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Curriculum Vitae of Henry Wendell Foster, Jr. (partial) (1 page)
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6-22-95 Dr. Henry Foster Statement (and op-ed) Edison, NJ (3]
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DR." HENRY FOSTER
REMARKS TO SASHA BRUCE FOUNDATION
March 3, 1995
'·
·~
INTRODUCTION-AND ACKNOWLEDGMENTS
Thank you:·
Debbie
Shore, for that gracious introduction and fo~ giving me this
.
.
oppo~unity to talk about my favorite subject-- the well-being of America's children.
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am very impressed with Sasha .Bruce Youthwork and the good work you do.
- Your dedicated staff reaches out to the troubled young people of $is city -- giving them a
place to live, giving them a person to talk to, and most importantly, giving them hope
that their tomorrow can be better than their today._
me
of the_ young people
. The young people I just met with in the roundtable remind
I work with in Nashville. Our young people across this country are all sending the· same
message: It's fine to tell us what we can't do. But you ~o need to show us what we can
do.
Let me tell you a quick story. When I first saw that the teen pregnancy rate in'the
U.S. was twice as high as that in Great Britain and ten times as high as that in Japan, I
was astounded." I went home to·my wife and .said, "How could this be? Why are young
wife looked at me
women here' getting pregnant, while-young women there are not?" My
.
and simply said, "Well, they must be doing something else."
.
And she's right. Thank you for giving the young people of DC something else to
do.
I would also like to welcome the people,who have j~ined us today-- all
hardworldng. advocates f~r· children; I know that I am among colleagues. Like me, you
'
have dedicated your lives to lifting our children out of a troubled present and helping
· them see a glorious future.
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· In this clty which has so:many problems, you are on the front lines every day -{
trying to come up with the solutions for those who are mo~t vulnerable.
I'm here to help you.
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WHYIWANTTOBESURGEONGENERAL
-~ your Surgeon General I will have multiple responsibilities-- but the health
needs of America's children will on~ of my largest priorities.
I have seen first hand, what poverty, negleet, abuse, and laCk of health care access
can do to a young person.' '
In crowded cities and in places you can't even find on a map --I have come face to
face With'reallife and death challenges.'
Low birthweight babies born to mothers not yet old enough to drive a car.'
/
Low income women in the rural south with no access 'to prenatal care and no one
but alay(midwif~ at their side at the timeofdelivery.
I kn_ow that these impediments not only stunt the groWth. of children, they
inevitably stunt the growth of this nation.
There is nothing more in the national self-interest than the protection and
(
- nurturin'g of our children.And I have devoted my entire career to this goal.
_)
From quality pre-natal care to adolesce~t health-- I have worked to ~uild clear
· pathways tQ ·healthy and productive adulthood.
For'almo~t four
.
,.
decades, as a teacher, as~ univer~ty leader, and as a practicing_
obstetrician/gyriecologis~. I have dedicated my entire profes~ionallife to reaching out to
those who are too often left behilld~ As a docto~,- I have deliberately chosen to work in_
places.where 'there areserio~~ healt~ problems but little health care .
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-In rural Alabama and_ inner-city Nashville, I served the people whom others had
-forgotten. The people who others neglected, l helped..
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�Let nie ·tell you something else -- so~ething I am ver}r proud of. I have never 01ice l
asked a woman who came to me for medical care if she had money or msurance befo~e I
. treated her. n·o you know why? Becaus'e
it wouldn't have mattered. I was going to treat
..
, her anyway.
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People ask me why I am so committed to this struggle to become the next Surgeon
General
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Because I have worked for. 38 years to come up with innovative solutions'to our · :~
. nation's most critical health care issues. And as your Surgeon General -- working with
you and all Americans -- I believe that I can turn the small ripples of success that you ·
and I have seen in our own commuruties into ,great waves of progress.
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Since the President announced his.intentionto nominate me for Surgeon General,
I ha;ve talked extensively about the teen pregnancy program I started in the N~hville ·
housing proje~ts caned "I Have a Future."
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But my interest in children begins With making sure that their mothers have
access to the best prenatal care possible. .
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MATERNALANDINFANTCAREPROGRAM
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.That was the purpose of the Maternity and Infant Care Program I headed at
Tuskegee Institute in the 1970s..
Twenty .years ago, rural Alabama suffered from extremely high levelsofinfant
mortalitr, coupled with a sh9rtage of doctors ..
Our pr()gram took a proactive approach.
We put together teams of doctors, nurses, social workers and nutritionists to work
in the rural communities-- to reach women, early in their pregnancies and ,identify those
' women with a high potential for coinpJications. '
Some ofthesewomen had never seen a doctor.
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We gave theni specialized attention throughoutthei! pregnancy and followirig the ·
birth of their children.
This program was recognized by the Robert Wood Johnson Foundation, which
aSked us to help replicate it across the nation: -
But prenatal care is only one step along the road to ensuring. the health of
children. - ·
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HIGH RISK-YOUTH ·PROGRAM
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My work in Alab.ama led to/anothe.r project, funded by the RobertWood.Johnson
Foundation, to increase health·care services for teenagers throughout the United States.
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·This initiative targeted young people between the ages of 15 and 24 who lived in '
areas characterized by high rates of teen pregnancy, violence, drug and alcohol abus~, .·
and mental illness.
Under my direction, comprehensive h~alth programs were developed to expand .
~ervices for young people in their own communities -- tO improve their health, and to
trirln doctors and nurses~ the specialized care ofhlgh risk youth.
Between 1982 and
1986, these programs
provided health servi~es to more th'an,
.
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300,000 young people.
In addition, formal training in adolescent care was·
given to
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hundreds of medi_cal students and -resident physicians.
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I HAVE A FUTURE
In working with young people o~er the years, I have obse~~d the truth of
· something Lady Bird Johnspn once said, "Children are likely to live up k what you ·
believe of them."
".:.
· That has been pro~en by the· "I Have-a Future" teen pregnancy reduction program:
. The preyention ofteen pregnancy is ~tical because we know that early pregnancy
is so often linked -- either ·as a cause or a consequence -- to violence, drug use, AIDs,
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poverty, welfare, and so many other negative ou~omes·.
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But if'\Ve
want t'o prevent
teen pregnancy,
we must offer-yol.lng people more than
.
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,
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most teen pregnancy. programs do. today. Too many programs simply offer contraception
-- but that is not enough ..
.
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.
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.
)
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We must offer the:m something more.-- enhanced s~lf-esteem~ quality education,'
and options for a productive futur~.
We must stress abstinence first and foremost and --: most important .;._ we must
give them reason~ to want to postpone early sexual activity. ·
And we must expect them to succeed.
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_Too many children t~day believe their future holds little for them except having
babies.
.For adolescents, that's a dead-end dream. and we've got to replace it with a dream
ofhope·and unlimited achievement.
That's the philosophy that imbues the "I Have a Future" program .
. Our program. is anchored~in Nashville's public housing projects, bringing
co~structive servic~s for teenagers into their communities and making them·a part of the
fabric' of everyday life. And we involve the entire community. · Everybody-- from
parents and grandparents to clergy and business leaders to volunteers and local
. government -- has a role to play..
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•
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And the program is working~
. Just last year, 24 of the program participants graduated from high schooL And 16
of these·young people are now in college, while_ four others joined the Armed Forces. And
. I would like to mention a very significant fact-- eight ofthe young people that went to
college were African American males. I Have A Future has shown a remarkable ability
to keep the inter_est of African American males, which make up 56% of our participants.
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And in 1989, the American MedicalAssociation awarded us their Adolescent
Health Award. ··Then, in 1991, we had the honor of being selected by President Btish as· .
one of ~erica's Thousand Points of Light.
This shows you ~hat one community can do when it m3kes teenage well-being a
· real priority -- and I know you are doing similar things in your commuriity.
.
.
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Together we can work to bring this type of suecessful,pro~am to communities
·across the·United States.
My life's work has been dedicated to making sure that y~ung people get a healthy .
start in life and continue to have access to quality health care throughout adulthood:·
Whether or not I become Surgeon General, those are the values that I hold dear
and those are the values that I will continue to wor'k for, for the rest of my life.
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George Washington Carver -- the renowned Tuskegee scientist -- once said, "How .
far you go in life depends on your being tender with the young, compassionate with the
aged; sympathetic with the ·striving, and tolerant of the weak and strong. B~cause someday in life you· will hp,ve been all of these."
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Unfortunately, that kind of wisdom is increasingly uncommon-~ especially ht
· ·. ,these days of"survival of the fittest" politics and "take no priso~ers" debate.
.
But it is the. kind of quiet Wisdom th:at still motivates most-Americans.
And it is t~ kind of wisdom that brings you all here.
I want to thank you for holding fast to your. dream of a compassionate and caring_
·America.
. , And I want to let you know, you are ~ot alone.
·Thank you:
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�04/20195
14:57
'5'202 690 6154
HHS CONT IMP PRG
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3
level, he saw me accepted to the University of Arkansas School of
Medicine.
Although I was the only African American student in my
class of 96 students, it clearly represented progress
nonetheless.
My parents taught and lived respect for law, hard work,
education and integrity.
I well recognize that the strong family
support infrastructure that was present in my family is absent in
far too many American homes today.
The "I Have A Future" program
with which I am sure you hold some familiarity and about which
you will inquire, is structured precisely to-provide an
environment where such values can be inculcated over time into
the youth we serve.
Now, as for my professional education, I finished high
school in
1950~
graduated
~n
That fall I entered Morehouse College and
1954.
That same year I was accepted and entered the
University of Arkansas School of Medicine·and graduated in
1958.~~~
~~
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I conducted an internship in Detroit, Michigan, at the Detroit
Receiving Hospital.
I then served 2 years in the Air Force on
edyA-'
active duty at the rank of captain as a medical officer stationed
at Larson Air Force Base, Washington.
From there I went to
Boston, Massachusetts and conducted a year of residency training
in general surgery.
Also, while stationed in Boston, voluntarily
I joined the Air Force Reserve unit at Hanscomb Field.
I
consider this or similar military background as invaluable for
the role of surgeon General.
�DR. HENRY FOSTER: Questions and Answers
Page2
CREDIBILITY
CHARGE:
I'm concerned about the credibility of Dr. Foster and the White House.
Different numbers have been tossed around, incorrect information was
sent up to the Senate, there seems to have been an intent to deceive.
Credibility is the real issue to me.
RESPONSE:
There was absolutely no intent to deceive. Dr. Foster answered an
initial question about the number of abortions he had performed by
relying on his memory, without reviewing his entire record, and this
as certainly a mistake. But to suggest that he deliberately lied
about that record is outrageous and unfair. Dr. Foster is an honest
physician and academic with a distinguished 38 year record of
service. He was appointed to the Ethics Advisory Board for President
Carter's Secretary of Health and is currently serving his second term
on the Ethics Committee of the Nashville Academy of Medicine.
L-oce""'""'7'7-
The issue here is not "credibility" and the debate is not about
numbers. The issue is the qualification of one of the nation's leading
physicians to be Surgeon General and his support of a woman's right
to choose. "Credibility" is a smoke screen -- thrown up by those who
want to avoid taking a public stand on the abortion issue, but
nonetheless want to destroy this nomination. And they make no
bones about their strategy of diversion. The Republican Speaker of
the House has openly advised his party to "never touch" the issues at
hand-- specifically, abortion-- and keep trying to make this
important debate about "dishonesty."
The real issues here are the outstanding qualifications of this
nominee to serve as Surgeon General and the right of all American
women to choose. Let those who would oppose Dr. Foster take on
these issues honestly and publicly state their positions, rather than
hiding behind the credibility smokescreen. If they refuse, their
credibility becomes the issue.
ABORTION
CHARGE:
Dr. Foster advocates the use of abortion as a means of contraception.
RESPONSE:
Dr. Foster has never advocated that abortion be used in place of
contraception. In fact, Dr. Foster has repeatedly expressed his
concern about the increased reliance on abortion over birth control
measures. H:e'l),elieves a.bortion should be safe, legal, and rare.
[continue~],.·: · ·
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�DR. HENRY w. FOSTER, JR ..
'VISIT TO. CIDLDREN'S HOSPITAL
Remarks
I
· • It is a privilege to be here today and to have this opportunity to add.ress
· 'you alL ·
·
·
• . I would like to welcome my former students from Meharry Medical
College. Many t~es in over 20 years of teaching, I have looked out over a .. .
· lecture hall and 'Seen these faces. These people. were my family -- we
worked together and learned together for four years, and. have been .;
friends for many years since they gr~duated. They have gone on to serve ·
. their communities arid their society·· as all of you residents here at ·
Children's Hospital someday will. No doubt they ~ill have ~eard what I'm
going to say today many, many times.
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• I have been an educator for 21years. In 1973, I was asked to chrur the
Department of Ob/Gyn at Meharry Medical College in Nashville,
Tennessee. I was chosen by the selection committee for a very .specific
reason. Because I was determined -- as I had been in Alabama ·- that the .
. , doctors who worked with me would not be separate from the communities·
they served, estranged from the corb.m unities they served, or above the :
corhm unities they s'erved. I wanted myself and my doctors to be part of
.the fabric of' the community itself-- irivolved in its daily tasks and its
· future hopes, in its dreams and aspirations.
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• And, for over two decades;. I have helped train hQ.ndreds of America's
. finest medical practitioners at Mehari:y. I stood·up in front of class after
. class· of young residents like you. And I told them all the same thing.
• I told my students that America·has the finest health care system in the
. world. The. best technology, the best facilities; the best training.. But
there were places all across this great country that. did not have any ·never mind the best-- they did not have anydoctors.· I told them it was
their role-- as healers and educators.,. to seek out these.places and serve .·
those people.
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. • I told my students th~t Medicine is both a Scie~ce and an Art. You will
.· \. have plenty of people instruct you as to the Science' of Medicine. I want to
. tell you about the Art <;>fMedicine.
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• I told my students that they must care. Science .is empty without caring.·
I know Y.OU are all going to pass your boai-ds -• but that is not enough to.
make you a good .doctor.
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. • I told my students that they must engage ·any activity they do with
. intelligence, energy, and integrity. That's how you make it through life. .
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• Before I begiD. my slide presentation, I would just like to make one final
point. It is no aceide~t that I am an educator -- by practice and by
preference -- and that the President has asked me to be Surgeon General.
The role of Surgeon General .;_ a role criticilly important to our nation --·is
that of an educator. Toeducate the American people about positive health
·· activities to embrace, preventive health measures to adopt, and negative
· health measures to ~void. But in a sense it is what we do every day in our
practice and in our teaching.
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• It is trying to use sdence to heal and to educate -- and to provide our
communities and our society. with ~he care they need when they need it. -·
. The Surgeon General~s responsibility is to do this froni the ·highest office.
But it is also what all of you will do when you finish your training and
serVe t4e world. as doctors. And it is what
my former
students
practice
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every day.
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• This is a very exciting time. Our challenges are great, but so are our
· opportunities. In America, we ~e free to make our country as good in
pra_ctice as in promise, and I believe that working together we can do that.
• Now I'd like to turn to the sUdes.
[Slide presentation-- Ann. Walker] ·
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�-_:>···nR. HENRYW. FOSTER, JR.
VISIT TO CHILDREN'S HOSPITAL
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. · Talking Points.
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• Privilege to have opportunity to address you
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• Welcome 'former students from Meharry Medical College
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\ • I have been an educator for 21 yea!!S. rtold all my students .
the samething. · . •. · ·
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1. Their role -- as healers and educators -- is to seek.out
', . those places with few doctors and serve those people.
2.
MeQ.icine is as much an Art as a.Science
3.
Most important thing is to care
4.
Engage any activity with intelligence, energy and'
integrity
• The role of Surgeon General is that ofari educator..
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• But, in a sense ';that is 'what my former students do every .
.day-- and what you ~will do when you graduate. ··
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• Now I'd like to turn to the slides .
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· Dr. Henry· Foster
, Statement at First Baptist Churth Capitol Hill
Sunday, February 26, 1995
Nashville, TN
My fellow brothers and sisters.- I cannot tell you how glad we are to be home with you this
.
.
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- weekend. You have been our family and our friends since Sandy and I first arrived here in Nashville 22 years ago. When I'm here, I don't have to explwn who Henry Foster is and
what he has done. You know who. I am and what I believe in.
• As you know, I've been in Washington and the past few weeks have
riot been easy weeks.
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~ut we have felt your strong support
and have been strengthened by your thoughts and your -
prayers. I- want to thank you f{om the 'bottom of my heart for praying for us· and encouraging
us -- and yes, defending us. -
I want to tell you, my friends, that I believe .in what I have done with my life. I believe in _
helping to bring healthy babie~ in this world: it is one of the greatest miracles a person can
- experience. I have trained many young men and women to be doctors.
I have encouraged
them to serve
rural communities and inner-city neighborhoods
that have_too -many health
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problems and too little health care. I believe in the work we have done together as a
community to- delay teen pregnancy -- not ju'st by telling our young people what they cannot
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do', but by showing them what they can do. They can make other choices. They can get an
education. They can have a future. We have worked hand in hand on this and I believe in
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�what we've done.
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I ask for your help and prayers with me again to fight this lat~st attack from the right wing··.
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extremists that are using my nomination to aehieve their radical goals. They have used
distortion after distortion in the.past weeks. You've heard
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But the most recent charge --.that i,
them~
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a young black doctor in Tuskegee, Alabama,
knowingly cooperated with ·the most cruel and inhumane experiment ever undertaken by our
federal government is outrageous. It is offensive. It is dead wrong, and it is without
substance.
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To ser:ve my community, I was PI:esident of the Ma<;on Count}' Medic.al Society in 1972.
When I first learned that the federal government was conducting experiments on poor black
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men ~-without their knowledge and without providing treatment --.I ~as fUrious. I
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immediately called the medical society. together with the purpose of trying to· identify the men
· from whom the treatment had been witheld. We demanded that immediate treatment be
carried· out for these men.
But these radical groups would like you to believe something different --something other
than the truth. Let me tell you the. truth.
I am a doctor. I. went to Alabama-- rather tha:n st~ying in Seattle, where I had been stationed
as an Airf01:ce Officer -- because I wanted to improve tpe medical care of p'oor people in the
�{
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rural South.
., 'l arrived in Tuskegee whe~ there was virtually no such thing as pre:-natal care and maternal
~ant mortality. was· overwhelming for blac~ the only OB/GYN, for miles aroun~ I.
was working night' ~d day.-- as a young doctor· __. to improve the health care of the women·
and children, by establishing a system to improve access to health care.
Whywould I have tumeq my back on the very.people I·had come to serve? What would I
. have gained? And how dare these groups 1:ise r:e? I was serrng the people ofTuskegee
--What were they doing? Who· were they servfng?f
All I ask is that I be allowed
to~
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tell the truth of who I am, what I have done, and what I
:, . I
believe. And I ask that I be judged by the actions I have taken and
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th~ goals I have pursued
•
throughout my entire life.
And all I ask of y~u, my brothers and sisters, Is that you pray .;.~·as the Bible says -- that I
I·
continue. to bear with courage that which comes to me.
~gain
Sandy and I thank you so very much.
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�------------------.--.I- - - - - - - - - c - - - , - - - -
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DR. HENRY FOSTER
NOMINEE FOR U.S. SURGEON GENERAL
ANNUAL CONVE/fTION
OF THE
.NATIONAL NEWSPAPER PUBLISHERS ASSOCIATION,
Washington, D. C.
. March 16,. 1995 ·
�\
Thank you, Mr.· Page (Francis Page, Sr., publisher of the Houston News) for that
gracious introduction.
You know, I've always felt a kinship with the press-- even before you all started
/
camping on my doorstep and recording my every move.
But seriously .... : I've always had a special place in my heart for fPur noble
profession. It may be genetic: my son earned his undergraduate degree at ·
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Northwestern University's Medill School of Journalism, and my dad, a science
teacher, was an avid newspaper reader.
In fact, one of iny chores as. a young boy in. Pine Bluff, Arkansas,· was .to go down tO
the People's comer drug store to pick up the· latest editions of the Pittsburgh
Courier and ·the Chicago Defender, tWo of the great black newspape~s.
Like most kids,'! spent a portion ofmy allowance on comic books.
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But it was
your newspapers
that I brought home, for it was the newspapers
that
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were required reading
in our household. My father insisted.
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Looking back, I now understand why my Dad was so vehement that we read these.
·papers. You really have to look no further than the slogan of the National.
· Newspaper Publishers Association':'- "Lighting the Road to Freedom."·
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The Chicago Deferuier was "lighting the road to freedom~·- when it taught this young
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son of the segregated south about successful role models like Congressm~ Bill
Dawson.
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The Pf,ttsburgh Courier was "lighting the road to freedom" when it reinforced that
African Americans had a his~ry and culture that were worthy of respect.. ·
Now, every day, in every comer of this country, IQ1l are ''lighting the roa~ to
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freedom" when you chronicle the on-gomg struggie of all people to achieve equal
opportunity in our society.
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I say without reservation 'that lessons learned from your news chronicles were
pivotal i.p.helping to pre~are me·for the rigor ofinedical school in the deep south. I:
was the only black student in a class of 96. I was just 20 years old when admitted
to the University of Arkansa.S•. ·
Now, I can~t tell you how proud.I am to be nomin~ted to_ be Surgeon Qeneral by
President Clinton, whose Administration is committed to making sure all
Americans-- no matter what their income, no matter where they live, no.matter
what their race or religion -- have a~ess to the best health care this great country
has to offer.
As your Surgeon General, I Will do my part to raiSe the health status of all ·
American~ -- especially those who for too long have not gotten the healt~ care they
·need.
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It's a big job, but with your help 'I can succeed. Let's begin by defining the job.
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About
the only thing that is misunderstOod more than Henry: Foster is the role of .
the U.S.. Surgeon General.
The Surgeon General is-~ first and foremost-~ an educator. ·He ors)le has a bully
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pulpit 'to teach the. nation about health promotion and disease prevention.
The position was first established in 1871. And the first ·surgeon General, John
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Maynard. Woodworth was a former medical officer-- hence the uniform.
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And maybe Woodworth understood something we've all come. to know -- peop~e tend ·
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to listen abit more closely to someone who;s wearing a military uniform. _I know -·\_
I've b'eenan active-duty-military officer.
It was Surgeon General Luther Terry who issued the first Surgeon General's Rep-ort
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on S~oking-and Health back in 1964-- which boldly and correctly ~ed cigarette·
--smoking to lung cance~.
And it was Surgeon General C. Everett Koop, who wrote -the report on AIDS that _
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was mailed to every household~ the United States in a major effort to educate the
public about how to protect themselves from this deadly disease.
Let me repeat, the role of the Surgeon General -- fust and foremost -· is to educate
- and to advocate. -
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' As.newsj>aper publlshers, all of y~u,understand the purpose and the power of that
role .
. By temperament and training, I am a teacher. In addition to being a doctor for 38
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·years,. I have rtm a major health sciences center, comprised of four schools:
medicine, dentistry, allied health, and graduate studies.
As chair of the Department of Oblgyn at Mel?-a.rrY Medical College, I taught
· hundreds of young men and women wh~ went on to become some of the nation's
·finest doctors. At M~hai-ry, we encourage our medical students to seek ou,t' those
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areas where health needs are high and resources lo~. All Americans deserve the
best doctors available, and we tell our studentsJthat it is the highest calling_ of the
medical
profession to serve those whom others may have
forgotten.
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· . I have done this. For most of my career, I have gone where few others dared to go -.. from the dusty back roads of Alabama to the low-income housing projects of
Nashville.
And I have gone inti> underserved areas and challenged local teaching hospitals to·
expand services and the training of health care professionals.·
But, of all the 'things I've done, nothing has given rile a greater sense of pride and
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accomplishment than delivering thousands of healthy babies into the .world.' .
In short, I hav~ dedicated my entire professional care~r to bringing healthy lives,
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into this world -- and teaching people how to reach their full potential.
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So when people a8k me why I-want tO be Surgeon (}eneral, I have a strong _and
' ready ~swer~ ·When you had the good fo~e-.to partiCipate in the miracle of birth
as many tinies as I have, it is difficult ~ stand on the sidelines and watch so many
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people wasting the precious gift of life.;.
. It is diffi~ult .to look around An;l_erica .today and see so much needless suffering · ·
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because of a lack
of knowledge
about prevention. ...
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or a lack of access and utilization of qualitY health care ...
or the lack·ofthose basic values that prevent violence or abuse from takingroot.
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It is especially difficult as an African American physician to see the disparities in
. health s~atus in this country. What kind of health care you. get depends too often
ori whether you are rich or p·oor,_ urban or rural, black or_ white. We all know the
statistics with regard'to our own comm·uruty:
· Forty percent of African American and HispaDic women receive no prenatal care in
the first trimester. Black infant mortality is more than double the rate of white '
babies.
conSequences of these
compromised
beginnings
were.. starkly painted recently
The
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by the Children's Defense Fund in what it called "a continuing portrait of
· inequalityi': . ·
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�Compared with white children, black children are tWice as likely to be hom to a
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teenage mother...
four times as likely to die of AIDS ...
nine times as. likely tO be the teenage victim of a homicide.
This is an American scandal, but
-· let us be
clear ... it is also an African American
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, scandal. We cannot play helple~s_victim. We must educate and empower our
people_ to take responsibility for their own health and well-being.
Let me tell you rhow we did this in Tuskegee, Alabama. '
·That's right: TUskegee, Alabama. ·
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·This is the Tuskegee story about Hell:lY Foster that remains yet to. be told.
I founded a Maternal and Infant Care Program at Tuskegee to give poor wom~n in
rur31 Alabama something they had gone ~thout fur tOo long -- pr~·natal care. ·.
I Chose to go to_ Tuskegee l:>ecause' that region ··suffered from extremely high levels of
infant and maternal mortality, but had very few health care providers.
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-We took a proactive approach. We put together teams of doctors, nurses, dentists,
. ( social workers and nutritionists. We sent them out from Tuskegee on buses •• to go·
.tO the women who.couldn't come to us.
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Many of these women had
never, ever, seen
a doctor.
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We identmed particularly high-risk wo~en and gave them special attention early
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in their pregnancies and after
the birth of their children. -- which took place at
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· Tuskegee's John Andrew Hospital.
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And y~u know what happened? Maternal health unproved; infant mortality wen~
down~
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~ This ~rogram was r~ognized by the· RObert Wood Johnson Foundatio~, which
'. asked us to help replicate it on
~
national scale.· ·
,
Now that's the Tuskegee story.
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But pre-natal care iS only one step along the road to ensuring the health of
children~
After I left Tuskegee to go ~o Meharty, the Robert Woods· Johnson Foundation'
.asked me to direct their High Risk Youth Program -- an initiative to increase health
senices to teenagers across the United States~
The High-Risk Youth Program targeted young peop~e between the ages of 15 and 24
\
who lived in areas characterized by high rates of teen pregnancy, violence, drug and
·alcohol abuse; and niental.illness .
. Under my direction, comprehensive health programs were developed in 18 cities to
expand health services·for young people in their own communities and tO train
doctors and nurses in the specialized care ofhigh-risk youth.
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Between 1982 and 1986, these programs provided hea}th services to more than
300,000 young people. In, addition, formal training in adolescent care was given to
h\mdreds of medical students and resident physicians.
Thus, my Maternal and Infant Care program helped give our children a good
beginning~
My High Risk Youth Program helped give our children ·a healthy adolescence.
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But I also wanted to help give our children a successful future.
· Hence --·my "Point of Light": \The "I Have a Future" teen-pregnancy prevention
program I started at Meharry:
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why is fighting teen pregnancy ~o critical? Because we know that early pregnancy ·
is so ofte~ linked -- either as a cause' or· consequence -- to violence, early drug use,
excessive alcohol use, HIV/AIDS, poverty and welfare.
Anchored in ·Nashville's public housing projects, this program brings services for
their commuiJ.ities,
where they become a part of .the fabric of. their
teenagers into
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daily lives.
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And we invol~e the entire community. Everybody:-- from parents and grandparents
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to clergy and business leaders to volunteers and local govelnm.ent. Each has a role
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to play.
R~grettably, too many children today believe their future hol~·little for them
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excei?t having babies.
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For adolescents, that's a dead-end dream and we have gQt to replace it with adream _
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of hope and unlimited achievement.- That's what_"l Have a Future" is all about ..
Having a future.
We stress abstinence-- first and foremost. For thos~ who don't heed our advice, we ·_
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· offer contraceptives. It would be irresponsible not _to. Bu~ -- most important -- we
give young people reasons to want to postpone early sexual activity. We try to
imbue our young people with the self-esteem and. seJt.respect and life options that ·
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they need to, say. "no" to sex and "yes" to their education and futUres.
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And it's working. We h·ave fewer teen mothers and more high school graduates.
Just last year, 24 of the
program participants graduated
from high schoot And 16
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of these young people are now in college, while four others joined the Armed Forces.
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And I would like to mention a very, very significant fact -- eight of these young
people that are in college are African. Ainerican males. I Have a Fu~e- has shown
a remarkable ability to keep the interest of African Americ~ males, who make up
56% of our program participants.
·_ And
mrr approach to preventing teen pregnancy was honored by President George
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'Bush -- who chose "I Have A Future" tO be one of this nation's "Thousand Points _of.
Light" in 199'1.
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I believe that the same thing can be done in communities allacross this nation.-
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Sin~e the President as~ed me to take on the job of Surgeon General, I have been in . "
the fight of my life. I am standing strong --
~d
I appreciate the strong support of
the Presid.ent.
One thing I know -- my.fight is no tougher than the one
I'm asking all of you to join:
That's the fight tC> improve the health of all Americans and to work together to give
our young people a future.
Join me, and together let us "light the road to freedom" for all Americans. Freedom
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from illegal drugs ......Freedom from unwanted pregnancies ......Freedom from
preventable disease and Violence.
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Join me, and together let us work to equalize the health status of all Americans .
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·Your credo says it all. "The Black Press· strives to,help every person' in the firm
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belief that all are hurt
a8 long as anyone is held
back."
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.,Keep ligh#ng that road to freedom.
It's a long road; it's an iuduous road, but in the en'd, it's our only road.
· . Thank you, arid God bless you all.
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�February ·2, 1995
\
Statement
Surgeon
~neral
\. ·
Pesiqnate
Henry w~- .Foster,
Jr.
· First, I wish .to express .•Y appreciation to you, Mr. President
for this opportunity to work on behalf of the American people. {
•.
In many ways, health care in America is a paradox; we hold some
of the world's greatest expertise in health interventions.
People come from around the globe to be' the beneficiaries of this
care.
Yet, in terms of health care outcomes,· we don't do·near::J.y
as well as we should as a nation.
{
As an obstetricianfqynecoloqist, I 1can speak directly to the
.i~sue
of infant mortality, where the
list among western' nations.
u.s.
ranks well down the
_In my view, you can judge the
character of a nation by the manner in which it treats its
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elderly and its children.
compromised beg inning.
There is nothingmore stifling than a
We must assure heal thie.r starts in the
lives of ouz:·children.
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Another 'of my special
\c'oncerns is the epidemic of adolescent
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. pregnancies. . We have the highest teen preqnanq rate in the .
western world -- twice that of the nearest wes~ern nation.
Be
assured, this_is a problem that cuts acros£S·all socio-economic
strata.
There are, however,. demonstrated ways that this problem
can be mitigated.·
I
It takes commitment and lots of hard work, but it is bein9 done.
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As you have
beard,
the "I Have a Future" program
is making a
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difference in Nashvillebecause it has brought together a
concern~d .comm~i ty that'• s willing to put in the time and effort
to tackle the many roots of the teen'age pregnancy pr~blem.
As
your Surge9n General, this ·issue will be among my highes.t
priorities.
I will also put tremendous· emphasis on other pressing health
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issues for which prevention can be very effective-- issues such
as
~IDS
In
closing~
and _tobacco consumption, especially among our children. ·
let me
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to you . President Clinton, Secretary
Shalala, Assistant Secretary for Health, Dr. Phil Lee and all
.others for whom I will work, I know that together we can
demystify and confront the root causes of teen pregnancy, low
birth weight, illicit drug use, and_the myriad of other-health
issues with· which we .will grapple in the .coming year·s.
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Lastly, I wish again to ,say thanks t,o ·my wife, daughter anc:l son
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who have sup:Ported me so stoutly in all of my professional and
personal endeavors. ,
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Thank you very much.
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�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. resume
SUBJECT/TITLE
DATE
Curriculum Vitae of Henry Wendell Foster, Jr. (partial) (1 page)
nd
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
Speechwriting
Terry Edmonds
ONBox Number:
I 0982
FOLDER TITLE:
6-22-95 Dr. Henry Foster Statement (and op-ed) Edison, NJ [3]
2006-0462-F
ry614
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�CURRICULUM VITAE
Henry Wendell Foster, Jr., M.D., D.Sc.{Hon.)
GENERAL INFORMATION
Birth Date
Birth Place
~~~~#:,: (b)(6)
:1
Pine Bluff, Arkansas
Marriage
St. Clair Anderson (1960)
Children
Myrna Faye (Born 1962)
Wendell, III (Born 1964)
Home Address
Office Address
Association of Academic Health
Centers
Suite 410
1400 sixteenth Street, NW
Washington, DC 20036
Phone Numbers
202[265-9600;
l•t~~~~)"~-J
2027265-7514;
615-299-0188
Facsimile Numbers
202/690-8204 (work)
(home)
202/690-6154 (work)
(home)
Social Security Number
EDUCATION AND TRAINING
Elementary and Secondary
. College
The Laboratory Schools
University of Arkansas at Pine
Bluff (formerly AM&N College)
High School Diploma, 1950
Morehouse College
Atlanta, Georgia ·
B.S. Degree, 1954
Medical School
University of Arkansas
School of Medicine
Little Rock, Arkansas
M.D. Degree, 1958
Internship
Detroit Receiving Hospital
Wayne State University
Detroit, Michigan, 1958-1959
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EDUCATION AND TRAINING (Continued)
Residency
Malden Hospital
Malden, Massachusetts
General Surgery, 1961-1962
George W. Hubbard Hospital
Nashville, Tennessee
Obstetrics and Gynecology, 1962-1965
Military Experience
Captain, U.S. Air Force (USAF)
Medical Officer
Larson Air Force Base
Moses Lake, Washington 1959-1961
and
Active Reserves (USAF)
Hanscom Field
Boston, Massachusetts 1961-1962
LICENSURE
Arkansas
Alabama
California
Tennessee - No. MD8133
(Active)
PRESENT POSITION
Nominee for U.S. Surgeon General by President William
Clinton, February 2, 1995
Consultant, (non-compensated) Department of Health
and Human Services, March 19, 1995 --Present
Senior Scholar-in-Residence
Association of Academic Health Centers
July 1, 1994 - June 30, 1995 (sabbatical leave)
Professor
Department of Obstetrics & Gynecology
Meharry Medical College
July 1973 - Present
Clinical Professor
Department of Obstetrics and Gynecology
Vanderbilt University
Nashville, Tennessee - 1975 - Present
�-3-
PAST POSITIONS
Acting President
Meharry Medical College
October 1993 - June 30, 1994
Dean, School of Medicine &
Vice President for Health Services
Meharry Medical College - 1990 - 1993
Professor and Chairman
Department of Obstetrics and Gynecology
Meharry Medical College - 1973-1990
Chief, Obstetrics and Gynecology
John A. Andrew Memorial Hospital
Tuskegee Institute, Alabama - 1965-1973
and
Director, Maternity and Infant Care Project #556
Tuskegee Institute, Alabama - 1970-1973
INSTITUTIONAL APPOINTMENTS
Chairman, Advisory Committee, Institutional Self-Study
Southern Association of Colleges and Schools (SACS) - 1975
Chairman, Board of Directors, Meharry Medical Group, P.C.
(Institution's Practice Plan) - 1985-88
Chairman, Institution's Budget Committee - 1989 and 1990
Special Assistant to the President for Hospital Merger Planning
and Development - 1989-1990
HOSPITAL APPOINTMENTS
Chief, Obstetrics and Gynecology
Larson Air Force Base
Moses Lake, Washington - 1959-1961
Chief, Obstetrics and Gynecology (1973-1990)
George W. Hubbard Hospital of
Meharry Medical College
Nashville, Tennessee - Active Staff
Vanderbilt University Hospital
Nashville, Tennessee - Active Staff - 1975-1994
�-4-
HOSPITAL APPOINTMENTS (Continued)
Metropolitan Nashville General Hospital
Nashville, Tennessee - Active Staff - 1975-1994
Baptist Hospital
Nashville, Tennessee - Courtesy Staff - 1980-1994
Veterans Administration Hospital
Murfreesboro, Tennessee - Consultant - 1981-Present
Blanchfield Army Hospital
Fort Campbell, Kentucky - Consultant - 1984-Present
MEDICAL SOCIETY MEMBERSHIPS
Local and Regional
Macon County (Tuskegee, Alabama) Medical Society - 1966-1973
Past President - 1971-1973
R.F. Boyd Medical Society - 1973-Present
Treasurer - 1974-1994
Volunteer State Medical Society - 1973-Present
Nashville Academy of Medicine - 1974-Present
Ethics Committee - 1985-Present
Alternate Delegate, Tennessee Medical Association - 1989, 1991
Nashville-Davidson County Obstetrical
and Gynecological Society - 1975-Present
Past President - 1984-85
Tennessee Medical Association - 1975-Present
OTHER PROFESSIONAL MEMBERSHIPS AND ACTIVITIES (PAST AND PRESENT)
Local and Regional
Private Resources Advisory Committee, Office of Economic
Opportunity (OEO) Regional - 1968-1970
Past Chairman - 1969
Alabama Advisory Council for Comprehensive Health Planning
1970-1973
�-5-
OTHER PROFESSIONAL MEMBERSHIPS AND ACTIVITIES (PAST AND PRESENT)
Local and Regional - (continued)
Tuskegee Area Health Education Center
Advisory Board - 1971-1973
Southeastern Regional Council on the Development of Nurse
Midwifery - 1971-1973
Southern Perinatal Association, Advisory Board - 1973-1975
Planned Parenthood Affiliate of Nashville
and Middle Tennessee - 1973-Present
Leadership Nashville, Civic Improvement Program - 1974-1975
Program Committee - 1984; Selection Committee - 1988;
Alumni Member - 1975-Present
Tennessee Public Health Association - 1975-Present
March of Dimes Birth Defects Foundation
Music City Chapter - 1975-Present;
Medical Advisor - 1988-1991; Executive Committee - 1988-1992;
Nominating Committee - 1988;
Health Professional Advisory Committee Chairman - 1991
Meharry Medical Group (Institutional Medical Practice Plan)
Member - 1975-Present
Board of Directors - 1975-1990; Past Chairman and Vice
Chairman - 1985-1988
Center for Fertility and Reproductive Research, Advisory Board,
Vanderbilt University Medical Center - 1986-1991
Tennessee State University, Advisory Board, Medical
Records Administration - 1981-1984
Tennessee Primary Managed Care Network (formerly Tennessee
Primary Care Network), Medical Advisory Board - 1981-1984
Cumberland Museum Health Hall, Task Force Committee on the
Human Growth and Development - 1982-1984
Council of Community Services, Board of Directors - 1982-1985
Tennessee Department of Public Health, Perinatal Advisory
Committee - 1983-1986
Task Force on Genetics - 1985
Metropolitan Richland Village, Advisory Committee - 1986-Present
University School of Nashville, Board of Directors - 1987-Present
�-----------------------------------~----
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OTHER PROFESSIONAL MEMBERSHIPS AND ACTIVITIES (PAST AND PRESENT)
Local and Regional (continued)
Governor's Task Force on Healthy Children; Chairman
Subcommittee on Nonwhite Infant Mortality - 1987-1988
Maternal and Child Health Medicaid Advisory Committee - 1988-1991
WDCN Nashville, Telecommunications Advisory Board - 1989-Present
Young Women's Christian Association (YWCA), Advisory Committee,
Nashville Chapter - 1992-Present
Success by Six - A Family Life Enhancement Community Intervention
1992-Present
American Cancer Society, Board of Directors
Nashville Chapter - 1993-Present
Partnership 2000 - A City Planning Project for the Year 2000 and
Beyond - 1993-Present
100 Black Men of Middle Tennessee, Inc. - 1994-Present
OTHER PROFESSIONAL MEMBERSHIPS AND ACTIVITIES (PAST AND PRESENT)
National
National Medical Association, Obstetrics and Gynecology Section 1965-Present; Executive Committee Chairman 1975-1978; Committee
Member 1975-1991; Committee on Maternal and Child Health Council
1988-1'991
American Board of Obstetrics and Gynecology Diplomate - 1967Present; Examiner - 1976-1980
American College of Obstetricians and Gynecologists Fellow 1970-Present; Committee on Education in Family Life - 1973-1977;
Task Force on Public Image - 1979; Task Force on Ambulatory
Reproductive Health Care - 1981; Task Force on National Maternal
Health Policy Member - 1985; Education Commission, Vice
Chairman - 1991-1994; ACOG/ORTHOAcademic Training Award
Committee, Chairman 1994
Institute of Medicine of the National Academy of Sciences,
Elected to Membership 1972; Steering Committee, Study of
Legalized Abortion and the Public Health 1975; Program Committee
1987; Council Member, 1991-Present; Planning Committee Chairman,
"Communicating Health Promotion, Disease Prevention to
Underrepresented Minorities" - 1991
---
�-7-
OTHER PROFESSIONAL MEMBERSHIPS AND ACTIVITIES (PAST AND PRESENT)
National (continued)
Robert Wood Johnson Foundation, Advisory Committ~e
Memberships-Program to Regionalize Perinatal Health Services,
1972-1976; Rural Infant Care Program, 1980-1983; Program to
Consolidate Health Services for High-Risk Young People
(Director) 1981-1986; The School-Based Adolescent Health Care
Program, Technical Review Committee, 1991-Present; Clinical
Scholars Program, Advisory Committee - 1992-Present
The Alan Guttmacher Institute, Board of Directors
Nominating Committee - 1975
- 1974-1977;
March of Dimes Birth Defects Foundation
Medical Service Advisory Committee - 1979-1981
Planned Parenthood Federation of America, Board of Directors 1975-1981; Executive Committee - 1978-1981; Community Affairs
Committee - 1977-1980; Chairman, Nominating Committee - 1979
American Medical Association - 1975-Present
Nomination Committee, Section on Medical Schools - 1985
Southern Medical Association - 1977-Present
American Fertility Society - 1978-Present
Academic Medicine (formerly Journal of Medical Education for the
Association of American Medical Colleges [AAMC]), Editorial Board
Member - 1978-1981
National Board of Medical Examiners, OB-GYN Test Committee 1978-1981
Department of Health, Education and Welfare, Ethics Advisory
Board for the Secretary - 1979-1981
Council on Resident Education in Obstetrics and Gynecology
(CREOG) , Council Member - 1979-1985
Accreditation Council for Graduate Medical Education (ACGME)
Residency Review for Obstetrics and Gynecology, Specialist
Site Visitor 1981
American Association of University Professors - 1980-Present
Armed Forces Institute of Pathology, Obstetrics and Gynecology,
Advisory Committee - 1983-1986
Food and Drug Administration, Fertility and Maternal Health Drug
Advisory Committee - 1983 - 1986
�-8-
OTHER PROFESSIONAL MEMBERSHIPS AND ACTIVITIES (Continued)
National (Continued)
Maternal and Child Health, Department of Health and Human
Services, Public Health Service, National Institutes of Health;
Member of Board, Member of Research Committee - 1984-1987
Association of Professors of Gynecology and Obstetrics (APGO)
Undergraduate Medical Education Committee - 1985-Present;
President - 1993-1994
GLAXO Pathway Evaluation Program Advisory Board - 1990-1993
Pathfinder International, Member, Board of Directors - 1990Present
National Advisory Child Health and Human Development Council,
National Institutes of Health - 1991-1994
BOARD CERTIFICATION
1967 - Certified, American Board of Obstetrics & Gynecology
1979 - Recertified, American Board of Obstetrics & Gynecology
1989 - Recertified, American Board of Obstetrics & Gynecology
HONORS, AWARDS
1958 - Alpha Omega Alpha
1958 - Scholastic Achievement Award, Little Rock Alumni Chapter,
Kappa Alpha Psi Fraternity
1976 - One of Meharry's 100 Most Valuable Employees Award
1977 - Professional Achievement Award, Kappa Chapter Kappa
Alpha Psi Fraternity
1978 - Dean's Special Recognition Award, University of Arkansas
1980 - Appreciation Award for Research and Teaching in Sickle
Cell Anemia, Sisters United Social andService Club,
Tuskegee Institute, Alabama
1982 - Man of the Year, Music City Chapter, March of Dimes
Birth Defects Foundation
1983 - Who's Who in America, Forty-Third Edition
1988 - First White House Initiative pn Historically Black
Colleges and Universities Faculty Award for Excellence in
Science and Technology
�-9-
HONORS, AWARDS (Continued)
1993 - Meritorious Service Award, Mayor's Office of Drug Policy Nashville, Tennessee
1993 - "BOSS OF THE YEAR" Award, Meharry Association of Office
Personnel
1993 - Honorary degree, Doctor of Science, Conferred by the.
University of Arkansas for Medical Sciences
1993 - National Medical Association, Obstetrics and Gynecology
Scientific Assembly, "Physician, Teacher and Scholar
Award"
1993 - Invitee, The Clinton's Health Security Act Kick-off
The White House
1995 - NAACP Image Award, Nashville, Tennessee
1995 - Bluff City Physician Recognition Award
Memphis, Tennessee
RESEARCH ACTIVITIES
1967 -
Electron Microscopic Findings in Placentas of Sickle Cell
Anemia Patients.
Carver Research Foundation, Tuskegee
Institute, Alabama
1968 -
A Study of Some Factors Associated with Nutrition Related Diseases Among Rural Low Income Families.
Department of Home Economics and Food Administration,
Tuskegee Institute, Alabama
1968 -
A Study of Relationships Among Food Intake and Toxemia of
Pregnancy, Department of Home Economics and Food
Administration, Tuskegee Institute, Alabama
1970 -
Enzyme Activity and Placental Gluconeogenesis as
Indicators of Intrauterine Fetal Nutrition, Department of
Home Economics and Food Administration, Tuskegee
Institute, Alabama
1973 -
Gestational Variation of Amniotic Fluid Phospholipids,
Departments of Obstetrics and Gynecology and
Biochemistry, Meharry Medical College
1976 -
Phosphoenolpyruvate Carboxy Kinase Activity in Human
Amniotic Fluid, Department of Obstetrics and Gynecology,
Meharry Medical College
�-10RESEARCH ACTIVITIES (Continued)
1979-
(15S)-15-Methyl Prostaglandin Clinical Research Trials,
Principal Investigator, The Upjohn Company, Meharry
Medical College
1980 -
Study of Lipids in Human Amnion and Chorion, Department
of Obstetrics and Gynecology, Meharry Medical College
1986 -
Alcohol and Substance Abuse in Pregnancy (ASAP) Program
1987 -
"I Have A Future" Teenage Pregnancy Reduction Program,
Clinical Research Demonstration P~oject
1989 -
Perinatal Outcome in the Meharry Cohort - Longitudinal
Epidemiological Study of Low Birthweight
PUBLICATIONS
Journals
Foster, H.W.:
Papanicolaou Smear in Early Cervical Cancer.
Volunteer State Medical Journal, 6:17-20, 1965.
Foster, H.W., Moore, D.T.: Abdominal Pregnancy: Report of Twelve
Cases. Obstetrics and Gynecology, 30:249-252, 1967.
Foster, H.W.: Toxemia of Pregnancy: A Continuing Challenge.
Journal of the National Medical Education, 61:222-226, 1969.
Foster, H.W.: Twin Pregnancy: A Three-Year Report. Journal of
the National Medical Association, 62:139-141, 1970.
Foster, H.W.: Meigs' Syndrome Complicated by Pregnancy. Journal
of the Volunteer State Medical Association, 22:24-26, 1972.
Foster, H.W.: Maternity and Infant Care at Tuskegee Institute.
Journal of the Volunteer State Medical Association, 22:24-26,
1972.
Foster, H.W.: A Rural Hospital and Family Planning. In: Emory
University Family Planning Program: Family Planning in the South.
Atlanta, Georgia, Emory University, School of Medicine, pp.
223-242, April, 1972.
Foster, H.W., Nwosu, S.S.O.:
International Efforts in Family
Planning Training.
Southern Medical Journal, 67:1057-1060, 1974.
Foster, H.W.:
Staff Conference - Endometrial Stromal Sarcoma.
Journal of the Tennessee Medical Association, 67:665-666, 1974.
Foster, H.W.:
Human Values:
"The Poor," In: Experiments and Research with
Values in Conflict, pp 151-153, published by the
�-11PUBLICATIONS Journals
(Continued)
Academy Forum for the National Academy of Sciences, Washington,
D.C., 1974.
Hills, E.R., Foster, H.W.: Rupture of the Pregnant Uterus.
Journal of the National Medical Association, 66:66-68, 1974.
Das, S.K., Foster, H.W., Bhattacharyya, D.K.: Gestational Age
Assessment by Estimation of Palmitic Acid Content of Amniotic
Fluid Lecithin.
IRCS Journal of Medical Sciences, 3:175, 1975.
Das, S.K., Foster, H.W., Adhikary, P.K., Moody, B.B.,
Bhattacharyya, D.K.: Gestational Variation of Fatty Acid
Composition of Human Amniotic Fluid Lipids. Obstetrics and
Gynecology, 45:425-432, 1975.
Foster, H.W.:
Editorial -- Biomedical Research Subjects: Who
Should Be Exempt? Journal of Medical Education, 50:1069- 1079,
1975.
Foster, H.W.: Removal of the Normal Uterus.
Journal, 69:13-15, 1976.
Southern Medical
Foster, H.W.:
"Children and the Institutionalized Mentally
Infirm," In: Research Involving Children, pp 1-13 (Appendix,
Section 6), published by the National Commission for the
Protection of Human Subjects of Biomedical and Behavioral
Research, Bethesda, Maryland, 1976.
Foster, H.W.:
Clinical Management: Sickle Cell State and
Pregnancy. Urban Health, 6:20, 1977.
Foster, H.W.: Discussion of Paper Presented by Howard Ory.
In:
Contraception Science, Technology, and Application: Proceedings
of a Symposium, Washington, D.C.: National Academy of Sciences,
1978.
Foster, H.W.:
Book Review--Minorities in Science: The Challenge
for Change in Biomedicine. Journal of Medical Education,
53:370-371, 1978.
Foster, H.W.:
Editorial--Why Bother with Informed Consent?
Journal of Medical Education, 54:154-155, 1978.
Foster, H.W.:
Exclusive Interview, Contemporary Management of
Hemoglobinopathies In Pregnancy, OB Gynecology World, 8:8-9,
1979.
Morrison, J., Foster, H.W.: Transfusion Therapy in Pregnant
Patients with Sickle Cell Disease: A National Institutes of
Health Consensus Development Conference. Ann Intern Med., 91:122,
1979.
�-12PUBLICATIONS (Continued)
Journals
Singh, D.N., Hara, S., Foster, H.W., Grimes, E.M.: Reproductive
Performance in Women with Sex Chromosome Mosaicism.
Obstetrics
and Gynecology, 55:608-611, 1980.
Das, S.K., Foster, H.W.: Amniotic Fluid Lipids in Sickle Cell
Disease. American Journal of Obstetrics and Gynecology,
136:211-215, 1980.
Foster, H.W.:
Interval Minilaparotomy. Journal of the National
Medical Association, 72:567-570, 1980.
Dwivedi, C., Raghunathan, R., Joshi, B., Foster, H.W.:
Effect of
Mercury Compounds on Cholineacetyl Transferase. Research
Communication in Chemical Pathology and Pharmacology, 30:381-384,
1980.
Foster, H.W.: Managing Sickle Cell Anemia in Pregnant Patients.
Contemporary OB-GYN, 16:21-23, 1980.
Foster, H.W.:
Contraceptive Choice in Sickle Cell Disease.
Southern Medical Journal, 74:543-545, 1981.
Foster, H.W.:
Guest Editorial--Medical and Social Barriers to
the Health of Urban Infants. Urban Health, 10:8 and 13, 1981.
Raghunathan, R., Foster, H.W.:
Phosphoenolpyruvate Carboxykinase Activity in Human Amniotic Fluid. American Journal of
Obstetrics and Gynecology, 139:939-941, 1981.
Raghunathan, R., Foster, H.W., Das, S.K.:
Phospholipase A2
Activity in Human Amniotic Fluid. Fed Proc. 41:912, 1982.
Foster, H.W.:
Cell Disease.
Exchange Transfusion in Pregnant Women with Sickle
Western Journal of Medicine, 139:515-516, 1983.
Raghunathan, R., Foster, H.W.: Gestational Variation in Pyruvate
Carboxylase Activity in Human Amniotic Fluid. IRCS Journal of
Medical Science, 11:75, 1983.
Foster, H.W., Das, S.K.: Study of Lipids in Human Amnion and
Chorion. American Journal of Obstetrics and Gynecology,
149:670-673, 1984.
Foster, H.W., Smith, M., McGruder, C.E., Richard, F.A., Mcintyre,
J.:
Postconception Menses Induction Using Prostaglandin Vaginal
Suppositories. Obstetrics and Gynecology, 65:682-685, May, 1985.
�-13-
PUBLICATIONS (Continued)
Journals
Lear, J., Foster, H.W., Wiley, G., Hearn, R., McCaslin, C.:
Teaching Hospitals and Community Based Services: A Demonstration
for High-Risk Youth. American Journal of Public Health,
60:777-778) October, 1985.
Foster, H.W.:
Maternal Death Associated with Sickle Cell Trait
(Letter) . American Journal of Obstetrics and Gynecology,
153:346-3471 1985 •
Lear, J., Foster, H.W., Baratz J: The High-Risk Young People's
Program- A Summing Up.
J Adol Health Care, 10:224-230, May,
1989.
Foster, H.W.:
Infant Mortality Roundtable Presentation.
In:
One-Third of a National and African-American Perspectives:
Proceedings of a Symposium. Howard University, Washington, D.C.,
November, 1989.
Foster, H.W., Greene, L., Smith, S.: A Model for Increasing
Access: Teenage Pregnancy Prevention. Journal of Health Care for
the Poor and Underserved, 1:136-146, Summer, 1990.
Mukherjee, S., Foster, H.W., Das, S.K.:
In Vivo and In Vitro
Effects of 19-Nortestosterone on NA+, K+ -, Mg++ - Dependent and
Independent Ca++-ATPases in Guinea Pig Testis. The FASEB
Journal, Vol. 4, May, 1990.
Foster, H.W.: Sickle Anemia. Not a Risk for PTL, Ask the
Perinatologist, vol. 1, no. 1, 1991.
Foster, H.W., Seltzer, V.L.: Accommodating to Restrictions on
Residents' Working Hours. Academic Medicine, 66:94-97, 1991.
Foster, H.W.:
Foreword. Alive and Well?, Edited by Lorraine W.
Klerman. National Center for Children in Poverty, Columbia
University, School of Public Health, iii 1991.
Seltzer, V.L., Foster, H.W.: Resident Scheduling: Night Float
Programs. Obstetrics and Gynecology, 77:940-943, 1991.
Foster, H.W.:
President Foster's Inaugural Report.
The
Quarterly Report: Association of Professors of Gynecology and
Obstetrics, Vol. XX, No. 2, 1993.
Foster, H.W.: The Times Interview- Hospital Transformation,
Metropolitan Times, 13:1-3, 1993.
Foster, H.W.: What Does Health Care Reform Portend for
Undergraduate Medical Education? The Quarterly Report:
Association of Professors of Gynecology and Obstetrics,
Vol. XX, No. 3, 1993.
�-14-
PUBLICATIONS (Continued)
Journals
Foster, H.W., Thomas, J., Semenya, K., Thomas J.: Low Birthweight
in African Americans: Does Intergenerational
Well-being Improve .Outcome?, Journal of the National Medical
Association, 85:516-520, 1993.
Foster, H.W.: Teaching Obstetrics and Gynecology in a Managed
Care Environment.
The Quarterly Report: Association of
Professors of Gynecology and Obstetrics, Vol. XX, No. 4, 1993.
Greene, L.W., Smith, S. Foster, H.W.: Methodologies to Assure
Program Participation by Adolescents - In preparation, 1994.
Chapters in Textbooks
Foster, H.W.:
"Ambulatory Gynecologic Surgery," In: Ambulatory
Obstetrics and Gynecology.
Edited by Dr. George Ryan.
Grune and
Stratton, Inc., First Edition, pp. 399-422, 1980.
Foster, H.W.:
"Sickle Cell Disease in Pregnancy: An Update."
In
Obstetrics and Gynecology Annual.
Edited by Dr. Ralph M. Wynn.
Appleton Century-Croft Publishers, pp 147-163, December, 1982.
Foster, H.W., Lownes, R.:
"Thalassemia." In: Hematological
Problems in Preanancv.
Edited by Dr. David 2. Kitay, Medical
Economics Books, pp 130-139, 1987.
Foster, H.W.:
"Sickle Cell Disease and Pregnancy: Management
Controversies."
In: Clinical Decisions in Obstetrics and
Gynecology, Edited by Robert C. Cefalo. Aspen Publishers, pp
92-96, January, 1990.
Audiovisual Materials
Foster, H.W.:
"The Behavioral Aspects of the Gynecological
History and Pelvic Examination," Video Cassette. Department of
Illustrations, Meharry Medical College, 1978.
Foster, H.W.:
"Maternal and Infant Nutrition" DHHA-USDA
Video Teleconference, Washington, DC, April 6-7, 1983
Foster, H.W.:
"Hemoglobinopathies in Pregnancies," Audio
Cassette, American College of Obstetricians and Gynecologists,
CME Series, Vol 12, No. 6, 1987.
�-15ABSTRACTS AND PRESENTATIONS
Foster, H.W.: "Rural Obstetrical Health Care"
National Medical Association, Philadelphia, Pennsylvania,
August, 1971
Foster, H.W.: "Obstetrics and Gynecology Problems Associated with
Sickle Cell Anemia" University of Cincinnati~incinnati, Ohio,
March 31, 1974
Foster, H.W.: "Infant Mortality," Tennessee Legislative Council
Committee, State Capitol Building, Nashville, Tennessee,
August 6, 1974
Foster, H.W.:
"Prematurity and the Establishment"
Second Annual Convention of the Southern Perinatal Association
Louisville, Kentucky, October 26, 1974
Foster, H.W.:
"Family Planning and the Black Community"
Howard University Hospital, Department of Pediatrics and Child
Health, Conference on "Special Problems of Child Health in Ghetto
II" Washington, DC, May 22, 1975
Foster, H.W.: "Children and the Institutionalized Mentally
Infirm" National Minority Conference on Human Experimentation
Reston, Virginia, January 6-8, 1976
Foster, H.W.:
"Statement: House Bill 1348"
- A Position Paper
on Contraceptive Availability, Gener~l Welfare Committee
Tennessee House of Representatives, State Capitol Building
Nashville, Tennessee, March 3, 1976
Foster, H.W.:
"Indications for Hysterectomy" 25th Annual Meeting
American College of Obstetricians and Gynecologists, Dallas,
Texas, May 12, 1976
Foster, H.W.: "Future Contraception" Keynote Panel Speaker
60th Annual Meeting, Planned Parenthood Federation of America,
Inc., New York, N.Y., October 27, 1976
Foster, H.W.:
"Sickle Cell Disease in Pregnancy" 26th Annual
Meeting, American College of Obstetricians and Gynecologists
Chicago, Illinois, May 9-12, 1977
Foster, H.W.:
"Trophoblastic Disease" Fifth Annual Convention
Hnos. Melendez Hospital, Bayamon, Puerto Rico, May 27, 1977
Foster, H.W.:
"Outpatient Laparoscopic Tubal Sterilization"
Annual Meeting of the American College of Obstetricians and
Gynecologists, Anaheim, California, April 11, 1978
Foster, H.W.:
"Sickle Cell Disease Complicated by Pregnancy"
Palmetto Medical Society, Hilton Head Island, South Carolina,
April 29, 1978
�---------~-
-16-
ABSTRACTS AND PRESENTATIONS (Continued)
Foster, H.W.:
Consensus Development Conference on Transfusion
Therapy in Pregnant Sickle Cell Disease Patients - Co-Chairman
National Institute of Health, Washington, DC, April 23-24, 1979
Foster, H.W.:
"Office Gynecology," "Laparoscopy," "Pelvic Pain
in the Female," "Management of Female Infertility Patients,"
"The Rape Victim," Annual Postgraduate Symposium, San Diego
Academy of General Practice, San Diego, California,
June 8-9, 1979
Foster, H.W.: "Contraceptive Choice in Sickle Cell Disease"
Sickle Cell Disease Program, Department of Health, Education and
Welfare, San Francisco, California, November 1, 1979
Foster, H.W.:
"Ambulatory Gynecologic Care and Surgery"
Program Director, Postgraduate Course, The American
College of Obstetricians and Gynecologists
San Francisco, California, May 29-31, 1980
Foster, H.W.:
"Adolescent Gynecologic Problems" Conference on
Special Problems of Child Health in Ghetto III: With Focus on the
Adolescent, Washington Hilton for Howard University, Washington,
D.C., November 13-15, 1980
Foster, H.W.:
"Maternal and Infant Care" The Surgeon General's
Workshop, Reston, Virginia, December 14-17, 1980
Foster, H.W.:
"Pelvic Pain and Laparoscopy"
"Office Gynecology," "The Rape Victim" Meharry Alumni
Association, Postgraduate Symposium, Las Vegas, Nevada
March 11-16, 1981
Foster, H.W.:
"Diabetes in Pregnancy: A Review and Update"
Annual Meeting of the National Medical Association, Atlanta,
Georgia, July, 1981
Foster, H.W.:
"Ambulatory and Gynecologic Surgery"
32nd Annual Clinical Meeting of American College of Obstetricians
and Gynecologists, Dallas, Texas, April 26, 1982
Foster, H.W.:
"Sickle Cell Disease: An Update" Annual Meeting
National Medical Association, San Francisco, California, July 29,
1982
Foster, H.W.:
"Contraceptives in Sickle Cell Disease"
International Fertility Research Program, Research Triangle
Park, Raleigh, North Carolina, October 14, 1982
�-17ABSTRACTS AND PRESENTATIONS (Continued)
Foster, H.W.:
"Prostaglandin Postconceptional Menses Induction"
"Sickle Cell Disease Complicated by Pregnancy" 32 Annual Meeting
of the American College of Obstetricians and Gynecologists
Atlanta, Georgia, May 9-12, 1983
Foster, H.W.:
"Sickle Cell Disease Complicated by Pregnancy"
Annual Convention of the Florida Medical and Dental Association
Jacksonville, Florida, June 25, 1983
Foster, H.W.:
"Vaginally Administered Prostaglandins in Early
Pregnancies" Annual Meeting, National Medical Association
Chicago, Illinois, August 3, 1983
Foster, H.W.:
"Study of Lipids in Human Amnion and Chorion"
Annual District VII Meeting, American College of Obstetricians
and Gynecologists, Houston, Texas, October 2-5, 1983
Foster, H.W.:
"Reproductive Trends:
Implications for
Planned Parenthood" - A Keynote Address, Planned Parenthood
Association of East Tennessee, Inc., Twenty-Third Annual Meeting
Knoxville, Tennessee, September 7, 1984
Foster, H.W.:
"Breastfeeding and Contraception" 40th Annual Food
and Nutrition Institute, Tuskegee University (Formerly Tuskegee
Institute) Tuskegee, Alabama, March 6, 1985
Foster, H.W.:
"Breastfeeding ... The Effects of Drugs Including
Oral Contraceptives and Alcohol" Regional Nutrition Conference
Atlanta, Georgia, February 20, 1986
Foster, H.W.:
"Keynote Address:
Pre-Med Enrichment Program for
Minority Students, University of Tennessee, Knoxville, Tennessee,
August 8, 1986
Foster, H.W.:
"Obstetrical Emergencies" Scientific Program of
the Old Dominion Medical Society Annual Meeting, Virginia Beach,
Virginia, June 18, 1987
Foster, H.W.:
"Resident Work Hours" Council on Resident
Education in Obstetrics and Gynecology (CREOG) Program Directors
Retreat, Park City, Utah, July 20-21, 1989
Foster, H.W.:
"Infant Mortality - One-Third of a Nation:
African-American Perspectives" Howard University
Washington, D.C., November 10, 1989
Foster, H.W.:
"Sickle Cell Disease In Pregnancy: An Update"
Annual Clinical Meeting, American College of Obstetricians and
Gynecologists, Las Vegas, Nevada, April 17, 1992
Foster, H.W.:
"Sickle Cell Disease in Pregnancy: An Update"
Vanderbilt University Department of Obstetrics and Gynecology
Nashville, Tennessee, October 28, 1992
�-----------------------
------
-18ABSTRACTS AND PRESENTATIONS (Continued)
Foster, H.W.:
"Societal Responsibility for the Academically
Gifted" University School of Nashville Cum Laude Society Address
Nashville, Tennessee, April 2, 1991
Foster, H.W.:
"Meharry's Problems of Health Care and Education
of Health Care Providers" Presidential Health Care Task Force
Meeting, The White House, Washington, D.C., April 14, 1993
Foster, H.W.:
"Educating Physicians at Meharry Medical College
in the 1990's" Region III National Medical Association Annual
Conference, Hilton Head Island, South Carolina, June 19, 1993
Foster, H.W.:
"Addressing the Problem of Teenage Pregnancy: The
Need for a New Paradigm" Obstetrics & Gynecology Session
98th Annual Convention and Scientific Assembly of the National
Medical Association, San Antonio, Texas, August 8, 1993
Foster, H.W.:
"Sickle Cell Disease in Pregnancy: Clinical and
Molecular Realities" Postgraduate Course in Maternal-Fetal
98th Annual Convention and Scientific Assembly of the National
Medical Association, San Antonio, Texas, August 8, 1993
Foster, H.W.:
"Improving Access to Health Care Through Physician
Work Force Reform: Directives for the 21st Century"
Governor's Medicaid Task Force, Legislative Plaza
Nashville, Tennessee, September 21, 1993
Foster, H.W.: "Good Friends Are Worth A Million" Nataki Talibah
Schoolhouse Endowment Dinner/Fundraiser, Detroit, Michigan,
October 23, 1993
Foster, H.W.:
20/20 II Conference Keynote Speaker
Morehouse College Sponsored Health Sciences Minority Student
Counselor Awareness Program" Atlanta, Georgia, November 11, 1993
Foster, H.W.:
"Challenges for the 21st Century" University
School of Milwaukee Cum Laude Induction Ceremony, Milwaukee,
Wisconsin, November 19, 1993
Foster, H.W.:
"The Metropolitan Academic Medical Center: Its
Role In An Era Of Tight Money And Changing Expectation"
Cornell University Medical Center, Health Policy Conference,
New York, N.Y.
- December 9, 1993
Foster, H.W.:
"The Chronology of Successful Grantsmanship"
Postgraduate Seminar Association of Professors of Gynecology and
Obstetrics (APGO), Maui, Hawaii - January 10, 1994
Foster, H.W.: "Minority Academic Health Centers of the Future"
Annual Meeting of the Association of Minority Health
Professions, Charles R. Drew University of Medicine and Science,
Los Angeles, California, February 10-12, 1994
�-19ABSTRACTS AND PRESENTATIONS (Continued)
Foster, H.W.: "Will Health Care Reform Affect Undergraduate
Undergraduate Medical Education?" Fifth Annual W.F. Bernell
James Obstetrics & Gynecology Symposium, Nashville, Tennessee,
February 11-13, 1994
Foster, H.W.:
"Rural America: Health Care Access"
102nd Annual Farmers Conference, Tuskegee University Kellogg
Conference Center, Tuskegee, Alabama, February 24-25, 1994
Foster, H.W.:
Presidential Address, Association of Professors of
Gynecology and Obstetrics, Nashville, Tennessee, March 4, 1994
Foster, H.W.:
"Career Opportunities in Biomedical and Public
Health Sciences" Eighth Annual Symposium, Association of
Minority Health Professions Schools, Nashville, Tennessee,
March 31, 1994
Foster, H.W.:
Eighth Annual Symposium for the Association of
Minority Health Professions Schools Luncheon Speaker, Nashville,
Tennessee, April 1, 1994
Foster, H.W.:
Testimony, Support for Meharry Medical College
House Appropriations Subcommittee on Labor, Health and Human
Services, Education and Related Agency, Washington, D.C., May 5,
1994
Foster, H.W.: "How Can We Provide Good Health Care for Everyone?"
Lonnie Burnett OB/GYN Society Meeting, Destin, Florida, June 18,
1994
Foster, H.W.:
One Hundred Twenty-Fifth Commencement Address,
Hampton University, Hampton, Virginia, May 14, 1995
INVITED LECTURESHIPS
University of Tennessee
Department of Biochemistry and
Obstetrics and Gynecology
Memphis, Tennessee - November 26, 1974
Wayne State University
Department of Obstetrics and Gynecology
Detroit, Michigan - September 22-23, 1975
Homer G. Phillips Hospital
Department of Obstetrics and Gynecology
St. Louis, Missouri - March 23, 1976
Duke University
Department of Obstetrics and Gynecology
Atlanta, Georgia - May 20-21, 1976
�-20INVITED LECTURESHIPS
University of Ohio at Toledo
Department of Obstetrics and Gynecology
Toledo, Ohio - November 16-17, 1976
Louisiana State University
Department of Obstetrics & Gynecology
New Orleans, Louisiana - January 16, 1978
University of Buffalo
Department of Obstetrics and Gynecology
Buffalo, New York - December 20, 1978
University of Alabama
School of Primary Medical Care
Obstetrics and Gynecology
Huntsville, Alabama - March 1, 1979
University of Pittsburgh
Department of Obstetrics and Gynecology
Pittsburgh, Pennsylvania - March 5-6, 1979
University of Tennessee
Department of Obstetrics and Gynecology
Memphis, Tennessee - November 30, 1979
University of Arkansas
Department of Obstetrics and Gynecology
Little Rock, Arkansas - January 30, 1980
Pontiac General Hospital
Department of Obstetrics and Gynecology
Pontiac, Michigan - January 13-14, 1981
Boston University
Department of Obstetrics and Gynecology
Boston, Massachusetts - January 28, 1981
East Carolina School of Medicine
Department of Obstetrics and Gynecology
Greenville, North Carolina - March 25, 1981
New Jersey Medical School
Department of Obstetrics and Gynecology
Newark, New Jersey - November 4, 1981
University of Louisville
Department of Obstetrics and Gynecology
Louisville, Kentucky - December 1, 1981
Louisiana State University Medical Center
Department of Obstetrics and Gynecology
Shreveport, Louisiana - May 23, 1984
�-21INVITED LECTURESHIPS (Continued)
Lenox Hill Hospital
University Affiliate of New York Medical College
Department of Obstetrics and Gynecology
New York, New York - June 8, 1985
Medical College of Georgia
Department of Obstetrics and Gynecology
Augusta, Georgia - June 20-21, 1985
University of Washington
Department of Pediatrics
Seattle, Washington - January 16, 1987
University of Arkansas
Department of Obstetrics and Gynecology
Little Rock, Arkansas - May 2, 1990
Charles R. Drew Postgraduate Medical School
Department of Obstetrics and Gynecology
Los Angeles, California - June 29, 1990
Tuskegee University School of Nursing
Keynote Speaker - Centennial Celebration
Birmingham, Alabama - June 11, 1992
The University of Chicago
Department of Obstetrics & Gynecology
Chicago, Illinois -April 7, 1994
Temple University
Department of Obstetrics & Gynecology
Philadelphia, Pennsylvania - September 21, 1994
George Washington University
School of Public Health
Washington, D.C. - February 10, 1995
INTERNATIONAL ACTIVITIES
World Congress of Psychiatry (Obstetrical Aspects)
Madrid, Spain - August, 1966
"Regionalization: The Road to Optimal Perinatal Outcome"
Presented at the Annual District VII Meeting of the
American College of Obstetricians and Gynecologists
Mexico City, Mexico - October 20, 1975
Obstetric Health Needs Assessment Consultant
Sponsored by Meharry's International Center for
Health Sciences with funding from USAID
Republic of Malawi - Southeast Africa, July 1978
�-22INTERNATIONAL ACTIVITIES (continued)
Advances in Gynecologic Oncology and Gynecologic
Endocrinology-Infertility
Mediterranean Tour of Greece, Turkey, Israel and Egypt
April 8-21, 1981
SINO-American Conference on Obstetrics and Gynecology Tour
Mainland China with the President of ACOG and other ACOG members
Visits to OB-GYN Hospitals in Shanghai, Nanjing, Xian and
Beijing, China, November 1-19, 1982
"Legislative Forum Statement on Teenage Pregnancy"
Presented to House Committee on Health and Environment
Henry Waxman, Chairman, Mickey Leland (deceased) , Member
Annual Meeting of the National Medical Association
Montreal, Canada - July 31, 1984
World Congress on Fertility and Sterility
Singapore, Southeast Asia, October 24-31, 1986
American College of Obstetricians and Gynecologists
District VII Meeting
London, England, September 21-29, 1988
Review of Endoscopy Techniques
University of New South Wales
Sydney, Australia, March 6-8, 1990
American College of Obstetrics & Gynecologists
District VII Meeting
Vienna, Austria and Venice, Italy, October 7-16, 1993
4/21/95
�'
- 23 GRANT AND CONTRACT AWARDS
Henry W. Foster, Jr., M.D.
Maternity and Infant Project #556
(Title V) 1970-1973
$ 3,300,000
OB/GYN Student Assistance Award
Jesse Smith Noyes Foundation, 1973-1978
249,000
Prostaglandin Suppository Clinical Trials
Upjohn, 1979-1982
909,000
Prenatal Clinic Services
March of Dimes, 1979-1988
Cayce Homes Prenatal Clinics
Community Funding, 1979-1981
Planned Parenthood Teen Clinics
PPAN (Nashville), 1979-1987
Pregnancy and Substance Abuse
Tennessee Department of Health, 1986-1988
Program to Consolidate Health Services for
High-Risk Young People
·
Robert Wood Johnson Foundation, 1981-1986*
OB/GYN Service
Matthew Walker Health Center, 1973 - 1990
22,600
2,500
40,600
330,000
1,275,000
768,000
I Have A Future Teen Pregnancy Reduction
Carnegie Corporation, 1987-1992
Teen Pregnancy Analysis
W.T. Grant,
1987-1991
229,000
Women's Health Care
Bill/Camille Cosby, 1988 - 1990
600,000
HHS, Perinatal Outcome, 1989-1994
Teen Pregnancy Prevention
PEW Charitable Trusts, 1993-1996
250,000
Alcohol/Substance Abuse in Pregnancy
(CSAP)
1990-1995
I
TOTAL
$13,542,700
*Twenty programs funded in 18 cities totaling $12,000,000 for
four-year intervention, 1981-1985. The fifth year was for
program evaluation.
�04/20/95
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t
statement of Dr. Henry
w.
Foster
u.s. surgeon General Nominee before the
Senate Labor and Human Resources Committee
May 2, 1995
~003
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D R A F T #2
~004
April 19, 1995
senator Kassebaum and Labor and Human Resources Committee
Members:
I thank you for affording me this opportunity to interact
with you.
Also, I thank those of you who were able to meet with
me prior to these hearings.
And most importantly, I thank my
wife, st. clair, daughter Myrna, our son and his wife, Wendell
and Ann, and all of the many hundreds of citizens who called,
wrote and initiated writing campaigns on my behalf.
I am
grateful for this demonstration of support and especially so for
,.,
that which has come from my patients.
First, let me share with you some facets of my early life
and how they influenced the development of my values.
I was so
very fortunate to have had two very strong and loving parents who
were well educated, both having earned baccalaureate and
postgraduate degrees.
However, I hasten to disabuse any who
might incorrectly interpret this comment as suggesting some hint
of an elitist attitude
this would be absurd.
Let me explain.
Now I don't think of myself as really an old person,
certainly not an octogenarian, but appreciate this fact if you
will•
My paternal grandmother, not my great-grandmother, or my
great-great grandmother, rather my father's mother, was born just
16 years after slavery ended in America.
she ever had any formal education.
I doubt seriously if
As a young schoolboy, I
wondered why her script was poor but as I grew older and wiser, I
came to appreciate her great intelligence and character.
Grandma
Hattie was not educated, but most ~urely she understood its value
�04/20/95
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2
and its power.
As an attestation to her sage insight, she worked
as a domestic scrubbing·floors on her hands and knees to assure
that her two children would earn college degrees and beyond.
succeeded.
She
My father is deceased but his sister, my Aunt Mary
Foster Cheatham, still lives independently in Pine Bluff,
Arkansas, at the age of 92.
Another scenario, before I move to my professional career,
also speaks to the acquisition of my values -- values derived
from my mother and father, my church and my wonderful school
teachers who believed so completely in me and my future that I
would have done almost anything not to disappoint them.
A most
important value imparted by my parents was they never lost faith
in America and its potential for equity for all under law.
As
far back as I can remember we had a copy of the American
Constitution in our home.
My father often told my sister and me
that our freedom and justice~locked in the Constitution and
then he would tap his temple and say, "but the key to unlocking
it is an educated mind."
We believed him.
He demonstrated his
belief in America by his contribution to the World War II effort.
Educated as a chemist, he served as foreman of a unit at the Pine
~
.
Bluff arsenal that built incendiary bombs.
Before his premature
death,. his belief in America was vindicated.
Although he missed
much of the change that followed World War II, and change that he
had predicted, he did see this nation's armed forces integrated
by President Truman by executive order.
He witnessed the famous
Brown vs. Topeka Board of Education decision.
On a personal
�_ _ _....::;.0..:_:4~20/95
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4
From Boston I went to Meharry Medical College in Nashville,
Tennessee, for the first time.
It was a rich experience and
provided me stellar training in obstetrics and gynecology.
The
program was well-structured with a sizable portion of its
clinical training occurring at the extremely active John Andrew
Memorial Hospital at Tuskegee Institute.
Department of Emory University also helped
Faculty from the 08/GYN
guide our training.
I am particularly indebted to Dr. John Daniel Thompson, who at
that time was Professor and Chairman of the· Department of 08/GYN
at Emory and was the one professional person who most influenced
my decision to take charge of the 08/GYN service at Tuskegee,
upon the completion of my OB/GYN residency in 1965.
The choice to go back to Tuskegee was a conscious and
deliberate choice.
As a resident physician, I had witnessed
first-hand., the abject poverty that existed and the enormous
health services needed there.
Prenatal care was unknown to so
many of the patients I came to serve, some of whom never in their
lives had been cared for by a physician.
In cooperation with the administration of John Andrew
Hospital in Tuskegee Institute, we developed a regionalized
perinatal healthcare network funded through a Title V maternity
and Infant care grant. This model was s~ccessful and as a
.. ·
I t.L
YM~ ~.J ~, '~" t.4o'\ ·
consequence, it~ to my beiR~ 1n ~~~ea iRto the Institute of
.
-rlt~
Medicine as 1i ts youngest
~c....f.~t2- •
,a&JaliJeB
at
that "t ima..
Robert Wood Johnson Foundation funded
Further, the
I/
, pilot program to
a~~
regionalize perinatal health services throughout the country.
I
v-
�04/20/95
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5
was invited by that foundation to serve on its advisory committee
for that national effort.
Regionalized perinatal health.services
now exist in all 50 states.
In 1973, after spending 8 years in Tuskegee, I accepted the
position of Professor and Chairman of the Department of
Obstetrics and Gynecology at Meharry Medical
which I held for 17 years.
;:hD.-111
Col~ege,
a position
~ ~·v1
While id this,position, I was
~e-r--
successful in procuring grant funding to provide prenatal care to
indigent patients in Middle Tennessee and in the housing projects
tl~
of Nashville. I obtained ftlhei:i:ng from the Tennessee Department
of Health to provide perinatal services through a program
entitled the "Alcohol and substance Abuse in Pregnancy Program."
This program at the end of its 3 year funding from the State of
Tennessee, received 5 years continuation funding from CSAP
(Center for Substance Abuse Preven~ion): Lastly, in 1987, I was
· ~,o~'-r. Swr~~~ ~~~~ ~ ~
successful in ahtaiRiAg f'l.nldriR~ tne "I Have A Future" teen
pregnancy prevention program," which includes a coalition
comprised of parents, volunteers, churches, business leaders, the
media, local and state government and others.
The program builds
self respect in our youth by requiring personal responsibility
imbuing them with the advantages of abstinence in preventing
pregnancy, sexually transmitted diseases and
HI~ AIDS.
Disciplin.e of this sort promotes self esteem and strengthens
their capacity in accepting personal responsibility.
productivity of the more than
BOO
The
youth who have participated in
our program far exceeds that of other youth in Nashville's ~
v
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6
housing projects who have not had the benefit of our
intervention.
In 1990, I became Vice President for Health Services for the
Meharry Health Sciences center which is comprised of four schools
-- Medicine, Dentistry, Graduate studies and Research, and Allied
Health Professions.
Concomitant with this vice presidency
)\~(.)-_
t.)A\
~aga~Dean
position IJalso
of the School of Medicine.
In
October of 1993, the Board of Trustees of Meharry requested that
I
he~d
the University as its acting president, which I did until
July 1 last year when I
commence~
my sabbatical studies here in
Wshington as senior scholar in residence at the Association of
Academic Health Centers.
My sabbatical study topic is, "Gender
Shift in the Physician Work Force:
Reform."
ImplicationSfor Health
On February 2, 1995, President Clinton announced his
intention to nominate me for the position of surgeon General.
As for the position of surgeon General, I will share with
you briefly some of my thoughts regarding the function and future
of that office.
First and foremost, I must be an educator and an
advocate for the health
and nonpartisan.
dtt- American
of/t~e
people -- no exceptions
consensus building has been central to the
progress of my professional career.
Not unlike previous surgeons
General, I too will have an especial focus, that being efforts to
reduce the unequivocal epidemic of teen pregnancies extant in
this country.
I will challenge the American people to attack
this epidemic of teen pregnancy and I will give direction as how
to accomplish this end.
Such focus is appropriate.
Surgeon
�04/20/95
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~010
7
General Luther Terry alerted Americans for the first time of the
causal relationship between cigarette smoking and lung cancer.
Surgeon General c. Everett Koop focussed on HIV/AIDS, sending
educational material to every household in America.
I, as they,
will concomitantly continue the assault on·other pressing healtp
issues such as cancer{especially breast cance9, HIV/AIDS,
perinatal mortality, mental health, aging, alcoholism, drug
abuse, violence, and the myriad of other important health issues
that face this nation.
As surgeon General, I must communicate to
the American people the enormous benefits of health
promotion/disease prevention.
As a surgeon General with prior military service, I will be
a strong and dedicated leader for the
Commissioned Corps.
u.s.
Public Health Service
However, even here, my role fundamentally is
that of educator and advocate.
As I am sure the committee knows,
the surgeon General's staff is but 7 people, including the
surgeon General.
The entire budget for the Office of the surgeon
General is less than a million dollars annually •
.
~~~n conclusion, during this opening statement, I have
provided an overview of my formative years and how my family and
community helped shape my values -- values which I feel should
imbue all youth.
I summarized my education, military service,
highlights of my professional career and my view of the Surgeon
General's relationship to the health of the American people and
to the Public Health Service Commissioned corps.
�·.
04/20/95
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I have therefore reached my professional station as I appear
before you today by believing in the American system, following
the rules, and working
hard.
.
serve as I
J
-wm;-
w-..s
I
.
1\~
have1 been called on once again to
in 1959 when I became an Air Force officer and
served this country faithfully.
If chosen as this nation's next
Surgeon General, I will approach this new 'challenge in the same
manner that I have approached all others in my life; that being.
the application of intelligence, energy and integrity.
Senator Kassebaum and committee members, I thank you for
your indulgence.
~ ~l>
c
~
~/
.
hP'J'[AO
�...,
�....
""'I
/
TEEN PREGNANCY PREVENTION
Q&A
What has the Administt·ation done on the "National Campaign" Pa·esident Clinton called
for in Januaa·y?
In the State of the Union Address, President Clinton urged leaders across the United States to
·join in a national campaign to prevent teen pregnancy. He called the epidemic of teen
pregnancy -- with more than 1 million teenage girls becoming pregnant each year -- "our most
serious social problem." Mr. Clinton urged that a campaign be organized and managed from
the private sector.
·
The President spoke out again in March in a speech to the National Association· of County
Officials. He said, "We need a national campaign ... that sends a clear message: lt is wrong
to have a child outside marriage. Nobody should get pregnant or father a child who isn't
prepared to raise the child, love the child, and take responsibility for the child's future."
Since January, the Clinton Administration has worked in partnership with a small group of
concerned citizens to lay out a practical vision for the proposed private sector initiative.
Broad consultations were held with individuals across the country who are engaged in teen
pregnancy prevention efforts and with prominent individuals in the business, foundation, and
religious communities. Guided by these discussions, a framework was developed for a
national organization to be led by leaders of all sectors of society which would. catalyze and
support a sustained effort to reduce teen pregnancy. The organizatiOn would be independent
and bipartisan.
Dr. Foster's role will be to coordinate outreach to potential leaders of this initiative.
What will this oa·ganization do?
The private sector organization will not impose any top~down solutions. Rather, it will
encourage local communities to forge their own approaches to teen pregnancy prevention
consistent with their values and experience. A major role of the organization will be to
discover, disseminate, and celebrate what is working in teen pregnancy prevention. Right
now, while many local efforts show great promise, information on what works is fragmented.
Activities of the private sector group are likely to include
•
spearheading a national grassroots campaign to make teen pregnancy prevention a
priority in every community
•
launching a long-term, multi-dimensional media campaign to encourage and reinforce
local efforts and instill a new ethic of responsible parenting
�----------------------------------
•
maintain an accessible national database of teen pregnancy prevention programs and
provide opportunities for those already engaged in the field to more effectively learn
from one another
•
support the serious evaluation of promising programs and other research as needed
seek to be the most credible, independent resource available to anyone interested in
teen pregnancy prevention, providing training, conferences, newsletters, briefings, and
sp'eakers
What will Dr:. Foster·'s •·ole be?
Dr. Foster has agreed to lead the effort to pull together the national voluntary organization
This is not an official Administration role. He will be working as a private citizen and will
receive no compensation. His precise role in the organization being formed wtll be
determined at a future date.
What else has the Administration done to address the problem of teen pr·egnancy?
The private sector initiative is intended to compliment and enhance government initiatives
supported by the Administration. The range of Administration efforts related to teen
pregnancy includes:
•
numerous service and research programs in teen pregnancy prevention within the
Department of Health and Human Services ·
In 1993, President Clinton lifted the "gag rule," enabling nondirective options
counselling in federally supported family planning clinics.
The Administration has supported increases in funding for family planning
services. In FY92, $149 million was spent on family planning Current
funding is $193 million, and the Clinton budget request for FY96 is
$199million.
•
HHS provides grants to organizations across the country to support local teen
pregnancy prevention efforts and to evaluate strategies for effectiveness.
•
programs across several agencies to promote youth development and address various
risk factors associated with teen pregnancy
•
current and proprosed· welfare reform measures to provide young men and women with
incentives to delay parenthood until they are married and able to support their children
President Clinton's welfare reform package includes the following provisions
�•
Teen mothers on welfare would be required to live at home with their parents,
stay in school, identify the father, and move into employment within a limited
period of time.
Tough new child support laws would be strictly enforced so that prospective
teen fathers would know they had to provide child support for the next 18
years. (In 1993, the Administration collected a record $9 billion in child
support, a 12% increase over the previous year.)
•
States would have flexibility to try innovative ways to encourage responsible
behavior, such as rewarding teen recipients who make progress in school and
sanctioning those who drop out.
a comprehensive attack on background economic and social factors contributing to
rising teen pregnancy rates, including poverty, unequal educational opportunity, and
disinvestment in distressed urban and rural communities
Lifelong Learning Initiatives -- Pre-School and Parenting; Goals 2000; School
to Work; National Service; Training and Reemployment
•
Rewarding Work for Working Families-- EITC; Minimum Wage Increase;
Family and Medical Leave
Community Empowerment-- EZEC; Community Development Banking
Why has it taken so long to ot·ganize the pt·ivate sector campaign?
Outreach has been made to dozens of prominent citizens -- experts in the field of teen
pregnancy, leaders 9f the business, foundation, and religious communities. These
consultations have been essential. We're approaching this very complicated problem in a
serious, careful manner -- We don't want a band-aid solution. The President's aim is to make
a significant contribution to the future of America with this effort, and he has asked Dr.
Foster to build upon the groundwork that has been laid to launch the national voluntary
organization.
�,08/04/95
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DEPARTMENT OF HEALTH AND HUMAN ...$ERVICES.
ASSISTANT ·SECRETARY·FOR PLANNING AND EVALUATION
/y·· .._
G- .....
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! ,_
en
1?7 -
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......_"\:'"./
s~?.------
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PHOUE:
(ZOZ) 690-6805
Date:
(202) 690-656 2
-------
Oi,·i.iioll:
~~-----------~----
Cit:·
FAX:'
~· Scace:
---------~-------
Office ;-..'umber:
--------~-------
Di\·i.sion:.
_____
City & State:
-----------~--
0 ffice ~umber:
Fa..--.: i"umbcr-:
~umbef' of Pages
R.E\ L-\ R KS:
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@001
�08/04/95
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!4J 002
DRAFT
Facts on Teenage Pregnane~~ in the U.S.
+
Over the last two decades, the pregnancy rate among teenage women who have had
intercourse has declined; however, since proportionately more adolescents are having
intercourse, the pregnancy rate among all teenage women has increased. [12] (see
Chart 1)
+
Nationwide, 53% of students in grades 9-12 reported they had ever had sexual
intercourse. Among high school seniors, nearly 70% engage in sexual intercourse
before they graduate. [13]
+
In 1980, there were 1,175,000 pregnanCies to teenagers and 562,000 births, of which
271,800 were to unmarried mothers (48%). [1]
+
In 1988, there were 1,015,000 pregnancies to teenagers and 407,000 births, of which
360,600 were to unmarried mothers (87%). [1]
+
In 1992, the last year for which complete figures are available, there were 419,000
births to teenagers, of which 365,000 were to uhmarried mothers (89%). About 1 in 4
of these births was a second or higher-order birth to that young woman.[1]
+
For all U.S. women, the proportion of births which were to unmarried women has
increased almost tenfold since 1940. In 1940, about 4% of all births were to unmarried
women of all ages, and in 1992, 30% were. [1]
+
From 1991 to 1992, 40 States, including the District of Columbia, showed a decrease
in birth rates among adolescents aged 15-19 years. [13] (See Chart 2).
+
By 1970, 30% of teenage births were to unmarried mothers. The younger the mother,
the less likely she is to marry. [1]
The fathers of the babies born to teenage women are most often not teenagers
0
•
themselves. The younger the mother, the btgger the age gap between the mother and
the father. Fathers of babies born to high school aged girls were, on average, 4.2
years older, and those who fathered babies born to junior high age girls were, on
average, 6.7 years older. [6] (See Chart 3).
The vast majority (84 percent) of pregnancies to females under age 20 were unintended·
in 1990. [10] (see also Charts 4a and 4b).
+
Teenagers who give birth are more likely to be disadvantaged. (See Chart 5).
+
In 1991, about 46% of teen pregnancies ended in abortion. The younger the teenager,
the more likely she was to terminate the pregnancy. African American women were
almost twice as likely as White women to terminate a pregnancy (ages not specified).
[7]
\
�~----·_os_;_o_4_19_5____
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DRAFT
I
Page 2
+
One study did suggest that middle school White boys who have had sex are more
popular with the girls in their school than are the virgin boys. However, th~re is no
difference in their popularity with their same-sex peers. White girls' popularity is not
affected by their sexual intercourse experience, although the same-sex friends of
popular girls are more likely to THINK these girls have had sex. [9)
+
Youth who report being very religious are less likely to have had sexual intercourse,
although, when they do have sex, they are also less likely to protect themselves from
pregnancy and disease [11]
+
·
Summer months are the most popular time of year for young people to initiate sexual
experience [11, p .48]
+
According to AGI, a large majority of never-married adolescents who use
contraceptives succeed in avoiding unintended pregnancy. Indeed, they do at least as.
well as older women. Teenagers are about as likely to prevent an unintended .
pregnancy as never-married women aged 25-29 using the same contraceptives [12].
+
Percentage of youth who used ineffective or no contraceptive at first intercourse by age
at first intercourse: So: The younger a teenager is when he or she first has intercourse,
the less likely the youth is to use any form of contraception or protection from disease.
< 12
12-14
15-17
18-19
Female
Male
74.5%
58.5%
48.3%
39.3%
31.6%
20.3% [10]
16.3%
+
The proportions of young people who say they used protection the LAST time they ·had
intercourse have risen steadily over the years. (11)
+
Males with more egalitarian gender role attitudes are better contraceptors, and females
with more "traditional" gender roles are less good contraceptors. [11]
Many parents are sadly misinformed about what their children are doing, and who they
are doing it with. One study found that of teens who had had sexual intercourse, more
than half of their mothers believed their youth were still virgins. [This hasn't been
published yet, but was in the final report from one of the investigators fund, Jim
Jaccard, at SUNY Albany, 518.442.4864. He's also got some wonderful information
on how mothers say they want to talk to their kids about values concerning sexuality,
. but end up talking about diseases and delivering fear-based prohibition lectures]
�08/04/95
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141004
DRAFT
Page 3
Sources:
1 CDC, NCHS, Vital and Health Statistics. 1995. Births to Unmarried Mothers:
United States, 1980-92. Series 21(53)
6. Landry et.al. 1995, forthcoming in Family Planning Perspectives as cited in
the NY Times 8/2/95 p.A10 .
7. Koonin, Lisa, JC Smith, M. Ranick. 1995. "Abortion surveillance-- United
States, 1991." Morbidity and Mortality Weekly Review. 44(SS-2):23-53.
8. Sonenstein, Freya L. JH Pleck and L Ku. 1989. "Sexual Activity, Condom Use
and AIDS Awareness Among Adolescent Males." Family Planning Perspectives
21(4):152-158.
9. Newcomer, Susan, J. Richard Udry and Freda Cameron. 1983. "Adolescent
sexual behavior and popularity." Adolescence (XVIII):71 515-522.
10. Sonenstein (above) and Forrest, Jacqueline and S Singh. 1990. "The Sexual
and Reproductive Behavior of American Women, 1982-1988." Family Planning
Perspectives 22(5):206-214.
11. Kris Moore's report for Child Trends ..
12. The Alan Guttmacher Institute, "Sex and America's Teenagers," New York and
Washington, 1994.
13. Centers for Disease Control and Prevention. "Pregnancy, Sexually Transmitted Diseases,
and Related Risk Behaviors Among U.S. Adolescents. Atlanta: Centers for Disease Control
and Prevention, 1994. Adolescent Helath: State of the Nation monograph series, No. 2. CDC
Publication No. 099-4630.
(
�08/04/95
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!4] 005
SEX AND AMERICA'S TEENAGERS
Adolescent
·Pregnancy
ost sexually experienced
.
teenagers try to prevent
pregnancy, and most young conn·aceptive users succeed in
doing so. Nevertheless, 1 million adolescent
women-12% of all women aged 15-19 and
21% of those who have had se.'<llal intercourse-become pregnant every year."''
M
Over the last two decades, the pregnancy rate among teenage women who have had
intercourse has declined; however, since proportionately more adolescents are having intercourse,
the pregnancy rate among all teenage women has increased.
Pregnancies per 1,000 women aged 1&-19
Pregnancy Rates: Up or Down?
Over the last two decades, adolescent
pregnancy rates have gone both up and
down, depending on how they are calculated (Figure 30, page 41). Reflecting the
dramatic rise in the proportion of adolescent women who have had se}..'Ual intercourse during tlus period, the rate among
all teenage \vomen aged 15-19 increased
2.3% bet\veen 1972 and 1990, and is no\V at
its highest level in nearly 20 years.'~'
Pregnancy rates among all adolescent
women, however, do not present an accurate picture of pregnancy levels among
teenagers, because some adolescents are
not se>.llally e>.-perienced and therefore
are not exposed to the mk of pregnancy.
The more important trend, therefore, is
' the pregnancy rate among smmally e>•.-perienced teenagers. That rate has declined
19% among 15-19-year-olds in the last
two decades102-an encouraging indication
I that sexually experienced adolescents are
using contraceptives more effectively
than did their counterparts in the past.
(9 91 = Mev- t'h\"\ 1.1,~ \ Siz.hsnc·'S
c 0 ( 1 (\.J (. I+ S , 11~\. 'i 3 1
·3··a··a·········· ······································································ ················ ········ ·· ·······························~···i·\..
isf
l'i.o..., )...S I l ,.'iS
:;5
254
'!..
·-- ._
250 .. ...,;.::
247 243 ............ 241 ... 24ii···-;s~--.;_·242····23·················
xf
2s·o..........
························· ························
-
-... .. ns ;~--,
~
._ ___a
.. ........
~
Sexually experienced women
223
221
... _......
212
2-0"'~
__._..., ___207
,. 'e. .... ._...,
206 2Bir' 207
.
0 ~
·1sii'·········································································································· ···························································
1
99
101
101
100 95
..........
........
... 96 ····-~····
..... ~.~:..... .
s·o······························
15
.,
All women o'l·~
117 1 . 5 .
11
109 :H-( 110 110 109 108 109 107 107 14-1" ....... •
105 105 _,............ ~
..
... •••
........... .. _........ •............. .
····························································································
...................................................................................................................................
Age and Race as Factors
Nearly two-thirds of teenage pregnancies
occur among 18-19-year-old women.' 53
The proportion of seJmally experienced
teenagers who become pregnant increases \vith age, because as they get older,
adolescents generally have intercourse
more frequently and are more likely to be
fertile and to want to get pregnant'"'
(Figure 31, page 42).
• Among sex-ually experienced teenagers,
about 9% of14-year-olds, 18% of 15-17year-olds and 22% of 18-19-year-olds
become pregnant each yea1·.
+The rate for 18-19-year-olds is only
slightly lower than that for 2{}.-24-year-olds.
ii'·······r·······r···············r······r·······,........ ,...... T······r·······r···············r···· .. r················r·······r·····,·r················r····
1972
1974
1976
1978
. 1980
Sources: Births, 1972-1g9o: National Center for Health
Statistics, "Advance Report of Final Natality Statistics,"
Monthly Vital Statistics Report, Vols. 23-41. Supplements,
1974-1993. Abortions, 1973-1988: S. K. Henshaw and
J. Van Vort, eds., Abortion Factbook, 1992 Edition: Readings,
Trends, and State and Local Data to 1988, AGI, New York,
1992. Table 1. pp.172-173; 1972,1989-1990: S. K.
Henshaw, "U.S. Teenage Pregnancy Statistics," AGI, New
York, 1993. Sexual experience data: E. F. Jones et al.,
Teenage Prenancy in Industrialized Countries, Yale University
Press. New Haven and London. 1986, Table 3.5, p. 47; J.D.
Forrest and S. Singh, "The Sexual and Reproductive Behavior
1982
1984
1986
1988
19901
of American Women. 1982-1988," Family Planning
Perspectives, 22:20&-214, 1990, Tables 1 and 3. pp. 207 and
208.
Notes: Pregnancy:Pregnancies are defined as lhe sum of
births, abortions and miscarriages. Miscarriages are eslimated
as 20% of births and 10% of abortions. Sexually experienced
women:The sexually experienced populalion was estimated by
interpolating from sexual behavior data for 1971, 1976, 1982
and 1988. Data were extrapolated for 1989 and 1990 using
the 1982-1988trend.
FIGURE 30
THE ALAN GUTTMACHER INSTITUTE
·
lf l
�I
I
Births Per 1,000 Females 15-19, U.S.
100
-------------------··---- ·--·-··--------·-···--····-- ···--·-·-·-·-··· -·--····-·-·--------··-·--··---·····-·- ---··--------·-------------
90
89
80
~
CfJ
=
......
~
~
CfJ
...:
......
60
CfJ
=
=
Q
r(
_J.)·
"'
(0
In
(0
0
C'>
(0
"'
0
N
@l
~
40
_j
0
L-----------·--------------------·--·-----------·--·-·······------·-------------
""..
.-I
N
.-I
20
1955
.·1960
1965
1985
1980
1990 1992
Year
In
C'>
......
""0......
00
0
Blrtht
�.
~CF
.
-.
.
·:
'
~
The younger a sexually experienced teen,
.the more likely sex was involuntarY
% women under 20 who have had sex
100%~~----~--~~~~~~~~--~
D
VohJntary
~ Both-
80%
lnvoiJ~tary
-
0...
en
::J:I
....._
t:Il
0...
en
~
....._
en
::J:I
::J:I
~
60%
rn
-};
IN
w
w
'-"
0
m
w
IN
0
IN
~
u
0~
..
""'....._
0
00
0
Fotced to have~ sex
agalnst hsr willor was raped
20%
<14
<15
<16
<17
<18
c19
<20
AGI, Sex and America'• Teenagers, 1994
IN
m
....._
,.
Involuntary sex •_
~
'-"
.....
'-"
•·
,
€l
.....
-.
40%
AGI
.,
�Figure IV-B
0
00
"
"
Ul
0
~
Percent of Pregnancies (excluding miscarriages) to Females
(0
< Age 20, by Intention, 1982-1990
1-'
..
N
1-'
Ul
Number of Pregnancies
(excluding tniscarriages)
956,861
868,533
~
N
897,033
0
N
Cl
i
(0
0
(\
Cl
Ul
Cl
N
)
Unintended
Pregnancy
~
r;
--r
p
l:j
::I::
::I::
Vl·
'-._
..
~rJlr,.
'"Oc
tl:j;
"r.n:
::t:,
Intended
Pregnancy_
'"0:
1982"
1987
1990
Note: Pregnancies are calculated as the sum of births and abortions.
f',
Source: Forrest, J.D. and Singh, S. (1990). The Sexual and Reproductive Behavior and American Women, 1982-88. Family
Planning Perspectives, 22 (5): 260-214; Alan Guttmacher Institute. (1994). _Sex and America's Teenagers. New York, NY:
Alan Guttmacher Institute: Henshaw, S.K. (1994). U.S. Teenage Pregnancy Statistics. New York,NY: Alan Guttmacher
Institute.
1§1
0
0
-----····--------.
00
�.08/04/95
12:16
'a202 690 6562
30
I4J 009
DHHS/ASPE/HSP
. THE BEST INTENrlONS
Not just teenage women are at risk of
unintended pregnancy
i
I
FIGURE 2-3 Proportion of women in age groups at risk of unintended pregnancy.
Source: Henshaw SK, Forrest JD. Women at Risk of Uruntended Pregnancy, 1990
Estimates: The Need for Family Planning Services, Each State and County. New York,
NY: The Alan Guttmacher Institute; 1993.
poverty level). Among women aged 30-44 in all income groups about 4 in 10
are at risk of unintended pregnancy.
The proportion of women at risk of unintended pregnancy varies only
slightly. by race and ethnicity (data not shown). Non-Hispanic blacks and
Hispanics are somewhat' more likely to be at risk (52 percent for both groups)
than non-Hispanic whites (49 percent). No similar data are available for Native
or Asian Americans.
"Women wat risk~ of unintended pregnancy are those who (1) have had sexual intercourse; (2) are fertile, that is, neither they nor their partners have been contraceptively
sterilized and they do not believe that they are infertile for any other reason; and (3)
lrt neither intentionally pregnant nor have they been trying to become pregnant during
111y pan of the year.
1'overry starus as based on 1989 family income. Note: Numbers may differ slightly
between tables because of rounding.
I
I
I
I
�.08/04/95
. 12:19
....
..........
'5'202 690 6562
----~~~~--~~~
DHHS/ ASPE/HSP
G1.1 010
.-.a.aau++.a.-..........
.-m..........rt.~l•\~~~
~~----E&~
SEX AND AMERICA'S TEENAGERS
Although most teenage women do not proceed from one reproductive stage to the next ...
% or women aged
15-19 who are poor
or low·income, 1994
Reproductive stage
8,565,000
38%
All women and men aged
15-19,1994
. -·· ·. ;' > ..
."··:···
.. ·-·
·... ' ·:·. .
.,
.,
. :.
:,~
..
4,856,000
Sexually experienced
42%
i.~..
l
.-·>.:_,_•.•_._. ... .
. '- ,.=·.: -:-
~· ·;:'·:·
.
:····. .
..
··>:·.
·. ··:
·,
D5,441,000
•_·.•·.n.•
I..
~~~--~~--~~~~~~~~~~~
1,685,000
Using no contraceptive
at first intercourse
53%
1,003,000
Becoming pregnant or
causing pregnancy
I
1
73%
na
!
Becoming a parent
83%
1312,000
Becoming a parent
outside marriage
w
85%
140,000
- - - .......----·-····"-····----·0
2
3
····-··---·· ..
4
5
·-·--·-·-·
6
8
10
(in millions)
I
Women 15-19
Sources: Women and men aged 15-19, 1994: J. C. Day,
"Population Projections of the United States, by Age, Sex,
Race, and Hispanic Origin: 1992 to 2050," Current
Population Reports. Series P-25, No. 1092.1992, Table 2,
p. 16. Women sexually experienced and women using no
FIGURE 54
THE ALAN GUTTMACHER INSTITUTE '
Men15-19
contraceptive at first intercourse: AGI tabulations of data
from the 1988 National Survey of Family Growth. Men sexu·
ally e1perienced and men using na contraceptive at first
intercaurse: F. L. Sonenstein, J. H. Pleck, and L C. Ku,
"Sexual Activity, Condom Use and AIDS Awareness Among
Adolescent Males." Family Planning Perspectives. 21:
152-158, 1989, Tables 1 and 5. pp. 153 and 155. Women
becoming pregnant: S. K. Henshaw, "U.S. Teenage
Pregnancy Statistics," AGl. New York, 1993. Wamen and
men becoming parents (total and outside marriage):
�
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Terry Edmonds
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Office of Speechwriting
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Terry Edmonds worked as a speechwriter from 1995-2001. He became the Assistant to the President and Director of Speechwriting in 1999. His speechwriting focused on domestic topics such as race relations, veterans issues, education, paralympics, gun control, youth, and senior citizens. He also contributed to the President’s State of the Union speeches, radio addresses, commencement speeches, and special dinners and events. The records include speeches, letters, memorandum, schedules, reports, articles, and clippings.
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Clinton Presidential Records: White House Staff and Office Files
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6-22-95 Dr. Henry Foster Statement (and Op-Ed) Edison, NJ [3]
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James (Terry) Edmonds
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2006-0462-F
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Box 18
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0462-F.pdf" target="_blank">Collection Finding Aid</a>
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7763294