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Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECTffiTLE
DATE
RESTRICTION
y {-s ~
4 \3 +
Rasco to POTUS re Liver Transplants (2 pages)
12/18/1996
P5
Jim Guy Tucker tci POTUS re liver transplants (1 page)
11/26/1996
.,P5
Watson Bell to Mike (last name unknown) re liver transplants (1 page)
12/12/1996
P5
Rasco and Chris Jenning to POTUS re Decline in Medicaid Growth
Rate (partial) ( 1 page)
09/23/1996
P5
L\ \ )~
Anthony Lake and Rasco to POTUS re Golden Venture Detainees (1
page)
nd
P5
~ t~-~
Todd Stem to POTUS re Golden Venture Detainees (I page)
09/07/1996
P5
Li·l
Anthony Lake, eta!, to POTUS re Golden Venture Detainees (4 pages)
08/23/1996
P5
~ \ Lt \
004a. memo
Rasco to POTUS re Status of FDA Review of the ALS Drug
Myotrophin (partial) (1 page)
07/05/1996
P6/b(6)
004b. letter
Rasco to Correspondents re Review ofMyotrophin (1 page) ·
07/05/1996
P6/b(6)
004c. letter
POTUS to Correspondents {1 page)
05/28/1996
P6/b(6)
00 I c: letter .
'1o
COLLECTION:
Clinton Presidential Records
Domestic Policy Council
Carol Rasco (Miscellaneous)
OA/Box Number:· 11218
FOLDER TITLE:
CHR Memos to the President
Kim Coryat
201 0-0198-S
kc251
EESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [5 U.S.C. 552(b))
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P3 Release would violate a Federal statute [(a)(3) of the PRA) ,
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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)(I) 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]
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information [(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
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purposes [(b)(7) of the FOlA]
b(S) Release would disclose information concerning the regulntion of
financial institutions [(b)(S) of the FOIA]
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concerning wells [(b)(9) of the FOlA]
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.
220
R D
�.,,
THE WHITE HOUSE
WASHINGTON
December 18, 1996
MEMORANDUM FOR THE PRESIDENT
Rasco~
FROM:
Carol H.
Assistant to the President for Domestic Policy
SUBJECT:
Liver Transplants ·
You asked yesterday' about the issue of liver transplantation. I mentioned I would be
sending this memo as a: follow up to my repmi· to you two weeks ago in my regular weekly
report where I outlined a meeting I held with Watson Bell, his wife and an official fr9m
UNOS. I held a follow up conversation with Senator Beebe this weekend while he was
visiting here.
Brief review: Watson's wife had a liver transplant several years ago and on the day of the
transplant Watson pledged to do all he could to promote transplantation and donors. He
has since been very active in UNQS (United N~twork for Organ Sharing), the private entity
which currently oversees transplantation activity in the· United States.
Current request: Watson Bell, his wife and Mr. Graham from UNOS briefed Chris
Jennings and myself on the UNOS positions regarding transplantation and their concerns
with the current HHS hearings as well as the concerns held by many in the community
dedicated to transplantation after your handwritten note to Secretary Shalala accompanying
. the recent letter sent to you by Mr. Matter. Chris and I tried to assille Watson and the
others you were not taking a position, wished only to have the matter reviewed on its
merits and that the pmcess followed here of DPC transmitting the letter to HHS was the
normal process.
At the close of the meeting Watson requested that I indicate to you his desire for a brief
meeting with you. I have told him I would P'J.SS along that request to Presidential
scheduling which I am doing by way of this· memo. I believe it would go a long way
toward helping to calm the UNOS supporters if you would at a minimum place a call to
Watson. However, any call or meeting .MUST have Chris Jennings in attendance.
I have received the attached letter from Jim Guy Tucker along with a personal note to me.
He is outlining his position on the current discussions and endorsing Watson's request to
meet with you.
COPY
�Finally, the most important thing you can do on this issue is, quite frankly, urge people to
become organ donors. I would suggest that through the DPC you direct HHS to put
together a campaign for organ donors. I would suggest such a campaign am1ouncement be
part o.f the overall am1ouncement when HHS resolves the current allocation issues. This
.
. would'also allow for Jim Guy's transplant to have more than likely taken place, and
therefqre it· would not appear you are promoting the needs of a particular person. You will
remember we had to discipline ourselves carefully in the governor's office not to assist with
personal solicitations for specific persons in need of a transplant as it would have taken a
massive amount of your time due to the many people even _in one state awaiting donors.
Your time can best be spent speaking broadly about the need for donors.
Thank you.
cc: Chris Jennings
. Stephanie Streett
kme Walley
COPY
�JIM GUY 1;tJCKER
19 Valley Club Circle
Little Rock, Arkansas 72212
November 26, 1996
The Honorable William Jefferson Clinton
President of the United States
The White House·
Washington, D.C.
Dear Mr. President:
In June of 1990 you telephoned me and asked that" I give Watson Bell a call
about his wife's liver disease and need for a liver transplant. As you know,
the transplantwas a success. Watson became very interested in
...
transplantatio·n policies and has served on the patient affairs committee of
UNOS for some time now. 1·hope you will visit with him so that he rna)::
share his view on the pending HHS rule making on liver transplant policies.
.
.
The HHS rule making will not affect nie or my pending transplant.
However, !_believe it will adversely affect organ donations.
Arkansas, and some other States have been very successful in their effort to
encourage organ donations. We need more organ donors. But if we have to
teli folks here that the federal government will.decide what will happen to
the liver of their dying mother, husband or child---well, you know what
the response will be. At present, we can provide some assurance that the
liver will be available for someone in Arkansas, or nearby---and that
patient's doctors· and hospitals, and not a federal rule will make the final
decision.
·
·I have watched the development of this lifesaving process with amazement
. for fourteen years. The United States is the absolute unquestioned world
leader in this field. It has managed to do that under the policies of UNOS
without rules from the federal government.
·
Congratulations on your re-election, and thanks for the hug you gave
Sarah! She needed it!
COPY
�THE WHITE.HOUSE
WASHINGTON
September 23, 1996
MEMORANDUM TO THE PRESIDENT;1;:y{"
Jenni~_j.
FROM:
-Carol RaCt\nd Chris
SUBJECT:
Decline in the Medicaid Growth Rate and Baseline
Largely unnoticed, Medicaid baseline reductions have made a significant contribution to
. the decline in the Federal deficit. In fact, in their>tecently-released budget outlook report
that reduced the 1996 Federal deficit to $116 billion, the Congressional Budget Office (CBO)
stated that "the largest Single re-estimate is a (1 year) $4 billion reduction in Medicaid
outlays." The reduction in expenditures has produced an aggregate Medicaid growth rate· of
3 percent between'1995 and 1996, the lowest growth rate in over 20 years. This translates
into an astomi.dingl to 2 percent per capita (or per person) increase in spending -- well
below the 20-year· average annual Medicaid per capita growth rate of 11 percent.
.
I
Since you unveiled your balanced budget last year, the CBO Medicaid baseline has declined
by $52 billion. The comparable reduction in the Administration Medicaid baseline is about
$20 billion; (it is less because OMB started with a lower spending base, has been assuming
lower growth rates, and has integrated more accurate economic assumptions all along.)
This trend will continue as we fully expect this winter's baseline adjustments (off both the
CBO and OMB baselines) toproduce tens ofbillions of dollars of additional savings. As a
result, without enacting a single Medicaid cut, you will preside over a program whose CBO
baseline (after this winter's adjustment) will have been reduced in the budget window by as
much as (if not more than) $80 billion since 1995, and more than $50 billion off of .the OMB
baseline during that same period.
·
Many factors have contributed 'to the decline in the Medicaid baseline. They include:
(1) increased utilization of managed care and other cost-cutting initiatives implemented
by thestates; (2) an improved economy with much lower inflation; and (3) reduced use of
"creative" Disproportionate Share and provider donation financing/mechanisms by states.
c
The fact that MediCaid's growth has slowed so rapidly is good news. It mirrors the positive
news about health care inflation in the private sector you occasionally cite. However, we
must be cautious about heralding if too much because it tends to undermine our criticism of
the magnitude Of th~ Republicans' Medicare cuts. For example, we appropriately criticized
the Republicans' Medicare cuts, but their proposal (at the time of the veto) would have
allowed for a 4.9 percent per person growth rate -~ above what the 1995 to 1996 per capita
Medicaid growth rate was by 2 to 3 percentage points.. In short, when we highlight the
success of the private and Medicaid sectors in constraining costs, we risk someone charging
o t ' P Y e i n g inconsistent in not suggesting that Medicare be held to the same standard.
�. 6154
THE WHITE HOUSE
--
WASHINGTON
ACTION
MEMORANDUM FO.R THE PRESIDENT
.ANTHONY~
FROM:
CAROL RASCO
SUBJECT:·
ct}f:_
Golden Venture Detainees
You asked two questions regarding the possible disposition of the
Golden Venture detainees (see attached memorandum at f'ab. A).
·1.
How many·of the 67 who remain in detention are alleging
coercive family practices?
Although the Immigration and Naturalization Service (INS) does
not have exact figures, almost all of the remaining detainees -certainly more than 60 -- have raised asylum claims based on fear
of coercive family piactices. Their claims were rejected by the
INS as lacking credibility.
·
2.
What does fear of "severe
mistre~tmentn
mean?
Under the administrative, humanitarian relief program you
approved in 1994, Chinese nationals Who have suff~red severe
mistreatment related to coercive family planning practices or who
have well-founded fears of return to severe mistreatment are
released from detention and protected from deportation.
"Severe mistre~tmentn includes physical harm, destruction of
property, draconian fines and imprisonment.
~--~RECOMMENDATION
That you review the action memorandum at Tab
A.'~
Attachment
Tab A Original memorandum on Golden Venture detainees
COPY
cc: Vice President
Chief of Staff
�L.\.1.-e..
THL
?~E~DENT
Qv1f\Y\
c~.JX(1_
K CL <;. L..C t:.
f+;
HAS SEEN
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I\~,
C:.o.:E.~ctve
.
'.
;\
.
fi'\At:!
F~,.,.,''-'-1
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'r/Gf..S
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,
•
,
MEMORANDUM FOR THE PRESIDENT
FROM:
-
SUBJECT:
TODDSTE~
rn,
i.
,-t<re It r n1 GtCJ .,
Golden Venture Detainees
Sixty-seven Chinese migrants of the original 282 on the Golden Venture remain in detention - 49 are still pursuing habeas relief, while 18 have abandoned legal appeals and are awaiting
deportation. You recently told Rep. Goodling that you would review options concerning 46
of these migrants being held in York County, Pa. The attached memo discusses five options,
but only two --continued detention and supervised release -- have any support as solutions.
Two others -- II soft detention 11 on a military base or halfway houses -- are discussed, but
· none of your advisors favor them. Finally, it is agreed that third country resettlement could
be pursued in tandem with one of the viable options, but would not solve the problem alone.
Background. U.S. law requires detention of persons caught entering the country illegally.
Pursuant to administrativ(! action you took in 1994, Golden Venture detainees deemed by INS
to have credible claims based on coercive family planning practices were released from
detention and protected from deportation. But INS has applied this policy strictly, to
maintain deterrence of alien smuggling. Many of the 67 still detained also raised family
planning claims, but INS has not deemed them eligible for relief. The viable options are:
Continued detention pend~ng resolution of deportation cases -- INS has already rejected
their claims; changing their status now could undermine deterrence; it could also encourage
. the 18 who have dropped their appeals to rruse new claims. DOJ, INS, Coast Guard, Quinn
and Hilley favor. Supervised release -- INS would parole to responsible persons who would
post bond .. Advocacy groups would applaud, but DOJ and INS strongly oppose saying it
would result in flight or abduction. Also, since government will likely win the habeas ·cases,
more visible controversy will be stirred when we then have to deport people who aren't in
detention. On other hand, deterrent effect may have been achieved already by the long
detention to date. Tony and Carol favor, as does George. Removal to third countries -- all
favor as a complement to one of the other options, but not enough placements could be found
to dispose of whole problem this way.
Secondary issue. If you choose supervised release, issue arises as to whether it would apply
to all 67; only the 46 in Goodling's district; or only the 49 pursuing habeas release. Those
who favor release agree it would have to apply to all 67.
Continued Detention
COPY
Supervised release__
Also removal
.,
�5421
THE WHITE HQ~SE
WASHINGTON
ACTION
August
2~6 ~~f3.
?4•
29
MEMORANDUM FOR THE PRESIDENT
FROM:
ANTHONY~-
g~~L Q~~otf.\ 0 ~)
JOHN HILLEY
SUBJECT:
l\_H
Golden Venture Detainees
Purpose
To review current Administration policy concerning the detention
of Chinese nationals from the Golden Venture.
Background
In a recent conversation with Representative Goodling, you
·suggested that you would review options to address the continued
detention of 46 Chinese nationals in York County, Pennsylvania.
The Golden Venture:
The 46 detainees in York County were among
some 282 Chinese nationals who tried to enter the United States
illegally in 1993 aboard the Golden Venture.
The aliens we~e
placed in exclusion or deportation proceedings, and many have
raised asylum claims based on China's coercive family planning
practices. They have been held in jail for three years.
A total of 67 Golden Venture migrants. remain in detention
nationwids; of these, eighteen havS abandoned their legal appeals
and are awaiting deportation while forty-nine have pending habeas
p~titions in federal court.
Final resolution of their cases is
not expected until the end of the yea~ at the earliest. The
geographic breakdown is as follows:
46 are at York County; 16 at
Bakersfield (CA); and the rest in New Orleans and Winchester
(VA).
Legal background: Under current law, coercive family practices
generally are not grounds for asylum.
However, pursuant to an
administrative, humanitarian relief program you approved in 1994,
release ftom detention and protection from deportation may be
provided Chinese nationals who have suffered severe mistreatment
related to coercive family planning practices or who have wellfounded fears of return to severe mistreatment.
COPY
c~:
Vice President
Chief of Staff
�2
INS detention policy:
While u.~. law mandates the detention of
persons.who have attempted to enter our country without
permis$ion, the Immigration and Naturalization Service (INS) is
au~horized to parole th~m where it would be "strictly in the
public {int~rest;" However, in order to deter future alien
smuggling, the Administration strictly applied its detention
policy to the Chines~ migrants. DOJ, INS ~nd Coast Gu~rd believe
this detention policy has discouraged alien smuggling fro~ China.
Appeals from Congress and other
Representatives have written to
Golden Venture d~taine~s. They
Gilman, Hyde, Smith, Berman. and
have made the s~me request.
groups:
Twenty-eight
urge the immediate· release of the
include Representatives Goodling,
Pelosi. Numerous advocacy groups
ISSUE #1: POSSIBLE COURSES OF ACTION
Option :1: Stay the course -- maintain current detention: DOJ,
INS and Coast Guard strongly recommend that we maintain the 67
aliens in detention pending resolution of their cases. They
stress that .INS has determined all detainees in this group are
not eligible for asylum or administrative relief and argue that a
change in detention status could undermine our deterrence of
alien smuggling. Finally 1 a change could convince those
detainees who have given up their legal appeals and are awaiting
rleportation to initiate new claim~.
Option 2: Soft Detention on a Military Base:
The INS has placed
small numbers of detainees in "soft custody" on military bases in
some circumstances, for example for minors at risk of.harm.
DoD
recommer..ds against this option, pointing to prior instances of
7iolence. To address this issue, the ~liens could be moved to a
base that is being closed and is unoccupied.
However, it is
unclear whether the detainees would regard moving to a military
base as an improvement given the broad support network they enjoy
at York County.
Option 3: Soft Detention in Halfway Houses:
Halfway houses have
been used to hold aliens on prior occasions.
DOJ and INS
recommend against this option because of the risk of flight or of
abduction by representatives of the smuggling organizations.
(This already has happened with children who were placed in soft
detention or foster homes.)
Option 4: Supervised Release:
The INS can parole the detainees
pending final disposition and seek to place them with responsible
persons who would post bond.
This option would be applauded by
advocacy groups and some on the Hill, but DOJ and INS strongly
oppose it, arguing that it likely will result in the flight or q~S\DEN'IIA/<
COPY
~
~ ~\L\\
G
J
}
�3
.abduction of migrants, and it would undermine the government's
legal position. Moreover, given the-likelihood that the
government ultimately will prevail in the 49 habeas cases, they
believe that trying to remove the migrants after they have been
released will create a more visible and controversial issue.
On th~ other hand, :ieleasing the· detainees arguably would not
hurt law enforcement objectives because much of the desired
deterrent effect may have been achieved by the long detention
period.
In addition, provisions in the antiterrorism legislation
you signed earlier this year should further deter alien
smuggling.
Option 5: Removal to Third Countries: An attorney representing.
som~ of the detainees has resettled ten of them in Ecuador, and ·
he is willing to continue his efforts. The United States also
could d~marche countries of the region.
Prior experience
suggests, however, that it will be difficult to find interested
third countries, particularly within an accep-table time frame.
Still, this could be pursued togeLher with either of the above
options.
ISSUE #2:
DETAINEES AFFECTED BY DECISION
Any option other than maintaining the status quo will require
deciding who·among the Golden Venture detainees should benefit
from the change in detention ~tatus. There are two questions:
1.
Whether the decision should affect all Golden Venture
detainees or only those in York County: The York County
detainees are the only ones you discussed with RepresentaLive
Goodling.
However, it ·would be difficult to distinguish between.
these and other Golden ~enture detainees, and some migrants could
·challenge such a distinction in court.
2.
Whether the decision should reach all detainees or only those
whose habeas proceedings are still underway:
Eighteen of the
sixty-seven Golden Venture detainees have abandoned .their legal
appeals and are awaiting deportation.
Therefore, a decision to
transfer or release the detainees could be limit~d to the fortynine whose habeas petitions remain active.
Such a limitation
could, however, lead detainees who have abandoned their legal
appeals to file .new habeas actions at any time before actual
deportation.
RECOMMENDATION
That all
persons,
COPY
�4
of the deportation cases. (Mr. Lake's. and Ms. Rasco's
recommendation, although the·DQJ.argOments have merit.)
Approve
·,,
Disapprove ______________________
That Golden Venture detainees remain in detention-~ending final
.resolution of the deportation cases. (DOJ, INS and Coast Guard
recommendation. Jack Quinn and John Hilley concur in this
recommendation.)
Approve
Disapprove
That third-country resettlement be pursued in the interim.
agree~)
Approve
Disapprove
COPY
(All
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECTrriTLE
DATE
RESTRICTION
OOla. memo
Anthony Lake and Carol Rasco to POTUS re Golden Venture
Detainees (1 page)
Q9/16/1996
P5
OOlb. memo
Todd Stem to POTUS re Golden Venture Detainees (1 page)
09/07/1996
P5
OOlc. memo
Anthony Lake,, et al, to POTUS re Golden Venture Detainees (4 pages)
08/23/1996
L..l?IO
P5
.COLLECTION:
Clinton Presidential Records
Domestic Policy Council
Carol Rasco (Miscellaneous)
ONBox Number: 85 10
CLINTON LIBRARY PHOTOCOPY
FOLDER TITLE:
DPC Weekly Key Initiatives Seen By the President
Kim Coryat
20 I 0-0 198-S
kc738
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PI
P2
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P4
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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
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Relating to the appointment to Federal office ](a)(2) of the PRA)
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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)
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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.
2201(3).
RR. Document will be reviewed upon request.
�THE PRESIDENT HAS SEEN
q,
'2... ~i q~
6154
.
THE WHITE HOUSE
WASHINGTON ·ft.~~ If~
~li t~JU- ~~~
September 16, 1996
P3J :. ~ l'
ACTION
MEMORANDUM FOR
FROM:
ANTHONY~
CAROL RASCO~.
SUBJECT:
$.
. ''D
~,."
Golden Venture Detainees .
~~
~~
.
You asked two questions regarding the p~ible disposition of the
Golden Venture detainees (see attached memorandum at Tab. A).
1.
How many of the 67 who remain iri detention are alleging
coercive family practices?
Although the .Immigration and Naturalization Service (INS) does
not have exact figures, almost all of the remaitiing detainees -certainly more than 60 -- have raised asylum claims based on fear
of coercive family practices. Their claims were rejected by the
INS as lacking credibility.
2.
What does fear of "severe mistreatment" mean?
Under the administrative, humanitarian relief program you
approved in 1994, Chinese nationals who have suffered severe
mistreatment related to coercive family planning practices or who
have well-founded fears of return. to. seve're mistreatment are
released from detention and protected ·from deportation.
"Severe mistreatment" includes physical harm, destruction of
property, draconian fines and imprisonment.
RECOMMENDATION
That you review the action memorandum at Tab A.
Attachment
Tab A Original memorandum on Golden Venture detainees
CLINTON LIBRARY PHOTOCOPY
cc: Vice President
Chief of Staff
�
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