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563877907
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AHC General Correspondence December 1990 [3]
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563877907
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AHC General Correspondence December 1990 [3]
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04012-005c
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Records of the White House Office of the Chief of Staff to the President (George H. W. Bush Administration)
Andrew Card's Files
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1990
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1990
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Originally Processed With FOIA(s):
FOIA Number:
2025-0373-S
2025-0373-S
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the George Bush Presidential
Library Staff.
Record Group/Collection:
George H.W. Bush Presidential Records
Collection/Office of Origin:
Chief of Staff, White House Office of
Series:
Card, Andrew, Files
Subseries:
OA/ID Number:
04012
Folder ID Number:
04012-005c
Folder Title:
AHC General Correspondence December 1990 [3]
Stack:
Row:
Section:
Shelf:
Position:
G
15
21
6
Withdrawal/Redaction Sheet
(George Bush Library)
Doc. No. / Type
Subject/Title
Date
Restriction
Classification
01. Letter
Amy L. Bouchard to Hunter H. Lohman, Re: Enclosed financial
11/26/90
(b)(6)
statements. (2 pp.)
Page 1 of 1
Collection:
Record Group: Bush Presidential Records
Office:
Chief of Staff, Office of the
Series:
Card, Andrew H., Jr., Files
Subseries:
WHORM Cat.:
File Location:
AHC General Correspondence December 1990 [3]
Pinksheet Number: RML16119
OA/ID Number:
04012-005c
Date Closed:
3/13/2025
FOIA/Sys Case #:
2025-0373-S
Re-review Case #:
P-2/P-5 Review Case #:
THE WHITE HOUSE
WASHINGTON
Mr. William B. Webb
President Science Center of New Hampshire
P.O. Box 173
Holterness, New tampshire
03245
THE WHITE HOUSE
17.26.90
Dear Bill- -
Thank you for your letter regarding
the Science Center of New Hampshire.
It is much too early to predict with
accuracy what Mrs. Bush's august '91
schedule will be. (I ex pect she will be
in Kennebunkport.) you should, however,
correspond directly with her office. Susan
Porter Rose is Mrs. Bush's chief of staff
Good luck. Please keep in touch. Andy Card
AC HAS SEEN
Science Center of New Hampshire
at Squam Lakes
Post Office Box 173 Holderness, New Hampshire 03245 Telephone 603/968-7194
December 12, 1990
Mr. Andrew H. Card, Jr.
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20500
Dear Andy:
I know I would never catch you by phone so I wanted to get off a short note to
ask for your advice. As you know from our conversation in the spring, I am
President of the Science Center of New Hampshire. In 1991, the Center will
celebrate its 25th anniversary. To recognize this milestone we are planning a
gala event on August 17. The Board of Trustees would like to invite Mrs. Bush
to be our guest of honor.
The Science Center has long been committed to increasing children's awareness of
the impact they have on the world around them. We conduct classes and programs
which reach 25,000 school kids each year as well as 25,000 other visitors. Our
focus is on native New Hampshire wildlife and plant life. We believe the best
way to improve our environment and preserve it is through education.
We hope to have 500 people at our celebration. It will be a major event in
central New Hampshire. It seems to me the political advantages of an appearance
like this are obvious - environment, children, education, New Hampshire a year
before elections, all rolled into one.
Can you offer any advice on how I could best proceed to ensure Mrs. Bush's
attendance? Who should I contact? What things would be of most interest to
them as they make the scheduling decision?
Any guidance you can offer would be greatly appreciated. I think this could be
an excellent opportunity for both Mrs. Bush and the Science Center. Thanks for
your help.
Best regards,
Bill
William B. Webb
WBW:jr
P.S. I would have asked for advice on how we could invite the President, but I
assume that would be too much of a long shot.
Opening a Window to the Natural World
andrewHlard
THE WHITE HOUSE
WASHINGTON
Mx. Edward D. Murname
436 South Belmont
arlington Heights, Illinois
60005
THE WHITE HOUSE
12-26-90
Dear Ed —
Thank you very much for your letter.
I am a big Ed Murname Pan! yes, I
want to see what can be done to melude
you in other Bush/Quante Team activities.
Indeed, Ron Kanfman has told me of
your interests. He and I will work together
with you in mind.
Happy New year!
Sincerely,
Andy Card
THE WHITE HOUSE
WASHINGTON
Date: 12-26-90
FOR: Ron Kaufman
FROM: ANDREW H. CARD, Jr. fudy
Action
Your Comment
Let's Talk
FYI
EDWARD D. MURNANE
436 SOUTH BELMONT
ARLINGTON HEIGHTS, ILLINOIS 60005
(312) 394-8847
708
AC HAS SEEN
December 11, 1990
Mr. Andrew H. Card, Jr.
Assistant to The President and
Deputy to The Chief of Staff
The White House
Washington, D.C. 20500
Dear Andy:
I enjoyed our brief visits in both Paris and Uruguay and hope you
survived both trips. I was happy to get home after 34 days away.
Some of the sheep in Uruguay were starting to look pretty good.
I'm taking the liberty of sending you a copy of my resume and a
bio. I'm not sure how much you know about me and I hope you will
think of me as more than one of The President's Advancemen. I
think I have performed that function well for Presidents Reagan and
Bush, but I think I have a lot more than that to contribute to
President Bush.
I cannot complain about being an SBA Regional Administrator. It
was my preference to stay in Chicago following the 1988 election
and the SBA position is a good one and pays well (I'm SES-Level 5).
However, my reasons for wanting to stay in Chicago have changed
somewhat -- my two oldest children have both graduated from college
since 1988 and the burden of moving to Washington (or commuting)
wouldn't be so great.
In addition, I think I have outlived my usefulness at SBA and I am
not in total accord with the management of the agency by the
current Administrator.
I've talked to Ron Kaufman several times and Ron is being very
supportive. I don't want Ron to think that in writing to you I am
going around him because I am not; I simply want you (and everyone
else) to keep your eyes and ears open for other ways in which I can
make a contribution to this Administration -- now, in the 1992
campaign, and through 1996.
Mr. Andrew H. Card, Jr.
Page Two
I have no specific position in mind. I have strong qualifications
in management of people, in public affairs and public
communications, (both oral and written), in international relations
and in transportation. My preference would be something at the
Assistant Secretary level that would allow me to make a positive
contribution to government, while at the same time permitting me to
play a role in the campaign, perhaps as a surrogate speaker.
I think the people who are most familiar with me in Illinois
(Governor Thompson, Gov-Elect Edgar, Sam Skinner, Ed Derwinski,
Henry Hyde, etc.) will say good things about me, and I think the
people with whom I've worked in Washington (Haley Barbour, Ed
Rogers, Mary Matalin, Susan Engeleiter, Steve Studdert, Craig
Fuller, etc.) will do the same.
Andy, thanks for paying some attention to this. If nothing works
out, fine. I just want to let you know that I'm ready for a change
and perhaps there is another way for me to be helpful to The
President (who also has been known to say good things about me).
With all good wishes,
Sincerely,
Edward D. Murnane
SMALL
1953
U.S. Small Business Administration
Edward D. Murnane
Illinois
Regional Administrator
Indiana
Michigan
Minnesota
230 South Dearborn Street 510
Ohio
Chicago, Illinois 60604
Wisconsin
(312) 353-0357
EDWARD D. MURNANE
436 SOUTH BELMONT
ARLINGTON HEIGHTS, ILLINOIS 60005
(312) 394-8847
708
Career History
1989-Present
U.S. Small Business Administration; Regional
Administrator, Region V (Chicago). Responsible for
overall management and direction of largest regional
office in U.S. (400 employees, States of Illinois,
Indiana, Wisconsin, Michigan, Ohio and Minnesota). During
most of 1990, assumed additional responsibility for
direction of SBA's participation in Bush Administration's
assistance effort to Eastern Europe. Involved visits to
Poland, Hungary and Soviet Union, and frequent contact
with government and private sector officials from
Poland, Hungary, Czechoslovakia and USSR.
1987-88
Bush For President; Bush-Quayle '88; Executive
Director for successful Primary and General Election
campaigns in Illinois. (Three days following Illinois
Primary, Senator Dole withdrew from the race).
1985-88
Regional Transportation Authority, Chicago;
Served initially as Executive Assistant to RTA Chairman
Samuel Skinner, later as Public Affairs Director.
Directed public information, government relations,
customer information and marketing for second largest
mass transportation system in U.S. (On leave of
absence during campaings.)
1984
Reagan-Bush 184; Communications Coordinator and
Deputy Director for Re-election campaign in Illinois.
1976-83
Ed Murnane and Associates; Owner of public
relations-public affairs-government relations consulting
firm. Clients included Illinois and national
associations, firms and candidates. Activities included
lobbying, campaign consulting, lecturing and production
and hosting of public affairs television program.
1979-80
Reagan for President, Reagan & Bush;
Communications Coordinator for five Midwest states.
1971-76
Congressman Philip M. Crane, R-Illinois; Press
Secretary, later Administrative Assistant and Chief of
Staff.
Edward D. Murnane
Page Two
1966-71
The Daily Herald, Chicago; Reporter, then
Political Editor for third largest daily newspaper in
Illinois. Twice honored for "Distinguished Reporting of
Public Affairs" by American Political Science
Association.
Education:
Northern Illinois University, 1966.
B.S. (Journalism-Political Science)
Personal:
Born March 2, 1944, Chicago, Illinois.
Married, three children.
SMALL
BUSINESS
U.S. SMALL BUSINESS ADMINISTRATION
*
*
REGION V
1953
EDWARD D. MURNANE
Edward D. Murnane, a former award-winning journalist, small
business owner and congressional aide, was appointed Regional
Administrator for the U.S. Small Business Administration on January
3, 1989.
Murnane, a native of Chicago, oversees SBA activities in the six-
state region of Illinois, Indiana, Michigan, Minnesota, Ohio and
Wisconsin.
Prior to his appointment, he served as Executive Director of the
George Bush for President Campaign in Illinois. He had previously
held senior management positions in the 1976, 1980 and 1984
campaigns of former President Ronald Reagan.
As a reporter and political editor for The Daily Herald in
Chicago's suburbs in the late 1960's and early 1970's, he was twice
honored for "Distinguished Reporting of Public Affairs" by the
American Political Science Association and he was one of only eight
U.S. journalists selected as Congressional Fellows in 1971.
He spent five years in Washington, D.C. on the staff of Congressman
Philip M. Crane, R-Illinois, serving first as Press Secretary and
later as Administrative Assistant and Chief of Staff.
He left Crane's staff in 1976 and formed his own political and
public relations consulting firm in Chicago. Clients included more
than 70 political candidates and 30 corporations, government
agencies and trade associations.
Murnane has extensive international experience. He has directed the
planning and scheduling for visits of Presidents Reagan and Bush to
Japan, China, West Germany, Egypt, the United Kingdom, Costa Rica
and Mexico. In early 1990, he was appointed coordinator of SBA's
programs for Eastern Europe and he serves on the Interagency
Committee planning U.S. government economic assistance to Eastern
European countries.
He also coordinated the 1990 visit of an official government
delegation from the Soviet Union studying American small business
operations and he accompanied the Soviet delegation on most of
their two-week stay in the United States. He also directed the
planning for Soviet President Mikhail Gorbachev recent visit to
Minneapolis and he previously had coordinated the visit of
President Li Xiannian of the People's Republic of China to the
United States in 1985.
Chicago Regional Office, 230 S. Dearborn St., RM 510, Chicago, IL 60604-1593
Serving the States of Illinois, Indiana, Michigan, Minnesota, Ohio and Wisconsin
He has served on the White House volunteer advance staff since 1981
and has assisted on dozens of domestic and international trips of
Presidents Reagan and Bush and Vice Presidents Bush and Quayle.
Murnane has delivered more than 700 lectures throughout the United
States on the role of the free enterprise system and the
relationship between business and government. He also produced and
hosted a weekly public affairs television program in the Chicago
area in 1983 and 1984.
Between 1984 and 1988, he was Public Affairs Director for the
Regional Transportation Authority in Chicago, the second largest
mass transit system in the United States, working with former RTA
Chairman and current Secretary of Transportation Samuel K. Skinner.
Murnane is a journalism and political science graduate of Northern
Illinois University. He and his wife, Laurel, have three children
and live in Arlington Heights, Illinois.
Andren Hard.). THE WHITE HOUSE
WASHINGTON
The Honorable
William J. Flynn
195 S whiting Sheet
Hingham, Massachusetts
02043
THE WHITE HOUSE 12-26-90
DearBill-
Thank you Per your not. I enjoyed
seeing you and the other House members
when I was in the Chamber not long ago.
I have passed on your interest in
the F.D.I.C. to the appropriate people here.
Keep in touch and best wishes for '91.
Sincerely, Andy Card
THE WHITE HOUSE
WASHINGTON
Date: 12-26-90
FOR: Ron Kayman
FROM: ANDREW H. CARD, Jr Andy
Action
Your Comment
Let's Talk
FYI
William J. Flynn, Jr., J.D.
AC HAS SEEN
Counsellor at Law
195 Whiting Street
(617) 749-5554
Hingham, Massachusetts 02043
December 7, 1990
Mr. Andrew Card
Office of the President
White House
Washington, D.C. 20205
Dear Andy,
Nice to see you at the State House about ten days ago.
As you are aware, I am leaving the Massachusetts House
at the end of this month after 16 years.
I have applied for a job with the Professional
Liability section of the F.D.I.C. here in Boston: a copy of
the ad is enclosed along with a copy of my resume. The
contact person in Washington is a Mr. Jack Smith, Deputy
General Counsel. Any help you could give me in this regard
would be greatly appreciated. The best place to reach me is
at my Hingham law office.
As a back up option, I would also be interested in an
Administrative Judge's position.
Happy holidays to you and your family.
With kindest personal regards,
Bill Hynn
William J. Flynn, Jr.
BOSTOM GLUBE SUM
B76
11/18/90
PROPESSIONAL HELP
PROFESSIONAL HELP
PROFESSIONAL HELP
ATTORNEY
VACANCIES
Boston
The FEDERAL DEPOSIT INSURANCE CORPORATION (FDIC) is
seeking qualified attorneys to support the Professional Liability
Section in its Boston, MA Consolidated Office. Attorneys will
specialize in directors' and officers' liability, attorney malpractice,
accountants' liability, securities and commodities brokerage
liability, appraiser liability and bankers' blanket bond suits which
arise from the FDIC's role as receiver, conservator or liquidator
of closed and assisted insured financial institutions.
Counsel (Office Chief)
Senior Attorney
GG-905-14/15
GG-905-13/14
$55,375 to $84,675 $46,861 to $71,991
LD-365
LD-366
1 Vacancy
3 Vacancies
Applicants must have bar membership, possess good writing
skills, decision-making abilities and have the ability to meet and
deal effectively with financial institution and government
officials. These positions offer excellent benefits. U.S. citizenship
is required. In addition, applicants at the 13 level must have 3
years, at the 14 level 4 years and at the 15 level 5 years of
progressively responsible legal experience which demonstrates
that they possess the knowledge, skills, and abilities required to
perform the duties of the position. At least 1 year of professional
legal experience must have been at a level of difficulty and
responsibility comparable to the next lower grade in the Federal
service. Team leader or supervisory experience is a plus for the
Counsel (Office Chief) position.
Entrance salary will be based on ability, experience and previous
earnings. To be considered, a completed "Application for
Federal Employment" (SF-171). available at most Federal agency
personnel offices, must be received no later than close of
business December 19, 1990 at:
Federal Deposit
is
Insurance Corporation
Legal Division, Room 3011
550 17th Street, N.W.
102222
Washington, DC 20429
NOTE: PLEASE INDICATE ON YOUR SF-171, THE VACANCY ANNOUNCEMENT
NUMBER AND LOCATION FOR THE POSITION IN WHICH YOU WISH TO BE
CONSIDERED. SEPARATE SF-171S MUST BE SUBMITTED FOR EACH POSITION
AND LOCATION IN WHICH YOU WISH TO BE CONSIDERED. FAILURE TO
SUBMIT MULTIPLE SF-171S WILL CAUSE LOSS OF CONSIDERATION:
5910
The FDIC is an Equal Opportunity Employer
Minority Candidates are Encouraged to Apply
WILLIAM J. FLYNN, JR.
131 Tower Hill Drive
Hanover, MA 02339
(617) 826-4555
EDUCATIONAL BACKGROUND:
Boston College A.B. Ecomonics 1960
Boston College Law 1961-1962
New England School of Law L.L.B. 1963-1964
CAREER EXPERIENCE:
1965-Present
Practicing Attorney
1975-1990
Member, Massachusetts House of
Inclusive
Representatives 1975-1990
1967-1974
Town Counsel-Town of Hanover
1963-1974
Claims Adjuster
1952-1956
U.S. Navy
PROFESSIONAL MEMBERSHIPS:
Plymouth County Bar Association
Massachusetts Bar Association
OTHER ACTIVITIES:
Baseball and Basketball-Coach in Youth programs
Regional Interviewer for Boston College
Member, Country Club of Halifax
Member, Hingham V.F.W. Post and Hingham
American Legion Post
Director for Hanover Permanent Scholarship Fund
Member, Charitable Irish Society
andrewH.Card.J. THE WHITE HOUSE
WASHINGTON
Mr. herse C. Worthey
MIR, LTD.
Suite 365
2100 Pennsylvania ave., N.W.
Washington, D. C. 20037
MIR, LTD.
INTERNATIONAL TRADE RELATIONS
GEORGE C. WORTLEY
PRINCIPAL
2100 Pennsylvania Ave. N.W., Suite 365
Washington, D.C. 20037 Paris and Moscow
(202) 785-0500 Fax: (202) 785-5277
THE WHITE HOUSE
12.26.90
Dear George-
Jeff Taylor passed on to me some information
about MIR. Ltd. and your activities. I will
make sure that the appropriate people here
are aware of MIR's project.
Best wishes Poi the new year. Please
keep in touch.
Sincerely,
Andy Card
THE WHITE HOUSE
WASHINGTON
Date: 12/26/90
FOR: NSC
FROM: ANDREW H. CARD Andy
X
Action as approprials 1
Your Comment
Let's Talk
FYI
12-11-90
JEFFREY L TAYLOR
AC HAS SEEN
DEAR ANDY-
MER, CTD, A WASHINGTON BASED
INTERNATIONAL TRADE RELANONS
COMPANY, ITAS BEEN ACTIVALL/
FOLLOWING THE RECENT HAPPENINGS
WITH REGARD TO U.S. Assistance
TO THE Sevisr UNION.
I AM urining This NONE 10
INTRODUCE you To ntis FINK
ORGANIZATION And PRESSNT A
PROPOSAL which COLLD Bh of
GREAT INTEREST And BENEFIT
TO THE BUSH Administration
VANDER 17th LEADERSHIP OF
FORMER CENGRESSMAN SECRITE
C. horrey (R-N4), MIR, CTD
HAS CREATED A PROGRAM which
IS GEARRD TOUARD DELIVERING
NUTRITIOUS FOOD INTO THE HANDS
LF THE Sovisr people - - FAST,
SAFE, And FOR con COST.
(LLER)
Ar ntis TIME, I'd like 10
A3K your itsep And GUIDANCE
IN dinearing This PROPOSM 10
THE APPROPRIATE decision MAKER
IM THE AdMINISIRATION.
MER, LTD is willing 10
discuss nhi profect FURNTER
you OR WHOELER you
FEEL is APPROPRIATE in ntis
SIRANCE
Pernse FORWARD Any RESPONSE
TO my ATTENTION inc c/o Wonney
Ar MIR, LTD.
As ALWAYS - Thank c/or.
My very BESI 10 you, CANNY
And its SWITHE Family during
DHE HOLIDAY SEASON.
JEFF
EMERGENCY FOOD SUPPLIES FOR THE SOVIET UNION
MIR, Ltd., a Washington-based international trade relations company
whose principals include retired Congressman George C. Wortley (R-NY),
has been actively involved in negotiating with an "international
organization" within the Soviet Union to import needed canned and
processed foods. We continue these discussions and have identified
numerous U.S. resources capable of providing large quantities of canned
meats, vegetables and other packaged foods at costs of $.015-$.055 per
ounce or $.0175-$.064 per ounce delivered to Moscow.
Foods which have been identified as available are:
Canned meats: whole chicken, beef chunks, beef stew, chili and
meat, spam, hash, creamed sliced beef, brunswick stew.
Canned vegetables: green beans, corn, peas, carrots, spinach.
Macaroni and cheese, beef ravioli, spaghetti and meat balls, beefaroni.
White beans and ham, chili and beans, pinto beans.
The Soviet Union is in desperate need of processed foods ready for
immediate distribution to citizens through the country. The Soviet Red
Cross is active not only in Moscow (Russia), but in other republics and
has the capability, and credibility, to see that emergency food supplies are
quickly and equitably distributed. If hoarding, pilfering and corruption are
to be avoided, it will be imperative to identify a credible organization to
handle distribution, and MIR, Ltd. has excellent contacts directly with the
Red Cross.
ACTION
The United States should immediately offer to send ready-to-eat foods
to the Soviet Union in time to arrive by Christmas as a gesture of
goodwill, solidarity and in the spirit of the upcoming holiday season.
The U.S. Government should arrange for a number of plane loads of
food stuffs to arrive in various Soviet cities December 17-24.
MIR, Ltd. should be asked to coordinate the initial shipments since the
sources have already been identified and shipment can be facilitated.
The initial shipments of perhaps $10-20 million in cost should be done
non-competitively in order to expedite these first plane loads. Future
shipments could go through a competitive procurement process if time
allows.
MIR, Ltd.
MIR, Ltd., was formed in 1990 in association with the French
trading organization CANOPUS as an outgrowth of the consulting
activities of the firm's principals. Originally created to identify
opportunities with the Soviet Union and to assist American
companies in developing and successfully completing various types
of business transactions, MIR, Ltd., is now identifying specific import
and export opportunities, locating companies who can take
advantage of these opportunities, and initiating discussions on joint
ventures bringing needed technology and equipment to establish
Soviet manufacturing capabilities for domestic and international
(regional) markets.
MIR, Ltd., and its associates facilitate trade, identify priority
commercial issues, work on these business priorities to assure Soviet
hard currency is available for purchases, arrange meetings with
decision-making Soviets to provide American companies with the
opportunity to present and close deals, as well as arrange for the
shipment of goods to and from the Soviet Union.
MIR, Ltd., has established itself in a position to work closely with
senior Soviet ministry officials at both the central and republic levels
and emerging enterprise executives to identify specific export
commodities and those import items for which hard currency or
suitable barter is available. Discussions are held with people who
have the authority to make decisions and our associates are fully
conversant in Russian and have all necessary legal and support
services throughout the Soviet Union.
MIR, Ltd., principals have considerable experience in
international affairs and are experts in government relations in the
United States, the Soviet Union, France and numerous Third World
countries.
MIR, Ltd., works closely with the U.S. Departments of Commerce
and Agriculture, as well as the Office of the U.S. Trade
Representative, the U.S. Customs Service, and the Congress of the
United States.
The principals are dedicated to private initiative,
entrepreneurship, and free market economies and encourage these
concepts whenever they work with developing and East Bloc
countries. They have found that trade facilitation can be used to
leverage changes in the way enterprise sectors work and can be
used to foster and expand private businesses.
MIR, Ltd., Principals
GEORGE C. WORTLEY
Congressman George C. Wortley, retired four-term member of the U.S.
House of Representatives, was actively involved with European, Latin
American and Pacific Rim leaders on financial and development bank matters.
A strong business advocate, he was a moving force in the formulation of
legislation on money laundering and public housing. He serves as a
consultant to The Carmen Group and the Financial Institutions Services
Corporation of Washington, D.C. Mr. Wortley is also the President of Manlius
Publishing Corporation, the publisher of seven weekly newspapers in upstate
New York. He currently serves on several Central New York business and
foundation boards.
Mr. Wortley holds a Bachelor of Sciences degree from Syracuse
University. He served in Merchant Marine Reserve and the United States
Naval Reserve during World War II, with sea duty in the North Atlantic, Pacific
and Philippine Theaters.
ALBERT G. OUELLETTE
Mr. Ouellette has been a principal with Ouellette & Associates since 1983
providing political consulting, legislative research, and fundraising. He is
chairman of the Western States Caucus, a political and policy organization
regarding Western environment, Western land and water. Since 1982 he has
served as an Oil Shale Advisor to the Secretary of Interior and is on the Board
of Directors for the Colorado State University Foundation. Previously, he was
President of Sun Eagle Inc., a Colorado development company in Vail, Beaver
Creek and Durango. He served as finance director for CFTR, President
Reagan's political action committee.
Mr. Ouellette holds a Master of Arts degree from Northern Arizona
University and Bachelor of Arts degree from Colorado State University.
ROGER C. DIERMAN
Mr. Dierman has been a Senior Associate with The Carmen Group and the
Financial Institutions Services Corporation. He returned from Geneva,
Switzerland, in 1989 where he was the President and one of the co-founders
of the International Enterprise Foundation of Geneva. This private sector
development group of 20 multinational corporations focused on
business-to-business initiatives in developing countries, primarily Africa.
Previously he served as Chief of Staff to the U.S. Ambassador to the United
Nations in Geneva and as an executive at the U.S. General Services
Administration where he led major cost-reduction initiatives. He also served
the government with assignments with The White House, the President's
Management Improvement Council, the Department of Transportation, and the
Department of Housing and Urban Development. Prior to his government
assignments, Mr. Dierman was an executive in the insurance industry.
Mr. Dierman holds a Bachelor of Business Administration degree from
Georgia State University.
andrewHCard. THE WHITE HOUSE
WASHINGTON
Ms. Many Gagorian
10 Glen Ellen Road
Worcester, Massachusetts
01602
THE WHITE HOUSE December 24,1990
Dear Mary-
Mytickle Pile" has your recent letter
in it. Is there any updat to your
request regarding the Massachuritts
Federation s( Women's Clubs?
Best wishes for the New year.
Sincerely,
Andy Card
MEMORANDUM
OF CALL
Previous editions usable
TO:
LC
YOU WERE CALLED BY-
YOU WERE VISITED BY-
Mary GUZURIAN
OF (Organization)
Mass. Few. OF women
PLEASE PHONE
FTS
AUTOVON
508/443-4569
WILL CALL AGAIN
IS WAITING TO SEE YOU
RETURNED YOUR CALL
WISHES AN APPOINTMENT
MESSAGE
She clAIMS you ARE working ON
getting The VPOR ElizAbeth Dole
TO ADDress her group.
RECEIVED BY
DATE
TIME
63-110 NSN 7540-00-634-4018 STANDARD FORM 63 (Rev. 8-81)
Prescribed by GSA
FPMR (41 CFR) 101-11.6
* GPO : 1986 0 - 157-353
Document Originally
Attached to
Following Page
now asks for Mrs. Quayle
if VP cannot make it.
Forget Mrs. Dole.
AC HAS SEEN
LC spoke 12/14
a
508/755-3978
Andrew Card Jr
(h)
assestant to the President 508/443-4569
Deputy to the Cheef of Staff
The white House
Dear Andy,
We missed you at wave Lionetts
Birthday party in Betober We are
happy he was a winner and of
Course, Paul winning the for
governship was just great. We
all worked very hard.
If you recall & talked to you
that night on the phone about
being disappointed because
Barbara Bush could not speak
to our Mass, State Federation of
Women's Chiba on Oct. 29, 1990.
I'm asking for your help for
Jan. 29, 1991 Call day Conference)
we would be very happy to have
Vice President guayle be our
keyrote speaker. Our attendance
is about 500 women from
all areas of massachusetts.
Andy, please help us and arrange
this meeting which is our mid-Winter
Conference and is usually in the Boston
partisan it would not hurt to give
area. Cas you know the group is non- -
our Vice President more exposure to
women's groups)
another favor, andy, we dicussed
having Elizabeth Dole asour speaker
for our annual Conference may 6-9th
at Sea Crext in north Falmouth
Can you help No with that date?
we can switch the dates for
Perhapoif its more convenuent
these two dates with Vice President
Guayle and Elizabeth Dole. ???
Andy, I sincerely appreciate must
you help, l know you
have many requests from other groups
Beat wishes fn you continued
Many, many thanks for your help.
good work !
whicester, ma01602
10 glen Ellen Rd.
gratefully mary gazorian
Tel. 1-508-755-3978
THE WHITE HOUSE
WASHINGTON
Mr.Donal d a. Clarey
B. M.A. Inc.
1825 K Street, N.W.
Washington, D.C. 20006
Suite 807
THE WHITE HOUSE December 26,1990
DearDon -
your thoughts of 11/20 are very
appreciated. - The Bennett situation
is a bit different. Hopefully solution #2
will be as good.
Keep in touch. Happy New year!
Sincerely, AndyCard
AC HAS SEEN
November 20, 1990
MEMORANDUM FOR ANDREW H. CARD, JR.
FROM:
DONALD A. CLAREY
xX)
SUBJECT:
"Deja vu.
all over again"
"The election results were mixed, perhaps shaded slightly in favor
of the Democrats. The Republicans had lost 9 seats in the House
...
The Republicans took a licking.
so
that
Democratic
governors outnumbered Republicans again by 29 to 21
a Senate
[had] 55 Democrats and 45 Republicans.
" Outside the iron grillwork of the White House, the reactions
of Republicans were far less restrained, far more shrill. For the
first time since the [President's] inauguration, workers and
leaders of his own party were denouncing him, still privately and
not for publication but with increasing despair and anger.
Clearly, the Presidency of Richard Nixon had hit bottom. "*
Just remember, he won 49 states two years later.
I was reading this book last night and the similarities just jumped
off the page at me. While I know you are too busy to read
unsolicited advice (its worth what you pay for it) I thought that
as you begin the SOU process you might put this in the back of your
mind.
The first move to place William Bennett was a master stroke. You
have put the cork in the bottle of any assault from the right. Now
you can begin to concentrate on the main business at hand -- 1992
from the Democrats. One point that has not been put forward is the
fact that, on the Presidential politics level, the Democrats
suffered a major defeat. Mario Cuomo barely made a majority
against Bozo the Clown and Zippy the Chimp. Bill Bradley barely
made it back to the Senate. This point should be stressed. In
addition, you have California, Michigan, Ohio, Massachusetts, and
Illinois. Governors in these state provide a pivotal strategic
advantage. Even the Democrats will concede Texas and Florida to
the President in 1992.
Now is the time to go to a war footing and I believe there are a
few steps worth taking:
The State of the Union is the kick-off. The points raised should
be the themes of 1992. Blue collar issues, middle class issues
should prevail. The line should be drawn against new taxes and new
spending. " What we need are spending cuts so we can have tax
cuts." "I will veto any bill which unnecessarily raises spending
- period."
* Nixon in the White House, Evans and Novak, 1971
-2-
This was the message of the 1990 election and the Administration
can get back on the right side of this equation.
There has been a lot of criticism on message -- two approaches
should be developed. First is a monthly " report to the people"
to respond to the increasing criticism of Desert Shield. This
should be televised and should be similar to the President's tour
de force speech to the nation before he left for Malta last year.
These updates will recapture the rhetorical and policy advantage,
as well as, remind the country who is leading this successful
effort. He should launch a speaking tour of several legislatures
were he can hold Mini State of the Union Addresses. In this
environment he can pin point single points of the agenda and
receive a glowing response. This also is a good environment for
underscoring the no new spending approach. Finally, there are
numerous success stories in American business which can be
underscored. Trips to such areas would be worthwhile. I would
suggest that no city visited should have a population of more that
100,000. In these towns a presidential event is an historic
occasion, not a political event.
President Nixon recaptured the agenda and proceeded to inflict a
disastrous defeat upon the Democrats. This Administration is a
similar position. All it requires is keeping the message focused
and recapturing the agenda.
The State of the Union begins that process for President Bush.
THE WHITE HOUSE
December 26,1990
Dear Lett-
your note lingued in my file longer than
appropriate. I apologize.
I like your suggestion regarding the
Massachusetts Senate Presidency. The "players"
recognize the opportunity but seem to lack
the will to make change a reality.
May promises to be A busy month. My
number two daughter graduates on May 11 and
daughter number one marries on May 26th
het me know your plans. - Sincerely, Andy Card
andrew Hardf. THE WHITE HOUSE
WASHINGTON
President
Harry R. Feldman Inc.
112 Shawmust avenue
Boston, Massechuritts
02118
FELDMAN.
Harry R. Feldman, Inc.
Civil Engineers and
Jeffrey M. Feldman
Land Surveyors
President
AC HAS SEEN
112 Shawmut Avenue
Boston, MA 02118
617-357-9740
November 8, 1990
Mr. Andrew Card
The White House
1000 Pennsylvania Avenue
Washington, DC 20500
Dear Andy:
I imagine that life continues to be exciting and I'm pleased that
you have this opportunity. You will have some very interesting
stories to tell your grandchildren.
Andy, I would appreciate it if you would pass a thought along
to the current Republican leadership in Massachusetts: Instead
of losing an election for Senate President, it seems much more
sensible to elect someone other than Bill Bulger! With 16
Republican votes, it shouldn't be difficult to find an ambitious
Senate Democrat who can get 4 other votes and get himself
elected Senate President. While I would prefer a Republican
Senate President, I don't think it will happen this time, so why
not take credit for dumping Mr. Bulger, even if it means electing
another Democrat? Perhaps the voters would pay back the favor
in 1992 by giving the Republicans a Senate Majority!
One thing is pretty clear, Mr. Bulger's future is in the hands
of the Massachusetts Republican Party. Hopefully, they will
use their new power quickly and wisely.
I'll be in Washington on May 11 and 12 for my son's graduation
from George Washington University. I'd love the chance to say
hello if you are in town and available.
Many thanks for your consideration of this thought.
Best regards,
M Jeff Feldman
THE WHITE HOUSE
WASHINGTON
The Honorable
Brian P. Less
Massachuritts State Senator
10 Parker Street
Indian Ordrand, MA 01151
THE WHITE HOUSE December 26,1990
Dear Brian-
Thank you for your corres ponduce
regarding The Basketball Hall of Fame 100th
anniversary Celebration. as you may expect,
it is not possible for the President to be in
Springfield on January 6th I have also
learned that the Societ President is not
available to havel to the United States for
the edebration.
Best wishes for 1991. Sincerely, Andy Card
COMMONWEALTH OF
senate
STATE HOUSE, boston 02133
AC HAS SEEN 12/26
SENATOR BRIAN P. lees
10 PARKER street
SECOND hampden DISTRICT
indian ORCHARD, MA 01151
ROOM 517, STATE house
(413) 543-2167
(617) 722-1291
December 3, 1990
Mr. Andrew Card
The White House
1600 Pennsylvania Avenue
Washington, DC 20500
Dear Cardey Mr. Card,
I would like to bring to your attention an event which will be
held in Springfield at the Basketball Hall of Fame in January.
The event, which will celebrate the 100th anniversary of
Basketball, may include (by then) Governor William Weld.
Festivities will include a reception on Saturday evening, January
5th from 7:00 P.M. to 9:00 P.M. On Sunday, January 6, the
Postmaster General will announce the issue of a commemorative
stamp in a ceremony from 10:00 A.M. to 11:00 A.M. This will be
followed by a brunch from 11:00 A.M. till 1:00 P.M. The weekend
will be capped off by a game in which Notre Dame University will
play against the National Team of the Soviet Union.
I am informing you of this occasion because the President is also
being asked to attend by the organizers, and they have also
contacted the Soviet Embassy to inquire about the availability of
the Soviet Premier.
I would greatly appreciate it if you could see what can be done
to assist in this request. If you need further information,
please do not hesitate to contact me.
With best wishes, I am
to
Sincerely,
Brian P. Lees
State Senator, Second Hampden District
BPL/bhc
THE WHITE HOUSE
WASHINGTON
Ms. Mary O'Sullivan
124 Elm avenue
Quincy, Massachusetts
02170
THE WHITE HOUSE December 26,1990
Dear Ms. O'Sullivan-
8 Steve M 'Grath contacted me regarding
your interest in working with the U.S.
First Circuit Court as an assistant
circuit Executure. The Judiciary is
independant of the Executive Branch
so there is little that I can do to
assist in your effort. your correspondence
should be directed as indicated in the Boston
Globe. - -Best wishes for 1991. Andy Card
DEC 07 '90 15:48 CITY_OF_QUINCY__IE
P.1
AC HAS SEEN
STEPHEN J. MCGRATH
CITY OF QUINCY
CITY SOLICITOR
OFFICE OF THE SOLICITOR
JAMES S. TIMMINS
JOSEPH A. MACRITCHIE
CITY HALL
ASSISTANT CITY SOLICITOR
LEGAL COUNSEL
KEVIN J. MADDEN
1305 HANCOCK STREET
JEFFREY W. BRIDS
ASSISTANT CITY SOLICITOR
QUINCY. massachusetts 02169
SPECIAL COUNSEL
TELEPHONE (617) 773-1380
FAX NO. (617) 328-9265
December 7, 1990
Andrew H. Card
Deputy Chief of Staff
BY FAX
The White House
Washington, D.C.
Dear Andy:
along with the job description for an Assistant Circuit
Enclosed is a resume of Mary E. O'Sullivan of Somerville
Executive is for the U.S. First Circuit Court. Mary's family
a very good friend of mine from Quincy and if there is
anything that could be done for Mary, I would appreciate it.
advise.
Should you require any additional information, please
Very truly yours,
Stephen J. McGrath
City Solicitor
SJM:bd
enclosures
CC: Daniel O'Sullivan
124 Elm Avenue
Quincy, MA 02170
DEC 07 '90 15:48 CITY_OF_QUINCY__IE
P.2
MARY E. O'SULLIVAN
62 Dover St., #8
Somerville, MA 02144
(617) 628-7177
EDUCATION
M.Ed., Business Management
Cambridge College
Cambridge, MA
1990
B.A., History
University of Massachusetts
Boston, MA
1976
EXPERIENCE
CORPORATE HUMAN RESOURCES MANAGER
Cambridge Analytical Associates, Inc.
Boston, MA
1988-1989
Seasoned professional reported directly to the Director of
Administration and Finance of leading national environmental
management consulting company. High visibility position
responsible for managing all aspects of corporate human resources
Officer. function. Reported indirectly to the President/Chief Executive
* Researched plans. and analyzed numerous compensation and benefits
* Introduced innovative comprehensive company-wide compensation
package and employee handbook.
* Compiled extensive data and statistics on diverse personnel-
related projects.
* Prepared budget reports and cost analyses.
* procedures. Developed and implemented human resources policies and
* Supervised Human Resources Administrator.
* Worked successfully for and with President/Chief Executive
Officer on myriad of undertakings.
* Recruited, interviewed and placed in-house and field
professional and managerial staff.
* * Advised employees on career counseling and pathing.
Promoted positive employee relations.
REGIONAL HUMAN RESOURCES MANAGER
Stars To Go, Inc.
Marlboro, MA
1987-1988
Seasoned professional reported directly to the Regional Vice
visibility position responsible for managing all aspects of human
President of leading national video distribution company. High
resources function in the Northeastern Region. Reported
indirectly to the Corporate Vice President of Human Resources.
DEC 07 '90 15:49 CITY_OF_QUINCY__IE
P.3
Recruited, interviewed and placed in-house and field exempt
and non-exempt staff.
Promoted positive employee relations.
Advised employees on career counseling and pathing.
Designed communication, safety and training programs.
Administered compensation package including commission and
bonus plans.
Oversaw administration of benefits package.
Prepared budget reports and cost analyses.
Compiled extensive data and statistics on diverse personnel-
related projects.
Developed and implemented human resources policies and
procedures.
Promulgated Equal Opportunity Employer and Affirmative Action
measures.
Provided personnel and appropriate support for start-up of a
National Distribution Center in Memphis, Tennessee.
SENIOR HUMAN RESOURCES ADMINISTRATOR
Waltham, MA
Thermo Electron Corporation
1983-1987
Recruited, employees. interviewed and placed exempt and non-exempt
Identified, sourced and referred candidates for positions
through computerized recruiting system.
Administered comprehensive benefits packages.
Administered wage and salary programs.
Administered Equal Opportunity Employer and Affirmative Action
programs.
Interacted with Corporate Human Resources and Benefits
Departments on myriad of human resources projects.
Resolved both in-house voice and data telecommunication
problems.
Supervised Personnel Clerk and Switchboard Operator.
PERSONNEL ADMINISTRATOR
Boston, MA
Guardsmark, Inc.
1982-1983
employees. Recruited, interviewed and placed exempt and non-exempt
Oversaw employee orientation and training programs.
Administered benefits package, safety program and Equal
Opportunity Employer and Affirmative Action programs.
Devised systems to reduce employee absenteeism and turnover.
PERSONNEL REPRESENTATIVE
Somerville, MA
Preferred Care, Inc.
1980-1981
*
employees. Recruited, interviewed and placed exempt and non-exempt
Planned and conducted employee orientation and training
programs.
Oversaw administration of benefits and compensation packages.
Devised systems to reduce employee absenteeism and turnover.
DEC 07 '90 15:49 CITY_OF_QUINCY__IE
P.4
ASSISTANT TO BUSINESS MANAGER
Bay Cove (Tufts) Mental Health Center
Boston, MA
1978-1980
* Prepared budget reports and cost analyses.
* packages. Oversaw the administration of benefits and compensation
* Maintained employee records.
ASSISTANT TO PROGRAM MANAGER
Office of Emergency Medical Services
Boston, MA
1976-1978
* Acted as liaison between office and field personnel.
* Maintained personnel inventory.
* competence. Devised systems to pinpoint employee distribution and
* Prepared statistical reports.
REFERENCES
* Available upon request.
DEC 07 '90 15:50 CIJY_OF_QUINCY__IE
P.5
61990
ASSISTANT CIRCUIT EXECUTIVE
UNITED STATES COURTS
FOR THE FIRST CIRCUIT
Provides staff support to the Circuit Executive in all areas of
administration, with specific emphasis on planning and analysis.
Must possess strong written communication and analytical skills.
B.A. required. Salary $42,601 to $65,444. Send resume to:
Vincent Flanagan, Circuit Executive, 1403 John W. McCormack Post
Office and Courthouse, Boston, MA 02109.
BOSTON SUNDAY GLOBE
NOVEMBER 11, 1990
PROFESSIONAL SECTION
PAGE B58.
MARY E. O'SULLIVAN
617-628-7177
THE WHITE
WASHINGTON
Ms. Ellen M'Cauley-M'Garty
21 Glen Green
Winchester, Massachusetts
01890
THE WHITE HOUSE December 26,1990
Dear Ms. M'Cauley-MiGarty -
Thank you for your letter and the
article by David R. Carlin ,t.
I enjoyed particip ating in the arthites
Foundation's Massachuretts Chapter testimonial
dinner. The cause is important
The November 9,1990, Commonweal article
has been shared here. I encourage you to
read amounty International's most recent
report. -Best wishes for 1991. Sincerely, AndyCard
ELLEN McCAULEY McGARTY
21 Glen Green
Winchester, Massachusetts 01890
(617) 729-1436
AC HAS SEEN
November 29, 1990
Mr. Andrew Card
Assistant to the President
The White House
Washington, D. C.
Dear Mr. Card:
I attended the Arthritis Foundation testimonial
dinner Tuesday evening at the Copley Plaza. The enclosed
article which appeared earlier this month in COMMONWEAL
makes such enormous sense that I can't resist sending
it to you with the hope that you will give it to the
President to read. The sentiments in the article clearly
express the feelings of many of us in your audience Tues-
day evening.
As a trustee of the Arthritis Foundation's Massa-
chusetts Chapter (and a long-time registered Republican,
just recently switching to Independent), I very much
appreciate your taking time out of your hectic schedule
to participate in Tuesday evening's program.
You can take pride in knowing that you helped the
Foundation gross $100,000 that evening and when our final
cost figures are in, I believe we will have netted a sub-
stantial sum for research and programs for our patients.
With many thanks. And I do hope the President will
read Mr. Carlin's article.
Yours sincerely,
Ellen TTC Cauley-TiTeGarty
speak up very bluntly about things that mat-
Clients wrote as well. The most moving
she meant to them.
ter to you reminded me that lawyers don't
letter began: "Mary touched my life as well.
One friend summed it up this way: "We
always have to equivocate-that some
I was incarcerated at the time. Thanks to
all loved Mary very much; her intelligence,
issues require us to take a firm stand even
Mary, my incarceration came to an end sev-
of course; her common sense; her sense
if it's unpopular."
eral months later Over the years I have
of outrage; and, most of all, her sense of
A lawyer who was a clerk to a judge
felt that Mary's sudden appearance in my
humor."
when Mary was in the Public Defender
life (after six years in prison and after a
Another wrote from California: "Mary
Service wrote: "Certain experiences in our
petition for reduced sentence had been long
should have had many more years with us
lives make an indelible impression-things
ignored) was rather mysterious. I believe
and we with her. There is a very empty
we hear and see that make such an impact
that Mary's efforts to my benefit were
place she had filled with her passion, her
we can remember every detail with great
greater than she ever acknowledged to
teaching, her wit, and her insight. We
clarity years later. Your representation of
me
I had the sense that Mary believed
shared many projects, dinners, values, a
your clients was such an experience for
she was merely doing her duty, and for that
few arguments, and a warm caring friend-
me. I have vivid memories of what I have
no praise or thanks was warranted
ship. Some of my best memories center
come to call the 'Mary McCarthy' school
However, it is not possible to think of my
around Mary's bottomless soup pot and
of law. I call it that because you were truly
freedom without thinking of Mary. I sin-
the lively gatherings of colleagues that she
unique, bringing to each case, no matter
cerely wish that I could have given to Mary
brought together in the beach cottage she
how seemingly 'routine,' a fresh perspec-
as she gave to me."
so loved."
tive on some statutory phrase, legislative
His wife added: "Many people are gift-
And a friend who came a few days
history, or obscure clause in a court rule
ed-but few use their gifts as Mary did.
before Mary died said: "I was surprised
that no one had ever bothered to read
We are just plain people-Mary had noth-
and enormously pleased that she was well
before.
ing to gain by helping us. But she did any-
enough to talk for a while She still had
"Your endless quest for new ways to
way. I can never repay my debt to Mary,
her delightful sardonic sense of humor and
challenge 'the system' was amazing-and
but I think she would have been glad to
was still able to be almost as wonderfully
sometimes, a little scary Although you
know that when I found a way to give to
present as ever. The visit comforted me a
made my job a thousand times harder, I
another I said inside, 'That's a "Thank you"
lot
have admired you greatly from the start.
to Mary.' We were a little moment in
There have been so many letters like
"The zeal, the freshness, and the dili-
Mary's life. She gave us our life. We want-
these and they are still coming-from con-
gence with which you represented your
ed you to know."
temporaries and from former neighbors and
clients at PDS (Public Defender Service)
Mary had a gift for friendship. As
long-ago convent-school classmates, too.
was and always will be an inspiration to
Professor Stephen Cohen said at her grave-
One of her high-school friends wrote to
me. I believe that my own clients have ben-
side, the love and support she received from
say, "I have such fond memories you
efited in turn, from the many lessons I
her friends was a reflection of her own gift.
were blessed to have such a special daugh-
learned as a young 'kid' who had the
Her friends were faithful and constant-
ter-bright, warm, funny, feisty, and lov-
chance to watch a true master in action."
many traveled great distances to see and
ing."
One colleague wrote that, "Mary cared
be with her in that last year. And those we
Yes, we were, and it is very hard that
deeply about teaching and devoted an inor-
did not know wanted us to know how much
she is not with us still.
dinate amount of time and energy to her
students. She treated everyone as an indi-
vidual and generated in return deep affection
OF SEVERAL MINDS David R. Carlin, Jr.
and respect." And many students and former
students wrote to us enforcing that. One stu-
dent's letter was typical: "Personally, I am
HOLD THAT LINE
stunned and enormously sad. Mary was a
HUSSEIN'S TANKS, HANNIBAL'S ELEPHANTS
very special role model for me. She showed
me how to be a loyal and thorough advocate
for my client, how to maintain the highest
ethical standards at all times, and how to
be calm in the midst of legal chaos. She
ow odd that the United
that served us so well in that protracted
was also a friend, a faculty member whom
States, despite having
struggle that went by the name of the cold
I could call by first name, who was interested
just prevailed in a
war?
in other parts of my life, not just my legal
Fabian struggle that
When I say "Fabian" I am alluding of
education. I want her back for my selfish
lasted more than forty
course to the strategy adopted by Fabius
reasons, and I am also upset that this new
years, should be contemplating a plunge
Maximus, the Roman general who
first-year class won't get to learn from her
into armed struggle with Iraq. Why not play
opposed Hannibal when the great
example."
the waiting game, the game of containment
Carthaginian invaded Roman territory in
Commonweal
9 November 1990:637
the late third century B.C., marching from
When Hannibal inflicted a terrible defeat
following Cannae, we may find some of
Spain and descending through the Alps to
Rome at the battle of Lake Trasimene
our friends defecting. Contain Iraq, and
the plains of northern Italy, elephants and
(217 B.C.), the frightened Romans appoint-
we have the world on our side; get
all. The Fabian strategy was one of delay:
ed Fabius Maximus "dictator," a post of
involved in a prolonged shooting war, and
stay close to Hannibal, but don't engage
exceptional powers created in great emer-
we'll be increasingly on our own.
him in a pitched battle; eventually you'll
gencies. But the dictator proved unpopular.
Critics of a Fabian policy in the Persian
wear him down.
His strategy was to "contain" Hannibal,
Gulf region contend that Americans are
The U.S. has just won the cold war. It
to let the invader wear himself out roaming
constitutionally impatient, too impatient
didn't end with a bang; it ended, not with
up and down Italy, far from his North
to bear the figurative heat of the day that
a whimper, but a sigh of relief; at all events
African home, short of supplies and allies.
such a policy demands. They say that
it ended quietly. Perhaps that is why the
But the Roman-in-the-street was too impa-
unless something dramatic happens soon,
magnitude of our accomplishment has yet
tient for this long-term strategy; he wanted
President George Bush's popularity will
to sink in with most of us. But this cold
a quick fix, a knockout punch. Fabius was
plunge, whereupon the president will feel
war victory is one of the great military-
charged with being a wimp.
compelled to prove yet again that he is
political accomplishments in our national
So when the dictator's term expired, a
not a wimp by launching an attack on Iraq.
history, probably the greatest of all. For
general more to the popular taste, Terentius
What planet have these critics been liv-
more than four decades we contained the
Varro, took command; and he promised
ing on for the past half-century? True, the
Soviets, waiting for their system to crack
the impatient Romans to destroy Hannibal
American public will become impatient
under the strain, which it eventually did.
the first day he set eyes on him. Well, Varro
with drawn-out conflicts they don't believe
And we did this, not alone, but at the head
soon set eyes on Hannibal at Cannae; true
in, e.g., Vietnam. But they are prepared
of a large and complex alliance, put togeth-
to his promises, he joined battle; the result
to support a conflict they believe in, e.g.,
er and kept together on a voluntary basis.
was that the Romans suffered the worst
World War II and the cold war. The real
Never perhaps in history has so extensive
military catastrophe they had ever expe-
question is not whether the American pub-
a voluntary alliance held together for so
rienced (216B.c.). After the battle Roman
lic will support a Fabian policy in the
long a period and with so little internal
allies in southern Italy defected to
Persian Gulf, but whether they believe in
divisiveness. Yet during that long era
Hannibal, providing him with a base of
the cause to which this policy is directed.
Americans and Soviets never killed one
operations and supplies. Eventually the
And this, I think, is President Bush's
another on a battlefield (though the U.S.
Romans, who stood so near to total defeat
problem: he has yet to define the cause
did fight two wars that were incidental to
after Cannae, rallied and won the war, but
in such a way that the public will support
the cold war: a necessary war in Korea,
only after many years (in 202 B.C.), and
it patiently over the long haul. He said it
an unnecessary one in Vietnam). World
only after the war had expanded from Italy
was about our "way of life"-which, I take
War III, though always feared and often
to Spain, Greece, and Africa.
it, is a pious way of saying "cheap oil."
expected, never arrived.
If an attack on Iraq would result in a
But that won't do, especially when oil has
All in all, a truly amazing achievement!
complete victory after a week or two, some-
become more expensive. He compared
But do we realize how much we have
thing might be said for it. But Iraq is not
Iraqi aggression against Kuwait to Nazi
accomplished? And do we appreciate how
to be confused with Grenada or Panama.
aggressions in Europe. But that won't do
we accomplished it? If so, why are so many
The result of such a war will be not only
either; Iraq is not Nazi Germany, and
Americans-including, it seems, some
many dead Americans and even more dead
Saddam Hussein, wicked though he no
near the center of power-eager for a quick
Iraqis, but increased ill will toward the U.S.
doubt is, is no Hitler. Finally, the president
fix in the Persian Gulf? Why do they want
from hundreds of millions of Muslims,
has said the cause we are struggling for
to throw away the lessons of patience we
Arabs, and non-Arabs, from Indonesia to
is the sanctity of international law. This
should have learned from our great Fabian
Central Africa. Arab hostility, great enough
is more promising. But he will have to rec-
success in the cold war? Why are they
to begin with because of our long record
oncile America's relative tolerance of
bruising for a fight with Saddam Hussein,
of support for Israel, will be especially
Israel's retention of the West Bank, etc.,
instead of continuing to contain him
sharp; and it could grow to such an extent
with our complete intolerance of Iraq's
with embargo, blockade, and troops in the
that it will threaten Arab governments cur-
retention of Kuwait.
desert?
rently friendly to the U.S. Like the Romans
This is a test of President Bush's capac-
ity for "the vision thing." He knows there
is a good reason for us to be in the Gulf
region; but he hasn't been able to translate
his sound intuition into persuasive words.
Unless he can do that, his popularity will
continue to fall, until one day he is tempted
to prove he's no wimp by bashing Saddam
Hussein as he earlier bashed Michael
Dukakis and Manuel Noriega.
638: Commonweal
andrewH.Cord THE WHITE HOUSE
WASHINGTON
Mr. Will Feltus
The Republican Conterner
Hart Senate office Building
United States Senats
Washington, DC
20510-7060
THE WHITE HOUSE
12-24-90
Dear Will-
Thank you for your note and your
suggestion regarding the RNC.
Congratulations on your appointment.
I Look forward to working with you.
The Republican Conference will play an
important role in the months ahead.
We should have meaklest or lunch soon,
Please give me a call.
Sincerely, Andy Card
United States Senate
AC
MEMORANDUM
andy-
N320
Dive been called to
active political duty, and
I'm at your service.
Tree advice: Bill
armstrong for RNC
Chairman.
Best
- Will
AC HAS SEEN
OFFICE E D STATES S
*
a
THAD COCHRAN
4
SENATE
UNITED STATES SENATOR MISSISSIPPI
FOR IMMEDIATE RELEASE
SENATOR COCHRAN NAMES STAFF DIRECTOR OF REPUBLICAN CONFERENCE
(WASHINGTON, D.C.)---U.S. Senator Thad Cochran (R-Miss.)
announced today his appointment of William J. Feltus as Staff Director
of The Republican Conference of the United States Senate.
Feltus, a native of Natchez, Mississippi, is president of Market
Consensus Surveys, Inc. Before starting the company in May 1988, he
was vice-president of Market Opinion Research, Inc., and a pollster on
the staff of Robert M. Teeter.
He first worked for Senator Cochran as a summer intern and later
served as Press Secretary in Cochran's 1978 campaign for the U.S.
Senate. He also served as the Senator's Press Secretary in the Senate
until July 1979.
Feltus is a graduate of Yale College and the Harvard Graduate
School of Business Administration. He and his wife, Lou, have two
children.
Senator Cochran, who was elected Chairman of the Conference last
month, said the appointment will be effective when the Senate
reconvenes on January 3.
The Senate Republican Conference includes all Republican members
of the Senate. The Conference elects the party leadership, confirms
Republican committee assignments, and is the forum of discussion of
party policies, programs and legislation.
--12/11/90--
CONTACT: Lynnette Moten (202) 224-6407
THE WHITE HOUSE
WASHINGTON
AC HAS SEEN
Date: DEC 14
TO:
ANDY
FROM:
RON KAUFMAN
Deputy Assistant to the President
I THINK MR. CUBICK IS A
LITTLE aver-THE-LINE?
Rouk:-
work. This Lets won't talk. Ands
ABB
Harris A. Cusick
Manager
ASEA BROWN BOVERI
Contracts Administration
Daember 8, 1991
Ron-
The enclosed one
for you and Andy.
My home phone
number is
614 246 -2656
DEC 10 1990
should you need
to reach me in
the evening.
Harry
ABB Environmental Services, Inc.
Southern New England Division
Corporate Place 128
Telephone (617) 245-6606
107 Audubon Road
Fax (617) 246-5060
Wakefield, Massachusetts 01880
COPY
FOR
Ron
Document Originally
Attached to
Following Page
Harris Albert Cusick
5 Brewster Road
Wakefield, Massachusetts 01880
The Honorable Andrew Card
Assistant to The President
Deputy to The Chief of Staff
1st Floor West Wing
The White House
Washington, D.C. 20500
December 8, 1990
Dear Andy:
The copy of the enclosed letter to Bill Weld and its enclosures will
clearly outline an event I am working on here in Wakefield. I talked
with Ron the night of our great victory on November 8th and he requested
I contact him in Washington regarding a request for a Presidential visit
to Wakefield on April 14, 1991. That request will come directly from
The General John Rogers Galvin Committee as soon as the Committee's
letterhead is printed. In the meantime I would appreciate it if I could
receive authorization to have President Bush serve as the Honorary
Chairman of our Committee.
In addition, there is the potential of having a fundraiser for the Fund
For Massachusetts Future at the Colonial Hilton Resort on the same day.
When Tom Flatley held an open house to officially reopen the resort last
Summer, I talked with him concerning such an event. Tom has invested at
least 5 million dollars in refurbishing the Colonial and it is perfect for
a Presidential visit. He assured me that he personally would provide all
the necessary logistical support required by such a visit.
Clearly it would be feasable to have me coordinate that event through Ron
and my associates at CURE. As the Treasurer of CURE there is no question
the experience we have had in organizing fundraisers is the best anyone
could ask for.
Regarding the logistics of a Presidential visit to Wakefield we have
helicopter pads at the Massachusetts National Guard Headquarters at
Camp Curtis Guild on the Reading/Wakefield town line and at the Colonial.
An approximate itinerary would be:
13:30 arrival Camp Curtis Guild, Reading
13:35 arrive Wakefield Junior High School Auditorium, Main Street
(Presentation of Freedoms Foundation Award and Honoring Justice
Souter)
13:55 dedication ceremonies at the General John Rogers Galvin Americal
Civic Center (located next to Jr. High School)
14:15 attend private banquet inside Civic Center
14:45 arrive Colonial Hilton Resort
15:30 depart Camp Curtis Guild, Reading
This potential two hour visit would provide President Bush an opportunity
to honor two outstanding Americans in their hometown as well as honoring
the Town of Wakefield which has played a major role in the rebirth of the
Massachusetts Republican Party.
Due to the fact General Galvin is due to retire in 1991 it would be appropriate
to have him honored by his Commander and Chief while he is under his command.
As you know the significance of the Generals career was that he was an enlistee
in the Massachusetts Army National Guard at the building to be named in his
honor. He took an examination for entry into West Point and was appointed by
Governor Dever and as history tells us he came very close to being appointed
Chairman of The Joint Chiefs of Staff.
Whatever you might be able to do to assist me in this most honorable endeavor
is truly greatly appreciated. With every good wish for a happy and joyous
Christmastide.
Sincerely,
Home
Harris A. Cusick
Chairman,
The General John Rogers Galvin Committee
CC: Ron Kaufman
Enclosures
Harris Albert Cusick
5 Brewster Road
Wakefield, Massachusetts 01880
William F. Weld, Governor-Elect
Commonwealth of Massachusetts
Hale & Dorr
60 State Street
Boston, Massachusetts
December 8, 1990
Dear Governor Weld:
This communication is to formally request the use of your name as the
Honorary Vice-Chairman of The General John Rogers Galvin Committee. We
expect President Bush will be serving as the Committee's Honorary Chair-
man.
This Committee of distinguished Wakefield residents will:
honor General Galvin by having the Wakefield Massachusetts National
Guard Armory rededicated as the "General John Rogers Galvin Americal
Civic Center"
request a Presidential visit to have President Bush attend the dedicat-
ion ceremony and to present the General with the Freedoms Foundation
George Washington Honor Medal which was recently awarded to him
honor Associate Justice David Souter, another Wakefield native son, as
an Honored Guest
This event is tentativly scheduled for Sunday April 14, 1991 during the
Patriots Day Holiday weekend.
Accordingly, I have contacted Ron Kaufman and Andy Card to assist me in
coordinating a fundraiser at the Colonial Hilton Resort in Wakefield on
the same day for the "Fund for Massachusetts Future" ; the receipts of
which would help retire some of yours and Paul's campaign debt.
The Committee would appreciate written authorization for your serving as
its Honorary Vice-Chairman so its letterhead may be printed.
Sincerely,
Him
Harris A. Cusick
Chairman,
The General John Rogers Galvin Committee
Enclosures
FREEDOMS FOUNDATION AT VALLEY FORGE
VALLEY FORGE, PENNSYLVANIA 19481
August 13, 1990
Honorary Chairman
The Hon. George Bush
BOARD OF DIRECTORS
Officers
Mr. Harris A. Cusick
Chairman
5 Brewster Road
Dr. Ken Lipke
Wakefield, MA 01880
President and Chief
Executive Officer
Robert W. Miller
Dear Mr. Cusick:
Kenneth E. Behring
Rodney H. Brady
The Directors and Trustees of Freedoms Foundation at
Hon. Clarence J. Brown
Valley Forge are pleased to inform you that your
Hon. Arnold I. Burns
Walker Cisler
nomination of GEN John R. Galvin has been selected by the
Joseph Coors
1990 National Awards Jury to receive a George Washington
John B. Curcio
Honor Medal in the category of Individual Achievement for
Carl N. Karcher
Gen. P.X. Kelley (USMC Ret.)
the entry entitled "Promoting and Understanding History".
Peter H. Noznesky
Milan Panic
We appreciate your participation in the National Awards
Blanka A. Rosenstiel
Leslie P. Schultz
Program and look forward to receiving future nominations.
Gov. Raymond P. Shafer
John Sloan, Jr.
If you need assistance in submitting entries I will be
Daniel M. Tabas
Hon. C. William Verity
available to answer any of your questions.
Hon. Ronald H. Walker
Most cordially,
Batherine wood
E. Katherine Wood
Director of Awards
EKW/bar
215-933-8825
FAX: 215-935-0522
Gen. John R. Galvin, U.S. Army
Supreme Allied Commander, Europe
THE
MINUTE MEN
THE FIRST FIGHT:
MYTHS & REALITIES OF THE
AMERICAN REVOLUTION
An AUSA Book
GALVEN
ABOUT THE AUTHOR
Gen. John R. Galvin is the Supreme
Allied Commander, Europe (SACEUR),
and the Commander-in-Chief, United
States European Command (CINCEUR).
A native of Wakefield, Mass., General
Galvin earned a bachelor's degree at the
U.S. Military Academy, holds a masters in
English from Columbia University, did
additional graduate work at the University
of Pennsylvania, and was a fellow at the
Fletcher School of Law and Diplomacy.
He is also a graduate of the U.S. Army
Command and General Staff College and
the Army War College.
General Galvin has held a wide variety
of command and staff positions in Europe,
Puerto Rico, Colombia, Vietnam, and
Panama. Although much of his service
has been outside the United States, Gen-
eral Galvin has also served as an assistant
professor at the U.S. Military Academy
and as military assistant to the secretary of
the army.
General Galvin's other published works
include Air Assault, an analysis of the
development of air mobility in twentieth
century warfare, and Three Men of
Boston, a study of the political events
that led up to the American revolution.
lacket designed by Ben Santora
PERGAMON-BRASSEYS
Distributed in North America
to ksellers and wholesalers by the
ml;
,
Publishing Company, N.Y., N.Y.
CC
.n
on
Samuel Adams
Thomas Hutchinson
James Otis
Three Men
of
Boston
R
John R. Galvin's interest in writing Three Men of
Boston was a natural outgrowth of his first.book,
The Minute Men, a definitive.study of the battles
of Lexington and Concord. His desire to know
what led up to those battles resulted in seven
years of research. Galvin, a native of Massachu-
setts, is a West Point graduate and hàs a master's
degree in English from Columbia University A
colonel in the infantry, he is presently stationed
in Europe. Colonel Galvin is married and has
four daughters.
Thomas Y. Crowell Company
Established 1834
666 Fifth Avenue
New York, New York 10019
2:
AIR
THE DEVELOPMENT
OF AIRMOBILE
WARFARE
ASSAULT
by JOHN R. GALVIN
Foreword by James M. Gavin
+
Advance comments on AIR ASSAULT:
"Lieutenant Colonel Galvin traces with accuracy the story of one of
the most important military innovations of this century-the use of air
vehicles to help the soldier fight the ground battle. The book is a
sound portrayal of the developments that led to the present-day para-
chute and helicopter units."
General William C. Westmoreland,
U.S. Army Chief of Staff
"John Galvin has a real flair for writing about men in battle. His
accounts of airborne operations are vibrant and alive."
Charles B. MacDonald,
author of Company Commander
and The Mighty Endeavor
"It is a fascinating account of the individual and small-unit actions
that made possible the successes of the master planners. It is a remark-
able story."
From the Foreword
by James M. Gavin,
Lieutenant General, U.S.A. (Ret.)
Wakefield Daily Item
GRAVEYARD
and Reference Library
Name or Classification
Address
(Need not be filled in if in Wakefield)
Date of Entry
SEP 18 1939
A son, David Hackett, was born at
the Melrose Hospital, last hight, to
Mr. and Mrs. Josenh A. Souter (Hel-
en Hackett) of 41 Richardson ave.
Maternal grandparents are Former
Postmaster Frank H. Hackett and
Mrs. Hackett of Wakefield and East
Weare, N. H.
Mr. and Mrs. Joseph A. Sout
and son, David, of 7 Park st.
moving next week to East Wear a
N. H., where they will make the
permanènt home.
All entries MUST be made on typewriter or in black ink.
Analysis
JUL
241990
point of view, complained about
many of the sensitive subjects-
that lack of knowledge.
facing the court.
"This is a very dangerous
With most of his judicial
career spent in the New Hamp-
process. To have someone
nominated that the president
shire state court system, Souter
knows all about and who we
was able to avoid having to
know nothing about is very
tangle with many of those
dangerous,' claimed Der-
critical questions.
And if his brief comments to
showitz.
reporters Monday are any
guide, Souter, 50, is showing no
indication that he will freely
discuss any of those matters
with the Senate when his con-
firmation hearings begin, pro-
bably in September.
While such an approach may
rankle some liberal senators
who will be looking for ways to
stop the court from moving fur-
The 50 year-old Wakefield
barbershop on Albion Street.
first haircut at Mr. Murch's
at the Lincoln School and his
come a long way since his days
Hackett Souter certainly has
WAKEFIELD David
By BURGESS
ther to the right, it also is con-
2
sidered prudent judicial prac-
tice and should, at a minimum,
keep some ammunition away
from Senate opponents.
Also working in Souter's
favor is his recent confirmation
to the federal appeals court.
"The Senate Judiciary Com-
mittee hears nominations to
both courts, so it makes it more
difficult, having said 'yes' to
him six months ago to say 'no'
to him today," noted University
confirmation step away from
room, knowing that he is one
day in the White House press
President George Bush yester-
Court nominee stood next to
general and now U.S. Supreme
New Hampshire state attorney
native, Rhodes Scholar, former
of Virginia law professor A.E.
Dick Howard. "It means Souter
has run the gauntlet of the con-
firmation process and emerged
unscathed. If there were skele-
tons in the closet they already
would have come out."
Unlike Reagan, who in sen-
ding Bork to the Senate was
virtually begging for a fight
with Senate Democrats, Bush
tried hard Monday to pave the
way for Souter.
The president repeatedly said
Much like another native of
Bush JUL wants 4 1990 Wakefield native for high court
Nation's eyes trained on David H. Souter
man described as possessing a
tant positions in the country. A
gaining one of the most impor-
Galvin, Souter is on the brink of
the town, NATO chief Gen. John
final and most gratifying peak.
seeing his legal career reach its
no single issue, including abor-
tion, played a role in his selec-
tion and he also tried to
downplay Souter's lack of fed-
eral bench experience by com-
paring him to Brennan.
"In choosing to nominate
Judge Souter, who like Justice
Brennan is largely a product of
the state court system, I have
As national news operations
high court Friday.
looked for the same dedication
to public service and strength of
intellect exemplified by Justice
Brennan," the president said.
justice who resigned from the
the liberal Supreme Court
Justice William J. Brennan, Jr.,
nominated yesterday to replace
vative intellect, Souter was
"classic," "riveting" conser-
And in a clear signal to
Senate Democrats that he ex-
pected fair play on Capitol Hill,
the president added that he had
"stressed within the White
House, to the attorney general,
that our process could not be
dominated by politics or special
interests." He also tried to put some
pressure on the Senate by
noting that it was "important to
restore the bench to full
have caught g many m a
strength by the first Monday in
nomination, which seems to
president at length for the
yesterday. He did thank the
tions about his legal opinions
swayed into answering ques-
words, Souter refused to be
penned and videotaped his
October when the Court begins
its 1990 term."
Bush's surprise choice also
caught some traditional oppc-
nents off guard.
Most of the initial reaction
guard.
from those organizations, in-
cluding some groups which
were pivotal in Bork's defeat,
showed they were not very fa-
miliar with Souter's record.
Alan Dershowitz, professor of
law at Harvard Law School and
Page 18
a frequent commentator on
legal issues from the liberal
Ginsberg, the press in
Robert Bork and Douglas
Supreme Court nominees
As it did in the cases of
Washington completely off-
Judge
Souter's
Wakefield
roots
Sept.
JUL241990 on,
Dates
7/24/90
David Hackett, was born at the
He is also a member of Phi
Melrose Hospital last night,
by Gov. Meldrim Thomson to
Beta Kappa.
Sept. 17, 1939, to Mr. and Mrs.
become the state's next at-
Sept. 25, 1961 - David H.
Joseph A. Souter (Helen
torney general. If confirmed, he
Souter leaves Boston tomorrow
Hackett) of 41 Richardson Ave.
will replace Warren B. Rudman
for New York City, from which
Maternal grandparents are
of Nashua, N.H. He is soon con-
former Postmaster Frank H.
he will sail on Thursday to
firmed to the post.
Hackett and Mrs. Hackett of
England where he will study in-
March 6, 1978 - Nominated
Wakefield and East Weare,
ternational law in England for
by Gov. Meldrim Thomson to
N.H.
two years under the Rhodes
the state superior court and
Scholarship program. (He later
Oct. 13, 1950 - Mr. and
later confirmed, serving till
graduated from Magdelin Col-
Mrs. Joseph A. Souter and son,
1983.
lege at Oxford University with a
David, of 7 Park St. are moving
Sept. 9, 1983 - David Souter,
degree in jurisprudence.)
next week to East Weare, N.H.,
43, was sworn in as the newest
1963-1966 - Harvard Law
where they will make their
member of the five member
School
permanent home. David had
New Hampshire Supreme
been a student at the Lincoln
1966-1968 Employed by Orr
Court. Governor John Sununu
School.
and Reno, a noted Concord law
administered the oath of office.
firm.
May 20, 1957 - David H.
Oct. 28, 1987 - David H.
Souter of East Weare, N.H.,
1968-1971 - Named New
Souter is said to be on President
Hampshire Assistant State At-
Concord (N.H.) high school, is
Ronald Reagan's "short list" of
torney General.
one of six New Hampshire
four or five potential nominees
Feb. 4, 1972 - Named Depu-
youths receiving scholarships
to the U.S. Supreme Court
ty Attorney General of New
as entering freshmen at Har-
April 30, 1990 - Named to
Hampshire by Gov. Walter
vard University. Souter is
the first Circuit Court of Ap-
Peterson. Souter is the youngest
receiving a national scholar-
peals in Boston.
man to hold office in the
ship, the first award of this
Granite State.
July 23, 1990 - Nominated by
category to a New Hampshire
President George Bush to the
student. National scholarships
Dec. 26, 1975 - David H.
U.S. Supreme Court.
were first established in 1934 to
Souter. 36, has been nominated
encourage outstanding young
-
men to enter Harvard and to
have the fullest opportunity for
academic and personal
achievement. They are the uni-
versity's highest awards to in-
coming freshmen.
Dec. 19, 1960 - David H.
Souter, formerly of Wakefield,
was named among a group of 32
students from 26 states atten-
ding New England colleges to
Rhodes Scholarships. Souter is
a native of Wakefield and is
now in his senior year at Har-
vard University. Five of those
named are from Harvard, four
from Yale and three from the
U.S. Military Academy at West
Point, N.Y.
June 14, 1961 - David H.
Souter, a former Wakefield
young man, a consistent schol-
arship winner during his college
career, will receive a Bachelor
of Arts, magna cum laude, from
Harvard University at annual
commencement exercises
tomorrow and will continue his
studies abroad. He has majored
in international law and as a
Rhodes Scholar will study
abroad for the next two years.
DATES see Page 18
THE WHITE HOUSE
WASHINGTON
December 16, 1990
Dear Harris:
Thank you for sending down the material on
the General John Rogers Galvin Committee. It
looks like quite an exciting event.
I'll be happy to do all that I can to help
get the President to town. I'm sure you
realize however that the President is
inundated with invitations so it is best to
keep expectations low and hope for the best.
Wishing you the best for the holiday season.
Sincerely,
Rm
Ronald C. Kaufman
Deputy Assistant to the President
Mr. Harris Cusick
5 Brewster Road
KEEP IN тачн!
Wakefield, MA 01880
THE WHITE HOUSE
WASHINGTON
Me. Rene J. Bouchard, He.
173 Indian Pond Road
Kingston, Massachusetts
02364
R. J. Bouchard
173 Indian Pond Road
Kingston, MA 02364
THE WHITE HOUSE December 26,1990
Dear Mr. Bouchard-
Thank you for your recent letter. I hope
that the SBA matter has been favorably
addressed.
The cry for same leadership in Massachusits
has been answered. The New year will bring
a welcome change.
Kathi joins me in sending rest wishes for 1991.
Sincerely,
Andy Card
AC HAS SEEN
TYPE-ERASE
November 26, 1990
USA
Mr. Andrew Card
Deputy Chief of Staff
White House
Washington, D.C. 20500
Dear Andy:
Just a short note to say it's rewarding to see all the hard
work finally beginning to produce. The next target is to bring
about a change in the 10th Congressional. Almost made it, next time
we will. State House is in great shape, two more offices next time,
and a new Senate President. It can be done and we'll do it.
My own situation is pretty much whereit was. Three excellent
part-time jobs this "old timer = had went belly-up this year, thanks
to the great shape of the Commonwealth's economy. But that will
change too. I'm still networking and eventually the ice will break.
I've enclosed a letter that my daughter sent to the person we're
working with on resolving an SBA loan we had in the mid-80's for
your information. We expect everything will work out alright.
Needless to say, in spite of everything that's going on, we'll
continue to work very hard to brina two party politics back. We're
on the way, and we've got to keep that tide going. Looking forward
to a great campaign in 1992, and four more in the White House.
As ever, best regards.
Sincerely,
Rene J. Bouchard, Jr.
173 Indian Pond Road
Kingston, MA 02364
(617) 585-6893
Withdrawal/Redaction Sheet
(George Bush Library)
Document No.
Subject/Title of Document
Date
Restriction
Class.
and Type
01. Letter
Amy L. Bouchard to Hunter H. Lohman, Re: Enclosed
11/26/90
(b)(6)
financial statements. (2 pp.)
Collection:
Record Group:
Bush Presidential Records
Office:
Chief of Staff, Office of the
Series:
Card, Andrew H., Jr., Files
Subseries:
WHORM Cat.:
File Location:
AHC General Correspondence December 1990 [3]
Date Closed:
3/13/2025
OA/ID Number:
04012-005c
FOIA/SYS Case #:
2025-0373-S
Appeal Case #:
Re-review Case #:
Appeal Disposition:
P-2/P-5 Review Case #:
Disposition Date:
AR Case #:
MR Case #:
AR Disposition:
MR Disposition:
AR Disposition Date:
MR Disposition Date:
RESTRICTION CODES
Freedom of Information Act (FOIA) - [5 U.S.C. 552(b)]
Deed of Gift Restrictions
(b)(1) National security classified information
C(1) Closed by Executive Order 13526, governing access to national
(b)(2) Release would disclose internal personnel rules and practices of an
security information
agency
C(2) Closed by statute or by the agency which originated the information
(b)(3) Release would violate a Federal statute
C(3) Closed in accordance with restrictions contained in donor's deed of
(b)(4) Release would disclose trade secrets or confidential or financial
gift [formerly listed as only C]
information
PRM. Removed as a personal record misfile
(b)(6) Release would constitute a clearly unwarranted invasion
of personal privacy
(b)(7) Release would disclose information compiled for law enforcement
Presidential Records Act - [44 U.S.C. 2204(a)]
purposes
(b)(8) Release would disclose information concerning the regulation of
P-2 Relating to the appointment to Federal office [(a)(2) of the PRA]
financial institutions
P-5 Release would disclose confidential advice between the President and
(b)(9) Release would disclose geological or geophysical information
his advisors, or between such advisors [(a)(5) of the PRA]
concerning wells
andrewH.Card.). WHITE HOUSE J.
WASHINGTON
Kingston, MA 02364
173 Indian Pond Road
R. J. Bouchard
Me. Leonard Little Finger
Sitanka Tiwa'he Foundation
for Community Development
RRI Box 5-A
Pine Ridge, S.D. 57770
THE WHITE HOUSE December 26,1990
Dear Mr. Little Finger-
It was a pleasure to meet with
you earlier today when you visited
The white House. I appreciated learning
more about Chief BrigFoot.
The photograph and information you
presented will be shown to the President.
Best wishes for 1991. Sincerely
'Andy Card
THE white HOUSE
washington
December 26
To: Mary McClure
From: Bob Sar
Andy Card's Office
Andy met with these three indians
today and promised them pictures
of the president. Can you take
care of them for us?
12/26/90
Leonard Little FINGER
chief
SITANKA TIWA'he Foundation (Big Foot's Family)
FOR COMMUNITY Development
RRI Box5.A
Pine Ridge, SD 57770
w/ Eugene L. Krigek
President
Christian Relief Services
6911 Rechmond Heghway
Suite 300
alexandria, VA 22306
Paul E. Krizek
Executive Duector
Running Sting for american Indian youth
( same address)
all want Pix of the POTUS
us one extra for the Foundation.
AC HAS SEEN
UNIVERSITY OF SOUTHERN CALIFORNIA
840 CHILDS WAY
LOS ANGELES, CALIFORNIA 90089-2542
VICE PRESIDENT FOR
(213) 740-7466
EXTERNAL AFFAIRS
December 10, 1990
The Honorable Andrew H. Card, Jr.
Assistant to the President
Deputy Chief of Staff
The White House
Washington, D.C. 20500
Dear Mr. Card:
It is with great pleasure that I learned of the meeting you
and Dr. J. Burton Lee had during President Bush's recent trip to
Latin America with Dr. Gonzalo Sepulveda, Professor and Chairman
of Cardiology at the University of Chile and personal physician
to President Aylwin. The dinner in the Chilean Presidential
Palace marked a very special moment in the relationship between
Chile and the United States. Congratulations for what the
Chilean authorities considered to be a most productive visit.
From our perspective in California, where a long-standing
friendship has existed with Chile, I am particularly pleased by
today's Los Angeles Times report praising the President's trip to
Latin America. We all look forward to the implementation of the
President's announcement of his decision to create further
working opportunities between our two nations.
On this point the University of Southern California (USC)
has been deeply involved with the University of Chile and the
Chilean Ministries of Health and Foreign Affairs, following
President Alywin's election last December, as is indicated in the
enclosed correspondence. Mr. Pablo Valencia, Director of
Technology Transfer at USC School of Medicine, has visited, on
behalf of the University several times this year with Chilean
authorities to explore potential joint programs. Dr. Ralph
Bledsoe, Director of the University's Washington, D.C. Public
Affairs Center has also been made aware of these developments.
The results of these discussions have led to the enclosed
proposal which has been jointly prepared by the University of
Chile, the Chilean Ministry of Health and USC. The first of
these three projects contained in this proposal was that
addressed by Dr. Sepulveda in your meeting. Please be aware that
USC is interested in assisting and in being a partner to further
the development of these valuable initiatives. The emphasis of
The Honorable Andrew H. Card, Jr.
December 10, 1990
Page Two
President Bush on education can lead to an even larger objective
in this project by joining his international initiatives with the
Chilean emerging democracy, where health care and higher
education are special needs.
We believe that this project will have a significant
potential return both for the Chilean and American people, and I
again want to express our desire as an academic institution to
participate in any way that might be helpful. As a possible
step, for example, might the bilateral commission on trade
proposed by the President include the areas of health care and
education?
I would appreciate any suggestions you may have by which we
could further the implementation of these ideas, and I hope that
our support for President Bush's initiative in this area can
contribute to the consolidation of this valuable project for the
Chilean and American people. If you have any questions, please
do not hesitate to contact Dr. Bledsoe or me directly.
Congratulations again on this fine outcome that President
Bush achieved on his recent trip to Latin America. These are
important issues for all of us, and I would appreciate your
assistance in helping to think through how best to proceed in
this matter.
Sincerely yours
Robert P. Biller
Vice President
for External Affairs
CC: Enclosures
October 29, 1990.
Dr. Robert P. Biller
Vice President of External Affairs
University of Southern California
Dear Dr. Biller:
I have been informed that the University of Chile and the
Chilean Ministry of Health have been involved in the
development of joint technological and academic programs with
the University of Southern California through Mr. Pablo
Valencia.
These kind of activities reflect the position of
President Aylwin in the sense that our country is determined
to seek international collaboration in the process of
consolidation of democracy in Chile. There is an immediate
need to rebuild infrastructure and collaboration in Health
Care and in academic activities at the University of Chile.
I have been told of your gracious attitude when Dr.
Jimenez, Minister of Health, visited you in Washington last
February. I am also aware of the communications you have
exchanged with Dr. Lavados, Chancellor of the University of
Chile. Furthermore, I understand that a proposal to establish
an agreement between your University and the Chilean
Government, similar to the one you established with the
Government of Bahrain, is being studied at the Ministry of
Health and at the University of Chile.
This week, I have become aware of an initiative to seek
the collaboration from the Executive Branch of the United
States, taking advantage of the projected visit of President
Bush to Chile on December 6th, 1990. I would appreciate
sincerely any support that your University could lend us in
this important opportunity.
Mr. Plablo Valencia will provide you with the details of
this project, in which he has developed extensive
communications with the appropriate authorities at the
academic level and at the Ministry of Health.
RECEIVED
NOV 191990
EXTERNAL AFFAIRS
I will alert Mr. Patricio Silva, our Ambassador in
Washington of this project, and I will ask him to cooperate
with you as deemed necessary.
We, at the Government of President Aylwin, are sincerely
grateful of the activities of persons and universities of your
caliber, who are helping our people in this historic return
to democracy. Your attitude brings us the spirit of the well
demonstrated value of the democratic institution of the United
States of America.
I will follow with interest this initiative, and if there
is anything I can do, please contact me directly.
Looking forward to a lasting collaboration of mutual
benefit with your University, I remain,
Sincerely yours,
Enrique Silva Cimma ]
Minister of Foreign Affairs
NOV 05 '90 19:33 MINISTERIO DE SALUD (562) 336981
P.2/4
República de Chile
Ministerio do Salud
November 5th, 1990.
Dr. Robert P. Biller
Fax: 213-740-7459
Vice President of External Affairs
University of Southern California
U.S.A.
Dear Bob:
As we continue to build up the relationships between your
University and our Government, we are preparing the first
draft of -an agreement, based on the Bahrain document that
Pablo Valencia brought us in his last visit. Key people
from my staff, at the Ministry of Health, has met with
the representative of the Chancellor of the University
of Chile to join our institutions in such agreement. I
believe that this is the first time that such a joint effort
is committed by the Ministry of Health and the University
of Chile.
I am convinced that our joint efforts will set a new trend
in productivity and in mutual benefits for years to come.
Your support to this project, together with your substantial
experience are excellent assets for a successful venture.
On our side, we will try our best to reach for objectives
with deep meaning to the health care of the Chilean people,
as well as to the academic community at the University
of Chile.
Within this framework, we are working with Pablo on several,
tasks, including a massive project to equip our hospitals
with advanced technologies. For many years, hospitals wich
attend to low income population have been virtually abandoned
in this area. The task to rebuild this infrastructure is
enormous and is being aided by special loans from Spain,
Germany and France.
In view of this international cooperation, and of the possible
visit to Chile of President Bush on December 6th, we thought
of presenting some projects to the Executive Branch of
NOV 05 '90 19:34 MINISTERIO DE SALUD (562) 336981
P.3/4
República de Chile
Ministerio de Lalud
2.
the United States. These projects would become and evidence
to the Chilean people of the support of the American people
to democracy, a system we are trying to rebuild in our
country. The value of these projects is not only in the
deep meaning of the symbolism involved but also in their
strategic importance and visibility in our community.
The first project involves providing a complete renovation
of equipment at the University of Chile Hospital (J.J.
Aguirre). This hospital, through a recent agreement between
the Ministry of Health and the University of Chile has
become the tertiary reference of all the hospitals of
the Ministry throughout the country. The second project
involves the completion of a hospital (San Borjas/Paula)
wich has remained unfinished for about 18 years. Although
the main part of the hospital is functioning (some departments
in temporary quarters), a structure of three floors and
two sublevels has remained unfinished. This building would
cover an area of 21,140 square meters (228,000 sq.ft.).
The third possible project is the plan already developed
early this year for towers of diagnostic and ambulatory
services to be attached to existent hospitals.
The Government of President Aylwin, the Chancellor of the
University of chile and specially I would sincerely appreciate
it if you would be so kind as to help us in reaching the
Executive Branch of the United States with these projects.
Pablo has compiled the details of these projects and he
will prepare them in a special package containing the Univer-
sity of Southern California as an active partner in the
next few days.
The final details of the trip by President Bush have just
reached us, and we barely have time to prepare for the
first official visit by a US President in 30 years. Dwight
Eisenhower visited Chile in 1960 leading to important links
and cooperation between our two countries. Our Minister
of Foreign Relations has been alerted of our project and
he will try to communicate with you, time permitting, on
this endeavor.
NOV 05 '90 19:35 MINISTERIO DE SALUD (562) 336981
P.4/4
República de Chile
Ministerio do Lalud
3.
Bob, we see this visit as a challenge and a great opportunity
to institutionalize the kind of relationships that you
and I, representing our institutions have already developed.
I thank you in advance for your efforts in this project,
and for your support in facilitating the visits and activities
by Pablo on behalf of USC.
with great faith in the future of our joint efforts,
sincerely yours,
Jorge.
JORGE JIMENEZ, M.D., M.P.H.
Minister of Health
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HEALTH CARE PROJECTS
IN CHILE
PRESENTED BY
JORGE JIMENEZ, M.D., M.P.H.
MINISTER OF HEALTH
GOVERNMENT OF CHILE
AND
JAIME LAVADOS, M.D.
CHANCELLOR
UNIVERSITY OF CHILE
IN COORDINATION WITH
THE UNIVERSITY OF SOUTHERN CALIFORNIA
that government of the people, by the people,
for the people,
shall not perish from the earth.
Abraham Lincoln, Gettysburg Address
TABLE OF CONTENTS
page #
Executive Summary
1
Introduction
2
Project 1. Technological Renovation of University Hospital
3
Introduction
3
Project Description
4
Equipment Renovation
4
Faculty Training Program
4
Facilities Upgrade
5
Budget
6
Project 2. Completion of San Borja/Arriaran Hospital
7
Introduction
7
Project Description
8
Budget
10
Project 3. Diagnostic and Ambulatory Care Centers
11
Introduction
11
Project Description
12
Budget
15
Consolidated Budget
16
Appendix
17
1
EXECUTIVE SUMMARY
- An outstanding opportunity to show the international role of President Bush as
an advocate of democracy exists as a following up of the successful visit of
President Bush to Chile.
- Three high visibility projects in Health Care development have been prepared
by the Government of Chile with assistance by a major U.S. university.
- The projects involve equipping the University Hospital, finishing the San
Borja/ Arriaran Hospital and developing Outpatient Centers. All of them will
have a major effect on the health care of millions of Chileans.
- Announcement of U.S. support for these projects would add significant impact
to the first visit to Chile in thirty years by a President of the United States.
- The United States could be seen as the leading supporter of the transition to
democracy in Chile.
- The resulting enhancement of relations between Chile and the United States
would send a positive message to other countries in Latin America.
- The projects presented in this document are not controversial, would fulfill a
genuine need to the Chilean people and are located in safe, low income areas
of Santiago.
- The projects link the academic activities in health care of the University of
Chile to the development of improved health care systems for the people of
Chile.
- The University of Southern California, in addition to providing training,
would serve as a link to other academic institutions in the United States.
- Several other countries including France, Spain, Germany and Holland have
already committed substantial support to the transition process.
- A combined program of donations and preferred loans is sought from the
Government of The United States.
2
INTRODUCTION
In the midst of substantial transformations at a world level, Chile is
facing a most significant task, as the country attempts to resolve
some basic social and health problems, while maintaining the
present financial viability. The Government of President Patricio
Aylwin has received a mandate from the Chilean people to
consolidate the stages of development towards a complete return to
democracy.
This is a task which carries a strategic importance beyond the
Chilean society. The issues at stake involve the balance required to
provide health care to the population at large with scarce resources,
attempting to reach the maximum technological implementation
within fiscal viability.
The Chilean Public Health System tends to the needs of about 80%
of the Chilean population through a network of state health care
facilities of various levels of complexity. This system is under the
direction of the Ministry of Health with a decentralized
administrative structure.
Specifically, the Public Health System faces a daunting task of
addressing the needs of low income, high density population.
Failure to deal effectively with this issue would have far reaching
negative effects on the process of reconciliation which is the hope
for the future of the Chilean society.
As Chile reaches out for national unity, the support of the
international community is desperately needed for the
consolidation of true democracy. In particular, the role of the
United States, in leading this effort, will demonstrate once again the
commitment of the American people, their Congress and the
Executive Branch to democracy as the best form of government.
In this document, three projects of high visibility and strategic
importance are presented for consideration by the Executive Branch
with the hope that they could become demonstrative icons of the
relationships between the American and the Chilean people.
3
PROJECT 1
TECHNOLOGICAL RENOVATION AT
THE JOSE JOAQUIN AGUIRRE TEACHING HOSPITAL OF
THE UNIVERSITY OF CHILE
Introduction
The Jose Joaquin Aguirre Teaching Hospital is an 885 bed facility located in the
north section of Santiago. It was founded in 1929 as San Vicente Hospital and
moved into the present building in 1952. It is the teaching hospital of the
University of Chile, whose School of Medicine was founded in 1833. The faculty
consists of about 1400 members of which about 830 are full time positions.
The Jose Joaquin Aguirre Teaching Hospital is the most important tertiary hospital
of the Ministry of Health and the University of Chile. In a recent agreement
between these two institutions, they declared this hospital as the tertiary reference
for all the public hospitals in Chile under the Ministry of Health.
At this time, the Hospital provides a clinical setting for the Departments of Internal
Medicine, Surgery, Emergency Medicine, Anesthesiology, Obstetrics and Gynecology,
Psychiatry, Ophthalmology, Otolaryngology, Urology, Neurology, Neurosurgery,
Dermatology, Endocrinology, Nephrology, Cardiology, Gastroenterology,
Hematology, Oncology, Genetics, Nuclear Medicine, Pathology, Radiology,
Rehabilitation, Intensive Care Units, Blood Bank and Immunology.
Despite of the strategic importance of this hospital, it has not received any
substantial support in the form of equipment renovation for the last 18 years. As a
consequence, the available technology in key areas as Radiology dates back more
than 20 years. The facilities and equipment have deteriorated significantly, in spite
of efforts by personnel and the hospital management to substitute technology by
labor intensity.
In order to fulfill the mission that the Ministry of Health is assigning to this hospital
a global program of equipment renovation, a faculty training program, and a
facilities upgrade program are urgently needed.
The benefit resulting from such investment would be very substantial because this
hospital serves as a tertiary reference, and is a key component of the advanced
medical education for the whole country.
This project carries a very high visibility due to the large number of medical and
clinical professionals in Santiago who are or have been connected to this facility. A
substantial improvement would be seen as a rebirth of a once highly prestigious
academic institution which serves the poor and the needy.
4
Project Description
The project contains three components, a global program of equipment renovation,
a faculty training program, and a facilities upgrade program. In each Department, a
study which assessed the immediate and long term needs has been updated.
Equipment Renovation
In the Equipment Renovation program, certain areas appear more drastically in
need. For example, the Department of Radiology is presently working with some
equipment which is more than 25 years old. There is an urgent need for
Radiological rooms, CT and MRI facilities as well as angiographic imaging
equipment.
The Clinical Laboratory needs more than equipment as the laboratories are set up in
grossly inadequate facilities. New quarters have been designed but the lack of funds
has prevented any substantial improvement. A computerized system of
communication, a regular feature in this class of hospitals in the US, is an
important need as well.
An active Department of Cardiology is lacking the necessary equipment for adequate
catheterization procedures as well as monitoring facilities in intensive care units.
Upgrade of the cardiac surgery equipment is also needed.
The Department of Obstetrics and Gynecology, which has developed international
prestige for its research does not have even the basic monitoring equipment.
Nuclear Medicine is in need of an appropriate nuclear camera such as Spect. Also,
the Department of Rehabilitation, which has a significant workload, needs a series
of nerve stimulators and research devices.
In summary, almost every Department needs desperately the basic clinical and
research tools that are common place in less sophisticated hospitals in the US.
Faculty Training Program
The advent of new technology would bring to light the need for advanced training
for the faculty. This is one of the most important features in a complete program, to
differentiate from just providing equipment. In order for this process to succeed, it
is essential to establish a technology transfer program, which would address all
aspects of training at several professional levels.
Through an agreement being prepared between the University of Southern
California(USC) and both the Chilean Ministry of Health and the University of
Chile, USC would be able to provide the training and support necessary to fulfill the
Chilean requirements. The Health Sciences Campus at USC contains the second
5
largest hospital in the United States (Los Angeles County-USC Medical Center),
which is a county hospital, with similar features to the Chilean Teaching Hospital.
A variety of interdisciplinary programs available at this campus allows USC to
provide an entire program of training at many professional levels.
At the medical level, it would be necessary to provide training in the form of
fellowships, to advance the newer faculty in the techniques and methods of research
and clinical care, using advanced technology.
At the clinical level, a program of seminars and conferences would allow the
exchange of information. This approach can be combined with the efforts by
equipment manufacturers to train technologists in the proper operation of new
research and clinical care devices.
At the management level, USC has developed a partnership with National Medical
Enterprises, one of the largest chains of private hospitals in the United States. This
resource, combined with the experience of managing the medical care at the Los
Angeles County Hospital, would allow USC to provide a wide range of management
training.
At the technology support level, USC would be able to provide, through its Office of
Technology Transfer, a program oriented to develop their own service organization
at the Chilean hospital.
In summary, a joint effort between USC, the Chilean Ministry of Health and the
University of Chile would provide the necessary training and support to make this
program a unique experience for the Chilean environment.
Program of Facilities Upgrade
As part of the technological renovation, it would be necessary to develop a program
of facilities upgrade. This would include standard areas such as adequate housing
and shielding for Magnetic Resonance Imaging equipment, air conditioning when
required by devices, adequate electrical power and others.
Also, it would be necessary to examine the allocation of space for some of the
Departments. The most crucial one is the Central Clinical Laboratory, which would
require a new location. Fortunately, the majority of these plans have already been
developed and will be contained within the present physical plant of the hospital.
ID
@
85141
The available technology has become totally
obsolete in many critical areas such as
Radiology and Clinical Laboratory
6
Budget for Project 1
In spite of the labor intense operation of this hospital, the annual budget is a small
fraction of the budget at a similar facility in the United States. This is due to the low
wages for the personnel. In this environment, the essential teaching and research
component suffers by the lack of development funds.
A key part of the budget for this project deals with the expansion of the academic
activities by stimulating the advanced training of faculty. The creation of endowed
funds for teaching and research is a necessary complement to the described
advanced training.
The idea is to create an endowment which will expand in the future, by
contributions of the private sector, to support wider academic activities at all levels
of the operation. The Chancellor of the University of Chile has already started the
necessary steps to create a foundation which will aim at reaching self support of the
academic activities at the J.J. Aguirre Teaching Hospital.
This kind of funding has the advantage of providing a seed for a process that
eventually will reach total self sufficiency from a financial point of view. In the
difficult budgetary conditions of developing countries, this is a solution with a view
to the future, which has not been tried in Chile before. Within this context, the
budget for this project contains the following categories:
1. Equipment Acquisition: This will include the acquisition of replacement
equipment in many cases, as well as new technologies like Magnetic
Resonance Imaging and Lithotriptsy. A complete equipment list has been
prepared together with the necessary prepararation of the facilities
(included in the Appendix). With the exception of the Magnetic
Resonance, which might need special facility, all of the equipment will
reside in the present building of the hospital.
Total Equipment Budget
$15,5M
2. Faculty Training Program: As described in this document, an extensive
program of training in coordination with the University of Southern
California has been envisioned.
Total Training Budget
$2.0M
3. Teaching and Research Endowment: This budget will allow the start of a
foundation, aimed at the cooperation from the private sector.
Total Teaching Endowment Budget
$3.0M
4. Facilities Upgrade Program: This will include the necessary renovation of
existent facilities to accomodate the new equipment.
Total Facilities Upgrade Budget
$2.5M
TOTAL BUDGET FOR PROJECT 1
$23.0M
7
PROJECT 2
COMPLETION OF SAN BORJA/ARRIARAN HOSPITAL
Introduction
The San Borja/ Arriaran Hospital was founded in the colonial period, at the end of
the eighteenth century. Throughout its long presence in the health care of Chileans,
it has undergone many transformations, yet it has remained an important element
of the clinical education system in Chile.
The San Borja/ Arriaran Hospital is an associated hospital of the University of Chile,
with an attending faculty who, in addition to teaching, provides health care to a vast
population. Such situation gives this hospital a strategic importance within the
organization of the Ministry of Health.
University faculty are currently teaching in the Departments of Medicine, Surgery,
Pediatrics, Obstetrics and Gynecology, Gastroenterology, Oncology, Pathology,
Urology, Orthopedics, and the units of Cardiovascular Surgery, Burn, Infertility and
Digestive Pathology.
The San Borja/ Arriaran Hospital has 860 beds presently in service, covering a
population in excess of 1 million people in the south sector of Santiago. The present
building, whose construction started in 1967, was partially finished in 1977. A large
area (227,550 sq. ft.) containing among others, the projected operating rooms, has
remained unfinished.
Temporary locations were arranged for the missing sections within the hospital and
in buildings around the facility, some of them 2 miles from the hospital. Those
temporary arrangements remain as of today, diminishing considerably the efficiency
in the health care delivery of the institution.
From a perspective of financial efficiency, it is far more economic to finish this
hospital than to start a new construction, reaching almost the same effect at a
fraction of the total cost of a new hospital.
The completion of this hospital would have a deep impact in the services it
provides while becoming an ideal symbol of the revival process of democracy. The
main structure and the elements to make it successful are there: it needs decisive
effort and resources to reach the objectives delineated 23 years ago.
The visibility of this project is very high due to the fact that hundreds of thousands
of patients have suffered through the physical deficiencies of the hospital, while
having to watch for many years this massive structure, which has remained
unfinished. The completion of the hospital will bring many desired facilities, but
will also bring hope in the future of the country and the democratic process.
8
Project Description
The present San Borja/ Arriaran hospital is housed in a nine story building which
was finished in 1977. Connected to this building, a structure of three floors and two
sublevels was erected. This structure is complete, but without any of the necessary
finishings to make it operational. Today it can not be utilized at all, notwithstand-
ing the highly visible and massive building.
The structure holds 300,315 sq. ft., of which, 227,550 sq. ft. have remained unused for
almost two decades. The structure is solid and of good construction quality, having
survived several earthquakes with no damage at all.
This project involves the completion of this structure and the equipping of the
finished facilities. Also, the purchasing of land immediately adjacent to the facility
will be necessary to expedite the access to the services. This acquisition has been
envisioned for some time and the proper arrangements have already been done.
According to the original construction study finalized in 1973, the structure was
scheduled to hold the following facilities and services:
Sublevel 2
Electrical Substation
Personnel Dressing Rooms
Storage
Sublevel 1
Pediatric Emergency Room
Sterilization
Medical Records
Central Kitchen
Storage
First Floor
Admissions
Data Collection and Statistics
Radiology
Second Floor
Ambulatory Care
Neurology
Psychiatry
Ophthalmology
Ears, Nose and Throat
Dermatology
Oncology
Gynecology
Endocrinology
Hematology
Departments
Urology
9
Gastroenterology
Cardiology
Respiratory
Third Floor
Operating Rooms
Recovery Room
Intensive Care Unit
Attic
Air conditioning
Heating
Electrical distribution
Other Construction: Access and Parking (no structure) at the North Entrance
Most of the Ambulatory Care is presently provided at temporary facilities about 2
miles from the hospital. This situation complicates significantly the health care
delivery to the public and decreases dramatically the efficiency of the services and
personnel. In an environment where the shortage of clinical personnel is a pressing
issue, this condition decreases even more the capacity of the system.
The operating rooms have also been set up in temporary quarters. The need for
complex support to these facilities have not been satisfied and, as a consequence,
these areas operate at a fraction of the projected efficiency. The result is that the
entire hospital suffers significantly in terms of operating efficiency, increasing the
congestion of the already stressed system of medical care in the area.
In a recent study of the project, it was deemed appropriate to include in the structure
the Center for Gastric Cancer which has grown significantly in scope and population
over the last few years. Also, the size of the pediatric Intensive Care Unit needs to
be increased to cope with the growth in demand.
The medical equipment would include the furnishing of the operating rooms, a
pediatric intensive care and the outpatient center. In addition, ancillary equipment
to produce special air conditioning to the operating rooms including dedicated gas
lines and vacuum would be located in the attic.
A program of training at the clinical, managerial and service level would also be
organized jointly with the University of Southern California as part of an
agreement with the Ministry of Health.
In summary, this project is completely designed and ready for its execution. If it is
implemented, it will provide a dramatic impact in productivity and visibility for a
relatively small investment.
AMBULANCIA
AMBULANCIA
The second and third floor of the new structure have remained unfinished for the last 13 years.
10
Budget for Project 2
The studies originally made at the time of planning the construction of this facility
are still valid in many areas. The operating rooms will be located in the third floor
as planned.
In a recent study some modifications were made to the plans in order to include the
growing Center for Gastric Cancer. These modifications are included in the budget.
A training component, although not as crucial as in the Project 1 (University
Hospital) is also included. The acquisition of land (already arranged) will facilitate
significantly the access to the new development.
The following is an updated budget for this project (details about equipment and
construction plans can be found in the Appendix).
1. Completion of Construction (final phase)
227,550 sq. ft. @ $45/sq. ft.
$10,239,750
2. Land Acquisition
100,764 sq. ft. @ $15.00/sq. ft.
$1,511,460
3. Access Road and External Facilities
100,764 sq. ft. @ $9.00/sq. ft.
$906,876
4. Equipment (does not include medical equipment)
227,550 sq. ft. @ $6.00
$1,365,300
5. Medical Equipment
Operating Rooms
Adult Intensive Care Unit
Pediatric Intensive Care
Sterilization
$4,450,950
Ambulatory Care Center
$1,000,000
6. Clinical Training
$500,000
7. Initial Operating Funds
$850,000
TOTAL BUDGET FOR PROJECT 2
$20,824,336
11
PROJECT3
DIAGNOSTIC - AMBULATORY CARE CENTERS
Introduction
There is now a national consensus about the existence of problems in the Public
Health System in Chile, mainly in the excessive wait of patients for hospitalization
and procedures. This results in failure to resolve adequately clinical conditions and
consequently, in patient suffering and higher costs to the country.
The large hospitals located in urban areas of low income and high population
density have high patient load indexes, which, combined with the excessive wait for
hospitalization, demonstrate a condition of hospital congestion.
The considerable congestion currently seen at the emergency services of the larger
hospitals can be explained on the basis of inadequate and untimely management of
ambulatory patients. Because all the diagnostic equipment is located at the major
hospitals, this further contributes to complicate and to congest the emergency
services.
This already obvious congestion is compounded by the fact that a sizable proportion
of the patient population is inadequately managed at the smaller satellite clinics,
and thus referred to the larger hospitals. It should also be emphasized that outdated
equipment, long waits and shortage of medical supplies all contribute in a very
significant way to drastically decrease the quality of medical care at the hospitals.
Based on the above considerations, the Ministry of Health have launched an
initiative to increase the diagnostic efficiency and quality of medical care. This
initiative include the creation of Ambulatory Care and Diagnostic Centers, referred
by the Minister of Health, Dr. Jimenez, as the "Hospitals of the Twenty First
Century".
These centers, with state of the art equipment, represent a rational solution to the
problems of patient management and overcrowding at the larger hospitals. First,
these centers could enable a more efficient use of the hospitals' bed capacity by
decreasing the number of referrals. In addition, the Centers could manage and serve
the medical needs of patients at the primary care level. The Centers could also
avoid the need for building new facilities and for expanding the number of beds at
the larger hospitals.
This project represents the most advanced solution to the problem of congestion in
health care and would carry a high visibility. The Centers offer the opportunity of
combining new concepts with effective solutions which would be appreciated by the
Chilean people for years to come.
12
Project Description
The National Network of Diagnostic and Ambulatory Care Centers is envisioned as
a group of medical facilities distributed along the country and in close relation with
the major hospitals of the Chilean Public Health Care System.
As previously described in this document, the lack of diagnostic capacity at the larger
hospitals, has become an incentive to the admission of patients, as a way to
accelerate the diagnostic procedure, instead of the normal outpatient route.
Furthermore, a significant number of surgeries which could be done on an
outpatient basis, freeing hospital beds, are done in an inpatient modality.
Conservative estimates suggest that as much as 30% of the hospital admissions are
related to these two modalities.
The purpose of the Centers would be to provide immediate and timely diagnosis of
a wide variety of diseases through physical examination, laboratory tests and
diagnostic imaging as well as to manage minor surgical cases. These centers could
function independently with their own administrative staff.
The Ministry of Health have already conducted preliminary feasibility studies by
regions throughout the country. These studies and related statistic analyses have
indicated the locations where the diagnostic resources are most needed. For
example, there are areas where the wait for a radiological examination reaches six
months on an ambulatory basis and seven days for inpatient cases.
According to this study, and field visits to those places the following locations
appear viable and in definite need of a Center. This table also includes the
population directly served by those hospitals.
Region
Population
Hospital
Antofagasta
250,344
Antofagasta
Iquique
131,224
Iquique
Coquimbo
499,000
Coquimbo
Valparaiso
320,312
Van Buren
Santiago North
505,180
J.J. Aguirre
Santiago West
805,303
S. Juan de Dios
Santiago South
825,081
Sotero del Rio
Maule
799,600
Talca
Concepcion
534,260
G. G. Benavente
Nuble
359,152
Chillan
Araucania
709,960
Temuco
13
Functional Component
Below, some of the medical services to be included in the Centers are outlined:
- Specialty Services
- Imaging Services
- Endoscopic Procedures
- Clinical Laboratory
- Pathology Services
- Surgical Suites
Minor Surgery
Ophthalmological Surgery
ENT Surgery
Urological Surgery
Gynecologic Surgery
Minor Orthopedic Surgery
- Diagnostic Wards
- Therapeutic Wards
- Pharmacy
- Physical Therapy
- Blood Bank
- Computer Data Management Unit
- Library and Biomedical Resources
In addition, the Centers should be provided with vehicles(e. g. ambulances, vans,
trucks) to transport patients, medical supplies and for fast delivery of medical
samples.
Based on a worldwide experience with similar diagnostic and ambulatory care
centers a modular-type facility appears adequate. This distribution of the physical
space at the Centers could facilitate a dynamic flow of the different factors involved
in the diagnostic process.
It is also important that the Center establish and maintains a formal collaborative
agreement with the university and with university hospitals. This would allow a
timely exchange of information by accessing clinical and scientific data bases and for
training of professional and support personnel.
The Centers should also have electronic and mechanical shops for maintenance and
repair of sophisticated laboratory equipment, and for in-house consultations on pre-
purchase of certain equipment items.
Training Component
As a new entity in the Chilean Health Care System, the Diagnostic and Ambulatory
Care Center would require the training of significant number of personnel to reach
14
the desired efficiency. This training would have several phases: a clinical phase
where the adaptation of procedures to the new environment will be necessary. An
administrative phase where the diagramation and execution of modified routines
will be completed, and finally a self supporting phase, where all elements of support
from the technical services to the marketing will be studied and implemented.
The University of Southern California through an agreement with both the
Ministry of Health and the University of Chile would lend support to this training
phase both in the United States and in Chile.
The administrative nature given to the Centers by the Ministry of Health
(autonomous administration) would provide the basic foundation, which could be
then adapted to the task without having to deal with the burden of already
established hospitals and their organizations. This malleable structure has been
specifically outlined by the Ministry of Health, as an initial base to build efficiency
into the health care of the future in Chile.
Technical Service and Training Component
In many developing countries, where an effort to transfer technology has been
made, it has been necessary to create an infrastructure of technical support. Failure
to develop such capabilities has often resulted in equipment poorly utilized and, in
general, in an inefficient investment.
The objective is to develop an organization which could, at an early point,
completely take over the technical tasks of service, maintenance and personnel
training. This type of organization does not exist in Chile, relying now on the
service support provided by equipment manufacturers.
With the significant amount of medical equipment expected to be acquired during
the present administration by the Ministry of Health, training agreements are being
discussed with the manufacturers, in such a manner that an initial group of local
engineers could be prepared for the task ahead. This means to create the
organization and to provide tools, training and a base from where these activities
could grow up to a national scale operation.
It is expected that due to their high level of technology, the Centers would become
the ideal seed for a national system of technical self support, with all the necessary
logistics associated in this type of operation.
In this sense, the Centers would really become strategic elements, generating
solutions to the operational problems of the hospitals, as well as new support
mechanisms. The impact of this strategy should be long lasting and positive to the
health care of millions of Chileans.
15
Budget for Project 3
The initial study about the Diagnostic- Ambulatory Care Centers was one of the first
tasks by a team of specialists in public health under the direction of the Minister of
Health, Dr. Jimenez. He asked a group of multidisciplinary specialists to study the
need and the feasibility of these Centers as an alternative to the standard approach of
building more hospitals(trying to resolve the present shortage of beds). The
members of this group, headed by Dr. Cristian Baeza, developed a prototype Center
and the demographic study to assess possible locations. The results of this study
constitute the basis of this project, as presented in this document.
One of the concerns of the specialists was the observation that without a financial
support at least in the initial years, a specialized Center like these ones would have a
difficult time surviving. This is due to the lack of support structure, both financial
and technical, in the present environment. While there was no doubt that this is a
correct solution to the Chilean problem, it was strongly suggested that an adequate
operating budget for the initial years should be included in any planning.
At present, the Ministry of Health does not have the capability to include these
Centers in the extremely limited budget, and, therefore, it is presented here as part of
the Project 3. It includes the salaries, basic services and supplies in addition to the
costs of maintenance for the building and the equipment.
1. Diagnostic -Ambulatory Care Center
- Land
$360,000
- Building
$9,189,000
- Equipment
$7,795,000
2. Associated Maintenance and Training Center
- Land
$60,000
- Building
$195,000
- Equipment
$221,000
3. Clinical Training
$500,000
Total Fixed Expenses For Project 3
$18,320,000
4. Operating Funds per Year
- Maintenance
$1,050,000
- Operations
$4,093,000
Total Operations per Year For Project 3
$5,143,000
16
CONSOLIDATED BUDGET
Budget For Project 1
J.J. Aguirre University Hospital
Medical Equipment
$15,500.000
Faculty Training
$2,000,000
Teaching Endowment
$3,000,000
Facilities Upgrade
$2,500,000
Total Budget Project 1
$23,000,000
Budget For Project 2.
Completion Of San Borja/ Arriaran Hospital
Completion of Construction
$10,239,750
Land Acquisition
$1,511,460
Access & External Facilities
$906,876
Equipment (non medical)
$1,365,300
Medical Equipment
$4,450,950
Ambulatory Care Equipment
$1,000,000
Clinical Training
$500,000
Initial Operating Funds
$850,000
Total Budget Project 2
$20,824,336
Budget For Project 3
Diagnostic - Ambulatory Care Centers
Land
$360,000
Building
$9,189,000
Equipment
$7,795,000
Maintenance & Training Center
Land
$60,000
Building
$195,000
Equipment
$221,000
Clinical Training
$500,000
Total Fixed Expenses Project 3
$18,320,000
Operating Funds per Year Project 3
Maintenance
$1,050,000
Operations
4,093,000
Total Operations per Year Project 3
$5,143,000
17
APPENDIX
The documents to be included in this Appendix are the
original summaries prepared by the described Hospitals,
officials at the Ministry of Health and the University of
Chile. For space reasons, they will be submitted in a
separate package.