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Text
FOIA Number:
2006-0885-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Health Care Task Force
Series/Staff Member:
Tarmey
Subseries:
1977
OA/ID Number:
FolderlD:
Folder Title:
WH [White House]
Stack:
Row:
Section:
Shelf:
Position:
S
56
2
1
2
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
DATE
SUBJECT/TITLE
RESTRICTION
001. diagram
re: Floor Plan (1 page)
11/30/1989
b(7)(C)
002. letter
From Guenther Rischowsky; re: Collector (partial) (1 page)
01/10/1993
Personal Misfile
003. list
re: Meeting in Roosevelt Room (partial) (1 page)
n.d.
P6/b(6)
004. list
re: Journalists (partial) (1 page)
n.d.
P6/b(6)
COLLECTION:
Clinton Presidential Records
Health Care Task Force
Marjorie Tarmey
OA/Box Number:
1977
FOLDER TITLE:
WH [White House]
2006-0885-F
ip2832
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - |S U.S.C. S52(b)|
PI
P2
P3
P4
b(l) National security classified information [(b)(1) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency 1(b)(2) of the FOIA]
b(3) Release would violate a Federal statute |(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information [(bX4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy 1(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOI A]
National Security Classified Information [(aXl) of the PRA|
Relating to the appointment to Federal office [(a)(2) of the PRA|
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
TELEPHONE MEMORANDUM
, 19TIME
PLACED
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ACTION
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351-3372-
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6
PHOTOCOPY
msEKv
AT10]v
�TO:
A l l Staff
FR:
David watkins
RE:
General information
DA:
January 22, 1993
Following i s some general i n f o r m a t i o n :
•
ACCESS - E f f e c t i v e immediately, a l l s t a f f members who
receive a brown pass a t the gate w i l l be able t o make
appointments f o r v i s i t o r s or s t a f f t o enter the WH, the OEOB
and the NEOB. S t a f f who receive a green pass can make
appointments i n t o the OEOB and t h e NEOB. Appointments are
arranged by c o n t a c t i n g the Waves Center a t X6742 and s t a t i n g
your name, the f u l l name of the person who i s v i s i t i n g and
t h e i r date of b i r t h .
•
KEYS - Keys t o West Wing o f f i c e s and secured rooms i n the
OEOB ( o f f i c e s w i t h alarms) can be picked up i n Room 23
(X4295) .
•
PARKING - Commissioned o f f i c e r s (Assistants, Deputies and
Special Assistants to the President) have been assigned
parking on West Executive Avenue. Permits can be picked up
in my o f f i c e on the ground floor of the West Wing.
Unassigned parking on the E l l i p s e i s available on a limited
basis. Available permits w i l l be given on a percentage
basis to department heads by Monday, January 25. The
department head i s responsible for deciding who receives
parking p r i v i l e g e s . Although we would l i k e to accommodate
everyone's needs, parking i s limited.
•
REQUESTS - A l l requests f o r f u r n i t u r e , computers, pagers,
phones, beepers, e t c . should be submitted i n w r i t i n g t o the
O f f i c e of Management & A d m i n i s t r a t i o n located i n the ground
f l o o r of the West Wing of the White House.
•
EXECUTIVE MESS - The President, A s s i s t a n t s t o the President
and Cabinet members may eat i n the Executive Mess which i s
open Monday through Saturday, except h o l i d a y s . Lunch i s
served i n two s e t t i n g s ; one a t 12:00p.m. and one a t 1:15p.m.
•
WHITE HOUSE STAFF MESS - Only Commissioned O f f i c e r s may eat
i n the White House S t a f f mess. However, a l l West Wing s t a f f
may order c a r r y out food by c a l l i n g X4192. Food may not be
brought through the residence. Reservations or accounts f o r
e i t h e r mess can be arranged by c a l l i n g x6377 (xMESS).
•
OEOB MESS - The mess on the ground f l o o r of the OEOB i s open
to a l l s t a f f .
I t closes a t approximately 2:00 p.m.
•
HELP LINE - The help l i n e (xllOO) i s s t i l l open t o answer
any of your questions.
I f you have any questions or need a d d i t i o n a l i n f o r m a t i o n f e e l
f r e e t o contact the o f f i c e of Management & A d m i n i s t r a t i o n a t
X2681 or X7052.
�Withdrawal/Redaction Marker
Clinton Library I
DOCUMENT NO.
AND TYPE
001. diagram
SUBJECT/TITLE
DATE
re: Floor Plan (1 page)
11/30/1989
RESTRICTION
b(7)(C)
COLLECTION:
Clinton Presidential Records
Health Care Task Force
Marjorie Tarmey
OA/Box Number:
1977
FOLDER TITLE:
WH [White House]
2006-0885-F
jp2832
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)|
Freedom of Information Act - |5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency [(bX2) of the FOIA)
b(3) Release would violate a Federal statute [(bX3) of the FOIA|
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions 1(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA|
National Security Classified Information |(aXl) of the PRA|
Relating to the appointment to Federal office |(aX2) of the PRA|
Release would violate a Federal statute |(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |aX5) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002. letter
SUBJECT/TITLE
DATE
From Guenther Rischowsky; re: Collector (partial) (1 page)
01/10/1993
RESTRICTION
Personal Misfile
COLLECTION:
Clinton Presidential Records
Health Care Task Force
Marjorie Tanney
OA/Box Number:
1977
FOLDER TITLE:
WH [White House]
2006-0885-F
jp2832
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information |(bXl) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency |(bX2) of the FOIA)
b(3) Release would violate a Federal statute [(bX3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information |(bX4) of the FOIAJ
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIAJ
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIA)
National Security Classified Information [(a)(1) of the PRA]
Relating to the appointment to Federal office 1(a)(2) of the PRA]
Release would violate a Federal statute 1(a)(3) of the PRA]
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�P6/(b)(6j
January 10, 1993
Honorable S i r :
I am a c o l l e c t o r of autographed p i c t u r e s of prominent and
world renowned i n d i v i d u a l s .
Therefore, may I ask you i f you
would be so kind as to send me an autographed p i c t u r e of
yourself.
I t would not only be g r e a t l y appreciated, but I would
c h e r i s h t h i s item as a valuable a d d i t i o n to my c o l l e c t i o n .
Thanking you f o r your time and f o r your kindness.
Respectfully
yours.
\Gi^enther Rischowsky
�THE WHITE H O U S E
WASH IN GTO N
January 22, 1993
MEMORANDUM FOR SENIOR STAFF
FROM:
JOHN D. PODESTA
Assistant to the/President
and Staff Secretary
SUBJECT:
PAPERFLOW
This memo sets forth the procedure for a l l White House s t a f f to
follow i n sending paper to the President for signature or review.
I t i s an i n i t i a l cut at establishing a smoothly working paper
flow system and I expect that i t w i l l require some refinement.
At the outset, i t i s important to emphasize that a l l paper going
to the President should come through the Staff Secretary (with
certain exceptions for the NSC). A l l paper leaving the
President's office should go back to the Staff Secretary to
ensure that decisions w i l l be implemented, the appropriate people
notified, and good records maintained.
Daily Briefing Book
Marcia Hale w i l l be responsible for putting together the
President's schedule and informing the appropriate o f f i c e s what
t h e i r r e s p o n s i b i l i t i e s are for producing background memos,
talking points, etc. (Full speeches are discussed below.)
Marcia w i l l distribute a draft of the next day's schedule a t
noon. A l l o f f i c e s w i l l be responsible for forwarding briefing
book materials to my office not later than 4:30 pm the night
before the day i n question.
My o f f i c e w i l l review such materials for quality, completeness,
etc. and produce the President's book. Briefing books w i l l be
distributed by 8:00 pm.
Decision Memo Clearance
Perhaps the most important function of the Staff Secretary's
office i s to ensure that decision memoranda are properly staffed
before reaching the President. That w i l l require cooperation of
a l l s t a f f . The following procedures should be followed:
o
Unless a r e a l emergency e x i s t s , decision memos must be
forwarded to the Staff Secretary at least 48 hours i n advance of
presenting the document to the President.
�o
I w i l l route the memo to relevant White House Staff for
comment. The Chief of Staff and Vice President w i l l receive a l l
draft decision documents for comment. I w i l l also route such
drafts to Bernie Nussbaum and to Maggie Williams. Other offices
w i l l be routed as appropriate.
o
Routing w i l l be Assistants to the President. I t w i l l
be up to each Assistant to decide proper routing procedures
within his or her own office.
o
As a general rule, staffing to Cabinet agencies w i l l be
done through the Councils. In the event that comment from
Cabinet officers i s required that cannot be handled through the
regular Council process, paper w i l l be routed through the Cabinet
Secretary, who w i l l also serve as a collection point for comments
coming back from the Cabinet in those circumstances.
o
My office w i l l serve as a collection point for a l l
comments from the White House Staff and in the circumstances
described in the above bullet from the Cabinet (via the Cabinet
Secretary) and w i l l attempt to facilitate consensus, prior to
presentation of the matter to the President. Where no consensus
can be formed, I w i l l ensure that individual views are noted and
accurately presented.
Background Memos
Briefing papers, where no formal action i s requested, w i l l be
handled in the same general manner as decision memos. My office
w i l l be responsible for preparing or editing summaries of a l l
general briefing papers.
Speeches
Different administrations have handled the speech clearance
process differently, with some vesting principal clearance
responsibility in the Staff Secretary, and others in the speech
writers themselves. We are going to try out a process under
which the Communications staff w i l l have primary responsibility
for clearing a l l speeches and statements of the President
released to the press, provided that these procedures are
followed:
o
My office must be on and see the original distribution
l i s t of draft speeches to ensure that a l l offices with a need to
review have received a copy.
o
Comments to speech writers should be cc'd to me, to
ensure that those views have been appropriately considered before
forwarding a draft to the President.
�o
Drafts of speeches t o be presented t o the President
should flow t o and from the President through my o f f i c e , so that
they can be properly handled and archived.
Report to cpnqr3?s
The Administration prepares over 300 reports t o Congress each
year, as a r e s u l t of statutory requirements. Many are submitted
under the President's signature. They are frequently thick
documents and often come t o us with short deadlines. We w i l l t r y
to ensure that agencies submit reports i n a timely fashion t o
give White House s t a f f a meaningful chance t o review these
reports. We w i l l route them f o r clearance t o the appropriate
people.
Legislation
Enrolled l e g i s l a t i o n (passed by both houses) i s received and time
stamped by the Executive Clerk. OMB has responsibility f o r
interagency review of the l e g i s l a t i o n . The Staff Secretary's
o f f i c e w i l l handle clearance of the l e g i s l a t i o n , signing
statements and veto messages amongst the White House s t a f f . The
same procedures outlined f o r clearance of decision memos should
be followed.
CQrirespondence
Congressional correspondence as a rule w i l l be reviewed,
personally, by the President. Staiffing of l e t t e r s t o the H i l l
w i l l follow the same procedures as outlined f o r clearance of
decision memos. Other correspondence w i l l be routed i n i t i a l l y
through Marcia Scott, the Acting Director of Messages and
Correspondence who i s working furiously t o bring up our
system f o r answering mail, whether f o r the President's or F i r s t
Lady's signature, or f o r s t a f f signature. A memo laying out the
correspondence system w i l l follow shortly.
Sequencing and Timing
I t can be anticipated that s t a f f sending paper t o my o f f i c e w i l l
frequently f e e l that the President must see i t i n the next 10
minutes. Barring real emergencies, that w i l l generally not be
possible. I w i l l be working with Nancy Hernreich t o develop a
system that w i l l make the President's day work f o r him.
�Morning. With regard t o paper, my expectation i s t h a t the
President w i l l have a short time i n the morning t o review h i s
b r i e f i n g book and paperwork, i n c l u d i n g ( i ) papers and l e t t e r s he
must review and s i g n ; ( i i ) d e c i s i o n memos, b r i e f i n g memos and
others matters which he can review t h a t morning o r h o l d f o r
evening review; ( i i i ) a summary o f documents and important
correspondence received, which he can review i n more d e t a i l i f he
wishes.
Davtime Period. The President wants t o l i m i t review o f paper
during daytime working hours. Only e s s e n t i a l items which must be
signed or reviewed, w i l l be brought t o h i s a t t e n t i o n d u r i n g those
hours. I w i l l forward e s s e n t i a l items t o the President through
Nancy Hernreich who w i l l be responsible f o r f i t t i n g review o f
e s s e n t i a l items i n t o the day's schedule.
Ejvening. A f t e r the President's morning work p e r i o d a l l none s s e n t i a l paperwork w i l l be held u n t i l the evening. I n the
evening, we w i l l give the President a manageable amount o f
reading — no more t h a t 45 minutes t o an hour's worth. We w i l l
include i n these m a t e r i a l s a l l important d e c i s i o n memos which
w i l l be discussed the next day.
Weekend. Longer p o l i c y papers and t h i n k pieces w i l l be held f o r
weekend review, where possible. That w i l l g i v e the President
more time t o r e f l e c t and comment.
Following Week
By the close o f business each Friday, senior s t a f f — and
e x p e c i a l l y the c o u n c i l s -- should forward t o me a l i s t of any
important d e c i s i o n memos t h a t they expect t o have presented t o
the President the next week so t h a t we can b u i l d adequate time
i n t o the schedule f o r review a t the s t a f f l e v e l and by the
President.
Style
Some changes may be made t o the c u r r e n t s t y l e o f documents
intended f o r the President, but, f o r now, please use c u r r e n t
s t y l e forms.
I n c l o s i n g , l e t me say t h a t my o f f i c e has a s t r a i g h t f o r w a r d
goal — t o p r o t e c t the President and h i s decision-making process.
Paper coming t o him must meet the highest standards o f
excellence. Papers must be w e l l w r i t t e n . Options must be
c l e a r l y s t a t e d . Those who need t o see i t must have seen i t .
Views of advisors must be accurately r e f l e c t e d . Summaries must
be b r i e f and accurate. We cannot l e t the pressure o f time
compromise those standards.
�p/unu Qtllo
MS
1
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
003. Hst
SUBJECT/TITLE
DATE
re: Meeting in Roosevelt Room (partial) (1 page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
Health Care Task Force
Marjorie Tarmey
OA/Box Number: 1977
FOLDER TITLE:
WH [White House]
2006-0885-F
ip2832
RESTRICTION CODES
Presidential Records Act -144 U.S.C. 2204(a)|
Freedom of Information Act -15 U.S.C. 552(b)|
PI
P2
P3
P4
b(l) National security classified information [(bXl) of the FOIA|
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(bX3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information 1(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA|
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells |(bX9) of the FOIAJ
National Security Classified Information 1(a)(1) of the PRA)
Relating to the appointment to Federal office [(a)(2) of the PRA)
Release would violate a Federal statute [(aX3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA|
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA|
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA|
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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TEL:
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Jan 25,93 10=04 No.001 P.01
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Stanton Riik • '12fi C Slritl, NL" • WMliHigi.,,!, DC VOoOi • (2112)fvll-l8*0 • FAX: (202)
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January 22, 1993
Ira Magaziner, PhD
Office of Domestic Policy Development
The White House
1600 Pennsylvania Avenue
Washington, DC 20500
Dear Dr. Magaziner:
In many of our firm's discussions with a range of other government relations specialists, we have
found a very shallow understanding of the concepts incorporated in managed competition. For this
reason, Capitol Associates, Inc. is hosting an educational seminar targeted at Washington health
organizations to provide a simplified but thorough explanation of managed competition health reform
proposal. In this regard, I would be very pleased if you would present the Administration's view of
managed competition to the anticipated 100 seminar participants.
The workshop is planned for Thursday, February 18, 1993 from 8 am-ll:30 am at the National
Press Club. If possible, tbe Administration's presentation would be from 9:15-9:45 am. The seminar will
include three different perspectives on this health reform proposal-from the point of view of Members
6f Congress, the Administration and the health media. One of the Objectives is to give sufficient time
for participants to ask questions and clarify various components of the anticipated legislation. At the
seminar's conclusion, representatives of various consumer/voluntary health organizations will respond
in a round table formal. A copy of the draft agenda is attached.
We hope that this type of in-depth seminar will engage some organizations and corporations which
have not yet fully entered the health care reform debate, and will result in a better understanding of the
issues.
Thank you for your assistance with this request. I look forward to hearing from you shortly.
SincBrfHy,
cc:
Judith Feder
Stuart Altman
Enclosure
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Post-lt * brand fax transmittal memo 7671
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�i.CflPITOL
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TEL: 202-543-2565
Jan 25.93 10 = 04 No.001 P.02
Capttot Associates, Inc.
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"MANAGED COMPETITION
*Eoch seoment includes on opportunity for audience partlclpotlon ond Q & A.
•8:30-8:45 a.m.
•INTRODUCTION
-> Capitol Associates, Inc.
•8:45-9:15 a.m.
•THE VIEW FROM CAPITOL HILL
-»Congressman Jim Cooper (D-TN) 'invited
•9:15-9:45 a.m.
• THE ADMINISTRATION'S VIEW
-> Clinton Administration Official 'Invited
•9:45-10:00 a.m.
• BREAK
•10;00-10;20 a.m.
• THE HEALTH MEDIA'S PERSPECTIVE
-> Dana Priest, Health Policy WMer/Washlngton Post
• 10:20-11:30 a.m.
DRAFT
• CONSUMER GROUPS' RESPONSE
-> Robert K. Dreslng/Cystlc Fibrosis Foundation
-> Ellen Stovall/National Coalition for Cancer Survivorship
-> Jeffrey Levl/AIDS Action Foundation
-»Cathy Hurwlt/Citlzen Action
- - •
D R A F T
�THE AMERICAN UNIVERSITY
WASHINGTON, D.C.
January 15,
^
1993
^
•
President
Mr. I r a C. Magaziner
Presidential Transition Office
1120 Vermont Avenue, N.W.
Washington, DC 20270
Tel:
Fax:
202 973-2600
202 973-1298
Dear I r a :
The s c h o o l o f business a d m i n i s t r a t i o n o f The American U n i v e r s i t y
i s known as The Kogod C o l l e g e , named f o r Bob Kogod, an e a r l y and
a c t i v e s u p p o r t e r o f P r e s i d e n t C l i n t o n and a t r u s t e e o f AU. Bob
was a l s o a founder o f t h e Democratic L e a d e r s h i p C o u n c i l . The
s c h o o l i s s p o n s o r i n g i t s second Annual Leadership Conference on
F r i d a y , March 5, 1993. I w r i t e t o ask i f you w i l l speak t o t h i s
group.
The c o n f e r e n c e w i l l t a k e p l a c e a t t h e Four Seasons H o t e l here i n
t h e c i t y , r u n n i n g from about 9 a.m. t o 5 p.m. A d r a f t s k e t c h o f
t h e day i s e n c l o s e d .
The c o n f e r e n c e theme i s "Economic Growth i n a G l o b a l Economy." We
w i l l convene a s e l e c t group o f p o l i c y m a k e r s , i n d u s t r i a l l e a d e r s ,
and academic e x p e r t s t o exchange ideas and views. Warren Bennis,
U n i v e r s i t y P r o f e s s o r and D i s t i n g u i s h e d P r o f e s s o r o f Business
A d m i n i s t r a t i o n a t t h e U n i v e r s i t y o f Southern C a l i f o r n i a , w i l l
g i v e t h e keynote address a t l u n c h . S e v e r a l overseas b u s i n e s s
l e a d e r s have been i n v i t e d t o a t t e n d i n c l u d i n g Gustavo Cisneros o f
Venezuela whose f a m i l y has l o n g e s t a b l i s h e d t i e s w i t h The
American U n i v e r s i t y . Cisneros has major i n v e s t m e n t s i n Europe
and t h e U.S. as w e l l as L a t i n America.
We c o u l d accommodate your schedule e i t h e r i n t h e morning o r
a f t e r n o o n . You might want t o use t h e o c c a s i o n f o r a weekend o r
major announcement and s t i l l be a b l e t o spend t h e b u l k o f t h e day
on Washington appointments.
Anne and I hope v e r y much t h a t you can accept t h i s i n v i t a t i o n .
And we send b e s t wishes!
Sincerely,
Joseph D u f f e y
President
4400 Massachusetts Avenue, N.W.,, Washington, D.C. 20016-8060 (202) 885-2121
�DRAFT
Kogod C o l l e g e o f Business A d m i n i s t r a t i o n
The 2nd Annual Kogod C o l l e g e Leadership
Conference
"Economic Growth i n a G l o b a l Economy"
March 5, 1993
Four Seasons H o t e l , Washington,
D.C.
9:00 t o 5:00
Addresses, p a n e l s and group s e s s i o n s :
"Fostering I n t e r n a t i o n a l Entrepreneurship"
"Problems and O p p o r t u n i t i e s i n Global C o m p e t i t i o n "
"How t o Lead O r g a n i z a t i o n s i n a G l o b a l Economy"
"The New G l o b a l
Workforce"
"Government's Role i n Promoting
Trade and Business"
International
�(
T
�1001 30th Street, NW
Porter Novelli
Washington, DC 20007
Omnicom PR Network
202 342-7000
fs
January 25, 1993
Mr, I r a Magaziner
Senior Advisor for Policy Development
Old Executive Office Building
Washington, D.C. 20500
\s
By Messenger
Dear Mr. Magaziner:
^
ii.
Please excuse the use of the l e t t e r format, but I have been
unable t o get through t o the White House switchboard f o r several
days using the telephone.
I would l i k e t o schedule a b r i e f ( no more than 15 minutes)
meeting w i t h you or, i f that i s not possible, your s t a f f
regarding the treatment of the biotechnology i n d u s t r y i n the
Administration's health care reform e f f o r t . Ms. Debra
Bannister, D i r e c t o r of Corporate Communications f o r Synergen, a
leading biotech company located i n Boulder, Colorado w i l l be i n
Washington the afternoon of Tuesday, February 2. The two of us
would l i k e t o make c e r t a i n t h a t you understand c e r t a i n
fundamental d i f f e r e n c e s between the biotech and the brand name
pharmaceutical i n d u s t r y so t h a t health care p o l i c y does not
u n i n t e n t i o n a l l y harm the growth and development of t h i s c r i t i c a l
technology.
My concern arises d i r e c t l y from a December 1992 guestionnaire
from the T r a n s i t i o n Team t o the I n d u s t r i a l Biotechnology
Association. These guestions, many of which r e l a t e t o drug
p r i c i n g , were developed f o r the brand name drug i n d u s t r y . The
f a c t t h a t these same guestions were posed t o the biotech
i n d u s t r y r e f l e c t s a c e r t a i n lack of understanding of the
fundamental d i f f e r e n c e s between an established drug company,
l i k e P f i z e r , and the t y p i c a l biotech company.
A second issue of d i r e c t relevance t o health care p o l i c y making
i s the work t h a t Synergen has done during c l i n i c a l t r i a l s t o
measure cost e f f e c t i v e n e s s . I have attached a recent New York
Times a r t i c l e on t h i s subject f o r your information.
Thank you f o r your a t t e n t i o n t o t h i s reguest. My number i s
(202) 342-7042. Please have your s t a f f contact Ms. N a t a l i e
Adler at 342-7073 i f I am not at my desk.
Thank you.
Stephen F. Sims
Senior Vice President
New York
Chicago
Los Angeles
San Francisco
Washington, DC
and Offices Worldwide
^
•
v
�New Standard for Drug Makers:
Proving the Cure Is Worth the Cos
By LAWRENCE M. FISHER
Later this month, the Synergen Cor- much as $30,000 a year. The industry
poration will complete clinical trials of says its research and development as
a new biotechnology drug for treating well as expensive manufacturing prosepsis, a deadly bacterial infection. cesses justify these prices.
With the spotlight on health-care costs,
Yet to prove that their products are
Synergen intends to show that its new worth the price, companies like Synermolecule not only saves lives but also gen are hiring new specialists called
saves money over other sepsis treat- "pharmaco-economisis," who have dements.
grees in both economics and pharmaDrugs have long been held to just two cology and look at the cost-effectivestandards — safety and efficacy. But ness and quality-of-life issues of drugs.
huge customers like insurance compa- Synergen has added two pharmaconies and health maintenance organiza-j economists to its clinical research
tions are beginning to insist on a third: staff, and in the case of its antisepsis
cost-effectiveness — that is, whether drug Antril, it decided to conduct costone drug more than another can reduce; effectiveness tests alongside clinical
hospital stays, say, or employee absen- trials rather than holding them after
the drug received Federal approval, as
teeism.
is customary.
Standard Gains Support
"Before we ever heard of Bill ClinThe criterion is gaining sway with
ton,
before he was a Presidential candiGovernment regulators and may be
date,
I believed that in the Ws, just as
embraced by the. Clinton Administration, which has vowed to make drug- sure as you had to prove safety and
price containment a cornerstone of its efficacy, you also would have to conplan to cut the nation's health-care bill. vince people that you are delivering
And perhaps the most conspicuous economic value, and that even goes for
targets are the wonder drugs of bio- life-saving therapies," said Jon S. Saxe,
technology companies like Synergen,
many of which can cost patients as
Continued on Page D3, Column 3
I
�THE
NEW
YORK
TIMES.
MONDAY.
JANUARY
16.
199J
Vew Drug Standard: Economic Value
tt Saves Lives. Can K Save Money?
• from muram to m*** *™0» that an not just Mte
• but atoo ooMftaottwA drug manuteauwi am
tM^rv*V to promota ma ttomj
<* V*T protoc*.
W r i c k u g c a l M AnW, Synargan pubMhad a ttudy Indicating that
tfaapMa an a^Mdad high prtoa tag. ttw drug can mora than pay tor
haa* by jhonartnq tha avawga iiuwHtal «tay ol aapata' pattana.
big *om a Mrtoua tnfufy or fiwn Mteaon durtig N W .
. d b y a A n o a r a w a w r r w e t t o n b y M D a t t o n r t i r r n u w a y M n . R to
^ • q u a n e y M a c V w tonpn o l M y d u a U M t t v w M d r n c u d i a r t y P O M
t O w g i
*w»dlof72hoOT.
J
Continued
From
Pajif
Al
o r e s i d e n i and chief e x e c u t i v e o l Syne r g e n . w h i c h is b a s e d i n B o u l d e r ,
Colo.
But m e i m n n g a d r u g s c o s t - e f l e c t i v e n e s s c a n be t n c k y . H o w d o e s a
c o m p a n y show the C O M to society of,
u y . a r t h r i t i s to p r o v e that a r e m e d y
is w o r t h i t s h e f t y p r i c e t a g ?
And some drug e i e c u t i v n w a r n
that r e g u l a t i n g d r u g p n e e * m a y not
have the intended effect, even c a r r v m g potential bad side effects. D r u g s
a c c o u n t f o r o n l y a b o u t S p e r c e n t of
total h e a l t h < a r e spending a n d o n l y 1
p e r c e n t of g r o u n a t i o n a l p r o d u c t , ao
c u t t i n g t h e i r p n e e s m a y not m a k e
m u c h of a d e n t i n m e d i c a l b l l l i . W h i l e
European countries regulate
drug
prices, they spend a far g r e a t e r perc e n t a g e of t h e t r h e a l t h - c a r e b u d g e t
on d r u g s t h a n does the U n i t e d States,
i o c o n u i n m e m has a g r e a t e r i m p a c t .
In addition, drug m a k a n w a r n ,
regulaung
pnees could const r a m thai
amount they spend on r e s e a r c h and
development, p o u t b l y hobbling an ind u s t r y t h a t is c o m p e t i t i v e w o r l d w i d e
and contnbuies significanily to United States e x p o r t s - " C o u n t n e s t h a i
h a v e no p n e e c o n t r o l s o r l i m i t e d c o n t r a i l have the greatest
research
eff o m . - - s a i d B e r n a r d S. B l o o m , a r e search professor at the U n i v e r s i t y of
P e m y t v a n t a ' s School of M e d i c m e .
"Coumnea with very n n c i controls
have no r e s e a r c h . "
Aa Eaqr M M e a J T a r f M
Yet b e c a u s e d r u g p r i c e s a r e o n e
h e s l t t h c a r e c o s t t h a t c a n be c o n i rolled, and because the i n d u s t r y ' s
h ii g
gn
h p
p rr oofm
it m
ma
na
s a
a rr e
e w
so vv ui si D
i bilee.,
n
a rr g
g im
p o l u i c a l p r e u u r e 10 r e t i r a m d r u g
pnemg I I mevilaWa, economuta l a y .
While the Food and D r u g /
i r a i w n does not use p n e e a s a e n t e r ion i n a p p r o v i n g a n e w d r u g , a d v i s o r y
panels of s c i e n u s u t h a t h e l p t h e
agency e v a l u a t e n e w t y p e s of t h e r a pies h a v e s t a r t e d t a k i n g c o s t i n t o
consrieraUon.
Earlier this year, the F.D.A. reftued to approve a n o t h e r
biotech
d r u g f o r sepsis, C e n t o x m . m a d e b y
C e n t o c o r Inc.. p r i m a r i l y b e c a u s e t h e
d r u g showed effectiveness o n l y i n a
u n a l l subgroup of patients w h o c o u l d
not be readily i d e n t i f i e d i n a d v a n c e .
Bui the advisory panel that r e v i e w e d
Cenuann tndlcaied that the d r u g ' s
h i g h cost - 1 3 . 7 5 0 a d o s e - w a s a l a o a
factor.
B n t c c h companies shouldn't "get
so e n a m o r e d w i t h t h e i r t e c h n o l o g y
that they miss the p o i m that t h i s is a
product." said Cynthia Rohbtns-Roth.
t u b h s h e r of B i o v e n t u r e V i e w , a n i n d u n r y n e w s l e t t e r She r e c a l l e d o n e
panel m e m b e r saymg, " C o s i is a n other f o r m o l u w i c n v "
D r u g p r i c i n g r e f o r m is l i k e l y t o
come under the u m b r e l l a of m a n a g e d
competition, that is, the e r e a i m of a n
environment thai fosters c o m p e t i u o n
between d i f f e r e n t kinds of h e a l t h care providers. Managed competition
' signals an e r a in w h i c h people m a l l
p a r t s of t h e h e a l i f e c a r e p r o v i d e r c o n stetlaiion are going to have u p r o v e
c o s t - e l f e c i i w m a . n o t J U M c l i n i c a l vvatabty." said J e r e m y Rosner. vice
presidem l o r domestic policy w i t h the
Proitrcssive Policy Institute in Washprole
i Pnnceion University, u t d drug purchases we-jid
i n c r e a n n g l y be m a d e bv " m e g a - b u v e n " tihe h e a l t h m a i m e h a n c e o r g a n i
t a i n n s or public health p r o g r a m i
Thai could l u b j e c i p n c e i to rigorous
Knitmy.
Public mcKJ-buvfr-. w i l l hr tar
morr rfsponsible m w o r r y i n g aboui
leavmn ihc d r u g companies m o n e \
lor R *• D. t h a n the p n v a t r b u v c r s .
who w i l l w o r r y o n i v about t h e i r o w n
proln m a r g m v " Dr. R c m n a r d l said
Onrr ihr H M O s j r r l o r r r d iu
c o m r v i c on p r i c e , vriu c a r c x p c c i
i v m to be f a i r l y b r u u i * i t f i i h r d r u c
companies
Synergen f rials l o r A m i l l
S v n r r j e n h a s nm V P I ^ r t a p r i r c (or
A m n i . bui ludetne t r o m t u o i e r n o a i i f m - . , I I could C U M u ICJSI J i d o o J
o o v In ns c l i n i c a l t r i a l s S v n c r p e n
a i m e d 10 show t h a i m o r r s e p s i s pa^
i»mis s u r v i v e d w h e n i r e a t e d w i t h A n i r i l t h a n t h o s e w h o h a d not u h e n i h r
druc
Addtlionally.
ihc
company
» * n i « j 10 p r o v e t h a t i r e a i e d p a i i e n i ' s
» p m i less l i m e i n the h o s p m l a n d
!««. t i m e i n i n i e n s i v e c a r e t h a n t h o s e
* r v ) w e r e not i r e a t e d . a n d I h e r e l o r e
S K - ^ I T ^ ^ J *
£
T
1
f
*
i
a
i
J
y
j
0
" " *»fcty
and
« v e
a We." ^
GUad s . G o r d o n , left, d i r e ^
c o s t less.
- ™ „
" ™
• • " i m f I D ao i t l i g u r e
. ' " « » t e l l i c i e n i w a y 10
M i d G i U d S. G o r d o n .
h
"
*
t
^
h
f
u
l
ri..KM * . V «
n e " of t h e s e d a t a is
dubms
M o s i o l us f e e l I t ' s w o r t h
8
[
,
E!." T ?
n < i t
o i
*»""» on the
f r o n t e n d . i( o n t h e b a c k e n d t h e
p a t i e n t ' s s t a y is r e d u c e d s t g n i f i c a m l y . " said Glenn Y o f c n y a J d i S S p
of p h a r m a c y a t H u n i m g t o n M e m o n a l
H o s p i t a l m P a s a d e n a . Calif. ' B u i I
n a v e n o t seen a n v c o m p a n v so f a r
that has shown t h a i c l e a r l y . When vou
a c t u a l l y t r y t o p r o v e 11 i n a c l i n i c a l
s e t t i n g , i t ' s v e r y d i f f i c u l t l o do '
W h i l e the l e n g t h of a h o s p i t a l s t a y
m a y r e p r e s e n t t h e c o s t s of t r e a t i n g
a n a c u t e illness like sepsis o r a h e a n
a t t a c k , f i n d i n g r e l i a b l e m e a s u r e s of
c o s t s of c h r o n i c d i s e a s e l i k e a n h n t i s
o r d i a b e t e s c a n be d i f f i c u l t .
"Doing
pharmactxconomic
res e a r c h is a n a n a n d a s c i e n c e . " s a i d
R a y m o n d J. T o w n s e n d . vice p r e s i dent of m i e m a i i o n a l a p p l i e d health
c a r e r e s e a r c h ai G l a x o Inc m Durh a m . N C . a u n i t of G l a x o H o l d i n g s
P . L C . of L o n d o n . W i t h 11s n e w m i graine drug, for example, Glaxo was
a b l e 10 s h o w f e w e r lost w o r t d a v s a n d
i m p r o v e d q u a l i t y of l i f e .
Proof O h m H a r d to Gei
Bui with some very
expensive
d r u g s a n d some v e r y r a r e diseases,
s h o w i n g c o s t - e f f e c t i v e n e s s m a v be
i m p o M i b l e . a n d s o m e c r u i c i oil t h e
. induury
ar uc
xhmt u w s e
drug!
s h o u l d not be m a d e
T h a i i i t h e s u f t g e s i M n of a r e c e n t
r e p o n b y the ConRressional O f f i c e of
Technology Assessmeni on G e n x y m e
Inc s C e r e d a s e . a g e n e t i c a l l y e n g i n e e r e d i r e a i m e n i t o r the r a r e enr y m c dclicienr> called Gaucher s
disease. The r e p o n e s t i m a i e s i h e cost
nt 1 r e a l m g o n r p a n c n i w i t h C e r e d a s e
J I o n v w h e r r I r o m S71.000 10 1500000
: i n n u . i l l v and n o t r s t h a t " c o s i c o n s i d i - r j i i o n f i-.mnni tie i K n o r e d in ihp deM - i i i p m r n i anu d i l l u s i o n ol a n v t r e a t mem."
R
t i r n ^ v m r o f f i c i a l s s a i d i h c c o s i of
iht- d r u n lor must n a n c n i s f e l l be1 W I T H S.'OOOO ;ind SbO.OOO a v r a r a n d
n - f i r r t r d higti m a n u i a c i u n n c c o s i s
- h i m m u l i J nm oc . a i c u l a t e d m a d v.mi-r
I- m i r j l l y . v n u vtinuld n o i use
U I M i n d r i r r m i n c w h e i h r r or not 10
d'-i-i-iima d r u u . " bind A l i s o n 1 a u n i o n H I K H V t i r n / v m i - ' s srnior vice prcsid i n i nl i l w - r a p r u i K
•• I[ ( h e r e ' s
j
M ii n i i h . « : i v n l t r c n i i ^ ., U i s r a s c
h , i \ i - i n U f v i - i n p 11 unu *•<•
.
Hum
'
IU
p j y
t v e n when coM-eJlecnveness can
be s h o w n , n m a y n o i d e l l e c i c r i t i c i s m
or p e r s u a d e b u y e r s 10 p a v f o r a m o r e
expensive druc. "Sd what lhai vou
have p r o v e n rosi-elfecuveness " said
V i r c n M e h l a . : i n a l v s i w u h M e h i a ft
l > j i y W o r l d w i d e P h a r m a c e u t i c a l Re-
heahh
sciences
Co10 At
to H nR^^^T^r^^;^^
-
of
ogy lab
research^TIvwrEen
w
"
s
- *»-
in
Boulder
^ ^
of S y n e r g e n . J o i n i n g t h e m in a p h a r m a c o l a research assistant. K a t h v
•caret). " C a n you r e a l l y get a w a v
w i tl h c h a r g i n g U . H 0 p e r y e a r , espe'especially wnen your g r o u m a r g m i are
82 ppeer rc w
e nmt ? ""
Indeed, s o m e c n n c s of the i n d u s t r y
deride the cost-ericctivness
argum e n t as a r e d h e m n g . a j u s t i f i c a t i o n
Tucker.
for charging high pnees. Drug comp a n i e s " h a v e no s h a m e i n w h a t t h e v
c h a r g e . " said John Cosier, an aide to
Scnuior Uavid Pryor ol Arkansas,
w h o h a s p r o p o s e d l e g i s l a n o n 10 r e f o r m d r u g p n e m p . " T h r price has no
r c l a i i o n i u i h c r o s i of p r o d u c i i o n "
�Porter Novelli
' " T
Omnicom PR Network
Washington, DC 20007
202 342-7000
January 25,
1993
Mr. I r a Magaziner
Senior Advisor f o r Policy Development
Old Executive O f f i c e B u i l d i n g
Washington, D.C.
20500
By Messenger
Dear Mr. Magaziner:
Please excuse the use of the l e t t e r format, but I have been
unable t o get through to the White House switchboard f o r several
days using the telephone.
I would l i k e to schedule a b r i e f ( no more than 15 minutes)
meeting w i t h you or, i f t h a t i s not possible, your s t a f f
regarding the treatment of the biotechnology i n d u s t r y i n the
Administration's h e a l t h care reform e f f o r t . Ms. Debra
Bannister, D i r e c t o r of Corporate Communications f o r Synergen, a
leading biotech company located i n Boulder, Colorado w i l l be i n
Washington the afternoon of Tuesday, February 2. The two of us
would l i k e to make c e r t a i n that you understand c e r t a i n
fundamental d i f f e r e n c e s between the biotech and the brand name
pharmaceutical i n d u s t r y so t h a t h e a l t h care p o l i c y does not
u n i n t e n t i o n a l l y harm the growth and development of t h i s c r i t i c a l
technology.
My concern arises d i r e c t l y from a December 1992 questionnaire
from the T r a n s i t i o n Team t o the I n d u s t r i a l Biotechnology
Association. These questions, many of which r e l a t e t o drug
p r i c i n g , were developed f o r the brand name drug i n d u s t r y .
The
f a c t that these same questions were posed to the biotech
i n d u s t r y r e f l e c t s a c e r t a i n lack of understanding of the
fundamental d i f f e r e n c e s between an established drug company,
l i k e P f i z e r , and the t y p i c a l biotech company.
A second issue of d i r e c t relevance to h e a l t h care p o l i c y making
i s the work t h a t Synergen has done during c l i n i c a l t r i a l s t o
measure cost e f f e c t i v e n e s s . I have attached a recent New York
Times a r t i c l e on t h i s subject f o r your i n f o r m a t i o n .
Thank you f o r your a t t e n t i o n to t h i s request. My number i s
(202) 342-7042. Please have your s t a f f contact Ms. N a t a l i e
Adler at 342-7073 i f I am not at my desk.
Thank you.
Stephen F. Sims
Senior Vice President
New York
Chicago
Los Angeles
San Francisco
Washington, DC
and Offices Worldwide
�J f i M - 2 6 - ' 9 3 TUE 0 9 : 1 3 ID:POSTRLflMMEX+ t10071
TEL HQ:503 2 2 8 - 9 3 9 7
H257 P01
January 26, 1393
PorUanU, Oregon
Ms. Marjorip. Tarmey
Domesrlc Policy Staff
The While House
Executive Office Building
Washington, D. C. 20500
Dear
r;u?)456-6406
Fax (202)
456-7739
Marjorie.
Thank you for responding to my letter of DeceniUer 22, 1992
Magaziner at his Providence, Rhode Island office. I will remail you a copy of
some continuity
with the issuc(s). I am referring to several matters of
needfully integrating the responses of scvcrol departments of the federal
involving relations with states and localities as well.
addressed tn Irs
this letter to keep
domestic
policy,
government,
and
"Ministerial Road" in South County, Rhode Island (South Kingston, actually) is a
national metaphor for me of misdiagnosing, misdesigning and misspending for
infrastructure
at a level wasteful of scarce resources, not only for infrastructure
reinvestment,
but for
ttcunurnic stimulus and workforce retraining and redeployment as well. Senator Chafee
included reference tu this tiny, country fane in the ISitA (surface transportation) bill of 1991,
not to build it bigger, but lu keep it smaller. Against the onslaught of the Rhode Island
Department of Transportation and their desires to widen, straighten and trim the surrounding
naturol environment Into a suburban arterial road between the University of Rhode Island and
coastal route 1.
Time and time again I have found this phenomenon from California to Maine, where by
applying inappropriate road and transit design standards to local communities, corridors and
even bridges, the highway construction
community has grossly inflated the costs of
"rebuilding" America's infrastructure,
and thereby has sought to impact urban and rural
Settings with construction
where operations would largely do just fine. To spend large
amounts of "economic stimulus" dollars on badly overdesigned "shelf jobs" now will have to
be made up In tougher budget reduction decisions later. It is a "trap " and a bod one, for the
President and his economic advisors.
I would like to be hired on a shun term assignment of from 30 tn SO days to work with
a suitable unit of cross cutting policy analysis in either the White House nr a lead nepartment,
on this sort of taxation, workforce, and infraslruulure issue. If this Issue will not he done
within the Domestic Policy Staff function, then perhaps il could be considered with Treasury
Secretary Lloyd Bontscn or with Labor Secretary Robert Reich.
My first testimony before Congress was on the Highway Bill of 1973, before Senator
Bentsen. And the printed record shows it. I hove read Mr. Reich's reindustrialization
work over
the past several years, and spent five months myself as a "Visiting Fellow" at the Kennedy
School of Go vernmen t a t Harvard writing about smaller, gen tier, more opera tional in vestments
that would build communities and create careers, not quickly disposable construction jobs at
the cost of curnmunity and long term economy.
I enclose a copy of my recent note to Transportation Secretary Federico Pena, a friend
from o former life at the University of Cu/uradu in 1981-83.
Sincerely^
�J f i N - 2 6 - ' 9 3 TUE 0 9 : 1 1 ID: POSTOLflNNEX-t- t10071
TEL NO: 503 2 2 8 - 8 3 9 7
t1257 P02
January 22, 1993
Portland, Oieyun
Secretary Federico Pena
Office of the Secretary
U. S. Department of transportation
400 7th Street S. W.
(202) 366-1111
Washington. D. C. 20590
Fax (20y) 366-7202
Dear Federico:
When we spoke briefly fast Friday you asked specifically what It Is that I would like
to do with/for you in the next several months. Here it is in outline:
1. Free up the planning process for surface transportation modes in the small, not
the large. That means to help redesign the emerging planning processes of the states and
the metropolitan planning organizations to allow better development of small-scale,
community building projects and programs in addition to the region wide ond state-wide
programs that existing transportation agencies deliver to the loss of detail. It is in this detail
that the cooperation with HUD (Cisneros) on community development lies, where the
cooperation with Labor (Reich) and Education (Riley) lies on long term job and career
creation must resides, and where prototype responses tor energy conservation and air
quality attainment (hruugh design and operations can start.
2. Revamp the design standards for the various states, for agencies building on
federal lands (such as the National Park Service), and for local yuvernments (counties,
cities) so that billions of dollars "wasted" in overdesigned facililies can be modestly
redirected to new projects, also of modest scale that wouldn't have gotten on state and
regional plans at all without new funding sources, ond long delays. Here is a source of new
projects, local jumpstarting of the economy, and kinder, gentler projects through design,
not new tares.
3. Reeducate many of the mid-career professionals of the federal transportation
agencies, their state, regional and local counterparts through redirecting some of the
existing funding and program content of the National Highway Institute, local technical
assistance programs (LTAPI located in FHWA, and activating the universities more
aggressively to include environmental, energy conservation, operational, career
development concerns in their research, short courses and management assistance tn line
ogencies. Do this in conjunction with EPA, Energy, Labur, HUD and interior. Start in a very
small, pilot woy. Now.
These things could be accomplished in your "first 100 days", far better than at any
other time during your administration. They would cost very little, could deliver prototypes
before the summer, and could far better establish President Clinton's goals of renewal,
participation and local involvement than any massive new investment in infrastructure
delivered exclusively in the "old" ways. And I can perform on each of these immediately,
having worked all of them tor the past several years, largely independent of major
instiluliuns and Interests. As a true technical "populist" in tiny towns, and rural states, and
suburbs too.
Sincerely,
Robert A. Buicu
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Clinton Library
DOCUMENT NO.
AND TYPE
004. list
SUBJECT/TITLE
DATE
re: Journalists (partial) (1 page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
Health Care Task Force
Marjorie Tarmey
OA/Box Number:
1977
FOLDER TITLE:
WH [White House]
2006-0885-F
jp2832
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [S U.S.C. 552(b)]
PI
P2
P3
P4
b(l) National security classified information [(b)(1) of the FOIAj
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute 1(b)(3) of the FOI A]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA|
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes 1(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA|
b(9) Release would disclose geological or geophysical information
concerning wells [(bX9) of the FOIA)
National Security Classified Information 1(a)(1) of the PRA|
Relating to the appointment to Federal office [(aX2) of the PRA]
Release would violate a Federal statute 1(a)(3) of the PRA|
Release would disclose trade secrets or confidential commercial or
financial information 1(a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors |a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy 1(a)(6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Task Force Records
Creator
An entity primarily responsible for making the resource
White House Health Care Task Force
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://catalog.archives.gov/id/10443060" target="_blank">National Archives Catalog Description</a>
Description
An account of the resource
<p>This collection contains records on President Clinton’s efforts to overhaul the health care system in the United States. In 1993 he appointed First Lady Hillary Rodham Clinton to be the head of the Health Care Task Force (HCTF). She traveled across the country holding hearings, conferred with Senators and Representatives, and sought advice from sources outside the government in an attempt to repair the health care system in the United States. However, the administration’s health care plan, introduced to Congress as the Health Security Act, failed to pass in 1994.</p>
<p>Due to the vast amount of records from the Health Care Task Force the collection has been divided into segments. Segments will be made available as they are digitized.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+1"><strong>Segment One</strong></a><br /> This collection consists of Ira Magaziner’s Health Care Task Force files including: correspondence, reports, news clippings, press releases, and publications. Ira Magaziner a Senior Advisor to President Clinton for Policy Development was heavily involved in health care reform. Magaziner assisted the Task Force by coordinating health care policy development through numerous working groups. Magaziner and the First Lady were the President’s primary advisors on health care. The Health Care Task Force eventually produced the administration’s health care plan, introduced to Congress as the Health Security Act. This bill failed to pass in 1994.<br /> Contains 1065 files from 109 boxes.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+2"><strong>Segment Two</strong></a><br /> This segment consists of records describing the efforts of First Lady Hillary Rodham Clinton to get health care reform through Congress. This collection consists of correspondence, newspaper and magazine articles, memos, papers, and reports. A significant feature of the records are letters from constituents describing their feelings about health care reform and disastrous financial situations they found themselves in as the result of inadequate or inappropriate health insurance coverage. The collection also contains records created by Robert Boorstin, Roger Goldblatt, Steven Edelstein, Christine Heenan, Lynn Margherio, Simone Rueschemeyer, Meeghan Prunty, Marjorie Tarmey, and others.<br /> Contains 697 files from 47 boxes.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+3"><strong>Segment Three</strong></a><br /> The majority of the records in this collection consist of reports, polls, and surveys concerning nearly all aspects of health care; many letters from the public, medical professionals and organizations, and legislators to the Task Force concerning its mission; as well as the telephone message logs of the Task Force.<br /> Contains 592 files from 44 boxes.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+4"><strong>Segment Four</strong></a><br /> This collection consists of records describing the efforts of the Clinton Administration to pass the Health Security Act, which would have reformed the health care system of the United States. This collection contains memoranda, correspondence, handwritten notes, reports, charts, graphs, bills, drafts, booklets, pamphlets, lists, press releases, schedules, newspaper articles, and faxes. The collection contains lists of experts from the field of medicine willing to testify to the viability of the Health Security Act. Much of the remaining material duplicates records from the previous segments.<br /> Contains 590 files from 52 boxes.</p>
<p><strong><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+5">Segment Five</a></strong><br /> This collection of the Health Care Task Force records consists of materials from the files of Robert Boorstin, Alice Dunscomb, Richard Veloz and Walter Zelman. The files contain memoranda, correspondence, handwritten notes, reports, charts, graphs, bills, drafts, booklets, pamphlets, lists, press releases, schedules, statements, surveys, newspaper articles, and faxes. Much of the material in this segment duplicates records from the previous segments.<br /> Contains 435 files from 47 boxes.</p>
<p><strong><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+6">Segment Six</a></strong><br /> This collection consists of the files of the Health Care Task Force, focusing on material from Jack Lew and Lynn Margherio. Lew’s records reflect a preoccupation with figures, statistics, and calculations of all sorts. Graphs and charts abound on the effect reform of the health care system would have on the federal budget. Margherio, a Senior Policy Analyst on the Domestic Policy Council, has documents such as: memoranda, notes, summaries, and articles on individuals (largely doctors) deemed to be experts on the Health Security Act of 1993 qualified to travel across the country and speak to groups in glowing terms about the groundbreaking initiative put forward by President Clinton in his first year in the White House. <br /> Contains 804 files from 40 boxes.</p>
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Identifier
An unambiguous reference to the resource within a given context
2006-0885-F
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
WH [White House]
Creator
An entity primarily responsible for making the resource
Task Force on National Health Care
White House Health Care Task Force
Marjorie Tarmey
Identifier
An unambiguous reference to the resource within a given context
2006-0885-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 44
<a href="http://clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0885-F-2.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/12092971" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
2/6/2015
Source
A related resource from which the described resource is derived
42-t-12092971-20060885F-Seg2-044-003-2015
12092971