -- it was sort of an organizational
-- it was an announcement of the fact that Hillary Clinton would
share the health task force. There are working groups within the
task force that will meet regularly. The task force
Q
-- get to go to these meetings?
MS. MYERS: When the full task force meets, some of
those meetings and perhaps all of those meetings will be open, when
the full task force meets.
Q
can you tell us the purpose of her trip to the Hill
today?
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care issues.
MS. MYERS:
Q
To meet with congressional leaders on health
And what is she going to be seeking from them?
MS. MYERS: Their input, as she will throughout this
process. I mean, obviously, the President has made his health care
priorities clear, and that we're going to continue to work with
members of Congress and find out what their priorities and thoughts
are on this in developing -- the President has said he wants to
develop a legislative agenda to start health care process within the
first 100 days, and that's what Hillary will be working on.
Q
Where does she stand on Senator Pryor's criticism
of the drug companies for exceeding the inflation rate on their
prices?
MS. MYERS:
soon.
I'll have to get back to you on that.
Q
-- the President is going to speak out on Bosnia
Are you talking about within a matter of days?
MS. MYERS:
Q
I don't have a specific time line for it.
Could it be on Saturday during his radio address?
MS. MYERS: No, I think that the radio address will
focus on domestic policy.
Q
weekend agenda?
Aside from that, what else do you have on the
MS. MYERS:
off over the weekend.
I think he's going to try to take some time
Q
But he'll be here?
anything on Sunday?
And Sunday -- does he have
MS. MYERS: As of right now, I don't think he has any
public schedule over the weekend. I think he's going to spend some
time continuing to get settled. And they haven't had a lot of time
to move into the White House.
Q
How would you characterize Mrs. Clinton's role in
the Attorney General selection process? It was noted this morning
that she had been impressed with one of the candidates.
MS. MYERS: She was present throughout the process of
Cabinet selection and she continues to play a role in that.
Q
What is the role?
MS. MYERS: I don't know if she's been in on every
meeting, but she sat in on a lot of interviews and certainly advised
the President, shared her opinion with him about various candidates.
Q
Has she been in all the interviews that he's had
with the candidates that are currently under consideration?
MS. MYERS: I don't know if she's been in all of them.
She's certainly welcome. And when it fits her schedule, she sits in
on the interviews.
Q
Has she sat in on the interviews for these
MS. MYERS:
I don 1 t know if she 1 s sat in on all them or
not.
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Q
can you take that question?
MS. MYERS:
sure.
Q
-- a list of all the people who are in this -- I'm
sorry. Is there a list of all the people who are in this task force
headed up by Mrs. Clinton?
MS. MYERS: It was in the press release -- and I can
certainly get you a copy of it -- which was announced on, I guess
last week. And it includes certain members of the Cabinet7 the
President's domestic policy advisor7 his head of the National
Economic Council, Bob Rubin7 and a few others. There's also a lot of
staff that will be working and reporting back to the task force. But
the task force itself has not had any fully scheduled meetings yet.
be open?
Q
Has he concluded that those meetings by law have to
MS. MYERS: Counsel's opinion on that, which we can get
you more details on later, is that FACA does not apply to this.
Q
Why?
MS. MYERS: Why? Because -- and I will get you more on
this later -- because the First Lady -- it was not intended to apply
to the First Lady.
Q
No, no. There's legislation on the Hill which
would exempt the First Lady, but currently she is included.
MS. MYERS: But it's only to clarify what the intent of
the original bill was. I will get back to you on that, because I
know the counsel has an opinion that basically supports that.
Q
They've also expanded it to include governors, I
believe, and they're not federal employees either.
MS. MYERS: Not as members of the task force. And they
may be advising the task force or advising the working group
Q
If they're outside advisors, then it comes under
the law.
it.
MS. MYERS: That is not the way Counsel has interpreted
But let me get back to you, because I want to be clear on this.
Q
Dee Dee, why on something this crucial, that was
such a major domestic issue, would the administration conceivably
want to close any deliberations by this entire task force?
MS. MYERS:
Q
I haven't said that they will.
I know that, but
MS. MYERS: And I think that a great deal of this
process will be open to the public and open to people who want to
participate in and contribute to it. That is not the intent at all.
I mean, I think regardless of what Counsel's decision is, that great,
great portions of this process will be open to the public.
Q
Dee Dee, is the President doing anything today
regarding Republicans to try to break the filibuster that they're
threatened against the family leave bill?
L_
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MS. MYERS: I think we'll have to wait and see what
actually happens. But we won't be able to do anything to break a
filibuster unless we're sure there will be one.
Q
They've said there will be one.
MS. MYERS:
Q
what happens.
We'll see.
I think
Do you have information --
MS. MYERS:
No.
I think we'll just have to wait and see
Q
Dee Dee, is the President going to go beyond his
Putting People First in defense cuts? Is he planning on going beyond
the $60 billion? Or are these cuts that he's proposing just
effectively carrying out that promise?
MS. MYERS: Exactly. He said throughout the campaign
that he would cut the defense budget by roughly $100 billion, which
is roughly $60 billion more than the Cold war budget that was put
forward by President Bush. And now he's going through and
implementing those cuts. It's roughly a five percent cut in the
military budget over a five-year period.
Q
-- confirm these numbers that were in the paper
today of Aspin asking for I think it's $8.3 billion
that.
MS. MYERS: I refer you to the Defense Department on
I don't have those numbers.
Q
Dee Dee, you seem to be sending a message on
Bosnia, which was that the President's not going to pressure the
Muslims to accept the Vance-owen plan, that they're going to have to
do something, change the plan to satisfy the Muslims. Then when the
Muslims accept it he'll get behind it. But then, in answer to Brit's
question you said you wouldn't rule out putting pressure on the
Muslims to accept the plan. So which way is it? What's the message?
MS. MYERS: I don't want to rule it in and I don't want
to rule it out at this point, other than to say that the President
will have more to say about Bosnia later. In the meantime, if all
the parties agree, he would support implementation of the plan.
Q
Lord OWen says he's trying to block that plan.
MS. MYERS:
Q
He's not trying to block the plan.
How much later?
MS. MYERS:
Soon.
Q
Dee Dee, where does the President stand on his
analysis of the California decision on gays in the military?
MS. MYERS: I don't know whether Counsel's gotten back
to him with an opinion on that.
Q
Does he think that a person who fired -- terminated
two staff people because of their status can conduct a fair hearing
on gays in the military?
MS. MYERS: I think Senator Nunn is very capable of
conducting a fair hearing on this. The Senator said his mind is open
to be -- I don't know if changed is the right word, but he says he
can be influenced by these hearings and we'll take him at his word on
that.
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Q
So his conduct is less important, or his status is
more important than his conduct, is that correct? (Laughter.)
MS. MYERS: I will refer you to Senator Nunn•s previous
statements on that issue.
Q
George last week said that Counsel had ruled that
the California decision applied across the board, and the President
would get to review that.
MS. MYERS: I think that's just the general consensus of
the legal community on how -- the implication of that law.
opinion.
me?
Q
You said the White House Counsel had issued that
Is it in the in-basket somewhere? Can you clarify that for
MS. MYERS:
Yes.
I'll get back to you on that.
Q
How is the White House handling polling? How much
polling are you doing? Are you doing it on a daily basis --
MS. MYERS: The White House -- we don't have a polling
operation within the White House. We have access to polls that are
conducted by people outside the White House.
Q
Which would be, what, DNC or something?
MS. MYERS: And others. We have access to a number of
people who conduct polls on a regular basis, but there's no operation
within the White House on polls.
Q
Are you going to run your own polls? Are you going
to ask these polling companies to run polls on specific issues?
MS. MYERS: Well, I think we retain the right to do
that. But we'll pay attention to those things and we had, as you
know, an ongoing polling operation throughout the campaign. I think
we'll continue to take a look at public opinion polls from time to
time. But again, there's no polling operation within the White
House.
THE PRESS:
Thank you.
END
l.0:2l. A.M. EST
�THE WHITE HOUSE
Office of the Press Secretary
For Immediate Release
February 8, 1993
PRESS BRIEFING
BY GEORGE STEPHANOPOULOS
The Briefing Room
12:445 P.M. :EST
SUBJECT
ANNOUNCEMENTS
The President's Schedule
••••••••••••••••• 1
DOMESTIC
Social security Law •
Kimba Wood Withdrawal
Paid consultants
Staff Reductions
• • •
Attorney General Candidates •
unemployment Compensation •
COLAs •
•
•
•
•
•
•
•
sunshine Laws • • • • •
Judge Sessions
Gays in the Military
• • • • • • • • 1-7;13-14
• • • • 7-8;15-16;18
9-10
11-12
14
. . . • • • • • .
15
15
• • • • 17
19
19
FOREIGN
Situation in Bosnia •
Israel • • • • • •
16
17
1:23 P.M. EST
#16/02-08
�THE WHITE HOUSE
Office of the Press Secretary
For Immediate Release
February 8, 1993
PRESS BRIEFING
BY GEORGE STEPHANOPOULOS
The Briefing Room
12:45 P.M. EST
MR. STEPHANOPOULOS: Good afternoon. As you know, the
President will be meeting with Mr. ozal later this afternoon. And
he'll also be having an announcement related to unemployment
compensation at around 2:30 p.m. today.
Q
Where is that?
MR. STEPHANOPOULOS:
I think in the Roosevelt Room.
Q
Has any inquiry been made to determine whether both
the President and Vice President are okay on this question of Social
Security payments made and all reports filed on behalf of people who
may temporarily or permanently have worked for them in the years
past?
MR. STEPHANOPOULOS:
Q
Yes, they both are.
Both are clear on that?
MR. STEPHANOPOULOS:
Yes,
Q
And nobody looked after Chelsea who not properly
documented or paid or something?
MR. STEPHANOPOULOS:
Not that I know of.
Q
Well, has the same question been asked of all the
Cabinet officers now?
MR. STEPHANOPOULOS: I think that -- I mean, the policy
of the White House is very clear, that all the Cabinet officers are
supposed to comply with the law. I don't know about all of their
past histories. You can check with them.
Q
Have they been asked, though, to let you know, to
investigate this themselves to make sure that they don't have a Kimba
Wood problem?
MR. STEPHANOPOULOS: Not that I know of, but it's clear
that they are to comply with the law.
Q
Well, are you aware of how many Cabinet members or
White House staff people have not complied that are now making back
payments on Social security?
cases,
other.
MR. STEPHANOPOULOS: No, I don't know of any other
It doesn't mean there aren't any, I just don't know of any
Q
Is the counsel's office checking?
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MR. STEPHANOPOULOS: I think the Counsel's office has
made it clear that all the Cabinet officials and senior White House
officials are to comply with the law.
Q
How do you do that, George?
Q
Has anyone followed up what Ron Brown said on a
show yesterday, or what others were questioned about? Is there any
kind of organized process to make sure that everyone is --
MR. STEPHANOPOULOS: We have an organized process to
make sure that all Cabinet officials and all senior White House staff
comply with the law, yes.
Q
Did you know that Ron Brown had not paid Social
Security taxes until yesterday morning? Did you know that before he
said it publicly?
MR. STEPHANOPOULOS: I think we did. I'm not sure -- as
I said this was an issue that we all became sensitized to after the
Zoe Baird case. It was a law that -- I think a lot of people were
not aware of all the implications of the law relating to Social
Security taxes prior to the Zoe Baird case. But now we are aware of
it and Cabinet officials are expected to comply.
Q
-- immediately in the wake of the Baird case?
MR. STEPHANOPOULOS:
think anybody knew before.
Q
No, I don't think so.
No, I don't
But you would expect that a lawyer would know this?
Q
Did you do something right after the Baird case to
bring it to people's attention? Did you send out a memo? Did you
say something?
Q
Did you send out a memo?
MR. STEPHANOPOULOS: I think the Counsel certainly
informed everybody that they were to comply with the law.
Q
In other words, if Brown didn't know about it
before the Baird case, did you bring it to his attention and
everybody else's, or did they just have to find out for themselves
and decide that it was the right thing to do?
MR. STEPHANOPOULOS: Is that I think that they were made
aware of the requirements of the law.
Q
Requirements by who?
Q
You have 13 lawyers or something in this Cabinet.
Why would a lawyer not be aware of the requirements of the law?
MR. STEPHANOPOULOS: Well, I'm not sure. I think that
most -- many American were not aware of this requirement. I think
that many members of the Cabinet were. But I just don't know of the
specific details of each individual case. When Ron Brown became
aware of it, he did pay the back taxes. And now, as I said, all
Cabinet officials will comply with the law.
Q
Do you think the law is too rigid? Do you think as
times have changed and things have become more expensive that $50 a
quarter is too low a threshold?
MR. STEPHANOPOULOS: Well, I think it is certainly
something that needs to be looked at. I mean, the $50 threshold was
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�- 3 -
set in 1954. That's an awful long time ago; 28 years ago, and it's
something -- any common sense standard -- if you have a babysitter
once every three weeks and hire your next-door neighbor to mow your
lawn, technically you should be paying Social Security taxes.
Q
And have you not been able to fill certain deputies
jobs, certain deputy secretaries jobs because of this problem,
because other people have had illegal alien problem?
MR. STEPHANOPOULOS:
I'm not aware of that.
Q
George, some women's groups are complaining that
what happened first to Zoe Baird and now to her successor, Judge
Wood, would not have happened to a man and that this amounts to a
double standard being applied to women, potential women nominees.
MR. STEPHANOPOULOS: Well, there's no evidence to
support that contention. All people who are nominees now are being
asked the question. When we became aware of this situation we are
assuring that everybody complies with it. I would remind everybody
that Zoe Baird brought this to everyone's attention herself,
voluntarily. This was not something that there was a lot of
attention to. In the case of Judge Wood, we did ask several times,
as we have asked all potential nominees for attorney general, men and
women alike.
general?
Q
All nominees for all positions or just for attorney
MR. STEPHANOPOULOS: I think it's a question -- no, it's
a question that is generally asked now. I think that you can
Q
For all presidential senate confirmations?
MR. STEPHANOPOULOS: For all presidential senate
confirmations, as far as I know, yes.
Q
are clean on this?
records?
How do you know the President and Vice President
Were they, over the weekend, looking over their
MR. STEPHANOPOULOS: I think this is something -- again,
I'll double-check. But this is something that we've discussed, and I
believe they're in compliance, yes.
Q
George, will all these Cabinet members have to make
an accounting to the White House as to how they dispose of whatever
problem they may have in this regard?
MR. STEPHANOPOULOS:
fully comply with the law.
As I said, they will be expected to
Q
Yes, but will they make an accounting -- will they
explain their actions and provide some kind of documentation to the
White House as to their actions?
MR. STEPHANOPOULOS: I suppose if there's anything to
explain, but I don't know of any cases right now where there is.
Q
could you be a little bit more specific? You said,
you put it in the passive tense. You said, they were made aware of
the requirements
MR. STEPHANOPOULOS:
Q
I'm not exactly sure.
I know --
Did the counsel's Office after Zoe Baird-- did a
memo go out?
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�- 4 -
MR. STEPHANOPOULOS: Counsel's Office made an
announcement at a senior staff meeting. I believe that was then
conveyed to the Cabinet officials in the morning conference call to
the chiefs of staff. I believe that was how it was done. I'm not
exactly sure.
Q
George, on the laws, will you now change it that
either INS is more stringent in deporting illegal aliens or,
conversely, will you modify the laws so illegal aliens, once they're
here, are allowed to work?
MR. STEPHANOPOULOS: Oh, I don't know if there are any
changes contemplated right now, but certainly the INS commissioner
and the new attorney general will review all of the regulations.
Q
Do you think you have a problem in the situation?
MR. STEPHANOPOULOS: I didn't say that. I said in their
continuing review of all of the laws and regulations in the
department, this might come up.
case closed?
Q
George, as far as Ron Brown is concerned, is the
MR. STEPHANOPOULOS:
Q
Sure.
so there's no other action or
MR. STEPHANOPOULOS:
Q
I believe so.
Not at all
-- requirement for him from the White House?
MR. STEPHANOPOULOS: He's to comply with the law, as all
Cabinet officials are, and he is.
Q
Now, these people -- getting back to the question
of who let them know what a problem was when it was, Zoe Baird came
up before these people were confirmed by the Senate, certainly before
they were sworn-in. Was there any attempt to vet them on this issue
before they became Cabinet members, or did you just figure they're
this far along in the process, we might as well let them go through?
MR. STEPHANOPOULOS: I believe that, as I said, there
was a communication with the counsel's office to the senior staff,
and then that was then communicated to the Cabinet officials. I
don't know the exact timing of it.
Q
George, you knew the Ron Brown situation before he
made it public on Sunday, is that correct? The White House knew?
MR. STEPHANOPOULOS: I believe either the day before or
something like that. I'm not sure when other people in the White
House might have known.
Q
Where does the President stand now on the new AG?
Where does he stand now?
MR. STEPHANOPOULOS:
The standard is that he must comply
with the law.
Q
Where does he stand now in terms of a search for
one?
MR. STEPHANOPOULOS: He's reviewing -- we expect to have
an announcement relatively soon, and he's just working on it.
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�- 5 -
Q
disqualifying?
For future nominees, is a failure to pay taxes
MR. STEPHANOPOULOS: Again, I'm not sure if we can set a
hard standard on that at this time. Clearly, there are special
requirements for the post of attorney general. I mean, this person
will be asking others to enforce the law, and we want to make sure
that there's no question of any kind in that case.
Q
George, when you say "fully comply with the law,"
what do you mean? As long as you pay your back taxes, you're okay,
even though you knowingly broke the law?
MR. STEPHANOPOULOS: I think it's most important that
people pay taxes for any household help to be in compliance with the
law
Q
But it doesn't matter if you knowingly broke the
law as long as you pay up now --
MR. STEPHANOPOULOS: Well again, in this case and the
case of Ron Brown, I don't know if we have a case of knowing a
violation of any kind. This is something we all became aware of
after the Zoe Baird case.
·
Q
In the case of Judge Wood, she didn't break the
law. She knew what the law was and she followed it to a tee. And
now you are getting tremendous backlash from women and others who are
wondering why you acted so fast to pull her nomination. She abided
by the law at the time. Ron Brown has followed up after all the
publicity.
MR. STEPHANOPOULOS: The cases aren't comparable in any
way. Judge Wood was not nominated for a position in the Cabinet.
Judge Wood was not chosen for a position in the Cabinet. Judge Wood
was among several candidates for a position, number one.
Number two, I would just add that here we also had an
issue where she was questioned before any choice was made on three
separate occasions about this matter. But it was only after review
that we discovered all the facts. And I believe that, in and of
itself, also has an effect on the nomination selection process. Had
we had all the information at the beginning of the process, when it
was first asked it would clearly have affected the process. I think
there is no question about that. In that sense the situations are
not comparable.
Q
-- press factor or the flap factor? What I mean by
that is, do you think it possible that that prospective nomination
could have gone forward had she revealed everything in light of the
evident fact that no laws were broken?
MR. STEPHANOPOULOS:
don 1 t think we know.
I don't think we know.
I just
Q
Did you weigh at all the question of how much the
possible relationship of trust was hampered by her evident failure to
disclose as against this question of whether you all are willing to
stand the gab of having some excited talk-show host on the radio?
MR. STEPHANOPOULOS: Clearly, when you're dealing with
the position of attorney general, an important position, a position
-- the President's lawyer, in effect, as well as the nation's lawyer,
you have to have full and complete confidence in the nominee. The
President does respect Judge Wood. He respects her intelligence, he
respects her work in the court. But there is also some concern that,
in this case, she was not completely forthcoming.
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I'm not suggesting that it was intentional, but it was
simply a case where we did not have all the facts at hand as the
process was going forward and we were not able to fully assess the
situation until we had all those facts. Had we had the facts earlier
clearly it would have affected the process of the nomination.
Q
You're saying then that she should have understood
the political implications when she was questioned those three times
and volunteered, because on a political basis, it might be damaging
following the Baird case? Is that the implication?
MR. STEPHANOPOULOS: It clearly would have been
reasonable to expect, and I think any reasonable person after the Zoe
Baird situation, when asked if they had any problems in the area
relating to the zoe Baird problem or related to the hiring of illegal
aliens or related to back taxes, would say, well, no, I don't think
so but -- and then give all the facts. And in this case, that simply
didn't happen. But these are -- I think that would be what you would
expect of a reasonable person at that point.
Q
How would it have affected the process if you had
known all of this up front?
MR. STEPHANOPOULOS: I honestly don't know. But it
clearly would have had an effect. The fact that we didn't know
clearly did affect the process.
Q
George, some people are angry --
Q
Can you tell us -- you just said a few minutes ago
that Ron Brown only told you about his case a day or so before he
said it on the air.
MR. STEPHANOPOULOS: I said that's when I found out.
I'm not certain when others in the White House may have found out.
Q
Do you know whether he informed the White House as
soon as he knew there was a problem; was he fully forthcoming?
MR. STEPHANOPOULOS:
the exact date.
Q
I believe he was, but I don't know
Could you get us some comment on that?
MR. STEPHANOPOULOS:
Sure.
Q
can you also tell us, to the best of your
knowledge, are there any other members of the Cabinet or the senior
staff who have had to regularize their situation the way that zoe
Baird did?
MR. STEPHANOPOULOS: I don't have the facts on that, but
if we have others we'll let you know, sure.
Q
George, some people are also angry that somebody in
the White House·apparently who had access to her files leaked
information over the weekend about her having been a trainee in
London at the Playboy Club. And that has offended many people who
feel that that was --
MR. STEPHANOPOULOS: The President is angry about that
as well. I'm not certain that they came from the White House. I
don't know that it did. I know that information was in circulation,
but the President is angry about that as well.
Q
Why is the President angry?
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MR. STEPHANOPOULOS: Well, he felt it was irrelevant to
the process and it's always wrong to leak any sort of information
from confidential files.
Q
Are you now asking that question to Cabinet and
sub-Cabinet officials and senior officials -- the question that
wasn't asked before? Is this slowing down the confirmation process?
MR. STEPHANOPOULOS: I don't think it will. It's one
more question that has to be asked in the vetting process, but it
doesn't take that long to ask and answer it.
Q
Yes, but then you're eliminating -- according to
most statistics, 75 percent of Americans, according to IRS, don't pay
Social Security in this fashion. You're eliminating a very large
pool for your sub-Cabinet.
MR. STEPHANOPOULOS: Not necessarily. Again, we have to
look at these cases and figure out what the situation is but that
hasn't happened to date.
Q
So people could pay back Social Security taxes and
still be qualified for an appointment?
MR. STEPHANOPOULOS:
Oh, I think so.
Q
What is the disqualifying standard here? Is hiring
an illegal alien at a time it was illegal -- would that disqualify
someone for an appointment that involves Senate confirmation?
MR. STEPHANOPOULOS: I don't know about the specific
standard. Clearly, it was complicating and disqualifying in the end
in the case of Zoe Baird. She decided to withdraw.
Q
But not in that particular case, but in general.
If you have someone you're considering for a job that involves Senate
confirmation and they employed an illegal alien at a time it was
illegal to do so, would that be disqualifying?
MR. STEPHANOPOULOS: Again, I think it would make it
very difficult and probably be disqualifying, yes.
Q
George, did anybody from the White House encourage
Kimba Wood to write her letter yesterday to reemphasize her view of
the events?
MR. STEPHANOPOULOS:
offered to write it.
Q
that?
As far as I know, she called and
There was no communication with her before she did
MR. STEPHANOPOULOS: To the best of my knowledge she
called White House Counsel Bernie Nussbaum yesterday morning and
offered to write the letter.
Q
George, you said that Judge Wood was not as
forthcoming as she could have been. Does the President feel that she
misled him?
MR. STEPHANOPOULOS: Again, that's your word. I think
that in the end it was just that we didn't have all the information
we needed to fully assess the situation. It would have been helpful
had we had that. I'm not suggesting that, again, that it was
intentional on her part, but clearly, she gave an answer that she
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thought was true and indeed is true but it did not provide all the
details at the time.
Q
Let me ask you this, George. If that's the case
and you didn't have the information and she wasn't selected or
nominated, why did you even ask her to withdraw? Why not just
proceed with the process and select someone else?
MR. STEPHANOPOULOS: She chose to withdraw and she put
out the statement Friday afternoon.
Q
For the record, you -- the White House, Bernie
Nussbaum did not call her and tell her, her nomination would not go
forward and she should withdraw?
MR. STEPHANOPOULOS: That's different from withdrawing.
Whether or not
she chose to put out a statement saying she would
withdraw.
Q
Did he call her and do that?
MR. STEPHANOPOULOS: They had a discussion -- when they
were going through the records, I think he indicated to her that this
would be a significant problem, yes.
Q
But he asked her to withdraw her name from
consideration, did he not?
MR. STEPHANOPOULOS:
Nussbaum, she did withdraw.
to?
issue here.
Q
I
After the discussion with Bernie
know, but did he in that conversation, ask her
MR. STEPHANOPOULOS:
You're getting into a semantic
Q
publicly.
Narrow legalistic --
Q
The question is whether he asked her to do it
MR. STEPHANOPOULOS: There's a difference between saying
that there would be a problem in this going forward, and her taking
the affirmative step to withdraw herself publicly from the process.
Q
Did Bernie Nussbaum ever, in a conversation with
anybody else who was on the list who had been interviewed by the
President, did he ever go back to them and say you are not likely to
be considered, and did that person ever then feel the need to put up
-- whose name had appeared in a published list, feel the need to
release a letter saying they were withdrawing?
MR. STEPHANOPOULOS: I don't think that's ever happened
before, but I think there have been other cases clearly where people
have been interviewed or people have gone through the process and
they have been told that they either weren't selected or it wasn't
going any farther.
Q
More to the point, did he, in that conversation,
ask her to publicly withdraw?
MR. STEPHANOPOULOS:
No,
Q
George, there does seem to be a faint if not
intense sound of factional trouble here when the President has not
yet picked somebody and the newspapers are full of stories attributed
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�- 9 -
to an a~inistration official that say this.person is the choice
it certainly appears that someone inside the tent here is trying to
force the President's hand and make it more difficult for him to not
select that person. What's going on here?
MR. STEPHANOPOULOS: I don't know that that's
necessarily the case. I mean, I think we've seen throughout this
process in the selection of not only the attorney general, but
several other positions the names often get into the public domain
before a selection is made, before a decision is made. Sometimes the
newspapers are right, sometimes they're wrong. Sometimes they go a
little farther than the situation might be, sometimes they don't go
quite as far. And in this case, it clearly was out a little farther
than the President had been at the time.
Q
Is the President -- in addition to this leak about
her Playboy experience, is the President troubled by, and has he
taken any measures to deal with the leaks about the state of the
nomination or the prospective nomination?
MR. STEPHANOPOULOS: I don't know that he's taken any
new leaks -- as you know, from several discussions here over the past
two weeks, the President is concerned about leaks in his
administration of all kinds. He wishes they wouldn't happen. He
wishes people would get to work. And it's just something we're
dealing with.
Q
Is the standard that you're talking about between
Ron Brown and Kimba Wood -- I hate to keep going over old ground -is the standard for you that he was not asked the question and she
was, and was not as forthcoming as you would have liked?
MR. STEPHANOPOULOS: I think that it's complicated when
you're dealing with a nomination where a decision hasn't been made.
A lot of different factors go into your final decision on whether or
not to choose somebody for an important position. In this case, both
factors came into play with Judge Wood.
Q
If he had been asked the question --
MR. STEPHANOPOULOS: If he had been asked the question
and had not been forthcoming, I would expect that it would have
affected his nomination and confirmation process. But that didn't
happen. He was fully forthcoming, and he was in this case -Q
He wasn't asked.
MR. STEPHANOPOULOS:
Zoe Baird situation.
But nobody was asked before the
Q
can you get us a timing for when he did tell you
about the problem?
MR. STEPHANOPOULOS:
I will try to find out, yes.
Q
Why is Paul Begala, in fact, playing a high profile
role at this point and whose payroll is he own?
MR. STEPHANOPOULOS: He's just working in the White
House for a brief period of time as an unpaid employee. He's
volunteering his time.
Q
Who?
MR. STEPHANOPOULOS:
Q
Paul Begala.
Is James Carville as well?
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�- 10 -
MR. STEPHANOPOULOS: I don't think so.
James is working in the same capacity as Paul.
Q
What's Paul doing?
MR. STEPHANOPOULOS:
Q
Not in the same, no.
Isn't Paul being paid by the DNC?
MR. STEPHANOPOULOS:
does have a DNC contract, yes.
Q
That's a separate contract.
He
What's he doing here?
MR. STEPHANOPOULOS:
campaign for the economic plan.
Q
I don't think
He's just helping out with the
Damage control?
MR. STEPHANOPOULOS:
No.
Q
can I go back to this whose paying whom. There
were stories over the weekend about people actually being hired as
paid consultants to the White House on the health policy area.
MR. STEPHANOPOULOS:
the White House.
Q
Okay.
Paul is not a paid consultant to
He's a paid consultant to the DNC?
MR. STEPHANOPOULOS:
Right.
Q
Okay. The people who are paid consultants to the
White House -- who are these people?
MR. STEPHANOPOULOS: I don't know the answer to that.
I'll get an answer, I just don't have any information on that.
Q
Do you know how many there are and whether they
have to follow ethics rules and whether or not their businesses are
in the same field they're consulting on?
MR. STEPHANOPOULOS: I believe if you work for the White
House for more than 60 days during a year, you have to comply with
the ethics rules.
Q
But we'll
out.
Is this one way to reduce the White House staff?
MR. STEPHANOPOULOS: No, this is separate from that.
I just don't know of any paid consultants. I will find
Q
Are you going to pay them with these reports we're
seeing of increased money for the White House staff budget?
MR. STEPHANOPOULOS:
Q
No.
Are you working on a supplemental?
MR. STEPHANOPOULOS: I believe there is a supplemental
in the works. But the President has said, I believe in his interview
with Diane sawyer back in early January or late December, that in the
beginning of the term there's a kind of a bulge in employees in the
Personnel and the counsel's office because of judicial nominations
and because of the need to fill an awful lot of positions in the
first year. That's a very temporary bulge that would go away at the
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�- 11 -
end of the fiscal year. And if there is a supplemental that's
probably what it would be for.
Q
What would the amount of the supplemental be?
MR. STEPHANOPOULOS:
Q
I don't know.
George, can you define the carville relationship?
Q
can I just go back to this? If there is a
supplemental for White House costs, it would be to pay the salary
costs of extra people in Personnel and Counsel's office?
MR. STEPHANOPOULOS: I believe that's the case. I don't
know if that's exclusive, but I know that that's the primary reason
for it.
force?
Q
Do you know if it's to cover the health care task
MR. STEPHANOPOULOS: I don't know about the health care
task force consultants, but I'll find out.
Q
what Ann said.
Once again the bulk would be
I couldn't hear
MR. STEPHANOPOULOS: There's a bulge in Personnel and
Counsel employees in the first nine months or so.
reduction?
Q
How is that factored into a 25 percent staff
MR. STEPHANOPOULOS: We'll have an announcement on that
tomorrow, but the staff reduction would be fully implemented at the
end of the fiscal year.
Q
Will that actually swell it by 50 more employees?
Q
You're going to ask for $3 or $4 million more to
pay for extra people at the same time you're reducing the staff by 25
percent?
MR. STEPHANOPOULOS:
It will be a temporary increase.
Q
Why doesn't 25 percent total decrease cover a
temporary small increase?
MR. STEPHANOPOULOS: At the end of the fiscal year when
we make the announcement the 25 percent decrease will be fully
implemented.
Q
From which baseline?
MR. STEPHANOPOULOS:
later today and tomorrow.
Q
We're going to have an announcement
Phased-in decrease, is what you're saying.
MR. STEPHANOPOULOS: Any business -- again, we'll have
the announcement tomorrow -- any business makes their cuts over the
course of the fiscal year.
operation.
Q
You don't have people to cut in the political
They're just new hires. You're starting a business.
MR. STEPHANOPOULOS: That's not exactly true. There's
an awful lot of people here that are part of the permanent operation,
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�- 12 part of the political operation as well. But we will certainly be
hiring fewer political appointees and staffers of all kind acrossthe-board.
Q
Do you know yet whether that 25 percent, once it
factors out at the end of the fiscal year, will be a 25 percent
bodies cut or 25 percent --
MR. STEPHANOPOULOS:
We'll have an announcement on that
tomorrow.
Q
Are you eliminating the correspondence section -the firing of some 20 women who've been here for 20 years-plus?
MR. STEPHANOPOULOS: That's not exactly true. There
have been some replacements in the correspondence office. Not all of
them have been here for 20 years. The bulk -- the majority of them
are appointees who have been here for far less than that, and
basically political appointees in the correspondence section. And
the President wants to have people close to him writing his letters,
speaking in his voice, writing for him. And I think that's to be
expected and very normal.
Q
They're being replaced is
MR. STEPHANOPOULOS:
Q
can we go
social security taxes for a
facts about how many senior
problem or are taking moves
now.
Exactly.
back to the illegal alien and payment of
minute? You said you don't have all the
staff in the White House have this
to correct it. Are you saying --
MR. STEPHANOPOULOS: I know that none have the problem
Everybody is complying with the law.
Q
rid of any --
Right now everybody has paid up taxes or has gotten
MR. STEPHANOPOULOS: Everybody is complying with the
law. I don't know about the back -- any retroactivity. I know that
everybody is complying with the law.
Q
How do you know that if you don't know how many
people are affected?
MR. STEPHANOPOULOS: Well, they've been told to comply
with the law and they're expected to comply with the law. And
they've said they're complying with the law.
Q
How do you know that they're complying with the law
if you don't know who they are?
requirement.
MR. STEPHANOPOULOS:
Q
Because it's a universal
Do you know how many people are affected by it?
MR. STEPHANOPOULOS: I don't know how many people are
affected by any activity in the past, no.
Q
George, is the White House troubled by Ron Brown's
position that he didn't know about this aspect of the law?
MR. STEPHANOPOULOS: Again, as I said, I think a lot of
us learned a lot more about this after the zoe Baird case. Ron Brown
did, and when he found out about it he took action to correct it.
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�- 13 -
Q
Are you troubled by the fact that the Counsel, upon
learning that Judge Wood had live-in help or had someone whom she was
paying, that the Counsel didn't ask what the immigration history of
that person was? Shouldn't that have been a question that Counsel
asked?
MR. STEPHANOPOULOS: Again, I think the Counsel was
diligent in his effort. She asked on two separate occasions prior to
the interview, do you have any problem relating to illegal
immigrants, relating to Social Security taxes, anything relating to
the zoe Baird issue. He asked that question and was assured there
was no problem.
Q
Not just suggest do you have a Zoe Baird problem?
MR. STEPHANOPOULOS:
Q
of that person?
No.
What did the counsel assume the immigration history
MR. STEPHANOPOULOS: I don't think he knew that there
was necessarily a person or any one individual. He just knew that
there -- he was told there wasn't a problem. "I've always paid my
taxes," I believe was the response and that was it. There were no
details of the situation at all.
Q
Press accounts have said that they did have someone
who was involved in child care.
MR. STEPHANOPOULOS: Again, I don't know that he was
necessarily aware of that, but I know that he asked the question, was
assured there was no problem on two separate occasions before an
interview.
Q
George, Charles Ruff, who was said to have been one
of the candidates for attorney general, had a similar problem as Ron
Brown, and he supposedly took care of his back Social Security taxes.
Has he been ruled ineligible for the attorney general's post because
of that?
MR. STEPHANOPOULOS: I don't know whether he's being
considered for it at all. I just can't comment on that.
Q
George, isn't this about time we did something to
help poor immigration? We give the border patrol but a pittance of
money and they've got 100 vehicles right now south of San Diego that
were bought in 1990 that are disabled vehicles and nobody does a
thing about it. And illegal aliens are just pouring over the border.
MR. STEPHANOPOULOS: We have to make sure that we stop
that and we give all the resources we can to the INS.
Q
George, do I understand that if you don't pay $50
per quarter -- if you pay more than that for a babysitter that you
are breaking the law if you don't give Social Security taxes?
Q
That's right.
Q
There are millions of Americans who are now
supposedly breaking the law, whereas Kimba Wood is one of thos'e few
who apparently did break the law.
MR. STEPHANOPOULOS: Again, I would imagine there
probably millions of Americans, and I've said it time and time again,
I don't think that that was the entire issue. That was only one
factor in the decision on whether or not to name somebody attorney
general of the United States.
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�- 14 -
Q
Will there be a crackdown on this -- seriously, to
raise money for the deficit there has been a lot of talk about
cracking down on.cheaters. Will there be some kind of crackdown to
collect from all these people who are not paying?
MR. STEPHANOPOULOS: I don't know that that would make a
lot of sense, but we'll certainly be looking at everything.
Q
Do you think that provision of the law about $50
per quarter will change soon?
MR. STEPHANOPOULOS: I don't know for sure, but it's
certainly something I think we have to look at. And any commonsense standard would say that it appears to be a bit stringent.
Q
Follow-up, George. Do you have a new list of
attorney general candidates and is there a --
MR. STEPHANOPOULOS:
announcement soon.
Q
The President will make an
Are women ruled out of this job now?
MR. STEPHANOPOULOS:
Q
Of course not.
Has he done interviews this weekend or today?
MR. STEPHANOPOULOS:
Not that
I
know of.
Q
George, are any of the candidates that are under
consideration in the same situation as Judge Wood?
MR. STEPHANOPOULOS:
Not that
I
know of.
Q
You don't know of any. Did I understand you
earlier to say that for this job that probably would be
disqualifying?
MR. STEPHANOPOULOS: Well, I just think that there are
special requirements for the post of attorney general. I wouldn't
want to speak to any specific standard that would rule somebody in or
out, but clearly there are special requirements for attorney general.
Q
No, I mean somebody who had in fact complied with
the law, but because the law changed -- this exact situation as Judge
Wood, would that -- if that person had been very forthcoming and
explain all this, as she apparently didn't, would it nonetheless be a
disqualifying factor?
MR. STEPHANOPOULOS:
to look at it case by case.
I
just can't speak to that.
I have
Q
can you just define Jim Carville's relationship
with the White House now?
MR. STEPHANOPOULOS: Jim's a good friend of an awful lot
of people in the White House and a close advisor to the President and
Mrs. Clinton.
Q
Is he back here?
MR. STEPHANOPOULOS:
No, not in any formal way, no.
Q
can I follow up on that, George? With the Paul
back, temporarily at least, and Carville hanging around in one
capacity or another, given the bad news that you've had over the past
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�- 15 -
couple of weeks, do you think you have had any problem getting your
message out?
MR. STEPHANOPOULOS: I actually think that, for the bulk
of last week the President was very successful in getting his message
out.
Q
But do you think you need any change in the way
things are being done?
MR. STEPHANOPOULOS: I think that there's no question,
last week, the President made very good progress on all of his
legislative agenda and on -- there was great success at the end of
the week on signing the Family Leave bill after eight years. But
he's making progress, he's going to work. We've had some bad luck~
there's no question about that. But we're ready to move on.
Q
What is the economic announcement going to be?
MR. STEPHANOPOULOS:
unemployment compensation.
Q
He'll have an announcement on
About the extension of the emergency unemployment?
MR. STEPHANOPOULOS: He'll have it in about an hour.
But, yes, that's the general area.
Q
George, have you ruled out freezing COLAs? can you
specifically say that's no longer going to be done? I heard you talk
about this, this morning.
unlikely.
MR. STEPHANOPOULOS: As I said, I think it's very
It's something the President wants to do.
Q
What about something else on Social security? Are
those still -- what about something else, for instance, raising the
taxes on the upper income Social Security --
MR. STEPHANOPOULOS: The President hasn't made any final
decisions on the composition of the package. But as you know, he
talked about that during the campaign. I wouldn't rule it in or out.
Q
George, if you had to question Judge Kimba Wood
after the hell you went through with the Zoe Baird case, wouldn't you
have asked her, have you never hired an illegal alien? A simple
question she couldn't have been able to squirm out of. Why didn't
somebody just ask her the simple question: "Did you ever hire an
illegal alien?"
MR. STEPHANOPOULOS: Bernie Nussbaum asked her quite
directly if she had any issues involving illegal aliens.
Q
Did you ask her if she ever hired an illegal alien?
MR. STEPHANOPOULOS:
there for the conversation.
Q
I wasn't in the room.
I wasn't
Would you ask him that question?
MR. STEPHANOPOULOS:
I don't know --
Q
This is the whole heart of this thing. And nobody
asked the fundamental question: "Did you hire an illegal alien?"
MR. STEPHANOPOULOS: The fundamental question was, do
you have anything involving illegal aliens or Zoe Baird. I think -Q
He never asked the question, apparently.
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-------------------------------------------~~---
�- 16 -
MR. STEPHANOPOULOS: Well, no. A reasonable person
knows what they're being asked when they're asked about illegal
aliens or they're asked about Zoe Baird -- absolutely.
Q
Was she asked if she had hired an illegal alien?
MR. STEPHANOPOULOS: She was asked if she had any issues
or problems relating to illegal aliens. I don't know the exact
parsing of the sentence. But illegal alien was clearly in the
question.
Q
What other taxes are unlikely?
MR. STEPHANOPOULOS: I don't know.
have an announcement relatively soon.
The President will
Q
Friday the President met with his national security
advisors, apparently for the first time in an NSC type setting.
MR. STEPHANOPOULOS: It wasn 1 t.
meeting, it wasn't an NSC meeting.
It was a principal's
Q
Aspin said over the weekend he's -- or the
administration is likely to have some announcement or description of
their program for Bosnia by mid-week. Is that a timetable you're
working on?
Q
I don't know if that's the exact timing, but as the
President said, he's working on the Bosnia situation, it's under very
serious review, and we expect to have an announcement soon. I don't
know the exact timing.
Q
Do you have a plan that is out there?
Q
Is it likely that the President is going to give a
speech or make some announcement, or is this going to emerge from
some other quarter?
MR. STEPHANOPOULOS: I don't know that the President
would necessarily do it himself, but the administration policy will
be clear and we'll follow through clearly.
Q
Might it be this very week?
MR. STEPHANOPOULOS:
I don't have the exact timing.
Q
Do you actually have some sort of substitute for
Vance-owen that Aspin was taking through the other capitals to see
their opinion of it? Or he still in the research process?
MR. STEPHANOPOULOS: The President is reviewing it right
now and we'll have an announcement soon.
Q
So it's not something that's out there that other
capitals are looking at that we just haven't heard yet.
MR~
Q
STEPHANOPOULOS:
Not that I know of, no.
Is it a substitute?
MR. STEPHANOPOULOS: I think the President has said,· and
secretary Christopher have both made clear for the support of the
vance-owen process. I think there's no question about that and we're
going to do everything we can to help them help the parties achieve a
good-faith compromise.
Q
like the plan.
The process as opposed to the plan?
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They didn't
�- 17 -
MR. STEPHANOPOULOS:
had full support of the process.
Well again, the process -- we've
Q
A quickie on the Middle East, George. That protest
that the u.s. levied against Israel -- does that mean you're going to
take a harder line against Israel or be more even handed?
MR. STEPHANOPOULOS:
Which protest are you --
Q
About the three Americans
who are in jail in Israel.
the three Americans
MR. STEPHANOPOULOS: It stands on it's own and I would
refer you to the state Department for any further details.
Q
What is Mrs. Clinton's role Thursday at the town
meeting in Harrisburg and will the health forums be open?
MR. STEPHANOPOULOS: I believe that senator Wofford
invited her up to participate in this town meeting and she will be
participating. As far as the Health Care Task Force, Mr. Nussbaum
has issued an opinion that the federal advisory committee -- it was
not intended by Congress to apply to the Health care Task Force. The
participation of the First Lady on the task force does not trigger
application of the act. We have a letter we can release to you on
that.
Q
The committee who wrote that law says that that's
not true at all. They say it does affect the First Lady and that's
why they're suggesting legislation to --
MR. STEPHANOPOULOS:
Council that it doesn't.
Q
Well, it's the opinion of the
That doesn't explain why.
Q
It doesn't give any explanation except the one
sentence that says she's not covered. Why isn't she covered? Can we
get some details as to why?
MR. STEPHANOPOULOS:
closed.
Q
We can get some details, yes.
So you're saying definitively that they will be
MR. STEPHANOPOULOS: No, I'm just saying that it is our
opinion that it doesn't apply -- that this law does not apply to the
task force and it does not require them to be open.
Q
What's the White House feeling?
would you want
Q
Is a list available of who's on the task force yet?
them to --
MR. STEPHANOPOULOS:
That's in the letter.
Yes, it's in
the letter.
Q
You should know, George, that Congressman Clinger
to whom you wrote the letter totally disagrees with your counsel's
opinion. And he's the author, apparently, of this legislation. He
says that the meeting should be open and that the sunshine law does
apply.
MR. STEPHANOPOULOS:
Then we have a disagreement.
Q
George, when you said that one of the issues
involving Judge Wood is that she was not completely forthcoming
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�- 18 -
did the President feel he couldn't trust her?
went into -MR. STEPHANOPOULOS:
Is that part of what
Again, I didn't say that but I just
said
Q
You said that there was also a concern that in this
case she was completely forthcoming.
MR. STEPHANOPOULOS:
Q
I think that's the concern.
Meaning that he couldn't trust her?
MR. STEPHANOPOULOS:. Those are your words.
Q
George, in the interest of preventing any further
blow-up on this, is there a formal effort on the part of the White
House to survey Cabinet members and senior White House officials as
to domestic arrangements, child care arrangements and who --
MR. STEPHANOPOULOS: There is a clear direction that all
Cabinet officials and senior White House officials are to comply with
the law.
Q
might have any
law.
-- leave it up to them to let you know if they
MR. STEPHANOPOULOS:
Right, they are to comply with the
Q
George, can you confirm whether the suspension of
income tax indexation is one of the things you're looking at?
MR. STEPHANOPOULOS:
on any options.
Again, I can't go into any details
Q
can you take the question, specifically -- is the
administration considering any changes in the laws? And would
changes be retroactive, or would they start from the time --
MR. STEPHANOPOULOS: Again, I don't know if there would
be any changes that are retroactive. And there hasn't been any
decision to change the law at this time, but it's clearly something
we would look at.
Q
Would you let us know?
MR. STEPHANOPOULOS:
Sure.
Q
George, why has there not been a greater White
House expression of concern for these Americans arrested is Israel?
Is the u.s. involved, or being let in on the investigation, Israeli
police giving diplomats there the information they're coming up with?
MR. STEPHANOPOULOS: We have made contact with the
Israelis, but I would just refer you to the state Department and the
FBI for any details.
Q
I'm aware of.
There has been no White House protest of this that
There appears to be no official concern.
MR. STEPHANOPOULOS: No, we're monitoring the situation
and I would just ask you to go to the State Department for any
details.
Q
Is the President concerned that the FBI is running
adrift because of these problems? Without prejudging Judge Sessions,
Is there a concern now that the agency needs new leadership?
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�- 19 -
MR. STEPHANOPOULOS: I wouldn't put it that way, but I
think the President is eager to review all of the files relating to
Judge Sessions. And he and the Counsel's office are doing that now.
Q
-- have an attorney general confirmed and in place?
MR. STEPHANOPOULOS: It 1 s unlikely that it would be
completely finished before we have an attorney general.
Q
Would the President meet with Judge Sessions when
such a request is made?
MR. STEPHANOPOULOS:
Let's see if there's a request.
Q
Is the President influenced at all by the fact that
this executive group who advises Judge Sessions has met with him and
MR. STEPHANOPOULOS:
take into account.
That•s certainly something we'll
Q
Outside of Wednesday's town meeting, is there
anything else scheduled for the President to try to release or
discuss details of his economic policy, and will he continue the
Saturday morning radio addresses?
MR. STEPHANOPOULOS: He'll certainly continue the
Saturday morning radio addresses, and we'll have other announcement
as the President makes decisions.
Q
Every Saturday or on a periodic basis?
MR. STEPHANOPOULOS: I think generally every Saturday
and there might be sometimes when we don•t have one.
Q
bit.
Same time?
MR. STEPHANOPOULOS: They might change around a little
Sometimes it might be noon or the afternoon.
Q
Has the President reviewed the White House
Counsel's decision on the California gays in the military?
MR. STEPHANOPOULOS:
It's not been completed yet, no.
Q
Just a return to the attorney general question once
more. Do you think there's any validity to the perception that many
have that women are being held to a higher, tougher standard when it
comes to child care and domestic help than men are being held to?
MR. STEPHANOPOULOS: I just don't think so. Everybody
is being asked the question. Meri and women alike are being asked
about this situation, and if they comply with the law there won•t be
any problem.
Q
Will you seek any kind of legislation to abolish
the CEQ or will it be done strictly administratively?
MR. STEPHANOPOULOS:
statutorily over time.
I believe it has to be done
Q
Will it be consistent to raise corporate rates to
meet with fairness standard for the economic package?
MR. STEPHANOPOULOS: It wouldn't necessarily be
inconsistent. I don't know that the President's made any decision on
that yet. But generally, if you raise the top individual rate, it
would make sense in certain circumstances to raise the corporate rate
as well so you don 1 t have a differential.
�- 20 -
THE PRESS:
Thank you.
END
1:23 P.M. EST
#16-02/08
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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FACA Documents [2]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 4
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
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42-t-2194630-20060223F-004-003-2015
2194630
-
https://clinton.presidentiallibraries.us/files/original/973528385422ddbfc27eb18bd7c2331c.pdf
a981d4ab131f066d7e3bd5243134abbf
PDF Text
Text
FOIA Number: 2006-0223-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
I
Subgroup/Office of Origin:
First Lady's Office
Series/Staff Member:
Maggie Williams
Subseries:
Misc. Subject Files
OA/ID Number:
10813
FolderiD:
Folder Title:
FACA Documents
Stack:
Row:
Section:
Shelf:
Position:
s
59
4
2
3
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
001. statement
SUBJECTfi'ITLE
DATE
Declaration of Marjorie Tanney. (4 pages)
n.d.
RESTRICTION
PS
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
ONBox Number: 10813
FOLDER TITLE:
FACA Documents [1]
2006-0223-F
ab862
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a))
Freedom of Information Ad -IS U.S.C. 552(b))
PI National Security Classified Information )(a)(l) ofthe PRA)
P2 Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information )(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a dearly unwarranted Invasion of
personal privacy )(a)(6) of the PRA)
b(l) National security classified information )(b)(l) ofthe FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency )(b)(2) of the FOIA)
b(3) Release would violate a Federal statute )(b)(3) ofthe FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information )(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy )(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions )(b)(8) ofthe FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs )(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record mlsf"de defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
July 11, 1993
MEMORANDUM TO:
Marge Tarmey, Melanne Verveer
FROM:
Pam
SUBJECT:
Task Force contacts
Barnett~
There are several individuals that Mrs. Clinton had an
interest in being contacted by the Task Force. In going through
the correspondence on her desk prior to her trip, and in
reviewing past requests I have made, I come up with the following
list. Please let me know if these individuals have been
contacted by phone or by mail by members of the Task Force
working groups or other senior White House officials.
Donald Colbert
Vice President, Stephens Inc., Little
Rock
Martha Katz
Associate Director for Policy, Planning
and Evaluation, CDC, Atlanta
Margaret Bogle
Pediatric Nutrition., Arkansas Children's
Hospital, Little Rock
Ronald Goux
representing American Health Care
Association
Liz Medley
Publisher, The Phys Ed Journal of Sports
Medicine
If these individuals have not been contacted, I believe they
should, and I am happy to provide phone numbers, etc.
�February 21, 1995
TO:
File
FROM:
Pam Cicetti
Executive Assistant to the First Lady
Today I gave to Associate Counsel Chris Cerf the following
recreated files in response to Joel Klein's memorandum of
February 8, 1995, requesting documents and records on the Health
Care Task Force and civil litigation entitled Association of
American Physicians, et al. v. Hillary Rodham Clinton, et al.:
\
Health Care - FACA
Health Care - Magaziner
Health Care - Process
~argaret
A. Williams
Chief of Staff to· the First Lady
�Notice: This opinion is subject to fonnal revision before publication in
the Federal Reporter or U.S.App.D.C. Reports. Users are requested to
notify the Clerk of any fonnal errors in order that corrections may be made
before the bound volumes go to press.
idntttb !Statts CICourt of
~pptals
FOR THE DISTRICT OF COLUMBIA CIRCUIT
Argued April 30, 1993
Decided June 22, 1993
No. 93-5086
AssOCIATION OF AMERICAN PHYSICIANS
AND SuRGEONS. INc.• ET AL .•
APPELLEES
v.
HILLARY RODHAM CLINTON, ET AL.,
APPELLANTS
No. 93-5092
AsSOCIATION OF AMERICAN PHYSICIANS
AND SURGEONS, INC .. ET AL.,
APPELLANTS
v.
HILLARY RoDHAM CLINTON. ET AL .•
APPELLEES
Bills of costs must be filed within 1-4 days after entry of judgment.
The court looks with disfavor upon motions to file bills of costs out
of time.
�2
Appeals from the United States District Court
for the District of Columbia
(93cv0399)
Mark B. Sterrr.. Attorney, U.S. Department of Justice,
argued the cause for appellants/cross-appellees Hillary Rodham Clinton, et al. With him on the briefs were J. Ramsey
Johnson, United States Attorney, Stuart E. Schiffer, Acting
Assistant Attorney General, Robert E. Kopp, Patricia A
Millett, and Malcolm L. Stewart, Attorneys, U.S. Department
of Justice. Stuart M. Gerson, Attorney, U.S. Department of
Justice, entered an appearance for appellants/cross-appellees.
Kent Masterson Brown argued the cause for appellees/cross-appellants Association of American Physicians and
Surgeons, Inc., et al. With him on the briefs were Frank M.
Northam and Alan P. Dye.
Steven R. Ross, General Counsel, and Charles 'Fiefer, Deputy General Counsel, Office of General Counsel, United
States House of Representatives, f'Iled the brief for amicus
curiae Speaker and Bipartisan Leadership Group.
Ronald A Zumbrun, Anthony T. Caso, and Robin L.
Rivett f'lled the brief for amici curiae Pacific Legal Foundation and the National Taxpayers Union.
Jane E. Kirtley, J. Laurent Scharff, James E. Grossberg,
Richard M. Schmidt, Jr., Allan R. Adler, Bruce W. Sanford,
Henry S. Hoberman, and Whitney M. Adams f'lled the brief
for amici curiae Reporters Committee for Freedom of the
Press, et al.
Joseph Gregory Sidak filed the brief for amicus curiae J.
Gregory Sidak.
Samuel B. Wallace, rv; filed the brief for amicus curiae
Samuel B. Wallace, IV.
�3
Before:
Judges.
SILBERMAN, BucKLEY, and WILLIAMS, Circuit
Opinion for the Court filed by Circuit Judge SILBERMAN.
Opinion concurring in the judgment filed by Circuit Judge
BUCKLEY.
SILBERMAN, Circuit Judge: This expedited appeal presents
the question whether the President's Task Force on National
Health Care Reform ("Task Force") and its working group
are advisory committees for purposes of the Federal Advisory
Committee Act ("FACA"). If they are, we are asked to
decide whether F ACA unconstitutionally encroaches on the
President's Article II executive powers. We hold that the
Task Force is not an advisory group subject to F ACA, but
remand to the district court for further proceedings to determine the status of the working group.
I.
On January 25, 1993, President Clinton established the
President's Task Force on National Health Care Reform.
The President named his wife, Hillary Rodham Clinton, as
the chairman of the Task Force, and appointed as its other
members the Secretaries of the Treasury, Defense, Veterans
Affairs, Health and Human Services, Labor, and Commerce
Departments, the Director of the Office of Management and
Budget, the chairman of the Council of Economic Advisers,
and three White House advisers. President Clinton charged
this body with the task of "listen[ing] to all parties" and then
"prepar[ing] health care reform legislation to be submitted to
Congress within 100 days of our taking office." 29 WEEKLY
CoMP. PRES. Doc. 96 (Feb. 1, 1993).
On the same day, the President also announced the formation of an interdepartmental working group. According to
the government, the working group was responsible for gathering information and developing various options on health
care reform. It was composed of three types of members: (i)
approximately 300 permanent federal government employees
drawn from the Executive Office of the President, the federal
�..
4
agencies, and Congress; (ii) about 40 "special government
employeesu hired by the agencies and the Executive Office of
the President for a limited duration; and (iii) an unknown
number of "consultantsu who, it is asserted, "attend working
group meetings on an intermittent basis. 19 Ira Magaziner,
the senior adviser to the President for Policy Development,
headed the working group and was the only member of the
Task Force who attended the group's meetings.
According to the government, the working group had no
contact with the President. In addition to gathering information, the working group developed alternative health care
policies for use by the Task Force. But only the Task Force,
it was contemplated, would directly advise and present recommendations to the President. On March 29, 1993, the
Task Force held one public hearing where interested parties
could present comments on health care reform. See 58 Fed.
Reg. 16,264 (1993). However, the Task Force met behind
closed doors at least 20 times in April and May to "formulateu
and "deliberate" on its advice to the President. As the
government publicly has announced, in those meetings "the
Task Force reviewed materials it received from the interdepartmental working group; formulated proposals and options
for health care reform; and presented those proposals and
options to the President." Statement of the White House
Press Secretary (June 4, 1993). In accordance with its
charter, the Task Force then terminated its operations on
May 30. 1 All of the working group's meetings remained
closed to the public.
Appellees are the Association of American Physicians and
Surgeons, which represents physicians; the American Council
for Health Care Reform, which represents health care consumers; and the National Legal & Policy Center, which seeks
to promote ethics in government. They sought access to the
1 The
Task Force's "tennination" does not render this case moot.
AIJ both parties, in anticipation of this event, agreed before oral
argument, this case still presents a live controversy concerning the
availability of Task Force and working group documents, which the
appellees sought below pursuant to F ACA.
�5
Task Force's meetings under the Federal Advisory Committee Act. Pub. L. No. 92-463, 86 Stat. 770 (1972) (reproduced
at 5 U.S.C. App. 1 (1988)). Their efforts were rebuffed by
the Counsel to the President, who informed them that the
Task Force was not an advisory committee subject to F ACA.
Appellees thereupon brought suit against the Task Force in
district court. They claimed that the Task Force was a
F ACA committee because it was chaired by Mrs. Clinton, a
private citizen, and that the Task Force had violated F ACA
by failing to file an advisory committee charter. They further asserted that F ACA permitted them to attend all of the
meetings of the Task Force and of any of its subgroups.
Appellees sought a temporary restraining order and a preliminary injunction halting the operation of the Task Force until
it complied with F ACA and allowed the public to attend its
meetings. The government responded that the Task Force
was exempt from F ACA because all of its members-including Mrs. Clinton-were government officers and employees.
The government alternatively challenged any application of
F ACA to the Task Force as an unconstitutional infringement
on the President's executive power.
In a memorandum opinion issued on .March 10, 1993, the
district court granted in part appellees' motion for a preliminary injunction. The court determined that appellees had a
substantial likelihood of success on the merits. Mrs. Clinton,
the court held, was not an officer or employee of the federal
government merely by virtue of her status as "First Lady."
Therefore, the Task Force could not qualify for an exemption
from F ACA as an advisory group composed solely of "fulltime officers or employees" of the government. See Association of Am. Physicians & Surgeons v. Hillary Rodham
Clinton, Civil Action No. 93-0399, Mem. Op. at 16-17 (D.D.C.
March 10, 1993) ("Mem. Op."); see also 5 U.S.C. App. 1
§ 3(2)(iii). The court, however, agreed with the government
that F ACA encroached on the President's constitutional authority to receive confidential advice for the purpose of
recommending legislation. But the court thought that executive prerogatives were implicated only when the Task Force
�I •
6
was advising the President, not when it engaged in information-gathering. The district court accordingly granted a preliminary injunction requiring the Task Force to meet all the
requirements of F ACA except when it met to formulate
advice or recommendations for the President.
As to the working group, the district court concluded that
appellees had failed to state a claim under FED. R. Cxv. P.
12(b)(6) that the subordinate body was covered by FACA.
Relying on National Anti-Hunger Coalition v. Executive
Committee, 557 F. Supp. 524 (D.D.C.), afj'd, 711 F .2d 1071
(D.C. Cir. 1983), the court held that the working group was
not an advisory committee because it was engaged in factgathering and did not provide advice directly to the President. The court denied appellees motion for expedited discovery concerning the actions and status of the working
group, but nevertheless determined that there were no issues
of material fact and that it could have dismissed on summary
judgment grounds as well. Mem. Op. at 15 n.ll.
The government filed this appeal on March 22, 1993. Appellees subsequently filed a cross-appeal. We have jurisdiction to review a grant of a preliminary injunction under 28
U.S.C. § 1292(a), and we expedited the appeal due to the
short time frame within which the Task Force and the
working group operated.
II.
The government, as appellant and cross-appellee, and the
plaintiffs below, as appellees and cross-appellants, together
challenge much of the district court's ruling. The government takes issue primarily with the court's determination that
Mrs. Clinton is not an "officer or employee" for purposes of
section 3(2) of F ACA. It is claimed that as the "First Lady,"
Mrs. Clinton is the functional equivalent of a government
officer or employee, that the Task Force, therefore, is composed solely of full-time government officials-indeed officers
drawn from among the President's closest official advisersand that thus the Task Force is exempt from F ACA. In the
alternative, the government reiterates its claim that FACA
�7
cannot be applied constitutionally to the Task Force. We are
urgedt in that regardt to discard the distinction drawn by the
district court between the infonnation-gathering function of
the Task Force and its role in advising the President. As
would be expectedt the government is content with the district court's ruling concerning the status of the working
groupt and it argues that the district court's dismissal of
appellees' claim is an unappealable interlocutory order.
Appelleest on the other handt support the district court's
determination that F ACA covers the Task Force because
Mrs. Clinton is not an officer or employee of the federal
government. Howevert they challenge the court's ruling as
to the status of the working groupt which they contend is also
covered by F ACA. They further maintain that applying
F ACA to either body raises no serious constitutional issuest
andt in any eventt that the district court prematurely decided
the constitutional issue. Appellees also contend that the
court should have permitted discoveryt which would have
shown more clearly the F ACA status of both groupst and that
a straightforward application of FACAts procedural requirements would not curtail the President's constitutional powers.
We firSt consider the status of the Task Force and then
turn to the working group issues.
III.
Congress passed FACA in 1972 to control the growth and
operation of the "numerous committeest boardst commissionst
councilst and similar groups which have been established to
advise officers and agencies in the executive branch of the
Federal Government.lt 5 U.S.C. App. It§ 2(a). As Congress
put itt F ACNs purpose was: to eliminate unnecessary advisory committees; to limit the fonnation of new committees to
the minimum number necessary; to keep the function of the
commit~es advisory in nature; to hold the committees to
uniform standards and procedures; and to keep Congress
and the public infonned of their activities. See id. § 2(b)(l)(6). The statute orders agency heads to promulgate guide-
�8
lines and regulations to govern the administration and operations of advisory committees. See id. § 8.
F ACA places a number of restrictions on the advisory
committees themselves. Before it can meet or take any
action, a committee first must file a detailed charter, see id.
§ 9(c). The committee must give advance notice in the
Federal Register of any meetings, see id. § 10(a)(2); and it
must hold all meetings in public, see id. § lO(a)(l). Under
section 10, the committee must keep detailed minutes of each
meeting, see id. § lO(c), and make the records available- .
along with any reports, records, or other documents used by
the committee-to the public, provided they do not fall within
the exemptions of the Freedom of Information Act (FOIA),
see id. § lO(b). Under section 5, an advisory committee
established by the President or by legislation must be "fairly
balanced in terms of the points of view represented," id.
§ 5(b)(2).2 The Act also requires that precautions be taken to
ensure that the advice and recommendations of the committee
''will not be inappropriately intlueAced by the appointing
authority or by any special interest." Id. § 5(b)(3).
The Act's definition of an "advisory" committee is· apparently rather sweeping. Section 3 sta~s:
The term "advisory committee" means any committee,
board, commission, council, conference, panel, task force,
or other similar group, or any subcommittee or other
subgroup thereof (hereinafter in this paragraph referred
to as "committee"), which is . . . (B) established or
utilized by the President . . . in the interest of obtaining
advice or recommendations for the President or one or
more agencies or officers of the Federal Government.
/d. § 3(2). The government does not contend that the Task
Force was not "established" or "utilized" by the President in
2
F ACA's "balanced viewpoint" requirement may not be justiciable, however, because it does not provide a standard that is susceptible of judicial application. See Public Citizen v. National Advisory Comm., 885 F.2d 419, 426 (D.C. Cir. 1989) (Silberman, J.,
concurring).
�9
the interest of obtaining advice or recommendations.
FACA's definition contains one important proviso, however.
Section 3(2)(iii) exempts "any committee which is composed
wholly of full-time officers or employees of the Federal
Government." And, according to the government, the Task
Force was not only wholly composed of government officers,
it was actually (like the Task Force we encountered in Meyer
v. Bush, 981 F .2d 1288 (D.C. Cir. 1993)) a partial, yet
somewhat augmented, cabinet grouping. Thus, subjecting
the Task Force to F ACA would fall outside Congress' purpose of regulating the growth and use of committees composed of outsiders called in to advise government officials.
Appellees would have no quarrel with the government's characterization of the Task Force, except for the description of
its chairman, Mrs. Clinton. Appellees contend that she is not
an officer or employee of the federal government despite her
traditional and ceremonial status as "First Lady." This is not
just a technicality according to appellees; she is statutorily
barred from appointment as an officer because of the AntiNepotism Act. See 5 U.S.C. § 3110(b).
The district court, finding no definition of officer or employee of the federal government in F ACA itself, quite reasonably
turned to Title 5 of the U.S. Code to find a definition. See 5
U.S.C. §§ 2104 & 2105. An officer or employee according to
those sections must be: (i) appointed to the civil service; (ii)
engaged in the performance of a federal function; and (iii)
subject to supervision by a higher elected or appointed official. As the district court held, and as appellees correctly
point out, Mrs. Clinton has not been appointed to the civil
service. Reading these definitions in pari materia with
F ACA would seem to suggest that the Task Force is not
exempt.
Nevertheless, it is true, as the government insists, that
Congress did not adopt explicitly all of Title 5's definitions in
FACA. F ACA is not part of Title 5, which was enacted six
years before FACA's passage, see Pub. L. No. 89-554, 80
Stat. 378 (1966), but, instead is only temporarily housed there
as an appendix. Typically, when Congress wishes to add a
statute to Title 5, it amends the Title. See, e.g., Government
�10
in the Sunshine Act, § 3(a), Pub. L. No. 92-409, 90 Stat. 1241
(1976); Privacy Act of 1974, Pub. L. No. 93-579, 88 Stat. 1896
(1974). It did not do so when it passed F ACA, but at that
time it specifically did adopt certain Title 6 definitions. For
example, adjacent to the defmition of an advisory committee
is F ACA's definition of an agency, which incorporates the
definition in Title 5: " 'agency' has the same meaning as in
section 661(1) of title 6, United States Code." 6 U.S.C. App.
1, § 3(3). But Congress actually deleted from the Senate
version of F ACA defmitions of "officer" and "employee" that
paralleled those of sections 2104 and 2106. See H.R. REP. No.
1403, 92d Cong., 2d Sess. (1972), reprinted in 1972 U.S. ConE
CoNG. & ADMIN. NEWS 3508, 3609. And the Code contains
another definition of a federal officer which tends to support
the government's position. Title 1 provides that a federal
officer "includes any person authorized by law to perform the
duties of the office." 1 U.S.C. § 1. That definition could
cover a situation in which Congress authorizes someone who
is not formally an officer (such as the President's spouse) to
perform federal duties. Even if, as our concurring colleague
argues, Mrs. Clinton does not occupy an "office" specifically
created by Congress, she could still be regarded as an
"employee."
The government would have us conclude that the traditional, if informal, status and "duties" of the President's wife as
"First Lady'' gives her de facto officer or employee status.
The government invokes what it describes as "a longstanding
tradition of public service" by First Ladies-including, we are
told, Sarah Polk, Edith Wilson, Eleanor Roosevelt, Rosalynn
Carter, and Nancy Reagan-who have acted (albeit in the
background) as advisers and personal representatives of their
husbands. We are not confident that this traditional perception of the President's wife, as a virtual extension of her
husband, is widely held today. As this very case suggests, it
may not even be a fair portrayal of Mrs. Clinton, who
certainly is performing more openly than is typical of a First
Lady. Indeed, in the future we may see a male presidential
�11
spouse, which could make the term "First Lady" anachronistic.
More persuasive, however, is the government's argument
that Congress itself has recognized that the President's
spouse acts as the functional equivalent of an assistant to the
President. The legislative authorization to the President to
pay his White House aides includes the following provision:
Assistance and services authorized pursuant to this section to the President are authorized to be provided to the
spouse of the President in connection with assistance
provided by such spouse to the President in the ·discharge of the President's duties and responsibilities. If
the President does not have a spouse, such assistance
and services may be provided for such purposes to a
member of the President's family whom the President
designates.
3 U.S.C. § 105(e) (emphasis added). Of course, even without
section 105(e), the President presumably could draw upon his
spouse for assistance. The statute's importance, rather, lies
in its assistance in helping us interpret the ambiguous terms
of F ACA in pari materia.
It may well be, as appellees argue, that many in Congress
had in mind "ceremonial duties," but we do not think the
presidency can be so easily divided between its substantive
political and ceremonial functions. In any event, section
105(e) neither limits the particular kind of "assistance" rendered to the President, nor circumscribes the types of presidential duties and responsibilities that.are to be aided. We
see no reason why a President could not use his or her spouse
to carry out a task that the President might delegate to one
of his White House aides. It is reasonable, therefore, to
construe section 105(e) as treating the presidential spouse as
a de facto officer or employee. Otherwise, if the President's
spouse routinely attended, and participated in, cabinet meetings, he or she would convert an all-government group,
established or used by the President, into a F ACA advisory
committee.
Pursuant to this section, morrl)ver, the President's spouse
is supported by a substantial staff who are undeniably fulltime government officers or empioyees. Therefore, the Pres-
�12
ident could have-as the government points out--easily designated Mrs. Clinton's chief of staff as a member of the Task
Force, perhaps even as the chairman, who would then be
expected to report to Mrs. Clinton. It would seem quite
anomalous to conclude that F ACA would apply if the President's spouse were a member of the committee, but not if her
chief of staff were the actual member.
The President's implicit authority to enlist his spouse in aid
.r' the discharge of his federal duties also undermines appellees' claim that treating the President's spouse as an officer
or employee would violate the anti-nepotism provisions of 5
U.S.C. § 3110. That section prohibits any ..public official"
from appointing or employing a relative, such as a spouse, 11 in
the agency in which he is serving or over which he exercises
jurisdiction or control." /d. § 3110(b). Although section
3110(a}(1}(B) defines agency as 11 an executive agency," we
doubt that Congress intended to include the White House or
the Executive Office of the President. Cf. Franklin v. Massachusetts, 112 S. Ct. 2767, 2775 (1992) (holding that President is not .. agency" for purposes of Administrative Procedure Act}; Meyer, 981 F.2d at 1298 (President's advisers are
not .. agency'' under FOIA); Armstrong v. Bush, 924 F.2d
282, 289 (D.C. Cir. 1991) (President not'APA .. agency"). So,
for example, a President would be barred from appointing his
brother as Attorney General, but perhaps not as a White
House special assistant. Be that as it may, it is not reasonable to interpret that provision to bring it into conflict with
Congress' recognition of (and apparent authorization for} the
President's delegation of duties to his spouse. The antinepotism statute, moreover, may well bar appointment only to
paid positions in government. See 5 U.S.C. § 3110(c). Thus,
even if it would prevent the President from putting his spouse
on the federal payroll, it does not preclude his spouse from
aiding the President in the performance of his duties.
In sum, the government musters a strong argument in
support of its interpretation of "full-time officer or employee"
under F ACA as including the President's spouse-whether or
not a 11 First Lady." But it is by no means overwhelming.
Indeed, the government is uncomfortable at having to choose
�13
whether Mrs. Clinton should be thought of as an officer or
employee. The government's discomfort is quite understandable. ·Mrs. Clinton has not in any sense been appointed or
elected to office, and, assuming she is an officer under Title 1,
due to the duties delegated to her under 3 U.S.C. § 105(e),
how, one might ask, could she be removed? All officers and
employees of the United States, except the Vice President,
can be removed, at least for cause, through the ultimate
authority of the President. We suppose the President could
withdraw any or all authority delegated to his spouse, but
then he would be left without the official assistance of any
family member. The very provision authorizing the delegation to the spouse provides for a delegation to another
member of the President's family only "[i]f the President does
not have a spouse." 3 U.S.C. § 105(e) (emphasis added).
That language seems to present the President with rather
extreme alternatives.
What is more, section 105(e) would seem to apply whether
or not the President's spouse held another job that an officer
or employee of the government could not possibly hold.
Suppose, for instance, that the President's spouse was counsel
to a major law firm and spent a good portion of his or her
time practicing law. Presumably, the spouse would still be
authorized to provide assistance to the President under section 105(e) and would, thereby, also be an officer or employee
of the government. The government suggests that this hypothetical does not create a problem under F ACA, because a
spouse in that situation, whether or not an officer or employee, would not be full-time and so would not qualify for the
exemption. But that answer may be too facile. How would
we determine how much or what kind of outside activity was
inconsistent with full-time status?
Suffice it to say that the question whether Mrs. Clinton's
membership on the Task Force triggers FACA is not an easy
one.3 The government argues, therefore, that we should
3 It is not clear how F ACA applies if only one member of an
advisory committee is not a full-time government officer or employee. How does the government carry out its obligation to ensure
�14
construe the statute not to apply here, because otherwise we
would face a serious constitutional issue. The Supreme Court
has noted many times that ''where an otherwise acceptable
construction of a statute would raise serious constitutional
problems, the Court will construe the statute to avoid such
problems unless such construction is plainly contrary to the
intent of Congress." Public Citizen v. Department of Justice, 491 U.S. 440, 466 (1989) (quoting Edward J. DeBartolo
Corp. v. Florida Gulf Cocut Building & Construction Trades
Counci~ 485 U.S. 568, 575 (1988)). Only a few years ago the
Court employed that very maxim of statutory construction to
avoid applying FACA to the ABA committee that advised the
Attorney General on the qualifications of prospective federal
judicial nominees. See id. The government there argued
that applying F ACA would impair the effectiveness of the
committee's deliberations (by exposing them to public examination), and thus would interfere with the advice that the
committee provided to the Attorney General and ultimately, it
was assumed, to the President. Such interference would
encroach on the President's appointment power-his sole
responsibility to nominate federal judges.4 In order to escape that constitutional question, the Court held that the
ABA committee was not "utilized" by the President because it
was established and run by a private organization, even
though the Act covers advisory committees established or
utilized by the executive branch. See id. at 455-65. The
Court adopted, we think it is fair to say, an extremely
strained construction of the word "utilized" in order to avoid
the constitutional question. The gravity of the constitutional
that the committee is "fairly'' balanced in terms of the points of
view represented?
4
Ironically, the ABA committee's role in advising administrations
as to the qualifications of putative judges has over the years become
more of an impediment (reflecting certain ABA institutional and,
perhaps, political interests) than an aid to Presidents. R. Marcus &
S. Torry, ABA Judicial Evaluation Again Under Fire, WASH. PoST,
May 7, 1989, A6; M. Thornton, The ABA's Judljments on Judljes,
WASH. PosT, Sept. 25, 1987, A23.
�15
issue was revealed by the three concurring justices who were
unable to accept the Court's statutory construction and believed that F ACA was unconstitutional as applied to the ABA
committee. /d. at 467-89 (Kennedy, J., concurring).
It is, of course, necessary before considering the maxim of
statutory · construction to determine whether the government's constitutional argument in this case is a powerful one.
In other words, are we truly faced, as the Court thought it
was in Public Citizen, with a grave question of constitutional
law? The government relies primarily on the claim that an
explicit presidential power is implicated. Article II of the
Constitution provides that the President "shall from time to
time give to the Congress Information of the State of the
Union, and recommend to their Consideration such Measures
as he shall judge necessary and expedient." U.S. CaNST. art.
II, § 3, cl.l. According to the government, this clause gives
the President the sole discretion to decide what measures to
propose to Congress, and it leaves no room for congressional
interference. To exercise this power, the government claims,
the President also must have the constitutional right to
receive confidential advice on proposed legislation.
Under the government's theory, F ACA would interfere
with the President's unbounded discretion to propose legislation. President Clinton formed the Task Force specifically to
recommend legislation dealing with health care reform.
F ACA's requirement of public meetings would inhibit both
candid discussion· within the Task Force and its presentation
of advice to the President. Challenging the district court's
ruling, the government argues that this encroachment occurs
regardless of whether the Task Force is engaged in information-gathering or internal deliberation. In either situation,
the glare of publicity would inhibit the free flow of frank
advice and would handicap the President's ability to develop
legislation.
Appellees point out that the c0ncurring opinion in Public
Citizen commanded the votes of only three justices and rely,
�16
instead, on the Court's opinion in Morrison v. Olson, 487 U.S.
654 (1988).6 Morrison upheld the Ethics in Government
Act's creation of an independent counsel because it did not
prevent the President "from accomplishing [his] constitutionally assigned functions," id. at 695 (quoting Nixon v. Administrator of General Services, 433 U.S. 425, 443 (1977)), even
though the counsel was largely immune from the executive
branch's operational control (she was appointed by a panel of
judges and was removable only for good cause). Applying
F ACA to the Task Force, according to appellees, has a rather
minor impact on the institution of the presidency compared to
the much greater encroachment on the President's core executive function sanctioned in Morrison.
Nevertheless, the government maintains that Morrison is
not directly on point. Picking up on Justice Kennedy's
concurrence in Public Citizen, the government contends that
the Morrison Court's imprecise balancing test, which is apparently less favorable to the President, does not apply when
a textual grant of presidential authority is implicated. In
distinguishing Morris on, Justice Kennedy said:
Thus, for example, the relevant aspect of our decision in
Morrison involved the President's power to remove Executive Officers, a power we had recognized is not conferred by any explicit provision of the text of the Constitution (as is the appointment power) but rather is inferred to be a necessary part of the grant of the "Executive Power."
Public Citizen, 491 U.S. at 484 (Kennedy, J., concurring). 6
But because Public Citizen involved the President's textually
5 Justice Kennedy, who was recused in Morrison, was joined by
Chief Justice Rehnquist and Justice O'Connor in Public Citizen.
Justice Scalia, who dissented in Morrison, was, in turn, recused in
Public Citizen.
6 But see Bowsher v. Synar. 478 U.S. 714, 721-27 (1986) (removal
power more important than appointment power in controlling subordinate officials).
�17
granted power to appoint federal judges, the concurrence
would have struck F ACA down:
Where a power has been committed to a particular
Branch of the Government in the text of the Constitution,
the balance already has been struck by the Constitution
itself.
Id. at 486. The government argues that here, as in Public
Citizen, but unlike in Morris on, we have an explicit textual
delegation to the President to propose legislation.
We perceive several weaknesses in the government's position. First, the government ignores the Morrison Court's
consideration of the President's Article II, section 3 responsibility to "take Care that the Laws be faithfully executed."
See Morrison, 487 U.S. at 692-93. The Court specifically
recognized that the statute before it encroached upon or
burdened that responsibility, but concluded that the burden
was not great enough to be unconstitutional.
This is not a case in which the power to remove an
executive official has been completely stripped from the
President, thus providing no means for. the President to
ensure the "faithful execution" of the laws. . . . We do
not think this limitation as it presently stands sufficiently deprives the President of control over the independent
counsel to interfere impermissibly with his constitutional
obligations to ensure the faithful execution of the laws.
/d. (emphasis added) (footnote omitted). Morrison v. Olson,
thus, cannot be easily disposed of in accordance with the
government's (and Justice Kennedy's) suggested distinction.
The President's constitutional duty to take care that the
laws be faithfully executed, moreover, seems far greater in
importance than his authority to recommend legislation. The
Framers intended the Take Care Clause to be an afrJ.rmative
duty on. the President and the President alone. In contrast,
the Recommendation Clause is less an obligation than a right.
The President has the undisputed authority to recommend
legislation, but he need not exercise that authority with
�18
respect to any particular subject or, for that matter, any
subject. 7 Only the President can ensure that the laws be
faithfully executed, but anyone in the country can propose
legislation.
The government's focus on the Recommendation Clause
seems somewhat artificial. Discussions on policy-whether
they take place in executive branch groups or in pure FACA
advisory committees-to some extent always implicate proposed legislation. Whenever an executive branch group considers policy initiatives, it discusses interchangeably new legislation, executive orders, or other administrative directives.
Thus, virtually anytime an advisory group meets to discuss a
problem, it will implicate the Recommendation Clause, from
which all executive branch authority to recommend legislation
derives. Accordingly, if the application of F ACA to groups
advising the President or anyone else in the executive branch
were constitutionally problematic, insofar as those groups
were advising on proposed legislation, F ACA would be problematic with regard to virtually all policy advice. Under
that reasoning F ACA would be constitutionally suspect on its
face-an argument the government declined to make.
We do think that the government's alternative, albeit implicit, argument is more persuasive. Application of F ACA to
7 To
be sure, during the Constitutional Convention in Philadelphia, the Framers changed the language of the clause from "may
recommend" to "shall recommend." AB James Madison recorded in
his notes· of the convention for August 24, 1787:
On motion of Mr. Govr Morris, "he may'' was struck out, &
"and" inserted before "recommend" in the clause 2d. sect 2d
art: X in order to make it the duty of the President to
recommend, & thence prevent umbrage or cavil at his doing it.
J. MADISON, NOTES OF DEBATES IN THE FEDERAL CONVENTION OF 1787,
464 (G. Hunt & J. Scott, eds. 1987). Gouverneur Morris' amendment suggests that the clause was intended to squelch any congressional objections to the President's right to recommend legislationhence the prevention of "u:nbrage or cavil." See J. Sidak, The
Recommendation Clause, 77 GEO. L.J. 2079, 2082 (1989).
�19
th~
Task Force clearly would interfere with the President's
capacity to solicit direct advice on any subject related to his
duties from a group of private citizens, separate from or
together with his closest governmental associates. That advice might be sought on a broad range of issues in an
informal or formal fashion. Presidents have created advisory
groups composed of private citizens (sometimes in conjunction
with government officials) to meet periodically and advise
them (hence the phrase "kitchen cabinets") on matters such
as the conduct of a war.8 Presidents have even created
formal "cabinet committees" composed in part of private
citizens. 9 This case is no different. Here, the President has
formed a committee of his closest advisers-eabinet secretaries, White House advisers, and his wife-to advise him on
a domestic issue he considers of the utmost priority.
8
For example, President Johnson often sought advice from Clark
Clifford and Justice Fortas, "two old and trusted friends from
outside the Executive Branch," along with government officials on
matters concerning the Vietnam War. See, e.g., L. JoHNSON. THE
VANTAGE POINT: PERSPECTIVES OF THE PRESIDENCY 1963-1969 at 23537 (1971)
9 President Ford, in 1975, convened a "cabinet committee" composed of the Secretary of State, the Secretary of Commerce, the
Secretary of Labor, the President of the AFL-CIO, and the President of the Chamber of Commerce to formulate the government's
policy toward the International Labor Organization. President
Carter continued the same body. See, e.g., Committee Fails to
Agree on U.S. ILO Membership, WASH. PoST, Oct. 13, 1977, A24.
Neither President apparently acknowledged F ACA's application.
See, e.g., GENERAL SERVICES ADMINISTRATION, FEDERAL ADVISORY
COMMITTEES: FOURTH ANNUAL REPORT OF THE PRESIDENT COVERING
CALENDAR YEAR 1975 at 54-55 (1976) (no mention of ILO committee
in list of presidential advisory committees); see also GENERAL
SERVICES ADMINISTRATION. FEDERAL ADVISORY COMMITTEES: FIFTH
ANNUAL REPORT OF THE PRESIDENT CO\'ERING CALENDAR YEAR 1976 at
55-56 (1977) (same). In 1980, however, President Carter continued
that structure, but explicitly recognized F ACA's coverage (after the
issue that gave rise to the committee-whether the United States
should withdraw from the ILO-had been resolved). See Exec.
Order No. 12,216, 45 Fed. Reg. 41.619 (1980).
�20
Applying F ACA to the Task Force does not raise constitutional problems simply because the Task Force is involved in
proposing legislation. Instead, difficulties arise because of
the Task Force's operational proximity to the President himself-that is, because the Task Force provides advice and
recommendations directly to the President. The Supreme
Court has recognized that a President has a great need to
receive advice confidentially:
[There is a] valid need for protection of communications
between high Government officials and those who advise
and assist them in the performance of their manifold
duties; the importance of this confidentiality is too plain
to require further discussion. Human experience teaches that those who expect public dissemination of their
remarks may well temper candor with a concern for
appearances and for their own interests to the detriment
of the decisionmaking process. Whatever the nature of
the privilege of confidentiality of Presidential communications in the exercise of Art. II powers, the privilege can
be said to derive from the supremacy of each branch
within its own assigned area of constitutional duties.
United States v. Nixon. 418 U.S. 683, 705-06 (1974) (footnotes
omitted); see also Nixon v. Administrator of Gen. Servs., 433
U.S. 425, 441-49 (1977). Nixon v. Administrator of General
Serr.rices further explains that the President is entitled to
confidentiality in the performance of his "responsibilities" and
"his office," and " 'in the process of shaping policies and
making decisions.'" 433 U.S. at 449 (quoting United States
v. Nixon. 418 U.S. at 708). Article II not only gives the
President the ability to consult v.ith his advisers confidentially, but also, as a corollary, it gives him the flexibility to
organize his advisers and seek advice from them as he wishes.
In Meyer v. Bush, 981 F.2d at 1293-97, for example, we held
that the President could create a Task Force composed of
cabinet secretaries and other close advisers to study regulatory reform without having to comply with FOIA. In this
regard, F ACA's requirement that an advisory committee
must be "fairly balanced in terms of the view represented"
�21
would-if enforceable and applied to groups of presidential
advisers-restrict the President's ability to seek advice from
whom and in the fashion he chooses.
The ability to discuss matters confidentially is surely an
important condition to the exercise of executive power. Without it, the President's performance of any of his dutiestextually explicit or implicit in Article II's grant of executive
power-would be made more difficult. In designing the
Constitution, the Framers vested the executive power in one
man for the very reason that he might maintain secrecy in ·
executive operations. As Alexander Hamilton wrote in the
Federalist Papers:
Decision, activity, secrecy, and dispatch will generally
characterise (sic] the proceedings of one man, in a much
more eminent degree, than the proceedings of any greater number; and in proportion as the number is increased, these qualities will be diminished.
THE FEDERALIST No. 70, at 472 (J. Cooke, ed., 1961) (emphasis
added). The Framers thus understood that secrecy was
related to the executive's ability to decide and to act quickly-a quality lacking in the government established by the
Articles of Confederation. If a President cannot deliberate in
confidence, it is hard to imagine how he can decide and act
quickly.
This Article II right to confidential communications attaches not only to direct communications with the President,
but also to discussions between his senior advisers. Certainly
Department Secretaries and White House aides must be able
to hold confidential meetings to discuss advice they secretly
will render to the President. Congress, in another context,
has recognized that the President's right to confidential communications extends to meetings between his top advisers.
For example, FOIA, 5 U.S.C. § 552, exempts "the President's
immediate personal staff or units in the Executive Office
whose sole function is to advise and assist the President."
See Kissinger v. Reporters Com m. for Freedom of the Press,
445 U.S. 136, 156 (1980) (quoting H.R. REP. No. 1380, 93d
�22
Cong., 2d Sess. 14 (1974)); Meyer v. BU8h, 981 F.2d at 129192.
A statute interfering with a President's ability to seek
advice directly from private citizens as a group, intermixed,
or not, with government officials, therefore raises Article II
concerns. This is all the more so when the sole ground for
asserting that the statute applies is that the President's own
spouse, a member of the Task Force, is not a government
official. For if the President seeks advice from those closest
to him, whether in or out of government, the President's
spouse, typically, would be regarded as among those closest
advisers.
As we have indicated, we do not place much significance on
the government's claim that this sort of interference is qualitatively, in constitutional terms, more troublesome insofar as
it relates to advice the President seeks concerning the exercise of an enumerated power. If we were to go on to decide
the constitutionality question, we· would be obliged to ask
whether, in Morris on v. Olson terms, this asserted application of FACA "impermissibly" burdens executive power.
Morrison tells us to balance how much the interference with
the President's executive power prevents the President "from
accomplishing his constitutionally assigned functions," Morrison, 487 U.S. at 695, against the "overriding need to promote
objectives within the constitutional authority of Congress."
Nixon v. Administrator of Gen. Servs., 433 U.S. at 443. We
readily confess that this balancing test is not one that, as
judges, we can apply with confidence. This is all the more
reason to view the constitutional issue soberly. We are
satisfied that tht: application of F ACA to the Task Force
seriously burdens executive power. And our reading of Morrison does not lead us easily to a conclusion that the burden
placed is a permissible one.
The court below correctly recognized the constitutional
difficulties that F ACA's application to the Task Force created. The court, therefore. ruled the Act partially unconstitutional, insofar as it was applied to the meetings in which the
Task Force actually advised the President. When the Task
�I •
I
I
23
Force was engaged in "information-gathering and information-reporting," however, the court thought that the President's constitutional interests were not so seriously implicated.
We believe it is the Task Force's operational proximity to
the President, and not its exact function at any given moment, that implicates executive powers and therefore forces
consideration of the Morrison test. The President's confidentiality interest is strong regardless of the particular role
the Task Force is playing on any given day. Indeed, the two
functions naturally interrelate and can only be divided artificially. If public disclosure of the real information-gathering
process is required, the confidentiality of the advice-giving
funetion inevitably would be compromised. If you know what
information people seek, you can usually determine why they
seek it. A group directly reporting and advising the President must have confidentiality at each stage in the formulation of advice to him. As we said in Meyer, "[p]roximity to
the President, in the sense of continuing interaction, is surely
in part what Congress had in mind when it exempted [from
FOIA] the President's 'immediate personal staff.'" 981 F.2d
at 1293 (citation omitted). And, as we recognized in Soucie v.
David, 448 F.2d 1067 (D.C. Cir. 1971), FOIA's exemption may
be constitutionally required to protect the President's executive powers. In any event, the district judge decided to
truncate the statute in light of constitutional concerns only
because it determined that F ACA applied to the Task Force.
We think the district court should have acted otherwise.
Prudent use of the maxim of statutory construction allows us
to avoid the difficult constitutional issue posed by this case.
The question whether the President's spouse is "a full-time
officer or employee" of the government is close enough for us
properly to construe F ACA not to apply to the Task Force
merely because Mrs. Clinton is a member. We follow the
Supreme Court's lead, if not its strict precedent, in recognizing that [if the Act] were "(r]ead unqualifiedly, it would
extend F ACA's requirements to any group of two or more
persons, or at least any formal organization, from which the
President or an executive agency seeks advice." Public
Citizen, 491 U.S. at 452 (footnote omitted). Because it be-
�24
lieved that Congress could not have intended such a result,
the Public Citizen majority read "utilize" to exclude the ABA
committee. If the Supreme Court correctly construed the
statute not to cover the advice the Attorney General receives,
on behalf of the President, from the ABA, the statutory
construction issue we face should be resolved a fortiori in
favor of the government.
We, therefore, read the phrase "full-time officer or employee of the government" in F ACA to apply to Mrs. Clinton.
In doing so, we express no view as to her status under any
other statute. 10
IV.
The district court, having concluded that the Task Force
was a F ACA advisory committee, dismissed under Rule
12(b)(6) appellees' claim that the working group was also
covered by F ACA. The court thought that under National
Anti-Hunger Co·alition v. Executive Committee, 557 F. Supp.
524 (D.D.C.), ajj'd, 711 F.2d 1071 (D.C. Cir. 1983) ("AntiHunger"), subgroups of a FACA committee should be regarded as staff of the advisory committee and not as advisory
committees themselves. See Anti-Hunger, 557 F. Supp. at
529. Based on Mr. Magaziner's affidavit, the district court
determined that the working group merely gathered information to be passed on to the Task Force. Appellees crossappeal the district court's ruling and its corollary refusal to
permit further discovery into the status and operations of the
working group.
The government challenges our jurisdiction to consider the
cross-appeal because the district court's rulings on the working group are neither independent final judgments, nor covered by the preliminary injunction against the Task Force
which is before us on an interlocutory appeal pursuant to 2B
.
lOWe do not need to consider whether Mrs. Clinton's presence on
the Task Force violates the Hatch Act, 5 U.S.C. § 7324(a), the
Anti-Deficiency Act, 31 l' .S.C. § 1342, or any conflict of interest
statutes.
�25
U.S.C. § 1292(a). We have said that our jurisdiction over an
interlocutory appeal, however, is considerably broader:
[R]eview quite properly extends to all matters inextricably bound up with the remedial decision . . . . [T]he
scope of review may extend further to allow disposition
of all matters appropriately raised by the record, including entry of final judgment. Jurisdiction of the interlocutory appeal is in large measure jurisdiction to deal with
all aspects of the case that have been sufficiently illuminated to enable decision by the court of appeals without
further trial court development.
Wagner v. Taylor, 836 F .2d 578, 585 (D.C. Cir. 1987) (emphasis added) (quoting Energy Action Educational Found. v.
Andrus, 654 F.2d 735, 745 n. 54 (D.C. Cir. 1980), rev'd on
other grounds, 454 U.S. 151 (1981)); see also 16 C. WRIGHT. A.
MILLER. E. CooPER & E. GRESSMAN. FEDERAL PRACTICE &
PROCEDURE § 3921, at 17-20 (1977). The 'district court's final
disposition of the claim against the working group was
"bound up" with its reasons for granting the injunction
against the Task Force. Once it is determined that the Task
Force is not covered by F ACA, the implicit ·analytical premises of the district court's decision as to the working group are
removed. Moreover, had the district court determined, as
have we, that the claim against the Task Force was invalid
and then also dismissed the claim against the working group,
the latter unquestionably would be appealable as well. Under these circumstances, we think it is appropriate to consider the cross-appeal. 11
11
The lower court dismissed appellees' claim under Rule 12(b)(6)
because it found that appellees had failed to state a claim upon
which relief could be granted. Mem. Op. at 15. It also noted that
it could have dismissed appellees' claims under FED. R. CIV. P. 56,
because appellees had failed to state that further discovery was
necessary before summary judgment could be granted. I d. at 15
n.ll. AS we will discuss, the legal ba.•is for the Rule 12(b)(6) ruling,
or a Rule 56 ruling, was incorrect. Furthermore, contrary to the
district court's decision, Rule 56 does not require a party to state in
its discovery motion that discovery is necessary before a court may
�26
As it argued below, the government claims that the working group is not in contact with the President and is not,
therefore, "utilized" by him. That seems to us a strange
argument. There are two exceptions to F ACA's inclusion of
all presidential advisory groups: (i) where the advisory committee is independently established and operated by a private
organization, see Public Citi:z:e~ 491 U.S. at 457-59; and (ii)
where the group is composed wholly of full-time government
officials. See 5 U.S.C. App. 1, § 3(2)(iii). We have construed
the second exception here to extend to a cabinet committee
that includes the First Lady. The government now presses
upon us a third exception, one for advisory committees that
do not meet face-to-face with the President. The government's argument, however, conflicts with the serious constitutional concerns we have recognized concerning the Task
Force. The statute cannot be properly interpreted as applying only to those advisory committees, established in the
Executive Office of the President, that present the most
delicate constitutional problems. 12 Otherwise~ the government's argument effectively would render almost all presidential advisory committees free from FACA. Committees in
direct contact with the President implicate the President's
executive power and hence cannot be covered by FACA,
while committees not directly in contact are not "utilized." In
rule on summary judgment. Indeed, a party's filing of a discovery
motion would seem implicitly to assert just that. But under Rule
12(b)(6), once the Magaziner affidavit was filed and considered the
district judge was obliged to permit reasonable discovery as to the
facts set forth in the affidavit. See First Chicago Int'l v. United
Exchange Co., 836 F.2d 1375, 1380 (D.C. Cir. 1988).
12 The government, only at oral argument, and rather tentatively,
suggested that application of F ACA to any advisory groups established and utilized by the President, because they advise someone in
the Executive Office of the President, raises constitutional problems. We do not think we should entertain a constitutional argument of such enormous signi:icance made in so glancing a fashion.
After all, it could be thought :o come close to an argument that the
government disavowed-that F ACA is unconstitutional on its face.
�•
27
any event, the statutory language does not remotely support
the government. Not only does F ACA define an advisory
committee as a task force or "any subcommittee · or other
subgroup thereof," 5 U.S.C. App. 1, § 3(2), but it also specifies that an advisory committee is a group that is either
established or utilized by the President. See id. Certainly
the President can establish an advisory group that he does
not meet with face-to-face. In Public Citizen the Court did
not suggest that F ACA could be avoided merely because the
ABA committee communicated with the Justice Department
rather than with the President.
The district court accepted a variation of the government's
argument by concluding that the working group was not
really a subgroup of the Task Force within the meaning of
F ACA, but rather only staff to the Task Force. The court
relied, as we noted, on the Anti-Hunger case, in which we
affirmed Judge Gesell's decision to similarly treat subordinate
working groups operating under the Executive Committee of
the Private Sector Survey. Although we affirmed the decision, we did not explicitly approve the judge's reasoning
relating to the supposed staff groups; rather, we rejected an
effort to challenge his decision based on new information not
in the record. See National Anti-Hunger Coalition v. Executive Committee, 711 F.2d 1071, 1075 (D.C. Cir. 1983). In
any event, Anti-Hunger presented crucially different facts.
That case involved the Executive Committee of the Private
Sector Survey, formed by President Reagan to obtain management and cost control advice from the private sector. The
Executive Committee, composed of 150 private citizens, had a
subcommittee composed of 30 members and also had 36 task
forces that performed the preliminary work of the survey.
Anti-Hunger, 557 F. Supp. at 525-26. The government
conceded, in that litigation, that the Executive Committee and
the subcommittee were both F .\CA committees and it was
only thereafter that the district court determined that the
task forces were not F ACA committees, but staff.
Our conclusion that the Task F' orce is a committee wholly
composed of government ofticiuis makes this case entirely
different. In contrast to the situation here, in Anti-Hunger
�28
the top levels of the outside advisory groups were covered by
F ACA-both the executive committee of 150 and the subcommittee of 30. In that scenario, there is less reason to focus on
subordinate advisers or consultants who are presumably under the control of the superior groups. It is the superior
groups, after all, that will give the advice to the government,
and which, in accordance with the statute, must be "reasonably" balanced. But when the Task Force itself is considered
part of the government-due to the government officials
exemption-we must consider more closely F ACA's relevance
to the working group. For it is the working group now that
is the point of contact between the public and the government. The district court's conclusion that the working group
could be disregarded as staff depended on its determination
that the Task Force was covered by F ACA. Our disagreement with :he district court on the latter issue therefore
compels a different analysis of the working group's status.
Alternatively, the government argues that the working
group is not, as a matter of law, a F ACA advisory committee
because it is not expected to offer consensus advice. In
making this argument, the government relies on a regulation
issued by the General Services Administration:
The following are examples of advisory meetings or
groups not covered by the Act or this subpart; . . . (i)
Any meeting initiated by a Federal ofticial(s) with more
than one individual for the purpose of obtaining the
advice of individual attendees and not for the purpose of
utilizing the group to obtain consensus advice or recommendations. However, agencies should be aware that
such a group would be covered by the Act when an
agency accepts the group's deliberations as a source of
consensus advice or recommendations.
41 C.F.R. § 101-S.1004(i) (1992).
As we have so often noted, we do not defer to an agency's
construction of a statute interpreted by more than one agency, see, e.g., FLRA ·v. Department of Treasury, 884 F.2d 1446,
1451 (D.C. Cir. 1989). let alone one applicable to all agencies,
see Reporters Comm. for Freedom of the Press v. Department
�•
29
of Justice, 816 F.2d 730, 734 (D.C. Cir. 1987), rev'd on other
grounds, 489 U.S. 749 (1989).
Nevertheless, we think the
government's regulation expresses a concept similar to one
that we find embedded in the statute. It is not so much that
a group is not a F ACA advisory committee unless it gives
"consensus" advice. To be sure, many committees are convened with that expectation. See, e.g., The Commission on
the Future of Worker-Management Relations, 58 Fed. Reg.
27,311 (1993). Others, however, are established presumably
with the full expectation that the positions to be taken and
the advice to be offered may well be sharply divided. See,
e.g., The Presidential Commission or the Assignment of Women in the Armed Forces, 57 Fed. Reg. 49,394 (1992). And
since one of the purposes of F ACA is to achieve some
balance, and thereby diverse views on advisory committees, it
would be passing strange if F ACA only applied to those
committees that would offer consensus recommendations.
The point, it seems to us, is that a group is a FACA
advisory committee when it is asked to render advice or
recommendations, CI8 a group, and not as a collection of
individuals. The group's activities are expected to, and appear to, benefit from the interaction among the members both
internally and externally. Advisory committees not only provide ideas to the government. they also often bestow political ·
legitimacy on that advice. As the House Committee that
investigated advisory committees before F ACA's passage
.stated: "The work product of a committee composed of
distinguished and knowledgeable individuals appointed by the
President to advise him is presumed to have value and should
be considered." H.R. REP. No. 1731, 91st Cong., 2d Sess. 12
(1970).
Advisory committees are not just mechanisms for transmitting policy advice on a particular subject matter to the
government. These committees also possess a kind of political legitimacy as representative bodies. Membership on a
committee is often highly prized and sought after because it
carries recognition and even p:·estige. When the executive
branch endorses its advice and 5eeks to promote the policy
course suggested by the committee, the executive branch
�30
draws upon the committee's political legitimacy. Congress'
effort to ensure that these committees are balanced in terms
of viewpoint recognizes their usefulness for political (and
patronage) purposes. But committees bestow these various
benefits only insofar as their members act as a group. The
whole, in other words, must be greater than the sum of the
parts.
Thus, an important factor in determining the presence of
an advisory committee becomes the formality and structure of
the group. Judge Gesell, in another district court case.
Nader v. Baroody, 396 F. Supp. 1231 (D.D.C. 1975), seems to
have approached the same notion by focusing on the word
"established" in F ACA. Nader involved meetings between
an assistant to the President and a changing slate of federal
officials and private sector groups. See id. The groups met
for the express purpose of exchanging views on a variety ot
subjects. In exempting these meetings from F ACA, the
court noted that "the committees were not formally organizec
and there is little or no continuity." !d. at 1234.
Since form is a factor, it would appear that the governmen•
has a good deal of control over whether a group constitutes ~
F ACA advisory committee. Perhaps, for that reason, it is ~
rare case when a court holds that a particular group is ~
F ACA advisory committee over the objection of the executivE
branch. In order to implicate F ACA, the President, or hh
subordinates, must create an advisory group that has, in larg(
measure, an organized structure, a fiXed membership, and :
specific purpose. The government suggests that the workinJ
groups, composed as they are of a crowd of 340 virtuall:
anonymous persons, do not bear the characteristics of th~
paradigm F ACA advisory committee. That may well be sc
The working groups. as a whole, seem more like a horde tha:
a committee. On the other hand, the groups have beet
created ("established") with a good deal of formality an1
perhaps are better understood as a number of advisor:
committees. We simply cannot determine how to classify th
working groups based on the record before us.
Finally, the government claims that all of the members <
the working groups are full-time officers or employees of th
�31
government, and, for that reason alone, the working groups
are not F ACA advisory committees. The three-hundred
members drawn from the agencies, the Executive Office of
the President, and from the congressional staffs are concededly within that category. The working group also includes, however, 40 "special government employees." The
government claims that these individuals are also "full-time"
government employees, even though they have been employed by an agency or the Executive Office of the President
for less than 130 days in a year, some without compensation.
The record does not reflect where these persons come from,
nor does it show how many hours they work. We are,
moreover, unsure whether F ACA's definition of "full-time"
extends to a person who works for the government for less
than 130 days out of a year. The government directs us to
the conflict of interest provisions of Title 18, which define a
"special Government employee" as:
an officer or employee of the executive or legislative
branch of the United States Government . . . who is
retained, designated, appointed, or employed to perform,
with or without compensation, for not to exceed [130]
days during any period of [365] consecutive days, tempora:ry duties either on a fuU-time or intermittent basis.
18 U.S.C. § 202(a) (1988) (emphasis added}. The government
argues that section 202 clearly implies that a temporary
employee can be "full-time." Intermittent (or non-full-time)
applies, according to the government, to those who work less
than a full day.
We do not believe section 202(a) helps the government.
Just as we did not read 5 U.S.C. §§ 2104, 2105 to govern the
question of whether Mrs. Clinton is a federal officer or
employee, we do not think that Title 18's definitions should
necessarily control F ACA. We must construe F ACA in light
of its purpose to regulate the growth and operation of advisory committees. F ACA would be rather easy to avoid if an
agency could simply appoint 10 private citizens as special
government employees for two days, and then have the
committee receive the section 3(2) exemption as a body
�32
composed of full-time government employees. Moreover, section 202 contrasts "full-time" with "intermittent," and so "fulltime" seems to mean no more than not "intermittent." There
is no reason to think that not "intermittent" for section 202
purposes has any bearing on whether the employee is "fulltime" for F ACA purposes. Whether the special government
employees are full-time, however, is, in part, a factual issue
that was not developed below due to the lack of discovery.
A third class of persons are described as consultants.
According to the government, the consultants attend meetings on an intermittent basis, with or without compensation,
and have no "supervisory role or decision-making authority."
Drawn from the ranks of the medical profession, the academy, and from business, they only provide information and
opinion. These consultants raise a different question from
that presented by the other two classes of working group
employees. The key issue, it seems to us, is not whether
these consultants are "full-time" government employees under section 3(2), but whether they can be considered members of the working group at all. When an advisory committee of wholly government officials brings in a "consultant" for
a one-time meeting, F ACA is not triggered because the
consultant is not really a member of the advisory committee.
In that situation, the relationship between the temporary
consultant and committee is very similar to the one between
the White House officials and various private sector representatives exempted from FACA in Nader. We are confident
that Congress did not intend F ACA to extend to episodic
meetings between government officials and a consultant. To
do so would achieve the absurd result Public Citizen warned
against: reading F ACA to cover every instance when the
President (or an agency) informally seeks advice from two or
more private citizens.
But a consultant may still be properly described as a
member of an advisory committee if his involvement and role
are functionally indistinguishable from those of the other
members. Whether they exercise any supervisory or decisionmaking authority is irrelevant. If a "consultant" regularly attends and fully participates in working group meetings as
�33
if he were a "member," he should be regarded as a member.
Then his status as a private citizen would disqualify the
working group from the section 3(2) exemption for meetings
of full-time government officials.
•
•
*
•
When we examine a particular group or committee to
determine whether F ACA applies, we must bear in mind that
a range of variations exist in terms of the purpose, structure,
and personnel of the group. Perhaps it is best characterized
as a continuum. At one end one can visualize a formal group
of a limited number of private citizens who are brought
together to give publicized ·advice as a group. That model
would seem covered by the statute regardless of other fortuities such as whether the members are called "consultants."
At the other end of the continuum is an unstructured arrangement in which the government seeks advice from what
is only a collection of individuals who do not significantly
interact with each other. That model, we think, does not
trigger F ACA. ·
We simply have insufficient material in the record to
determine the character of the working group and its members. We understand why the district .court, believing the
Task Force covered by F ACA, thought it unnecessary and
inappropriate to put the working group under further scrutiny. But, as we have indicated, because we differ with the
district court concerning the Task Force, we believe further
proceedings, including expedited discovery, are necessary before the district court can confidently decide whether the
working group is a F ACA committee.
Accordingly, we reverse the district court and lift the
preliminary injunction on the operations of the Task Force.
The Task Force need not comply with the requirements of
FACA because it is a committee composed wholly of full-time
government officials. We also reverse the district court's
dismissal of appellees' claims as to the working group under
Rule l2(b)(6). We remand for further proceedings, including
expedited discovery, regarding the working group.
So ordered.
�-1
BucKLEY, Circuit Judge, concurring in the judgment: I
admit at the outset the persuasive force of the majority's
opinion-a force derived, I think, from a comparison of the
most obvious facts of this case with those of Public Citizen v.
United States Department of Justice, 491 U.S. 441 (1989).
Public Citizen interpreted the word "utilized" so as to exclude the Justice Department's use of a committee of the
American Bar Association whose only mission was to advise
on appointments to the federal judiciary. In concluding that
Congress did not intend to subject the ABA Committee on
the Judiciary to F ACA's requirements, the Court acknowledged that what "tip[ped] the balance decisively against
F ACA's application," id. at 465, was the "cardinal principle"
that where "a serious doubt of constitutionality is raised, ...
the Court will first ascertain whether a construction of the
statute is fairly possible by which the question may be
avoided." /d. at 46~6. Here, to achieve a similar end, we
are asked only to stretch the phrase "officer or employee of
the Federal Government" far enough to include a person who
is greeted like a head of state, guarded by the Secret Service,
and funded from the public fisc. On f1rst appearances, Public
Citizen would seem to support both the majority's result and
the reasoning used to reach it.
If this case is to be distinguished from Public Citizen, it is
not because of a lack of gravity in the constitutional issues it
presents. In United States v. Nixon, 418 U.S. 683 (1974)
("Nixon I "), and Nixon v. Administrator of General Services, 433 U.S. 425 (1977) ("Nixon II"), the Supreme Court
recognized a constitutionally grounded doctrine of executive
privilege which holds that Presidential communications are
presumptively privileged against disclosure:
Human experience teaches that those who expect public
dissemination of their remarks may well temper candor
with a concern for appearances and for their own interests to the detriment of the decisionmaking process ....
A President . . . must be free to explore alternatives in
the process of shaping policies and making decisions and
�2
to do so in a way many would be unwilling to express
except privately. These are the considerations justifying
a presumptive privilege for Presidential communications.
The privilege is fundamental to the operation of Government and inextricably rooted in the separation of powers
under the Constitution.
Nixon /, 418 U.S. at 705, 708. The Court found that this
privilege extends
to communications in performance of a President's responsibilities . . . and made in the process of shaping
policies and making decisions.
Nixon II, 433 U.S. at 449 (quoting Nixon/, 418 U.S. at 708,
711, 713) (internal quotation marks, brackets, and citations
omitted). And it set forth standards for evaluating intrusions
on privileged communications:
[l]n determining whether the Act disrupts the proper
balance between the coordinate branches, the proper
inquiry focuses on the extent to which it prevents the
Executive Branch from accomplishing its constitutionally
assigned functions. Only where the potential for disruption is present must we then determine whether that
impact is justified by an overriding need to promote
objectives within the constitutional authority of Congress.
/d. at 443 (citations to Nixon I omitted).
We confront in this case a task force consisting of the
President's closest advisors that was established to address a
paramount political priority. Because it included his wifeby all accounts, a person whose policy advice he has relied on
throughout his public life-the Task Force on National
Health Care Reform arguably was bound by law to conduct
its proceedings in public. Given these circumstances, the
considerations animating the Presidential privilege, like the
President's claim of privilege itself, are before us in pointed
fashion. My colleagues, sensing the weight of these issues,
hold that we may avoid addressing them through "prudent
�3
use" of Public Citizen's "maxim of statutory construction."
Maj. Op. at p. 23, I cannot agree.
I begin with the axiom that in interpreting a statute, a
court must ascertain the will of the enacting Congress. Here
I admit to detecting something of an implicit argument in the
Government's pleadings before this court. To the extent that
it may be discerned, this argument begins with an assumption
that Public Citizen's result could not have been reached
through genuine interpretation-interpretation that is consistent with the will of Congress-and ends with the conclusion
that Public Citizen authorizes courts to avoid constitutional
issues by ascribing implausible meanings to the most unambiguous language. The suggestion, I admit, is tempting. But
it is also barred by the very decision on which the Government places its principal reliance. Public Citizen states
explicitly that courts "cannot press statutory construction to
the point of disingenuous evasion, even to avoid a constitutional question." 491 U.S. at 467 (internal quotation marks
and citation omitted).
The weakness of the position that F ACA may be interpreted to exclude the Task Force is suggested by the Government's vacillation on the question of Mrs. Clinton's status.
Before the district court, the Government argued that the
Task Force was not subject to FACA because Mrs. Clinton
was the functional equivalent of a federal employee. In its ·
opening brief here, it argued that she was either an officer or
an employee without saying which. On reply, it said explicitly that Mrs. Clinton was an "officer." And at argument, it
retreated to ambiguity and again refused to categorize her.
In fact, the Government's only consistent position has been
that FACA is not subject to those statutory definitions of
"officer" and "employee" that most logically apply to it.
FACA appears in the appendix to Title 5 of the United
States Code. Sections 2104 and 2105 of Title 5 contain the
following dermitions:
�4
§ 2104. Officer
(a) For the purpose of this title, "officer", except as
otherwise provided by this section or when specifically
modified, means a justice or judge of the United States
and an individual who is(1) required by law to be appointed in the civil
service by one of the following acting in an official
capacity(A) the President;
(B) a court of the United States;
(C) the head of an Executive agency; or
(D) the Secretary of a military department;
(2) engaged in the performance of a Federal function under authority of law or an Executive act; and
(3) subject to the supervision of an authority
named by paragraph (1) of this section, or the
Judicial Conference of the United States, while engaged in the performance of the duties of his office ....
§ 2105. Employee
(a) For the purpose of this title, "employee", except as
otherwise provided by this section or when specifically
modified, means an officer and an individual who is(1) appointed in the civil service by one of the
following acting in an official capacity(A) the President;
(B) a Member or Members of Congress, or
the Congress;
(C) a member of a uniformed service;
(D) an individual who is an employee under
this section;
(E) the head of a Government controlled corporation; or
(F) an adjutant general designated by the
Secretary concerned under section 709(c) of title
32;
�5
(2) engaged in the performance of a Federal function under authority of law or an Executive act; and
(3) subject to the supervision of an individual
named by paragraph (1) of this subsection while
engaged in the performance of the duties of his
position ....
5 U.S.C. §§ 2104, 2105 (emphasis added).
The common denominator of these provisions is the requirement that both officers and employees be "appointed in
the civil service." In the Executive Branch, the civil service
consists of (1) positions requiring Senate confirmation, (2) the
"Senior Executive Service," (3) the "competitive service," and
(4) "positions which are specifically excepted from the competitive service by or under statute." 5 U.S.C. § 2102(a).
Mrs. Clinton does not wear any of these labels. See, e.g., 5
U.S.C. § 3132(a)(2) (defming "Senior Executive Service position"). The Government's (and the majority's) strategy, then,
is to argue that she need not satisfy the section 2104 and 2105
definitions because they do not apply to F ACA. Specifically,
because F ACA has been codified in an appendix to Title 5,
not in the title proper, the Government contends that the
sections do not govern the meaning of "officer'' and "employee" as used in the defmition of "advisory committee." For
several reasons, I disagree.
First, there is the plain meaning of the statutory language.
An appendix to a title of the United States Code necessarily
qualities as a part of that title. If it did not, then the
appendix would be part of no title whatever and would be an
appendix to the Code as a whole. Yet F ACA appears in the
Code under the banner, "Title 5, Appendix." Because sections 2104 and 2105 state plainly that they apply "[f]or the
purpose of'' Title 5, and because F ACA is a part of that title,
the definitions apply to FACA.
Second, Congress surely knew that F ACA would be codified under Title 5. The same statute that adopted sections
2104 and 2105 also stipulated that Title 5 be captioned:
"Government Organization and Employees." Pub. L. No. 89554, 80 Stat. 378, 408-09 (1966). A glance at the captions of
�'
6
the remaining 49 titles in the Code confirms that Title 5 is the
only one under which F ACA could have been codified.
Third, there are the practical considerations. The Ethics
in Government Act, codified alongside F ACA in Title 5's
appendix, requires fmancial disclosures from "each officer or
employee in the executive branch" who meets certain criteria.
Ethics in Government Act of 1978, 5 U.S.C. App. 3, §§ 101(a),
101(t)(3) (1991 Supp.). F ACA imposes open-meeting and
other requirements on committees not "composed wholly of
full-time officers or employees of the Federal Government."
5 U.S.C. App. 1, § 3(2) (1988). And, although each of those
statutes contains a sizable definitional section, neither defines
either "officer" or "employee." See 5 U.S.C. App. 1, § 3
(1988); 5 U.S.C. App. 3, § 109 (1991 Supp.). The Government tells us that those terms are intentionally left undefined
even though Congress took the trouble, in those statutes, to
define terms that are of far less significance. See, e.g., 5
U.S.C. App. 1, § 3(4) (1988) ("The term 'Presidential advisory
committee' means an advisory committee which advises the
·President"); 5 U.S.C. App. 3, § 109(3) (1991 Supp.) (" 'designated agency ethics offlci;ll' means an officer or employee who
is designated to administer the provisions of this title within
an agency''). But without definitions of "officer'' and "employee," neither statute could be sensibly administered. The
better explanation for the absence of these defmitions is that
their repetition in F ACA and the Ethics in Government Act
would have been redundant.
Finally, there is the apparent reasoning behind F ACA's
location in Title 5's appendix. The United States Code is
published pursuant to 1 U.S.C. §§ 201-13 (1988). That law
requires the codification of new laws in annual Code supplements and permits the publication of an entirely new Code
every five years. See id. § 202. Thus, the current United
States Code and supplement contain all laws of the United
States that are "general and permanent in their nature." /d.
§ 204(a). As of 1988, ten of the fifty U.S.C. titles contained
an appendix. See 5, 10, 11, 18, 26. 28, 40, 46, 49, 50 U.S.C.
(1988). Some statutes have been placed in appendices because, while considered more than temporary, they are
viewed as less than permanent additions to the Code. See 40
U.S.C. App. (Appalachian Regional Development Act of 1965).
�7
Other statutes have been relegated to appendices because
they were not enacted directly by Congress. See 11 U.S.C.
App. (Bankruptcy Rules and Official Forms as promulgated
by Supreme Court pursuant to 28 U.S.C. § 2075). With
respect to Title 5, Congress has divided it into three parts:
"The Agencies Generally'' (Part 1), "Civil Service Functions
and Responsibilities" (Part II), and "Employees" (Part III).
See Pub. L. No. 89-554, 80 Stat. 378 (1966), as amended by
Pub. L. No. 96-54, § 2(a)(l), 93 Stat. 381 (1979). An appendix to Title 5, then, is the natural place to codify statutes that
relate to "Government Organization and Employees" but do
not pertain to "The Agencies Generally," "Civil Service Functions and Responsibilities," or "Employees." As of 1988, five
acts, including F ACA, had been codified in Title 5's appendix.
None of these fits within any of the three pigeonholes into
which the main body of the title has been divided.
As against all of this-the statute's plain language, the
imputed knowledge of its draftsmen, the practical need for
Title 5's defmitions to apply to its appendix, and the apparent
reasons for F ACA's placement there-the Government can
offer a bare shred of legislative history. It points out that
the Senate version of F ACA explicitly incorporated the Title
5 defmitions of "officer'' and "empl9yee," but that these were
dropped at conference. The question, of course, is whether
the conferees discarded the definitions because they were
redundant (as F ACA was destined for codification under Title
5), or because they wished the definitions not to apply to
FACA.
The evidence on this issue consists of statements from the
reports of the Senate Committee on Government Operations
and the House-Senate Conference Committee. Referring to
the section of the Senate bill that incorporated definitions to
be found in the main body of Title 5, namely, those for
"agency'' (5 U.S.C. § 551(1 )), "officer'' (5 U.S.C. § 2104), and
"employee" (5 U.S.C. § 2105), the Senate Report stated only
that these three defmitions had "been chosen to give the
broadest interpretation to the coverage commensurate with
generally accepted principles of law." S. Rep. No. 1098, 92d
Cong., 2d Sess. 8 (1972). The Conference Committee Report
�,...
8
merely noted that "(t]he conference substitute deletes the
Senate amendment definitions of 'officer' and 'employee.' "
H.R. Conf. Rep. No. 1403, 92d Cong., 2d Sess. 9 (1972). The
definition of "agency," however, was retained.
The Government infers, from the deletion of two of the
Senate definitions and the retention of the third, that the
conferees found the definitions of "officer" and "employee"
inapplicable to F ACA. There is a far more plausible explanation. As sections 2104 ("officer'') and 2105 ("employee") were
applicable to all statutes codified under Title 5, they were
superfluous. The definition of "agency," by contrast, appears
under the heading, "For the purpose of this subchapter-," 5
U.S.C. § 551 (emphasis added), and therefore would not
apply to F ACA unless specifically incorporated into that Act.
Even if we could disregard the definitions found in Title 5,
we would still be compelled to attach meanings to the words
"officer" and "employee" that Congress tl').ight reasonably
have had in mind. To this end, I have examined other
sources for defmitions of these terms. At the outset, I
dismiss the possibility that Mrs. Clinton might be considered
an employee. In these proceedings, the Government has not
attempted to argue that Mrs. Clinton is an employee for
purposes of F ACA-no doubt because her services are unpaid. Cf. Black's Law Dictionary 471 (5th ed. 1979) (defining
employee as "[o]ne who works for an employer; a person
working for salary or wages"). And while the majority does
assert that Mrs. Clinton "could still be regarded as an
'employee'" under FACA, Maj. Op. at p. 10, it too lacks an
argument in support of the proposition. In particular, it
ignores the fact that, while subsections (a) and (b) of 3 U.S.C.
§ 105 explicitly "authorize[]" the President "to appoint and
fix the pay of [White House] employees," subsection 105(e),
the statutory acknowledgment of the First Lady's role, is
carefully phrased so as not to authorize her appointment as
an employee or any remuneration for her services. An
"unpaid employee" is an oxymoron. although an "unpaid
officer" is not. F ACA's strictures can be avoided, then, only
if it can credibly be argued that Mrs. Clinton is an officer of
the Federal Government. I can find no such argument.
\
I
'
�9
To begin with the beginning, the Constitution imposes
certain requirements on those who are to serve as officers of
the United States. Such persons must be appointed by the
President with the consent of the Senate unless Congress, by
law, has vested the power of appointment "in the President
alone, in the Courts of Law, or in the Heads of Departments,"
U.S. Canst. art. II, § 2, cl. 2. Furthermore, all officers must
take an oath to support the Constitution. I d., art. VI, cl. 3.
Congress has enacted laws to implement these requirements.
See, e.g., 5 U.S.C. § 3331 (officers of the United States
required to swear an oath); 5 U.S.C. § 2906 (officers' oath to
be "preserved"); 5 U.S.C. § 2902 ("officer(s] appointed by the
President" must have commissions made out and sealed by
the Secretary of State); 5 U.S.C. §§ 3333, 7311 (anyone who
accepts either "office or employment in the Government of
the United States" required to swear their loyalty by affidavit). We have received no indication that any of these
requirements have been met with regard to Mrs. Clinton.
More generally, an officer implies an office, and an office
implies duties. Title 1 of the United States Code defines
"officer'' by reference to an "office" with "duties"-" 'officer'
includes any person authorized by law to perform the duties
of the office." 1 U.S.C. § 1. And the Supreme Court has
interpreted "officer" similarly with reference to the Constitution. In Burnap v. United States, 252 U.S. 512, 516 (1920),
the Court reasoned: "Whether the incumbent is an officer or
an employee is determined by the manner in which Congress
has specifically provided for the creation of the several positions, their duties and appointment thereto." Burnap held
that a "landscape architect" was an employee, not an officer,
because "(t]here (was] no statute which creates an office of
landscape architect . . . nor any which defines the duties of
the position," id. at 517, and because "(t]here (was] no statute
which provides specifically by whom the landscape architect
... shall be appointed." ld.
The undoubted value of the services that the wives of
Presidents have rendered their husbands and their country
notwithstanding, it cannot be said that they have occupied an
office with duties. The provision of the U.S. Code on which
�r.
10
the majority relies, 3 U.S.C. § 105(e), is carefully phrased so
as not to name a position or prescribe duties a President's
spouse is to fulfill. In fact, section 105(e), strictly speaking,
does not even authorize a First Lady to assist the President;
rather it authorizes federal employees to assist the First
Lady, and, in the course of doing so, acknowledges the
assistance that First Ladies commonly render their spouses.
In sum, Mrs. Clinton carries none of the indicia of a federal
officer. She has neither been appointed to nor confirmed in
the position of "First Lady," she has taken no oath of office,
and she neither holds a statutory office nor performs statutory duties.
Having searched the U.S. Code and the Government's
briefs in vain for definitions of "officer" that might give aid
and comfort to the Government, I conclude that under any
fair interpretation of the term, Mrs. Clinton is not an officer
of the United States. But to complete this tour through the
statute books, I note that section 105(e) does not, as the
Government and the majority contend, require a fmding that
Congress has acknowledged that a President's spouse performs the duties of an officer. Another direct congressional
statement on the subject of the First Lady's duties appears in
the Anti-Nepotism Act. That Act declares that public officials (expressly including "the President") may not employ
relatives (expressly including a ''wife") in i•a civilian position
in the agency in which he is serving or over which he
exercises jurisdiction or control." 5 U.S.C. § 3110(a), (b).
The use of the defmite article in the phrase "the agency in
which he is serving'' appears to imply that every "public
official" belongs to some agency and that their relatives may
not be employed in that agency, whatever it happens to be.
Moreover, as a matter of policy and consistency, the restrictions on the President under the Anti-Nepotism Act must be
viewed to be as broad as the Executive Branch: It is inconceivable that Congress, in combatting nepotism, intended to
forbid Mrs. Clinton's service as Attorney General while permitting her appointment as National Security Advisor.
Viewed purely as a matter of congressional intent, the argument that the Anti-Nepotism Act applies only to the Depart-
�11
ments and not to the White House, see Maj. Op. at p. 12, is a
weak one. As a result, any gravitational pull exerted in the
· direction of congressional acceptance of a President's spouse
as a "de fado officer'' attributable to section 105{e) is overwhelmed by the opposite force exerted by the Anti-Nepotism
Act.
One final consideration. Although we may assume that,
when drafting F ACA, Congress gave no thought to the
possibility that a President might appoint his spouse to an
advisory committee, we may not assume that it failed to
contemplate the relationship between F ACA and the legal
obligations and sanctions imposed on officers and employees
of the Federal Government.
As one reviews the affidavit filed with the district court by
Ira Magaziner, Senior Advisor to the President for Policy
Development, one is struck by the fact that every member of
the Task Force and Interdepartmental Working Group, but
one, was subject to one or more of the statutes that Congress
has enacted to ensure the proper conduct of members of the
Federal Government--the "insiders," as the Government describes those who qualify as "full-time officers and employees" within the meaning of FACA. These laws impose burdensome ethics requirements. See, e.g., Ethics in Government Act of 1978, 5 U.S.C. App. 3, § 101<0(3) (1991 Supp.)
(applying financial disclosure requirements on all higher paid
"officers and employees" in the Executive Branch); id.
§§ 501(a)(1), 505(2) (1991 Supp.) (applying outside income
limitations on all higher paid officers and employees except
"special government employees"); 18 U.S.C. § 205 (1991
Supp.) (prohibiting any "officer or employee" from representing outsiders in "matters affecting the Government"); id.
§ 207 (prohibiting anyone who formerly was an "officer or
employee" from participating in certain governmental proceedings and decisions after leaving government employment); id. § 208 (prohibiting an "officer or employee" from
"participat[ing] personally" in a matter affecting "a financial
interest"); 5 U.S.C. § i324 (1988) (prohibiting an "employee
in an Executive agency" from taking "an active part" in
political campaigns). And even though the Government argues that the Interdepartmental Working Group was not an
�•
12
advisory committee within the meaning of F ACA, Mr. Magaziner nevertheless took pains to stress the fact that every
member of and consultant to the Group-whether a regular
or special government employee, whether working full time or
part, for pay or without-was required to file a fmancial
disclosure statement and to comply with other requirements
of these laws. See Magaziner Affidavit, Gov't App. at 41-43.
These requirements, then, appear as a signal distinction
between what would normally be considered to be "inside"
and "outside" members of advisory committees. In fact, this
distinction-the legal obligations and sanctions imposed on
officers and employees of the Government as opposed to
private citizens-undoubtedly provides a substantial part of
the justification for the very different requirements imposed
by F ACA on committees that are composed exclusively of
federal officers and employees and those that are not. In
enacting F ACA, Congress found that "[o]ne of the great
dangers in the unregulated use of advisory committees is that
special interest groups may use their membership on such
bodies to promote their· private concerns." H.R. Rep. No.
1017, 92 Cong., 2d Sess. 6 (1972). Because committees not
composed exclusively of federal officers and employees have
members who are not required to foreswear their private
associations and insulate themselves against potential conflicts of interest, F ACA requires, as an alternative check, that
their deliberations be conducted in the open.
When the majority states that we "need [not] consider
whether Mrs. Clinton's presence on the Task Force violates
. . . any conflict of interest statutes," Maj. Op. at p. 24 n.lO, it
indicates that we have not been presented with claims under
these statutes that call for adjudication. The question remains, however, whether Congress. if it had ever considered
that the President's spouse might be appointed an official
member of a Presidential advisory committee, would have
labelled her an "officer or employee" within the meaning of
FACA. To put it another way, could Congress have intended
that Mrs. Clinton, alone of the tweive members of the Task
Force and 340 members of the Working Group, would be
�13
entirely exempt from the reach of ethics laws that Congress
has imposed on the President himselr! I think not.
In visiting these sundry provisions, I doubt I have said very
much with which my brethren in the majority would disagree.
Our disagreement centers, I think, not on Congress's intent
in enacting the relevant statutes, but on the lens through
which we must view that intent in this particular case. The
majority argues (1) that construing the phrase, "officers and
employees," to exclude Mrs. Clinton would give rise to
weighty constitutional issues, Maj. Op. at p. 22; (2) that the
Public Citizen Court avoided deciding similar issues by embracing "an extremely strained construction of the word
'utilized,' " Maj. Op. at p. 14; (3) that "[i]t is reasonable ... to
construe section 105(e) as treating the President's spouse as a
de facto officer or employee," Maj. Op. at p. 11; and hence (4)
that the phrase "full-time officer or employee of the government" must a fortiori be read to apply to Mrs. Clinton, Maj.
Op. at p. 24. I remain unconvin~ed.
First, I do not think that section 105(e) can reasonably be
read to create an officer or employee, either de facto or
otherwise; and even if it could, I do not think we could avail
ourselves of such a reading in this case. I noted above that
section 105(e) has been carefully phrased so as not to recognize an office, an officer, or an employee. But equally
important, I know of no case in which the Supreme Court has
saved one provision from constitutional difficulty by liberally
construing another, entirely unrelated provision. In Public
Citizen itself, as well as in every case cited in Public Citizen
in which the Court avoided a constitutional challenge, the
Court sidestepped the constitutional claims presented
through an interpretation of the statute under attack. See
Public Citizen, 491 U.S. at 465-66 (citing cases); see also id.
at 465, 467 (avoiding a constitutional challenge to F ACA by
construing F ACA § 3(2)); see also, e.g., Edward J. DeBartolo
Corp. v. Florida Gulf CoMt Bldg. & Constr. Trades Council,
485 U.S. 568, 575, 588 (1988) (avoiding a constitutional challenge to the National Labor Relations Act by construing
NLRA § 8(b)(4)); St. Martin Evangelical Lutheran Church
v. South Dakota, 451 U.S. 772, 780-81, 788 (1981) (avoiding a
�r.
14
constitutional challenge to the Federal Unemployment Tax
Act by construing FUTA § 3309(b)). Because it is FACA
that is under attack, I think that any additional degree of
interpretive freedom we enjoy in construing F ACA cannot be
extended to a statute authorizing expenditures for White
House staff.
Second, I cannot believe that Public Citizen establishes the
rule my colleagues tacitly embrace. In reaching their holding, the majority implicitly distinguishes between "extremely
strained construction," which, under their reading, Public
Citizen permits or even requires, and "disingenuous evasion,"
which it explicitly forbids. Compare Maj. Op. at p. 14 with
491 U.S. at 467. The rule the majority appears to adopt,
then, is that judges must strain (but may not evade) the plain
meaning of a statute before they may entertain an "asapplied" constitutional challenge. If my colleagues are right,
the line between "extremely strained construction" and "disingenuous evasion" will determine the outcome in every case
involving an as-applied challenge presenting "formidable constitutional difficulties.'~ Public Citizen, 491 U.S. at 466.
While I suspect my colleagues may have some sympathy (as I
do) with Justice Kennedy's position that the Supreme Court
majority in Public Citizen had stretched· its interpretation of
FACA "beyond the point at which such a construction remains 'fairly possible,'" ici at 481 (Kennedy, J., concurring in
judgment) (emphasis in original), I cannot believe the Court
intended to establish a rule requiring such constructions in
cases posing serious constitutional questions.
A review of its reasoning demonstrates that Public Citizen
neither explicitly nor implicitly sanctions "strained" statutory
interpretation. Its holding-that the ABA Committee was
not "utilized" by the President within the meaning of
F ACA-was based principally on three considerations. The
first of these was that, in the Court's memorable phrase,
" 'utilize' is a woolly verb," ici at 452, which necessarily
requires judicial definition. Second, it recognized that a
"dictionary reading [of the word "utilize" in] FACA's definition of 'advisory committee' " would lead to a statute of
"almost unfettered breadth" and produce "absurd results."
�15
Id. at 452 & n.8, 452-04. Taken literally, F ACA's definition
would have endowed the President with Midas ears capable of
turning any continuing source of consensus opinion into a
F ACA committee. In such a world, the physicians jointly
consulted to protect the President's health, the editorial board
of the President's favorite newspaper, and two dietitians
jointly planning the President's meals could all be classified
as "Presidential advisory committees" subject to regulation.
Because "the literal reading of [utilize] would 'compel an odd
result,'" the Court "search[ed] for other evidence of congressional intent to lend the term its proper scope." I d. at 454
(citation omitted). Third, on examining F ACA's origins and
legislative history, the Court concluded that while "it seems
to us a close question whether F ACA should be construed to
apply to the ABA Committee, . . . we are fairly confident it
should not." I d. at 465.
The Court reached this last conclusion in significant part on
the basis of the following passage from the F ACA Conference
Report: "The Act does not apply to persons or organizations
which have contractual relationships with Federal agencies
nor to advisory committees not directly established by or for
such agencies." /d. at 462 (emphasis added by Public Citizen ). The Court also noted that the relationship between the
ABA Committee and the Justice Department had not fallen
within the scope of President Kennedy's Executive Order No.
11007, from which FACA was derived. Id. at 462-03. From
this, the Court concluded that "[t]he phrase 'or utilized'
therefore appears to have been added simply to clarify that
F ACA applies to ad\;sory committees established by the
Federal Government in a generous sense of that term," id. at
462; and that "[r]ead in this way, ... the word 'utilize' does
not describe the Justice Department's use of the ABA Committee," id. at 463.
In applying what the majority, Maj. Op. at p. 8, has
laconically (and accurately) described as a "rather sweeping"
statutory definition of "advisory committee" to the unique
relationship between the Justice Department and the ABA
Committee, the Court concluded that it was more probable
than not that Congress did not intend that F ACA apply to
·•
.
--------------------------------------~~
�I
16
such privately organized groups. Nevertheless, because it
considered the question close in light of the broad sweep of
the definition, literally interpreted, it applied its venerable
rule of statutory construction to tip the balance away from
one that would have presented "formidable constitutional
difficulties." I d. at 466.
In this case, we deal not with woolly terms but with the
meaning of two words in common legal usage, "officer'' and
"employee." Far from creating absurdity, literal interpretations of these terms are necessary in order to give effect to
the congressional policy of drawing sharp distinctions between individuals outside the Government and those within it.
And in contrast with Public Citizen, in which no statutory
definition of "utilize" was available and great weight was
placed on legislative history, definitions of both "officer'' and
"employee" have been enacted into law by Congress. In this
case, none of the considerations animating Public Citizen are
remotely presented; and because we do not deal with ambiguous terms, there is no "balance" to be tipped by resort to
legal maxims. Despite appearances, Public Citizen has little
to do with the case we decide today.
Finally, to conclude my statutory analysis, I note that the
Nixon I Court engaged in a patently straightforward interpretation of Federal Rule of Criminal Procedure 17(c), 418
U.S. at 697-702, even though it recognized that "[i]f we
sustain[ ] this challenge, there [will] be no occasion to reach
the claim of privilege asserted." I d. at 698. Needless to say,
the considerations counseling avoidance of difficult constitutional issues were never more pressing than on the facts of
Nixon I. Because I can find no credible argument to the
contrary, and because I cannot bring myself to strain the
meaning of "officer'' or "employee" to produce one, I would
hold that the Task Force was not exempt from the public
disclosure requirements of F ACA; and having done so, I
would address the constitutional implications of that holding.
As I pointed out earlier, the Supreme Court has acknowledged a Presidential right to confidentiality that "is fundamental to the operation of Government and inextricably root-
�17
ed in the separation of powers under the Constitution."
Nixon I, 418 U.S. at 708. Although the privilege is not
absolute, the Court has only twice found that it must yield to
competing constitutional interests, such as "the primary constitutional duty of the Judicial Branch to do justice in criminal
prosecutions," id. at 707; and in each case, it has protected
the confidentiality of Presidential communications from unwarranted disclosure.
In Nixon I, in which President Nixon sought to enjoin the
subpoenaing of certain of his papers, the Court found it
necessary to
weigh the importance of the general principle of confidentiality of Presidential communications in performance
of the President's responsibilities against the inroads of
such a privilege on the fair administration of criminal
justice.
ld. at 711-12. It concluded that the President's "generalized
interest in confidentiality . . . cannot prevail over the fundamental demands of due process of law in the fair administration of crimmal justice." ld. at 713. Accordingly, it ordered
the examination in camera of the papers subject to an
instruction that the district .court be scrupulous in "protect[ing] against any release or publication of material not
found by the court [to be1 probably admissible in evidence
and relevant to the issues of the trial for which it is sought."
ld. at 714.
Nixon II involved a balancing of the President's interest in
the confidentiality of his communications against other national interests. In that case, former President Nixon asserted
the Presidential privilege in a challenge to the constitutionality of the Presidential Recordings and Materials Preservation
Act, which placed his papers in the custody of the Administrator of General Services. See 433 U.S. at 429-30. The
Supreme Court found that the statute was constitutional
because of the Nixon papers' historical importance and their
possible significance as aids to the legislative process, and
because of "the safeguards built into the Act to prevent
disclosure of [confidential] materials and the minimal nature
.•.
�-18
. of the intrusion into the confidentiality of the Presidency."
I d. at 454. Those safeguards included the requirement that
"any party's opportunity to assert any . . . constitutionally
based right or privilege" be protected. ld. at 450 (quoting
section 104 of the Act). The Court concluded "that the
screening process contemplated by the Act [, which was to be
conducted by Executive Branch archivists,] . . . will not constitute a more severe intrusion into Presidential confidentiality than the in camera inspection by the District Court
approved in [Nixon I ]." I d. at 455.
In these two cases, the Court permitted only the most
limited intrusions on the privilege. FACA, by contrast,
would have required that the Task Force operate in the full
glare of provisions requiring public meetings and disclosure
of records. It is hard to imagine conditions better calculated
to suppress the "candid, objective, and even blunt or harsh
opinions," Nixon I, 418 U.S. at 708, that the President was
entitled to receive from the twelve advisors he had appointed
to his Task Force. Because none of Congress's purposes in
enacting F ACA are of a gravity that would justify overriding
the Presidential privilege in this case,· I would conclude that
F ACA is unconstitutional as applied to the Task Force.
For the foregoing reasons, I concur only in the majority's
conclusion, in Part III of its opinion, that FACA's public
disclosure provisions may not be applied to the Task Force.
With respect to Part IV, I agree that the district court must
develop further facts before it can determine whether the
Working Group, or any division thereof, qualified as an
advisory committee under F ACA.
•
�PAGE
1
LEVEL 1 - 1 OF 25 STORIES
Proprietary to the United Press International 1993
February
14, 1993, Sunday, BC cycle
ADVANCED-DATE: February 10, 1993, Wednesday
SECTION: Commentary
LENGTH: 786 words
BYLINE: BY HELEN THOMAS UPI White House Reporter
DATELINE: WASHINGTON
KEYWORD: BACKSTAIRS
BODY:
The White House counsel has ruled that Hillary Rodham Clinton's task force
on health care reform does not have to operate in the open under the so-called
sunshine laws.
Some congressmen had suggested that the rules for advisory groups that
include non-governmental experts must make their meetings open to the public and
reporters.
But the White House says that stipulation does not apply to the first lady's
group, which has a May deadline to produce a blueprint to make sure that
everyone in the country is covered with some health plan. An estimated 37
million people do not have such insurance.
But the first lady and Tipper Gore, wife of the vice president, will be
criss crossing the country to cull ideas on the best approach to a pressing
problem.
French reporters are saying that if Mrs. Clinton visits Paris with the
president at some point she will be lionized. They say that the first lady is
more popular than the president and there is much more curiosity about her in
every way, including, of course, her fashion sense.
It's recalled that when President John F. Kennedy and his stunning wife
Jacqueline were honored at a state dinner at Versailles, Kennedy spoke a
memorable line: ''I'm the man who came to Paris with Jackie Kennedy.''
Signs of the times: In the botched-up search for an attorney general to
complete the Clinton Cabinet things got so bad that when George Stephanopoulous,
director of communications, celebrated his birthday on Feb. 10 and was asked
what he wanted for his birthday, he replied: ''An attorney general.''
James Carville and Paul Begala, the two political strategists, who kept the
Clinton campaign on track and on the road to victory, are back at the White
House as consultants.
�PAGE
Proprietary to the United Press International, February 14, 1993
2
Carville, who put up the sign ''The economy stupid'' as a constant reminder
to the troops that the economy was the issue and nothing else in the last
campaign, has been SOSed to get back on board.
He and Begala, who apparently will be paid by the Democratic National
Committee, have been summoned to help put over the president's economic package,
which reportedly will hit all constituencies in the pocketbook.
The two image makers, who passed up a chance to join the Clinton staff,
seeking greener fields and probably more money on the outside with their
expertise, will be around to help the president deliver his message.
The call came to them after the Clinton honeymoon was pronounced almost over
by Washington scribes and broadcasters.
The role of commander in chief is not usually played up in a presidential
campaign with the constitutional accent on civilian rule. But it is very much a
part of the presidency as Clinton has learned. When he steps aboard his
helicopter there are two Marines waiting to salute him. He is followed by a
military aide carrying a briefcase, the so-called football that contains the
nuclear codes. The ''president's own band'' is drawn from the u.s. Marine Corps.
Wth all of that, President Clinton is now getting used to returning the
military salute.
The
and was
he sold
tips on
president has complained about the telephone system in the White House
concerned that he could not put in a call without someone tuning in. But
the operators and the operations short since all he needed was a few
how the system works.
He could have pressed a ''private'' line and no one could listen in unless
he allowed it. He could also arrange to have his calls scrambled.
Contrary to widespread belief the old ''hotline'' between Washington and
Moscow was not a telephone to warn against an impending doomsday attack, but
rather a teletype manned at the Pentagon.
1
The president is a coffee drinker, but he does not suffer from coffee nerves
since he drinks the decaffeinated brand. The coffee·pots outside the oval Office
and the Roosevelt Room are constantly percolating.
I
jog.
And a cup of coffee is the first thing the president wants after a morning
Hillary Rodham Clinton's creation of a smoke-free environment at the White
: House does not appear to have caused much hardship.
1
She had been preceded by ABC-TV correspondent Sam Donaldson who four years
ago conducted a one-man crusade against smoking in the press room. And he
succeeded in clearing the air.
-~------
�•
' •
PAGE
Proprietary to the United Press International, February 14, 1993
3
In the old days, the small White House press room was indeed smoke filled
and even had some broken whiskey bottles around but those days are gone forever.
Former first lady Nancy Reagan decreed a no smoking ban on Air Force one and
wiped out the packages of cigarettes doled out as mementos that were engraved
with the insignia of Air Force One.
�. TIIEI"AS!IJNC'nN¥ PosT
.WmNESDAY, 11/NE 23:i993
'' .
------------------------------~--
Health· TaSk Force
Oosed Doors Baclied~
.....
Ruling Could Lead to Release of Papers-;~,:::~
.... .:···.
·.
----~~~~-.~~YM~k----
......., . . 5111 .....
A U.S. Court of Appeals panel
yesterday ruled the White House
legally was not required. to hold
open meetillgs of the ~-dis
banded health care task force head·
ed by Hillary Rodbam ClintoiL :
The tliree-judge paneJ.suggested
that the essential work of the :task
force was clone by subgroups of
more than 500 people, and it sent
the caae back to the trial judge With.
a legal road map that could lead to
release of thowiluuls of documents· ·
c:Ompi)ed by the task force staff.·
The task . force, .wbicb was ..
charged with developing a prilposa1
for national health care reform.' was
disbanded May 30, but.tbe'Wbite.
House is clelaying release :ol the .
legi!dative package.
.
·..
YesterdaY'II ~written by ..
Appeals Judge ~ H. Silber- .
man for the panel that ioc:hided ap. .. . . ..
,. .,
; 1 :~!..·.!
peals judges James L Buckley and •confirms that .the task force opeJto~
Stephen F. WiDiams-was based .on. ated in full compliance with the Jaw .
how the judges, all Reagan admin·
Kent Masterson Brown, a ·
istration appointees. viewed' the ingtoa, Ky., lawyer who ~u
legal status of Hillary Clintoa.
. the health care groups, hailed y~"
Because Congress bas for, years terday's decision. "The real stuff:ia),
authorized presidents to hire aides in the working groups ••• and D8Jio.o
for their spouses, Silberman wrote, we're given the green light on ~~
Hillary .Clinton is a •de facto [fed·.. issue.~ he said. ."AU the [task fora:J....i
eral) officer or employee: And be- · documents were generated and .aJl...:
ca~ f~ law recpmes ooly. the pnpsals were made by ~tl,le:•..
those · advisoly' COJDJDJttees . that · working JP'Oup&, and now we ~~
-containp(ivatecitizens.toholdopeo proceed (to get them relea&e!tk.~
meetings, SDberman said, the CJin.. We're i-eally thrilled to death:
ton administration's task force is . . Silberman said in his opinion that_
exempt from the law.
the lower court must reconsider the ·
Silbermall Cl!ftCeded · that the · ~ issue of whether the . woriQiqr·~
court was~h'berally COiistruillg' one .f group's material must be made P.Air .
law:la ardeir·to avoid ruling that an- ! lie because it is unclear wbethei-cbi!
other.li..-tbe _advisory c:olilmittee •,. group includes P"':a~ ci~ _ . .
act•ISUnCODStitutlonaL· . ·· ., · ':.
The Clinton administratiOn~
'lbualie startecHo late Febnmry:i! in court that onlY government epif
whea two .health care 'lfOIIPt and a ,.; ployees · were amana those who·'"
public, iaterest•. organization sued ·, served OD the working groups,. but •
Hillaty Clinton, asking the coua ·to .·i SDberman said that assertion is opQ;
order tl)at.the taskforc8's. ~r~- to q~ Qf ~.Jnm~ of~.
be DPI!Il to.the public. . . . · .,, « .. . pie mvolved, SDberman said, some
l4W:b."''Silberman'8 ~vmJi were classified as "special gOV{!Dl
~~-:the so-called. WOrfiiiit:~ •ne••Umplo~ while others ·~·
·grQUpS, Jh) 30'subgroups that: pro-:.:; termed "toDSUitants: SDberman • .
viiled resean:b, clrafting·llllllliC!Iic1
aSsistatu:e to the task forte.' •' · · · ·
· The. '!bite House yesterday issued''·
a stafl!meat· that said the dedsioft· ..
. ' ! . ·.
.
.•
\" . :.:
~
it is now up to the lower court tp ~ •
cide whether those classificatioDS are
accurate and whether the advisoyy_.
committee law·applits.
.
�t·
I
....
PAGE
I
4
LEVEL 1 - 2 OF 25 STORIES
Copyriqht 1993 Globe Newspaper Company
The Boston Globe
February
12, 1993, Friday, City Edition
SECTION: NATIONAL/FOREIGN; Pq. 1
LENGTH: 914 words
HEADLINE: On the road, Hillary Clinton shows resolve on health care
BYLINE: By Elizabeth Neuffer, GLOBE STAFF
DATELINE: HARRISBURG, Pa •.
KEYWORD: NAME-RODHAM-CLINTON TRIP HEALTH CARE
BODY:
She cited statistics without notes. She listened qraciously to lenqthy
speeches. She smiled warmly. She was careful to refer to the promised national
health care overhaul as "the president's" plan.
Hillary Rodham Clinton, the architect of President Clinton's most ambitious
domestic challenqe, went on the road yesterday, meldinq substance and style and issuinq a clear call for sweepinq chanqes in the country's "patchwork and
broken down" health network.
In her first public appearance as the administration's ambassador for health
care reform, she suqqested that powerful special interests will stand in the way
of change, and cited as an example the risinq costs of childhood immunizations,
which have jumped more than 1200 percent in the last decade.
Shakinq off the confines of Washinqton, a relaxed Clinton participated in a
round table conference and talked with health care providers and patients in a
visit that spoke volumes about how she will handle her assiqnment as the head of
the National Task Force on Health Care Reform.
With Tipper Gore, the vice president's wife, by her side, Clinton waded
throuqh ponderous details and appeared a gracious listener as the long afternoon
wore on. But she also pointedly vowed that health care reform legislation would
"be in action" by the end of the year.
"We are already spending more money than any nation on Earth" on health
care, she said, "but we are not doinq a qood job in providinq the kind of health
care that money should provide."
She gave few hints as to what the administration's health care reform would
ultimately look like. She stressed themes that were emphasized on the campaign
trail, including: standardizing complex medical forms; cutting costs; protecting
small businesses and generatinq more personal responsibility for care. She also
said insurers would have to start including everyone, regardless of existing
medical conditions.
"We don't have a system of health care, we have a patchwork broken system"
she said.
�PAGE
5
The Boston Globe, February 12, 1993
Tipper Gore said she would be advising Clinton on mental health care issues.
Since its formation was announced two weeks ago, little has been revealed
about the task force and its work. The task force, slated to propose a plan
by the end of May, is made up of many members of the Cabinet.
Participants say they have since split into smaller groups, where they have
been meeting with health care authorities to examine how managed competition - a
system in which health-purchasing cooperatives would buy insurance for patients
- might affect health areas, such as rural clinics or longterm care.
Criticism has been swift in coming. There are those who have accused the
president of nepotism in the assignment. Others have attacked the secrecy that
has surrounded the task force's work.
Rep. William F. Clinger Jr., the ranking minority member on the House
Government Operations Committee, this week asked the General Accounting Office
to review whether Hillary Clinton is violating federal law by conducting the
groups meetings in private. The Federal Advisory Committee Act says task
force meetings must be held publicly if its members are not government
employees. But there is some dispute whether the act applies to her.
Her appointment to a more visible and powerful role than has usually been
held by presidential spouses has drawn ire. And though the White House may have
wished that only health care was be on the discussion agenda yesterday,
Clinton's newly defined role was, too.
Sen. Harris Wofford, who organized yesterday's conference at Pennsylvania
State University, noted the difficulties Clinton faced as he gave his
introduction yesterday.
"It's been said that taking on health care reform and putting Mrs. Clinton
in charge is a big political risk for the president," Wofford said in prepared
remarks. "Not acting on health care reform is the riskiest, and most costly,
strateqy of all."
The high-stakes gamble of her assignment has not been lost on the White
House. "She appreciates the magnitude of the undertaking," said one White House
aide.
But yesterday, Hillary Clinton drew only applause, both from waiting school
children outside the campus and from participants within.
"I applaud her courage and his courage," said Lynn Yeakel, an unsuccessful
Senate candidate from Pennsylvania.
"I'm glad you are down here, taking an interest," said Donal Diem, an
electrician who is recuperating from burns at the hospital. She spent an hour
meeting privately with administrators and physicians at the hospital, as well as
visiting a physical therapy room.
In Harrisburg, as she had on the campaign trail, she worked the crowd while
largely skirting the press with a wave and smile.
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The Boston Globe, February 12, 1993
Clinton, a graduate of Wellsley College and Yale Law School, impressed many
Capitol Hill lawmakers when she went to speak with them last week. She is not
stranger to heading task forces, having spearheaded an Arkansas effort on
educational reform.
A member of a regional Southern task force on infant mortality, and a
member of the board of the Children's Defense Fund since 1976, Clinton left her
mark on health care in Arkansas, too.
"She thinks like a pediatrician," said Dr. Robert Fiser, chairmain of
pediatrics at Arkansas' Children's Hosptial, where Clinton helped raise funds.
"She is capable of instilling a development of consensus that medicine doesn't
normally think about."
GRAPHIC: PHOTO, Tipper Gore (center left) and Hillary Rodham Clinton visit with
occupational therapy patients during their tour of St. Agnes Medical Center
yesterday in Philadelphia. REUTERS PHOTO
6
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LEVEL 1 - 3 OF 25 STORIES
Copyright 1993 American Political Network, Inc.
Health Line
February
11, 1993
SECTION: POLITICS & POLICY
LENGTH: 1200 words
HEADLINE: THE ROAD TO REFORM: SPECULATION CONTINUES
BODY:
OPTIONS: w.s. JOURNAL reports Clinton's advisers have
suggested freezing Medicare payment rates to doctors and
hospitals as one method of curbing health costs in the short run.
According to a CBO report, freezing the Medicare reimbursement
rates at '93 levels could save $1.3B in fiscal year '94 and
$16.1B over the next five years (Hilary Stout/David Rogers,
2/11). BOSTON GLOBE reports the admin. is considering limits on
Medicaid and Medicare as federal deficit-reduction measures.
GLOBE: "Until now, the (admin.) was believed to be reserving
potential savings from changes in Medicare and Medicaid programs
to fund its plans to overhaul the nation's health care system."
GLOBE reports the WH also "appear(s) to be discussing the much
more controversial idea of imposing some sort of government price
controls on private medical services" (Peter G. Gosselin, 2/11).
Another option under consideration is allocating any increases in
"sin taxes" on alcohol and tobacco to finance reform. JOURNAL:
"Implicit in this decision is the assumption that additional
taxes could be needed to pay for the president's ambitious goals
of curbing health care costs and overhauling the system to
provide coverage for all Americans." According to estimates by
the Joint Cmte. on Taxation, doubling the tobacco tax to
$.48/pack would generate $3.5B in new revenue/year while an
increase in the alcohol tax to $16/gallon of 50% alcohol would
generate $4.7Bfyear. JOURNAL: "No final decisions have been
made. But people with knowledge of the deliberations said Mr.
Clinton wants a stop-gap measure that would save money on health
care while Congress debates his long-term proposal to restructure
the health care system" (Stout/Rogers, 2/11).
11
SUNSHINE LAW" DILEMMA: ARKANSAS DEMOCRAT-GAZETTE: "Only
about two weeks old, the presidential health care task force
headed by Hillary Rodham Clinton already is drawing Republican
fire" (Jane Fullerton, 2/11). In response to Rep. William
Clinger's (R-PA) request for an investigation into the legality
of Mrs. Clinton's position on the task force (see AHL, 2/9), Rep.
Tom Foglietta (D-PA) issued a statement urging cooperation on
reform. Foglietta: "This is the type of inside-the-beltway,
continue-the-gridlock, stop-the-progress, partisan bickering that
voters rebelled against in the 1992 campaign season •••• Hillary
Clinton has volunteered to take on one of the toughest jobs in
the country" (2/10).
HILLARY HITS THE ROAD: USA TODAY: "Even before the
president has a specific plan, ••• Hillary Rodham Clinton is
promoting reform at a health care conference (2/11) in
7
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Health Line, February 11, 1993
Harrisburg, PA" convened by Sen. Harris Wofford (D-PA)(see AHL,
2/10). According to USA TODAY, the conference "opens what's
expected to be a public relations contest with physicians,
hospitals and insurers over who has the best plan to guarantee
care and limit soaring costs." WH spokesperson Dee Dee Meyers:
"You can expect to see her out there talking to the American
people and trying to understand what their problems are, what
they see as the obstacles to a better health care system" (Judi
Hasson, 2/11).
WOFFORD: AP/PHILA. INQUIRER: "While pushing for his agenda
to establish national health care, ••• Wofford has received
thousands of dollars in campaign contributions from insurance
companies, hospitals and doctors with a financial stake in the
outcome of his effort •••• A list of Wofford's benefactors reads
like a who's who in the medical industry." Reportedly, Wofford
received $74,000 in PAC money since '91, with total campaign
contributions reaching $3.9M. Center for Responsive Politics'
Larry Makinson: "It presents a prickly problem for Wofford, but
he's hardly alone •••• That's the way the game is played in
Washington." Wofford spokesperson David stone, who says the
$74,000 figure is off by $15,000: "Harris Wofford's record and
approach to health care reform speaks for itself. He's taken a
very strong position that is opposed by many of the traditional
sources of funding in the health care field" (Michael Blood,
2/11).
DOLE: Sen. Min. Ldr. Bob Dole (R-KS) on where the task
force is heading: "I don't think we ought to be staking out
parameters ••• until we've really looked at all the options ••••
Let's take our time and get it right because if we don't get it
right it's not going to pass." On the uninsured: "We've got a
health care delivery system now that does a pretty good job for
200 million Americans, (but) we've got to reach out and pick up
the 37 to 40 million that don't have affordable and accessible
care. But in the process we want to keep the good parts of the
present system •••• Keep in mind that all of those 30 to 40
million aren't in the poverty class, some are young people"
("Larry King Live," CNN, 2/10).
GEKAS: Rep. George w. Gekas (R-PA) "has introduced new
health care reform legislation, the American Consumers' Health
Care Reform Act (ACHRA), which he says 'would enact statuary
changes in the public and private health care delivery systems to
increase the emphasis given in treating people before they get
sick.'" The bill is currently under consideration in five House
cmtes. (Gekas release, 2/12).
8
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9
LEVEL 1 - 4 OF 25 STORIES
Copyright 1993 The Washington Post
The Washington Post
February
10, 1993, Wednesday, Final Edition
SECTION: FIRST SECTION; PAGE AS
LENGTH: 634 words
HEADLINE: GOP Congressman Questions Hillary Clinton's Closed-Door Meetings
SERIES: Occasional
BYLINE: Dana Priest, Washinqton Post staff Writer
BODY:
Hillary Rodham Clinton's new policy- making role on the presidential health
care task force is beinq questioned by a Republican lawmaker who believes she
may be violatinq federal rules qoverninq advisory commissions.
Rep. William F. Clinger Jr. (R-Pa.), rankinq minority member on the House
Government Operations Committee, this week asked the General Accounting Office
to review whether Hillary Clinton, who was appointed by her husband to head the
President's Task Force on Health Care Reform, is allowed to conduct any of the
qroup's meetinqs in private. The GAO is the investiqative arm of Conqress.
White House qeneral counsel Bernard Nussbaum has told Clinger he believes
Hillary Clinton's participation does not violate the Federal Advisory
Committee Act, which says that task force meetings must be conducted in
public if any members of the task force are not employees of the federal
qovernment.
Hillary Clinton is not a government employee. But the White House contends
that she also is not the type of "outside influence" the statute was enacted to
guard aqainst.
According to Leonard Weiss, staff director of the Senate Governmental Affairs
Committee, the legislation was intended to protect the president from appointinq
someone outside the qovernment to a task force who might, unbeknownst to the
president, advocate the interests of private qroups over that of the qovernment.
Weiss, who consulted with the Senate's leqal counsel on the matter, said
Hillary Clinton does not appear to be the type of outside participant the law
seeks to protect the president aqainst.
The federal act requires that advisory committee meetings be held in public
unless the committee "is composed wholly of full-time officers or employees of
the federal government."
A 1988 Supreme Court decision, in Public Citizen v. Department of Justice,
said, in part, that the statute should not be literally interpreted because to
do so would prohibit the president from qettinq advice from any qroup of two or
more persons whose deliberations are not public.
�......... ,
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10
The Washinqton Post, February 10, 1993
A literal interpretation of the statute in this case would mean that Hillary
Clinton's chief of staff, as a federal employee, would be able to serve on a
task force that did not hold public meetinqs, but not the First Lady.
A Clinqer aide said the conqressman aqrees the statute probably does not
apply to Hillary Clinton but believes the law should be amended to reflect that.
Separately, Clinqer and others have raised concerns about the status of
outside consultants workinq with the task force and whether their
participation would triqqer the provisions under the act for public meetinqs.
The White House has said that the only members on the task force are
Hillary Clinton, six Cabinet secretaries, the director of the Office of
Manaqement and Budqet and several senior White House advisers.
Another qroup of hiqh-rankinq federal employees is manaqinq the operation of
20 workinq qroups, some of which include outside consultants. Their job is to
' provide the task force with information -- much of it detailed and technical
in nature -- on various aspects of health care reform.
It is the task force that will take the information from the workinq qroups
to make policy recommendations to the president. The administration believes
that because the workinq qroups' participants are not part of the
decision-makinq process, they are not subject to provisions that qovern advisory
committees.
The task force, which has not met in full since it was appointed two weeks
aqo, plans to hold many or all of its meetinqs in public, said administration
sources. Members of the task force, includinq Hillary Clinton, have held
numerous meetinqs since then on matters dealinq with the development of a
national health care reform proposal.
TYPE: NATIONAL NEWS
SUBJECT: FIRST LADY; HOUSE OF REPRESENTATIVES; FEDERAL GOVERNMENT; POLITICAL
PARTIES; APPOINTMENTS
ORGANIZATION: GENERAL ACCOUNTING OFFICE;
FEDERAL ADVISORY COMMITTEE ACT
TASK FORCE
ON HEALTH CARE REFORM;
NAMED-PERSONS: HILLARY RODHAM CLINTON; WILLIAM F. CLINGER JR.; BERNARD NUSSBAUM
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11
LEVEL 1 - 5 OF 25 STORIES
The Associated Press
The materials in the AP file were compiled by The Associated Press. These
materials may not be republished without the express written consent of The
Associated Press.
February
9, 1993, Tuesday, PM cycle
SECTION: Washington Dateline
LENGTH: 695 words
HEADLINE: Health
Task Force
Plans Both Public and Closed Meetings.
DATELINE: WASHINGTON
KEYWORD: Washington Briefs
BODY:
The new health care task force, headed by First Lady Hillary Rodham
Clinton, has no obligation to open all of its meetings to the public, says White
House counsel Bernard Nussbaum.
Nussbaum told congressional Republicans on Monday that the task force,
nevertheless, plans some open meetings during its deliberations over how to
reform the nation's health care system.
But he argued Mrs. Clinton's group is not subject to federal " sunshine"
requirements under the Federal Advisory Committee Act.
In a letter, Rep. William Clinger, R-Pa., a member of the House Government
Operations Committee, had complained to Nussbaum that Mrs. Clinton had violated
the public meeting requirement and asked "that no further violations ••• occur."
Nussbaum, responding to the letter, said the task force had not yet held an
official meeting, although members gathered when the group was announced, and
that Mrs. Clinton's involvement does not trigger the " sunshine" requirement.
Fed Wants Protection for Users of Welfare Electronic Debit Cards.
WASHINGTON (AP) - The Federal Reserve is proposing that welfare recipients
who use debit cards be given the same protection against loss of a card or fraud
as given to bank credit card holders.
But some government officials argue such a move could expose the government
to greater losses to fraud and keep some states from adopting the "paperless
welfare" programs known as EBT, or electronic benefits transfer.
In a number of states people now can use debit cards to draw benefits and buy ·
groceries, but they do not have the same protection against loss of the cars as
do bank credit card customers.
�PAGE
12
The Associated Press, February 9, 1993
The Federal Reserve Board said Monday it wants to extend the same liability
' limits to welfare recipients who use the EBT cards. ·
Although many state officials like the debit cards because it reduces
administration costs and generally is less susceptible to fraud, they also fear
that losses to states could mount quickly if unscrupulous recipients take
advantage of the system.
Some 200,000 households currently receive food stamps electronically, and by
spring, 100,000 families are expected to receive welfare benefits
electronically.
IRS Plans Stricter Home-Office Deduction Rules for 1992 Returns.
WASHINGTON (AP) - Taxpayers filing 1992 returns will have to comply with a
stricter interpretation of what expenses they may deduct for business use of a
home, says the Internal Revenue Service.
But the IRS said Monday that it does not plan to apply the new interpretation
outlined by the Supreme Court in a ruling last month to taxes covering years
prior to 1992.
The court on Jan. 12 held that a taxpayer must consider the relative
importance of activities conducted at his normal workplace and in his home, and
then calculate the amount of time spent at each in determining deductions.
The IRS noted that its Publication 587, "Business Use of Your Home," was
printed before the court decision, but that a new edition reflecting the ruling
will be printed by the end of February.
As for deductions in previous years, IRS spokesman Henry Holmes said, "We
will not challenge those deductions."
Canada, United States Confident On Meeting Trade Pact Deadline.
WASHINGTON (AP) - Canadian and u.s. trade officials say they are confident a
North American free trade agreement can be put into effect as scheduled by the
end of the year, although President Clinton wants a number of issues added in
separate agreements.
·
Canadian Trade Minister Michael Wilson told reporters following a meeting
with u.s. Trade Representative Mickey Kantor on Monday that both countries are
committed to meetinq the Jan. 1, 1994 deadline.
Durinq the campaign, Clinton gave qualified support to the North American
Free Trade Agreement, but said he would seek side aqreements to strengthen
provisions on the environment, worker riqhts and protection against a sudden
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The Associated Press, February 9, 1993
surge in imports.
The pact would create the world's largest and richest trading bloc by
' removing tariffs and other barriers to the movement of goods, services and
investment among the United States, canada and Mexico.
13
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LEVEL 1 - 7 OF 25 STORIES
Copyright 1993 American Political Network, Inc.
Health Line
February
9, 1993
SECTION: POLITICS & POLICY
LENGTH: 934 words
HEADLINE: PLANNING FOR REFORM: EVERYONE SEEMS TO BE SEEKING A VOICE
BODY:
L.A. TIMES reports, "Representatives of labor, large
corporations and the insurance industry have formed the first
major coalition to publicly oppose the Clinton (admin.) on health
care reform." According to the TIMES, the Coalition to Preserve
Health Benefits -- whose members include the AFL-CIO and the
Employers Council on Flexible Compensation -- is planning "an
orchestrated campaign" against taxation of health benefits.
Employers Council on Flexible Compensation's Kenneth Feltman:
"This is a (WH) that can't get it right on choosing an attorney
general. Why should we think they will get it right on health
care, which is infinitely more complicated?" The coalition has
scheduled a press conference 2/9 to unveil its campaign which
will include demonstrations in Austin, TX; Indianapolis, IN;
Portland, ME; Kansas City, MO; and Houston, TX. Feltman: "We
think that with all the policy wonks massaging health care and
all the organizations coming up with solutions that, in essence,
feather their own nest first, it's about time we hear from the
people who pay the bills and those for whom the health care
system is designed -- the public." Feltman said if the (admin.)
stops considering the taxation of health benefits, the coalition
will "disband" (Robert A. Rosenblat/Edwin Chen, 2/9).
LAWSUIT ON THE HORIZON: WASH. TIMES reports that the
American Assn. of Physicians and surgeons plans to file a lawsuit
in fed. court to require the WH health care task force to comply
with " sunshine laws" and operate in public. " sunshine laws"
the Federal Advisory Cmte. Act -- requires that presidentiallyappointed task forces with a member who is a nonfederal employee
must hold meetings in public, provide transcripts and give twoweeks' notice of all meetings. Ken Brown, counsel for the AAPS:
"These doctors are acutely sensitive to what is happening in
health care and are terrified by what is coming out. They are
genuinely concerned about what is being discussed in secret." WH
Counsel Bernard Nussbaum released a legal opinion 2/5 to ranking
GOP member on the House Gov't Operations cmte., William F.
Clinger (R-PA), saying that the First Lady's position on the task
force does not violate the act. Anonymous "federal legal
expert": "The (WH) is just making up laws. They are in clear
violation and are hoping no one catches them" (Paul Bedard, 2/9).
A DIFFERENT LACK OF ACCESS: N.Y. TIMES reports that
although the Clinton admin. promised "to listen to outside voices
in drafting" health care legislation, "the outreach has fallen
short" and AMA officials "feel neglected." AMA Chair Dr. Raymond
Scalettar: "We have not had any direct contacts with Hillary's
14
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Health Line, February 9, 1993
commission •••• Of course, we want a seat on the task force. • ••
' We know how medicine is practiced. We can provide the input they
need." Scalettar said that in March when hundreds of physicians
qo to Washinqton to lobby Conqress and the admin., "she'll qet
the messaqe" (Robert Pear, 2/9). Robert Barrow, spokesman for
the Nat'l Granqe, is said to be "up in arms" over the lack of
representation of rural America on the WH health task force.
Barrow: "We're qettinq off to a bad start if approximately 25%
' of the nation's population is set aside" (Richard Orr, CHICAGO
TRIBUNE, 2/8).
NEW ACRONYMS: Accordinq to the N.Y. TIMES, federal
employees are now sayinq that HHS now stands for "Hillary's
Health Service" and HCFA now means "Hillary Can Fix Anythinq"
(Pear, 2/9).
THE CHICKEN OR THE EGG?: THE ECONOMIST: "The trouble is
that these two aspects of the (health care) mess, spirallinq
costs and the potentially untended sick, cannot reasonably be
tackled at the same time •••• Unfortunately, the political mood
probably dictates that both problems be tackled toqether. Bill
Clinton himself seems to believe that they ouqht to be" (2/6
issue).
SPECIAL INTERESTS: THE ECONOMIST: "So many conflictinq
interests in health care remain that reform could still founder
upon indecision. cuttinq throuqh that tanqle is what presidents
are for" (2/6 issue).
1
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LEVEL 1 - 8 OF 25 STORIES
Copyright 1993 Gannett Company, Inc.
USA TODAY
February
9, 1993, Tuesday, FINAL EDITION
SECTION: NEWS; IN WASHINGTON; Pg. 6A
LENGTH: 295 words
HEADLINE: 1st lady's actions OK
BYLINE: Jessica Lee
KEYWORD: HILLARY RODHAM CLINTON: HEALTH CARE REFORM: LAWRENCE WALSH: BUSH
PARDON:CLINTON JOGGING:IRAN CONTRA SCANDAL
BODY:
Hillary Rodham Clinton is not required to hold open meetings of her
health-care task force, White House counsel Bernard Nussbaum said after
complaints by congressional Republicans that she was violating the federal
" sunshine" law. The law requires that any presidential task force that
includes a non-federal employee, such as the first lady, must hold meetings in
public. But Nussbaum claims, "the participation of the first lady on the task
force does not trigger applications of the act." TAKING THE PULSE: Republicans
are cranking up their campaign-style "spin" operations in preparation for
President Clinton's first town meeting, Wednesday in Detroit. It will be
broadcast nationally in the USA.
Michigan-based Market Strategies Inc., a polling firm formerly run by
ex-president George Bush's pollster, Robert Teeter, invited 40 voters
some
Democrat-leaning, some GOP-leaning, some independent
to watch Clinton's talk
show and have their reactions recorded.
Responses will be measured by a "perception dial" that tests popularity
ratings. Reporters have been invited to watch Clinton and the voters. The GOP
pollsters will stand ready to interpret the reaction.
- Jessica Lee
RUNNING JAM: When President Clinton goes for a morning jog, he guarantees a
traffic jam. It took a 10-car motorcade to get Clinton from the White House to
Haines Point, a park along the Potomac River. Using the isolated park avoided
some of the traffic tie-ups his downtown jogs caused last week, but the
motorcade still snagged rush hour. The motorcade, like most used by the
president, was led by at least two police motorcycles and included police cars,
a Secret Service SWAT team vehicle, a communications truck, ambulance, cars for
guests and two press'vans.
SUBJECT: JOGGING; HEALTH CARE; IRAN; SCANDAL; INVESTIGATION
NOTES: WASHINGTON AND THE WORLD; WASHINGTON; A QUICK LOOK AT WHAT'S GOING ON IN
THE NATION'S CAPITAL
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17
LEVEL 1 - 9 OF 25 STORIES
Copyright 1993 News World Communications, Inc.
The washington Times
February
9, 1993, Tuesday, Final Edition
SECTION: Part A; Pg. A1
r
LENGTH: 862 words
1
HEADLINE: Suit planned to open Hillary's meetings
BYLINE: Paul Bedard; THE WASHINGTON TIMES
BODY:
A major medical group, angry that the first lady plans to hold closed
meetings on health care reform, intends to file suit in federal court to force
the presidential task force to operate in public.
Meanwhile, the General Accounting Office has been ordered to investigate
allegations that Hillary Rodham Clinton is breaking federal " sunshine laws."
This comes just hours after the White House released a legal opinion that
Mrs. Clinton is not breaking the law requiring public meetings. Release of the
Feb. 5 opinion by White House Counsel Bernard Nussbaum was requested by The
Washington Times, which first detailed the alleged violations.
Kent Masterson Brown, counsel for the American Association of Physicians and
Surgeons, said he plans to file suit in u.s. District Court here - probably for
a restraining order - to block Mrs. Clinton from holding future meetings in
secret.
"It's doable and it ought to be done," he said in an interview. Mr. Brown
is currently seeking to win the support of other medical groups that would "tag
along" in the legal effort.
He said several medical groups and doctors around the nation are angry that
the health care task force plans to work in secret, cutting out the doctors
and medical providers who will be affected by the reforms the group unveils in
May.
~
"These doctors are acutely sensitive to what is happening in health care and
are terrified by what is coming out," he said. "They are genuinely concerned
about what is being discussed in secret."
Several medical groups have complained that their advice to the
is being ignored.
task force
Mr. Nussbaum, in his Feb. 5 opinion to Rep. William F. Clinger of
Pennsylvania, the ranking Republican on the House Government Operations
Committee, said the Federal Advisory committee Act was not meant to cover the
first lady's chairmanship of the health care task force or the membership of
Tipper Gore, the vice president's wife. He gave no explanation or basis for his
opinion.
�PAGE
18
The Washington Times, February 9, 1993
Mr. Clinger has demanded that Mrs. Clinton stop holding meetings in
private. In his Feb. 1 letter to the White House, Mr. Clinger asked President
Clinton to "take immediate steps to ensure that no further violations" of the
sunshine laws take place.
Mr. Clinger, whose committee has oversight for the sunshine act, said
yesterday that despite the White House opinion, he believes Mrs. Clinton is
violating the law. He has ordered the GAO to investigate the charges and settle
the issue within two weeks.
The law requires that a presidentially appointed task force not made up
"wholly" of federal workers hold all meetings in public, provide the public with
working documents and transcripts, and give the public two weeks' notice of
meetings.
While other task force members are federal employees - Cabinet officials
and top White House domestic policy aides - Mrs. Clinton and Mrs. Gore are not
considered federal workers. As a result, the task force must meet in public,
Mr. Clinger said.
But Mr. Nussbaum wrote: "It is our opinion that the Federal Advisory
Committee Act (FACA] does not, and was not intended by Congress to, apply to
the health care task force.
The participation of the first lady on the task
force does not trigger application of the act."
A federal legal expert responded: "Show me in the federal law where the
first lady is exempt, or anyone in the president's family. Where does it say
that she is any different than any other American?"
The lawyer, who requested anonymity, added: "The White House is just making
up laws. They are in clear violation and are hoping no one catches them on it."
Lawyers for federal agencies also said yesterday that Mr. Clinton's
decision to add four governors to the task force and let private groups advise
the panel was another "clear violation" of the open-meeting laws because they
aren't considered federal workers.
The White House lawyer said in his letter that Mrs.
hold "some" task force meetings in public.
Clinton plans only to
Mr. Nussbaum also rebuffed Mr. Clinger's offer to propose an amendment to
FACA exempting the first lady. "We believe • • • that the existing statute
already provides for such a result."
White House spokesman George Stephanopoulos provided no details on the basis
for Mr. Nussbaum's decision. "I'm just saying that it is our opinion that this
law does not apply to the task force and it does not require them to be open,"
he said.
David Fuscus, Mr. Clinger's spokesman, said, "Mr. Clinger obviously
disagrees and feels that law does apply to her (Mrs. Clinton]."
Two White House deputies who Mr. Nussbaum said could provide further
clarification did not return phone calls yesterday.
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19
The Washington Times, February 9, 1993
A spokesman for Republicans on the Government Operations Committee said they
were stunned by the lack of detail in Mr. Nussbaum's two-page letter. nit
wasn't at all what we expected," the official said.
Mr. Clinton also responded to Mr.
legal tangle.
Clinger's letter but didn't refer to the
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LEVEL 1 - 10 OF 25 STORIES
The Associated Press
The materials in the AP file were compiled by The Associated Press. These
materials may not be republished without the express written consent of The
Associated Press.
February
8, 1993, Monday, AM cycle
SECTION: Washington Dateline
LENGTH: 428 words
HEADLINE: White House Disputes Republicans On Mrs. Clinton's Meetings
DATELINE: WASHINGTON
KEYWORD: Mrs Clinton-Meetings
BODY:
Hillary Rodham Clinton is not required to hold open meetings of her
health-care task force even though some public sessions are planned, the White
House told protesting congressional Republicans on Monday.
White House counsel Bernard Nussbaum disputed contentions by House
Republicans on an oversight committee that the first lady was violating a
federal " sunshine" law by holding sessions behind closed doors.
Writing to Rep. William Clinger, R-Pa., Nussbaum said a law requiring open
meetings of government advisory panels and committees does not apply to Mrs.
Clinton's group.
Clinger is the senior Republican member on the House Government Operations
Committee.
"It is our opinion that the Federal Advisory Committee Act does not, and
was not intended by Congress to, apply to the health care task force. The
participation of the first lady on the task force does not trigger
applications of the act," Nussbaum told Clinger.
President Clinton made his wife his senior adviser on health-care issues and
put her in charge of a task force created to make recommendations on universal
health care legislation - a Clinton campaign vow.
"I must ask that you take immediate steps to ensure that no further
violations ••• occur," Clinger told Clinton in a Feb. 1 letter.
The act in question requires that any presidential task force that includes
a nonfederal employee must hold meetings in public. Clinger contended that Mrs.
Clinton's presence on the panel triggers the law.
Clinton, in a separate letter to Clinger released by the White House, said:
"It is my intention to develop a plan for high quality, affordable health care
for all Americans, and I have asked the health care task force to help me
develop legislation for comprehensive health care reform."
�The Associated Press, February s, 1993
PAGE
21
Nussbaum, in his letter, said that the task force "has not yet held a
meeting" even though the whole group was present on Jan. 25 when the president
announced its formation.
"The task force is planning to hold some public meetings in the future," he
added. "Those meetings have not yet been scheduled."
White House Communications Director George
when asked later why the White House felt the
Mrs. Clinton's task force - particularly in
some other Republicans are contending that it
Stephanopoulus did not elaborate
open-meeting law did not apply to
light of the fact that Clinger and
does.
"We have a disagreement," he said.
"I'm just saying that it is our opinion that it doesn't apply - that this law
does not apply to the task force and it does not require them to be open," he
' said.
�PAGE
22
LEVEL 1 - 17 OF 25 STORIES
Copyright 1993 News World Communications, Inc.
The Washington Times
February
5, 1993, Friday, Final Edition
SECTION: Part A; Pg. A1
LENGTH: 722 words
HEADLINE: GOP knocks for Hillary ;
Demands open door at health meetings
BYLINE: Paul Bedard; THE WASHINGTON TIMES
BODY:
Republicans on a House oversight committee are demanding that Hillary Rodham
Clinton stop holding closed meetings of her health care task force and are
investigating whether the first lady is violating federal " sunshine" laws.
"I must ask that you take immediate steps to ensure that no further
violations • • • occur," Pennsylvania Rep. William F. Clinger, the ranking
Republican member of the House Government Operations Committee, said in a letter
to President Clinton.
"The purpose of this letter is to seek immediate action to ensure no further
, violation of federal law. "
Meanwhile, the White House, responding to the alleged violations of the
sunshine law raised by The Washington Times, said yesterday that some meetings
will be held in public, but major working meetings will continue behind closed
doors.
Mr. Clinger said yesterday he has "asked the minority staff on the House
Government Operations Committee to conduct a further inquiry to ensure that no
further violations of [the Federal Advisory Committee Act] occurs and no other
federal statute has been violated through the conduct of these meetings."
An aide said later that Mr.
Clinger, who has the support of other committee
Republicans, is "strongly" considering calling in the General Accounting Office
to investigate the alleged violations.
A spokesman for committee Democrats said they were unaware of Mr.
action.
Clinger's
The health task force, chaired by Mrs. Clinton, has held one secret
meeting. The group was created by Mr. Clinton last month and is charqed by the
president with drawinq up a health care action plan by May. Mr. Clinton made
health care a cornerstone of his campaiqn last year.
Mr. Clinqer and some lawyers with
House say secret meetinqs of the task
Committee Act (FACA) , which requires
includes any nonfederal employee, such
public.
federal aqencies outside of
force violate the Federal
that any presidential task
as Mrs. Clinton, must hold
the White
Advisory
force that
meetings in
�PAGE
23
The Washington Times, February 5, 1993
"When the full task force meets, some of those meetings and perhaps all of
those meetings will be open," White House spokeswoman Dee Dee Myers said
yesterday.
But, she added, working group meetings, where legislative plans for the
president's health care program will be discussed, will.continue to be held
behind closed doors.
Miss Myers said White House counsel Bernie Nussbaum has determined that Mrs.
Clinton is exempt from FACA, an opinion rejected by Mr. Clinger and lawyers
considered experts on the law.
The sunshine
secretary said.
law "was not intended to apply to the first lady," the press
Plans to release the counsel's opinion to the media yesterday were delayed
until today to give the president a chance to review and approve it, according
to an administration official who asked not to be identified.
A House Government Operations Committee official said Mr. Clinger will
"seek some outside review" of the White House counsel's opinion that the first
lady is exempt.
"If they continue to believe they are exempt, we will expand our inquiry,"
the committee official said.
"The law is clear, and Hillary Clinton's breaking it," a committee GOP
attorney said.
The FACA law requires that any presidential task force not "wholly"
composed of federal employees must hold all meetings in public, make transcripts
and working papers such as draft legislation public, and give a 14-day
announcement of all future meetings.
The issue was further muddied this week when the White House announced that
four governors will be added as members of the task force, expanding the list
of nonfederal employees to six. The sixth is Vice President Al Gore's wife,
Tipper.
Federal law also requires that after a president sets up a task force, the
White House counsel must file a charter detailing the organization's mission and
expiration date with the General services Administration - a path the White
House has ignored so far.
The Clinger aide said the congressman is not opposed to the work of the
health care task force but simply wants the law to be followed. To help the
White House, he has even offered to pen an amendment to FACA that would exempt
the first lady.
GRAPHIC: Photo, President Clinton, his wife, Hillary, and the Rev. Billy Graham
attend the National Prayer Breakfast yesterday with political and military
leaders. , By AP
----------------
�.PAGE
24
LEVEL 1 - 18 OF 25 STORIES
Copyright 1993 The Atlanta constitution
The Atlanta Journal and Constitution
February
4, 1993
SECTION: EDITORIAL; Section A; Page 12
LENGTH: 446 words
HEADLINE: Keep public health care discussion in public
BYLINE: suzanne Fields
KEYWORD: health; care; government; leaders; public; reaction
BODY:
WASHINGTON - Physicians are about to join the public hit list, just after
lawyers and journalists. Too bad. A few rotten greedheads have poisoned the well
(and the sick).
A woman reports that a neurosurgeon in Washington refuses to talk to her over
the phone about the results of her elderly mother's Magnetic Resonance Imaging
(MRI), because the doctor couldn't charge for his time on the phone.
It's easy to collect horror stories of insensitive bedside and deskside
manners. One woman complains that an internist told her to follow his orders or
she would die.
Many doctors are in such a hurry that patients are intimidated even though
it's their time they're paying for. General practitioners spend less than seven
minutes on average actually talking to a patient and often don't hear all of a
patient's complaints.
It doesn't have to be this way. Medical treatment requires explanations as
well as diagnosis and treatment. Patients respond positively when they trust
their doctors.
Some doctors complain that insurance forms, including Medicaid and Medicare,
require time-consuming reports, rules and regulations that take up time they
otherwise could afford their patients personally. Based on his frustrations as
governor of Arkansas, President Clinton offered states a more flexible approach
to Medicaid this week.
The president's task force on health care, headed by the first lady, will
have to work hard to separate the chaff of greed and insensitivity from the
wheat of increased diagnostic, drug and treatment capabilities. Health reform
should not be dictated by reference to the worst doctors but to the best. Most
doctors want to care for their patients and earn a comfortable living. These two
values aren't incompatible.
But most of us don't have a clue to the problems facing health care reform.
That's why - in addition to the law - the presidential task force meetings
ought to be in public.
�. ...,
...!
-, ....,.
PAGE
25
1993 The Atlanta Journal and Constitution, February 4, 1993
Reporters were enraqed when they were cut out of the first meetinq of the
health care panel headed by Hillary. The 1972 Federal Advisory Committee Act,
or "sunshine law," prohibits any presidentially appointed advisory task
force that includes nonqovernmental employees or outside advisers from
operatinq in secret. Hillary and Tipper are not federal officials.
Like a patient, we need information to understand the diaqnosis and to trust
the "doctor" who offers the prescription. "Doctor Hillary" is supposed to shed
some liqht. Let's hope the qreedheads feel the heat, and the rest of us can feel
some relief.-(c1993)
Suzanne Fields is distributed by the Los Anqeles Times Syndicate. Her column
appears in The Journal on Monday and Thursday.
�PAGE
26
LEVEL 1 - 20 OF 25 STORIES
Copyright 1993 News World communications, Inc.
The Washingt~n Times
February
4, 1993, Thursday, Final Edition.
SECTION: Part G; COMMENTARY; Pg. G1
LENGTH: 695 words
HEADLINE: In need of intensive care
BYLINE: Suzanne Fields; THE WASHINGTON TIMES
BODY:
Physicians are about to join the public hit list, just after lawyers and
journalists.
Too bad.
A few rotten greedheads have poisoned the well (and the sick).
A woman reports that a neurosurgeon in Washington refuses to talk to her
over the phone about her elderly mother's Magnetic Resonance Imaging (MRI), an
expensive test covered by insurance, because the doctor couldn't charge for a
telephone call.
"Make an appointment for a visit and Medicare will pay," he said. "My time
is as valuable as an attorney's and they get paid by the hour, on the phone or
off." It's a good thing for him (and us) that house calls ar.e out of fashion.
He'd probably charge for gasoline, anti-freeze and window washer, too. And the
leather shoes he wears away on the front walk.
Certain doctors with an overzealous entrepreneurial spirit refer patients
for services or to institutions where they have a financial stake. It's
sometimes difficult to separate the incentive to help the patient from the
incentive to help the doc's bank account. Doctors are the logical investors in
expensive technological medical equipment and in private hospitals, but how can
we trust their professional objectivity when they stand to gain huge sums by
certain referrals? (What does this say about their medical judgment?)
It's easy to collect horror stories of insensitive bedside and deskside
manners. One woman complains that an internist told her to follow his orders or
she would die. The doctor could have gently prepared her for the bad news.
Many doctors are in such a hurry that patients are intimidated even though
it's their time they're paying for. General practitioners spend less than seven
minutes actually talking to an average patient and often don't hear all of a
patient's complaints.
There are studies aplenty to document such failings, including one conducted
by a pharmaceutical house, which found that 1 of every 4 patients in the United
States switch physicians because a doctor has created more emotional discomfort
than confidence.
It doesn't have to be this way. Medical treatment requires explanations as
well as diagnosis and treatment. Patients respond positively when they trust
their doctors. Some doctors complain that insurance forms, including Medicaid
L
�.......
PAGE
27
The Washington Times, February 4, 1993
and Medicare, require time-consuming reports, rules and regulations, that take
up time they otherwise could afford their patients personally. Based on his
frustrations as governor of Arkansas, President Clinton offered states a more
flexible approach to Medicaid this week.
1
I
I
The president's task force on health care, headed by the first lady, will
have to work hard to separate the chaff of greed and insensivity from the wheat
of increased diagnostic, drug and treatment capabilities. Health reform should
not be dictated by reference to the worst doctors but to the best. Most doctors
want to care for their patients and earn a comfortable living. These two values
aren't incompatible.
But most of us don't have a clue to the problems facing health care reform.
That's why - in addition to the law - the presidential task force meetings
ought to be in public. We could learn considerably more from forthright
testimony about different points of view over medical practice than we did from
two days at an "economic summit" taken over by grandstanders and windbags.
Reporters were enraged when they were cut out of the first meeting of the
health care panel headed by Hillary. The 1972 Federal Advisory Committee Act,
or "sunshine law," prohibits any presidentially appointed advisory task
force that includes nongovernmental employees or outside advisers from
operating in secret. Hillary and Tipper are not federal officials.
Like a patient, we need information to understand the diagnosis and to trust
the "doctor" who offers the prescription. "Doctor Hillary" is supposed to shed
some light. Let's hope the greedheads feel the heat, and the rest of us can
feel some relief.
Suzanne Fields, a columnist for The Washington Times, is nationally
syndicated.
GRAPHIC: Cartoon, SORRY, DR. WILLIAMS IS NOT ACCEPTING ANY NEW PATIENTS.
IN A HIGH ENOUGH TAX BRACKET ALREADY, By Schwadron
HE'S
�.
'"
PAGE
29
LEVEL 1 - 22 OF 25 STORIES
Copyright 1993 American Political Network, Inc.
The Hotline
February
1, 1993
SECTION: THE NEW ADMINISTRATION
LENGTH: 720 words
HEADLINE: HILLARY 2000: AS IN PRESIDENT RODHAM CLINTON (HYPHEN, TOO?)
BODY:
u.s. NEWS' Cooper et. al write the idea of puttinq First
Lady Hillary Rodham Clinton in charge of health care "was
considered for weeks ••• and quickly emerqed as by far the most
loqical choice" because the health care team "lacked a
commander." Many "doubted the ability" of health care adviser
Ira Magaziner and Pres. Clinton "didn't want to hand off the
coveted job" to campaign experts "whom he respected but did not
totally embrace" (12/8 issue). GOP pollster Glen Bolger calls it
a "lose-lose situation": "Either she does a qood job and
outshines him or she does a bad job, and it's going to be mighty
hard for him to fire her" (RICHMOND TIMES DISPATCH, 1/31).
"Certainly the quick, authoritative way she bolted out of the
starting qate last week, stood in bold relief aqainst the
disarray that overtook the White House" following the Zoe Baird
situation. Bush health adviser Gail Wilensky: "It's an odd
arrangement to have powerful Cabinet members, confirmed by the
Senate, reporting in a formal way to the president's wife. I
don't envy them" (Chen, L.A. TIMES, 1/31). NEWSWEEK's cw arrow
is sideways: "CW likes your job, power and flying commercial.
But stow the middle name" (2/8 issue). u.s. NEWS' Roberts on
whether they can come up with a plan in 100 days: "They're goinq
to have a very difficult time doing that •••• During the last
Congress the Democrats wanted very much to propose a health care
plan in order to embarrass Geroge Bush -- they never even got one
written up" ("Washington Week In Review," PBS, 1/29). Charles
Krauthammer: "To get a reform that's goinq to work in 100 days, I
think is pushing it" ("Inside Washington," 1/30).
CLINTON 2000: If Hillary Clinton is able to untangle the
health-care mess, she will be seen as such a miracle worker that
she may become the leading candidate for President in the year
2000. If not at least the country will be able criticize her for
something more meaningful than using her maiden name and wearing
a headband" (Carlson, TIME, 2/8 issue). "McLaughlin Group" exit
question: If Clinton emerqes as a popular and successful
President, will Hillary run for President in 2000? Clarence
Page: "Of course." Eleanor Clift: "She'll have to not only
tackle Al Gore, but Tipper Gore." John McLaughlin said she would
run also (1/30).
MISCELLANY: Maqaziner said he will look into the " sunshine"
act which requires presidential advisory groups with non-gov't
appointees to publish a 14-day advance notice of all meetings,
open all meeting to the press and public and provide papers
drafted by the group. The health task force took "none of these
l
�''
PAGE
(c) 1993 The Hotline, February 1, 1993
steps" for their first meetinq. Groups like Public Citizen "have
indicated their intent to explore whether a violation has taken
place" (Riley, w. TIMES, 1/30). Balto. SUN's Theo Lippman
predicts she is soon to be Hillary Rodham-Clinton, "maybe even
soon to be Hillary Rodham. Compared to a another former First
Lady: "Eleanor was know by her maiden name. Of course, her
maiden name was Roosevelt" (2/1). Pat Buchanan: "Why would she
want to be a West Winq staffer when she's First Lady of the
United states?" ("Today," NBC, 2/1).
30
�.
·-
PAGE
LEVEL 1 - 21 OF 25 STORIES
Copyright 1993 American Political Network, Inc.
Health Line
February
1, 1993
SECTION: POLITICS & POLICY
LENGTH: 400 words
HEADLINE: ADMINISTRATION: A CLOSER LOOK AT
1
HEALTH CARE TASK FORCE
BODY:
WH adviser Ira Magaziner, who is running the day-to-day
operations of the health care task force, said it "has divided
into more than 20 teams whose work will pass through a series of
tests, or 'tollgates,' before being presented to President
Clinton." WASH. POST: "The first, he said, is to establish
'whether the right questions are answered' by using the correct
methodology. The next test narrows the focus or option of broad
subjects, such as strategies for achieving cost containment or
universal coverage. After that, auditors will check the cost or
savings projections. Lawyers then will scrutinize the plans to
make sure the legal ramifications have been taken into account.
Finally, the White House will bring in the 'contrarians,'
Magaziner said, whose job will be to 'tear apart everything
you've come up with.'" Magaziner: "For people who have talked
about health care reform for decades and decades, it's show time"
(Dana Priest, 1/30). POST writes that Clinton is "borrowing one
of the hot new management techniques from corporate America ••••
Some of the most successful American enterprises have embraced
this new organizational approach" which replaces hierarchies with
small "work teams" (Steven Pearlstein, 1/31). Responding to
criticism from gov't lawyers and public interest groups,
Magaziner said he would "look into" whether the task force had
"violated federal open-meeting laws by convening in secret this
week to plan reforms." WASH. TIMES: "Under the Sunshine Act,
presidential advisory groups with non-governmental appointees
must publish a 14-day notice of all meetings in the Federal
Register, open all meetings to the public and provide the press
and public all papers drawn up by the group" (Karen Riley, 1/30).
28
�;
.
.
PAGE
31
LEVEL 1 - 23 OF 25 STORIES
Copyright 1993 News World Communications, Inc.
The Washington Times
January
30, 1993, saturday, Final Edition
SECTION: Part A; Pg. A1
LENGTH: 980 words
1
HEADLINE: Health-care panel's procedures checked ;
Official to look into ' sunshine' laws
BYLINE: Karen Riley; THE WASHINGTON TIMES
BODY:
Til~ senior. White Hous.e official coordinating the. president's
task fore~ on
health ·care promised yesterday to "look into" whether the group violated federal
open-meeting laws by convening in secret this week to plan reforms.
Ira Magaziner made that pledge early yesterday, after The Washington Times
reported that several government lawyers and public interest groups have raised
concerns that the task force meetings are not being conducted in accord with
' the 1972 Federal Advisory Committee Act, or "sunshine" act.
"This is the first time I've heard of it," said Mr. Magaziner, who is
responsible for the day-to-day work of the group chaired by first lady Hillary
Rodham Clinton.
"I'll look into it, now that I've heard about it," he added.
Late yesterday, Robert Boorstin, special assistant to the president for
policy coordination, said the general counsel's staff "is reviewing" the issue.
No date has been set for the next meeting, he added.
Under the sunshine act, presidential advisory groups with nongovernmental
appointees must publish a 14-day notice of all meetings in the Federal Register,
open all meetings to the public and provide the press and public all papers
drawn up by the group.
None of those steps were taken as the
this week.
task force
met for the first time
Several public interest groups~ including Public Citizen, have indicated
their intent to explore whether a violation has taken place.
Mr. Magaziner was interviewed after a speech before a Washington business
group in which he promised to "work day and night" for the next 100 days to
produce legislation that can be enacted this year.
"It is now showtime," he said. "It's going to happen this year, there is
going to be comprehensive legislation submitted, and there's going to be the
full force of the presidency put behind that legislation."
President Clinton has said he wants to produce a health care bill because 37
million Americans have no health care coverage and 60 million to 70 million
�PAGE
32
The Washington Times, January 30, 1993
are underinsured. Many more are insecure about whether their health insurance
will cover catastrophic illnesses as well as regular kinds of services for their
families.
To accomplish that the president favors a plan that would create
private-sector buying cooperatives to bargain for the best care at the lowest
rates combined with cost controls on doctors and hospitals.
Reinforcing the president's case for health care reform yesterday were new
federal projections on the rapid escalation of health care spending if current
laws and practices continue.
By the year 2000, annual health care costs could reach $1.7 trillion a year,
or $9,637 for every American, according to estimates from the Health care
Financing Administration (HCFA).
Health costs could reach a whopping $16 trillion, or $47,936 per American,
by the year 2030, the HCFA report said, which would be nearly a third of the
nation's gross domestic product.
This year health care expenditures are expected to total over $900 billion
or over $6,000 per capita.
"These estimates show us the course we are on today, and our urgent need to
change that course," said Health and Human Services Secretary Donna Shalala in
releasing the projections. "The nation cannot sustain spending growth at this
rate," she said.
"We need a health system that delivers quality care for all our people, at a
reasonable cost," she said.
The HCFA report also underscored the extent to which soaring health costs
are putting a strain on the federal budget.
By the year 2000, federal spending on health care in Medicaid, Medicare and
veterans and military care, will nearly double to 29.3 percent of the total
federal budget, up from 15.4 percent in 1990.
The sunshine act requires that any presidentially appointed advisory
task force that includes nongovernmental employees or outside advisers must
keep all events and meetings public.
the
Mrs. Clinton and Tipper Gore, Vice President Al Gore's wife who is also on
task force, are not federal officials.
Mr. Magaziner told the business group yesterday that the task force
intends to involve many experts from the private sector, including health care
experts, business, labor and the "broader citizenry at large."
The goal, he said, is to "get a broad base."
The task force also plans to hold formal hearings and will request formal
comment in writing on various health care issues, he added.
�PAGE
33
The Washington Times, January 30, 1993
,
1
Mr. Magaziner, who made millions as a consultant on strategic planning, was
named administrator of the task force because he has experience coordinating
major projects that needed quick completion for companies such as General
Electric Co. and Wang Laboratories.
The task force intends to adopt a management approach used in business
called the "tollgate process" in drafting a bill, he said.
Over 20 teams will focus on narrow subject areas, seeking to determine
whether they have answered all possible questions and reached out to all
appropriate constituencies, including Congress, he said.
once the teams have narrowed the policy options, the proposal will be
examined by outside analysts and outside lawyers to question every number and
every assumption.
Finally, the task force intends to get the reaction of a contrarian group
before actually unveiling the package, he said.
Putting the proposed bill through these checkpoints will avoid some of the
, problems that plagued the ill-fated effort to provide catastrophic health
insurance to older Americans paid for by taxing the Social Security benefits of
middle-income recipients, Mr. Magaziner said. Senior citizens, who were never
properly consulted about the issue, rebelled and Congress was forced to rescind
the law
GRAPHIC: Chart, EXPLODING HEALTH CARE COSTS, By The Washington Times
�PAGE
34
LEVEL 1 - 24 OF 25 STORIES
Copyright 1993 News World Communications, Inc.
The Washington Times
January
29, 1993, Friday, Final Edition
SECTION: Part A; Pg. A1
LENGTH: 899 words
HEADLINE: First lady's
task force
broke law on secrecy
BYLINE: Paul Bedard; THE WASHINGTON TIMES
BODY:
First lady Hillary Rodham Clinton's task force on health care violated
federal open-meeting laws this week when it met in secret to plan reforms,
according to congressional and federal lawyers.
President Clinton formed the advisory panel this week and named his wife as
chairwoman Monday.
Under a 1972 so-called 11 sunshine" law, the 13-member panel must publish a
14-day notice of all meetings in the Federal Register, open all meetings to the
public, and provide the press and public all papers drawn up by the group,
according to lawyers familiar with the Federal Advisory Committee Act (FACA) •
But White House officials yesterday barred reporters and the public from
attending Mrs. Clinton's first formal meeting and denied requests to attend
future meetings.
The FACA law requires that any presidentially appointed advisory task
force that includes nongovernmental employees or outside advisers must keep
all events and meetings public. Under the law, only advisory groups made up
"wholly" of federal workers can hold secret meetings.
Federal and congressional lawyers said yesterday that the presence of Mrs.
Clinton as chairwoman of the task force and Tipper Gore, wife of Vice
President Al Gore, as a regular participant makes the panel subject to the
open-meeting law because both women are not federal employees.
In addition, the panel plans to get advice from private health care groups
and businesses - also nongovernmental members.
"If the panel advises the executive branch and some membership is
nongovernment, then the open-meeting law applies," said a federal lawyer
involved in overseeing implementation of the law.
"On the face of it, the meetings should be open.
• The press and public
should have a right to see this task force in action," said the lawyer, who
requested anonymity. He added that the new administration's confusion about the ,
law is no excuse for breaking it.
"Welcome to Washington," the lawyer said.
�PAGE
35
The Washington Times, January 29, 1993
Mr. Clinton wants the panel to develop a health care reform package by May.
The president made health care reform and governmental ethics cornerstones of
his 1992 candidacy.
Before holding any meetings, the law requires groups such as Mrs. Clinton's
to file a charter with the General Services Administration detailing the
committee's objective, name, deadline, estimated costs and duties. White House
officials were unaware of any charter filed in support of the presidential
health care task force.
Once the task force has met those requirements, the law says, "each
advisory committee shall be open to the public • • • timely notice of each such
meeting shall be published in the Federal Register • • • [and] the records,
reports, transcripts, minutes, appendixes, working papers, drafts, studies,
agenda, or other documents which were made available for or by each advisory
committee shall be available for public inspection and copying."
Only meetings dealing with things such as classified information can be held
behind closed doors, the lawyers said.
Several public interest groups, including Public Citizen, are looking into
the situation. A similar battle occurred last year when public interest qroups
tried to gain entry into former Vice President Dan Quayle's Competitiveness
Council meetings, but that group was allowed to meet in private because no
nongovernment workers were involved.
The FACA law includes no penalties for violation, so only a civil lawsuit
can compel the task force to open its meetings.
The apparent violation of the open-meeting law follows earlier concerns that
Mr. Clinton violated a federal nepotism law that appears to forbid the
president from appointing his wife to any government position.
But Jed Babbin, a former Bush administration lawyer who is an expert on
federal law, said that because Mrs. Clinton is not getting paid, technically
she is not a federal employee.
"That's where
said.
FACA
comes in, and they are not following the law there," he
White House press secretary Dee Dee Myers said White House counsel Bernie
Nussbaum and others had checked applicable laws and "I think they are very
comfortable with her role."
Asked why this week's meetings were closed to the public, Miss Myers said,
"Because the task force meetings will continue to be closed throughout the
development of the policy."
George Stephanopoulos, White House communications director, added, "We don't
have to open up every single staff meeting for the press."
Miss Myers said yesterday that Mrs.
employee.
Clinton is not considered a federal
�i
•
I','~
PAGE
36
The Washington Times, January 29, 1993
Because of their status, Mrs. Clinton and Mrs. Gore are not paid and have
not signed Mr. Clinton's strict ethics rules, which he has required his
appointees to sign before starting work.
****BOX
LAWBREAKERS
The presence of Hillary Rodham Clinton and Tipper Gore on the president's
health care task force requires the group to comply with the Federal
Advisory committee Act, known as the open-meeting law. The act specifically
, says any task force that includes nongovernment employees, such as Mrs. Gore
and Mrs. Clinton, must:
*
*
*
Advertise all meetings in advance.
Make all meetings public.
Open all records, transcripts and drafts to the public.
GRAPHIC: Box, LAWBREAKERS, By The Washington Times
�----
-~--
--~---------
---~~
----
--~~===-=::-:::-=-=------------------------------------
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. statement
DATE
SUBJECTffiTLE
n.d.
Declaration of Marjorie Tanney. (4 pages)
RESTRICTION
PS
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 10813
FOLDER TITLE:
FACADocuments [1)
2006-0223-F
ab862
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a))
Freedom of Information Act- [5 U.S.C. SS2(b))
Pl National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) ofthe PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) ofthe FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) ofthe FOIA)
b(9) Release would disclose geological or geophysical information
concerning weDs [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misf"J.Ie defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hillary Rodham Clinton's Appointment to Chair the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
First Lady's Office
National Security Council
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Description
An account of the resource
This collection largely consists of memos, background files, and meeting notes from the First Lady's Office concerning the formation and actions of the Health Care Task Force and working groups. These files include records pertaining to the Health Care Task Force and working group development; the Association of American Physicians and Surgeons lawsuit brought against Hillary Clinton; and the final Report on Health Care Reform. Files also contain correspondence concerning President Clinton’s decision to appoint the First Lady to chair the Health Care Task Force.
Extent
The size or duration of the resource.
72 files in 6 boxes
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36141" target="_blank">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
FACA Documents [1]
Creator
An entity primarily responsible for making the resource
First Lady's Office
Maggie Williams
Identifier
An unambiguous reference to the resource within a given context
2006-0223-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 4
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0223-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/2194630" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/8/2015
Source
A related resource from which the described resource is derived
42-t-2194630-20060223F-004-002-2015
2194630